Does Morehouse General Hospital have an emergency room?

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

Where is Morehouse General Hospital?

323 W Walnut, Bastrop, LA 71220, in Morehouse Parish, Louisiana.

What is the phone number of Morehouse General Hospital?

(318) 283-3600, as listed by Medicare (CMS).

What is the Medicare star rating of Morehouse General Hospital?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Morehouse General Hospital for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Morehouse General Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 2.1931; 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).

Morehouse General Hospital — Phone, Address & ER

Quick answers

Does Morehouse General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Morehouse General Hospital. In a medical emergency, call 911.
Where is Morehouse General Hospital?: 323 W Walnut, Bastrop, LA 71220, in Morehouse Parish, Louisiana.
What is the phone number of Morehouse General Hospital?: (318) 283-3600, as listed by Medicare (CMS).
What is the Medicare star rating of Morehouse General Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Morehouse General Hospital for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Morehouse General Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 2.1931; 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^[4][5]

Treatments^[4]

Procedures^[4]

Day surgery
Endoscopy
EKG

Programs and centers^[4]

ICU / Telemetry
Wound Clinic / Hyperbaric

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Telestroke services with Ochsner Health System

Visiting and practical information

Patient portal	https://mgportal.yourcarecommunity.com/#/

Doctors and clinicians (112)

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

Main specialties

And 88 more: the button below opens the full list.

Other emergency rooms nearby

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

Freedom Behavioral Hospital of Bastrop1.5 mi · Bastrop, LA · Psychiatric Hospital
Fmol Health St Francis22 mi · Monroe, LA · Acute Care Hospital
Glenwood Regional Medical Center23 mi · West Monroe, LA · Acute Care Hospital
Richardson Medical Center24 mi · Rayville, LA · Acute Care Hospital
Ochsner LSU Health Monroe25 mi · Monroe, LA · Acute Care Hospital

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

Other hospitals near Bastrop

Sterlington Rehabilitation Hospital0.0 mi · Bastrop, LA · Inpatient Rehabilitation Hospital
Freedom Behavioral Hospital of Monroe16 mi · Monroe, LA · Psychiatric Hospital
Monroe Surgical Hospital20 mi · Monroe, LA · Acute Care Hospital
Specialty Hospital22 mi · Monroe, LA · Long-Term Acute Care Hospital

All hospitals in Bastrop · Hospitals in Morehouse Parish · 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

Lagniappe Healthcare1.5 mi · Bastrop, LA · 4 of 5 stars
Legrand Healthcare and Rehabilitation Center1.7 mi · Bastrop, LA · 3 of 5 stars
Cherry Ridge2.1 mi · Bastrop, LA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Premier Hospice, LLC6.2 mi · Bastrop, LA
Ascend Hospice Care, LLC15 mi · Monroe, LA
Elara Caring20 mi · Monroe, LA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Haven Home Health Inc15 mi · Monroe, LA · 4 of 5 stars
Alphacare Home Health, Inc.20 mi · Monroe, LA · 4.5 of 5 stars
Elara Caring20 mi · Monroe, LA · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Morehouse Parish Dialysis6.2 mi · Bastrop, LA · 2 of 5 stars
Fmcna - North Monroe15 mi · Monroe, LA · 1 of 5 stars
Fmcna - Northeast Louisiana Dialysis Center20 mi · Monroe, LA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Broussard Surgery Institute Inc15 mi · Monroe, LA
Advanced Surgery Center of Northern Louisiana, LLC20 mi · Monroe, LA
Arklamiss Surgery Center, LLC20 mi · Monroe, LA

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

CommuniHealth Services - Behavioral Health Wellness Clinic0.1 mi · Bastrop, LA · Community health center
CommuniHealth Services Morehouse Elementary School-Based Health Center0.4 mi · Bastrop, LA · Community health center
CommuniHealth Services - Bastrop Community Health Center0.5 mi · Bastrop, LA · Community health center

Clinics and urgent care

Bastrop Outpatient Rural Health Clinic6.2 mi · Bastrop, LA · Rural health clinic
Hulin Urgent Care Services, LLC6.2 mi · Bastrop, LA · Urgent care center
MGH Rural Health Clinic6.2 mi · Bastrop, LA · Rural health clinic

Pharmacies

Ainsworth Pharmacy Group LLC6.2 mi · Bastrop, LA · Community/retail pharmacy
Elizabeth Wright6.2 mi · Bastrop, LA · Community/retail pharmacy
Morehouse Community Medical Centers, Inc.6.2 mi · Bastrop, LA · Pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	47%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	82%National average: 80%
“Always” got help as soon as they wanted	77%National average: 64%
Staff “always” explained medicines before giving them	66%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	70%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	58Response rate: 11%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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 failure patients	11.3%
Deaths within 30 days: pneumonia patients	17.8%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Serious complications (patient safety indicator PSI-90)

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)	15.8%
Readmitted within 30 days: heart failure	20.9%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	20.2%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart attack

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	123 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	60%National average: 66%

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

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

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 Morehouse General Hospital, 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 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	2.1931Lower 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 failure	1.0158More readmissions than expected
Pneumonia	0.9861Fewer readmissions than expected
No result published	Heart attack; COPD (chronic lung disease); Hip or knee replacement; Coronary 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.

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, ratio	1.16Above the national median hospital (1.00): Medicare spent more

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

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 Louisiana Best hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 40 common services exactly as Morehouse General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 40 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NP VISIT LEVEL 3	$250	$200	$93.18 – $200
New patient office visit (about 30–44 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $200 BCBS_HMO_PLAN — COMMERCIAL: $93.18 BCBS_PPO_PLAN — COMMERCIAL: $93.18 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $93.18 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $114.81 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: FAC CHG 99203 NEW PT	$195	$156	$72.68 – $156
New patient office visit (about 30–44 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $156 BCBS_HMO_PLAN — COMMERCIAL: $72.68 BCBS_PPO_PLAN — COMMERCIAL: $72.68 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $72.68 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $114.81 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NP VISIT LEVEL 4	$319.68	$255.74	$96.04 – $255.74
New patient office visit (about 45–59 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $255.74 BCBS_HMO_PLAN — COMMERCIAL: $119.14 BCBS_PPO_PLAN — COMMERCIAL: $119.14 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $119.14 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $186.51 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: FAC CHG 99204 NEW PT	$225	$180	$83.86 – $186.51
New patient office visit (about 45–59 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $180 BCBS_HMO_PLAN — COMMERCIAL: $83.86 BCBS_PPO_PLAN — COMMERCIAL: $83.86 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $83.86 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $186.51 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: NP VISIT LEVEL 5	$319.68	$255.74	$96.04 – $255.74
New patient office visit (about 60–74 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $255.74 BCBS_HMO_PLAN — COMMERCIAL: $119.14 BCBS_PPO_PLAN — COMMERCIAL: $119.14 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $119.14 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $253.53 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: FAC CHG 99205 NEW PT	$255	$204	$95.04 – $253.53
New patient office visit (about 60–74 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $204 BCBS_HMO_PLAN — COMMERCIAL: $95.04 BCBS_PPO_PLAN — COMMERCIAL: $95.04 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $95.04 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $253.53 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EP VISIT LEVEL 3	$319.68	$255.74	$91.94 – $255.74
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $255.74 BCBS_HMO_PLAN — COMMERCIAL: $119.14 BCBS_PPO_PLAN — COMMERCIAL: $119.14 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $119.14 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $91.94 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: FAC CHG 99213 EST PT	$131	$104.80	$48.82 – $104.80
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $104.80 BCBS_HMO_PLAN — COMMERCIAL: $48.82 BCBS_PPO_PLAN — COMMERCIAL: $48.82 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $48.82 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $91.94 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OSS EST PAT LEVEL 3	$219	$175.20	$81.62 – $175.20
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $175.20 BCBS_HMO_PLAN — COMMERCIAL: $81.62 BCBS_PPO_PLAN — COMMERCIAL: $81.62 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $81.62 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $91.94 UHC_MEDICAID_PLAN — MEDICAID: $87.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: EP VISIT LEVEL 4	$319.68	$255.74	$96.04 – $255.74
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $255.74 BCBS_HMO_PLAN — COMMERCIAL: $119.14 BCBS_PPO_PLAN — COMMERCIAL: $119.14 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $119.14 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $135.49 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FAC CHG 99214 EST PT	$194	$155.20	$72.30 – $155.20
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans AETNA_MEDICAID_CHIP_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_PLAN — MEDICAID: $96.04 AETNA_MEDICAID_QHP_PLAN — MEDICAID: $96.04 AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $155.20 BCBS_HMO_PLAN — COMMERCIAL: $72.30 BCBS_PPO_PLAN — COMMERCIAL: $72.30 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $72.30 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $135.49 HUMANA_MEDICAID_PLAN — MEDICAID: $96.04 UHC_MEDICAID_PLAN — MEDICAID: $96.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OSS EST PAT LEVEL 4	$279	$223.20	$103.98 – $223.20
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $223.20 BCBS_HMO_PLAN — COMMERCIAL: $103.98 BCBS_PPO_PLAN — COMMERCIAL: $103.98 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $103.98 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $135.49 UHC_MEDICAID_PLAN — MEDICAID: $111.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER CARE LEVEL 3	$590	$472	$219.89 – $835.24
Emergency room visit (moderate): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $472 BCBS_HMO_PLAN — COMMERCIAL: $219.89 BCBS_PPO_PLAN — COMMERCIAL: $219.89 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $219.89 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $835.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEFT AMA FROM ER	Not listed in the file	Not listed in the file	$600 – $835.24
Emergency room visit (moderate): rates for 7 insurance plans HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_PPOX_PLAN — MEDICARE: $835.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: ER CARE LVL 3 W PROC	$590	$472	$219.89 – $835.24
Emergency room visit (moderate): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $472 BCBS_HMO_PLAN — COMMERCIAL: $219.89 BCBS_PPO_PLAN — COMMERCIAL: $219.89 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $219.89 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $835.24 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $835.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER CARE LEVEL 4	$785	$628	$292.57 – $965.18
Emergency room visit (moderately high): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $628 BCBS_HMO_PLAN — COMMERCIAL: $292.57 BCBS_PPO_PLAN — COMMERCIAL: $292.57 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $292.57 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $965.18
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: ER CARE LVL 4 W PROC	$785	$628	$292.57 – $965.18
Emergency room visit (moderately high): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $628 BCBS_HMO_PLAN — COMMERCIAL: $292.57 BCBS_PPO_PLAN — COMMERCIAL: $292.57 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $292.57 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $965.18 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $965.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER CARE LEVEL 5	$1,122	$897.60	$418.17 – $1,129.59
Emergency room visit (high): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $897.60 BCBS_HMO_PLAN — COMMERCIAL: $418.17 BCBS_PPO_PLAN — COMMERCIAL: $418.17 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $418.17 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $1,129.59
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: ER CARE LVL 5 W PROC	$1,122	$897.60	$418.17 – $1,129.59
Emergency room visit (high): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $897.60 BCBS_HMO_PLAN — COMMERCIAL: $418.17 BCBS_PPO_PLAN — COMMERCIAL: $418.17 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $418.17 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $600 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $1,129.59 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $1,129.59

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOL PANEL	$39.87	$31.90	$6.35 – $31.90
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $31.90 BCBS_HMO_PLAN — COMMERCIAL: $14.86 BCBS_PPO_PLAN — COMMERCIAL: $14.86 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $14.86 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $6.35 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $6.35 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $8.46 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $8.46 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $6.35 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $6.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METAB PANEL	$151	$120.80	$7.92 – $120.80
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $120.80 BCBS_HMO_PLAN — COMMERCIAL: $56.28 BCBS_PPO_PLAN — COMMERCIAL: $56.28 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $56.28 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $7.92 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $7.92 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $10.56 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $10.56 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $7.92 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $7.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$67	$53.60	$10.04 – $53.60
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $53.60 BCBS_HMO_PLAN — COMMERCIAL: $24.97 BCBS_PPO_PLAN — COMMERCIAL: $24.97 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $24.97 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $10.04 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $10.04 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $13.39 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $13.39 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $10.04 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $10.04
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$62	$49.60	$6.51 – $49.60
Kidney function panel: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $49.60 BCBS_HMO_PLAN — COMMERCIAL: $23.11 BCBS_PPO_PLAN — COMMERCIAL: $23.11 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $23.11 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $6.51 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $6.51 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $8.68 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $8.68 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $6.51 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $6.51
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PAN	$46	$36.80	$6.13 – $36.80
Liver function panel: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $36.80 BCBS_HMO_PLAN — COMMERCIAL: $17.14 BCBS_PPO_PLAN — COMMERCIAL: $17.14 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $17.14 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $6.13 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $6.13 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $8.17 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $8.17 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $6.13 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $6.13
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS	$24	$19.20	$2.38 – $19.20
Urine test (automated, with microscope): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $19.20 BCBS_HMO_PLAN — COMMERCIAL: $8.94 BCBS_PPO_PLAN — COMMERCIAL: $8.94 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $8.94 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $2.38 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $2.38 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $3.17 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $3.17 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $2.38 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $2.38
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS W/O MICRO	$14	$11.20	$1.69 – $11.20
Urine test (automated, without microscope): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $11.20 BCBS_HMO_PLAN — COMMERCIAL: $5.22 BCBS_PPO_PLAN — COMMERCIAL: $5.22 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $5.22 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $1.69 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $1.69 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $2.25 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $2.25 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $1.69 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $1.69
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL DX	$155	$124	$13.79 – $124
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $124 BCBS_HMO_PLAN — COMMERCIAL: $57.77 BCBS_PPO_PLAN — COMMERCIAL: $57.77 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $57.77 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $13.79 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $13.79 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $18.39 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $18.39 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $13.79 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $13.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$94	$75.20	$12.60 – $75.20
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $75.20 BCBS_HMO_PLAN — COMMERCIAL: $35.03 BCBS_PPO_PLAN — COMMERCIAL: $35.03 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $35.03 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $12.60 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $12.60 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $16.80 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $16.80 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $12.60 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $12.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC	$108	$86.40	$5.83 – $86.40
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $86.40 BCBS_HMO_PLAN — COMMERCIAL: $40.25 BCBS_PPO_PLAN — COMMERCIAL: $40.25 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $40.25 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $5.83 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $5.83 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $7.77 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $7.77 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $5.83 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $5.83
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC, AUTOMATED	$30.84	$24.67	$4.85 – $24.67
Complete blood count (CBC), automated: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $24.67 BCBS_HMO_PLAN — COMMERCIAL: $11.49 BCBS_PPO_PLAN — COMMERCIAL: $11.49 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $11.49 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $4.85 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $4.85 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $6.47 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $6.47 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $4.85 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $4.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN	$21	$16.80	$3.22 – $16.80
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $16.80 BCBS_HMO_PLAN — COMMERCIAL: $7.83 BCBS_PPO_PLAN — COMMERCIAL: $7.83 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $7.83 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $3.22 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $3.22 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $4.29 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $4.29 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $3.22 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $3.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$34	$27.20	$4.51 – $27.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $27.20 BCBS_HMO_PLAN — COMMERCIAL: $12.67 BCBS_PPO_PLAN — COMMERCIAL: $12.67 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $12.67 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $4.51 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $4.51 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $6.01 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $6.01 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $4.51 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $4.51

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO	$1,500	$1,200	$87.65 – $1,200
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $1,200 BCBS_HMO_PLAN — COMMERCIAL: $559.05 BCBS_PPO_PLAN — COMMERCIAL: $559.05 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $559.05 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $87.65 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$3,564	$2,851.20	$279.86 – $2,851.20
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,851.20 BCBS_HMO_PLAN — COMMERCIAL: $1,328.30 BCBS_PPO_PLAN — COMMERCIAL: $1,328.30 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,328.30 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $279.86 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $317.08
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST PA & LAT	$275	$220	$29.73 – $220
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $220 BCBS_HMO_PLAN — COMMERCIAL: $102.49 BCBS_PPO_PLAN — COMMERCIAL: $102.49 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $102.49 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $74.92 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $74.92 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $74.92 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $29.73 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $74.92 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $74.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR W/OBL 4+ VWS	$368	$294.40	$50.43 – $294.40
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $294.40 BCBS_HMO_PLAN — COMMERCIAL: $137.15 BCBS_PPO_PLAN — COMMERCIAL: $137.15 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $137.15 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $50.43 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR WO CONT	$3,016	$2,412.80	$161.34 – $2,412.80
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,412.80 BCBS_HMO_PLAN — COMMERCIAL: $1,124.06 BCBS_PPO_PLAN — COMMERCIAL: $1,124.06 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,124.06 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $161.34 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $202.03
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS (W)	$2,124	$1,699.20	$151.49 – $1,699.20
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $1,699.20 BCBS_HMO_PLAN — COMMERCIAL: $791.61 BCBS_PPO_PLAN — COMMERCIAL: $791.61 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $791.61 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $151.49 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $151.49 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $151.49 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $229.42 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $151.49 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $151.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI HIP WO CONT	$3,016	$2,412.80	$183.76 – $2,412.80
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,412.80 BCBS_HMO_PLAN — COMMERCIAL: $1,124.06 BCBS_PPO_PLAN — COMMERCIAL: $1,124.06 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,124.06 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $183.76 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $202.03
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI FOOT WO CONT	$3,016	$2,412.80	$183.76 – $2,412.80
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,412.80 BCBS_HMO_PLAN — COMMERCIAL: $1,124.06 BCBS_PPO_PLAN — COMMERCIAL: $1,124.06 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,124.06 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $183.76 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $202.03
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI KNEE WO CONT	$3,016	$2,412.80	$183.76 – $2,412.80
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,412.80 BCBS_HMO_PLAN — COMMERCIAL: $1,124.06 BCBS_PPO_PLAN — COMMERCIAL: $1,124.06 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,124.06 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $183.76 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $202.03 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $202.03
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT AB + PELV W	$3,290	$2,632	$287.35 – $2,632
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $2,632 BCBS_HMO_PLAN — COMMERCIAL: $1,226.18 BCBS_PPO_PLAN — COMMERCIAL: $1,226.18 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $1,226.18 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $287.35 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $317.08 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $317.08
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$325	$260	$90.64 – $260
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $260 BCBS_HMO_PLAN — COMMERCIAL: $121.13 BCBS_PPO_PLAN — COMMERCIAL: $121.13 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $121.13 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $100.04 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD ASCITES	$325	$260	$90.64 – $260
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $260 BCBS_HMO_PLAN — COMMERCIAL: $121.13 BCBS_PPO_PLAN — COMMERCIAL: $121.13 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $121.13 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $100.04 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG TRANSAB >/=1	$720	$576	$90.64 – $576
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $576 BCBS_HMO_PLAN — COMMERCIAL: $268.34 BCBS_PPO_PLAN — COMMERCIAL: $268.34 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $268.34 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $113.14 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US TRANSABDO>=14 WKS	$565	$452	$90.64 – $452
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $452 BCBS_HMO_PLAN — COMMERCIAL: $210.58 BCBS_PPO_PLAN — COMMERCIAL: $210.58 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $210.58 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $113.14 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US VAG PROBE NON OB	$720	$576	$90.64 – $576
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $576 BCBS_HMO_PLAN — COMMERCIAL: $268.34 BCBS_PPO_PLAN — COMMERCIAL: $268.34 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $268.34 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $110.61 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $90.64 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $90.64
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMO UNIL DIAG DIG	$286	$228.80	$106.59 – $228.80
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $228.80 BCBS_HMO_PLAN — COMMERCIAL: $106.59 BCBS_PPO_PLAN — COMMERCIAL: $106.59 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $106.59 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $110.90 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $110.90 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $110.90 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $110.90 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $110.90 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $110.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO BILAT DIAG DIG	$428	$342.40	$142.32 – $342.40
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $342.40 BCBS_HMO_PLAN — COMMERCIAL: $159.52 BCBS_PPO_PLAN — COMMERCIAL: $159.52 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $159.52 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $142.32 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $142.32 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $142.32 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $142.32 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $142.32 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $142.32
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO BIL SCR W/CAD	$393	$314.40	$117.25 – $314.40
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $314.40 BCBS_HMO_PLAN — COMMERCIAL: $146.47 BCBS_PPO_PLAN — COMMERCIAL: $146.47 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $146.47 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $117.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: MAMMO UNIL SCR W/CAD	$393	$314.40	$117.25 – $314.40
Screening mammogram, both breasts: 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $314.40 BCBS_HMO_PLAN — COMMERCIAL: $146.47 BCBS_PPO_PLAN — COMMERCIAL: $146.47 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $146.47 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $117.25 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $117.25

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSONOGRAM COMPLT	$1,530	$1,224	$570.23 – $1,224
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $1,224 BCBS_HMO_PLAN — COMMERCIAL: $570.23 BCBS_PPO_PLAN — COMMERCIAL: $570.23 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $570.23 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $862.05 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $862.05 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $862.05 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $646.73 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $862.05 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $862.05

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXER EA 15M	$119	$95.20	$40.02 – $95.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $95.20 BCBS_HMO_PLAN — COMMERCIAL: $44.35 BCBS_PPO_PLAN — COMMERCIAL: $44.35 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $44.35 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $40.02
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXER EA 30M	$238	$190.40	$40.02 – $190.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $190.40 BCBS_HMO_PLAN — COMMERCIAL: $88.70 BCBS_PPO_PLAN — COMMERCIAL: $88.70 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $88.70 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $40.02
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXER EA 45	$357	$285.60	$40.02 – $285.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $285.60 BCBS_HMO_PLAN — COMMERCIAL: $133.05 BCBS_PPO_PLAN — COMMERCIAL: $133.05 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $133.05 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $40.02 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $40.02
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL LOW COMPLEXI	$304	$243.20	$113.30 – $243.20
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $243.20 BCBS_HMO_PLAN — COMMERCIAL: $113.30 BCBS_PPO_PLAN — COMMERCIAL: $113.30 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $113.30 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $137
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL MODERATE COM	$304	$243.20	$113.30 – $243.20
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $243.20 BCBS_HMO_PLAN — COMMERCIAL: $113.30 BCBS_PPO_PLAN — COMMERCIAL: $113.30 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $113.30 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $137
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL HIGH COMPLEX	$304	$243.20	$113.30 – $243.20
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates AETNA_MEDICAL_RENTAL_NETWORK_PLAN — COMMERCIAL: $243.20 BCBS_HMO_PLAN — COMMERCIAL: $113.30 BCBS_PPO_PLAN — COMMERCIAL: $113.30 BCBS_TRADITIONAL_PLAN — COMMERCIAL: $113.30 HUMANA_COMMERCIAL_EPO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_EPOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMO_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_HMOX_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_POS_PLAN — MEDICARE: $137 HUMANA_COMMERCIAL_PPO_PLAN — MEDICARE: $137

Source: Morehouse General Hospital’s standard charges file (morehousegeneralhospital.pg.quadax.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	323 W Walnut, Bastrop, LA 71220
Parish	Morehouse Parish
State	Louisiana
Phone	(318) 283‑3600
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	190116
Name in Medicare records	MOREHOUSE GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	mghospital.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Morehouse General Hospital — mghospital.com
Emergency Room - Morehouse General Hospital — mghospital.com

Morehouse General Hospital

Summary

Profile from official sources

At a glance