Does Morrison Community Hospital have an emergency room?

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

Where is Morrison Community Hospital?

303 N Jackson Street, Morrison, IL 61270, in Whiteside County, Illinois.

What is the phone number of Morrison Community Hospital?

(815) 772-4003, as listed by Medicare (CMS).

What is the Medicare star rating of Morrison Community Hospital?

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

Morrison Community Hospital — Phone, Address & ER

Quick answers

Does Morrison Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Morrison Community Hospital. In a medical emergency, call 911.
Where is Morrison Community Hospital?: 303 N Jackson Street, Morrison, IL 61270, in Whiteside County, Illinois.
What is the phone number of Morrison Community Hospital?: (815) 772-4003, as listed by Medicare (CMS).
What is the Medicare star rating of Morrison Community Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][8][10][11][12][14][16][19]}

Conditions treated^{[5][10][11][13][14][15][16][17][18]}

Acute and chronic wounds
Diabetic ulcers
Skin conditions
Pressure injuries
Post-surgical wounds
Burns
Traumatic injuries
Chronic pelvic pain
Urinary incontinence
Fecal incontinence
Abnormal uterine bleeding
Pelvic organ prolapse
Menopause symptoms
Endometriosis
Sinusitis
Ear infections
Tonsillitis
Hearing loss
Kidney stones
Sleep apnea
Epilepsy
Parkinson's disease
Multiple sclerosis
Spinal compression fractures
Neck and back pain
Carpal tunnel syndrome
Bunions
Hammertoe
Heel pain
Cataracts
Osteoporosis
Rheumatoid arthritis
Crohn's disease
Migraines

Treatments^{[4][5][9][10][11][13][15][17][18][19]}

Wound care
Physical, occupational and speech rehabilitation
Infusion services
Telemedicine
Hormone replacement therapy
MRI
CT scan
CT cardiac calcium scoring
X-ray
Ultrasound
Mammography
EEG
Laboratory testing
IV antibiotic therapy
IV steroid treatment
Immune globulin
Wound debridement
Bioidentical hormone therapy
Testosterone therapy consultations
Birth control management including Nexplanon and IUD
Orthotic fitting
Wheelchair fitting

Procedures^[5][14][16]

Surgical services
X-ray
CT scan
MRI
Ultrasound
Mammography
Laboratory testing
Colonoscopy
Upper GI endoscopy
Liver biopsy
Appendectomy
Hernia repair
Laparoscopic gallbladder removal
Hemorrhoid procedures
Pilonidal cyst excision
Vasectomy
Hysterectomy
Pelvic floor reconstruction
Joint replacement
Arthroscopic shoulder and knee surgery
Endoscopic carpal tunnel surgery
Total ankle implant
Bunionectomy
Hammertoe correction
Artificial disc replacement
Kyphoplasty
Vagus nerve implant
Robotic spine surgery
Cataract surgery
YAG laser for secondary cataract
Laparoscopic surgery

Programs and centers^{[5][6][8][10][11][13][15][18]}

Hospital-run ambulance service
Emergency Department (24/7)
Wound Care Program
Women's Health Program
Outpatient infusion services
Telemedicine
Physical rehabilitation services
Behavioral health services
Medicare Wellness Exams
Hormone replacement therapy clinic

Emergency care (hospital website)^[5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting 8 a.m.-8 p.m.; two visitors at a time, age 18 or older; use the Emergency Department door after 6 p.m^[7]

Recognition^[19]

CLIA Certificate of Compliance (laboratory)

Doctors and clinicians (74)

74 doctors and other clinicians list Morrison Community 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 50 more: the button below opens the full list.

Other emergency rooms nearby

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

MercyOne Clinton Medical Center12 mi · Clinton, IA · Acute Care Hospital
CGH Medical Center13 mi · Sterling, IL · Acute Care Hospital
OSF Saint Katharine Medical Center25 mi · Dixon, IL · Acute Care Hospital
Hammond Henry Hospital26 mi · Geneseo, IL · Critical Access Hospital
MercyOne Genesis Dewitt Medical Center30 mi · Dewitt, IA · Critical Access Hospital

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

Other hospitals near Morrison

Genesis Health System dba Genesis MDL Center-Illini32 mi · Silvis, IL · Acute Care Hospital

Hospitals in Whiteside 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

La Bella of Morrison0.3 mi · Morrison, IL · 2 of 5 stars
Resthave Home-Whiteside County0.3 mi · Morrison, IL · 1 of 5 stars
Allure of Prophetstown9.0 mi · Prophetstown, IL · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Gaffey Home Nursing & Hospice, Inc12 mi · Sterling, IL
Rock River Hospice and Home12 mi · Sterling, IL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Castor Home Nursing Inc12 mi · Sterling, IL · 2.5 of 5 stars
CGH Home Nursing12 mi · Sterling, IL · 2 of 5 stars
Gaffey Home Nursing & Hospice, Inc12 mi · Sterling, IL · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Whiteside Dialysis12 mi · Sterling, IL · 3 of 5 stars
MercyOne  Clinton Medical Center16 mi · Clinton, IA · 2 of 5 stars
DaVita Dixon Kidney Center25 mi · Dixon, IL · 4 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.

Quality Surgicenter16 mi · Clinton, IA

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

Morrison High School0.9 mi · Morrison, IL · Community health center
Fulton High School11 mi · Fulton, IL · Community health center
Community Health Care Inc. Clinton Clinic12 mi · Clinton, IA · Community health center

Clinics and urgent care

Morrison Community Hospital District1.3 mi · Morrison, IL · Rural health clinic
Morrison Community Hospital Erie Clinic13 mi · Erie, IL · Rural health clinic

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 Morrison Community 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.

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)	131 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Morrison Community 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 64 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 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26 – $254.75
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $229.28 AMBETTER — Medicaid Managed Care: $94.26 ANTHEM — Commercial PPO: $254.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $254.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $254.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $229.28 Cigna Health and Life Insurance Company — Commercial POS: $213.23 Coventry MA — Coventry MA: $94.26 Health Alliance — Commercial HMO: $178.33 Health Alliance MA — Health Alliance MA: $94.26
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: SB-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26 – $254.75
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $229.28 AMBETTER — Medicaid Managed Care: $94.26 ANTHEM — Commercial PPO: $254.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $254.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $254.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $229.28 Cigna Health and Life Insurance Company — Commercial POS: $213.23 Coventry MA — Coventry MA: $94.26 Health Alliance — Commercial HMO: $178.33 Health Alliance MA — Health Alliance MA: $94.26
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26 – $254.75
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $229.28 AMBETTER — Medicaid Managed Care: $94.26 ANTHEM — Commercial PPO: $254.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $254.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $254.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $229.28 Cigna Health and Life Insurance Company — Commercial POS: $213.23 Coventry MA — Coventry MA: $94.26 Health Alliance — Commercial HMO: $178.33 Health Alliance MA — Health Alliance MA: $94.26
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44 – $368.75
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $331.88 AMBETTER — Medicaid Managed Care: $136.44 ANTHEM — Commercial PPO: $368.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $368.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $368.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $331.88 Cigna Health and Life Insurance Company — Commercial POS: $308.64 Coventry MA — Coventry MA: $136.44 Health Alliance — Commercial HMO: $258.13 Health Alliance MA — Health Alliance MA: $136.44
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: SB-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44 – $368.75
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $331.88 AMBETTER — Medicaid Managed Care: $136.44 ANTHEM — Commercial PPO: $368.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $368.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $368.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $331.88 Cigna Health and Life Insurance Company — Commercial POS: $308.64 Coventry MA — Coventry MA: $136.44 Health Alliance — Commercial HMO: $258.13 Health Alliance MA — Health Alliance MA: $136.44
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44 – $368.75
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $331.88 AMBETTER — Medicaid Managed Care: $136.44 ANTHEM — Commercial PPO: $368.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $368.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $368.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $331.88 Cigna Health and Life Insurance Company — Commercial POS: $308.64 Coventry MA — Coventry MA: $136.44 Health Alliance — Commercial HMO: $258.13 Health Alliance MA — Health Alliance MA: $136.44
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77 – $464.25
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $417.83 AMBETTER — Medicaid Managed Care: $171.77 ANTHEM — Commercial PPO: $464.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $464.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $464.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $417.83 Cigna Health and Life Insurance Company — Commercial POS: $388.58 Coventry MA — Coventry MA: $171.77 Health Alliance — Commercial HMO: $324.98 Health Alliance MA — Health Alliance MA: $171.77
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: SB-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77 – $464.25
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $417.83 AMBETTER — Medicaid Managed Care: $171.77 ANTHEM — Commercial PPO: $464.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $464.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $464.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $417.83 Cigna Health and Life Insurance Company — Commercial POS: $388.58 Coventry MA — Coventry MA: $171.77 Health Alliance — Commercial HMO: $324.98 Health Alliance MA — Health Alliance MA: $171.77
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77 – $464.25
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $417.83 AMBETTER — Medicaid Managed Care: $171.77 ANTHEM — Commercial PPO: $464.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $464.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $464.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $417.83 Cigna Health and Life Insurance Company — Commercial POS: $388.58 Coventry MA — Coventry MA: $171.77 Health Alliance — Commercial HMO: $324.98 Health Alliance MA — Health Alliance MA: $171.77
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28 – $157.50
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $141.75 AMBETTER — Medicaid Managed Care: $58.28 ANTHEM — Commercial PPO: $157.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $157.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $157.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $141.75 Cigna Health and Life Insurance Company — Commercial POS: $131.83 Coventry MA — Coventry MA: $58.28 Health Alliance — Commercial HMO: $110.25 Health Alliance MA — Health Alliance MA: $58.28
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: SB-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28 – $157.50
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $141.75 AMBETTER — Medicaid Managed Care: $58.28 ANTHEM — Commercial PPO: $157.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $157.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $157.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $141.75 Cigna Health and Life Insurance Company — Commercial POS: $131.83 Coventry MA — Coventry MA: $58.28 Health Alliance — Commercial HMO: $110.25 Health Alliance MA — Health Alliance MA: $58.28
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: NH-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28 – $157.50
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $141.75 AMBETTER — Medicaid Managed Care: $58.28 ANTHEM — Commercial PPO: $157.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $157.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $157.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $141.75 Cigna Health and Life Insurance Company — Commercial POS: $131.83 Coventry MA — Coventry MA: $58.28 Health Alliance — Commercial HMO: $110.25 Health Alliance MA — Health Alliance MA: $58.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18 – $227.50
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $204.75 AMBETTER — Medicaid Managed Care: $84.18 ANTHEM — Commercial PPO: $227.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $227.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $227.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $204.75 Cigna Health and Life Insurance Company — Commercial POS: $190.42 Coventry MA — Coventry MA: $84.18 Health Alliance — Commercial HMO: $159.25 Health Alliance MA — Health Alliance MA: $84.18
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EXAM DOT incl UA	$93	$93	$34.41 – $93
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $83.70 AMBETTER — Medicaid Managed Care: $34.41 ANTHEM — Commercial PPO: $93 BCBLIL Blue Choice — BCBLIL Blue Choice: $93 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $93 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $83.70 Cigna Health and Life Insurance Company — Commercial POS: $77.84 Coventry MA — Coventry MA: $34.41 Health Alliance — Commercial HMO: $65.10 Health Alliance MA — Health Alliance MA: $34.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: SB-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18 – $227.50
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $204.75 AMBETTER — Medicaid Managed Care: $84.18 ANTHEM — Commercial PPO: $227.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $227.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $227.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $204.75 Cigna Health and Life Insurance Company — Commercial POS: $190.42 Coventry MA — Coventry MA: $84.18 Health Alliance — Commercial HMO: $159.25 Health Alliance MA — Health Alliance MA: $84.18
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: PREVENT MED NEW 18-39 YRS	$315.75	$315.75	$116.83 – $315.75
Preventive checkup, new patient, age 18–39: 10 of 22 insurance plan rates AETNA — Commercial HMO: $284.18 AMBETTER — Medicaid Managed Care: $116.83 ANTHEM — Commercial PPO: $315.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $315.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $315.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $284.18 Cigna Health and Life Insurance Company — Commercial POS: $264.28 Coventry MA — Coventry MA: $116.83 Health Alliance — Commercial HMO: $221.03 Health Alliance MA — Health Alliance MA: $116.83
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-PREVENT MED NEW 18-39 YRS	$206	$206	$76.22 – $206
Preventive checkup, new patient, age 18–39: 10 of 22 insurance plan rates AETNA — Commercial HMO: $185.40 AMBETTER — Medicaid Managed Care: $76.22 ANTHEM — Commercial PPO: $206 BCBLIL Blue Choice — BCBLIL Blue Choice: $206 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $206 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $185.40 Cigna Health and Life Insurance Company — Commercial POS: $172.42 Coventry MA — Coventry MA: $76.22 Health Alliance — Commercial HMO: $144.20 Health Alliance MA — Health Alliance MA: $76.22
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: PREVENT MED NEW 40-64 YRS	$344.50	$344.50	$127.47 – $344.50
Preventive checkup, new patient, age 40–64: 10 of 22 insurance plan rates AETNA — Commercial HMO: $310.05 AMBETTER — Medicaid Managed Care: $127.47 ANTHEM — Commercial PPO: $344.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $344.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $344.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $310.05 Cigna Health and Life Insurance Company — Commercial POS: $288.35 Coventry MA — Coventry MA: $127.47 Health Alliance — Commercial HMO: $241.15 Health Alliance MA — Health Alliance MA: $127.47
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-PREVENT MED NEW 40-64 YRS	$206	$206	$76.22 – $206
Preventive checkup, new patient, age 40–64: 10 of 22 insurance plan rates AETNA — Commercial HMO: $185.40 AMBETTER — Medicaid Managed Care: $76.22 ANTHEM — Commercial PPO: $206 BCBLIL Blue Choice — BCBLIL Blue Choice: $206 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $206 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $185.40 Cigna Health and Life Insurance Company — Commercial POS: $172.42 Coventry MA — Coventry MA: $76.22 Health Alliance — Commercial HMO: $144.20 Health Alliance MA — Health Alliance MA: $76.22
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY CLASS III	$565	$565	$51.98 – $565
Emergency room visit (moderate): 10 of 23 insurance plan rates AETNA — Commercial HMO: $508.50 AMBETTER — Medicaid Managed Care: $209.05 ANTHEM — Commercial PPO: $565 BCBLIL Blue Choice — BCBLIL Blue Choice: $565 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $565 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $508.50 Cigna Health and Life Insurance Company — Commercial POS: $472.91 Coventry MA — Coventry MA: $209.05 Health Alliance — Commercial HMO: $395.50 Health Alliance MA — Health Alliance MA: $209.05
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT CLASS 3 PHYS	$246	$246	$51.98 – $246
Emergency room visit (moderate): 10 of 23 insurance plan rates AETNA — Commercial HMO: $221.40 AMBETTER — Medicaid Managed Care: $91.02 ANTHEM — Commercial PPO: $246 BCBLIL Blue Choice — BCBLIL Blue Choice: $246 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $246 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $221.40 Cigna Health and Life Insurance Company — Commercial POS: $205.90 Coventry MA — Coventry MA: $91.02 Health Alliance — Commercial HMO: $172.20 Health Alliance MA — Health Alliance MA: $91.02
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY CLASS IV	$1,216.50	$1,216.50	$98.60 – $1,216.50
Emergency room visit (moderately high): 10 of 23 insurance plan rates AETNA — Commercial HMO: $1,094.85 AMBETTER — Medicaid Managed Care: $450.11 ANTHEM — Commercial PPO: $1,216.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,216.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,216.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,094.85 Cigna Health and Life Insurance Company — Commercial POS: $1,018.21 Coventry MA — Coventry MA: $450.11 Health Alliance — Commercial HMO: $851.55 Health Alliance MA — Health Alliance MA: $450.11
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: ER DETAILED/MOD- CLASS IV	$463.50	$463.50	$98.60 – $463.50
Emergency room visit (moderately high): 10 of 23 insurance plan rates AETNA — Commercial HMO: $417.15 AMBETTER — Medicaid Managed Care: $171.50 ANTHEM — Commercial PPO: $463.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $463.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $463.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $417.15 Cigna Health and Life Insurance Company — Commercial POS: $387.95 Coventry MA — Coventry MA: $171.50 Health Alliance — Commercial HMO: $324.45 Health Alliance MA — Health Alliance MA: $171.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY CLASS V	$1,783.50	$1,783.50	$145.23 – $1,783.50
Emergency room visit (high): 10 of 23 insurance plan rates AETNA — Commercial HMO: $1,605.15 AMBETTER — Medicaid Managed Care: $659.90 ANTHEM — Commercial PPO: $1,783.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,783.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,783.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,605.15 Cigna Health and Life Insurance Company — Commercial POS: $1,492.79 Coventry MA — Coventry MA: $659.90 Health Alliance — Commercial HMO: $1,248.45 Health Alliance MA — Health Alliance MA: $659.90
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: ER COMPREH/HIGH- CLASS V	$692.50	$692.50	$145.23 – $692.50
Emergency room visit (high): 10 of 23 insurance plan rates AETNA — Commercial HMO: $623.25 AMBETTER — Medicaid Managed Care: $256.23 ANTHEM — Commercial PPO: $692.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $692.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $692.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $623.25 Cigna Health and Life Insurance Company — Commercial POS: $579.62 Coventry MA — Coventry MA: $256.23 Health Alliance — Commercial HMO: $484.75 Health Alliance MA — Health Alliance MA: $256.23

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEM 8 PROFILE (BMP)	$122.50	$122.50	$45.33 – $122.50
Basic metabolic panel (blood test): 10 of 22 insurance plan rates AETNA — Commercial HMO: $110.25 AMBETTER — Medicaid Managed Care: $45.33 ANTHEM — Commercial PPO: $122.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $122.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $122.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $110.25 Cigna Health and Life Insurance Company — Commercial POS: $102.53 Coventry MA — Coventry MA: $45.33 Health Alliance — Commercial HMO: $85.75 Health Alliance MA — Health Alliance MA: $45.33
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEMISTRY PROFILE CMP	$163.50	$163.50	$60.50 – $163.50
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates AETNA — Commercial HMO: $147.15 AMBETTER — Medicaid Managed Care: $60.50 ANTHEM — Commercial PPO: $163.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $163.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $163.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $147.15 Cigna Health and Life Insurance Company — Commercial POS: $136.85 Coventry MA — Coventry MA: $60.50 Health Alliance — Commercial HMO: $114.45 Health Alliance MA — Health Alliance MA: $60.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL	$163.50	$163.50	$60.50 – $163.50
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates AETNA — Commercial HMO: $147.15 AMBETTER — Medicaid Managed Care: $60.50 ANTHEM — Commercial PPO: $163.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $163.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $163.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $147.15 Cigna Health and Life Insurance Company — Commercial POS: $136.85 Coventry MA — Coventry MA: $60.50 Health Alliance — Commercial HMO: $114.45 Health Alliance MA — Health Alliance MA: $60.50
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$134.50	$134.50	$49.77 – $134.50
Kidney function panel: 10 of 22 insurance plan rates AETNA — Commercial HMO: $121.05 AMBETTER — Medicaid Managed Care: $49.77 ANTHEM — Commercial PPO: $134.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $134.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $134.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $121.05 Cigna Health and Life Insurance Company — Commercial POS: $112.58 Coventry MA — Coventry MA: $49.77 Health Alliance — Commercial HMO: $94.15 Health Alliance MA — Health Alliance MA: $49.77
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER PANEL	$134.50	$134.50	$49.77 – $134.50
Liver function panel: 10 of 22 insurance plan rates AETNA — Commercial HMO: $121.05 AMBETTER — Medicaid Managed Care: $49.77 ANTHEM — Commercial PPO: $134.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $134.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $134.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $121.05 Cigna Health and Life Insurance Company — Commercial POS: $112.58 Coventry MA — Coventry MA: $49.77 Health Alliance — Commercial HMO: $94.15 Health Alliance MA — Health Alliance MA: $49.77
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA AUTO COMPLETE	$72.50	$72.50	$26.83 – $72.50
Urine test (automated, with microscope): 10 of 22 insurance plan rates AETNA — Commercial HMO: $65.25 AMBETTER — Medicaid Managed Care: $26.83 ANTHEM — Commercial PPO: $72.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $72.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $72.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $65.25 Cigna Health and Life Insurance Company — Commercial POS: $60.68 Coventry MA — Coventry MA: $26.83 Health Alliance — Commercial HMO: $50.75 Health Alliance MA — Health Alliance MA: $26.83
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA AUTO STRIP ONLY	$33.50	$33.50	$12.40 – $33.50
Urine test (automated, without microscope): 10 of 22 insurance plan rates AETNA — Commercial HMO: $30.15 AMBETTER — Medicaid Managed Care: $12.40 ANTHEM — Commercial PPO: $33.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $33.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $33.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $30.15 Cigna Health and Life Insurance Company — Commercial POS: $28.04 Coventry MA — Coventry MA: $12.40 Health Alliance — Commercial HMO: $23.45 Health Alliance MA — Health Alliance MA: $12.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: UA AUTO STRIP ONLY	$33.50	$33.50	$12.40 – $33.50
Urine test (automated, without microscope): 10 of 22 insurance plan rates AETNA — Commercial HMO: $30.15 AMBETTER — Medicaid Managed Care: $12.40 ANTHEM — Commercial PPO: $33.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $33.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $33.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $30.15 Cigna Health and Life Insurance Company — Commercial POS: $28.04 Coventry MA — Coventry MA: $12.40 Health Alliance — Commercial HMO: $23.45 Health Alliance MA — Health Alliance MA: $12.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: FM UA AUTO STRIP ONLY	$33.50	$33.50	$12.40 – $33.50
Urine test (automated, without microscope): 10 of 22 insurance plan rates AETNA — Commercial HMO: $30.15 AMBETTER — Medicaid Managed Care: $12.40 ANTHEM — Commercial PPO: $33.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $33.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $33.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $30.15 Cigna Health and Life Insurance Company — Commercial POS: $28.04 Coventry MA — Coventry MA: $12.40 Health Alliance — Commercial HMO: $23.45 Health Alliance MA — Health Alliance MA: $12.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL	$145	$145	$53.65 – $145
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates AETNA — Commercial HMO: $130.50 AMBETTER — Medicaid Managed Care: $53.65 ANTHEM — Commercial PPO: $145 BCBLIL Blue Choice — BCBLIL Blue Choice: $145 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $145 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $130.50 Cigna Health and Life Insurance Company — Commercial POS: $121.37 Coventry MA — Coventry MA: $53.65 Health Alliance — Commercial HMO: $101.50 Health Alliance MA — Health Alliance MA: $53.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH	$103	$103	$38.11 – $103
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates AETNA — Commercial HMO: $92.70 AMBETTER — Medicaid Managed Care: $38.11 ANTHEM — Commercial PPO: $103 BCBLIL Blue Choice — BCBLIL Blue Choice: $103 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $103 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $92.70 Cigna Health and Life Insurance Company — Commercial POS: $86.21 Coventry MA — Coventry MA: $38.11 Health Alliance — Commercial HMO: $72.10 Health Alliance MA — Health Alliance MA: $38.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC	$85	$85	$31.45 – $85
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates AETNA — Commercial HMO: $76.50 AMBETTER — Medicaid Managed Care: $31.45 ANTHEM — Commercial PPO: $85 BCBLIL Blue Choice — BCBLIL Blue Choice: $85 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $85 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $76.50 Cigna Health and Life Insurance Company — Commercial POS: $71.15 Coventry MA — Coventry MA: $31.45 Health Alliance — Commercial HMO: $59.50 Health Alliance MA — Health Alliance MA: $31.45
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HEMOGRAM	$67.50	$67.50	$24.98 – $67.50
Complete blood count (CBC), automated: 10 of 22 insurance plan rates AETNA — Commercial HMO: $60.75 AMBETTER — Medicaid Managed Care: $24.98 ANTHEM — Commercial PPO: $67.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $67.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $67.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $60.75 Cigna Health and Life Insurance Company — Commercial POS: $56.50 Coventry MA — Coventry MA: $24.98 Health Alliance — Commercial HMO: $47.25 Health Alliance MA — Health Alliance MA: $24.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME	$61	$61	$22.57 – $61
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates AETNA — Commercial HMO: $54.90 AMBETTER — Medicaid Managed Care: $22.57 ANTHEM — Commercial PPO: $61 BCBLIL Blue Choice — BCBLIL Blue Choice: $61 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $61 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $54.90 Cigna Health and Life Insurance Company — Commercial POS: $51.06 Coventry MA — Coventry MA: $22.57 Health Alliance — Commercial HMO: $42.70 Health Alliance MA — Health Alliance MA: $22.57
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: FM INR	$61	$61	$22.57 – $61
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates AETNA — Commercial HMO: $54.90 AMBETTER — Medicaid Managed Care: $22.57 ANTHEM — Commercial PPO: $61 BCBLIL Blue Choice — BCBLIL Blue Choice: $61 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $61 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $54.90 Cigna Health and Life Insurance Company — Commercial POS: $51.06 Coventry MA — Coventry MA: $22.57 Health Alliance — Commercial HMO: $42.70 Health Alliance MA — Health Alliance MA: $22.57
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT	$100.50	$100.50	$37.19 – $100.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates AETNA — Commercial HMO: $90.45 AMBETTER — Medicaid Managed Care: $37.19 ANTHEM — Commercial PPO: $100.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $100.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $100.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $90.45 Cigna Health and Life Insurance Company — Commercial POS: $84.12 Coventry MA — Coventry MA: $37.19 Health Alliance — Commercial HMO: $70.35 Health Alliance MA — Health Alliance MA: $37.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT-LA	$100.50	$100.50	$37.19 – $100.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates AETNA — Commercial HMO: $90.45 AMBETTER — Medicaid Managed Care: $37.19 ANTHEM — Commercial PPO: $100.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $100.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $100.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $90.45 Cigna Health and Life Insurance Company — Commercial POS: $84.12 Coventry MA — Coventry MA: $37.19 Health Alliance — Commercial HMO: $70.35 Health Alliance MA — Health Alliance MA: $37.19

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 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT- HEAD NO CONTRAST	$1,965.50	$1,965.50	$727.24 – $1,965.50
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,768.95 AMBETTER — Medicaid Managed Care: $727.24 ANTHEM — Commercial PPO: $1,965.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,965.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,965.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,768.95 Cigna Health and Life Insurance Company — Commercial POS: $806 Coventry MA — Coventry MA: $727.24 Health Alliance — Commercial HMO: $1,375.85 Health Alliance MA — Health Alliance MA: $727.24
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W/ & W/O CONTRAST	$3,790	$3,790	$1,402.30 – $3,790
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $3,411 AMBETTER — Medicaid Managed Care: $1,402.30 ANTHEM — Commercial PPO: $3,790 BCBLIL Blue Choice — BCBLIL Blue Choice: $3,790 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $3,790 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $3,411 Cigna Health and Life Insurance Company — Commercial POS: $3,172.23 Coventry MA — Coventry MA: $1,402.30 Health Alliance — Commercial HMO: $2,653 Health Alliance MA — Health Alliance MA: $1,402.30
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CHEST-2 VIEWS	$388.50	$388.50	$143.75 – $388.50
Chest X-ray, 2 views: 10 of 22 insurance plan rates AETNA — Commercial HMO: $349.65 AMBETTER — Medicaid Managed Care: $143.75 ANTHEM — Commercial PPO: $388.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $388.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $388.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $349.65 Cigna Health and Life Insurance Company — Commercial POS: $325.17 Coventry MA — Coventry MA: $143.75 Health Alliance — Commercial HMO: $271.95 Health Alliance MA — Health Alliance MA: $143.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE 4 OR 5 VIEWS	$441.50	$441.50	$163.36 – $441.50
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates AETNA — Commercial HMO: $397.35 AMBETTER — Medicaid Managed Care: $163.36 ANTHEM — Commercial PPO: $441.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $441.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $441.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $397.35 Cigna Health and Life Insurance Company — Commercial POS: $369.54 Coventry MA — Coventry MA: $163.36 Health Alliance — Commercial HMO: $309.05 Health Alliance MA — Health Alliance MA: $163.36
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O CONTRAST	$1,322.50	$1,322.50	$489.33 – $1,322.50
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,190.25 AMBETTER — Medicaid Managed Care: $489.33 ANTHEM — Commercial PPO: $1,322.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,322.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,322.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,190.25 Cigna Health and Life Insurance Company — Commercial POS: $1,106.93 Coventry MA — Coventry MA: $489.33 Health Alliance — Commercial HMO: $925.75 Health Alliance MA — Health Alliance MA: $489.33
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT- PELVIS W/CONTRAST	$2,455.50	$2,455.50	$806 – $2,455.50
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $2,209.95 AMBETTER — Medicaid Managed Care: $908.54 ANTHEM — Commercial PPO: $2,455.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $2,455.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $2,455.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $2,209.95 Cigna Health and Life Insurance Company — Commercial POS: $806 Coventry MA — Coventry MA: $908.54 Health Alliance — Commercial HMO: $1,718.85 Health Alliance MA — Health Alliance MA: $908.54
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: MRI ANKLE W/O CONTRAST (R)	$1,499	$1,499	$554.63 – $1,499
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,349.10 AMBETTER — Medicaid Managed Care: $554.63 ANTHEM — Commercial PPO: $1,499 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,499 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,499 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,349.10 Cigna Health and Life Insurance Company — Commercial POS: $1,254.66 Coventry MA — Coventry MA: $554.63 Health Alliance — Commercial HMO: $1,049.30 Health Alliance MA — Health Alliance MA: $554.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: MRI ANKLE W/O CONTRAST (L)	$1,499	$1,499	$554.63 – $1,499
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,349.10 AMBETTER — Medicaid Managed Care: $554.63 ANTHEM — Commercial PPO: $1,499 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,499 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,499 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,349.10 Cigna Health and Life Insurance Company — Commercial POS: $1,254.66 Coventry MA — Coventry MA: $554.63 Health Alliance — Commercial HMO: $1,049.30 Health Alliance MA — Health Alliance MA: $554.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: MRI KNEE W/O CONTRAST (R)	$1,499	$1,499	$554.63 – $1,499
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,349.10 AMBETTER — Medicaid Managed Care: $554.63 ANTHEM — Commercial PPO: $1,499 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,499 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,499 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,349.10 Cigna Health and Life Insurance Company — Commercial POS: $1,254.66 Coventry MA — Coventry MA: $554.63 Health Alliance — Commercial HMO: $1,049.30 Health Alliance MA — Health Alliance MA: $554.63
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT-ABD/PELVIS W/ CONTRAST	$5,112.50	$5,112.50	$806 – $5,112.50
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $4,601.25 AMBETTER — Medicaid Managed Care: $1,891.63 ANTHEM — Commercial PPO: $5,112.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $5,112.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $5,112.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $4,601.25 Cigna Health and Life Insurance Company — Commercial POS: $806 Coventry MA — Coventry MA: $1,891.63 Health Alliance — Commercial HMO: $3,578.75 Health Alliance MA — Health Alliance MA: $1,891.63
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: U S- ABD COMPLETE	$977.50	$977.50	$361.68 – $977.50
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates AETNA — Commercial HMO: $879.75 AMBETTER — Medicaid Managed Care: $361.68 ANTHEM — Commercial PPO: $977.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $977.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $977.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $879.75 Cigna Health and Life Insurance Company — Commercial POS: $818.17 Coventry MA — Coventry MA: $361.68 Health Alliance — Commercial HMO: $684.25 Health Alliance MA — Health Alliance MA: $361.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: U S- OB>14 WEEKS SINGLE	$686	$686	$253.82 – $686
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates AETNA — Commercial HMO: $617.40 AMBETTER — Medicaid Managed Care: $253.82 ANTHEM — Commercial PPO: $686 BCBLIL Blue Choice — BCBLIL Blue Choice: $686 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $686 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $617.40 Cigna Health and Life Insurance Company — Commercial POS: $574.18 Coventry MA — Coventry MA: $253.82 Health Alliance — Commercial HMO: $480.20 Health Alliance MA — Health Alliance MA: $253.82
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: U S- TRANSVAGINAL PELVIC	$686	$686	$253.82 – $686
Transvaginal ultrasound: 10 of 22 insurance plan rates AETNA — Commercial HMO: $617.40 AMBETTER — Medicaid Managed Care: $253.82 ANTHEM — Commercial PPO: $686 BCBLIL Blue Choice — BCBLIL Blue Choice: $686 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $686 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $617.40 Cigna Health and Life Insurance Company — Commercial POS: $574.18 Coventry MA — Coventry MA: $253.82 Health Alliance — Commercial HMO: $480.20 Health Alliance MA — Health Alliance MA: $253.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: DIGIT MAMMO-UNIL RT DIAG W/CAD	$337.50	$337.50	$124.88 – $337.50
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $303.75 AMBETTER — Medicaid Managed Care: $124.88 ANTHEM — Commercial PPO: $337.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $337.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $337.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $303.75 Cigna Health and Life Insurance Company — Commercial POS: $282.49 Coventry MA — Coventry MA: $124.88 Health Alliance — Commercial HMO: $236.25 Health Alliance MA — Health Alliance MA: $124.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: DIGIT MAMMO-UNIL LT DIAG W/CAD	$337.50	$337.50	$124.88 – $337.50
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates AETNA — Commercial HMO: $303.75 AMBETTER — Medicaid Managed Care: $124.88 ANTHEM — Commercial PPO: $337.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $337.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $337.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $303.75 Cigna Health and Life Insurance Company — Commercial POS: $282.49 Coventry MA — Coventry MA: $124.88 Health Alliance — Commercial HMO: $236.25 Health Alliance MA — Health Alliance MA: $124.88
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMMO-BILAT DIAG W/CAD	$491	$491	$181.67 – $491
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates AETNA — Commercial HMO: $441.90 AMBETTER — Medicaid Managed Care: $181.67 ANTHEM — Commercial PPO: $491 BCBLIL Blue Choice — BCBLIL Blue Choice: $491 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $491 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $441.90 Cigna Health and Life Insurance Company — Commercial POS: $410.97 Coventry MA — Coventry MA: $181.67 Health Alliance — Commercial HMO: $343.70 Health Alliance MA — Health Alliance MA: $181.67
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: DIGIT MAMMO-SCREEN BILAT W/CAD	$456	$456	$168.72 – $456
Screening mammogram, both breasts: 10 of 22 insurance plan rates AETNA — Commercial HMO: $410.40 AMBETTER — Medicaid Managed Care: $168.72 ANTHEM — Commercial PPO: $456 BCBLIL Blue Choice — BCBLIL Blue Choice: $456 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $456 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $410.40 Cigna Health and Life Insurance Company — Commercial POS: $381.67 Coventry MA — Coventry MA: $168.72 Health Alliance — Commercial HMO: $319.20 Health Alliance MA — Health Alliance MA: $168.72

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXER 15 MIN	$115.50	$115.50	$42.74 – $115.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $103.95 AMBETTER — Medicaid Managed Care: $42.74 ANTHEM — Commercial PPO: $115.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $115.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $115.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $103.95 Cigna Health and Life Insurance Company — Commercial POS: $65 Coventry MA — Coventry MA: $42.74 Health Alliance — Commercial HMO: $80.85 Health Alliance MA — Health Alliance MA: $42.74
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXER 15 MIN	$121.50	$121.50	$44.96 – $121.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates AETNA — Commercial HMO: $109.35 AMBETTER — Medicaid Managed Care: $44.96 ANTHEM — Commercial PPO: $121.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $121.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $121.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $109.35 Cigna Health and Life Insurance Company — Commercial POS: $65 Coventry MA — Coventry MA: $44.96 Health Alliance — Commercial HMO: $85.05 Health Alliance MA — Health Alliance MA: $44.96
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION LOW COMP	$127	$127	$46.99 – $127
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates AETNA — Commercial HMO: $114.30 AMBETTER — Medicaid Managed Care: $46.99 ANTHEM — Commercial PPO: $127 BCBLIL Blue Choice — BCBLIL Blue Choice: $127 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $127 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $114.30 Cigna Health and Life Insurance Company — Commercial POS: $65 Coventry MA — Coventry MA: $46.99 Health Alliance — Commercial HMO: $88.90 Health Alliance MA — Health Alliance MA: $46.99
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION MOD COMP	$139.50	$139.50	$51.62 – $139.50
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates AETNA — Commercial HMO: $125.55 AMBETTER — Medicaid Managed Care: $51.62 ANTHEM — Commercial PPO: $139.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $139.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $139.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $125.55 Cigna Health and Life Insurance Company — Commercial POS: $65 Coventry MA — Coventry MA: $51.62 Health Alliance — Commercial HMO: $97.65 Health Alliance MA — Health Alliance MA: $51.62
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION HIGH COMP	$153	$153	$56.61 – $153
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates AETNA — Commercial HMO: $137.70 AMBETTER — Medicaid Managed Care: $56.61 ANTHEM — Commercial PPO: $153 BCBLIL Blue Choice — BCBLIL Blue Choice: $153 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $153 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $137.70 Cigna Health and Life Insurance Company — Commercial POS: $65 Coventry MA — Coventry MA: $56.61 Health Alliance — Commercial HMO: $107.10 Health Alliance MA — Health Alliance MA: $56.61
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-INDIV PSYCHOTHERAPY 30 MIN	$199	$199	$54.65 – $199
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates AETNA — Commercial HMO: $179.10 AMBETTER — Medicaid Managed Care: $73.63 ANTHEM — Commercial PPO: $199 BCBLIL Blue Choice — BCBLIL Blue Choice: $199 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $199 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $179.10 Cigna Health and Life Insurance Company — Commercial POS: $166.56 Coventry MA — Coventry MA: $73.63 Health Alliance — Commercial HMO: $139.30 Health Alliance MA — Health Alliance MA: $73.63
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-INDIV PSYCHOTHERAPY 45 MIN	$258.50	$258.50	$73.06 – $258.50
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates AETNA — Commercial HMO: $232.65 AMBETTER — Medicaid Managed Care: $95.65 ANTHEM — Commercial PPO: $258.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $258.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $258.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $232.65 Cigna Health and Life Insurance Company — Commercial POS: $216.36 Coventry MA — Coventry MA: $95.65 Health Alliance — Commercial HMO: $180.95 Health Alliance MA — Health Alliance MA: $95.65
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-INDIV PSYCHOTHERAPY 60 MIN	$379.25	$379.25	$109.59 – $379.25
Psychotherapy, 60 minutes: 10 of 23 insurance plan rates AETNA — Commercial HMO: $341.33 AMBETTER — Medicaid Managed Care: $140.32 ANTHEM — Commercial PPO: $379.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $379.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $379.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $341.33 Cigna Health and Life Insurance Company — Commercial POS: $317.43 Coventry MA — Coventry MA: $140.32 Health Alliance — Commercial HMO: $265.48 Health Alliance MA — Health Alliance MA: $140.32
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HV-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21 – $254.75
Family psychotherapy, without the patient: 10 of 23 insurance plan rates AETNA — Commercial HMO: $229.28 AMBETTER — Medicaid Managed Care: $94.26 ANTHEM — Commercial PPO: $254.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $254.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $254.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $229.28 Cigna Health and Life Insurance Company — Commercial POS: $213.23 Coventry MA — Coventry MA: $94.26 Health Alliance — Commercial HMO: $178.33 Health Alliance MA — Health Alliance MA: $94.26
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21 – $254.75
Family psychotherapy, without the patient: 10 of 23 insurance plan rates AETNA — Commercial HMO: $229.28 AMBETTER — Medicaid Managed Care: $94.26 ANTHEM — Commercial PPO: $254.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $254.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $254.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $229.28 Cigna Health and Life Insurance Company — Commercial POS: $213.23 Coventry MA — Coventry MA: $94.26 Health Alliance — Commercial HMO: $178.33 Health Alliance MA — Health Alliance MA: $94.26
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-FAMILY PSYCHOTX W/PT PRES	$263.75	$263.75	$91.77 – $263.75
Family psychotherapy, with the patient: 10 of 23 insurance plan rates AETNA — Commercial HMO: $237.38 AMBETTER — Medicaid Managed Care: $97.59 ANTHEM — Commercial PPO: $263.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $263.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $263.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $237.38 Cigna Health and Life Insurance Company — Commercial POS: $220.76 Coventry MA — Coventry MA: $97.59 Health Alliance — Commercial HMO: $184.63 Health Alliance MA — Health Alliance MA: $97.59
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: OFF-GROUP PSYCHOTHERAPY	$74.25	$74.25	$27.47 – $74.25
Group psychotherapy: 10 of 23 insurance plan rates AETNA — Commercial HMO: $66.83 AMBETTER — Medicaid Managed Care: $27.47 ANTHEM — Commercial PPO: $74.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $74.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $74.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $66.83 Cigna Health and Life Insurance Company — Commercial POS: $62.15 Coventry MA — Coventry MA: $27.47 Health Alliance — Commercial HMO: $51.98 Health Alliance MA — Health Alliance MA: $27.47

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXC CYST/ABRNT BRST TISS 1+LES	$5,062.25	$5,062.25	$1,873.03 – $5,062.25
Removal of breast growth (open surgery): 10 of 22 insurance plan rates AETNA — Commercial HMO: $4,556.03 AMBETTER — Medicaid Managed Care: $1,873.03 ANTHEM — Commercial PPO: $5,062.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $5,062.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $5,062.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $4,556.03 Cigna Health and Life Insurance Company — Commercial POS: $4,282.66 Coventry MA — Coventry MA: $1,873.03 Health Alliance — Commercial HMO: $3,543.58 Health Alliance MA — Health Alliance MA: $1,873.03
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: EXC CYST/ABRNT BRST TISS 1+LES	$1,150.25	$1,150.25	$425.59 – $1,150.25
Removal of breast growth (open surgery): 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,035.23 AMBETTER — Medicaid Managed Care: $425.59 ANTHEM — Commercial PPO: $1,150.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,150.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,150.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,035.23 Cigna Health and Life Insurance Company — Commercial POS: $962.76 Coventry MA — Coventry MA: $425.59 Health Alliance — Commercial HMO: $805.18 Health Alliance MA — Health Alliance MA: $425.59
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHR KNEE COND/PL MD/LT COMP	$20,824.50	$20,824.50	$7,705.07 – $20,824.50
Total knee replacement: 10 of 22 insurance plan rates AETNA — Commercial HMO: $18,742.05 AMBETTER — Medicaid Managed Care: $7,705.07 ANTHEM — Commercial PPO: $20,824.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $20,824.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $20,824.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $18,742.05 Cigna Health and Life Insurance Company — Commercial POS: $17,617.53 Coventry MA — Coventry MA: $7,705.07 Health Alliance — Commercial HMO: $14,577.15 Health Alliance MA — Health Alliance MA: $7,705.07
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHR KNEE COND/PL MD/LT COMP	$3,992.75	$3,992.75	$1,477.32 – $3,992.75
Total knee replacement: 10 of 22 insurance plan rates AETNA — Commercial HMO: $3,593.48 AMBETTER — Medicaid Managed Care: $1,477.32 ANTHEM — Commercial PPO: $3,992.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $3,992.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $3,992.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $3,593.48 Cigna Health and Life Insurance Company — Commercial POS: $3,341.93 Coventry MA — Coventry MA: $1,477.32 Health Alliance — Commercial HMO: $2,794.93 Health Alliance MA — Health Alliance MA: $1,477.32
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHR SHOULDR W/CORAC LIG REL	$7,551	$7,551	$2,793.87 – $7,551
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates AETNA — Commercial HMO: $6,795.90 AMBETTER — Medicaid Managed Care: $2,793.87 ANTHEM — Commercial PPO: $7,551 BCBLIL Blue Choice — BCBLIL Blue Choice: $7,551 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $7,551 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $6,795.90 Cigna Health and Life Insurance Company — Commercial POS: $6,388.15 Coventry MA — Coventry MA: $2,793.87 Health Alliance — Commercial HMO: $5,285.70 Health Alliance MA — Health Alliance MA: $2,793.87
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHR SHOULDR W/CORAC LIG REL	$522.75	$522.75	$193.42 – $522.75
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates AETNA — Commercial HMO: $470.48 AMBETTER — Medicaid Managed Care: $193.42 ANTHEM — Commercial PPO: $522.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $522.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $522.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $470.48 Cigna Health and Life Insurance Company — Commercial POS: $437.54 Coventry MA — Coventry MA: $193.42 Health Alliance — Commercial HMO: $365.93 Health Alliance MA — Health Alliance MA: $193.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTH KNEE W/MD LAT MENSC W/SHV	$10,737.50	$10,737.50	$3,972.88 – $10,737.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates AETNA — Commercial HMO: $9,663.75 AMBETTER — Medicaid Managed Care: $3,972.88 ANTHEM — Commercial PPO: $10,737.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $10,737.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $10,737.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $9,663.75 Cigna Health and Life Insurance Company — Commercial POS: $9,083.93 Coventry MA — Coventry MA: $3,972.88 Health Alliance — Commercial HMO: $7,516.25 Health Alliance MA — Health Alliance MA: $3,972.88
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTH KNEE W/MD LAT MENSC W/SHV	$1,574.25	$1,574.25	$582.47 – $1,574.25
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,416.83 AMBETTER — Medicaid Managed Care: $582.47 ANTHEM — Commercial PPO: $1,574.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,574.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,574.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,416.83 Cigna Health and Life Insurance Company — Commercial POS: $1,317.65 Coventry MA — Coventry MA: $582.47 Health Alliance — Commercial HMO: $1,101.98 Health Alliance MA — Health Alliance MA: $582.47
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: T & A <12 YRS	$7,925.50	$7,925.50	$2,932.44 – $7,925.50
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates AETNA — Commercial HMO: $7,132.95 AMBETTER — Medicaid Managed Care: $2,932.44 ANTHEM — Commercial PPO: $7,925.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $7,925.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $7,925.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $7,132.95 Cigna Health and Life Insurance Company — Commercial POS: $6,704.97 Coventry MA — Coventry MA: $2,932.44 Health Alliance — Commercial HMO: $5,547.85 Health Alliance MA — Health Alliance MA: $2,932.44
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: T & A <12 YRS	$647.50	$647.50	$239.58 – $647.50
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates AETNA — Commercial HMO: $582.75 AMBETTER — Medicaid Managed Care: $239.58 ANTHEM — Commercial PPO: $647.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $647.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $647.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $582.75 Cigna Health and Life Insurance Company — Commercial POS: $541.96 Coventry MA — Coventry MA: $239.58 Health Alliance — Commercial HMO: $453.25 Health Alliance MA — Health Alliance MA: $239.58
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD BASIC	$2,342.75	$2,342.75	$866.82 – $2,342.75
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates AETNA — Commercial HMO: $2,108.48 AMBETTER — Medicaid Managed Care: $866.82 ANTHEM — Commercial PPO: $2,342.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $2,342.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $2,342.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $2,108.48 Cigna Health and Life Insurance Company — Commercial POS: $1,981.97 Coventry MA — Coventry MA: $866.82 Health Alliance — Commercial HMO: $1,639.93 Health Alliance MA — Health Alliance MA: $866.82
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD BASIC	$397.50	$397.50	$147.08 – $397.50
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates AETNA — Commercial HMO: $357.75 AMBETTER — Medicaid Managed Care: $147.08 ANTHEM — Commercial PPO: $397.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $397.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $397.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $357.75 Cigna Health and Life Insurance Company — Commercial POS: $332.71 Coventry MA — Coventry MA: $147.08 Health Alliance — Commercial HMO: $278.25 Health Alliance MA — Health Alliance MA: $147.08
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W BIOPSY	$3,371.25	$3,371.25	$1,247.36 – $3,371.25
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $3,034.13 AMBETTER — Medicaid Managed Care: $1,247.36 ANTHEM — Commercial PPO: $3,371.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $3,371.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $3,371.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $3,034.13 Cigna Health and Life Insurance Company — Commercial POS: $2,852.08 Coventry MA — Coventry MA: $1,247.36 Health Alliance — Commercial HMO: $2,359.88 Health Alliance MA — Health Alliance MA: $1,247.36
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD W BIOPSY	$475.50	$475.50	$175.94 – $475.50
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $427.95 AMBETTER — Medicaid Managed Care: $175.94 ANTHEM — Commercial PPO: $475.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $475.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $475.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $427.95 Cigna Health and Life Insurance Company — Commercial POS: $397.99 Coventry MA — Coventry MA: $175.94 Health Alliance — Commercial HMO: $332.85 Health Alliance MA — Health Alliance MA: $175.94
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W WO BRUSH/WA	$2,464.50	$2,464.50	$911.87 – $2,464.50
Colonoscopy (diagnostic): 10 of 22 insurance plan rates AETNA — Commercial HMO: $2,218.05 AMBETTER — Medicaid Managed Care: $911.87 ANTHEM — Commercial PPO: $2,464.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $2,464.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $2,464.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $2,218.05 Cigna Health and Life Insurance Company — Commercial POS: $2,084.97 Coventry MA — Coventry MA: $911.87 Health Alliance — Commercial HMO: $1,725.15 Health Alliance MA — Health Alliance MA: $911.87
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W WO BRUSH/WA	$609	$609	$225.33 – $609
Colonoscopy (diagnostic): 10 of 22 insurance plan rates AETNA — Commercial HMO: $548.10 AMBETTER — Medicaid Managed Care: $225.33 ANTHEM — Commercial PPO: $609 BCBLIL Blue Choice — BCBLIL Blue Choice: $609 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $609 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $548.10 Cigna Health and Life Insurance Company — Commercial POS: $509.73 Coventry MA — Coventry MA: $225.33 Health Alliance — Commercial HMO: $426.30 Health Alliance MA — Health Alliance MA: $225.33
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W BIOPSY(S)	$3,547	$3,547	$1,312.39 – $3,547
Colonoscopy with biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $3,192.30 AMBETTER — Medicaid Managed Care: $1,312.39 ANTHEM — Commercial PPO: $3,547 BCBLIL Blue Choice — BCBLIL Blue Choice: $3,547 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $3,547 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $3,192.30 Cigna Health and Life Insurance Company — Commercial POS: $3,000.76 Coventry MA — Coventry MA: $1,312.39 Health Alliance — Commercial HMO: $2,482.90 Health Alliance MA — Health Alliance MA: $1,312.39
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W BIOPSY(S)	$728	$728	$269.36 – $728
Colonoscopy with biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $655.20 AMBETTER — Medicaid Managed Care: $269.36 ANTHEM — Commercial PPO: $728 BCBLIL Blue Choice — BCBLIL Blue Choice: $728 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $728 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $655.20 Cigna Health and Life Insurance Company — Commercial POS: $609.34 Coventry MA — Coventry MA: $269.36 Health Alliance — Commercial HMO: $509.60 Health Alliance MA — Health Alliance MA: $269.36
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY W SNARE REM	$3,547	$3,547	$1,312.39 – $3,547
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates AETNA — Commercial HMO: $3,192.30 AMBETTER — Medicaid Managed Care: $1,312.39 ANTHEM — Commercial PPO: $3,547 BCBLIL Blue Choice — BCBLIL Blue Choice: $3,547 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $3,547 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $3,192.30 Cigna Health and Life Insurance Company — Commercial POS: $3,000.76 Coventry MA — Coventry MA: $1,312.39 Health Alliance — Commercial HMO: $2,482.90 Health Alliance MA — Health Alliance MA: $1,312.39
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W SNARE REM	$864.25	$864.25	$319.77 – $864.25
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates AETNA — Commercial HMO: $777.83 AMBETTER — Medicaid Managed Care: $319.77 ANTHEM — Commercial PPO: $864.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $864.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $864.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $777.83 Cigna Health and Life Insurance Company — Commercial POS: $723.38 Coventry MA — Coventry MA: $319.77 Health Alliance — Commercial HMO: $604.98 Health Alliance MA — Health Alliance MA: $319.77
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON MC SCREEN-LOW RISK	$2,183	$2,183	$807.71 – $2,183
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,964.70 AMBETTER — Medicaid Managed Care: $807.71 ANTHEM — Commercial PPO: $2,183 BCBLIL Blue Choice — BCBLIL Blue Choice: $2,183 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $2,183 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,964.70 Cigna Health and Life Insurance Company — Commercial POS: $1,846.82 Coventry MA — Coventry MA: $807.71 Health Alliance — Commercial HMO: $1,528.10 Health Alliance MA — Health Alliance MA: $807.71
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: COLON MC SCREEN-LOW RISK	$227.25	$227.25	$84.08 – $227.25
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates AETNA — Commercial HMO: $204.53 AMBETTER — Medicaid Managed Care: $84.08 ANTHEM — Commercial PPO: $227.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $227.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $227.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $204.53 Cigna Health and Life Insurance Company — Commercial POS: $190.21 Coventry MA — Coventry MA: $84.08 Health Alliance — Commercial HMO: $159.08 Health Alliance MA — Health Alliance MA: $84.08
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: LAP CHOLECYSTECTOMY	$12,376.75	$12,376.75	$4,579.40 – $12,376.75
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates AETNA — Commercial HMO: $11,139.08 AMBETTER — Medicaid Managed Care: $4,579.40 ANTHEM — Commercial PPO: $12,376.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $12,376.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $12,376.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $11,139.08 Cigna Health and Life Insurance Company — Commercial POS: $10,470.73 Coventry MA — Coventry MA: $4,579.40 Health Alliance — Commercial HMO: $8,663.73 Health Alliance MA — Health Alliance MA: $4,579.40
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAP CHOLECYSTECTOMY	$1,584	$1,584	$586.08 – $1,584
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,425.60 AMBETTER — Medicaid Managed Care: $586.08 ANTHEM — Commercial PPO: $1,584 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,584 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,584 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,425.60 Cigna Health and Life Insurance Company — Commercial POS: $1,325.81 Coventry MA — Coventry MA: $586.08 Health Alliance — Commercial HMO: $1,108.80 Health Alliance MA — Health Alliance MA: $586.08
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: OPEN ING HERNIA	$7,058.50	$7,058.50	$2,611.65 – $7,058.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates AETNA — Commercial HMO: $6,352.65 AMBETTER — Medicaid Managed Care: $2,611.65 ANTHEM — Commercial PPO: $7,058.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $7,058.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $7,058.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $6,352.65 Cigna Health and Life Insurance Company — Commercial POS: $5,971.49 Coventry MA — Coventry MA: $2,611.65 Health Alliance — Commercial HMO: $4,940.95 Health Alliance MA — Health Alliance MA: $2,611.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: OPEN ING HERNIA REPAIR	$1,364.50	$1,364.50	$504.87 – $1,364.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates AETNA — Commercial HMO: $1,228.05 AMBETTER — Medicaid Managed Care: $504.87 ANTHEM — Commercial PPO: $1,364.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,364.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,364.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $1,228.05 Cigna Health and Life Insurance Company — Commercial POS: $1,142.09 Coventry MA — Coventry MA: $504.87 Health Alliance — Commercial HMO: $955.15 Health Alliance MA — Health Alliance MA: $504.87
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BX PROSTATE, NDL/PUNCH 1+	$2,574	$2,574	$952.38 – $2,574
Prostate biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $2,316.60 AMBETTER — Medicaid Managed Care: $952.38 ANTHEM — Commercial PPO: $2,574 BCBLIL Blue Choice — BCBLIL Blue Choice: $2,574 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $2,574 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $2,316.60 Cigna Health and Life Insurance Company — Commercial POS: $2,154.44 Coventry MA — Coventry MA: $952.38 Health Alliance — Commercial HMO: $1,801.80 Health Alliance MA — Health Alliance MA: $952.38
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: BX PROSTATE, NDL/PUNCH 1+	$651.75	$651.75	$241.15 – $651.75
Prostate biopsy: 10 of 22 insurance plan rates AETNA — Commercial HMO: $586.58 AMBETTER — Medicaid Managed Care: $241.15 ANTHEM — Commercial PPO: $651.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $651.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $651.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $586.58 Cigna Health and Life Insurance Company — Commercial POS: $545.51 Coventry MA — Coventry MA: $241.15 Health Alliance — Commercial HMO: $456.23 Health Alliance MA — Health Alliance MA: $241.15
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTRSC W/BX ENDMETR W/WO D&C	$7,291	$7,291	$2,697.67 – $7,291
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates AETNA — Commercial HMO: $6,561.90 AMBETTER — Medicaid Managed Care: $2,697.67 ANTHEM — Commercial PPO: $7,291 BCBLIL Blue Choice — BCBLIL Blue Choice: $7,291 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $7,291 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $6,561.90 Cigna Health and Life Insurance Company — Commercial POS: $6,168.19 Coventry MA — Coventry MA: $2,697.67 Health Alliance — Commercial HMO: $5,103.70 Health Alliance MA — Health Alliance MA: $2,697.67
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTER W/BX ENDOMETR W/WO D&C	$613.75	$613.75	$227.09 – $613.75
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates AETNA — Commercial HMO: $552.38 AMBETTER — Medicaid Managed Care: $227.09 ANTHEM — Commercial PPO: $613.75 BCBLIL Blue Choice — BCBLIL Blue Choice: $613.75 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $613.75 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $552.38 Cigna Health and Life Insurance Company — Commercial POS: $513.71 Coventry MA — Coventry MA: $227.09 Health Alliance — Commercial HMO: $429.63 Health Alliance MA — Health Alliance MA: $227.09
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: NEUROPL EXCRN/PER NRV AUTO-NS	$6,093	$6,093	$2,254.41 – $6,093
Carpal tunnel release: 10 of 22 insurance plan rates AETNA — Commercial HMO: $5,483.70 AMBETTER — Medicaid Managed Care: $2,254.41 ANTHEM — Commercial PPO: $6,093 BCBLIL Blue Choice — BCBLIL Blue Choice: $6,093 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $6,093 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $5,483.70 Cigna Health and Life Insurance Company — Commercial POS: $5,154.68 Coventry MA — Coventry MA: $2,254.41 Health Alliance — Commercial HMO: $4,265.10 Health Alliance MA — Health Alliance MA: $2,254.41
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: NEUROPL EXCRN/PER NRV AUTO-NS	$1,081.25	$1,081.25	$400.06 – $1,081.25
Carpal tunnel release: 10 of 22 insurance plan rates AETNA — Commercial HMO: $973.13 AMBETTER — Medicaid Managed Care: $400.06 ANTHEM — Commercial PPO: $1,081.25 BCBLIL Blue Choice — BCBLIL Blue Choice: $1,081.25 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $1,081.25 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $973.13 Cigna Health and Life Insurance Company — Commercial POS: $905.01 Coventry MA — Coventry MA: $400.06 Health Alliance — Commercial HMO: $756.88 Health Alliance MA — Health Alliance MA: $400.06
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: SIMP CATRCT REMOVAL	$6,472.50	$6,472.50	$2,394.83 – $6,472.50
Cataract removal with lens implant: 10 of 22 insurance plan rates AETNA — Commercial HMO: $5,825.25 AMBETTER — Medicaid Managed Care: $2,394.83 ANTHEM — Commercial PPO: $6,472.50 BCBLIL Blue Choice — BCBLIL Blue Choice: $6,472.50 BLUE CROSS MEDICARE ADVANTAGE C/O PROVIDER SVCS — Medicare Part A: $6,472.50 Choice Care Humana Health Value Management Commercial — Choice Care Humana Health Value Management Commerc: $5,825.25 Cigna Health and Life Insurance Company — Commercial POS: $5,475.74 Coventry MA — Coventry MA: $2,394.83 Health Alliance — Commercial HMO: $4,530.75 Health Alliance MA — Health Alliance MA: $2,394.83

Source: Morrison Community Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	303 N Jackson Street, Morrison, IL 61270
County	Whiteside County
State	Illinois
Phone	(815) 772‑4003
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	141329
Name in Medicare records	MORRISON COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	morrisonhospital.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.

Morrison Community Hospital — morrisonhospital.com
Medical Services — morrisonhospital.com
Emergency Ambulance — morrisonhospital.com
Patient Registration Visitor Regulations — morrisonhospital.com
Morrison Hospital — morrisonhospital.com
Radiology - Morrison Hospital — morrisonhospital.com
Women's Health - Morrison Hospital — morrisonhospital.com
Physical Rehabilitation Services - Morrison Hospital — morrisonhospital.com
Contact Us - Morrison Hospital — morrisonhospital.com
Wound Care - Morrison Hospital — morrisonhospital.com
Medical Surgical Services - Morrison Hospital — morrisonhospital.com
Infusion Services - Morrison Hospital — morrisonhospital.com
Surgical Services - Morrison Hospital — morrisonhospital.com
Neurology - Morrison Hospital — morrisonhospital.com
Hormone Replacement Therapy - Morrison Hospital — morrisonhospital.com
Laboratory - Morrison Hospital — morrisonhospital.com

Morrison Community Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[4][5][6][8][10][11][12][14][16][19]}

Conditions treated^{[5][10][11][13][14][15][16][17][18]}

Treatments^{[4][5][9][10][11][13][15][17][18][19]}

Procedures^[5][14][16]

Programs and centers^{[5][6][8][10][11][13][15][18]}

Emergency care (hospital website)^[5][6]

Visiting and practical information

Recognition^[19]

Doctors and clinicians (74)

Main specialties

Doctors with a page on this site (74)

Other emergency rooms nearby

Other hospitals near Morrison

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Morrison Community Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6][8][10][11][12][14][16][19]

Conditions treated[5][10][11][13][14][15][16][17][18]

Treatments[4][5][9][10][11][13][15][17][18][19]

Procedures[5][14][16]

Programs and centers[5][6][8][10][11][13][15][18]

Emergency care (hospital website)[5][6]

Visiting and practical information

Recognition[19]

Doctors and clinicians (74)

Main specialties

Doctors with a page on this site (74)

Other emergency rooms nearby

Other hospitals near Morrison

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

About the Medicare star rating

Medicare quality data

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[4][5][6][8][10][11][12][14][16][19]}

Conditions treated^{[5][10][11][13][14][15][16][17][18]}

Treatments^{[4][5][9][10][11][13][15][17][18][19]}

Procedures^[5][14][16]

Programs and centers^{[5][6][8][10][11][13][15][18]}

Emergency care (hospital website)^[5][6]

Recognition^[19]