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Acute Care Hospital

Morton Plant Hospital

Clearwater, Florida · Pinellas County · Emergency services listed

Summary

Morton Plant Hospital is an acute care hospital in Clearwater, Florida. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 84 services, specialties and programs. Medicare lists 1,781 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(727) 462‑7000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
599Beds (hospital website)
1,781Doctors and clinicians
84Services listed

Quick answers

Does Morton Plant Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Morton Plant Hospital. In a medical emergency, call 911.
Where is Morton Plant Hospital?
300 Pinellas St, Clearwater, FL 33756, in Pinellas County, Florida.
What is the phone number of Morton Plant Hospital?
(727) 462-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Morton Plant Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][9][13]

Conditions treated[7][9][13][14]

Treatments[7][9][11][13][15]

  • Transcatheter aortic valve replacement (TAVR)
  • Transcatheter mitral valve replacement (TMVR)
  • Transcarotid artery revascularization (TCAR)
  • Percutaneous coronary intervention (PCI)
  • Atrial fibrillation ablation
  • Open-heart surgery
  • Cardiac, vascular and pulmonary rehabilitation
  • Intensity-modulated radiation therapy
  • Volumetric-modulated arc therapy
  • Accelerated partial breast irradiation
  • High-dose rate brachytherapy
  • Stereotactic radiosurgery
  • Infusion services
  • Genetic testing for cancer
  • Clinical trials
  • Lumpectomy imaging with LumiSystem
  • Robotic-assisted joint replacement
  • Hip and knee replacement

Procedures[5]

  • Open heart and interventional cardiac procedures

Programs and centers[5][9][11][12][13][14][16]

  • Morgan Heart Hospital
  • Level II neonatal intensive care unit
  • Comprehensive Atrial Fibrillation Care Center
  • Center for Advanced Valve and Structural Heart Care
  • Comprehensive Total Joint Center
  • Sarah Walker Women's Center
  • Neurosciences Institute
  • Movement Disorders Clinic
  • Memory Disorders Clinic (Madonna Ptak Center)
  • Balance Clinic
  • Comprehensive Breast Care Center
  • Lykes Radiation Pavilion
  • Inpatient behavioral health unit

Emergency care (hospital website)[5][10]

Emergency roomYes

Visiting and practical information

ParkingFree valet and self-parking at campus entrances; ER valet free and open 24 hours[8][10]

Recognition[7][11][12][13]

  • National Accreditation Program for Breast Centers accreditation (Comprehensive Breast Program)
  • American College of Radiology accreditation in radiation therapy
  • Level II Maternal Care verified facility (The Joint Commission)
  • Top 5% in the Nation for Outpatient Joint Replacement (Healthgrades) 2026

Doctors and clinicians (1,781)

1,781 doctors and other clinicians list Morton Plant 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

Doctors with a page on this site (1,781)

And 1,757 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night48%National average: 60%
Completed surveys4,626Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.501Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.975No different from the national benchmark
Surgical site infections after colon surgery0.884No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.374No different from the national benchmark
MRSA bloodstream infections0.613No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.425Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients11.2%
Deaths within 30 days: heart failure patients12.2%
Deaths within 30 days: pneumonia patients17.3%
Deaths within 30 days: COPD patients11%
Deaths within 30 days: stroke patients11.2%
Deaths within 30 days: coronary bypass surgery (CABG)1.6%
Serious complications (patient safety indicator PSI-90)1No different from the national rate
Complications after hip or knee replacement4.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure22.2%
Readmitted within 30 days: pneumonia17.8%
Readmitted within 30 days: COPD20.7%
Readmitted within 30 days: coronary bypass surgery8.7%
Readmitted within 30 days: hip or knee replacement5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)181 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in FloridaBest hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Morton Plant 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $89.98 – $95.17
New patient office visit (about 30–44 minutes): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $92.58
  • Clear Health Alliance — Medicaid HMO: $87.39
  • Florida Community Care — Medicaid HMO: $95.17
  • Freedom Health — Medicaid HMO: $90.85
  • Humana — Medicaid HMO: $89.98
  • Molina Healthcare — Medicaid HMO: $90.85
  • Simply HealthCare — Medicaid HMO: $90.85
  • Sunshine Health — Medicaid HMO: $90.85
  • United Healthcare — Medicaid HMO: $88.25
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new low 30 min Not listed in the file Not listed in the file $77.92
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Humana Military — Commercial Other: $77.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $89.98 – $95.17
New patient office visit (about 45–59 minutes): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $92.58
  • Clear Health Alliance — Medicaid HMO: $87.39
  • Florida Community Care — Medicaid HMO: $95.17
  • Freedom Health — Medicaid HMO: $90.85
  • Humana — Medicaid HMO: $89.98
  • Molina Healthcare — Medicaid HMO: $90.85
  • Simply HealthCare — Medicaid HMO: $90.85
  • Sunshine Health — Medicaid HMO: $90.85
  • United Healthcare — Medicaid HMO: $88.25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new mod 45 min Not listed in the file Not listed in the file $126.54
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Humana Military — Commercial Other: $126.54
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $107.13 – $113.31
New patient office visit (about 60–74 minutes): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $110.22
  • Clear Health Alliance — Medicaid HMO: $104.04
  • Florida Community Care — Medicaid HMO: $113.31
  • Freedom Health — Medicaid HMO: $108.16
  • Humana — Medicaid HMO: $107.13
  • Molina Healthcare — Medicaid HMO: $108.16
  • Simply HealthCare — Medicaid HMO: $108.16
  • Sunshine Health — Medicaid HMO: $108.16
  • United Healthcare — Medicaid HMO: $105.07
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $172.36
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Humana Military — Commercial Other: $172.36
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $107.13 – $113.31
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $110.22
  • Clear Health Alliance — Medicaid HMO: $104.04
  • Florida Community Care — Medicaid HMO: $113.31
  • Freedom Health — Medicaid HMO: $108.16
  • Humana — Medicaid HMO: $107.13
  • Molina Healthcare — Medicaid HMO: $108.16
  • Simply HealthCare — Medicaid HMO: $108.16
  • Sunshine Health — Medicaid HMO: $108.16
  • United Healthcare — Medicaid HMO: $105.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p est low 20 min Not listed in the file Not listed in the file $62.20
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Humana Military — Commercial Other: $62.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $158.97 – $168.14
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $163.56
  • Clear Health Alliance — Medicaid HMO: $154.39
  • Florida Community Care — Medicaid HMO: $168.14
  • Freedom Health — Medicaid HMO: $160.50
  • Humana — Medicaid HMO: $158.97
  • Molina Healthcare — Medicaid HMO: $160.50
  • Simply HealthCare — Medicaid HMO: $160.50
  • Sunshine Health — Medicaid HMO: $160.50
  • United Healthcare — Medicaid HMO: $155.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p est mod 30 min Not listed in the file Not listed in the file $91.62
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Humana Military — Commercial Other: $91.62
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $28.08 – $29.70
Office consultation with a specialist (moderate): rates for 9 insurance plans
  • Aetna — Medicaid HMO: $28.89
  • Clear Health Alliance — Medicaid HMO: $27.27
  • Florida Community Care — Medicaid HMO: $29.70
  • Freedom Health — Medicaid HMO: $28.35
  • Humana — Medicaid HMO: $28.08
  • Molina Healthcare — Medicaid HMO: $28.35
  • Simply HealthCare — Medicaid HMO: $28.35
  • Sunshine Health — Medicaid HMO: $28.35
  • United Healthcare — Medicaid HMO: $27.54
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file $82.94
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Humana Military — Commercial Other: $82.94
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NS LACTATION CONSULT $76 $45.60 $13.68 – $76
Office consultation with a specialist (moderate to high): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $36.78
  • Aetna — Commercial Other: $35.19
  • Aetna — Commercial PPO: $61.94
  • Ambetter — Commercial Select Core: $76
  • Ambetter — Commercial Value: $76
  • AvMed — Commercial: $37.24
  • AvMed — Commercial Other: $23.56
  • Blue Cross — Commercial HMO Health Options: $35.59
  • Blue Cross — Commercial HMO My Blue: $22.28
  • Blue Cross — Commercial HMO Simply Blue: $29.22
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NS LACTATION CONSULT $76 $45.60 $42.79 – $76
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $61.94
  • Ambetter — Commercial Select Core: $76
  • Ambetter — Commercial Value: $76
  • Cigna — Commercial PPO: $66.12
  • Evolutions — Commercial PPO Choice: $70.68
  • Evolutions — Commercial PPO International: $53.20
  • Evolutions — Commercial PPO Select Network: $64.60
  • First Health — Commercial PPO: $64.60
  • Molina — Commercial Other: $42.79
  • Multiplan — Commercial PPO: $68.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file $125.38
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Humana Military — Commercial Other: $125.38
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $88.35
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Humana Military — Commercial Other: $88.35
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $106.85
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Humana Military — Commercial Other: $106.85
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 $2,776 $1,665.60 $499.68 – $2,776
Emergency room visit (moderate): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,343.58
  • Aetna — Commercial Other: $1,285.29
  • Aetna — Commercial PPO: $2,262.44
  • Ambetter — Commercial Select Core: $2,776
  • Ambetter — Commercial Value: $2,776
  • AvMed — Commercial: $1,360.24
  • AvMed — Commercial Other: $860.56
  • Blue Cross — Commercial HMO Health Options: $1,300
  • Blue Cross — Commercial HMO My Blue: $813.92
  • Blue Cross — Commercial HMO Simply Blue: $1,067.37
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 $2,776 $1,665.60 $1,562.89 – $2,776
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $2,262.44
  • Ambetter — Commercial Select Core: $2,776
  • Ambetter — Commercial Value: $2,776
  • Cigna — Commercial PPO: $2,415.12
  • Evolutions — Commercial PPO Choice: $2,581.68
  • Evolutions — Commercial PPO International: $1,943.20
  • Evolutions — Commercial PPO Select Network: $2,359.60
  • First Health — Commercial PPO: $2,359.60
  • Molina — Commercial Other: $1,562.89
  • Multiplan — Commercial PPO: $2,498.40
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $277.93 – $1,699
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • Aetna — Medicare HMO: $319.62
  • Aetna — Medicare PPO: $277.93
  • Ambetter — Commercial Select Core: $625.35
  • Ambetter — Commercial Value: $708.73
  • BayCarePlus — Medicare HMO: $277.93
  • Blue Cross — Commercial HMO Health Options: $1,504
  • Blue Cross — Commercial HMO My Blue: $941
  • Blue Cross — Commercial HMO Simply Blue: $1,236
  • Blue Cross — Commercial PPO Blue Select: $1,274
  • Blue Cross — Commercial PPO Network Blue: $1,585
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 $4,561 $2,736.60 $820.98 – $4,561
Emergency room visit (moderately high): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $2,207.52
  • Aetna — Commercial Other: $2,111.74
  • Aetna — Commercial PPO: $3,717.21
  • Ambetter — Commercial Select Core: $4,561
  • Ambetter — Commercial Value: $4,561
  • AvMed — Commercial: $2,234.89
  • AvMed — Commercial Other: $1,413.91
  • Blue Cross — Commercial HMO Health Options: $2,135.92
  • Blue Cross — Commercial HMO My Blue: $1,337.29
  • Blue Cross — Commercial HMO Simply Blue: $1,753.70
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 $4,561 $2,736.60 $2,567.84 – $4,561
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $3,717.21
  • Ambetter — Commercial Select Core: $4,561
  • Ambetter — Commercial Value: $4,561
  • Cigna — Commercial PPO: $3,968.07
  • Evolutions — Commercial PPO Choice: $4,241.73
  • Evolutions — Commercial PPO International: $3,192.70
  • Evolutions — Commercial PPO Select Network: $3,876.85
  • First Health — Commercial PPO: $3,876.85
  • Molina — Commercial Other: $2,567.84
  • Multiplan — Commercial PPO: $4,104.90
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $427.43 – $1,089.94
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • Aetna — Medicare HMO: $491.54
  • Aetna — Medicare PPO: $427.43
  • Ambetter — Commercial Select Core: $961.71
  • Ambetter — Commercial Value: $1,089.94
  • BayCarePlus — Medicare HMO: $427.43
  • Blue Cross — Medicare HMO: $427.43
  • Cigna — Medicare HMO: $491.54
  • Humana — Medicare HMO: $534.28
  • Humana Military — Commercial Other: $444.04
  • Solis Health — Medicare HMO: $470.17
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 $6,610 $3,966 $1,189.80 – $6,610
Emergency room visit (high): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $3,199.24
  • Aetna — Commercial Other: $3,060.43
  • Aetna — Commercial PPO: $5,387.15
  • Ambetter — Commercial Select Core: $6,610
  • Ambetter — Commercial Value: $6,610
  • AvMed — Commercial: $3,238.90
  • AvMed — Commercial Other: $2,049.10
  • Blue Cross — Commercial HMO Health Options: $3,095.46
  • Blue Cross — Commercial HMO My Blue: $1,938.05
  • Blue Cross — Commercial HMO Simply Blue: $2,541.54
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 $6,610 $3,966 $3,721.43 – $6,610
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $5,387.15
  • Ambetter — Commercial Select Core: $6,610
  • Ambetter — Commercial Value: $6,610
  • Cigna — Commercial PPO: $5,750.70
  • Evolutions — Commercial PPO Choice: $6,147.30
  • Evolutions — Commercial PPO International: $4,627
  • Evolutions — Commercial PPO Select Network: $5,618.50
  • First Health — Commercial PPO: $5,618.50
  • Molina — Commercial Other: $3,721.43
  • Multiplan — Commercial PPO: $5,949
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $615.42 – $1,569.31
Emergency room visit (high): 10 of 18 insurance plan rates
  • Aetna — Medicare HMO: $707.73
  • Aetna — Medicare PPO: $615.42
  • Ambetter — Commercial Select Core: $1,384.69
  • Ambetter — Commercial Value: $1,569.31
  • BayCarePlus — Medicare HMO: $615.42
  • Blue Cross — Medicare HMO: $615.42
  • Cigna — Medicare HMO: $707.73
  • Humana — Medicare HMO: $769.27
  • Humana Military — Commercial Other: $639.34
  • Solis Health — Medicare HMO: $676.96

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $32 $19.20 $5.76 – $32
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $15.49
  • Aetna — Commercial Other: $14.82
  • Aetna — Commercial PPO: $26.08
  • Ambetter — Commercial Select Core: $32
  • Ambetter — Commercial Value: $32
  • AvMed — Commercial: $15.68
  • AvMed — Commercial Other: $9.92
  • Blue Cross — Commercial HMO Health Options: $14.99
  • Blue Cross — Commercial HMO My Blue: $9.38
  • Blue Cross — Commercial HMO Simply Blue: $12.30
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RT BASIC METABOLIC PANEL $257 $154.20 $46.26 – $257
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $124.39
  • Aetna — Commercial Other: $118.99
  • Aetna — Commercial PPO: $209.46
  • Ambetter — Commercial Select Core: $257
  • Ambetter — Commercial Value: $257
  • AvMed — Commercial: $125.93
  • AvMed — Commercial Other: $79.67
  • Blue Cross — Commercial HMO Health Options: $120.35
  • Blue Cross — Commercial HMO My Blue: $75.35
  • Blue Cross — Commercial HMO Simply Blue: $98.82
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $32 $19.20 $18.02 – $32
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $26.08
  • Ambetter — Commercial Select Core: $32
  • Ambetter — Commercial Value: $32
  • Cigna — Commercial PPO: $27.84
  • Evolutions — Commercial PPO Choice: $29.76
  • Evolutions — Commercial PPO International: $22.40
  • Evolutions — Commercial PPO Select Network: $27.20
  • First Health — Commercial PPO: $27.20
  • Molina — Commercial Other: $18.02
  • Multiplan — Commercial PPO: $28.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PNL $45 $27 $8.10 – $45
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $21.78
  • Aetna — Commercial Other: $20.84
  • Aetna — Commercial PPO: $36.67
  • Ambetter — Commercial Select Core: $45
  • Ambetter — Commercial Value: $45
  • AvMed — Commercial: $22.05
  • AvMed — Commercial Other: $13.95
  • Blue Cross — Commercial HMO Health Options: $21.07
  • Blue Cross — Commercial HMO My Blue: $13.19
  • Blue Cross — Commercial HMO Simply Blue: $17.30
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP 2ND HALF $31 $18.60 $5.58 – $31
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $15
  • Aetna — Commercial Other: $14.35
  • Aetna — Commercial PPO: $25.26
  • Ambetter — Commercial Select Core: $31
  • Ambetter — Commercial Value: $31
  • AvMed — Commercial: $15.19
  • AvMed — Commercial Other: $9.61
  • Blue Cross — Commercial HMO Health Options: $14.52
  • Blue Cross — Commercial HMO My Blue: $9.09
  • Blue Cross — Commercial HMO Simply Blue: $11.92
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP 3rd $31 $18.60 $5.58 – $31
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $15
  • Aetna — Commercial Other: $14.35
  • Aetna — Commercial PPO: $25.26
  • Ambetter — Commercial Select Core: $31
  • Ambetter — Commercial Value: $31
  • AvMed — Commercial: $15.19
  • AvMed — Commercial Other: $9.61
  • Blue Cross — Commercial HMO Health Options: $14.52
  • Blue Cross — Commercial HMO My Blue: $9.09
  • Blue Cross — Commercial HMO Simply Blue: $11.92
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL $241 $144.60 $43.38 – $241
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $116.64
  • Aetna — Commercial Other: $111.58
  • Aetna — Commercial PPO: $196.42
  • Ambetter — Commercial Select Core: $241
  • Ambetter — Commercial Value: $241
  • AvMed — Commercial: $118.09
  • AvMed — Commercial Other: $74.71
  • Blue Cross — Commercial HMO Health Options: $112.86
  • Blue Cross — Commercial HMO My Blue: $70.66
  • Blue Cross — Commercial HMO Simply Blue: $92.66
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PANEL $241 $144.60 $135.68 – $241
Obstetric blood test panel: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $196.42
  • Ambetter — Commercial Select Core: $241
  • Ambetter — Commercial Value: $241
  • Cigna — Commercial PPO: $209.67
  • Evolutions — Commercial PPO Choice: $224.13
  • Evolutions — Commercial PPO International: $168.70
  • Evolutions — Commercial PPO Select Network: $204.85
  • First Health — Commercial PPO: $204.85
  • Molina — Commercial Other: $135.68
  • Multiplan — Commercial PPO: $216.90
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $121.92
Obstetric blood test panel: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $58.33
  • Aetna — Commercial Other: $54.03
  • Aetna — Commercial PPO: $58.33
  • Aetna — Medicare HMO: $54.98
  • Aetna — Medicare PPO: $47.81
  • Ambetter — Commercial Select Core: $107.57
  • Ambetter — Commercial Value: $121.92
  • BayCarePlus — Medicare HMO: $47.81
  • Blue Cross — Medicare HMO: $47.81
  • Cigna — Medicare HMO: $54.98
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHOLESTEROL FRACTIONATION $58 $34.80 $10.44 – $58
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $28.07
  • Aetna — Commercial Other: $26.85
  • Aetna — Commercial PPO: $47.27
  • Ambetter — Commercial Select Core: $58
  • Ambetter — Commercial Value: $58
  • AvMed — Commercial: $28.42
  • AvMed — Commercial Other: $17.98
  • Blue Cross — Commercial HMO Health Options: $27.16
  • Blue Cross — Commercial HMO My Blue: $17.01
  • Blue Cross — Commercial HMO Simply Blue: $22.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: QUEST LIPID W/REFLEX LDL $58 $34.80 $10.44 – $58
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $28.07
  • Aetna — Commercial Other: $26.85
  • Aetna — Commercial PPO: $47.27
  • Ambetter — Commercial Select Core: $58
  • Ambetter — Commercial Value: $58
  • AvMed — Commercial: $28.42
  • AvMed — Commercial Other: $17.98
  • Blue Cross — Commercial HMO Health Options: $27.16
  • Blue Cross — Commercial HMO My Blue: $17.01
  • Blue Cross — Commercial HMO Simply Blue: $22.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NMR LIPOPROTEIN P1 $62 $37.20 $11.16 – $62
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $30.01
  • Aetna — Commercial Other: $28.71
  • Aetna — Commercial PPO: $50.53
  • Ambetter — Commercial Select Core: $62
  • Ambetter — Commercial Value: $62
  • AvMed — Commercial: $30.38
  • AvMed — Commercial Other: $19.22
  • Blue Cross — Commercial HMO Health Options: $29.03
  • Blue Cross — Commercial HMO My Blue: $18.18
  • Blue Cross — Commercial HMO Simply Blue: $23.84
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION (COS) $43 $25.80 $7.74 – $43
Kidney function panel: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $20.81
  • Aetna — Commercial Other: $19.91
  • Aetna — Commercial PPO: $35.04
  • Ambetter — Commercial Select Core: $43
  • Ambetter — Commercial Value: $43
  • AvMed — Commercial: $21.07
  • AvMed — Commercial Other: $13.33
  • Blue Cross — Commercial HMO Health Options: $20.14
  • Blue Cross — Commercial HMO My Blue: $12.61
  • Blue Cross — Commercial HMO Simply Blue: $16.53
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION (COS) $43 $25.80 $24.21 – $43
Kidney function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $35.04
  • Ambetter — Commercial Select Core: $43
  • Ambetter — Commercial Value: $43
  • Cigna — Commercial PPO: $37.41
  • Evolutions — Commercial PPO Choice: $39.99
  • Evolutions — Commercial PPO International: $30.10
  • Evolutions — Commercial PPO Select Network: $36.55
  • First Health — Commercial PPO: $36.55
  • Molina — Commercial Other: $24.21
  • Multiplan — Commercial PPO: $38.70
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $7.87 – $22.13
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $10.59
  • Aetna — Commercial Other: $9.81
  • Aetna — Commercial PPO: $10.59
  • Aetna — Medicare HMO: $9.98
  • Aetna — Medicare PPO: $8.68
  • Ambetter — Commercial Select Core: $19.53
  • Ambetter — Commercial Value: $22.13
  • BayCarePlus — Medicare HMO: $8.68
  • Blue Cross — Medicare HMO: $8.68
  • Cigna — Medicare HMO: $9.98
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION (COS) $41 $24.60 $7.38 – $41
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $19.84
  • Aetna — Commercial Other: $18.98
  • Aetna — Commercial PPO: $33.42
  • Ambetter — Commercial Select Core: $41
  • Ambetter — Commercial Value: $41
  • AvMed — Commercial: $20.09
  • AvMed — Commercial Other: $12.71
  • Blue Cross — Commercial HMO Health Options: $19.20
  • Blue Cross — Commercial HMO My Blue: $12.02
  • Blue Cross — Commercial HMO Simply Blue: $15.76
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL $39 $23.40 $7.02 – $39
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $18.88
  • Aetna — Commercial Other: $18.06
  • Aetna — Commercial PPO: $31.78
  • Ambetter — Commercial Select Core: $39
  • Ambetter — Commercial Value: $39
  • AvMed — Commercial: $19.11
  • AvMed — Commercial Other: $12.09
  • Blue Cross — Commercial HMO Health Options: $18.26
  • Blue Cross — Commercial HMO My Blue: $11.43
  • Blue Cross — Commercial HMO Simply Blue: $15
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION (COS) $41 $24.60 $23.08 – $41
Liver function panel: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $33.42
  • Ambetter — Commercial Select Core: $41
  • Ambetter — Commercial Value: $41
  • Cigna — Commercial PPO: $35.67
  • Evolutions — Commercial PPO Choice: $38.13
  • Evolutions — Commercial PPO International: $28.70
  • Evolutions — Commercial PPO Select Network: $34.85
  • First Health — Commercial PPO: $34.85
  • Molina — Commercial Other: $23.08
  • Multiplan — Commercial PPO: $36.90
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MICROSCOPIC $30 $18 $5.40 – $30
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $14.52
  • Aetna — Commercial Other: $13.89
  • Aetna — Commercial PPO: $24.45
  • Ambetter — Commercial Select Core: $30
  • Ambetter — Commercial Value: $30
  • AvMed — Commercial: $14.70
  • AvMed — Commercial Other: $9.30
  • Blue Cross — Commercial HMO Health Options: $14.05
  • Blue Cross — Commercial HMO My Blue: $8.80
  • Blue Cross — Commercial HMO Simply Blue: $11.54
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/ MICRO REF CULT $28 $16.80 $5.04 – $28
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $13.55
  • Aetna — Commercial Other: $12.96
  • Aetna — Commercial PPO: $22.82
  • Ambetter — Commercial Select Core: $28
  • Ambetter — Commercial Value: $28
  • AvMed — Commercial: $13.72
  • AvMed — Commercial Other: $8.68
  • Blue Cross — Commercial HMO Health Options: $13.11
  • Blue Cross — Commercial HMO My Blue: $8.21
  • Blue Cross — Commercial HMO Simply Blue: $10.77
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC $30 $18 $5.40 – $30
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $14.52
  • Aetna — Commercial Other: $13.89
  • Aetna — Commercial PPO: $24.45
  • Ambetter — Commercial Select Core: $30
  • Ambetter — Commercial Value: $30
  • AvMed — Commercial: $14.70
  • AvMed — Commercial Other: $9.30
  • Blue Cross — Commercial HMO Health Options: $14.05
  • Blue Cross — Commercial HMO My Blue: $8.80
  • Blue Cross — Commercial HMO Simply Blue: $11.54
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR BILIRUBIN $32 $19.20 $5.76 – $32
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $15.49
  • Aetna — Commercial Other: $14.82
  • Aetna — Commercial PPO: $26.08
  • Ambetter — Commercial Select Core: $32
  • Ambetter — Commercial Value: $32
  • AvMed — Commercial: $15.68
  • AvMed — Commercial Other: $9.92
  • Blue Cross — Commercial HMO Health Options: $14.99
  • Blue Cross — Commercial HMO My Blue: $9.38
  • Blue Cross — Commercial HMO Simply Blue: $12.30
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UR BILIRUBIN $32 $19.20 $18.02 – $32
Urine test (manual, without microscope): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $26.08
  • Ambetter — Commercial Select Core: $32
  • Ambetter — Commercial Value: $32
  • Cigna — Commercial PPO: $27.84
  • Evolutions — Commercial PPO Choice: $29.76
  • Evolutions — Commercial PPO International: $22.40
  • Evolutions — Commercial PPO Select Network: $27.20
  • First Health — Commercial PPO: $27.20
  • Molina — Commercial Other: $18.02
  • Multiplan — Commercial PPO: $28.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.15 – $8.87
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $4.25
  • Aetna — Commercial Other: $3.93
  • Aetna — Commercial PPO: $4.25
  • Aetna — Medicare HMO: $4
  • Aetna — Medicare PPO: $3.48
  • Ambetter — Commercial Select Core: $7.83
  • Ambetter — Commercial Value: $8.87
  • BayCarePlus — Medicare HMO: $3.48
  • Blue Cross — Medicare HMO: $3.48
  • Cigna — Medicare HMO: $4
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UF-100 $30 $18 $5.40 – $30
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $14.52
  • Aetna — Commercial Other: $13.89
  • Aetna — Commercial PPO: $24.45
  • Ambetter — Commercial Select Core: $30
  • Ambetter — Commercial Value: $30
  • AvMed — Commercial: $14.70
  • AvMed — Commercial Other: $9.30
  • Blue Cross — Commercial HMO Health Options: $14.05
  • Blue Cross — Commercial HMO My Blue: $8.80
  • Blue Cross — Commercial HMO Simply Blue: $11.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS $30 $18 $5.40 – $30
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $14.52
  • Aetna — Commercial Other: $13.89
  • Aetna — Commercial PPO: $24.45
  • Ambetter — Commercial Select Core: $30
  • Ambetter — Commercial Value: $30
  • AvMed — Commercial: $14.70
  • AvMed — Commercial Other: $9.30
  • Blue Cross — Commercial HMO Health Options: $14.05
  • Blue Cross — Commercial HMO My Blue: $8.80
  • Blue Cross — Commercial HMO Simply Blue: $11.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH REFLEX CULTURE $30 $18 $5.40 – $30
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $14.52
  • Aetna — Commercial Other: $13.89
  • Aetna — Commercial PPO: $24.45
  • Ambetter — Commercial Select Core: $30
  • Ambetter — Commercial Value: $30
  • AvMed — Commercial: $14.70
  • AvMed — Commercial Other: $9.30
  • Blue Cross — Commercial HMO Health Options: $14.05
  • Blue Cross — Commercial HMO My Blue: $8.80
  • Blue Cross — Commercial HMO Simply Blue: $11.54
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG $64 $38.40 $11.52 – $64
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $30.98
  • Aetna — Commercial Other: $29.63
  • Aetna — Commercial PPO: $52.16
  • Ambetter — Commercial Select Core: $64
  • Ambetter — Commercial Value: $64
  • AvMed — Commercial: $31.36
  • AvMed — Commercial Other: $19.84
  • Blue Cross — Commercial HMO Health Options: $29.97
  • Blue Cross — Commercial HMO My Blue: $18.76
  • Blue Cross — Commercial HMO Simply Blue: $24.61
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA POST PROSTECTOMY $40 $24 $7.20 – $40
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $19.36
  • Aetna — Commercial Other: $18.52
  • Aetna — Commercial PPO: $32.60
  • Ambetter — Commercial Select Core: $40
  • Ambetter — Commercial Value: $40
  • AvMed — Commercial: $19.60
  • AvMed — Commercial Other: $12.40
  • Blue Cross — Commercial HMO Health Options: $18.73
  • Blue Cross — Commercial HMO My Blue: $11.73
  • Blue Cross — Commercial HMO Simply Blue: $15.38
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG $64 $38.40 $36.03 – $64
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $52.16
  • Ambetter — Commercial Select Core: $64
  • Ambetter — Commercial Value: $64
  • Cigna — Commercial PPO: $55.68
  • Evolutions — Commercial PPO Choice: $59.52
  • Evolutions — Commercial PPO International: $44.80
  • Evolutions — Commercial PPO Select Network: $54.40
  • First Health — Commercial PPO: $54.40
  • Molina — Commercial Other: $36.03
  • Multiplan — Commercial PPO: $57.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION $62 $37.20 $11.16 – $62
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $30.01
  • Aetna — Commercial Other: $28.71
  • Aetna — Commercial PPO: $50.53
  • Ambetter — Commercial Select Core: $62
  • Ambetter — Commercial Value: $62
  • AvMed — Commercial: $30.38
  • AvMed — Commercial Other: $19.22
  • Blue Cross — Commercial HMO Health Options: $29.03
  • Blue Cross — Commercial HMO My Blue: $18.18
  • Blue Cross — Commercial HMO Simply Blue: $23.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH SCREEN $62 $37.20 $11.16 – $62
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $30.01
  • Aetna — Commercial Other: $28.71
  • Aetna — Commercial PPO: $50.53
  • Ambetter — Commercial Select Core: $62
  • Ambetter — Commercial Value: $62
  • AvMed — Commercial: $30.38
  • AvMed — Commercial Other: $19.22
  • Blue Cross — Commercial HMO Health Options: $29.03
  • Blue Cross — Commercial HMO My Blue: $18.18
  • Blue Cross — Commercial HMO Simply Blue: $23.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWBORN COMP SCREEN P6 $33 $19.80 $5.94 – $33
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $15.97
  • Aetna — Commercial Other: $15.28
  • Aetna — Commercial PPO: $26.90
  • Ambetter — Commercial Select Core: $33
  • Ambetter — Commercial Value: $33
  • AvMed — Commercial: $16.17
  • AvMed — Commercial Other: $10.23
  • Blue Cross — Commercial HMO Health Options: $15.45
  • Blue Cross — Commercial HMO My Blue: $9.68
  • Blue Cross — Commercial HMO Simply Blue: $12.69
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ DIFF $27 $16.20 $4.86 – $27
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $13.07
  • Aetna — Commercial Other: $12.50
  • Aetna — Commercial PPO: $22
  • Ambetter — Commercial Select Core: $27
  • Ambetter — Commercial Value: $27
  • AvMed — Commercial: $13.23
  • AvMed — Commercial Other: $8.37
  • Blue Cross — Commercial HMO Health Options: $12.64
  • Blue Cross — Commercial HMO My Blue: $7.92
  • Blue Cross — Commercial HMO Simply Blue: $10.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/ DIFF $27 $16.20 $15.20 – $27
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $22
  • Ambetter — Commercial Select Core: $27
  • Ambetter — Commercial Value: $27
  • Cigna — Commercial PPO: $23.49
  • Evolutions — Commercial PPO Choice: $25.11
  • Evolutions — Commercial PPO International: $18.90
  • Evolutions — Commercial PPO Select Network: $22.95
  • First Health — Commercial PPO: $22.95
  • Molina — Commercial Other: $15.20
  • Multiplan — Commercial PPO: $24.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.04 – $19.81
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $9.48
  • Aetna — Commercial Other: $8.78
  • Aetna — Commercial PPO: $9.48
  • Aetna — Medicare HMO: $8.94
  • Aetna — Medicare PPO: $7.77
  • Ambetter — Commercial Select Core: $17.48
  • Ambetter — Commercial Value: $19.81
  • BayCarePlus — Medicare HMO: $7.77
  • Blue Cross — Medicare HMO: $7.77
  • Cigna — Medicare HMO: $8.94
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/OUT DIFF $23 $13.80 $4.14 – $23
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $11.13
  • Aetna — Commercial Other: $10.65
  • Aetna — Commercial PPO: $18.74
  • Ambetter — Commercial Select Core: $23
  • Ambetter — Commercial Value: $23
  • AvMed — Commercial: $11.27
  • AvMed — Commercial Other: $7.13
  • Blue Cross — Commercial HMO Health Options: $10.77
  • Blue Cross — Commercial HMO My Blue: $6.74
  • Blue Cross — Commercial HMO Simply Blue: $8.84
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/OUT DIFF $23 $13.80 $12.95 – $23
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $18.74
  • Ambetter — Commercial Select Core: $23
  • Ambetter — Commercial Value: $23
  • Cigna — Commercial PPO: $20.01
  • Evolutions — Commercial PPO Choice: $21.39
  • Evolutions — Commercial PPO International: $16.10
  • Evolutions — Commercial PPO Select Network: $19.55
  • First Health — Commercial PPO: $19.55
  • Molina — Commercial Other: $12.95
  • Multiplan — Commercial PPO: $20.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $5.87 – $16.50
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $7.89
  • Aetna — Commercial Other: $7.31
  • Aetna — Commercial PPO: $7.89
  • Aetna — Medicare HMO: $7.44
  • Aetna — Medicare PPO: $6.47
  • Ambetter — Commercial Select Core: $14.56
  • Ambetter — Commercial Value: $16.50
  • BayCarePlus — Medicare HMO: $6.47
  • Blue Cross — Medicare HMO: $6.47
  • Cigna — Medicare HMO: $7.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $23 $13.80 $4.14 – $23
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates
  • Aetna — Commercial HMO: $11.13
  • Aetna — Commercial Other: $10.65
  • Aetna — Commercial PPO: $18.74
  • Aetna — Medicaid HMO: $2.39
  • Ambetter — Commercial Select Core: $23
  • Ambetter — Commercial Value: $23
  • AvMed — Commercial: $11.27
  • AvMed — Commercial Other: $7.13
  • Blue Cross — Commercial HMO Health Options: $10.77
  • Blue Cross — Commercial HMO My Blue: $6.74
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC PROTIME $22 $13.20 $3.96 – $22
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $10.65
  • Aetna — Commercial Other: $10.19
  • Aetna — Commercial PPO: $17.93
  • Ambetter — Commercial Select Core: $22
  • Ambetter — Commercial Value: $22
  • AvMed — Commercial: $10.78
  • AvMed — Commercial Other: $6.82
  • Blue Cross — Commercial HMO Health Options: $10.30
  • Blue Cross — Commercial HMO My Blue: $6.45
  • Blue Cross — Commercial HMO Simply Blue: $8.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $23 $13.80 $12.95 – $23
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $18.74
  • Ambetter — Commercial Select Core: $23
  • Ambetter — Commercial Value: $23
  • Cigna — Commercial PPO: $20.01
  • Evolutions — Commercial PPO Choice: $21.39
  • Evolutions — Commercial PPO International: $16.10
  • Evolutions — Commercial PPO Select Network: $19.55
  • First Health — Commercial PPO: $19.55
  • Molina — Commercial Other: $12.95
  • Multiplan — Commercial PPO: $20.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT $28 $16.80 $5.04 – $28
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $13.55
  • Aetna — Commercial Other: $12.96
  • Aetna — Commercial PPO: $22.82
  • Ambetter — Commercial Select Core: $28
  • Ambetter — Commercial Value: $28
  • AvMed — Commercial: $13.72
  • AvMed — Commercial Other: $8.68
  • Blue Cross — Commercial HMO Health Options: $13.11
  • Blue Cross — Commercial HMO My Blue: $8.21
  • Blue Cross — Commercial HMO Simply Blue: $10.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT $28 $16.80 $15.76 – $28
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $22.82
  • Ambetter — Commercial Select Core: $28
  • Ambetter — Commercial Value: $28
  • Cigna — Commercial PPO: $24.36
  • Evolutions — Commercial PPO Choice: $26.04
  • Evolutions — Commercial PPO International: $19.60
  • Evolutions — Commercial PPO Select Network: $23.80
  • First Health — Commercial PPO: $23.80
  • Molina — Commercial Other: $15.76
  • Multiplan — Commercial PPO: $25.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.45 – $15.33
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $7.33
  • Aetna — Commercial Other: $6.79
  • Aetna — Commercial PPO: $7.33
  • Aetna — Medicare HMO: $6.91
  • Aetna — Medicare PPO: $6.01
  • Ambetter — Commercial Select Core: $13.52
  • Ambetter — Commercial Value: $15.33
  • BayCarePlus — Medicare HMO: $6.01
  • Blue Cross — Medicare HMO: $6.01
  • Cigna — Medicare HMO: $6.91

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN W/O $4,425 $2,655 $796.50 – $4,425
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $2,141.70
  • Aetna — Commercial Other: $2,048.78
  • Aetna — Commercial PPO: $3,606.37
  • Ambetter — Commercial Select Core: $4,425
  • Ambetter — Commercial Value: $4,425
  • AvMed — Commercial: $2,168.25
  • AvMed — Commercial Other: $1,371.75
  • Blue Cross — Commercial HMO Health Options: $2,072.23
  • Blue Cross — Commercial HMO My Blue: $1,297.41
  • Blue Cross — Commercial HMO Simply Blue: $1,701.41
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O $4,425 $2,655 $2,491.27 – $4,425
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $3,606.37
  • Ambetter — Commercial Select Core: $4,425
  • Ambetter — Commercial Value: $4,425
  • Cigna — Commercial PPO: $3,849.75
  • Evolutions — Commercial PPO Choice: $4,115.25
  • Evolutions — Commercial PPO International: $3,097.50
  • Evolutions — Commercial PPO Select Network: $3,761.25
  • First Health — Commercial PPO: $3,761.25
  • Molina — Commercial Other: $2,491.27
  • Multiplan — Commercial PPO: $3,982.50
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $86.25 – $272.20
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $170.63
  • Aetna — Commercial Other: $86.25
  • Aetna — Medicare HMO: $122.76
  • Aetna — Medicare PPO: $106.74
  • Ambetter — Commercial Select Core: $240.18
  • Ambetter — Commercial Value: $272.20
  • BayCarePlus — Medicare HMO: $106.74
  • Blue Cross — Medicare HMO: $106.74
  • Cigna — Commercial HMO: $176.43
  • Cigna — Commercial PPO: $179.89
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O W $7,258 $4,354.80 $1,306.44 – $7,258
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $3,512.87
  • Aetna — Commercial Other: $3,360.45
  • Aetna — Commercial PPO: $5,915.27
  • Ambetter — Commercial Select Core: $7,258
  • Ambetter — Commercial Value: $7,258
  • AvMed — Commercial: $3,556.42
  • AvMed — Commercial Other: $2,249.98
  • Blue Cross — Commercial HMO Health Options: $3,398.92
  • Blue Cross — Commercial HMO My Blue: $2,128.05
  • Blue Cross — Commercial HMO Simply Blue: $2,790.70
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/O W $7,258 $4,354.80 $4,086.25 – $7,258
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $5,915.27
  • Ambetter — Commercial Select Core: $7,258
  • Ambetter — Commercial Value: $7,258
  • Cigna — Commercial PPO: $6,314.46
  • Evolutions — Commercial PPO Choice: $6,749.94
  • Evolutions — Commercial PPO International: $5,080.60
  • Evolutions — Commercial PPO Select Network: $6,169.30
  • First Health — Commercial PPO: $6,169.30
  • Molina — Commercial Other: $4,086.25
  • Multiplan — Commercial PPO: $6,532.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $272.19 – $914.13
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $538.47
  • Aetna — Commercial Other: $272.19
  • Aetna — Medicare HMO: $412.25
  • Aetna — Medicare PPO: $358.48
  • Ambetter — Commercial Select Core: $806.58
  • Ambetter — Commercial Value: $914.13
  • BayCarePlus — Medicare HMO: $358.48
  • Blue Cross — Medicare HMO: $358.48
  • Cigna — Commercial HMO: $635.24
  • Cigna — Commercial PPO: $647.68
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX X-RAY EXAM CHEST 2 VIEWS $759 $455.40 $136.62 – $759
Chest X-ray, 2 views: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $367.36
  • Aetna — Commercial Other: $351.42
  • Aetna — Commercial PPO: $618.58
  • Ambetter — Commercial Select Core: $759
  • Ambetter — Commercial Value: $759
  • AvMed — Commercial: $371.91
  • AvMed — Commercial Other: $235.29
  • Blue Cross — Commercial HMO Health Options: $355.44
  • Blue Cross — Commercial HMO My Blue: $222.54
  • Blue Cross — Commercial HMO Simply Blue: $291.84
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX X-RAY EXAM CHEST 2 VIEWS $759 $455.40 $427.32 – $759
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $618.58
  • Ambetter — Commercial Select Core: $759
  • Ambetter — Commercial Value: $759
  • Cigna — Commercial PPO: $660.33
  • Evolutions — Commercial PPO Choice: $705.87
  • Evolutions — Commercial PPO International: $531.30
  • Evolutions — Commercial PPO Select Network: $645.15
  • First Health — Commercial PPO: $645.15
  • Molina — Commercial Other: $427.32
  • Multiplan — Commercial PPO: $683.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $29.60 – $225.36
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $58.56
  • Aetna — Commercial Other: $29.60
  • Aetna — Medicare HMO: $101.64
  • Aetna — Medicare PPO: $88.38
  • Ambetter — Commercial Select Core: $198.85
  • Ambetter — Commercial Value: $225.36
  • BayCarePlus — Medicare HMO: $88.38
  • Blue Cross — Medicare HMO: $88.38
  • Cigna — Commercial HMO: $47.15
  • Cigna — Commercial PPO: $48.08
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX L SPINE 4 VIEW MIN $1,471 $882.60 $264.78 – $1,471
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $711.96
  • Aetna — Commercial Other: $681.07
  • Aetna — Commercial PPO: $1,198.86
  • Ambetter — Commercial Select Core: $1,471
  • Ambetter — Commercial Value: $1,471
  • AvMed — Commercial: $720.79
  • AvMed — Commercial Other: $456.01
  • Blue Cross — Commercial HMO Health Options: $688.87
  • Blue Cross — Commercial HMO My Blue: $431.30
  • Blue Cross — Commercial HMO Simply Blue: $565.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX L SPINE 4 VIEW MIN $1,471 $882.60 $828.17 – $1,471
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $1,198.86
  • Ambetter — Commercial Select Core: $1,471
  • Ambetter — Commercial Value: $1,471
  • Cigna — Commercial PPO: $1,279.77
  • Evolutions — Commercial PPO Choice: $1,368.03
  • Evolutions — Commercial PPO International: $1,029.70
  • Evolutions — Commercial PPO Select Network: $1,250.35
  • First Health — Commercial PPO: $1,250.35
  • Molina — Commercial Other: $828.17
  • Multiplan — Commercial PPO: $1,323.90
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $49.75 – $272.20
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $98.42
  • Aetna — Commercial Other: $49.75
  • Aetna — Medicare HMO: $122.76
  • Aetna — Medicare PPO: $106.74
  • Ambetter — Commercial Select Core: $240.18
  • Ambetter — Commercial Value: $272.20
  • BayCarePlus — Medicare HMO: $106.74
  • Blue Cross — Medicare HMO: $106.74
  • Cigna — Commercial HMO: $79.47
  • Cigna — Commercial PPO: $81.02
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE W/O $4,185 $2,511 $753.30 – $4,185
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $2,025.54
  • Aetna — Commercial Other: $1,937.66
  • Aetna — Commercial PPO: $3,410.77
  • Ambetter — Commercial Select Core: $4,185
  • Ambetter — Commercial Value: $4,185
  • AvMed — Commercial: $2,050.65
  • AvMed — Commercial Other: $1,297.35
  • Blue Cross — Commercial HMO Health Options: $1,959.84
  • Blue Cross — Commercial HMO My Blue: $1,227.04
  • Blue Cross — Commercial HMO Simply Blue: $1,609.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE W/O $4,185 $2,511 $2,356.15 – $4,185
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $3,410.77
  • Ambetter — Commercial Select Core: $4,185
  • Ambetter — Commercial Value: $4,185
  • Cigna — Commercial PPO: $3,640.95
  • Evolutions — Commercial PPO Choice: $3,892.05
  • Evolutions — Commercial PPO International: $2,929.50
  • Evolutions — Commercial PPO Select Network: $3,557.25
  • First Health — Commercial PPO: $3,557.25
  • Molina — Commercial Other: $2,356.15
  • Multiplan — Commercial PPO: $3,766.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $156.98 – $618.71
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $310.54
  • Aetna — Commercial Other: $156.98
  • Aetna — Medicare HMO: $279.03
  • Aetna — Medicare PPO: $242.63
  • Ambetter — Commercial Select Core: $545.92
  • Ambetter — Commercial Value: $618.71
  • BayCarePlus — Medicare HMO: $242.63
  • Blue Cross — Medicare HMO: $242.63
  • Cigna — Commercial HMO: $361.84
  • Cigna — Commercial PPO: $368.93
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W $7,870 $4,722 $1,416.60 – $7,870
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $3,809.08
  • Aetna — Commercial Other: $3,643.81
  • Aetna — Commercial PPO: $6,414.05
  • Ambetter — Commercial Select Core: $7,870
  • Ambetter — Commercial Value: $7,870
  • AvMed — Commercial: $3,856.30
  • AvMed — Commercial Other: $2,439.70
  • Blue Cross — Commercial HMO Health Options: $3,685.52
  • Blue Cross — Commercial HMO My Blue: $2,307.48
  • Blue Cross — Commercial HMO Simply Blue: $3,026.02
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W $7,870 $4,722 $4,430.81 – $7,870
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $6,414.05
  • Ambetter — Commercial Select Core: $7,870
  • Ambetter — Commercial Value: $7,870
  • Cigna — Commercial PPO: $6,846.90
  • Evolutions — Commercial PPO Choice: $7,319.10
  • Evolutions — Commercial PPO International: $5,509
  • Evolutions — Commercial PPO Select Network: $6,689.50
  • First Health — Commercial PPO: $6,689.50
  • Molina — Commercial Other: $4,430.81
  • Multiplan — Commercial PPO: $7,083
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $178.69 – $455.66
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $438.38
  • Aetna — Commercial Other: $221.60
  • Aetna — Medicare HMO: $205.49
  • Aetna — Medicare PPO: $178.69
  • Ambetter — Commercial Select Core: $402.05
  • Ambetter — Commercial Value: $455.66
  • BayCarePlus — Medicare HMO: $178.69
  • Blue Cross — Medicare HMO: $178.69
  • Cigna — Commercial HMO: $402.67
  • Cigna — Commercial PPO: $410.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOW EXTREM ANY JNT WO $4,871 $2,922.60 $876.78 – $4,871
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $2,357.56
  • Aetna — Commercial Other: $2,255.27
  • Aetna — Commercial PPO: $3,969.86
  • Ambetter — Commercial Select Core: $4,871
  • Ambetter — Commercial Value: $4,871
  • AvMed — Commercial: $2,386.79
  • AvMed — Commercial Other: $1,510.01
  • Blue Cross — Commercial HMO Health Options: $2,281.09
  • Blue Cross — Commercial HMO My Blue: $1,428.18
  • Blue Cross — Commercial HMO Simply Blue: $1,872.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOW EXTREM ANY JNT WO $4,871 $2,922.60 $2,742.37 – $4,871
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $3,969.86
  • Ambetter — Commercial Select Core: $4,871
  • Ambetter — Commercial Value: $4,871
  • Cigna — Commercial PPO: $4,237.77
  • Evolutions — Commercial PPO Choice: $4,530.03
  • Evolutions — Commercial PPO International: $3,409.70
  • Evolutions — Commercial PPO Select Network: $4,140.35
  • First Health — Commercial PPO: $4,140.35
  • Molina — Commercial Other: $2,742.37
  • Multiplan — Commercial PPO: $4,383.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $180.30 – $618.71
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $356.67
  • Aetna — Commercial Other: $180.30
  • Aetna — Medicare HMO: $279.03
  • Aetna — Medicare PPO: $242.63
  • Ambetter — Commercial Select Core: $545.92
  • Ambetter — Commercial Value: $618.71
  • BayCarePlus — Medicare HMO: $242.63
  • Blue Cross — Medicare HMO: $242.63
  • Cigna — Commercial HMO: $408.13
  • Cigna — Commercial PPO: $416.12
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST $7,553 $4,531.80 $1,359.54 – $7,553
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $3,655.65
  • Aetna — Commercial Other: $3,497.04
  • Aetna — Commercial PPO: $6,155.70
  • Ambetter — Commercial Select Core: $7,553
  • Ambetter — Commercial Value: $7,553
  • AvMed — Commercial: $3,700.97
  • AvMed — Commercial Other: $2,341.43
  • Blue Cross — Commercial HMO Health Options: $3,537.07
  • Blue Cross — Commercial HMO My Blue: $2,214.54
  • Blue Cross — Commercial HMO Simply Blue: $2,904.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST $7,553 $4,531.80 $4,252.34 – $7,553
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $6,155.70
  • Ambetter — Commercial Select Core: $7,553
  • Ambetter — Commercial Value: $7,553
  • Cigna — Commercial PPO: $6,571.11
  • Evolutions — Commercial PPO Choice: $7,024.29
  • Evolutions — Commercial PPO International: $5,287.10
  • Evolutions — Commercial PPO Select Network: $6,420.05
  • First Health — Commercial PPO: $6,420.05
  • Molina — Commercial Other: $4,252.34
  • Multiplan — Commercial PPO: $6,797.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $277.82 – $914.13
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $549.60
  • Aetna — Commercial Other: $277.82
  • Aetna — Medicare HMO: $412.25
  • Aetna — Medicare PPO: $358.48
  • Ambetter — Commercial Select Core: $806.58
  • Ambetter — Commercial Value: $914.13
  • BayCarePlus — Medicare HMO: $358.48
  • Blue Cross — Medicare HMO: $358.48
  • Cigna — Commercial HMO: $529.41
  • Cigna — Commercial PPO: $539.79
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $2,030 $1,218 $365.40 – $2,030
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $982.52
  • Aetna — Commercial Other: $939.89
  • Aetna — Commercial PPO: $1,654.45
  • Ambetter — Commercial Select Core: $2,030
  • Ambetter — Commercial Value: $2,030
  • AvMed — Commercial: $994.70
  • AvMed — Commercial Other: $629.30
  • Blue Cross — Commercial HMO Health Options: $950.65
  • Blue Cross — Commercial HMO My Blue: $595.20
  • Blue Cross — Commercial HMO Simply Blue: $780.54
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $2,030 $1,218 $1,142.89 – $2,030
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $1,654.45
  • Ambetter — Commercial Select Core: $2,030
  • Ambetter — Commercial Value: $2,030
  • Cigna — Commercial PPO: $1,766.10
  • Evolutions — Commercial PPO Choice: $1,887.90
  • Evolutions — Commercial PPO International: $1,421
  • Evolutions — Commercial PPO Select Network: $1,725.50
  • First Health — Commercial PPO: $1,725.50
  • Molina — Commercial Other: $1,142.89
  • Multiplan — Commercial PPO: $1,827
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $97.81 – $272.20
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $193.50
  • Aetna — Commercial Other: $97.81
  • Aetna — Medicare HMO: $122.76
  • Aetna — Medicare PPO: $106.74
  • Ambetter — Commercial Select Core: $240.18
  • Ambetter — Commercial Value: $272.20
  • BayCarePlus — Medicare HMO: $106.74
  • Blue Cross — Medicare HMO: $106.74
  • Cigna — Commercial HMO: $199.39
  • Cigna — Commercial PPO: $203.29
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14 WEEKS SINGLE FETUS $1,073 $643.80 $193.14 – $1,073
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $519.33
  • Aetna — Commercial Other: $496.80
  • Aetna — Commercial PPO: $874.49
  • Ambetter — Commercial Select Core: $1,073
  • Ambetter — Commercial Value: $1,073
  • AvMed — Commercial: $525.77
  • AvMed — Commercial Other: $332.63
  • Blue Cross — Commercial HMO Health Options: $502.49
  • Blue Cross — Commercial HMO My Blue: $314.60
  • Blue Cross — Commercial HMO Simply Blue: $412.57
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14 WEEKS SINGLE FETUS $1,073 $643.80 $604.10 – $1,073
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $874.49
  • Ambetter — Commercial Select Core: $1,073
  • Ambetter — Commercial Value: $1,073
  • Cigna — Commercial PPO: $933.51
  • Evolutions — Commercial PPO Choice: $997.89
  • Evolutions — Commercial PPO International: $751.10
  • Evolutions — Commercial PPO Select Network: $912.05
  • First Health — Commercial PPO: $912.05
  • Molina — Commercial Other: $604.10
  • Multiplan — Commercial PPO: $965.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us > 14 wks sngl fetus Not listed in the file Not listed in the file $106.74 – $272.20
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $217.58
  • Aetna — Commercial Other: $109.99
  • Aetna — Medicare HMO: $122.76
  • Aetna — Medicare PPO: $106.74
  • Ambetter — Commercial Select Core: $240.18
  • Ambetter — Commercial Value: $272.20
  • BayCarePlus — Medicare HMO: $106.74
  • Blue Cross — Medicare HMO: $106.74
  • Cigna — Commercial HMO: $223.21
  • Cigna — Commercial PPO: $227.58
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL NON-OB $1,256 $753.60 $226.08 – $1,256
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $607.90
  • Aetna — Commercial Other: $581.53
  • Aetna — Commercial PPO: $1,023.64
  • Ambetter — Commercial Select Core: $1,256
  • Ambetter — Commercial Value: $1,256
  • AvMed — Commercial: $615.44
  • AvMed — Commercial Other: $389.36
  • Blue Cross — Commercial HMO Health Options: $588.18
  • Blue Cross — Commercial HMO My Blue: $368.26
  • Blue Cross — Commercial HMO Simply Blue: $482.93
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL NON-OB $1,256 $753.60 $707.13 – $1,256
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $1,023.64
  • Ambetter — Commercial Select Core: $1,256
  • Ambetter — Commercial Value: $1,256
  • Cigna — Commercial PPO: $1,092.72
  • Evolutions — Commercial PPO Choice: $1,168.08
  • Evolutions — Commercial PPO International: $879.20
  • Evolutions — Commercial PPO Select Network: $1,067.60
  • First Health — Commercial PPO: $1,067.60
  • Molina — Commercial Other: $707.13
  • Multiplan — Commercial PPO: $1,130.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $106.74 – $272.20
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $212.61
  • Aetna — Commercial Other: $107.47
  • Aetna — Medicare HMO: $122.76
  • Aetna — Medicare PPO: $106.74
  • Ambetter — Commercial Select Core: $240.18
  • Ambetter — Commercial Value: $272.20
  • BayCarePlus — Medicare HMO: $106.74
  • Blue Cross — Medicare HMO: $106.74
  • Cigna — Commercial HMO: $212.14
  • Cigna — Commercial PPO: $216.30
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL $328 $196.80 $59.04 – $328
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $158.75
  • Aetna — Commercial Other: $151.86
  • Aetna — Commercial PPO: $267.32
  • Ambetter — Commercial Select Core: $328
  • Ambetter — Commercial Value: $328
  • AvMed — Commercial: $160.72
  • AvMed — Commercial Other: $101.68
  • Blue Cross — Commercial HMO Health Options: $153.60
  • Blue Cross — Commercial HMO My Blue: $96.17
  • Blue Cross — Commercial HMO Simply Blue: $126.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL $328 $196.80 $184.66 – $328
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $267.32
  • Ambetter — Commercial Select Core: $328
  • Ambetter — Commercial Value: $328
  • Cigna — Commercial PPO: $285.36
  • Evolutions — Commercial PPO Choice: $305.04
  • Evolutions — Commercial PPO International: $229.60
  • Evolutions — Commercial PPO Select Network: $278.80
  • First Health — Commercial PPO: $278.80
  • Molina — Commercial Other: $184.66
  • Multiplan — Commercial PPO: $295.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $77.90 – $231.91
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $219.25
  • Aetna — Commercial Other: $110.83
  • Aetna — Medicare HMO: $92.36
  • Aetna — Medicare PPO: $80.31
  • Ambetter — Commercial Select Core: $180.70
  • Ambetter — Commercial Value: $204.79
  • BayCarePlus — Medicare HMO: $80.31
  • Blue Cross — Medicare HMO: $80.31
  • Cigna — Commercial HMO: $227.46
  • Cigna — Commercial PPO: $231.91
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD BILATERAL $492 $295.20 $88.56 – $492
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $238.13
  • Aetna — Commercial Other: $227.80
  • Aetna — Commercial PPO: $400.98
  • Ambetter — Commercial Select Core: $492
  • Ambetter — Commercial Value: $492
  • AvMed — Commercial: $241.08
  • AvMed — Commercial Other: $152.52
  • Blue Cross — Commercial HMO Health Options: $230.40
  • Blue Cross — Commercial HMO My Blue: $144.25
  • Blue Cross — Commercial HMO Simply Blue: $189.17
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD BILATERAL $492 $295.20 $277 – $492
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $400.98
  • Ambetter — Commercial Select Core: $492
  • Ambetter — Commercial Value: $492
  • Cigna — Commercial PPO: $428.04
  • Evolutions — Commercial PPO Choice: $457.56
  • Evolutions — Commercial PPO International: $344.40
  • Evolutions — Commercial PPO Select Network: $418.20
  • First Health — Commercial PPO: $418.20
  • Molina — Commercial Other: $277
  • Multiplan — Commercial PPO: $442.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $99.12 – $296.08
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $279.01
  • Aetna — Commercial Other: $141.04
  • Aetna — Medicare HMO: $117.53
  • Aetna — Medicare PPO: $102.20
  • Ambetter — Commercial Select Core: $229.95
  • Ambetter — Commercial Value: $260.61
  • BayCarePlus — Medicare HMO: $102.20
  • Blue Cross — Medicare HMO: $102.20
  • Cigna — Commercial HMO: $290.39
  • Cigna — Commercial PPO: $296.08
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX SCREENING MAMMO BILATERAL INCL CAD $455 $273 $81.90 – $455
Screening mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $220.22
  • Aetna — Commercial Other: $210.67
  • Aetna — Commercial PPO: $370.82
  • Ambetter — Commercial Select Core: $455
  • Ambetter — Commercial Value: $455
  • AvMed — Commercial: $222.95
  • AvMed — Commercial Other: $141.05
  • Blue Cross — Commercial HMO Health Options: $213.08
  • Blue Cross — Commercial HMO My Blue: $133.41
  • Blue Cross — Commercial HMO Simply Blue: $174.95
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX SCREENING MAMMO BILATERAL INCL CAD $455 $273 $256.16 – $455
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $370.82
  • Ambetter — Commercial Select Core: $455
  • Ambetter — Commercial Value: $455
  • Cigna — Commercial PPO: $395.85
  • Evolutions — Commercial PPO Choice: $423.15
  • Evolutions — Commercial PPO International: $318.50
  • Evolutions — Commercial PPO Select Network: $386.75
  • First Health — Commercial PPO: $386.75
  • Molina — Commercial Other: $256.16
  • Multiplan — Commercial PPO: $409.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $81.87 – $244.92
Screening mammogram, both breasts: 10 of 16 insurance plan rates
  • Aetna — Commercial HMO: $230.38
  • Aetna — Commercial Other: $116.46
  • Aetna — Medicare HMO: $97.05
  • Aetna — Medicare PPO: $84.39
  • Ambetter — Commercial Select Core: $189.88
  • Ambetter — Commercial Value: $215.19
  • BayCarePlus — Medicare HMO: $84.39
  • Blue Cross — Medicare HMO: $84.39
  • Cigna — Commercial HMO: $240.21
  • Cigna — Commercial PPO: $244.92

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $13.34
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Humana Military — Commercial Other: $13.34
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR LHC W OR WO LV $18,807 $11,284.20 $3,385.26 – $18,807
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $9,102.59
  • Aetna — Commercial Other: $8,707.64
  • Aetna — Commercial PPO: $15,327.70
  • Ambetter — Commercial Select Core: $18,807
  • Ambetter — Commercial Value: $18,807
  • AvMed — Commercial: $9,215.43
  • AvMed — Commercial Other: $5,830.17
  • Blue Cross — Commercial HMO Health Options: $8,807.32
  • Blue Cross — Commercial HMO My Blue: $5,514.21
  • Blue Cross — Commercial HMO Simply Blue: $7,231.29
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL LHC W OR WO LV $18,807 $11,284.20 $3,385.26 – $18,807
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $9,102.59
  • Aetna — Commercial Other: $8,707.64
  • Aetna — Commercial PPO: $15,327.70
  • Ambetter — Commercial Select Core: $18,807
  • Ambetter — Commercial Value: $18,807
  • AvMed — Commercial: $9,215.43
  • AvMed — Commercial Other: $5,830.17
  • Blue Cross — Commercial HMO Health Options: $8,807.32
  • Blue Cross — Commercial HMO My Blue: $5,514.21
  • Blue Cross — Commercial HMO Simply Blue: $7,231.29
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR LHC W OR WO LV $18,807 $11,284.20 $10,588.34 – $18,807
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $15,327.70
  • Ambetter — Commercial Select Core: $18,807
  • Ambetter — Commercial Value: $18,807
  • Cigna — Commercial PPO: $16,362.09
  • Evolutions — Commercial PPO Choice: $17,490.51
  • Evolutions — Commercial PPO International: $13,164.90
  • Evolutions — Commercial PPO Select Network: $15,985.95
  • First Health — Commercial PPO: $15,985.95
  • Molina — Commercial Other: $10,588.34
  • Multiplan — Commercial PPO: $16,926.30
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL COMPREHENSIVE EP W/O INDUCT $12,175 $7,305 $2,191.50 – $12,175
Heart rhythm study (electrophysiology evaluation): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $5,892.70
  • Aetna — Commercial Other: $5,637.02
  • Aetna — Commercial PPO: $9,922.62
  • Ambetter — Commercial Select Core: $12,175
  • Ambetter — Commercial Value: $12,175
  • AvMed — Commercial: $5,965.75
  • AvMed — Commercial Other: $3,774.25
  • Blue Cross — Commercial HMO Health Options: $5,701.55
  • Blue Cross — Commercial HMO My Blue: $3,569.71
  • Blue Cross — Commercial HMO Simply Blue: $4,681.29
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CL COMPREHENSIVE EP W/O INDUCT $12,175 $7,305 $6,854.52 – $12,175
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $9,922.62
  • Ambetter — Commercial Select Core: $12,175
  • Ambetter — Commercial Value: $12,175
  • Cigna — Commercial PPO: $10,592.25
  • Evolutions — Commercial PPO Choice: $11,322.75
  • Evolutions — Commercial PPO International: $8,522.50
  • Evolutions — Commercial PPO Select Network: $10,348.75
  • First Health — Commercial PPO: $10,348.75
  • Molina — Commercial Other: $6,854.52
  • Multiplan — Commercial PPO: $10,957.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $7,616.79 – $19,866
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $8,759.30
  • Aetna — Medicare PPO: $7,616.79
  • Ambetter — Commercial Select Core: $17,137.77
  • Ambetter — Commercial Value: $19,422.81
  • BayCarePlus — Medicare HMO: $7,616.79
  • Blue Cross — Medicare HMO: $7,616.79
  • Cigna — Medicare HMO: $8,759.30
  • Humana — Medicare HMO: $9,520.98
  • Humana Military — Commercial Other: $7,912.85
  • Solis Health — Medicare HMO: $8,378.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CL TX ATRIAL FIB PULM VEIN ISO $51,158 $30,694.80 $9,208.44 – $51,158
Heart rhythm study with ablation for atrial fibrillation: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $24,760.47
  • Aetna — Commercial Other: $23,686.15
  • Aetna — Commercial PPO: $41,693.77
  • Ambetter — Commercial Select Core: $51,158
  • Ambetter — Commercial Value: $51,158
  • AvMed — Commercial: $25,067.42
  • AvMed — Commercial Other: $15,858.98
  • Blue Cross — Commercial HMO Health Options: $23,957.29
  • Blue Cross — Commercial HMO My Blue: $14,999.53
  • Blue Cross — Commercial HMO Simply Blue: $19,670.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CL TX ATRIAL FIB PULM VEIN ISO $51,158 $30,694.80 $28,801.95 – $51,158
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $41,693.77
  • Ambetter — Commercial Select Core: $51,158
  • Ambetter — Commercial Value: $51,158
  • Cigna — Commercial PPO: $44,507.46
  • Evolutions — Commercial PPO Choice: $47,576.94
  • Evolutions — Commercial PPO International: $35,810.60
  • Evolutions — Commercial PPO Select Network: $43,484.30
  • First Health — Commercial PPO: $43,484.30
  • Molina — Commercial Other: $28,801.95
  • Multiplan — Commercial PPO: $46,042.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $24,625.03 – $62,793.83
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $28,318.79
  • Aetna — Medicare PPO: $24,625.03
  • Ambetter — Commercial Select Core: $55,406.32
  • Ambetter — Commercial Value: $62,793.83
  • BayCarePlus — Medicare HMO: $24,625.03
  • Blue Cross — Medicare HMO: $24,625.03
  • Cigna — Medicare HMO: $28,318.79
  • Humana — Medicare HMO: $30,781.29
  • Humana Military — Commercial Other: $25,582.21
  • Solis Health — Medicare HMO: $27,087.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM $7,528 $4,516.80 $1,355.04 – $7,528
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $3,643.55
  • Aetna — Commercial Other: $3,485.46
  • Aetna — Commercial PPO: $6,135.32
  • Ambetter — Commercial Select Core: $7,528
  • Ambetter — Commercial Value: $7,528
  • AvMed — Commercial: $3,688.72
  • AvMed — Commercial Other: $2,333.68
  • Blue Cross — Commercial HMO Health Options: $3,525.36
  • Blue Cross — Commercial HMO My Blue: $2,207.21
  • Blue Cross — Commercial HMO Simply Blue: $2,894.52
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM - ADULT $1,179 $707.40 $212.22 – $1,179
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $570.64
  • Aetna — Commercial Other: $545.88
  • Aetna — Commercial PPO: $960.88
  • Ambetter — Commercial Select Core: $1,179
  • Ambetter — Commercial Value: $1,179
  • AvMed — Commercial: $577.71
  • AvMed — Commercial Other: $365.49
  • Blue Cross — Commercial HMO Health Options: $552.13
  • Blue Cross — Commercial HMO My Blue: $345.68
  • Blue Cross — Commercial HMO Simply Blue: $453.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM $7,528 $4,516.80 $4,238.26 – $7,528
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $6,135.32
  • Ambetter — Commercial Select Core: $7,528
  • Ambetter — Commercial Value: $7,528
  • Cigna — Commercial PPO: $6,549.36
  • Evolutions — Commercial PPO Choice: $7,001.04
  • Evolutions — Commercial PPO International: $5,269.60
  • Evolutions — Commercial PPO Select Network: $6,398.80
  • First Health — Commercial PPO: $6,398.80
  • Molina — Commercial Other: $4,238.26
  • Multiplan — Commercial PPO: $6,775.20

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $21.57 – $55
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $24.81
  • Aetna — Medicare PPO: $21.57
  • Ambetter — Commercial Select Core: $48.53
  • Ambetter — Commercial Value: $55
  • BayCarePlus — Medicare HMO: $21.57
  • Blue Cross — Medicare HMO: $21.57
  • Cigna — Medicare HMO: $24.81
  • Humana — Medicare HMO: $26.96
  • Humana Military — Commercial Other: $27.27
  • Solis Health — Medicare HMO: $23.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISES EA 15MIN $75 $45 $13.50 – $75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $36.30
  • Aetna — Commercial Other: $34.72
  • Aetna — Commercial PPO: $61.12
  • Ambetter — Commercial Select Core: $75
  • Ambetter — Commercial Value: $75
  • AvMed — Commercial: $36.75
  • AvMed — Commercial Other: $23.25
  • Blue Cross — Commercial HMO Health Options: $35.12
  • Blue Cross — Commercial HMO My Blue: $21.99
  • Blue Cross — Commercial HMO Simply Blue: $28.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISES EA 15MIN PED $75 $45 $13.50 – $75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $36.30
  • Aetna — Commercial Other: $34.72
  • Aetna — Commercial PPO: $61.12
  • Ambetter — Commercial Select Core: $75
  • Ambetter — Commercial Value: $75
  • AvMed — Commercial: $36.75
  • AvMed — Commercial Other: $23.25
  • Blue Cross — Commercial HMO Health Options: $35.12
  • Blue Cross — Commercial HMO My Blue: $21.99
  • Blue Cross — Commercial HMO Simply Blue: $28.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $73.76 – $188.09
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $84.82
  • Aetna — Medicare PPO: $73.76
  • Ambetter — Commercial Select Core: $165.96
  • Ambetter — Commercial Value: $188.09
  • BayCarePlus — Medicare HMO: $73.76
  • Blue Cross — Medicare HMO: $73.76
  • Cigna — Medicare HMO: $84.82
  • Humana — Medicare HMO: $92.20
  • Humana Military — Commercial Other: $92.93
  • Solis Health — Medicare HMO: $81.14
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-LOW COMPLEXITY $150 $90 $27 – $150
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $72.60
  • Aetna — Commercial Other: $69.45
  • Aetna — Commercial PPO: $122.25
  • Ambetter — Commercial Select Core: $150
  • Ambetter — Commercial Value: $150
  • AvMed — Commercial: $73.50
  • AvMed — Commercial Other: $46.50
  • Blue Cross — Commercial HMO Health Options: $70.24
  • Blue Cross — Commercial HMO My Blue: $43.98
  • Blue Cross — Commercial HMO Simply Blue: $57.68
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-LOW COMPLEXITY $150 $90 $84.45 – $150
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $122.25
  • Ambetter — Commercial Select Core: $150
  • Ambetter — Commercial Value: $150
  • Cigna — Commercial PPO: $130.50
  • Evolutions — Commercial PPO Choice: $139.50
  • Evolutions — Commercial PPO International: $105
  • Evolutions — Commercial PPO Select Network: $127.50
  • First Health — Commercial PPO: $127.50
  • Molina — Commercial Other: $84.45
  • Multiplan — Commercial PPO: $135
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $73.76 – $188.09
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $84.82
  • Aetna — Medicare PPO: $73.76
  • Ambetter — Commercial Select Core: $165.96
  • Ambetter — Commercial Value: $188.09
  • BayCarePlus — Medicare HMO: $73.76
  • Blue Cross — Medicare HMO: $73.76
  • Cigna — Medicare HMO: $84.82
  • Humana — Medicare HMO: $92.20
  • Humana Military — Commercial Other: $92.93
  • Solis Health — Medicare HMO: $81.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MEDIUM COMPLEXITY $200 $120 $36 – $200
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $96.80
  • Aetna — Commercial Other: $92.60
  • Aetna — Commercial PPO: $163
  • Ambetter — Commercial Select Core: $200
  • Ambetter — Commercial Value: $200
  • AvMed — Commercial: $98
  • AvMed — Commercial Other: $62
  • Blue Cross — Commercial HMO Health Options: $93.66
  • Blue Cross — Commercial HMO My Blue: $58.64
  • Blue Cross — Commercial HMO Simply Blue: $76.90
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MEDIUM COMPLEXITY $200 $120 $112.60 – $200
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $163
  • Ambetter — Commercial Select Core: $200
  • Ambetter — Commercial Value: $200
  • Cigna — Commercial PPO: $174
  • Evolutions — Commercial PPO Choice: $186
  • Evolutions — Commercial PPO International: $140
  • Evolutions — Commercial PPO Select Network: $170
  • First Health — Commercial PPO: $170
  • Molina — Commercial Other: $112.60
  • Multiplan — Commercial PPO: $180
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $73.76 – $188.09
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $84.82
  • Aetna — Medicare PPO: $73.76
  • Ambetter — Commercial Select Core: $165.96
  • Ambetter — Commercial Value: $188.09
  • BayCarePlus — Medicare HMO: $73.76
  • Blue Cross — Medicare HMO: $73.76
  • Cigna — Medicare HMO: $84.82
  • Humana — Medicare HMO: $92.20
  • Humana Military — Commercial Other: $92.93
  • Solis Health — Medicare HMO: $81.14
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY $250 $150 $45 – $250
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $121
  • Aetna — Commercial Other: $115.75
  • Aetna — Commercial PPO: $203.75
  • Ambetter — Commercial Select Core: $250
  • Ambetter — Commercial Value: $250
  • AvMed — Commercial: $122.50
  • AvMed — Commercial Other: $77.50
  • Blue Cross — Commercial HMO Health Options: $117.08
  • Blue Cross — Commercial HMO My Blue: $73.30
  • Blue Cross — Commercial HMO Simply Blue: $96.12
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY $250 $150 $140.75 – $250
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $203.75
  • Ambetter — Commercial Select Core: $250
  • Ambetter — Commercial Value: $250
  • Cigna — Commercial PPO: $217.50
  • Evolutions — Commercial PPO Choice: $232.50
  • Evolutions — Commercial PPO International: $175
  • Evolutions — Commercial PPO Select Network: $212.50
  • First Health — Commercial PPO: $212.50
  • Molina — Commercial Other: $140.75
  • Multiplan — Commercial PPO: $225
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $161.28 – $411.27
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $185.47
  • Aetna — Medicare PPO: $161.28
  • Ambetter — Commercial Select Core: $362.88
  • Ambetter — Commercial Value: $411.27
  • BayCarePlus — Medicare HMO: $161.28
  • Blue Cross — Medicare HMO: $161.28
  • Cigna — Medicare HMO: $185.47
  • Humana — Medicare HMO: $201.60
  • Humana Military — Commercial Other: $167.55
  • Solis Health — Medicare HMO: $177.41
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $2,971.46 – $3,142.89
Psychotherapy, 30 minutes: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $3,057.18
  • Clear Health Alliance — Medicaid HMO: $2,885.75
  • Florida Community Care — Medicaid HMO: $3,142.89
  • Freedom Health — Medicaid HMO: $3,000.04
  • Humana — Medicaid HMO: $2,971.46
  • Molina Healthcare — Medicaid HMO: $3,000.04
  • Simply HealthCare — Medicaid HMO: $3,000.04
  • Sunshine Health — Medicaid HMO: $3,000.04
  • United Healthcare — Medicaid HMO: $2,914.32
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $161.28 – $411.27
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $185.47
  • Aetna — Medicare PPO: $161.28
  • Ambetter — Commercial Select Core: $362.88
  • Ambetter — Commercial Value: $411.27
  • BayCarePlus — Medicare HMO: $161.28
  • Blue Cross — Medicare HMO: $161.28
  • Cigna — Medicare HMO: $185.47
  • Humana — Medicare HMO: $201.60
  • Humana Military — Commercial Other: $167.55
  • Solis Health — Medicare HMO: $177.41
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $2,971.46 – $3,142.89
Psychotherapy, 45 minutes: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $3,057.18
  • Clear Health Alliance — Medicaid HMO: $2,885.75
  • Florida Community Care — Medicaid HMO: $3,142.89
  • Freedom Health — Medicaid HMO: $3,000.04
  • Humana — Medicaid HMO: $2,971.46
  • Molina Healthcare — Medicaid HMO: $3,000.04
  • Simply HealthCare — Medicaid HMO: $3,000.04
  • Sunshine Health — Medicaid HMO: $3,000.04
  • United Healthcare — Medicaid HMO: $2,914.32
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $161.28 – $411.27
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $185.47
  • Aetna — Medicare PPO: $161.28
  • Ambetter — Commercial Select Core: $362.88
  • Ambetter — Commercial Value: $411.27
  • BayCarePlus — Medicare HMO: $161.28
  • Blue Cross — Medicare HMO: $161.28
  • Cigna — Medicare HMO: $185.47
  • Humana — Medicare HMO: $201.60
  • Humana Military — Commercial Other: $167.55
  • Solis Health — Medicare HMO: $177.41
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $2,971.46 – $3,142.89
Psychotherapy, 60 minutes: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $3,057.18
  • Clear Health Alliance — Medicaid HMO: $2,885.75
  • Florida Community Care — Medicaid HMO: $3,142.89
  • Freedom Health — Medicaid HMO: $3,000.04
  • Humana — Medicaid HMO: $2,971.46
  • Molina Healthcare — Medicaid HMO: $3,000.04
  • Simply HealthCare — Medicaid HMO: $3,000.04
  • Sunshine Health — Medicaid HMO: $3,000.04
  • United Healthcare — Medicaid HMO: $2,914.32
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $161.28 – $411.27
Family psychotherapy, without the patient: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $185.47
  • Aetna — Medicare PPO: $161.28
  • Ambetter — Commercial Select Core: $362.88
  • Ambetter — Commercial Value: $411.27
  • BayCarePlus — Medicare HMO: $161.28
  • Blue Cross — Medicare HMO: $161.28
  • Cigna — Medicare HMO: $185.47
  • Humana — Medicare HMO: $201.60
  • Humana Military — Commercial Other: $167.55
  • Solis Health — Medicare HMO: $177.41
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $2,971.46 – $3,142.89
Family psychotherapy, without the patient: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $3,057.18
  • Clear Health Alliance — Medicaid HMO: $2,885.75
  • Florida Community Care — Medicaid HMO: $3,142.89
  • Freedom Health — Medicaid HMO: $3,000.04
  • Humana — Medicaid HMO: $2,971.46
  • Molina Healthcare — Medicaid HMO: $3,000.04
  • Simply HealthCare — Medicaid HMO: $3,000.04
  • Sunshine Health — Medicaid HMO: $3,000.04
  • United Healthcare — Medicaid HMO: $2,914.32
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $161.28 – $411.27
Family psychotherapy, with the patient: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $185.47
  • Aetna — Medicare PPO: $161.28
  • Ambetter — Commercial Select Core: $362.88
  • Ambetter — Commercial Value: $411.27
  • BayCarePlus — Medicare HMO: $161.28
  • Blue Cross — Medicare HMO: $161.28
  • Cigna — Medicare HMO: $185.47
  • Humana — Medicare HMO: $201.60
  • Humana Military — Commercial Other: $167.55
  • Solis Health — Medicare HMO: $177.41
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $356.80 – $377.38
Family psychotherapy, with the patient: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $367.10
  • Clear Health Alliance — Medicaid HMO: $346.51
  • Florida Community Care — Medicaid HMO: $377.38
  • Freedom Health — Medicaid HMO: $360.23
  • Humana — Medicaid HMO: $356.80
  • Molina Healthcare — Medicaid HMO: $360.23
  • Simply HealthCare — Medicaid HMO: $360.23
  • Sunshine Health — Medicaid HMO: $360.23
  • United Healthcare — Medicaid HMO: $349.94
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $92.85 – $236.78
Group psychotherapy: 10 of 12 insurance plan rates
  • Aetna — Medicare HMO: $106.78
  • Aetna — Medicare PPO: $92.85
  • Ambetter — Commercial Select Core: $208.92
  • Ambetter — Commercial Value: $236.78
  • BayCarePlus — Medicare HMO: $92.85
  • Blue Cross — Medicare HMO: $92.85
  • Cigna — Medicare HMO: $106.78
  • Humana — Medicare HMO: $116.07
  • Humana Military — Commercial Other: $96.46
  • Solis Health — Medicare HMO: $102.14
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $90.42 – $95.64
Group psychotherapy: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $93.03
  • Clear Health Alliance — Medicaid HMO: $87.81
  • Florida Community Care — Medicaid HMO: $95.64
  • Freedom Health — Medicaid HMO: $91.29
  • Humana — Medicaid HMO: $90.42
  • Molina Healthcare — Medicaid HMO: $91.29
  • Simply HealthCare — Medicaid HMO: $91.29
  • Sunshine Health — Medicaid HMO: $91.29
  • United Healthcare — Medicaid HMO: $88.68

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,843.76 – $9,801.58
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $4,420.32
  • Aetna — Medicare PPO: $3,843.76
  • Ambetter — Commercial Select Core: $8,648.45
  • Ambetter — Commercial Value: $9,801.58
  • BayCarePlus — Medicare HMO: $3,843.76
  • Blue Cross — Medicare HMO: $3,843.76
  • Cigna — Medicare HMO: $4,420.32
  • Humana — Medicare HMO: $4,804.70
  • Humana Military — Commercial Other: $3,993.16
  • Solis Health — Medicare HMO: $4,228.13
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,915.46 – $32,934.41
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $14,852.77
  • Aetna — Medicare PPO: $12,915.46
  • Ambetter — Commercial Select Core: $29,059.78
  • Ambetter — Commercial Value: $32,934.41
  • BayCarePlus — Medicare HMO: $12,915.46
  • Blue Cross — Medicare HMO: $12,915.46
  • Cigna — Medicare HMO: $14,852.77
  • Humana — Medicare HMO: $16,144.32
  • Humana Military — Commercial Other: $13,417.48
  • Solis Health — Medicare HMO: $14,207
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $12,915.46 – $32,934.41
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $14,852.77
  • Aetna — Medicare PPO: $12,915.46
  • Ambetter — Commercial Select Core: $29,059.78
  • Ambetter — Commercial Value: $32,934.41
  • BayCarePlus — Medicare HMO: $12,915.46
  • Blue Cross — Medicare HMO: $12,915.46
  • Cigna — Medicare HMO: $14,852.77
  • Humana — Medicare HMO: $16,144.32
  • Humana Military — Commercial Other: $13,417.48
  • Solis Health — Medicare HMO: $14,207
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $167.29 – $2,482
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Humana Military — Commercial Other: $167.29
  • United Healthcare — Commercial HMO: $2,482
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,256.87 – $11,233
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $3,745.41
  • Aetna — Medicare PPO: $3,256.87
  • Ambetter — Commercial Select Core: $7,327.97
  • Ambetter — Commercial Value: $8,305.03
  • BayCarePlus — Medicare HMO: $3,256.87
  • Blue Cross — Medicare HMO: $3,256.87
  • Cigna — Medicare HMO: $3,745.41
  • Humana — Medicare HMO: $4,071.09
  • Humana Military — Commercial Other: $3,383.47
  • Solis Health — Medicare HMO: $3,582.56
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $5,938.02 – $15,141.95
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $6,828.72
  • Aetna — Medicare PPO: $5,938.02
  • Ambetter — Commercial Select Core: $13,360.54
  • Ambetter — Commercial Value: $15,141.95
  • BayCarePlus — Medicare HMO: $5,938.02
  • Blue Cross — Medicare HMO: $5,938.02
  • Cigna — Medicare HMO: $6,828.72
  • Humana — Medicare HMO: $7,422.52
  • Humana Military — Commercial Other: $6,168.83
  • Solis Health — Medicare HMO: $6,531.82
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED UGI DIAGNOSTIC $3,813 $2,287.80 $686.34 – $3,813
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,845.49
  • Aetna — Commercial Other: $1,765.42
  • Aetna — Commercial PPO: $3,107.60
  • Ambetter — Commercial Select Core: $3,813
  • Ambetter — Commercial Value: $3,813
  • AvMed — Commercial: $1,868.37
  • AvMed — Commercial Other: $1,182.03
  • Blue Cross — Commercial HMO Health Options: $1,785.63
  • Blue Cross — Commercial HMO My Blue: $1,117.97
  • Blue Cross — Commercial HMO Simply Blue: $1,466.10
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED UGI DIAGNOSTIC $3,813 $2,287.80 $2,146.72 – $3,813
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $3,107.60
  • Ambetter — Commercial Select Core: $3,813
  • Ambetter — Commercial Value: $3,813
  • Cigna — Commercial PPO: $3,317.31
  • Evolutions — Commercial PPO Choice: $3,546.09
  • Evolutions — Commercial PPO International: $2,669.10
  • Evolutions — Commercial PPO Select Network: $3,241.05
  • First Health — Commercial PPO: $3,241.05
  • Molina — Commercial Other: $2,146.72
  • Multiplan — Commercial PPO: $3,431.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $941.10 – $10,645
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,082.27
  • Aetna — Medicare PPO: $941.10
  • Ambetter — Commercial Select Core: $2,117.48
  • Ambetter — Commercial Value: $2,399.81
  • BayCarePlus — Medicare HMO: $941.10
  • Blue Cross — Medicare HMO: $941.10
  • Cigna — Medicare HMO: $1,082.27
  • Humana — Medicare HMO: $1,176.38
  • Humana Military — Commercial Other: $977.68
  • Solis Health — Medicare HMO: $1,035.21
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $941.10 – $10,645
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,082.27
  • Aetna — Medicare PPO: $941.10
  • Ambetter — Commercial Select Core: $2,117.48
  • Ambetter — Commercial Value: $2,399.81
  • BayCarePlus — Medicare HMO: $941.10
  • Blue Cross — Medicare HMO: $941.10
  • Cigna — Medicare HMO: $1,082.27
  • Humana — Medicare HMO: $1,176.38
  • Humana Military — Commercial Other: $977.68
  • Solis Health — Medicare HMO: $1,035.21
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $915.15 – $2,333.64
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,052.43
  • Aetna — Medicare PPO: $915.15
  • Ambetter — Commercial Select Core: $2,059.10
  • Ambetter — Commercial Value: $2,333.64
  • BayCarePlus — Medicare HMO: $915.15
  • Blue Cross — Medicare HMO: $915.15
  • Cigna — Medicare HMO: $1,052.43
  • Humana — Medicare HMO: $1,143.94
  • Humana Military — Commercial Other: $950.73
  • Solis Health — Medicare HMO: $1,006.67
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,183.54 – $3,018.02
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,361.07
  • Aetna — Medicare PPO: $1,183.54
  • Ambetter — Commercial Select Core: $2,662.96
  • Ambetter — Commercial Value: $3,018.02
  • BayCarePlus — Medicare HMO: $1,183.54
  • Blue Cross — Medicare HMO: $1,183.54
  • Cigna — Medicare HMO: $1,361.07
  • Humana — Medicare HMO: $1,479.42
  • Humana Military — Commercial Other: $1,229.54
  • Solis Health — Medicare HMO: $1,301.89
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,183.54 – $3,018.02
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,361.07
  • Aetna — Medicare PPO: $1,183.54
  • Ambetter — Commercial Select Core: $2,662.96
  • Ambetter — Commercial Value: $3,018.02
  • BayCarePlus — Medicare HMO: $1,183.54
  • Blue Cross — Medicare HMO: $1,183.54
  • Cigna — Medicare HMO: $1,361.07
  • Humana — Medicare HMO: $1,479.42
  • Humana Military — Commercial Other: $1,229.54
  • Solis Health — Medicare HMO: $1,301.89
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,183.54 – $5,611
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $1,361.07
  • Aetna — Medicare PPO: $1,183.54
  • Ambetter — Commercial Select Core: $2,662.96
  • Ambetter — Commercial Value: $3,018.02
  • BayCarePlus — Medicare HMO: $1,183.54
  • Blue Cross — Medicare HMO: $1,183.54
  • Cigna — Medicare HMO: $1,361.07
  • Humana — Medicare HMO: $1,479.42
  • Humana Military — Commercial Other: $1,229.54
  • Solis Health — Medicare HMO: $1,301.89
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $915.15 – $2,333.64
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — Medicare HMO: $1,052.43
  • Aetna — Medicare PPO: $915.15
  • Ambetter — Commercial Select Core: $2,059.10
  • Ambetter — Commercial Value: $2,333.64
  • BayCarePlus — Medicare HMO: $915.15
  • Blue Cross — Medicare HMO: $915.15
  • Cigna — Medicare HMO: $1,052.43
  • Humana — Medicare HMO: $1,143.94
  • Humana Military — Commercial Other: $950.73
  • Solis Health — Medicare HMO: $1,006.67
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,856.42 – $19,866
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $6,734.88
  • Aetna — Medicare PPO: $5,856.42
  • Ambetter — Commercial Select Core: $13,176.94
  • Ambetter — Commercial Value: $14,933.86
  • BayCarePlus — Medicare HMO: $5,856.42
  • Blue Cross — Medicare HMO: $5,856.42
  • Cigna — Medicare HMO: $6,734.88
  • Humana — Medicare HMO: $7,320.52
  • Humana Military — Commercial Other: $6,084.06
  • Solis Health — Medicare HMO: $6,442.06
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED REPR INGUINAL HRNA>=5YR RED $14,161 $8,496.60 $2,548.98 – $14,161
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $6,853.92
  • Aetna — Commercial Other: $6,556.54
  • Aetna — Commercial PPO: $11,541.22
  • Ambetter — Commercial Select Core: $14,161
  • Ambetter — Commercial Value: $14,161
  • AvMed — Commercial: $6,938.89
  • AvMed — Commercial Other: $4,389.91
  • Blue Cross — Commercial HMO Health Options: $6,631.60
  • Blue Cross — Commercial HMO My Blue: $4,152.01
  • Blue Cross — Commercial HMO Simply Blue: $5,444.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED REPR INGUINAL HRNA>=5YR RED $14,161 $8,496.60 $7,972.64 – $14,161
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $11,541.22
  • Ambetter — Commercial Select Core: $14,161
  • Ambetter — Commercial Value: $14,161
  • Cigna — Commercial PPO: $12,320.07
  • Evolutions — Commercial PPO Choice: $13,169.73
  • Evolutions — Commercial PPO International: $9,912.70
  • Evolutions — Commercial PPO Select Network: $12,036.85
  • First Health — Commercial PPO: $12,036.85
  • Molina — Commercial Other: $7,972.64
  • Multiplan — Commercial PPO: $12,744.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,542.40 – $11,233
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $4,073.76
  • Aetna — Medicare PPO: $3,542.40
  • Ambetter — Commercial Select Core: $7,970.40
  • Ambetter — Commercial Value: $9,033.12
  • BayCarePlus — Medicare HMO: $3,542.40
  • Blue Cross — Medicare HMO: $3,542.40
  • Cigna — Medicare HMO: $4,073.76
  • Humana — Medicare HMO: $4,428
  • Humana Military — Commercial Other: $3,680.09
  • Solis Health — Medicare HMO: $3,896.64
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BX PROSTAT NDL/PUNCH SGL/MX $8,947 $5,368.20 $1,610.46 – $8,947
Prostate biopsy: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $4,330.35
  • Aetna — Commercial Other: $4,142.46
  • Aetna — Commercial PPO: $7,291.80
  • Ambetter — Commercial Select Core: $8,947
  • Ambetter — Commercial Value: $8,947
  • AvMed — Commercial: $4,384.03
  • AvMed — Commercial Other: $2,773.57
  • Blue Cross — Commercial HMO Health Options: $4,189.88
  • Blue Cross — Commercial HMO My Blue: $2,623.26
  • Blue Cross — Commercial HMO Simply Blue: $3,440.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BX PROSTAT NDL/PUNCH SGL/MX $8,947 $5,368.20 $1,610.46 – $8,947
Prostate biopsy: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $4,330.35
  • Aetna — Commercial Other: $4,142.46
  • Aetna — Commercial PPO: $7,291.80
  • Ambetter — Commercial Select Core: $8,947
  • Ambetter — Commercial Value: $8,947
  • AvMed — Commercial: $4,384.03
  • AvMed — Commercial Other: $2,773.57
  • Blue Cross — Commercial HMO Health Options: $4,189.88
  • Blue Cross — Commercial HMO My Blue: $2,623.26
  • Blue Cross — Commercial HMO Simply Blue: $3,440.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BX PROSTAT NDL/PUNCH SGL/MX $8,947 $5,368.20 $5,037.16 – $8,947
Prostate biopsy: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $7,291.80
  • Ambetter — Commercial Select Core: $8,947
  • Ambetter — Commercial Value: $8,947
  • Cigna — Commercial PPO: $7,783.89
  • Evolutions — Commercial PPO Choice: $8,320.71
  • Evolutions — Commercial PPO International: $6,262.90
  • Evolutions — Commercial PPO Select Network: $7,604.95
  • First Health — Commercial PPO: $7,604.95
  • Molina — Commercial Other: $5,037.16
  • Multiplan — Commercial PPO: $8,052.30
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $10,450.58 – $26,648.97
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $12,018.16
  • Aetna — Medicare PPO: $10,450.58
  • Ambetter — Commercial Select Core: $23,513.79
  • Ambetter — Commercial Value: $26,648.97
  • BayCarePlus — Medicare HMO: $10,450.58
  • Blue Cross — Medicare HMO: $10,450.58
  • Cigna — Medicare HMO: $12,018.16
  • Humana — Medicare HMO: $13,063.22
  • Humana Military — Commercial Other: $10,856.79
  • Solis Health — Medicare HMO: $11,495.63
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,191.54 – $11,671
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $3,670.28
  • Aetna — Medicare PPO: $3,191.54
  • Ambetter — Commercial Select Core: $7,180.97
  • Ambetter — Commercial Value: $8,138.44
  • BayCarePlus — Medicare HMO: $3,191.54
  • Blue Cross — Commercial HMO Health Options: $10,331
  • Blue Cross — Commercial HMO My Blue: $6,469
  • Blue Cross — Commercial HMO Simply Blue: $8,481
  • Blue Cross — Commercial PPO Blue Select: $8,749
  • Blue Cross — Commercial PPO Network Blue: $10,881
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $893.96 – $945.54
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Medicaid HMO: $919.75
  • Clear Health Alliance — Medicaid HMO: $868.18
  • Florida Community Care — Medicaid HMO: $945.54
  • Freedom Health — Medicaid HMO: $902.56
  • Humana — Medicaid HMO: $893.96
  • Molina Healthcare — Medicaid HMO: $902.56
  • Simply HealthCare — Medicaid HMO: $902.56
  • Sunshine Health — Medicaid HMO: $902.56
  • United Healthcare — Medicaid HMO: $876.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX INJ INTERLAMINAR LMBR/SAC W/ IMAGING $2,319 $1,391.40 $417.42 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,122.40
  • Aetna — Commercial Other: $1,073.70
  • Aetna — Commercial PPO: $1,889.98
  • Ambetter — Commercial Select Core: $2,319
  • Ambetter — Commercial Value: $2,319
  • AvMed — Commercial: $1,136.31
  • AvMed — Commercial Other: $718.89
  • Blue Cross — Commercial HMO Health Options: $1,085.99
  • Blue Cross — Commercial HMO My Blue: $679.93
  • Blue Cross — Commercial HMO Simply Blue: $891.66
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR INJ INTERLAMINAR LMBR/SAC W/ IMAGING $2,319 $1,391.40 $417.42 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,122.40
  • Aetna — Commercial Other: $1,073.70
  • Aetna — Commercial PPO: $1,889.98
  • Ambetter — Commercial Select Core: $2,319
  • Ambetter — Commercial Value: $2,319
  • AvMed — Commercial: $1,136.31
  • AvMed — Commercial Other: $718.89
  • Blue Cross — Commercial HMO Health Options: $1,085.99
  • Blue Cross — Commercial HMO My Blue: $679.93
  • Blue Cross — Commercial HMO Simply Blue: $891.66
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT INJ INTERLAMINAR LMBR/SAC W/ IMAGING $2,319 $1,391.40 $417.42 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,122.40
  • Aetna — Commercial Other: $1,073.70
  • Aetna — Commercial PPO: $1,889.98
  • Ambetter — Commercial Select Core: $2,319
  • Ambetter — Commercial Value: $2,319
  • AvMed — Commercial: $1,136.31
  • AvMed — Commercial Other: $718.89
  • Blue Cross — Commercial HMO Health Options: $1,085.99
  • Blue Cross — Commercial HMO My Blue: $679.93
  • Blue Cross — Commercial HMO Simply Blue: $891.66
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR L/S ESI TRANSFORM INJ SNG LVL $2,311 $1,386.60 $415.98 – $2,311
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,118.52
  • Aetna — Commercial Other: $1,069.99
  • Aetna — Commercial PPO: $1,883.46
  • Ambetter — Commercial Select Core: $2,311
  • Ambetter — Commercial Value: $2,311
  • AvMed — Commercial: $1,132.39
  • AvMed — Commercial Other: $716.41
  • Blue Cross — Commercial HMO Health Options: $1,082.24
  • Blue Cross — Commercial HMO My Blue: $677.59
  • Blue Cross — Commercial HMO Simply Blue: $888.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT L/S ESI TRANSFORM INJ SNG LVL $2,311 $1,386.60 $415.98 – $2,311
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — Commercial HMO: $1,118.52
  • Aetna — Commercial Other: $1,069.99
  • Aetna — Commercial PPO: $1,883.46
  • Ambetter — Commercial Select Core: $2,311
  • Ambetter — Commercial Value: $2,311
  • AvMed — Commercial: $1,132.39
  • AvMed — Commercial Other: $716.41
  • Blue Cross — Commercial HMO Health Options: $1,082.24
  • Blue Cross — Commercial HMO My Blue: $677.59
  • Blue Cross — Commercial HMO Simply Blue: $888.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR L/S ESI TRANSFORM INJ SNG LVL $2,311 $1,386.60 $1,301.09 – $2,311
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Commercial PPO: $1,883.46
  • Ambetter — Commercial Select Core: $2,311
  • Ambetter — Commercial Value: $2,311
  • Cigna — Commercial PPO: $2,010.57
  • Evolutions — Commercial PPO Choice: $2,149.23
  • Evolutions — Commercial PPO International: $1,617.70
  • Evolutions — Commercial PPO Select Network: $1,964.35
  • First Health — Commercial PPO: $1,964.35
  • Molina — Commercial Other: $1,301.09
  • Multiplan — Commercial PPO: $2,079.90
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,960.16 – $8,692
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $2,254.18
  • Aetna — Medicare PPO: $1,960.16
  • Ambetter — Commercial Select Core: $4,410.35
  • Ambetter — Commercial Value: $4,998.40
  • BayCarePlus — Medicare HMO: $1,960.16
  • Blue Cross — Commercial HMO Health Options: $7,661
  • Blue Cross — Commercial HMO My Blue: $4,796
  • Blue Cross — Commercial HMO Simply Blue: $6,291
  • Blue Cross — Commercial PPO Blue Select: $6,488
  • Blue Cross — Commercial PPO Network Blue: $8,071
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $550.68 – $3,546
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $633.28
  • Aetna — Medicare PPO: $550.68
  • Ambetter — Commercial Select Core: $1,239.02
  • Ambetter — Commercial Value: $1,404.23
  • BayCarePlus — Medicare HMO: $550.68
  • Blue Cross — Medicare HMO: $550.68
  • Cigna — Medicare HMO: $633.28
  • Humana — Medicare HMO: $688.35
  • Humana Military — Commercial Other: $572.08
  • Solis Health — Medicare HMO: $605.74
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,289.35 – $8,692
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — Medicare HMO: $2,632.75
  • Aetna — Medicare PPO: $2,289.35
  • Ambetter — Commercial Select Core: $5,151.04
  • Ambetter — Commercial Value: $5,837.84
  • BayCarePlus — Medicare HMO: $2,289.35
  • Blue Cross — Commercial HMO Health Options: $7,661
  • Blue Cross — Commercial HMO My Blue: $4,796
  • Blue Cross — Commercial HMO Simply Blue: $6,291
  • Blue Cross — Commercial PPO Blue Select: $6,488
  • Blue Cross — Commercial PPO Network Blue: $8,071

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $1,756 – $3,169
Vaginal delivery, with care before and after: rates for 6 insurance plans
  • Blue Cross — Commercial HMO Health Options: $2,803
  • Blue Cross — Commercial HMO My Blue: $1,756
  • Blue Cross — Commercial HMO Simply Blue: $2,300
  • Blue Cross — Commercial PPO Blue Select: $2,376
  • Blue Cross — Commercial PPO Network Blue: $2,952
  • Blue Cross — Commercial PPO PHS: $3,169
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $1,756 – $3,169
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans
  • Blue Cross — Commercial HMO Health Options: $2,803
  • Blue Cross — Commercial HMO My Blue: $1,756
  • Blue Cross — Commercial HMO Simply Blue: $2,300
  • Blue Cross — Commercial PPO Blue Select: $2,376
  • Blue Cross — Commercial PPO Network Blue: $2,952
  • Blue Cross — Commercial PPO PHS: $3,169
  • Humana Military — Commercial Other: $2,666.39
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $1,756 – $3,169
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • Blue Cross — Commercial HMO Health Options: $2,803
  • Blue Cross — Commercial HMO My Blue: $1,756
  • Blue Cross — Commercial HMO Simply Blue: $2,300
  • Blue Cross — Commercial PPO Blue Select: $2,376
  • Blue Cross — Commercial PPO Network Blue: $2,952
  • Blue Cross — Commercial PPO PHS: $3,169
  • Humana Military — Commercial Other: $2,516.76

Source: Morton Plant Hospital’s standard charges file (baycare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address300 Pinellas St, Clearwater, FL 33756
CountyPinellas County
StateFlorida
Phone(727) 462‑7000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100127
Name in Medicare recordsMORTON PLANT HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBayCare Morton Plant Hospital
Official websitebaycare.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. BayCare Morton Plant Hospital — baycare.org
  2. BayCare's Morton Plant Hospital services — baycare.org
  3. Awards & Recognition — baycare.org
  4. Patients & Visitors | BayCare Morton Plant Hospital — baycare.org
  5. Cardiology and Vascular — baycare.org
  6. Emergency Care at ER1 in Clearwater, Florida — baycare.org
  7. Orthopedic Services in Clearwater, Florida — baycare.org
  8. Maternity Services in Clearwater, Florida — baycare.org
  9. Cancer Care in Clearwater, Florida — baycare.org
  10. The Neurosciences Institute at Morton Plant Hospital — baycare.org
  11. Surgery — baycare.org
  12. Behavioral Health Services in Clearwater, Florida — baycare.org