Does Mosaic Life Care at St Joseph have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mosaic Life Care at St Joseph. In a medical emergency, call 911.

Where is Mosaic Life Care at St Joseph?

5325 Faraon Street, Saint Joseph, MO 64506, in Buchanan County, Missouri.

What is the phone number of Mosaic Life Care at St Joseph?

(816) 271-6000, as listed by Medicare (CMS).

What is the Medicare star rating of Mosaic Life Care at St Joseph?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Mosaic Life Care at St Joseph

Quick answers

Does Mosaic Life Care at St Joseph have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mosaic Life Care at St Joseph. In a medical emergency, call 911.
Where is Mosaic Life Care at St Joseph?: 5325 Faraon Street, Saint Joseph, MO 64506, in Buchanan County, Missouri.
What is the phone number of Mosaic Life Care at St Joseph?: (816) 271-6000, as listed by Medicare (CMS).
What is the Medicare star rating of Mosaic Life Care at St Joseph?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[6][8][9][10][11]}

Emergency Medicine
Radiology
Maternity / Obstetrics
Wound Care
Anesthesia
Hospital Medicine (Hospitalists)
Acute Rehabilitation
Pulmonary and Critical Care
Diabetes Care
Palliative Care
Cancer Care (Oncology)
Heart and Vascular Care

Treatments^[11]

Programs and centers^{[4][6][9][11][12]}

Inpatient oncology unit
Cancer Support Community partnership
Mental Health Unit (MHU) services (emergency care)
Acute Rehabilitation Unit
Mayo Clinic Care Network member

Emergency care (hospital website)^[6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II

Visiting and practical information

Visiting	Visiting hours are 8 a.m.-8 p.m. in most areas; Maternity visiting is based on the mother's preference and medical needs^[5]
Parking	The page shows a campus parking map to find the closest parking for your services; valet parking is listed as a service^[5][7]
Patient portal	myMosaic by MyChart

Recognition^{[4][6][8][11][12]}

Level II Trauma Center
Mayo Clinic Care Network member
Commission on Cancer (American College of Surgeons) accredited cancer program

Doctors and clinicians (608)

608 doctors and other clinicians list Mosaic Life Care at St Joseph 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 (608)

Aadil AhmedInternal Medicine
Aaron L. Huffstutter, NPNurse Practitioner
Abdallah Amireh, MDVascular Surgery
Abedel Rahman AnaniPulmonary Disease
Abhiram DuvvuriGastroenterology
Abra A. WoolardNurse Practitioner
Adam Buhman-Wiggs, CPClinical Psychologist
Adam Gulhan, MDNeurology
Adam J. Grooms, MDNeurosurgery
Adon Harris, MDGeneral Surgery
Adriana AthonPhysician Assistant
Ahmad Al-Mubaslat, MDEndocrinology
Ahmed Saeed, MDGastroenterology
Akilis M. Theoharidis, DPMPodiatry
Alaeldin A. Ababneh, MDCardiovascular Disease (Cardiology)
Alan Anderson, DOPsychiatry
Alan W. Brewer, DOFamily Practice
Alejandro Blachar, MDPain Management
Ali H. Syed, DOPsychiatry
Alicia M. RogersCertified Registered Nurse Anesthetist (CRNA)
Alison SporlederNurse Practitioner
Allison J. Barfuss-Walter, DOEmergency Medicine
Allison K. DelasalleCertified Registered Nurse Anesthetist (CRNA)
Allison Lahnanen, CNACertified Registered Nurse Anesthetist (CRNA)

And 584 more: the button below opens the full list.

Other emergency rooms nearby

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

Amberwell Atchison Association25 mi · Atchison, KS · Critical Access Hospital
Cameron Regional Medical Center29 mi · Cameron, MO · Acute Care Hospital
Saint John Hospital34 mi · Leavenworth, KS · Acute Care Hospital
Saint Lukes North Hospital37 mi · Kansas City, MO · Acute Care Hospital
Liberty Hospital39 mi · Liberty, MO · Acute Care Hospital

Other hospitals nearby

Mosiac Life Care at St Joseph0.0 mi · Saint Joseph, MO · Long-Term Acute Care Hospital
Northwest Missouri Psychiatric Rehab Ctr2.0 mi · Saint Joseph, MO · Psychiatric Hospital
Clearsky Rehabilitation Hospital of Elwood St Jos6.3 mi · Elwood, KS · Inpatient Rehabilitation Hospital

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

Living Community of St Joseph0.6 mi · Saint Joseph, MO · 4 of 5 stars
Belleview Care Center1.3 mi · Saint Joseph, MO · 1 of 5 stars
St Joseph Manor Health & Rehabilitation1.9 mi · Saint Joseph, MO · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Freudenthal Hospice2.2 mi · Saint Joseph, MO · 5 of 5 stars
Luminos Hospice, LLC2.2 mi · Saint Joseph, MO
Mosaic Life Care Hospice2.8 mi · Saint Joseph, MO · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Freudenthal Home Health2.2 mi · Saint Joseph, MO
The Whole Person, Inc.2.2 mi · Saint Joseph, MO
Mosaic Life Care Home Health2.8 mi · Saint Joseph, MO

All home health agencies in the state →

Dialysis facilities

DaVita St. Joseph Dialysis2.8 mi · Saint Joseph, MO · 1 of 5 stars
DaVita Robidoux Dialysis3.9 mi · Saint Joseph, MO · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Mercury Surgery Center, LLC2.2 mi · Saint Joseph, MO
Murphy Watson Burr Surgery Center2.2 mi · St. Joseph, MO
St. Joseph Center for Outpatient Surgery2.2 mi · Saint Joseph, MO

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

Swope Health KidsCARE - St. Joseph1.8 mi · Saint Joseph, MO · Community health center
Northwest Family Dental and Behavioral Health1.8 mi · Saint Joseph, MO · Community health center
Family Medicine Associates1.9 mi · Saint Joseph, MO · Community health center

Clinics and urgent care

Pediatric Urgent Care LLC2.2 mi · Saint Joseph, MO · Urgent care center
Mosaic Family Care - Savannah13 mi · Savannah, MO · Rural health clinic
Amberwell Troy Clinic20 mi · Troy, KS · Rural health clinic

Pharmacies

Cosentino Group Inc2.2 mi · Saint Joseph, MO · Community/retail pharmacy
Heartland Regional Medical Center2.2 mi · Saint Joseph, MO · Community/retail pharmacy
Heartland Regional Medical Center2.2 mi · Saint Joseph, MO · Community/retail pharmacy

Assisted living nearby

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

Carriage Square Rehab and Healthcare Center2.2 mi · Saint Joseph, MO
Field Pointe Assisted Living2.2 mi · Saint Joseph, MO
Living Community of St Joseph2.2 mi · Saint Joseph, MO
Belleview Care Center2.8 mi · Saint Joseph, MO

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 Mosaic Life Care at St Joseph 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 hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	1,152Response rate: 23%

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)	1.077No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.602No different from the national benchmark
Surgical site infections after colon surgery	1.391No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.329Better 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 patients	11.7%
Deaths within 30 days: heart failure patients	11.7%
Deaths within 30 days: pneumonia patients	14.8%
Deaths within 30 days: COPD patients	6.4%
Deaths within 30 days: stroke patients	12.8%
Deaths within 30 days: coronary bypass surgery (CABG)	4.2%
Serious complications (patient safety indicator PSI-90)	1.12No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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 attack	14.8%
Readmitted within 30 days: heart failure	21.8%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	19%
Readmitted within 30 days: coronary bypass surgery	13.1%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	48%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 Missouri Best hospitals in Missouri

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Mosaic Life Care at St Joseph 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$292	$248.20	$57.85 – $313.87
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates Aetna — Commercial: $83.30 Aetna — Medicare Advantage: $75.97 Aetna of Kansas — Managed Medicaid: $84.70 Ambetter — Commercial: $144.34 Amerigroup of Iowa — Managed Medicaid: $58.03 Blue Cross Blue Shield — Medicare Advantage: $75.97 Blue Cross HMO — Commercial: $86.18 Blue Cross PC — Commercial: $86.18 Blue Cross PCB — Commercial: $86.18 Centurion — Commercial: $204.40
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL THREE	$125	$106.25	$87.50 – $222.50
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $103.38 Blue Cross HMO — Commercial: $96.38 Blue Cross PC — Commercial: $108.50 Blue Cross PCB — Commercial: $96.38 Centurion — Commercial: $87.50 Cigna — Commercial: $110 Freedom Select Healthlink — Commercial: $107.33 GEHA Shared Services — Commercial: $101.50 Healthlink Open Access — Commercial: $107.33 Healthy Blue of Missouri — Managed Medicaid: $222.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL THREE	$125	$106.25	$50 – $112.50
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $103.38 Blue Cross HMO — Commercial: $94.50 Blue Cross PC — Commercial: $108.50 Blue Cross PCB — Commercial: $94.50 Centurion — Commercial: $50 Cigna — Commercial: $110 Freedom Select Healthlink — Commercial: $107.33 GEHA Shared Services — Commercial: $101.50 Healthlink Open Access — Commercial: $107.33 Multiplan — Commercial: $112.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$413	$351.05	$94.32 – $444.21
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates Aetna — Commercial: $135.55 Aetna — Medicare Advantage: $123.62 Aetna of Kansas — Managed Medicaid: $120.26 Ambetter — Commercial: $234.88 Amerigroup of Iowa — Managed Medicaid: $117.82 Blue Cross Blue Shield — Medicare Advantage: $123.62 Blue Cross HMO — Commercial: $121.97 Blue Cross PC — Commercial: $121.97 Blue Cross PCB — Commercial: $121.97 Centurion — Commercial: $289.10
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL FOUR	$200	$170	$140 – $356
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $165.40 Blue Cross HMO — Commercial: $154.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $154.20 Centurion — Commercial: $140 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72 GEHA Shared Services — Commercial: $162.40 Healthlink Open Access — Commercial: $171.72 Healthy Blue of Missouri — Managed Medicaid: $356
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL FOUR	$200	$170	$80 – $180
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $165.40 Blue Cross HMO — Commercial: $151.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $151.20 Centurion — Commercial: $80 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72 GEHA Shared Services — Commercial: $162.40 Healthlink Open Access — Commercial: $171.72 Multiplan — Commercial: $180
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$574	$487.90	$120.31 – $564.88
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates Aetna — Commercial: $184.32 Aetna — Medicare Advantage: $168.10 Aetna of Kansas — Managed Medicaid: $153.38 Ambetter — Commercial: $319.39 Amerigroup of Iowa — Managed Medicaid: $120.31 Blue Cross Blue Shield — Medicare Advantage: $168.10 Blue Cross HMO — Commercial: $155.11 Blue Cross PC — Commercial: $155.11 Blue Cross PCB — Commercial: $155.11 Centurion — Commercial: $401.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL FIVE	$400	$340	$280 – $712
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $330.80 Blue Cross HMO — Commercial: $308.40 Blue Cross PC — Commercial: $347.20 Blue Cross PCB — Commercial: $308.40 Centurion — Commercial: $280 Cigna — Commercial: $352 Freedom Select Healthlink — Commercial: $343.44 GEHA Shared Services — Commercial: $324.80 Healthlink Open Access — Commercial: $343.44 Healthy Blue of Missouri — Managed Medicaid: $712
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT NEW LEVEL FIVE	$400	$340	$160 – $360
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $330.80 Blue Cross HMO — Commercial: $302.40 Blue Cross PC — Commercial: $347.20 Blue Cross PCB — Commercial: $302.40 Centurion — Commercial: $160 Cigna — Commercial: $352 Freedom Select Healthlink — Commercial: $343.44 GEHA Shared Services — Commercial: $324.80 Healthlink Open Access — Commercial: $343.44 Multiplan — Commercial: $360
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$168	$142.80	$30.61 – $170.30
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates Aetna — Commercial: $66.93 Aetna — Medicare Advantage: $61.04 Aetna of Kansas — Managed Medicaid: $45.86 Ambetter — Commercial: $115.98 Amerigroup of Iowa — Managed Medicaid: $30.61 Blue Cross Blue Shield — Medicare Advantage: $61.04 Blue Cross HMO — Commercial: $46.76 Blue Cross PC — Commercial: $46.76 Blue Cross PCB — Commercial: $46.76 Centurion — Commercial: $117.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LEVEL THREE	$260	$221	$182 – $462.80
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $215.02 Blue Cross HMO — Commercial: $200.46 Blue Cross PC — Commercial: $225.68 Blue Cross PCB — Commercial: $200.46 Centurion — Commercial: $182 Cigna — Commercial: $228.80 Freedom Select Healthlink — Commercial: $223.24 GEHA Shared Services — Commercial: $211.12 Healthlink Open Access — Commercial: $223.24 Healthy Blue of Missouri — Managed Medicaid: $462.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LEVEL THREE	$260	$221	$104 – $234
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $215.02 Blue Cross HMO — Commercial: $196.56 Blue Cross PC — Commercial: $225.68 Blue Cross PCB — Commercial: $196.56 Centurion — Commercial: $104 Cigna — Commercial: $228.80 Freedom Select Healthlink — Commercial: $223.24 GEHA Shared Services — Commercial: $211.12 Healthlink Open Access — Commercial: $223.24 Multiplan — Commercial: $234
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$250	$212.50	$57.65 – $267.26
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates Aetna — Commercial: $98.56 Aetna — Medicare Advantage: $89.89 Aetna of Kansas — Managed Medicaid: $72.10 Ambetter — Commercial: $170.79 Amerigroup of Iowa — Managed Medicaid: $66.80 Blue Cross Blue Shield — Medicare Advantage: $89.89 Blue Cross HMO — Commercial: $73.39 Blue Cross PC — Commercial: $73.39 Blue Cross PCB — Commercial: $73.39 Centurion — Commercial: $175
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LEVEL FOUR	$300	$255	$210 – $534
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $248.10 Blue Cross HMO — Commercial: $231.30 Blue Cross PC — Commercial: $260.40 Blue Cross PCB — Commercial: $231.30 Centurion — Commercial: $210 Cigna — Commercial: $264 Freedom Select Healthlink — Commercial: $257.58 GEHA Shared Services — Commercial: $243.60 Healthlink Open Access — Commercial: $257.58 Healthy Blue of Missouri — Managed Medicaid: $534
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LEVEL FOUR	$300	$255	$120 – $270
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Commercial: $248.10 Blue Cross HMO — Commercial: $226.80 Blue Cross PC — Commercial: $260.40 Blue Cross PCB — Commercial: $226.80 Centurion — Commercial: $120 Cigna — Commercial: $264 Freedom Select Healthlink — Commercial: $257.58 GEHA Shared Services — Commercial: $243.60 Healthlink Open Access — Commercial: $257.58 Multiplan — Commercial: $270
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL THREE	$260	$221	$182 – $462.80
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates Aetna — Commercial: $215.02 Blue Cross HMO — Commercial: $200.46 Blue Cross PC — Commercial: $225.68 Blue Cross PCB — Commercial: $200.46 Centurion — Commercial: $182 Cigna — Commercial: $228.80 Freedom Select Healthlink — Commercial: $223.24 GEHA Shared Services — Commercial: $211.12 Healthlink Open Access — Commercial: $223.24 Healthy Blue of Missouri — Managed Medicaid: $462.80
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$369	$313.65	$78.82 – $397.27
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates Aetna — Commercial: $122.13 Blue Cross HMO — Commercial: $100.55 Blue Cross PC — Commercial: $107.14 Blue Cross PCB — Commercial: $100.55 Centurion — Commercial: $258.30 Cigna — Commercial: $324.72 Freedom Select Healthlink — Commercial: $316.82 GEHA Shared Services — Commercial: $299.63 Healthlink Open Access — Commercial: $316.82 Multiplan — Commercial: $397.27
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL THREE	$260	$221	$104 – $234
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Commercial: $215.02 Blue Cross HMO — Commercial: $196.56 Blue Cross PC — Commercial: $225.68 Blue Cross PCB — Commercial: $196.56 Centurion — Commercial: $104 Cigna — Commercial: $228.80 Freedom Select Healthlink — Commercial: $223.24 GEHA Shared Services — Commercial: $211.12 Healthlink Open Access — Commercial: $223.24 Multiplan — Commercial: $234
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL FOUR	$400	$340	$280 – $712
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates Aetna — Commercial: $330.80 Blue Cross HMO — Commercial: $308.40 Blue Cross PC — Commercial: $347.20 Blue Cross PCB — Commercial: $308.40 Centurion — Commercial: $280 Cigna — Commercial: $352 Freedom Select Healthlink — Commercial: $343.44 GEHA Shared Services — Commercial: $324.80 Healthlink Open Access — Commercial: $343.44 Healthy Blue of Missouri — Managed Medicaid: $712
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$521	$442.85	$107.74 – $560.93
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates Aetna — Commercial: $196.54 Blue Cross HMO — Commercial: $150.84 Blue Cross PC — Commercial: $160.74 Blue Cross PCB — Commercial: $150.84 Centurion — Commercial: $364.70 Cigna — Commercial: $458.48 Freedom Select Healthlink — Commercial: $447.33 GEHA Shared Services — Commercial: $423.05 Healthlink Open Access — Commercial: $447.33 Multiplan — Commercial: $560.93
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT LEVEL FOUR	$400	$340	$160 – $360
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — Commercial: $330.80 Blue Cross HMO — Commercial: $302.40 Blue Cross PC — Commercial: $347.20 Blue Cross PCB — Commercial: $302.40 Centurion — Commercial: $160 Cigna — Commercial: $352 Freedom Select Healthlink — Commercial: $343.44 GEHA Shared Services — Commercial: $324.80 Healthlink Open Access — Commercial: $343.44 Multiplan — Commercial: $360
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$357	$303.45	$30 – $384.83
Preventive checkup, new patient, age 18–39: 10 of 20 insurance plan rates Aetna — Commercial: $108.06 Aetna of Kansas — Managed Medicaid: $30 Amerigroup of Iowa — Managed Medicaid: $102.04 Blue Cross HMO — Commercial: $91.32 Blue Cross PC — Commercial: $97.30 Blue Cross PCB — Commercial: $91.32 Centurion — Commercial: $249.90 Cigna — Commercial: $314.16 Freedom Select Healthlink — Commercial: $306.52 GEHA Shared Services — Commercial: $289.88
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$225	$191.25	$102.04 – $400.50
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates Aetna — Commercial: $186.08 Amerigroup of Iowa — Managed Medicaid: $102.04 Blue Cross HMO — Commercial: $173.48 Blue Cross PC — Commercial: $195.30 Blue Cross PCB — Commercial: $173.48 Centurion — Commercial: $157.50 Cigna — Commercial: $198 Freedom Select Healthlink — Commercial: $193.19 GEHA Shared Services — Commercial: $182.70 Healthlink Open Access — Commercial: $193.19
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PREVENTIVE VISIT,NEW,18-39	$115	$97.75	$80.50 – $204.70
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates Aetna — Commercial: $95.11 Amerigroup of Iowa — Managed Medicaid: $102.04 Blue Cross HMO — Commercial: $88.67 Blue Cross PC — Commercial: $99.82 Blue Cross PCB — Commercial: $88.67 Centurion — Commercial: $80.50 Cigna — Commercial: $101.20 Freedom Select Healthlink — Commercial: $98.74 GEHA Shared Services — Commercial: $93.38 Healthlink Open Access — Commercial: $98.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$421	$357.85	$30 – $453.70
Preventive checkup, new patient, age 40–64: 10 of 20 insurance plan rates Aetna — Commercial: $131.49 Aetna of Kansas — Managed Medicaid: $30 Amerigroup of Iowa — Managed Medicaid: $122.89 Blue Cross HMO — Commercial: $111.96 Blue Cross PC — Commercial: $119.31 Blue Cross PCB — Commercial: $111.96 Centurion — Commercial: $294.70 Cigna — Commercial: $370.48 Freedom Select Healthlink — Commercial: $361.47 GEHA Shared Services — Commercial: $341.85
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$250	$212.50	$122.89 – $445
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates Aetna — Commercial: $206.75 Amerigroup of Iowa — Managed Medicaid: $122.89 Blue Cross HMO — Commercial: $192.75 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $192.75 Centurion — Commercial: $175 Cigna — Commercial: $220 Freedom Select Healthlink — Commercial: $214.65 GEHA Shared Services — Commercial: $203 Healthlink Open Access — Commercial: $214.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE, NEW PATIENT, (AGE 40-64 YEARS)	$150	$127.50	$105 – $267
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates Aetna — Commercial: $124.05 Amerigroup of Iowa — Managed Medicaid: $122.89 Blue Cross HMO — Commercial: $115.65 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $115.65 Centurion — Commercial: $105 Cigna — Commercial: $132 Freedom Select Healthlink — Commercial: $128.79 GEHA Shared Services — Commercial: $121.80 Healthlink Open Access — Commercial: $128.79
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$180	$153	$40.48 – $202.16
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna — Commercial: $131.39 Aetna — Medicare Advantage: $66.52 Aetna of Kansas — Managed Medicaid: $40.48 Ambetter — Commercial: $126.39 Amerigroup of Iowa — Managed Medicaid: $59.12 Blue Cross Blue Shield — Medicare Advantage: $66.52 Blue Cross HMO — Commercial: $108.41 Blue Cross PC — Commercial: $108.41 Blue Cross PCB — Commercial: $108.41 Centurion — Commercial: $126
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,600	$1,360	$92.43 – $2,848
Emergency room visit (moderate): 10 of 23 insurance plan rates Aetna — Commercial: $1,323.20 Aetna — Medicare Advantage: $279.02 Aetna of Kansas — Managed Medicaid: $92.43 Ambetter — Commercial: $530.14 Blue Cross Blue Shield — Medicare Advantage: $279.02 Blue Cross HMO — Commercial: $1,233.60 Blue Cross PC — Commercial: $1,388.80 Blue Cross PCB — Commercial: $1,233.60 Centurion — Commercial: $1,120 Cigna — Commercial: $1,408
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,600	$1,360	$640 – $1,440
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Commercial: $1,323.20 Blue Cross HMO — Commercial: $1,209.60 Blue Cross PC — Commercial: $1,388.80 Blue Cross PCB — Commercial: $1,209.60 Centurion — Commercial: $640 Cigna — Commercial: $1,408 Freedom Select Healthlink — Commercial: $1,373.76 GEHA Shared Services — Commercial: $1,299.20 Healthlink Open Access — Commercial: $1,373.76 Multiplan — Commercial: $1,440
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM	$346	$294.10	$91.03 – $315.60
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna — Commercial: $223.70 Aetna — Medicare Advantage: $113.60 Aetna of Kansas — Managed Medicaid: $98.48 Ambetter — Commercial: $215.84 Amerigroup of Iowa — Managed Medicaid: $91.03 Blue Cross Blue Shield — Medicare Advantage: $113.60 Blue Cross HMO — Commercial: $207.01 Blue Cross PC — Commercial: $207.01 Blue Cross PCB — Commercial: $207.01 Centurion — Commercial: $242.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$2,400	$2,040	$143.48 – $4,272
Emergency room visit (moderately high): 10 of 23 insurance plan rates Aetna — Commercial: $1,984.80 Aetna — Medicare Advantage: $429.10 Aetna of Kansas — Managed Medicaid: $143.48 Ambetter — Commercial: $815.29 Blue Cross Blue Shield — Medicare Advantage: $429.10 Blue Cross HMO — Commercial: $1,850.40 Blue Cross PC — Commercial: $2,083.20 Blue Cross PCB — Commercial: $1,850.40 Centurion — Commercial: $1,680 Cigna — Commercial: $2,112
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$2,400	$2,040	$960 – $2,160
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Commercial: $1,984.80 Blue Cross HMO — Commercial: $1,814.40 Blue Cross PC — Commercial: $2,083.20 Blue Cross PCB — Commercial: $1,814.40 Centurion — Commercial: $960 Cigna — Commercial: $2,112 Freedom Select Healthlink — Commercial: $2,060.64 GEHA Shared Services — Commercial: $1,948.80 Healthlink Open Access — Commercial: $2,060.64 Multiplan — Commercial: $2,160
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM	$506	$430.10	$98.48 – $494.34
Emergency room visit (high): 10 of 23 insurance plan rates Aetna — Commercial: $324.31 Aetna — Medicare Advantage: $164.88 Aetna of Kansas — Managed Medicaid: $98.48 Ambetter — Commercial: $313.27 Amerigroup of Iowa — Managed Medicaid: $143.10 Blue Cross Blue Shield — Medicare Advantage: $164.88 Blue Cross HMO — Commercial: $304.15 Blue Cross PC — Commercial: $304.15 Blue Cross PCB — Commercial: $304.15 Centurion — Commercial: $354.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$3,200	$2,720	$208.08 – $5,696
Emergency room visit (high): 10 of 23 insurance plan rates Aetna — Commercial: $2,646.40 Aetna — Medicare Advantage: $617.82 Aetna of Kansas — Managed Medicaid: $208.08 Ambetter — Commercial: $1,173.86 Blue Cross Blue Shield — Medicare Advantage: $617.82 Blue Cross HMO — Commercial: $2,467.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,467.20 Centurion — Commercial: $2,240 Cigna — Commercial: $2,816
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$3,200	$2,720	$1,280 – $2,880
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Commercial: $2,646.40 Blue Cross HMO — Commercial: $2,419.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,419.20 Centurion — Commercial: $1,280 Cigna — Commercial: $2,816 Freedom Select Healthlink — Commercial: $2,747.52 GEHA Shared Services — Commercial: $2,598.40 Healthlink Open Access — Commercial: $2,747.52 Multiplan — Commercial: $2,880

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$160	$136	$8.04 – $284.80
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Commercial: $132.32 Aetna — Medicare Advantage: $8.74 Aetna of Kansas — Managed Medicaid: $8.46 Ambetter — Commercial: $16.61 Amerigroup of Iowa — Managed Medicaid: $8.04 Blue Cross Blue Shield — Medicare Advantage: $8.74 Blue Cross HMO — Commercial: $123.36 Blue Cross PC — Commercial: $138.88 Blue Cross PCB — Commercial: $123.36 Centurion — Commercial: $112
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$20	$17	$8.46 – $38.78
Basic metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — Commercial: $10.91 Aetna of Kansas — Managed Medicaid: $8.46 Amerigroup of Iowa — Managed Medicaid: $12.01 Blue Cross HMO — Commercial: $9.81 Blue Cross PC — Commercial: $10.50 Blue Cross PCB — Commercial: $9.81 Centurion — Commercial: $14 Cigna — Commercial: $17.60 Freedom Select Healthlink — Commercial: $17.17 GEHA Shared Services — Commercial: $16.24
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$160	$136	$64 – $144
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Commercial: $132.32 Blue Cross HMO — Commercial: $120.96 Blue Cross PC — Commercial: $138.88 Blue Cross PCB — Commercial: $120.96 Centurion — Commercial: $64 Cigna — Commercial: $140.80 Freedom Select Healthlink — Commercial: $137.38 GEHA Shared Services — Commercial: $129.92 Healthlink Open Access — Commercial: $137.38 Multiplan — Commercial: $144
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$230	$195.50	$10.03 – $409.40
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Commercial: $190.21 Aetna — Medicare Advantage: $10.91 Aetna of Kansas — Managed Medicaid: $10.56 Ambetter — Commercial: $20.73 Amerigroup of Iowa — Managed Medicaid: $10.03 Blue Cross Blue Shield — Medicare Advantage: $10.91 Blue Cross HMO — Commercial: $177.33 Blue Cross PC — Commercial: $199.64 Blue Cross PCB — Commercial: $177.33 Centurion — Commercial: $161
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$111	$94.35	$10.56 – $97.68
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates Aetna — Commercial: $13.62 Aetna of Kansas — Managed Medicaid: $10.56 Amerigroup of Iowa — Managed Medicaid: $15.02 Blue Cross HMO — Commercial: $12.25 Blue Cross PC — Commercial: $13.11 Blue Cross PCB — Commercial: $12.25 Centurion — Commercial: $77.70 Cigna — Commercial: $97.68 Freedom Select Healthlink — Commercial: $95.30 GEHA Shared Services — Commercial: $90.13
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$230	$195.50	$92 – $207
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Commercial: $190.21 Blue Cross HMO — Commercial: $173.88 Blue Cross PC — Commercial: $199.64 Blue Cross PCB — Commercial: $173.88 Centurion — Commercial: $92 Cigna — Commercial: $202.40 Freedom Select Healthlink — Commercial: $197.48 GEHA Shared Services — Commercial: $186.76 Healthlink Open Access — Commercial: $197.48 Multiplan — Commercial: $207
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.55 – $61.67
Obstetric blood test panel: 10 of 11 insurance plan rates Aetna — Commercial: $61.67 Aetna of Kansas — Managed Medicaid: $47.81 Amerigroup of Iowa — Managed Medicaid: $47.55 Blue Cross HMO — Commercial: $50.17 Blue Cross PC — Commercial: $53.68 Blue Cross PCB — Commercial: $50.17 Iowa Total Care — Managed Medicaid: $47.55 Molina of Iowa — Managed Medicaid: $47.55 Sunflower of Kansas — Managed Medicaid: $47.81 United Healthcare — Commercial: $49.67
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	$45.42 – $93.87
Obstetric blood test panel: rates for 10 insurance plans Aetna — Medicare Advantage: $49.40 Aetna of Kansas — Managed Medicaid: $47.81 Ambetter — Commercial: $93.87 Amerigroup of Iowa — Managed Medicaid: $45.42 Blue Cross Blue Shield — Medicare Advantage: $49.40 Iowa Total Care — Managed Medicaid: $45.42 Molina of Iowa — Managed Medicaid: $45.42 Sunflower of Kansas — Managed Medicaid: $47.81 United Healthcare — Medicare Advantage: $49.40 United Healthcare of Kansas — Managed Medicaid: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$120	$102	$12.72 – $213.60
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Aetna — Commercial: $99.24 Aetna — Medicare Advantage: $13.84 Aetna of Kansas — Managed Medicaid: $13.39 Ambetter — Commercial: $26.29 Amerigroup of Iowa — Managed Medicaid: $12.72 Blue Cross Blue Shield — Medicare Advantage: $13.84 Blue Cross HMO — Commercial: $92.52 Blue Cross PC — Commercial: $104.16 Blue Cross PCB — Commercial: $92.52 Centurion — Commercial: $84
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL	$31	$26.35	$13.39 – $61.36
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates Aetna — Commercial: $17.27 Aetna of Kansas — Managed Medicaid: $13.39 Amerigroup of Iowa — Managed Medicaid: $19.03 Blue Cross HMO — Commercial: $15.53 Blue Cross PC — Commercial: $16.62 Blue Cross PCB — Commercial: $15.53 Centurion — Commercial: $21.70 Cigna — Commercial: $27.28 Freedom Select Healthlink — Commercial: $26.62 GEHA Shared Services — Commercial: $25.17
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$120	$102	$48 – $108
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Commercial: $99.24 Blue Cross HMO — Commercial: $90.72 Blue Cross PC — Commercial: $104.16 Blue Cross PCB — Commercial: $90.72 Centurion — Commercial: $48 Cigna — Commercial: $105.60 Freedom Select Healthlink — Commercial: $103.03 GEHA Shared Services — Commercial: $97.44 Healthlink Open Access — Commercial: $103.03 Multiplan — Commercial: $108
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$120	$102	$8.25 – $213.60
Kidney function panel: 10 of 26 insurance plan rates Aetna — Commercial: $99.24 Aetna — Medicare Advantage: $8.97 Aetna of Kansas — Managed Medicaid: $8.68 Ambetter — Commercial: $17.04 Amerigroup of Iowa — Managed Medicaid: $8.25 Blue Cross Blue Shield — Medicare Advantage: $8.97 Blue Cross HMO — Commercial: $92.52 Blue Cross PC — Commercial: $104.16 Blue Cross PCB — Commercial: $92.52 Centurion — Commercial: $84
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL	$20	$17	$8.68 – $39.76
Kidney function panel: 10 of 19 insurance plan rates Aetna — Commercial: $11.20 Aetna of Kansas — Managed Medicaid: $8.68 Amerigroup of Iowa — Managed Medicaid: $12.34 Blue Cross HMO — Commercial: $10.07 Blue Cross PC — Commercial: $10.78 Blue Cross PCB — Commercial: $10.07 Centurion — Commercial: $14 Cigna — Commercial: $17.60 Freedom Select Healthlink — Commercial: $17.17 GEHA Shared Services — Commercial: $16.24
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$120	$102	$48 – $108
Kidney function panel: 10 of 13 insurance plan rates Aetna — Commercial: $99.24 Blue Cross HMO — Commercial: $90.72 Blue Cross PC — Commercial: $104.16 Blue Cross PCB — Commercial: $90.72 Centurion — Commercial: $48 Cigna — Commercial: $105.60 Freedom Select Healthlink — Commercial: $103.03 GEHA Shared Services — Commercial: $97.44 Healthlink Open Access — Commercial: $103.03 Multiplan — Commercial: $108
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$180	$153	$7.76 – $320.40
Liver function panel: 10 of 26 insurance plan rates Aetna — Commercial: $148.86 Aetna — Medicare Advantage: $8.44 Aetna of Kansas — Managed Medicaid: $8.17 Ambetter — Commercial: $16.04 Amerigroup of Iowa — Managed Medicaid: $7.76 Blue Cross Blue Shield — Medicare Advantage: $8.44 Blue Cross HMO — Commercial: $138.78 Blue Cross PC — Commercial: $156.24 Blue Cross PCB — Commercial: $138.78 Centurion — Commercial: $126
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL	$19	$16.15	$8.17 – $37.43
Liver function panel: 10 of 19 insurance plan rates Aetna — Commercial: $10.54 Aetna of Kansas — Managed Medicaid: $8.17 Amerigroup of Iowa — Managed Medicaid: $11.61 Blue Cross HMO — Commercial: $9.47 Blue Cross PC — Commercial: $10.13 Blue Cross PCB — Commercial: $9.47 Centurion — Commercial: $13.30 Cigna — Commercial: $16.72 Freedom Select Healthlink — Commercial: $16.31 GEHA Shared Services — Commercial: $15.43
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$180	$153	$72 – $162
Liver function panel: 10 of 13 insurance plan rates Aetna — Commercial: $148.86 Blue Cross HMO — Commercial: $136.08 Blue Cross PC — Commercial: $156.24 Blue Cross PCB — Commercial: $136.08 Centurion — Commercial: $72 Cigna — Commercial: $158.40 Freedom Select Healthlink — Commercial: $154.55 GEHA Shared Services — Commercial: $146.16 Healthlink Open Access — Commercial: $154.55 Multiplan — Commercial: $162
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$90	$76.50	$3.01 – $160.20
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — Commercial: $74.43 Aetna — Medicare Advantage: $3.28 Aetna of Kansas — Managed Medicaid: $3.17 Ambetter — Commercial: $6.22 Amerigroup of Iowa — Managed Medicaid: $3.01 Blue Cross Blue Shield — Medicare Advantage: $3.28 Blue Cross HMO — Commercial: $69.39 Blue Cross PC — Commercial: $78.12 Blue Cross PCB — Commercial: $69.39 Centurion — Commercial: $63
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$11	$9.35	$3.17 – $14.52
Urine test (automated, with microscope): 10 of 19 insurance plan rates Aetna — Commercial: $4.09 Aetna of Kansas — Managed Medicaid: $3.17 Amerigroup of Iowa — Managed Medicaid: $4.50 Blue Cross HMO — Commercial: $3.67 Blue Cross PC — Commercial: $3.93 Blue Cross PCB — Commercial: $3.67 Centurion — Commercial: $7.70 Cigna — Commercial: $9.68 Freedom Select Healthlink — Commercial: $9.44 GEHA Shared Services — Commercial: $8.93
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$90	$76.50	$36 – $81
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — Commercial: $74.43 Blue Cross HMO — Commercial: $68.04 Blue Cross PC — Commercial: $78.12 Blue Cross PCB — Commercial: $68.04 Centurion — Commercial: $36 Cigna — Commercial: $79.20 Freedom Select Healthlink — Commercial: $77.27 GEHA Shared Services — Commercial: $73.08 Healthlink Open Access — Commercial: $77.27 Multiplan — Commercial: $81
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$13	$11.05	$3.01 – $23.14
Urine test (manual, without microscope): 10 of 26 insurance plan rates Aetna — Commercial: $10.75 Aetna — Medicare Advantage: $3.60 Aetna of Kansas — Managed Medicaid: $3.01 Ambetter — Commercial: $6.83 Amerigroup of Iowa — Managed Medicaid: $3.31 Blue Cross Blue Shield — Medicare Advantage: $3.60 Blue Cross HMO — Commercial: $10.02 Blue Cross PC — Commercial: $11.28 Blue Cross PCB — Commercial: $10.02 Centurion — Commercial: $9.10
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$13	$11.05	$2.42 – $11.71
Urine test (manual, without microscope): 10 of 19 insurance plan rates Aetna — Commercial: $4.49 Aetna of Kansas — Managed Medicaid: $3.01 Amerigroup of Iowa — Managed Medicaid: $3.64 Blue Cross HMO — Commercial: $2.42 Blue Cross PC — Commercial: $2.59 Blue Cross PCB — Commercial: $2.42 Centurion — Commercial: $9.10 Cigna — Commercial: $11.44 Freedom Select Healthlink — Commercial: $11.16 GEHA Shared Services — Commercial: $10.56
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$13	$11.05	$5.20 – $11.70
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — Commercial: $10.75 Blue Cross HMO — Commercial: $9.83 Blue Cross PC — Commercial: $11.28 Blue Cross PCB — Commercial: $9.83 Centurion — Commercial: $5.20 Cigna — Commercial: $11.44 Freedom Select Healthlink — Commercial: $11.16 GEHA Shared Services — Commercial: $10.56 Healthlink Open Access — Commercial: $11.16 Multiplan — Commercial: $11.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$50	$42.50	$1.91 – $89
Urine test (automated, without microscope): 10 of 26 insurance plan rates Aetna — Commercial: $41.35 Aetna — Medicare Advantage: $2.33 Aetna of Kansas — Managed Medicaid: $1.91 Ambetter — Commercial: $4.42 Amerigroup of Iowa — Managed Medicaid: $2.14 Blue Cross Blue Shield — Medicare Advantage: $2.33 Blue Cross HMO — Commercial: $38.55 Blue Cross PC — Commercial: $43.40 Blue Cross PCB — Commercial: $38.55 Centurion — Commercial: $35
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$10	$8.50	$1.91 – $10.31
Urine test (automated, without microscope): 10 of 19 insurance plan rates Aetna — Commercial: $2.90 Aetna of Kansas — Managed Medicaid: $1.91 Amerigroup of Iowa — Managed Medicaid: $3.18 Blue Cross HMO — Commercial: $2.42 Blue Cross PC — Commercial: $2.59 Blue Cross PCB — Commercial: $2.42 Centurion — Commercial: $7 Cigna — Commercial: $8.80 Freedom Select Healthlink — Commercial: $8.59 GEHA Shared Services — Commercial: $8.12
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$50	$42.50	$20 – $45
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — Commercial: $41.35 Blue Cross HMO — Commercial: $37.80 Blue Cross PC — Commercial: $43.40 Blue Cross PCB — Commercial: $37.80 Centurion — Commercial: $20 Cigna — Commercial: $44 Freedom Select Healthlink — Commercial: $42.93 GEHA Shared Services — Commercial: $40.60 Healthlink Open Access — Commercial: $42.93 Multiplan — Commercial: $45
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$90	$76.50	$17.47 – $160.20
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Aetna — Commercial: $74.43 Aetna — Medicare Advantage: $19 Aetna of Kansas — Managed Medicaid: $18.39 Ambetter — Commercial: $36.11 Amerigroup of Iowa — Managed Medicaid: $17.47 Blue Cross Blue Shield — Medicare Advantage: $19 Blue Cross HMO — Commercial: $69.39 Blue Cross PC — Commercial: $78.12 Blue Cross PCB — Commercial: $69.39 Centurion — Commercial: $63
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$43	$36.55	$18.39 – $84.25
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates Aetna — Commercial: $23.72 Aetna of Kansas — Managed Medicaid: $18.39 Amerigroup of Iowa — Managed Medicaid: $26.13 Blue Cross HMO — Commercial: $21.33 Blue Cross PC — Commercial: $22.82 Blue Cross PCB — Commercial: $21.33 Centurion — Commercial: $30.10 Cigna — Commercial: $37.84 Freedom Select Healthlink — Commercial: $36.92 GEHA Shared Services — Commercial: $34.92
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$90	$76.50	$36 – $81
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Commercial: $74.43 Blue Cross HMO — Commercial: $68.04 Blue Cross PC — Commercial: $78.12 Blue Cross PCB — Commercial: $68.04 Centurion — Commercial: $36 Cigna — Commercial: $79.20 Freedom Select Healthlink — Commercial: $77.27 GEHA Shared Services — Commercial: $73.08 Healthlink Open Access — Commercial: $77.27 Multiplan — Commercial: $81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$180	$153	$15.75 – $320.40
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates Aetna — Commercial: $148.86 Aetna — Medicare Advantage: $17.36 Aetna of Kansas — Managed Medicaid: $15.75 Ambetter — Commercial: $32.98 Amerigroup of Iowa — Managed Medicaid: $15.96 Blue Cross Blue Shield — Medicare Advantage: $17.36 Blue Cross HMO — Commercial: $138.78 Blue Cross PC — Commercial: $156.24 Blue Cross PCB — Commercial: $138.78 Centurion — Commercial: $126
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$39	$33.15	$15.75 – $76.93
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates Aetna — Commercial: $21.67 Aetna of Kansas — Managed Medicaid: $15.75 Amerigroup of Iowa — Managed Medicaid: $23.87 Blue Cross HMO — Commercial: $19.49 Blue Cross PC — Commercial: $20.86 Blue Cross PCB — Commercial: $19.49 Centurion — Commercial: $27.30 Cigna — Commercial: $34.32 Freedom Select Healthlink — Commercial: $33.49 GEHA Shared Services — Commercial: $31.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$180	$153	$72 – $162
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — Commercial: $148.86 Blue Cross HMO — Commercial: $136.08 Blue Cross PC — Commercial: $156.24 Blue Cross PCB — Commercial: $136.08 Centurion — Commercial: $72 Cigna — Commercial: $158.40 Freedom Select Healthlink — Commercial: $154.55 GEHA Shared Services — Commercial: $146.16 Healthlink Open Access — Commercial: $154.55 Multiplan — Commercial: $162
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$110	$93.50	$6.60 – $195.80
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Aetna — Commercial: $90.97 Aetna — Medicare Advantage: $8.03 Aetna of Kansas — Managed Medicaid: $6.60 Ambetter — Commercial: $15.26 Amerigroup of Iowa — Managed Medicaid: $7.38 Blue Cross Blue Shield — Medicare Advantage: $8.03 Blue Cross HMO — Commercial: $84.81 Blue Cross PC — Commercial: $95.48 Blue Cross PCB — Commercial: $84.81 Centurion — Commercial: $77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$35	$29.75	$6.60 – $35.58
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates Aetna — Commercial: $10.02 Aetna of Kansas — Managed Medicaid: $6.60 Amerigroup of Iowa — Managed Medicaid: $11.03 Blue Cross HMO — Commercial: $9.02 Blue Cross PC — Commercial: $9.65 Blue Cross PCB — Commercial: $9.02 Centurion — Commercial: $24.50 Cigna — Commercial: $30.80 Freedom Select Healthlink — Commercial: $30.05 GEHA Shared Services — Commercial: $28.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$110	$93.50	$44 – $99
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Commercial: $90.97 Blue Cross HMO — Commercial: $83.16 Blue Cross PC — Commercial: $95.48 Blue Cross PCB — Commercial: $83.16 Centurion — Commercial: $44 Cigna — Commercial: $96.80 Freedom Select Healthlink — Commercial: $94.45 GEHA Shared Services — Commercial: $89.32 Healthlink Open Access — Commercial: $94.45 Multiplan — Commercial: $99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$100	$85	$6.15 – $178
Complete blood count (CBC), automated: 10 of 26 insurance plan rates Aetna — Commercial: $82.70 Aetna — Medicare Advantage: $6.69 Aetna of Kansas — Managed Medicaid: $6.47 Ambetter — Commercial: $12.70 Amerigroup of Iowa — Managed Medicaid: $6.15 Blue Cross Blue Shield — Medicare Advantage: $6.69 Blue Cross HMO — Commercial: $77.10 Blue Cross PC — Commercial: $86.80 Blue Cross PCB — Commercial: $77.10 Centurion — Commercial: $70
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED	$15	$12.75	$6.47 – $29.62
Complete blood count (CBC), automated: 10 of 19 insurance plan rates Aetna — Commercial: $8.35 Aetna of Kansas — Managed Medicaid: $6.47 Amerigroup of Iowa — Managed Medicaid: $8.17 Blue Cross HMO — Commercial: $7.51 Blue Cross PC — Commercial: $8.03 Blue Cross PCB — Commercial: $7.51 Centurion — Commercial: $10.50 Cigna — Commercial: $13.20 Freedom Select Healthlink — Commercial: $12.88 GEHA Shared Services — Commercial: $12.18
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$100	$85	$40 – $90
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Commercial: $82.70 Blue Cross HMO — Commercial: $75.60 Blue Cross PC — Commercial: $86.80 Blue Cross PCB — Commercial: $75.60 Centurion — Commercial: $40 Cigna — Commercial: $88 Freedom Select Healthlink — Commercial: $85.86 GEHA Shared Services — Commercial: $81.20 Healthlink Open Access — Commercial: $85.86 Multiplan — Commercial: $90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$60	$51	$4.08 – $106.80
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Commercial: $49.62 Aetna — Medicare Advantage: $4.43 Aetna of Kansas — Managed Medicaid: $4.29 Ambetter — Commercial: $8.42 Amerigroup of Iowa — Managed Medicaid: $4.08 Blue Cross Blue Shield — Medicare Advantage: $4.43 Blue Cross HMO — Commercial: $46.26 Blue Cross PC — Commercial: $52.08 Blue Cross PCB — Commercial: $46.26 Centurion — Commercial: $42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME	$10	$8.50	$4.29 – $18
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates Aetna — Commercial: $5.53 Aetna of Kansas — Managed Medicaid: $4.29 Amerigroup of Iowa — Managed Medicaid: $4.97 Blue Cross HMO — Commercial: $4.56 Blue Cross PC — Commercial: $4.89 Blue Cross PCB — Commercial: $4.56 Centurion — Commercial: $7 Cigna — Commercial: $8.80 Freedom Select Healthlink — Commercial: $8.59 GEHA Shared Services — Commercial: $8.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$60	$51	$24 – $54
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — Commercial: $49.62 Blue Cross HMO — Commercial: $45.36 Blue Cross PC — Commercial: $52.08 Blue Cross PCB — Commercial: $45.36 Centurion — Commercial: $24 Cigna — Commercial: $52.80 Freedom Select Healthlink — Commercial: $51.52 GEHA Shared Services — Commercial: $48.72 Healthlink Open Access — Commercial: $51.52 Multiplan — Commercial: $54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$100	$85	$5.25 – $178
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Aetna — Commercial: $82.70 Aetna — Medicare Advantage: $6.21 Aetna of Kansas — Managed Medicaid: $5.25 Ambetter — Commercial: $11.80 Amerigroup of Iowa — Managed Medicaid: $5.71 Blue Cross Blue Shield — Medicare Advantage: $6.21 Blue Cross HMO — Commercial: $77.10 Blue Cross PC — Commercial: $86.80 Blue Cross PCB — Commercial: $77.10 Centurion — Commercial: $70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$14	$11.90	$5.25 – $27.47
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates Aetna — Commercial: $7.75 Aetna of Kansas — Managed Medicaid: $5.25 Amerigroup of Iowa — Managed Medicaid: $7.40 Blue Cross HMO — Commercial: $6.96 Blue Cross PC — Commercial: $7.45 Blue Cross PCB — Commercial: $6.96 Centurion — Commercial: $9.80 Cigna — Commercial: $12.32 Freedom Select Healthlink — Commercial: $12.02 GEHA Shared Services — Commercial: $11.37
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$100	$85	$40 – $90
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — Commercial: $82.70 Blue Cross HMO — Commercial: $75.60 Blue Cross PC — Commercial: $86.80 Blue Cross PCB — Commercial: $75.60 Centurion — Commercial: $40 Cigna — Commercial: $88 Freedom Select Healthlink — Commercial: $85.86 GEHA Shared Services — Commercial: $81.20 Healthlink Open Access — Commercial: $85.86 Multiplan — Commercial: $90

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$2,500	$2,125	$106.88 – $4,450
CT scan of the head or brain, without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $2,067.50 Aetna — Medicare Advantage: $107.16 Aetna of Kansas — Managed Medicaid: $106.88 Ambetter — Commercial: $203.60 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross HMO — Commercial: $1,927.50 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,927.50 Centurion — Commercial: $1,750 Cigna — Commercial: $2,200
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,100	$935	$440 – $990
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $909.70 Blue Cross HMO — Commercial: $831.60 Blue Cross PC — Commercial: $954.80 Blue Cross PCB — Commercial: $831.60 Centurion — Commercial: $440 Cigna — Commercial: $968 Freedom Select Healthlink — Commercial: $944.46 GEHA Shared Services — Commercial: $893.20 Healthlink Open Access — Commercial: $944.46 Multiplan — Commercial: $990
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$87.64 – $746.44
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $103.48 Aetna — Medicare Advantage: $94.37 Aetna of Kansas — Managed Medicaid: $87.64 Ambetter — Commercial: $179.30 Amerigroup of Iowa — Managed Medicaid: $200.85 Blue Cross Blue Shield — Medicare Advantage: $94.37 Blue Cross HMO — Commercial: $120.22 Blue Cross PC — Commercial: $128.44 Blue Cross PCB — Commercial: $120.22 Iowa Total Care — Managed Medicaid: $200.85
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN/BRAIN STEM W/O & W/CONTRAST	$4,500	$3,825	$359.88 – $8,010
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates Aetna — Commercial: $3,721.50 Aetna — Medicare Advantage: $359.88 Aetna of Kansas — Managed Medicaid: $368.43 Ambetter — Commercial: $683.77 Blue Cross Blue Shield — Medicare Advantage: $359.88 Blue Cross HMO — Commercial: $3,469.50 Blue Cross PC — Commercial: $3,906 Blue Cross PCB — Commercial: $3,469.50 Centurion — Commercial: $3,150 Cigna — Commercial: $3,960
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN/BRAIN STEM W/O & W/CONTRAST	$3,000	$2,550	$1,200 – $2,700
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,481 Blue Cross HMO — Commercial: $2,268 Blue Cross PC — Commercial: $2,604 Blue Cross PCB — Commercial: $2,268 Centurion — Commercial: $1,200 Cigna — Commercial: $2,640 Freedom Select Healthlink — Commercial: $2,575.80 GEHA Shared Services — Commercial: $2,436 Healthlink Open Access — Commercial: $2,575.80 Multiplan — Commercial: $2,700
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$280.84 – $3,575.04
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $307.94 Aetna — Medicare Advantage: $280.84 Aetna of Kansas — Managed Medicaid: $311.13 Ambetter — Commercial: $533.60 Amerigroup of Iowa — Managed Medicaid: $957.86 Blue Cross Blue Shield — Medicare Advantage: $280.84 Blue Cross HMO — Commercial: $381.23 Blue Cross PC — Commercial: $407.30 Blue Cross PCB — Commercial: $381.23 Iowa Total Care — Managed Medicaid: $957.86
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$55	$46.75	$26.74 – $55.37
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial: $31.95 Aetna — Medicare Advantage: $29.14 Aetna of Kansas — Managed Medicaid: $26.74 Ambetter — Commercial: $55.37 Amerigroup of Iowa — Managed Medicaid: $27.08 Blue Cross Blue Shield — Medicare Advantage: $29.14 Blue Cross HMO — Commercial: $29.89 Blue Cross PC — Commercial: $31.94 Blue Cross PCB — Commercial: $29.89 Centurion — Commercial: $38.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$500	$425	$73.85 – $890
Chest X-ray, 2 views: 10 of 23 insurance plan rates Aetna — Commercial: $413.50 Aetna — Medicare Advantage: $88.73 Aetna of Kansas — Managed Medicaid: $73.85 Ambetter — Commercial: $168.58 Blue Cross Blue Shield — Medicare Advantage: $88.73 Blue Cross HMO — Commercial: $385.50 Blue Cross PC — Commercial: $434 Blue Cross PCB — Commercial: $385.50 Centurion — Commercial: $350 Cigna — Commercial: $440
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$500	$425	$200 – $450
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Commercial: $413.50 Blue Cross HMO — Commercial: $378 Blue Cross PC — Commercial: $434 Blue Cross PCB — Commercial: $378 Centurion — Commercial: $200 Cigna — Commercial: $440 Freedom Select Healthlink — Commercial: $429.30 GEHA Shared Services — Commercial: $406 Healthlink Open Access — Commercial: $429.30 Multiplan — Commercial: $450
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$68	$57.80	$40.70 – $169.04
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial: $48.91 Aetna — Medicare Advantage: $44.61 Aetna of Kansas — Managed Medicaid: $40.70 Ambetter — Commercial: $84.76 Amerigroup of Iowa — Managed Medicaid: $46.07 Blue Cross Blue Shield — Medicare Advantage: $44.61 Blue Cross HMO — Commercial: $46.42 Blue Cross PC — Commercial: $46.42 Blue Cross PCB — Commercial: $46.42 Centurion — Commercial: $47.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADEX SPINE LUMBOSARCRAL MINIMUM 4 VIEWS	$625	$531.25	$90.85 – $1,112.50
X-ray of the lower spine, at least 4 views: 10 of 23 insurance plan rates Aetna — Commercial: $516.88 Aetna — Medicare Advantage: $107.16 Aetna of Kansas — Managed Medicaid: $90.85 Ambetter — Commercial: $203.60 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross HMO — Commercial: $481.88 Blue Cross PC — Commercial: $542.50 Blue Cross PCB — Commercial: $481.88 Centurion — Commercial: $437.50 Cigna — Commercial: $550
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADEX SPINE LUMBOSARCRAL MINIMUM 4 VIEWS	$625	$531.25	$250 – $562.50
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Commercial: $516.88 Blue Cross HMO — Commercial: $472.50 Blue Cross PC — Commercial: $542.50 Blue Cross PCB — Commercial: $472.50 Centurion — Commercial: $250 Cigna — Commercial: $550 Freedom Select Healthlink — Commercial: $536.63 GEHA Shared Services — Commercial: $507.50 Healthlink Open Access — Commercial: $536.63 Multiplan — Commercial: $562.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,500	$1,275	$233.52 – $2,670
MRI of the lower back (lumbar spine), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $1,240.50 Aetna — Medicare Advantage: $243.58 Aetna of Kansas — Managed Medicaid: $233.52 Ambetter — Commercial: $462.81 Blue Cross Blue Shield — Medicare Advantage: $243.58 Blue Cross HMO — Commercial: $1,156.50 Blue Cross PC — Commercial: $1,302 Blue Cross PCB — Commercial: $1,156.50 Centurion — Commercial: $1,050 Cigna — Commercial: $1,320
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$2,500	$2,125	$1,000 – $2,250
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,067.50 Blue Cross HMO — Commercial: $1,890 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,890 Centurion — Commercial: $1,000 Cigna — Commercial: $2,200 Freedom Select Healthlink — Commercial: $2,146.50 GEHA Shared Services — Commercial: $2,030 Healthlink Open Access — Commercial: $2,146.50 Multiplan — Commercial: $2,250
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$168.80 – $1,838.07
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $185.09 Aetna — Medicare Advantage: $168.80 Aetna of Kansas — Managed Medicaid: $186.47 Ambetter — Commercial: $320.72 Amerigroup of Iowa — Managed Medicaid: $493.23 Blue Cross Blue Shield — Medicare Advantage: $168.80 Blue Cross HMO — Commercial: $236.41 Blue Cross PC — Commercial: $252.58 Blue Cross PCB — Commercial: $236.41 Iowa Total Care — Managed Medicaid: $493.23
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$3,200	$2,720	$153.29 – $5,696
CT scan of the pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial: $2,646.40 Aetna — Medicare Advantage: $179.39 Aetna of Kansas — Managed Medicaid: $153.29 Ambetter — Commercial: $340.84 Blue Cross Blue Shield — Medicare Advantage: $179.39 Blue Cross HMO — Commercial: $2,467.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,467.20 Centurion — Commercial: $2,240 Cigna — Commercial: $2,816
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$3,200	$2,720	$1,280 – $2,880
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,646.40 Blue Cross HMO — Commercial: $2,419.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,419.20 Centurion — Commercial: $1,280 Cigna — Commercial: $2,816 Freedom Select Healthlink — Commercial: $2,747.52 GEHA Shared Services — Commercial: $2,598.40 Healthlink Open Access — Commercial: $2,747.52 Multiplan — Commercial: $2,880
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$184 – $1,069.13
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $216.31 Aetna — Medicare Advantage: $197.27 Aetna of Kansas — Managed Medicaid: $184 Ambetter — Commercial: $374.81 Amerigroup of Iowa — Managed Medicaid: $288.06 Blue Cross Blue Shield — Medicare Advantage: $197.27 Blue Cross HMO — Commercial: $227.88 Blue Cross PC — Commercial: $243.47 Blue Cross PCB — Commercial: $227.88 Iowa Total Care — Managed Medicaid: $288.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O CONTRAST	$2,500	$2,125	$233.52 – $4,450
MRI of a leg joint (such as the knee), without contrast: 10 of 23 insurance plan rates Aetna — Commercial: $2,067.50 Aetna — Medicare Advantage: $243.58 Aetna of Kansas — Managed Medicaid: $233.52 Ambetter — Commercial: $462.81 Blue Cross Blue Shield — Medicare Advantage: $243.58 Blue Cross HMO — Commercial: $1,927.50 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,927.50 Centurion — Commercial: $1,750 Cigna — Commercial: $2,200
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI JNT OF LWR EXTRE W/O CONTRAST	$1,800	$1,530	$720 – $1,620
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — Commercial: $2,067.50 Blue Cross HMO — Commercial: $1,890 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,890 Centurion — Commercial: $1,000 Cigna — Commercial: $2,200 Freedom Select Healthlink — Commercial: $2,146.50 GEHA Shared Services — Commercial: $2,030 Healthlink Open Access — Commercial: $2,146.50 Multiplan — Commercial: $2,250
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$178.49 – $1,633.95
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $195.71 Aetna — Medicare Advantage: $178.49 Aetna of Kansas — Managed Medicaid: $196.95 Ambetter — Commercial: $339.13 Amerigroup of Iowa — Managed Medicaid: $447.28 Blue Cross Blue Shield — Medicare Advantage: $178.49 Blue Cross HMO — Commercial: $247.06 Blue Cross PC — Commercial: $263.96 Blue Cross PCB — Commercial: $247.06 Iowa Total Care — Managed Medicaid: $447.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,000	$2,550	$252.18 – $5,340
CT scan of the abdomen and pelvis, with contrast: 10 of 23 insurance plan rates Aetna — Commercial: $2,481 Aetna — Medicare Advantage: $359.88 Aetna of Kansas — Managed Medicaid: $252.18 Ambetter — Commercial: $683.77 Blue Cross Blue Shield — Medicare Advantage: $359.88 Blue Cross HMO — Commercial: $2,313 Blue Cross PC — Commercial: $2,604 Blue Cross PCB — Commercial: $2,313 Centurion — Commercial: $2,100 Cigna — Commercial: $2,640
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$4,200	$3,570	$1,680 – $3,780
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Commercial: $3,473.40 Blue Cross HMO — Commercial: $3,175.20 Blue Cross PC — Commercial: $3,645.60 Blue Cross PCB — Commercial: $3,175.20 Centurion — Commercial: $1,680 Cigna — Commercial: $3,696 Freedom Select Healthlink — Commercial: $3,606.12 GEHA Shared Services — Commercial: $3,410.40 Healthlink Open Access — Commercial: $3,606.12 Multiplan — Commercial: $3,780
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$252.18 – $501.79
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Aetna — Commercial: $289.59 Aetna — Medicare Advantage: $264.10 Aetna of Kansas — Managed Medicaid: $252.18 Ambetter — Commercial: $501.79 Amerigroup of Iowa — Managed Medicaid: $306.94 Blue Cross Blue Shield — Medicare Advantage: $264.10 Blue Cross HMO — Commercial: $314.05 Blue Cross PC — Commercial: $335.53 Blue Cross PCB — Commercial: $314.05 Iowa Total Care — Managed Medicaid: $306.94
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,500	$1,275	$90.85 – $2,670
Ultrasound of the abdomen, complete: 10 of 23 insurance plan rates Aetna — Commercial: $1,240.50 Aetna — Medicare Advantage: $107.16 Aetna of Kansas — Managed Medicaid: $90.85 Ambetter — Commercial: $203.60 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross HMO — Commercial: $1,156.50 Blue Cross PC — Commercial: $1,302 Blue Cross PCB — Commercial: $1,156.50 Centurion — Commercial: $1,050 Cigna — Commercial: $1,320
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,500	$1,275	$600 – $1,350
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Commercial: $1,240.50 Blue Cross HMO — Commercial: $1,134 Blue Cross PC — Commercial: $1,302 Blue Cross PCB — Commercial: $1,134 Centurion — Commercial: $600 Cigna — Commercial: $1,320 Freedom Select Healthlink — Commercial: $1,287.90 GEHA Shared Services — Commercial: $1,218 Healthlink Open Access — Commercial: $1,287.90 Multiplan — Commercial: $1,350
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$93.28 – $390.74
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $109.72 Aetna — Medicare Advantage: $100.06 Aetna of Kansas — Managed Medicaid: $93.28 Ambetter — Commercial: $190.11 Amerigroup of Iowa — Managed Medicaid: $105.88 Blue Cross Blue Shield — Medicare Advantage: $100.06 Blue Cross HMO — Commercial: $137.13 Blue Cross PC — Commercial: $146.51 Blue Cross PCB — Commercial: $137.13 Iowa Total Care — Managed Medicaid: $105.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$407	$345.95	$116.44 – $438.50
Pregnancy ultrasound (after the first trimester): 10 of 23 insurance plan rates Aetna — Commercial: $127.68 Aetna — Medicare Advantage: $116.44 Aetna of Kansas — Managed Medicaid: $127.69 Ambetter — Commercial: $221.24 Amerigroup of Iowa — Managed Medicaid: $119.74 Blue Cross Blue Shield — Medicare Advantage: $116.44 Blue Cross HMO — Commercial: $142.12 Blue Cross PC — Commercial: $151.84 Blue Cross PCB — Commercial: $142.12 Centurion — Commercial: $284.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,000	$850	$107.16 – $1,780
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates Aetna — Commercial: $827 Aetna — Medicare Advantage: $107.16 Ambetter — Commercial: $203.60 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross HMO — Commercial: $771 Blue Cross PC — Commercial: $868 Blue Cross PCB — Commercial: $771 Centurion — Commercial: $700 Cigna — Commercial: $880 Freedom Select Healthlink — Commercial: $858.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,000	$850	$400 – $900
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Commercial: $827 Blue Cross HMO — Commercial: $756 Blue Cross PC — Commercial: $868 Blue Cross PCB — Commercial: $756 Centurion — Commercial: $400 Cigna — Commercial: $880 Freedom Select Healthlink — Commercial: $858.60 GEHA Shared Services — Commercial: $812 Healthlink Open Access — Commercial: $858.60 Multiplan — Commercial: $900
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$199	$169.15	$85.35 – $312.93
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — Commercial: $111.21 Aetna — Medicare Advantage: $101.42 Aetna of Kansas — Managed Medicaid: $95.57 Ambetter — Commercial: $192.70 Amerigroup of Iowa — Managed Medicaid: $85.35 Blue Cross Blue Shield — Medicare Advantage: $101.42 Blue Cross HMO — Commercial: $122.61 Blue Cross PC — Commercial: $130.99 Blue Cross PCB — Commercial: $122.61 Centurion — Commercial: $139.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$950	$807.50	$90.85 – $1,691
Transvaginal ultrasound: 10 of 23 insurance plan rates Aetna — Commercial: $785.65 Aetna — Medicare Advantage: $107.16 Aetna of Kansas — Managed Medicaid: $90.85 Ambetter — Commercial: $203.60 Blue Cross Blue Shield — Medicare Advantage: $107.16 Blue Cross HMO — Commercial: $732.45 Blue Cross PC — Commercial: $824.60 Blue Cross PCB — Commercial: $732.45 Centurion — Commercial: $665 Cigna — Commercial: $836
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$950	$807.50	$380 – $855
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Commercial: $785.65 Blue Cross HMO — Commercial: $718.20 Blue Cross PC — Commercial: $824.60 Blue Cross PCB — Commercial: $718.20 Centurion — Commercial: $380 Cigna — Commercial: $836 Freedom Select Healthlink — Commercial: $815.67 GEHA Shared Services — Commercial: $771.40 Healthlink Open Access — Commercial: $815.67 Multiplan — Commercial: $855
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$275	$233.75	$73.15 – $489.50
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates Aetna — Commercial: $227.43 Aetna — Medicare Advantage: $73.15 Ambetter — Commercial: $138.99 Amerigroup of Iowa — Managed Medicaid: $111.25 Blue Cross Blue Shield — Medicare Advantage: $73.15 Blue Cross HMO — Commercial: $212.03 Blue Cross PC — Commercial: $238.70 Blue Cross PCB — Commercial: $212.03 Centurion — Commercial: $192.50 Cigna — Commercial: $242
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$275	$233.75	$110 – $247.50
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Commercial: $227.43 Blue Cross HMO — Commercial: $207.90 Blue Cross PC — Commercial: $238.70 Blue Cross PCB — Commercial: $207.90 Centurion — Commercial: $110 Cigna — Commercial: $242 Freedom Select Healthlink — Commercial: $236.12 GEHA Shared Services — Commercial: $223.30 Healthlink Open Access — Commercial: $236.12 Multiplan — Commercial: $247.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$99.82 – $206.47
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — Commercial: $119.16 Aetna — Medicare Advantage: $108.67 Aetna of Kansas — Managed Medicaid: $99.82 Ambetter — Commercial: $206.47 Amerigroup of Iowa — Managed Medicaid: $111.25 Blue Cross Blue Shield — Medicare Advantage: $108.67 Blue Cross HMO — Commercial: $131.51 Blue Cross PC — Commercial: $140.51 Blue Cross PCB — Commercial: $131.51 Iowa Total Care — Managed Medicaid: $111.25
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$350	$297.50	$93.16 – $623
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Commercial: $289.45 Aetna — Medicare Advantage: $93.16 Ambetter — Commercial: $177 Amerigroup of Iowa — Managed Medicaid: $140.82 Blue Cross Blue Shield — Medicare Advantage: $93.16 Blue Cross HMO — Commercial: $269.85 Blue Cross PC — Commercial: $303.80 Blue Cross PCB — Commercial: $269.85 Centurion — Commercial: $245 Cigna — Commercial: $308
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$350	$297.50	$140 – $315
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $289.45 Blue Cross HMO — Commercial: $264.60 Blue Cross PC — Commercial: $303.80 Blue Cross PCB — Commercial: $264.60 Centurion — Commercial: $140 Cigna — Commercial: $308 Freedom Select Healthlink — Commercial: $300.51 GEHA Shared Services — Commercial: $284.20 Healthlink Open Access — Commercial: $300.51 Multiplan — Commercial: $315
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$125.93 – $259.86
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — Commercial: $149.97 Aetna — Medicare Advantage: $136.77 Aetna of Kansas — Managed Medicaid: $125.93 Ambetter — Commercial: $259.86 Amerigroup of Iowa — Managed Medicaid: $140.82 Blue Cross Blue Shield — Medicare Advantage: $136.77 Blue Cross HMO — Commercial: $164.10 Blue Cross PC — Commercial: $175.32 Blue Cross PCB — Commercial: $164.10 Iowa Total Care — Managed Medicaid: $140.82
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$250	$212.50	$77 – $445
Screening mammogram, both breasts: 10 of 23 insurance plan rates Aetna — Commercial: $206.75 Aetna — Medicare Advantage: $77 Ambetter — Commercial: $146.31 Amerigroup of Iowa — Managed Medicaid: $113.76 Blue Cross Blue Shield — Medicare Advantage: $77 Blue Cross HMO — Commercial: $192.75 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $192.75 Centurion — Commercial: $175 Cigna — Commercial: $220
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$250	$212.50	$100 – $225
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Commercial: $206.75 Blue Cross HMO — Commercial: $189 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $189 Centurion — Commercial: $100 Cigna — Commercial: $220 Freedom Select Healthlink — Commercial: $214.65 GEHA Shared Services — Commercial: $203 Healthlink Open Access — Commercial: $214.65 Multiplan — Commercial: $225
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$102.03 – $210.20
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — Commercial: $121.31 Aetna — Medicare Advantage: $110.63 Aetna of Kansas — Managed Medicaid: $102.03 Ambetter — Commercial: $210.20 Amerigroup of Iowa — Managed Medicaid: $113.73 Blue Cross Blue Shield — Medicare Advantage: $110.63 Blue Cross HMO — Commercial: $134.54 Blue Cross PC — Commercial: $143.74 Blue Cross PCB — Commercial: $134.54 Iowa Total Care — Managed Medicaid: $113.73

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ECG 12-LEAD - CLINIC ACQUISITION	$200	$170	$12.80 – $176
Electrocardiogram (ECG/EKG) with reading: 10 of 23 insurance plan rates Aetna — Commercial: $14.04 Aetna — Medicare Advantage: $12.80 Aetna of Kansas — Managed Medicaid: $24.16 Ambetter — Commercial: $24.32 Amerigroup of Iowa — Managed Medicaid: $25.65 Blue Cross Blue Shield — Medicare Advantage: $12.80 Blue Cross HMO — Commercial: $16.37 Blue Cross PC — Commercial: $17.49 Blue Cross PCB — Commercial: $16.37 Centurion — Commercial: $140
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$82	$69.70	$12.80 – $86.42
Electrocardiogram (ECG/EKG) with reading: 10 of 23 insurance plan rates Aetna — Commercial: $14.04 Aetna — Medicare Advantage: $12.80 Aetna of Kansas — Managed Medicaid: $24.16 Ambetter — Commercial: $24.32 Amerigroup of Iowa — Managed Medicaid: $25.65 Blue Cross Blue Shield — Medicare Advantage: $12.80 Blue Cross HMO — Commercial: $16.37 Blue Cross PC — Commercial: $17.49 Blue Cross PCB — Commercial: $16.37 Centurion — Commercial: $57.40
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	$25.65 – $27.64
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Aetna of Kansas — Managed Medicaid: $27.64 Amerigroup of Iowa — Managed Medicaid: $25.65 Iowa Total Care — Managed Medicaid: $25.65 Molina of Iowa — Managed Medicaid: $25.65 Sunflower of Kansas — Managed Medicaid: $27.64 United Healthcare of Kansas — Managed Medicaid: $27.64
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$420	$357	$294 – $1,399.81
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $807.84 Aetna — Medicare Advantage: $736.74 Aetna of Kansas — Managed Medicaid: $744.86 Ambetter — Commercial: $1,399.81 Amerigroup of Iowa — Managed Medicaid: $752.47 Blue Cross Blue Shield — Medicare Advantage: $736.74 Blue Cross HMO — Commercial: $854.78 Blue Cross PC — Commercial: $913.22 Blue Cross PCB — Commercial: $854.78 Centurion — Commercial: $294
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$13,000	$11,050	$3,241.19 – $23,140
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates Aetna — Commercial: $10,751 Aetna — Medicare Advantage: $3,241.19 Ambetter — Commercial: $6,158.26 Blue Cross Blue Shield — Medicare Advantage: $3,241.19 Blue Cross HMO — Commercial: $10,023 Blue Cross PC — Commercial: $11,284 Blue Cross PCB — Commercial: $10,023 Centurion — Commercial: $9,100 Cigna — Commercial: $11,440 Freedom Select Healthlink — Commercial: $11,161.80
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$13,000	$11,050	$5,200 – $11,700
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Aetna — Commercial: $10,751 Blue Cross HMO — Commercial: $9,828 Blue Cross PC — Commercial: $11,284 Blue Cross PCB — Commercial: $9,828 Centurion — Commercial: $5,200 Cigna — Commercial: $11,440 Freedom Select Healthlink — Commercial: $11,161.80 GEHA Shared Services — Commercial: $10,556 Healthlink Open Access — Commercial: $11,161.80 Multiplan — Commercial: $11,700
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$594.48 – $2,344.52
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates Aetna — Commercial: $842.75 Aetna — Medicare Advantage: $768.58 Aetna of Kansas — Managed Medicaid: $594.48 Ambetter — Commercial: $1,460.30 Amerigroup of Iowa — Managed Medicaid: $714.51 Blue Cross Blue Shield — Medicare Advantage: $768.58 Blue Cross HMO — Commercial: $741.75 Blue Cross PC — Commercial: $790.40 Blue Cross PCB — Commercial: $741.75 Iowa Total Care — Managed Medicaid: $714.51
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	$2,419.31 – $14,528.46
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans Aetna — Medicare Advantage: $7,646.56 Aetna of Kansas — Managed Medicaid: $2,419.31 Ambetter — Commercial: $14,528.46 Blue Cross Blue Shield — Medicare Advantage: $7,646.56 Sunflower of Kansas — Managed Medicaid: $2,419.31 United Healthcare — Medicare Advantage: $7,646.56 United Healthcare of Kansas — Managed Medicaid: $2,419.31
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$338.05 – $1,354.29
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates Aetna of Kansas — Managed Medicaid: $338.05 Amerigroup of Iowa — Managed Medicaid: $364.80 Blue Cross HMO — Commercial: $419 Blue Cross PC — Commercial: $447.65 Blue Cross PCB — Commercial: $419 Iowa Total Care — Managed Medicaid: $364.80 Molina of Iowa — Managed Medicaid: $364.80 Multiplan — Commercial: $1,354.29 Sunflower of Kansas — Managed Medicaid: $338.05 United Healthcare — Commercial: $494.04
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$1,560	$1,326	$735.07 – $1,637.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna — Commercial: $945.11 Aetna — Medicare Advantage: $861.93 Aetna of Kansas — Managed Medicaid: $735.07 Ambetter — Commercial: $1,637.67 Amerigroup of Iowa — Managed Medicaid: $947.20 Blue Cross Blue Shield — Medicare Advantage: $861.93 Blue Cross HMO — Commercial: $1,152.91 Blue Cross PC — Commercial: $1,231.74 Blue Cross PCB — Commercial: $1,152.91 Centurion — Commercial: $1,092
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$32,000	$27,200	$7,534.51 – $56,960
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Aetna — Commercial: $26,464 Aetna — Medicare Advantage: $24,721.29 Aetna of Kansas — Managed Medicaid: $7,534.51 Ambetter — Commercial: $46,970.46 Blue Cross Blue Shield — Medicare Advantage: $24,721.29 Blue Cross HMO — Commercial: $24,672 Blue Cross PC — Commercial: $27,776 Blue Cross PCB — Commercial: $24,672 Centurion — Commercial: $22,400 Cigna — Commercial: $28,160
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$32,000	$27,200	$12,800 – $28,800
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Aetna — Commercial: $26,464 Blue Cross HMO — Commercial: $24,192 Blue Cross PC — Commercial: $27,776 Blue Cross PCB — Commercial: $24,192 Centurion — Commercial: $12,800 Cigna — Commercial: $28,160 Freedom Select Healthlink — Commercial: $27,475.20 GEHA Shared Services — Commercial: $25,984 Healthlink Open Access — Commercial: $27,475.20 Multiplan — Commercial: $28,800
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,077	$915.45	$476.14 – $2,630.88
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Aetna — Commercial: $586.56 Aetna — Medicare Advantage: $534.94 Aetna of Kansas — Managed Medicaid: $476.14 Ambetter — Commercial: $1,016.39 Amerigroup of Iowa — Managed Medicaid: $543.93 Blue Cross Blue Shield — Medicare Advantage: $534.94 Blue Cross HMO — Commercial: $594.23 Blue Cross PC — Commercial: $634.86 Blue Cross PCB — Commercial: $594.23 Centurion — Commercial: $753.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/> YRS 4/> PARAM	$5,000	$4,250	$338.70 – $8,900
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Aetna — Commercial: $4,135 Aetna — Medicare Advantage: $1,025.23 Aetna of Kansas — Managed Medicaid: $338.70 Ambetter — Commercial: $1,947.93 Blue Cross Blue Shield — Medicare Advantage: $1,025.23 Blue Cross HMO — Commercial: $3,855 Blue Cross PC — Commercial: $4,340 Blue Cross PCB — Commercial: $3,855 Centurion — Commercial: $3,500 Cigna — Commercial: $4,400
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/> YRS 4/> PARAM	$5,000	$4,250	$2,000 – $4,500
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — Commercial: $4,135 Blue Cross HMO — Commercial: $3,780 Blue Cross PC — Commercial: $4,340 Blue Cross PCB — Commercial: $3,780 Centurion — Commercial: $2,000 Cigna — Commercial: $4,400 Freedom Select Healthlink — Commercial: $4,293 GEHA Shared Services — Commercial: $4,060 Healthlink Open Access — Commercial: $4,293 Multiplan — Commercial: $4,500

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$150	$127.50	$24.88 – $267
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $124.05 Aetna — Medicare Advantage: $26.82 Aetna of Kansas — Managed Medicaid: $28.04 Ambetter — Commercial: $50.96 Amerigroup of Iowa — Managed Medicaid: $24.88 Blue Cross Blue Shield — Medicare Advantage: $26.82 Blue Cross HMO — Commercial: $115.65 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $115.65 Centurion — Commercial: $105
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$150	$127.50	$24.88 – $267
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $124.05 Aetna — Medicare Advantage: $26.82 Aetna of Kansas — Managed Medicaid: $28.04 Ambetter — Commercial: $50.96 Amerigroup of Iowa — Managed Medicaid: $24.88 Blue Cross Blue Shield — Medicare Advantage: $26.82 Blue Cross HMO — Commercial: $115.65 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $115.65 Centurion — Commercial: $105
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SLP THERAPEUTIC EXERCISES	$150	$127.50	$24.88 – $267
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Commercial: $124.05 Aetna — Medicare Advantage: $26.82 Aetna of Kansas — Managed Medicaid: $28.04 Ambetter — Commercial: $50.96 Amerigroup of Iowa — Managed Medicaid: $24.88 Blue Cross Blue Shield — Medicare Advantage: $26.82 Blue Cross HMO — Commercial: $115.65 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $115.65 Centurion — Commercial: $105
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$250	$212.50	$71.82 – $445
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Aetna — Commercial: $206.75 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $71.82 Ambetter — Commercial: $173.59 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $192.75 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $192.75 Centurion — Commercial: $175
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$250	$212.50	$100 – $225
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Aetna — Commercial: $206.75 Blue Cross HMO — Commercial: $189 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $189 Centurion — Commercial: $100 Cigna — Commercial: $220 Freedom Select Healthlink — Commercial: $214.65 GEHA Shared Services — Commercial: $203 Healthlink Open Access — Commercial: $214.65 Multiplan — Commercial: $225
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$72.47 – $173.58
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — Commercial: $100.18 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $76.93 Ambetter — Commercial: $173.58 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $72.47 Blue Cross PC — Commercial: $72.47 Blue Cross PCB — Commercial: $72.47 Iowa Total Care — Managed Medicaid: $73.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$250	$212.50	$71.82 – $445
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Aetna — Commercial: $206.75 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $71.82 Ambetter — Commercial: $173.59 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $192.75 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $192.75 Centurion — Commercial: $175
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$250	$212.50	$100 – $225
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Aetna — Commercial: $206.75 Blue Cross HMO — Commercial: $189 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $189 Centurion — Commercial: $100 Cigna — Commercial: $220 Freedom Select Healthlink — Commercial: $214.65 GEHA Shared Services — Commercial: $203 Healthlink Open Access — Commercial: $214.65 Multiplan — Commercial: $225
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$72.47 – $173.58
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — Commercial: $100.18 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $76.93 Ambetter — Commercial: $173.58 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $72.47 Blue Cross PC — Commercial: $72.47 Blue Cross PCB — Commercial: $72.47 Iowa Total Care — Managed Medicaid: $73.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$250	$212.50	$57.45 – $445
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Aetna — Commercial: $206.75 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $57.45 Ambetter — Commercial: $173.59 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $192.75 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $192.75 Centurion — Commercial: $175
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$250	$212.50	$100 – $225
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Aetna — Commercial: $206.75 Blue Cross HMO — Commercial: $189 Blue Cross PC — Commercial: $217 Blue Cross PCB — Commercial: $189 Centurion — Commercial: $100 Cigna — Commercial: $220 Freedom Select Healthlink — Commercial: $214.65 GEHA Shared Services — Commercial: $203 Healthlink Open Access — Commercial: $214.65 Multiplan — Commercial: $225
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$72.47 – $173.58
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — Commercial: $100.18 Aetna — Medicare Advantage: $91.36 Aetna of Kansas — Managed Medicaid: $76.93 Ambetter — Commercial: $173.58 Amerigroup of Iowa — Managed Medicaid: $73.33 Blue Cross Blue Shield — Medicare Advantage: $91.36 Blue Cross HMO — Commercial: $72.47 Blue Cross PC — Commercial: $72.47 Blue Cross PCB — Commercial: $72.47 Iowa Total Care — Managed Medicaid: $73.33
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$131	$111.35	$38.54 – $128.86
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates Aetna — Commercial: $74.36 Aetna — Medicare Advantage: $67.82 Aetna of Kansas — Managed Medicaid: $38.54 Ambetter — Commercial: $128.86 Amerigroup of Iowa — Managed Medicaid: $41.33 Blue Cross Blue Shield — Medicare Advantage: $67.82 Blue Cross HMO — Commercial: $50.99 Blue Cross PC — Commercial: $54.33 Blue Cross PCB — Commercial: $50.99 Centurion — Commercial: $91.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$150	$127.50	$105 – $307.62
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $124.05 Aetna — Medicare Advantage: $161.91 Ambetter — Commercial: $307.62 Blue Cross Blue Shield — Medicare Advantage: $161.91 Blue Cross HMO — Commercial: $115.65 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $115.65 Centurion — Commercial: $105 Cigna — Commercial: $132 Freedom Select Healthlink — Commercial: $128.79
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$150	$127.50	$60 – $135
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates Aetna — Commercial: $124.05 Blue Cross HMO — Commercial: $113.40 Blue Cross PC — Commercial: $130.20 Blue Cross PCB — Commercial: $113.40 Centurion — Commercial: $60 Cigna — Commercial: $132 Freedom Select Healthlink — Commercial: $128.79 GEHA Shared Services — Commercial: $121.80 Healthlink Open Access — Commercial: $128.79 Multiplan — Commercial: $135
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$193	$164.05	$53.53 – $169.94
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates Aetna — Commercial: $98.07 Aetna — Medicare Advantage: $89.44 Aetna of Kansas — Managed Medicaid: $77.08 Ambetter — Commercial: $169.94 Amerigroup of Iowa — Managed Medicaid: $53.53 Blue Cross Blue Shield — Medicare Advantage: $89.44 Blue Cross HMO — Commercial: $76.45 Blue Cross PC — Commercial: $81.46 Blue Cross PCB — Commercial: $76.45 Centurion — Commercial: $135.10
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$200	$170	$140 – $356
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $165.40 Aetna — Medicare Advantage: $161.91 Ambetter — Commercial: $307.62 Blue Cross Blue Shield — Medicare Advantage: $161.91 Blue Cross HMO — Commercial: $154.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $154.20 Centurion — Commercial: $140 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$200	$170	$80 – $180
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates Aetna — Commercial: $165.40 Blue Cross HMO — Commercial: $151.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $151.20 Centurion — Commercial: $80 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72 GEHA Shared Services — Commercial: $162.40 Healthlink Open Access — Commercial: $171.72 Multiplan — Commercial: $180
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$260	$221	$81.59 – $251.64
Psychotherapy, 60 minutes: 10 of 23 insurance plan rates Aetna — Commercial: $145.22 Aetna — Medicare Advantage: $132.44 Aetna of Kansas — Managed Medicaid: $115.63 Ambetter — Commercial: $251.64 Amerigroup of Iowa — Managed Medicaid: $81.59 Blue Cross Blue Shield — Medicare Advantage: $132.44 Blue Cross HMO — Commercial: $115.40 Blue Cross PC — Commercial: $122.96 Blue Cross PCB — Commercial: $115.40 Centurion — Commercial: $182
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$200	$170	$140 – $356
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Commercial: $165.40 Aetna — Medicare Advantage: $161.91 Ambetter — Commercial: $307.62 Blue Cross Blue Shield — Medicare Advantage: $161.91 Blue Cross HMO — Commercial: $154.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $154.20 Centurion — Commercial: $140 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$200	$170	$80 – $180
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates Aetna — Commercial: $165.40 Blue Cross HMO — Commercial: $151.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $151.20 Centurion — Commercial: $80 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72 GEHA Shared Services — Commercial: $162.40 Healthlink Open Access — Commercial: $171.72 Multiplan — Commercial: $180
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$210	$178.50	$18.66 – $310.75
Family psychotherapy, without the patient: 10 of 23 insurance plan rates Aetna — Commercial: $106.02 Aetna — Medicare Advantage: $96.69 Aetna of Kansas — Managed Medicaid: $73.68 Ambetter — Commercial: $183.71 Amerigroup of Iowa — Managed Medicaid: $18.66 Blue Cross Blue Shield — Medicare Advantage: $96.69 Blue Cross HMO — Commercial: $94.38 Blue Cross PC — Commercial: $100.56 Blue Cross PCB — Commercial: $94.38 Centurion — Commercial: $147
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MIN	$225	$191.25	$157.50 – $400.50
Family psychotherapy, without the patient: 10 of 20 insurance plan rates Aetna — Commercial: $186.08 Aetna — Medicare Advantage: $161.91 Ambetter — Commercial: $307.62 Blue Cross Blue Shield — Medicare Advantage: $161.91 Blue Cross HMO — Commercial: $173.48 Blue Cross PC — Commercial: $195.30 Blue Cross PCB — Commercial: $173.48 Centurion — Commercial: $157.50 Cigna — Commercial: $198 Freedom Select Healthlink — Commercial: $193.19
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MIN	$225	$191.25	$90 – $202.50
Family psychotherapy, without the patient: 10 of 13 insurance plan rates Aetna — Commercial: $186.08 Blue Cross HMO — Commercial: $170.10 Blue Cross PC — Commercial: $195.30 Blue Cross PCB — Commercial: $170.10 Centurion — Commercial: $90 Cigna — Commercial: $198 Freedom Select Healthlink — Commercial: $193.19 GEHA Shared Services — Commercial: $182.70 Healthlink Open Access — Commercial: $193.19 Multiplan — Commercial: $202.50
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$206	$175.10	$18.02 – $379.70
Family psychotherapy, with the patient: 10 of 23 insurance plan rates Aetna — Commercial: $110.53 Aetna — Medicare Advantage: $100.80 Aetna of Kansas — Managed Medicaid: $73.68 Ambetter — Commercial: $191.52 Amerigroup of Iowa — Managed Medicaid: $18.02 Blue Cross Blue Shield — Medicare Advantage: $100.80 Blue Cross HMO — Commercial: $110.53 Blue Cross PC — Commercial: $117.78 Blue Cross PCB — Commercial: $110.53 Centurion — Commercial: $144.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MIN	$200	$170	$140 – $356
Family psychotherapy, with the patient: 10 of 20 insurance plan rates Aetna — Commercial: $165.40 Aetna — Medicare Advantage: $161.91 Ambetter — Commercial: $307.62 Blue Cross Blue Shield — Medicare Advantage: $161.91 Blue Cross HMO — Commercial: $154.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $154.20 Centurion — Commercial: $140 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MIN	$200	$170	$80 – $180
Family psychotherapy, with the patient: 10 of 13 insurance plan rates Aetna — Commercial: $165.40 Blue Cross HMO — Commercial: $151.20 Blue Cross PC — Commercial: $173.60 Blue Cross PCB — Commercial: $151.20 Centurion — Commercial: $80 Cigna — Commercial: $176 Freedom Select Healthlink — Commercial: $171.72 GEHA Shared Services — Commercial: $162.40 Healthlink Open Access — Commercial: $171.72 Multiplan — Commercial: $180
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$58	$49.30	$10.16 – $104.75
Group psychotherapy: 10 of 23 insurance plan rates Aetna — Commercial: $26.18 Aetna — Medicare Advantage: $23.88 Aetna of Kansas — Managed Medicaid: $25.21 Ambetter — Commercial: $45.37 Amerigroup of Iowa — Managed Medicaid: $10.16 Blue Cross Blue Shield — Medicare Advantage: $23.88 Blue Cross HMO — Commercial: $30.49 Blue Cross PC — Commercial: $32.49 Blue Cross PCB — Commercial: $30.49 Centurion — Commercial: $40.60
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	$93.21 – $177.10
Group psychotherapy: rates for 4 insurance plans Aetna — Medicare Advantage: $93.21 Ambetter — Commercial: $177.10 Blue Cross Blue Shield — Medicare Advantage: $93.21 United Healthcare — Medicare Advantage: $93.21
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee · modifier AF In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$63.40
Group psychotherapy: rates for 3 insurance plans Amerigroup of Iowa — Managed Medicaid: $63.40 Iowa Total Care — Managed Medicaid: $63.40 Molina of Iowa — Managed Medicaid: $63.40

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$791	$672.35	$316.77 – $1,326.23
Removal of breast growth (open surgery): 10 of 24 insurance plan rates Aetna — Commercial: $424.32 Aetna — Medicare Advantage: $386.98 Aetna of Kansas — Managed Medicaid: $355.87 Ambetter — Commercial: $735.26 Amerigroup of Iowa — Managed Medicaid: $324.73 Blue Cross Blue Shield — Medicare Advantage: $386.98 Blue Cross HMO — Commercial: $356.66 Blue Cross PC — Commercial: $380.05 Blue Cross PCB — Commercial: $356.66 Centurion — Commercial: $553.70
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	$1,234.81 – $7,331.68
Removal of breast growth (open surgery): rates for 7 insurance plans Aetna — Medicare Advantage: $3,858.78 Aetna of Kansas — Managed Medicaid: $1,234.81 Ambetter — Commercial: $7,331.68 Blue Cross Blue Shield — Medicare Advantage: $3,858.78 Sunflower of Kansas — Managed Medicaid: $1,234.81 United Healthcare — Medicare Advantage: $3,858.78 United Healthcare of Kansas — Managed Medicaid: $1,234.81
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$475.16
Removal of breast growth (open surgery): rates for 1 insurance plan United Healthcare of Nebraska — Managed Medicaid: $475.16
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,633	$2,238.05	$1,112.84 – $4,522.44
Total hip replacement: 10 of 23 insurance plan rates Aetna — Commercial: $1,300.37 Aetna — Medicare Advantage: $1,185.93 Aetna of Kansas — Managed Medicaid: $1,112.84 Ambetter — Commercial: $2,253.27 Amerigroup of Iowa — Managed Medicaid: $1,394.46 Blue Cross Blue Shield — Medicare Advantage: $1,185.93 Blue Cross HMO — Commercial: $1,381.21 Blue Cross PC — Commercial: $1,475.65 Blue Cross PCB — Commercial: $1,381.21 Centurion — Commercial: $1,843.10
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	$8,509.01 – $24,635.29
Total hip replacement: rates for 7 insurance plans Aetna — Medicare Advantage: $12,965.94 Aetna of Kansas — Managed Medicaid: $8,509.01 Ambetter — Commercial: $24,635.29 Blue Cross Blue Shield — Medicare Advantage: $12,965.94 Sunflower of Kansas — Managed Medicaid: $8,509.01 United Healthcare — Medicare Advantage: $12,965.94 United Healthcare of Kansas — Managed Medicaid: $8,509.01
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$695.52
Total hip replacement: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $695.52 Sunflower of Kansas — Managed Medicaid: $695.52 United Healthcare of Kansas — Managed Medicaid: $695.52
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,819	$2,396.15	$1,156.50 – $4,882.89
Total knee replacement: 10 of 23 insurance plan rates Aetna — Commercial: $1,298.80 Aetna — Medicare Advantage: $1,184.50 Aetna of Kansas — Managed Medicaid: $1,156.50 Ambetter — Commercial: $2,250.55 Amerigroup of Iowa — Managed Medicaid: $1,475.63 Blue Cross Blue Shield — Medicare Advantage: $1,184.50 Blue Cross HMO — Commercial: $1,380.48 Blue Cross PC — Commercial: $1,474.87 Blue Cross PCB — Commercial: $1,380.48 Centurion — Commercial: $1,973.30
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	$4,263.54 – $24,635.29
Total knee replacement: rates for 7 insurance plans Aetna — Medicare Advantage: $12,965.94 Aetna of Kansas — Managed Medicaid: $4,263.54 Ambetter — Commercial: $24,635.29 Blue Cross Blue Shield — Medicare Advantage: $12,965.94 Sunflower of Kansas — Managed Medicaid: $4,263.54 United Healthcare — Medicare Advantage: $12,965.94 United Healthcare of Kansas — Managed Medicaid: $4,263.54
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$746.52
Total knee replacement: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $746.52 Sunflower of Kansas — Managed Medicaid: $746.52 United Healthcare of Kansas — Managed Medicaid: $746.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$1,194	$1,014.90	$158.97 – $2,212.02
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates Aetna — Commercial: $174.31 Aetna — Medicare Advantage: $158.97 Aetna of Kansas — Managed Medicaid: $542.24 Ambetter — Commercial: $302.04 Amerigroup of Iowa — Managed Medicaid: $662.72 Blue Cross Blue Shield — Medicare Advantage: $158.97 Blue Cross HMO — Commercial: $180.67 Blue Cross PC — Commercial: $193.03 Blue Cross PCB — Commercial: $180.67 Centurion — Commercial: $835.80
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	$780
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $780 Sunflower of Kansas — Managed Medicaid: $780 United Healthcare of Kansas — Managed Medicaid: $780
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$338.90
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $338.90 Sunflower of Kansas — Managed Medicaid: $338.90 United Healthcare of Kansas — Managed Medicaid: $338.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,131	$961.35	$487.65 – $1,965.52
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Aetna — Commercial: $547.80 Aetna — Medicare Advantage: $499.59 Aetna of Kansas — Managed Medicaid: $494.35 Ambetter — Commercial: $949.22 Amerigroup of Iowa — Managed Medicaid: $487.65 Blue Cross Blue Shield — Medicare Advantage: $499.59 Blue Cross HMO — Commercial: $545.22 Blue Cross PC — Commercial: $582.50 Blue Cross PCB — Commercial: $545.22 Centurion — Commercial: $791.70
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,048.57 – $6,212.25
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Aetna — Medicare Advantage: $3,269.61 Aetna of Kansas — Managed Medicaid: $1,048.57 Ambetter — Commercial: $6,212.25 Blue Cross Blue Shield — Medicare Advantage: $3,269.61 Sunflower of Kansas — Managed Medicaid: $1,048.57 United Healthcare — Medicare Advantage: $3,269.61 United Healthcare of Kansas — Managed Medicaid: $1,048.57
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$516	$438.60	$248.09 – $920.55
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Aetna — Commercial: $294.44 Aetna — Medicare Advantage: $268.53 Aetna of Kansas — Managed Medicaid: $248.09 Ambetter — Commercial: $510.21 Amerigroup of Iowa — Managed Medicaid: $254.67 Blue Cross Blue Shield — Medicare Advantage: $268.53 Blue Cross HMO — Commercial: $295.79 Blue Cross PC — Commercial: $316.02 Blue Cross PCB — Commercial: $295.79 Centurion — Commercial: $361.20
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	$1,897.10 – $11,326.34
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans Aetna — Medicare Advantage: $5,961.23 Aetna of Kansas — Managed Medicaid: $1,897.10 Ambetter — Commercial: $11,326.34 Blue Cross Blue Shield — Medicare Advantage: $5,961.23 Sunflower of Kansas — Managed Medicaid: $1,897.10 United Healthcare — Medicare Advantage: $5,961.23 United Healthcare of Kansas — Managed Medicaid: $1,897.10
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$507	$430.95	$111.95 – $946.56
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates Aetna — Commercial: $122.75 Aetna — Medicare Advantage: $111.95 Aetna of Kansas — Managed Medicaid: $250 Ambetter — Commercial: $212.71 Amerigroup of Iowa — Managed Medicaid: $280.99 Blue Cross Blue Shield — Medicare Advantage: $111.95 Blue Cross HMO — Commercial: $149.74 Blue Cross PC — Commercial: $159.55 Blue Cross PCB — Commercial: $149.74 Centurion — Commercial: $354.90
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$2,500	$2,125	$293.65 – $4,450
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $2,067.50 Aetna — Medicare Advantage: $944.78 Aetna of Kansas — Managed Medicaid: $293.65 Ambetter — Commercial: $1,795.09 Blue Cross Blue Shield — Medicare Advantage: $944.78 Blue Cross HMO — Commercial: $1,927.50 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,927.50 Centurion — Commercial: $1,750 Cigna — Commercial: $2,200
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$2,500	$2,125	$1,000 – $2,250
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — Commercial: $2,067.50 Blue Cross HMO — Commercial: $1,890 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,890 Centurion — Commercial: $1,000 Cigna — Commercial: $2,200 Freedom Select Healthlink — Commercial: $2,146.50 GEHA Shared Services — Commercial: $2,030 Healthlink Open Access — Commercial: $2,146.50 Multiplan — Commercial: $2,250
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$997	$847.45	$125.90 – $1,076.34
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates Aetna — Commercial: $138.05 Aetna — Medicare Advantage: $125.90 Aetna of Kansas — Managed Medicaid: $284.80 Ambetter — Commercial: $239.21 Amerigroup of Iowa — Managed Medicaid: $358.57 Blue Cross Blue Shield — Medicare Advantage: $125.90 Blue Cross HMO — Commercial: $173.67 Blue Cross PC — Commercial: $185.06 Blue Cross PCB — Commercial: $173.67 Centurion — Commercial: $697.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$2,500	$2,125	$293.65 – $4,450
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Commercial: $2,067.50 Aetna — Medicare Advantage: $944.78 Aetna of Kansas — Managed Medicaid: $293.65 Ambetter — Commercial: $1,795.09 Blue Cross Blue Shield — Medicare Advantage: $944.78 Blue Cross HMO — Commercial: $1,927.50 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,927.50 Centurion — Commercial: $1,750 Cigna — Commercial: $2,200
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$2,500	$2,125	$1,000 – $2,250
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — Commercial: $2,067.50 Blue Cross HMO — Commercial: $1,890 Blue Cross PC — Commercial: $2,170 Blue Cross PCB — Commercial: $1,890 Centurion — Commercial: $1,000 Cigna — Commercial: $2,200 Freedom Select Healthlink — Commercial: $2,146.50 GEHA Shared Services — Commercial: $2,030 Healthlink Open Access — Commercial: $2,146.50 Multiplan — Commercial: $2,250
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$1,825	$1,551.25	$168.73 – $1,606
Colonoscopy (diagnostic): 10 of 24 insurance plan rates Aetna — Commercial: $185.01 Aetna — Medicare Advantage: $168.73 Aetna of Kansas — Managed Medicaid: $307.30 Ambetter — Commercial: $320.59 Amerigroup of Iowa — Managed Medicaid: $208.92 Blue Cross Blue Shield — Medicare Advantage: $168.73 Blue Cross HMO — Commercial: $219.62 Blue Cross PC — Commercial: $234.03 Blue Cross PCB — Commercial: $219.62 Centurion — Commercial: $1,277.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$677	$575.45	$168.73 – $1,239.65
Colonoscopy (diagnostic): 10 of 24 insurance plan rates Aetna — Commercial: $185.01 Aetna — Medicare Advantage: $168.73 Aetna of Kansas — Managed Medicaid: $307.30 Ambetter — Commercial: $320.59 Amerigroup of Iowa — Managed Medicaid: $208.92 Blue Cross Blue Shield — Medicare Advantage: $168.73 Blue Cross HMO — Commercial: $219.62 Blue Cross PC — Commercial: $234.03 Blue Cross PCB — Commercial: $219.62 Centurion — Commercial: $473.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$2,000	$1,700	$296.08 – $3,560
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — Commercial: $1,654 Aetna — Medicare Advantage: $918.73 Aetna of Kansas — Managed Medicaid: $296.08 Ambetter — Commercial: $1,745.59 Blue Cross Blue Shield — Medicare Advantage: $918.73 Blue Cross HMO — Commercial: $1,542 Blue Cross PC — Commercial: $1,736 Blue Cross PCB — Commercial: $1,542 Centurion — Commercial: $1,400 Cigna — Commercial: $1,760
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$1,990	$1,691.50	$183.59 – $1,751.20
Colonoscopy with biopsy: 10 of 24 insurance plan rates Aetna — Commercial: $201.31 Aetna — Medicare Advantage: $183.59 Aetna of Kansas — Managed Medicaid: $391.05 Ambetter — Commercial: $348.82 Amerigroup of Iowa — Managed Medicaid: $211.55 Blue Cross Blue Shield — Medicare Advantage: $183.59 Blue Cross HMO — Commercial: $259.49 Blue Cross PC — Commercial: $276.51 Blue Cross PCB — Commercial: $259.49 Centurion — Commercial: $1,393
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$813	$691.05	$183.59 – $1,464.63
Colonoscopy with biopsy: 10 of 24 insurance plan rates Aetna — Commercial: $201.31 Aetna — Medicare Advantage: $183.59 Aetna of Kansas — Managed Medicaid: $391.05 Ambetter — Commercial: $348.82 Amerigroup of Iowa — Managed Medicaid: $211.55 Blue Cross Blue Shield — Medicare Advantage: $183.59 Blue Cross HMO — Commercial: $259.49 Blue Cross PC — Commercial: $276.51 Blue Cross PCB — Commercial: $259.49 Centurion — Commercial: $569.10
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$2,100	$1,785	$382.28 – $3,738
Colonoscopy with biopsy: 10 of 23 insurance plan rates Aetna — Commercial: $1,736.70 Aetna — Medicare Advantage: $1,188.16 Aetna of Kansas — Managed Medicaid: $382.28 Ambetter — Commercial: $2,257.51 Blue Cross Blue Shield — Medicare Advantage: $1,188.16 Blue Cross HMO — Commercial: $1,619.10 Blue Cross PC — Commercial: $1,822.80 Blue Cross PCB — Commercial: $1,619.10 Centurion — Commercial: $1,470 Cigna — Commercial: $1,848
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$1,825	$1,551.25	$231.60 – $1,654.78
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates Aetna — Commercial: $253.95 Aetna — Medicare Advantage: $231.60 Aetna of Kansas — Managed Medicaid: $420.88 Ambetter — Commercial: $440.04 Amerigroup of Iowa — Managed Medicaid: $288.22 Blue Cross Blue Shield — Medicare Advantage: $231.60 Blue Cross HMO — Commercial: $308.88 Blue Cross PC — Commercial: $329.14 Blue Cross PCB — Commercial: $308.88 Centurion — Commercial: $1,277.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$921	$782.85	$231.60 – $1,654.78
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates Aetna — Commercial: $253.95 Aetna — Medicare Advantage: $231.60 Aetna of Kansas — Managed Medicaid: $420.88 Ambetter — Commercial: $440.04 Amerigroup of Iowa — Managed Medicaid: $288.22 Blue Cross Blue Shield — Medicare Advantage: $231.60 Blue Cross HMO — Commercial: $308.88 Blue Cross PC — Commercial: $329.14 Blue Cross PCB — Commercial: $308.88 Centurion — Commercial: $644.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$2,000	$1,700	$382.28 – $3,560
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Aetna — Commercial: $1,654 Aetna — Medicare Advantage: $1,188.16 Aetna of Kansas — Managed Medicaid: $382.28 Ambetter — Commercial: $2,257.51 Blue Cross Blue Shield — Medicare Advantage: $1,188.16 Blue Cross HMO — Commercial: $1,542 Blue Cross PC — Commercial: $1,736 Blue Cross PCB — Commercial: $1,542 Centurion — Commercial: $1,400 Cigna — Commercial: $1,760
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	$492	$418.20	$232.98 – $921.42
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates Aetna — Commercial: $257.26 Aetna — Medicare Advantage: $234.62 Aetna of Kansas — Managed Medicaid: $232.98 Ambetter — Commercial: $445.78 Amerigroup of Iowa — Managed Medicaid: $268.67 Blue Cross Blue Shield — Medicare Advantage: $234.62 Blue Cross HMO — Commercial: $298.44 Blue Cross PC — Commercial: $318.84 Blue Cross PCB — Commercial: $298.44 Centurion — Commercial: $344.40
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY	$3,200	$2,720	$234 – $5,696
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates Aetna — Commercial: $2,646.40 Aetna — Medicare Advantage: $1,188.16 Aetna of Kansas — Managed Medicaid: $234 Ambetter — Commercial: $2,257.51 Blue Cross Blue Shield — Medicare Advantage: $1,188.16 Blue Cross HMO — Commercial: $2,467.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,467.20 Centurion — Commercial: $2,240 Cigna — Commercial: $2,816
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY	$3,200	$2,720	$1,280 – $2,880
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates Aetna — Commercial: $2,646.40 Blue Cross HMO — Commercial: $2,419.20 Blue Cross PC — Commercial: $2,777.60 Blue Cross PCB — Commercial: $2,419.20 Centurion — Commercial: $1,280 Cigna — Commercial: $2,816 Freedom Select Healthlink — Commercial: $2,747.52 GEHA Shared Services — Commercial: $2,598.40 Healthlink Open Access — Commercial: $2,747.52 Multiplan — Commercial: $2,880
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,300	$2,805	$567.46 – $5,874
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates Aetna — Commercial: $2,729.10 Aetna — Medicare Advantage: $918.73 Aetna of Kansas — Managed Medicaid: $567.46 Ambetter — Commercial: $1,745.59 Blue Cross Blue Shield — Medicare Advantage: $918.73 Blue Cross HMO — Commercial: $2,544.30 Blue Cross PC — Commercial: $2,864.40 Blue Cross PCB — Commercial: $2,544.30 Centurion — Commercial: $2,310 Cigna — Commercial: $2,904
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$624	$530.40	$169.05 – $549.12
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates Aetna — Commercial: $185.36 Aetna — Medicare Advantage: $169.05 Aetna of Kansas — Managed Medicaid: $199.86 Ambetter — Commercial: $321.20 Blue Cross Blue Shield — Medicare Advantage: $169.05 Blue Cross HMO — Commercial: $219.63 Blue Cross PC — Commercial: $234.04 Blue Cross PCB — Commercial: $219.63 Centurion — Commercial: $436.80 Cigna — Commercial: $549.12
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,300	$2,805	$1,320 – $2,970
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — Commercial: $2,729.10 Blue Cross HMO — Commercial: $2,494.80 Blue Cross PC — Commercial: $2,864.40 Blue Cross PCB — Commercial: $2,494.80 Centurion — Commercial: $1,320 Cigna — Commercial: $2,904 Freedom Select Healthlink — Commercial: $2,833.38 GEHA Shared Services — Commercial: $2,679.60 Healthlink Open Access — Commercial: $2,833.38 Multiplan — Commercial: $2,970
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,991	$1,692.35	$583.17 – $2,151.02
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates Aetna — Commercial: $674.22 Aetna — Medicare Advantage: $614.88 Aetna of Kansas — Managed Medicaid: $583.17 Ambetter — Commercial: $1,168.27 Amerigroup of Iowa — Managed Medicaid: $634 Blue Cross Blue Shield — Medicare Advantage: $614.88 Blue Cross HMO — Commercial: $665.31 Blue Cross PC — Commercial: $710.80 Blue Cross PCB — Commercial: $665.31 Centurion — Commercial: $1,393.70
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	$1,869.18 – $11,170.68
Gallbladder removal by laparoscope: rates for 7 insurance plans Aetna — Medicare Advantage: $5,879.31 Aetna of Kansas — Managed Medicaid: $1,869.18 Ambetter — Commercial: $11,170.68 Blue Cross Blue Shield — Medicare Advantage: $5,879.31 Sunflower of Kansas — Managed Medicaid: $1,869.18 United Healthcare — Medicare Advantage: $5,879.31 United Healthcare of Kansas — Managed Medicaid: $1,869.18
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$364.49
Gallbladder removal by laparoscope: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $364.49 Sunflower of Kansas — Managed Medicaid: $364.49 United Healthcare of Kansas — Managed Medicaid: $364.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,854	$1,575.90	$385.47 – $1,631.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Aetna — Commercial: $533.57 Aetna — Medicare Advantage: $486.61 Aetna of Kansas — Managed Medicaid: $410.79 Ambetter — Commercial: $924.56 Amerigroup of Iowa — Managed Medicaid: $385.47 Blue Cross Blue Shield — Medicare Advantage: $486.61 Blue Cross HMO — Commercial: $524.76 Blue Cross PC — Commercial: $560.64 Blue Cross PCB — Commercial: $524.76 Centurion — Commercial: $1,297.80
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	$1,120.76 – $6,756.87
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Aetna — Medicare Advantage: $3,556.25 Aetna of Kansas — Managed Medicaid: $1,120.76 Ambetter — Commercial: $6,756.87 Blue Cross Blue Shield — Medicare Advantage: $3,556.25 Sunflower of Kansas — Managed Medicaid: $1,120.76 United Healthcare — Medicare Advantage: $3,556.25 United Healthcare of Kansas — Managed Medicaid: $1,120.76
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$256.74
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $256.74 Sunflower of Kansas — Managed Medicaid: $256.74 United Healthcare of Kansas — Managed Medicaid: $256.74
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$456	$387.60	$53.33 – $716.61
Prostate biopsy: 10 of 24 insurance plan rates Aetna — Commercial: $131.28 Aetna — Medicare Advantage: $119.73 Aetna of Kansas — Managed Medicaid: $188.58 Ambetter — Commercial: $227.49 Amerigroup of Iowa — Managed Medicaid: $137.87 Blue Cross Blue Shield — Medicare Advantage: $119.73 Blue Cross HMO — Commercial: $145.10 Blue Cross PC — Commercial: $154.62 Blue Cross PCB — Commercial: $145.10 Centurion — Commercial: $319.20
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services	Not listed in the file	Not listed in the file	$659.82 – $3,922.15
Prostate biopsy: rates for 7 insurance plans Aetna — Medicare Advantage: $2,064.29 Aetna of Kansas — Managed Medicaid: $659.82 Ambetter — Commercial: $3,922.15 Blue Cross Blue Shield — Medicare Advantage: $2,064.29 Sunflower of Kansas — Managed Medicaid: $659.82 United Healthcare — Medicare Advantage: $2,064.29 United Healthcare of Kansas — Managed Medicaid: $659.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,106.24 – $5,486.70
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates Aetna — Commercial: $1,212.99 Aetna — Medicare Advantage: $1,106.24 Aetna of Kansas — Managed Medicaid: $1,379.27 Ambetter — Commercial: $2,101.86 Amerigroup of Iowa — Managed Medicaid: $1,444.77 Blue Cross Blue Shield — Medicare Advantage: $1,106.24 Blue Cross HMO — Commercial: $1,745.87 Blue Cross PC — Commercial: $1,865.24 Blue Cross PCB — Commercial: $1,745.87 Iowa Total Care — Managed Medicaid: $1,444.77
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	$10,491.43 – $19,933.71
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans Aetna — Medicare Advantage: $10,491.43 Ambetter — Commercial: $19,933.71 Blue Cross Blue Shield — Medicare Advantage: $10,491.43 United Healthcare — Medicare Advantage: $10,491.43
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$862.05
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $862.05 Sunflower of Kansas — Managed Medicaid: $862.05 United Healthcare of Kansas — Managed Medicaid: $862.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$2,390	$2,031.50	$61.68 – $2,103.20
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates Aetna — Commercial: $235.19 Aetna — Medicare Advantage: $214.49 Aetna of Kansas — Managed Medicaid: $765.46 Ambetter — Commercial: $407.53 Amerigroup of Iowa — Managed Medicaid: $61.68 Blue Cross Blue Shield — Medicare Advantage: $214.49 Blue Cross HMO — Commercial: $209.53 Blue Cross PC — Commercial: $223.26 Blue Cross PCB — Commercial: $209.53 Centurion — Commercial: $1,673
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY W BX ENDOM -CLINIC	$4,000	$3,400	$1,012.78 – $7,120
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Aetna — Commercial: $3,308 Aetna — Medicare Advantage: $3,204.02 Aetna of Kansas — Managed Medicaid: $1,012.78 Ambetter — Commercial: $6,087.65 Blue Cross Blue Shield — Medicare Advantage: $3,204.02 Blue Cross HMO — Commercial: $3,084 Blue Cross PC — Commercial: $3,472 Blue Cross PCB — Commercial: $3,084 Centurion — Commercial: $2,800 Cigna — Commercial: $3,520
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY W BX ENDOM -CLINIC	$4,000	$3,400	$1,600 – $3,600
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — Commercial: $3,308 Blue Cross HMO — Commercial: $3,024 Blue Cross PC — Commercial: $3,472 Blue Cross PCB — Commercial: $3,024 Centurion — Commercial: $1,600 Cigna — Commercial: $3,520 Freedom Select Healthlink — Commercial: $3,434.40 GEHA Shared Services — Commercial: $3,248 Healthlink Open Access — Commercial: $3,434.40 Multiplan — Commercial: $3,600
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$459	$390.15	$90.07 – $403.92
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $100.19 Aetna — Medicare Advantage: $91.37 Aetna of Kansas — Managed Medicaid: $151.83 Ambetter — Commercial: $173.60 Amerigroup of Iowa — Managed Medicaid: $90.07 Blue Cross Blue Shield — Medicare Advantage: $91.37 Blue Cross HMO — Commercial: $106.53 Blue Cross PC — Commercial: $113.52 Blue Cross PCB — Commercial: $106.53 Centurion — Commercial: $321.30
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,300	$1,955	$377.15 – $4,094
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $1,902.10 Aetna — Medicare Advantage: $697.86 Aetna of Kansas — Managed Medicaid: $377.15 Ambetter — Commercial: $1,325.92 Blue Cross Blue Shield — Medicare Advantage: $697.86 Blue Cross HMO — Commercial: $1,773.30 Blue Cross PC — Commercial: $1,996.40 Blue Cross PCB — Commercial: $1,773.30 Centurion — Commercial: $1,610 Cigna — Commercial: $2,024
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,930	$1,640.50	$772 – $1,737
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Aetna — Commercial: $1,902.10 Blue Cross HMO — Commercial: $1,738.80 Blue Cross PC — Commercial: $1,996.40 Blue Cross PCB — Commercial: $1,738.80 Centurion — Commercial: $920 Cigna — Commercial: $2,024 Freedom Select Healthlink — Commercial: $1,974.78 GEHA Shared Services — Commercial: $1,867.60 Healthlink Open Access — Commercial: $1,974.78 Multiplan — Commercial: $2,070
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$446	$379.10	$51.62 – $1,206.94
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates Aetna — Commercial: $111.61 Aetna — Medicare Advantage: $101.79 Aetna of Kansas — Managed Medicaid: $289.31 Ambetter — Commercial: $193.40 Amerigroup of Iowa — Managed Medicaid: $184.12 Blue Cross Blue Shield — Medicare Advantage: $101.79 Blue Cross HMO — Commercial: $179.47 Blue Cross PC — Commercial: $191.23 Blue Cross PCB — Commercial: $179.47 Centurion — Commercial: $312.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,600	$3,060	$295.27 – $6,408
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — Commercial: $2,977.20 Aetna — Medicare Advantage: $897.15 Aetna of Kansas — Managed Medicaid: $295.27 Ambetter — Commercial: $1,704.58 Blue Cross Blue Shield — Medicare Advantage: $897.15 Blue Cross HMO — Commercial: $2,775.60 Blue Cross PC — Commercial: $3,124.80 Blue Cross PCB — Commercial: $2,775.60 Centurion — Commercial: $2,520 Cigna — Commercial: $3,168
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,600	$3,060	$1,440 – $3,240
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — Commercial: $2,398.30 Blue Cross HMO — Commercial: $2,192.40 Blue Cross PC — Commercial: $2,517.20 Blue Cross PCB — Commercial: $2,192.40 Centurion — Commercial: $1,160 Cigna — Commercial: $2,552 Freedom Select Healthlink — Commercial: $2,489.94 GEHA Shared Services — Commercial: $2,354.80 Healthlink Open Access — Commercial: $2,489.94 Multiplan — Commercial: $2,610
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$831	$706.35	$329.12 – $1,269.02
Carpal tunnel release: 10 of 24 insurance plan rates Aetna — Commercial: $439.89 Aetna — Medicare Advantage: $401.18 Aetna of Kansas — Managed Medicaid: $336.76 Ambetter — Commercial: $762.24 Amerigroup of Iowa — Managed Medicaid: $329.12 Blue Cross Blue Shield — Medicare Advantage: $401.18 Blue Cross HMO — Commercial: $397.47 Blue Cross PC — Commercial: $423.53 Blue Cross PCB — Commercial: $397.47 Centurion — Commercial: $581.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REVISE MEDIAN N/CARPAL TUNNEL SURG	$3,000	$2,550	$625.47 – $5,340
Carpal tunnel release: 10 of 23 insurance plan rates Aetna — Commercial: $2,481 Aetna — Medicare Advantage: $1,967.81 Aetna of Kansas — Managed Medicaid: $625.47 Ambetter — Commercial: $3,738.85 Blue Cross Blue Shield — Medicare Advantage: $1,967.81 Blue Cross HMO — Commercial: $2,313 Blue Cross PC — Commercial: $2,604 Blue Cross PCB — Commercial: $2,313 Centurion — Commercial: $2,100 Cigna — Commercial: $2,640
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CARPAL TUNNEL RELEASE -CLINIC	$3,500	$2,975	$625.47 – $6,230
Carpal tunnel release: 10 of 23 insurance plan rates Aetna — Commercial: $2,894.50 Aetna — Medicare Advantage: $1,967.81 Aetna of Kansas — Managed Medicaid: $625.47 Ambetter — Commercial: $3,738.85 Blue Cross Blue Shield — Medicare Advantage: $1,967.81 Blue Cross HMO — Commercial: $2,698.50 Blue Cross PC — Commercial: $3,038 Blue Cross PCB — Commercial: $2,698.50 Centurion — Commercial: $2,450 Cigna — Commercial: $3,080
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$177 – $801.38
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Aetna — Commercial: $299.64 Aetna — Medicare Advantage: $273.27 Aetna of Kansas — Managed Medicaid: $223.22 Ambetter — Commercial: $519.21 Amerigroup of Iowa — Managed Medicaid: $177 Blue Cross Blue Shield — Medicare Advantage: $273.27 Blue Cross HMO — Commercial: $240.87 Blue Cross PC — Commercial: $256.67 Blue Cross PCB — Commercial: $240.87 Iowa Total Care — Managed Medicaid: $177
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	$514.80 – $1,050.37
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans Aetna — Medicare Advantage: $552.83 Aetna of Kansas — Managed Medicaid: $514.80 Ambetter — Commercial: $1,050.37 Blue Cross Blue Shield — Medicare Advantage: $552.83 Sunflower of Kansas — Managed Medicaid: $514.80 United Healthcare — Medicare Advantage: $552.83 United Healthcare of Kansas — Managed Medicaid: $514.80
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee · modifier 54 In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$273.09
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan United Healthcare of Nebraska — Managed Medicaid: $273.09
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$483.75 – $2,215.16
Cataract removal with lens implant: 10 of 16 insurance plan rates Aetna — Commercial: $530.43 Aetna — Medicare Advantage: $483.75 Aetna of Kansas — Managed Medicaid: $494.84 Ambetter — Commercial: $919.13 Amerigroup of Iowa — Managed Medicaid: $682.47 Blue Cross Blue Shield — Medicare Advantage: $483.75 Blue Cross HMO — Commercial: $660.24 Blue Cross PC — Commercial: $705.38 Blue Cross PCB — Commercial: $660.24 Iowa Total Care — Managed Medicaid: $682.47
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	$754.92 – $4,366.77
Cataract removal with lens implant: rates for 7 insurance plans Aetna — Medicare Advantage: $2,298.30 Aetna of Kansas — Managed Medicaid: $754.92 Ambetter — Commercial: $4,366.77 Blue Cross Blue Shield — Medicare Advantage: $2,298.30 Sunflower of Kansas — Managed Medicaid: $754.92 United Healthcare — Medicare Advantage: $2,298.30 United Healthcare of Kansas — Managed Medicaid: $754.92

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$4,962	$4,217.70	$1,364.46 – $5,364.97
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,444.67 Aetna — Medicare Advantage: $2,229.52 Aetna of Kansas — Managed Medicaid: $1,751.03 Ambetter — Commercial: $4,236.09 Amerigroup of Iowa — Managed Medicaid: $1,364.46 Blue Cross Blue Shield — Medicare Advantage: $2,229.52 Blue Cross HMO — Commercial: $2,177.26 Blue Cross PC — Commercial: $2,326.14 Blue Cross PCB — Commercial: $2,177.26 Centurion — Commercial: $3,473.40
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$5,624	$4,780.40	$1,550.85 – $6,080.53
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,719.93 Aetna — Medicare Advantage: $2,480.56 Aetna of Kansas — Managed Medicaid: $1,924.96 Ambetter — Commercial: $4,713.06 Amerigroup of Iowa — Managed Medicaid: $1,550.85 Blue Cross Blue Shield — Medicare Advantage: $2,480.56 Blue Cross HMO — Commercial: $2,409.21 Blue Cross PC — Commercial: $2,573.95 Blue Cross PCB — Commercial: $2,409.21 Centurion — Commercial: $3,936.80
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CAESAREAN SECTION	$7,000	$5,950	$4,900 – $12,460
Cesarean delivery (C-section), with care before and after: 10 of 16 insurance plan rates Aetna — Commercial: $5,789 Blue Cross HMO — Commercial: $5,397 Blue Cross PC — Commercial: $6,076 Blue Cross PCB — Commercial: $5,397 Centurion — Commercial: $4,900 Cigna — Commercial: $6,160 Freedom Select Healthlink — Commercial: $6,010.20 GEHA Shared Services — Commercial: $5,684 Healthlink Open Access — Commercial: $6,010.20 Healthy Blue of Missouri — Managed Medicaid: $12,460
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CAESAREAN SECTION	$7,000	$5,950	$2,800 – $6,300
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates Aetna — Commercial: $5,789 Blue Cross HMO — Commercial: $5,292 Blue Cross PC — Commercial: $6,076 Blue Cross PCB — Commercial: $5,292 Centurion — Commercial: $2,800 Cigna — Commercial: $6,160 Freedom Select Healthlink — Commercial: $6,010.20 GEHA Shared Services — Commercial: $5,684 Healthlink Open Access — Commercial: $6,010.20 Multiplan — Commercial: $6,300
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$3,473	$2,952.05	$1,485.07 – $5,667.59
Vaginal delivery after a previous C-section, with care before and after: 10 of 23 insurance plan rates Aetna — Commercial: $2,565.49 Aetna — Medicare Advantage: $2,339.71 Aetna of Kansas — Managed Medicaid: $1,821.50 Ambetter — Commercial: $4,445.45 Amerigroup of Iowa — Managed Medicaid: $1,485.07 Blue Cross Blue Shield — Medicare Advantage: $2,339.71 Blue Cross HMO — Commercial: $2,285.32 Blue Cross PC — Commercial: $2,441.58 Blue Cross PCB — Commercial: $2,285.32 Centurion — Commercial: $2,431.10
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	$1,379.97
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans Aetna of Kansas — Managed Medicaid: $1,379.97 Sunflower of Kansas — Managed Medicaid: $1,379.97 United Healthcare of Kansas — Managed Medicaid: $1,379.97

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$42,695.55 – $169,684.97
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans Aetna — Medicare Advantage: $89,307.88 Aetna of Kansas — Managed Medicaid: $42,695.55 Ambetter — Commercial: $169,684.97 Amerigroup of Iowa — Managed Medicaid: $68,670.81 Blue Cross Blue Shield — Medicare Advantage: $89,307.88 Iowa Total Care — Managed Medicaid: $68,670.81 Molina of Iowa — Managed Medicaid: $68,670.81 Sunflower of Kansas — Managed Medicaid: $42,695.55 United Healthcare — Medicare Advantage: $89,307.88 United Healthcare of Kansas — Managed Medicaid: $42,695.55
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inpatient MS-DRG	Not listed in the file	Not listed in the file	$19,301.48
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Amerigroup of Iowa — Managed Medicaid: $19,301.48 Iowa Total Care — Managed Medicaid: $19,301.48 Molina of Iowa — Managed Medicaid: $19,301.48
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$8,176.50 – $33,166.27
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans Aetna — Medicare Advantage: $17,455.93 Aetna of Kansas — Managed Medicaid: $8,176.50 Ambetter — Commercial: $33,166.27 Amerigroup of Iowa — Managed Medicaid: $12,037.83 Blue Cross Blue Shield — Medicare Advantage: $17,455.93 Iowa Total Care — Managed Medicaid: $12,037.83 Molina of Iowa — Managed Medicaid: $12,037.83 Sunflower of Kansas — Managed Medicaid: $8,176.50 United Healthcare — Medicare Advantage: $17,455.93 United Healthcare of Kansas — Managed Medicaid: $8,176.50
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,127.15 – $41,638.03
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans Aetna — Medicare Advantage: $21,914.75 Aetna of Kansas — Managed Medicaid: $11,127.15 Ambetter — Commercial: $41,638.03 Amerigroup of Iowa — Managed Medicaid: $11,476.49 Blue Cross Blue Shield — Medicare Advantage: $21,914.75 Iowa Total Care — Managed Medicaid: $11,476.49 Molina of Iowa — Managed Medicaid: $11,476.49 Sunflower of Kansas — Managed Medicaid: $11,127.15 United Healthcare — Medicare Advantage: $21,914.75 United Healthcare of Kansas — Managed Medicaid: $11,127.15
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$4,692.60 – $21,092.32
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans Aetna — Medicare Advantage: $11,101.22 Aetna of Kansas — Managed Medicaid: $4,692.60 Ambetter — Commercial: $21,092.32 Amerigroup of Iowa — Managed Medicaid: $5,440.67 Blue Cross Blue Shield — Medicare Advantage: $11,101.22 Iowa Total Care — Managed Medicaid: $5,440.67 Molina of Iowa — Managed Medicaid: $5,440.67 Sunflower of Kansas — Managed Medicaid: $4,692.60 United Healthcare — Medicare Advantage: $11,101.22 United Healthcare of Kansas — Managed Medicaid: $4,692.60

Source: Mosaic Life Care at St Joseph’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 26, 2025; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	5325 Faraon Street, Saint Joseph, MO 64506
County	Buchanan County
State	Missouri
Phone	(816) 271‑6000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	260006
Name in Medicare records	MOSAIC LIFE CARE AT ST JOSEPH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Mosaic Life Care at St. Joseph - Medical Center
Official website	mymlc.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Quality Health Care | Mosaic Life Care — mymlc.com
Mosaic Medical Center in St. Joseph | Hospital in St. Joseph, MO — mymlc.com
Emergency Medical Care | ER Hospital | Mosaic Life Care — mymlc.com
Health Care Services | Medical Center in St. Joseph, MO | Mosaic — mymlc.com
Mosaic Life Care at St. Joseph - Emergency Room — mymlc.com
Health Care Services in St. Joseph, MO — mymlc.com
Map & Directions for Visitors | Mosaic Life Care — mymlc.com
Cancer Care Center and Oncology | Mosaic Life Care — mymlc.com
Mosaic Medical Center in St. Joseph | Hospital in St. Joseph, MO — mymlc.com