Does Mount Carmel Dublin have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mount Carmel Dublin. In a medical emergency, call 911.

Where is Mount Carmel Dublin?

4105 Emerald Pkwy, Dublin, OH 43016, in Franklin County, Ohio.

What is the phone number of Mount Carmel Dublin?

(380) 898-9000, as listed by Medicare (CMS).

What is the Medicare star rating of Mount Carmel Dublin?

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

Mount Carmel Dublin — Dublin, OH

Quick answers

Does Mount Carmel Dublin have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mount Carmel Dublin. In a medical emergency, call 911.
Where is Mount Carmel Dublin?: 4105 Emerald Pkwy, Dublin, OH 43016, in Franklin County, Ohio.
What is the phone number of Mount Carmel Dublin?: (380) 898-9000, as listed by Medicare (CMS).
What is the Medicare star rating of Mount Carmel Dublin?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Procedures^[4]

Endoscopy

Programs and centers^[4]

Intensive care unit
Interventional lab
Outpatient lab
Outpatient radiology
Women's imaging

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	ICU visiting hours 8:00 AM to 8:30 PM; one overnight advocate; up to two visitors at a time. System-wide policy page^[5]
Patient portal	MyChart

Doctors and clinicians (288)

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

Main specialties

And 264 more: the button below opens the full list.

Other emergency rooms nearby

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

Dublin Methodist Hospital0.7 mi · Dublin, OH · Acute Care Hospital
Riverside Methodist Hospital7.8 mi · Columbus, OH · Acute Care Hospital
Ohio State University State Health System10 mi · Columbus, OH · Acute Care Hospital
Doctors Hospital10 mi · Columbus, OH · Acute Care Hospital
Mount Carmel St Ann's11 mi · Westerville, OH · Acute Care Hospital

Other hospitals nearby

Dublin Springs0.8 mi · Dublin, OH · Psychiatric Hospital
Sun Behavioral Columbus8.3 mi · Columbus, OH · Psychiatric 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

The Convalarium of Dublin0.9 mi · Dublin, OH · 1 of 5 stars
The Grand1.8 mi · Dublin, OH · 3 of 5 stars
The Sanctuary at Tuttle Crossing2.0 mi · Dublin, OH · 2 of 5 stars

All nursing homes in the state →

Hospice providers

National Church Residences H&C Services Central Ohio Hospice1.7 mi · Dublin, OH · 4 of 5 stars
Suncrest Hospice3.8 mi · Columbus, OH · 2 of 5 stars
CARE360 Hospice, LLC5.5 mi · Hilliard, OH · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Aspire Home Healthcare of Ohio0.0 mi · Dublin, OH · 4 of 5 stars
Freedom Home Health0.0 mi · Dublin, OH
OhioHealth Home Health With Compassus0.0 mi · Dublin, OH · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Dublin Dialysis0.0 mi · Dublin, OH · 4 of 5 stars
FMC - Columbus Northwest0.0 mi · Dublin, OH · 2 of 5 stars
FMC Nxstage Kidney Care/Nxstage Columbus LLC0.0 mi · Dublin, OH · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Central Ohio Endoscopy Center, LLC0.0 mi · Dublin, OH
OSU Wexner Medical Center Ambulatory Surgical Center - Dublin0.0 mi · Dublin, OH
Perimeter Surgical Center, Inc0.0 mi · Dublin, OH

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

OSU Total Health Care Center Ohio Deaf and Blind Education Services8.0 mi · Columbus, OH · Community health center
OSU Total Health Care Center Rardin9.7 mi · Columbus, OH · Community health center
PrimaryOne Health 2300 West Broad Street11 mi · Columbus, OH · Community health center

Clinics and urgent care

Dublin Urgent Care Inc0.0 mi · Dublin, OH · Urgent care center
OhioHealth Urgent Care LLC0.0 mi · Dublin, OH · Urgent care center
Family Urgent Care3.8 mi · Columbus, OH · Urgent care center

Pharmacies

Caringwell Pharmacy0.0 mi · Dublin, OH · Community/retail pharmacy
Fillpoint Health LLC0.0 mi · Dublin, OH · Community/retail pharmacy
Kwill Consulting, LLC0.0 mi · Dublin, OH · Clinic pharmacy

Assisted living nearby

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

Dublin Assisted Living and Memory Support by Senio0.0 mi · Dublin, OH
Dublin Glenn Memory Care0.0 mi · Dublin, OH
OhioHealth Neuro Transitional Center0.0 mi · Dublin, OH
Brookdale Muirfield1.7 mi · Dublin, OH

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 Mount Carmel Dublin 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.

Not reported to Medicare

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	125 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	54%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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 Dublin Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Mount Carmel Dublin 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$187	$187	$45.58 – $187
New patient office visit (about 30–44 minutes): 10 of 1,603 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $187 ACCESS HEALTH — PB XR 100% DEFAULT: $187 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $187 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $187 ADMIRAL LIFE — PB XR 100% DEFAULT: $187 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $187 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $187 ADVOCATE HEALTH — PB XR 100% DEFAULT: $187 AFLAC — PB XR 100% DEFAULT: $187 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $187
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$175	$175	$55.95 – $175
New patient office visit (about 30–44 minutes): 10 of 1,603 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $175 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $175 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.01 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $175 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $175 AETNA TRANSPLANT — PB XR 100% DEFAULT: $175 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $175 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $175 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $175 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $175
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$302	$302	$74.55 – $302
New patient office visit (about 45–59 minutes): 10 of 1,603 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $302 ACCLAIM — PB XR 100% DEFAULT: $302 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $302 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $302 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $302 AFLAC — PB XR 100% DEFAULT: $302 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $302 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $302 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $302 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $302
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$285	$285	$90.81 – $285
New patient office visit (about 45–59 minutes): 10 of 1,603 insurance plan rates ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $285 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $285 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $285 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $285 AETNA EAP — PB XR 100% DEFAULT: $285 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $285 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $285 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $285 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $285 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $285
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level	$410	$410	$102.24 – $410
New patient office visit (about 60–74 minutes): 10 of 1,531 insurance plan rates ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $410 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $410 AETNA MEDICAID — PB XR 100% DEFAULT: $410 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $410 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $410 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $410 AMERICA'S TPA — PB XR 100% DEFAULT: $410 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $410 AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $410 AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $410
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level	$388	$388	$123.49 – $388
New patient office visit (about 60–74 minutes): 10 of 1,531 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $388 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $154.54 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $388 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $388 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $388 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $388 AMALGAMATED — PB XR 100% DEFAULT: $388 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $388 AMERIHEALTH CARITAS NEXT — PB XR 100% DEFAULT: $388 AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $388
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$149	$149	$36.64 – $149
Established patient office visit (about 20–29 minutes): 10 of 1,602 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $149 ADMIRAL LIFE — PB XR 100% DEFAULT: $149 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $149 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $149 ADVOCATE HEALTH — PB XR 100% DEFAULT: $149 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $149 AMERICA'S TPA — PB XR 100% DEFAULT: $149 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $149 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $149 AMERIHEALTH CARITAS NEXT — PB XR 100% DEFAULT: $149
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$140	$140	$44.67 – $140
Established patient office visit (about 20–29 minutes): 10 of 1,602 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $140 AARP — PB XR 100% DEFAULT: $140 ACCLAIM — PB XR 100% DEFAULT: $140 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $140 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $140 ADAMH BOARD — PB XR 100% DEFAULT: $140 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $140 ADMIRAL LIFE — PB XR 100% DEFAULT: $140 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $140 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $140
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: PR Visit Office Outpatient Established Low Level\|ASSISTANT AT SURGERY SERVICE	$22.40	$22.40	$8.09 – $22.40
Established patient office visit (about 20–29 minutes): 10 of 1,604 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $22.40 ACCLAIM — PB XR 100% DEFAULT: $22.40 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $22.40 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $22.40 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $22.40 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $22.40 ADVOCATE HEALTH — PB XR 100% DEFAULT: $22.40 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $22.40 AFLAC — PB XR 100% DEFAULT: $22.40 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $22.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$219	$219	$53.89 – $219
Established patient office visit (about 30–39 minutes): 10 of 1,602 insurance plan rates AARP — PB XR 100% DEFAULT: $219 ACCESS HEALTH — PB XR 100% DEFAULT: $219 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $219 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $219 ADMIRAL LIFE — PB XR 100% DEFAULT: $219 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $219 ADVOCATE HEALTH — PB XR 100% DEFAULT: $219 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.52 AETNA TRANSPLANT — PB XR 100% DEFAULT: $219 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $219
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$207	$207	$65.79 – $207
Established patient office visit (about 30–39 minutes): 10 of 1,602 insurance plan rates AARP — PB XR 100% DEFAULT: $207 AETNA EAP — PB XR 100% DEFAULT: $207 AFLAC — PB XR 100% DEFAULT: $207 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $207 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $207 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $207 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $207 AMERIBEN — PB XR 100% DEFAULT: $207 AMERICAN FAMILY — PB XR 100% DEFAULT: $207 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $207
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: PR Visit Office Outpatient Established Moderate Level\|ASSISTANT AT SURGERY SERVICE	$33.12	$33.12	$11.90 – $33.12
Established patient office visit (about 30–39 minutes): 10 of 1,605 insurance plan rates AARP — PB XR 100% DEFAULT: $33.12 ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $33.12 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $33.12 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $33.12 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $33.12 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $33.12 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $33.12 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $33.12 AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $33.12 ANGELA HOSPICE — PB XR 100% DEFAULT: $33.12
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$135	$87.75	$29.30 – $198
Preventive checkup, new patient, age 18–39: 10 of 114 insurance plan rates ACCESS HEALTH — COFINITY: $63.05 ACCLAIM — COFINITY: $63.05 ADMINISTRATIVE CONCEPTS — COFINITY: $63.05 AETNA — AETNA: $76.95 AETNA — AETNA ASA MERITAIN: $60.62 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $66.29 AETNA DOMESTIC — AETNA: $76.95 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.30 ALLEGEANT — COFINITY: $63.05 ALLIED BENEFIT SYSTEMS — COFINITY: $63.05
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3	$1,900	$1,235	$231.39 – $1,938.74
Emergency room visit (moderate): 10 of 133 insurance plan rates ACCESS HEALTH — COFINITY: $887.30 ACCLAIM — COFINITY: $887.30 ADMINISTRATIVE CONCEPTS — COFINITY: $887.30 AETNA — AETNA: $1,787 AETNA — AETNA ASA MERITAIN: $853.10 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,605.53 AETNA DOMESTIC — AETNA: $1,787 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $270.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95 ALLEGEANT — COFINITY: $887.30
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$1,900	$1,235	$231.39 – $1,938.74
Emergency room visit (moderate): 10 of 133 insurance plan rates ACCESS HEALTH — COFINITY: $887.30 ACCLAIM — COFINITY: $887.30 ADMINISTRATIVE CONCEPTS — COFINITY: $887.30 AETNA — AETNA: $1,787 AETNA — AETNA ASA MERITAIN: $853.10 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,605.53 AETNA DOMESTIC — AETNA: $1,787 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $270.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95 ALLEGEANT — COFINITY: $887.30
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Type a Level 3	Not listed in the file	$1,554.80	$231.39 – $1,938.74
Emergency room visit (moderate): 10 of 32 insurance plan rates AETNA — AETNA: $1,787 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,605.53 AETNA DOMESTIC — AETNA: $1,787 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $270.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,938.74 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $816.70 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $257.95 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $271.11 CIGNA — CIGNA: $1,938.74
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$276	$276	$75.40 – $276
Emergency room visit (moderately high): 10 of 1,602 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $276 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $276 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $276 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $276 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $276 ADVOCATE HEALTH — PB XR 100% DEFAULT: $276 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $114.69 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $276 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $276 ALLEGIANCE — PB XR 100% DEFAULT: $276
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$75.40 – $253
Emergency room visit (moderately high): 10 of 1,602 insurance plan rates ADAMH BOARD — PB XR 100% DEFAULT: $253 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $253 AETNA EAP — PB XR 100% DEFAULT: $253 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $114.69 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $253 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $253 AETNA TRANSPLANT — PB XR 100% DEFAULT: $253 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $253 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $253 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $253
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$3,026	$1,966.90	$353.69 – $4,096
Emergency room visit (moderately high): 10 of 133 insurance plan rates ACCESS HEALTH — COFINITY: $1,413.14 ACCLAIM — COFINITY: $1,413.14 ADMINISTRATIVE CONCEPTS — COFINITY: $1,413.14 AETNA — AETNA: $3,430 AETNA — AETNA ASA MERITAIN: $1,358.67 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,413.98 AETNA DOMESTIC — AETNA: $3,430 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $414 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $394.29 ALLEGEANT — COFINITY: $1,413.14
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$401	$401	$109.27 – $401
Emergency room visit (high): 10 of 1,530 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $401 AARP — PB XR 100% DEFAULT: $401 ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $401 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $401 AFLAC — PB XR 100% DEFAULT: $401 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $401 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $401 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $401 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $401 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $401
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$367	$367	$109.27 – $367
Emergency room visit (high): 10 of 1,530 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $367 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $367 AETNA TRANSPLANT — PB XR 100% DEFAULT: $367 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $367 ALLEGIANCE — PB XR 100% DEFAULT: $367 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $367 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $367 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $367 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $367 AMERICA'S TPA — PB XR 100% DEFAULT: $367
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Critical Care 30-74 Minutes - Downgrade	$7,949	$5,166.85	$504.80 – $7,949
Emergency room visit (high): 10 of 133 insurance plan rates ACCESS HEALTH — COFINITY: $3,712.18 ACCLAIM — COFINITY: $3,712.18 ADMINISTRATIVE CONCEPTS — COFINITY: $3,712.18 AETNA — AETNA: $5,093 AETNA — AETNA ASA MERITAIN: $3,569.10 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5,336.99 AETNA DOMESTIC — AETNA: $5,093 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $590.88 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $562.74 ALLEGEANT — COFINITY: $3,712.18

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$101	$65.65	$7.44 – $101
Basic metabolic panel (blood test): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $47.17 ACCLAIM — COFINITY: $47.17 ADMINISTRATIVE CONCEPTS — COFINITY: $47.17 AETNA — AETNA: $7.99 AETNA — AETNA ASA MERITAIN: $45.35 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.92 AETNA DOMESTIC — AETNA: $7.99 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.71 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLEGEANT — COFINITY: $47.17
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Basic Metabolic Panel (Calcium Total)	$101	$65.65	$7.44 – $101
Basic metabolic panel (blood test): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $47.17 ACCLAIM — COFINITY: $47.17 ADMINISTRATIVE CONCEPTS — COFINITY: $47.17 AETNA — AETNA: $7.99 AETNA — AETNA ASA MERITAIN: $45.35 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.92 AETNA DOMESTIC — AETNA: $7.99 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.71 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLEGEANT — COFINITY: $47.17
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$95	$61.75	$9.28 – $95
Comprehensive metabolic panel (blood test): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $44.37 ACCLAIM — COFINITY: $44.37 ADMINISTRATIVE CONCEPTS — COFINITY: $44.37 AETNA — AETNA: $9.97 AETNA — AETNA ASA MERITAIN: $42.66 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $9.89 AETNA DOMESTIC — AETNA: $9.97 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $10.87 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35 ALLEGEANT — COFINITY: $44.37
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Obstetric Panel	$284	$184.60	$41 – $284
Obstetric blood test panel: 10 of 123 insurance plan rates ACCESS HEALTH — COFINITY: $132.63 ACCLAIM — COFINITY: $132.63 ADMINISTRATIVE CONCEPTS — COFINITY: $132.63 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $44.75 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $49.20 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $46.85 ALLEGEANT — COFINITY: $132.63 ALLIED BENEFIT SYSTEMS — COFINITY: $132.63 AMERIBEN — AMERIBEN: $227.20 AMERICAN FAMILY — COFINITY: $132.63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$83	$53.95	$11.77 – $83
Cholesterol panel (lipid panel): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $38.76 ACCLAIM — COFINITY: $38.76 ADMINISTRATIVE CONCEPTS — COFINITY: $38.76 AETNA — AETNA: $12.64 AETNA — AETNA ASA MERITAIN: $37.27 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $12.53 AETNA DOMESTIC — AETNA: $12.64 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $13.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLEGEANT — COFINITY: $38.76
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$64	$41.60	$7.63 – $69
Kidney function panel: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $29.89 ACCLAIM — COFINITY: $29.89 ADMINISTRATIVE CONCEPTS — COFINITY: $29.89 AETNA — AETNA: $8.19 AETNA — AETNA ASA MERITAIN: $28.74 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $8.12 AETNA DOMESTIC — AETNA: $8.19 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.93 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51 ALLEGEANT — COFINITY: $29.89
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$51	$33.15	$7.18 – $69
Liver function panel: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $23.82 ACCLAIM — COFINITY: $23.82 ADMINISTRATIVE CONCEPTS — COFINITY: $23.82 AETNA — AETNA: $7.72 AETNA — AETNA ASA MERITAIN: $22.90 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.65 AETNA DOMESTIC — AETNA: $7.72 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01 ALLEGEANT — COFINITY: $23.82
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$20	$13	$2.79 – $69
Urine test (automated, with microscope): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $9.34 ACCLAIM — COFINITY: $9.34 ADMINISTRATIVE CONCEPTS — COFINITY: $9.34 AETNA — AETNA: $3 AETNA — AETNA ASA MERITAIN: $8.98 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2.97 AETNA DOMESTIC — AETNA: $3 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLEGEANT — COFINITY: $9.34
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	Not listed in the file	$766.35	$2.97 – $434.62
Urine test (automated, with microscope): 10 of 32 insurance plan rates AETNA — AETNA: $3 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2.97 AETNA DOMESTIC — AETNA: $3 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $132.01 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $125.72 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $12.89 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $398.07 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $125.72 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $132.14 CIGNA — CIGNA: $12.89
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Nonautomated	$22	$14.30	$3.06 – $69
Urine test (manual, without microscope): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $10.27 ACCLAIM — COFINITY: $10.27 ADMINISTRATIVE CONCEPTS — COFINITY: $10.27 AETNA — AETNA: $3.28 AETNA — AETNA ASA MERITAIN: $9.88 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $3.25 AETNA DOMESTIC — AETNA: $3.28 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.41 ALLEGEANT — COFINITY: $10.27
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Urinalysis Without Microscopy Automated	$21	$13.65	$1.98 – $69
Urine test (automated, without microscope): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $9.81 ACCLAIM — COFINITY: $9.81 ADMINISTRATIVE CONCEPTS — COFINITY: $9.81 AETNA — AETNA: $2.12 AETNA — AETNA ASA MERITAIN: $9.43 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2.11 AETNA DOMESTIC — AETNA: $2.12 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $2.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 ALLEGEANT — COFINITY: $9.81
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$21	$13.65	$1.98 – $69
Urine test (automated, without microscope): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $9.81 ACCLAIM — COFINITY: $9.81 ADMINISTRATIVE CONCEPTS — COFINITY: $9.81 AETNA — AETNA: $2.12 AETNA — AETNA ASA MERITAIN: $9.43 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2.11 AETNA DOMESTIC — AETNA: $2.12 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $2.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 ALLEGEANT — COFINITY: $9.81
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total Ultrasensitive	$118	$76.70	$16.17 – $118
PSA (prostate specific antigen) blood test: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $55.11 ACCLAIM — COFINITY: $55.11 ADMINISTRATIVE CONCEPTS — COFINITY: $55.11 AETNA — AETNA: $17.36 AETNA — AETNA ASA MERITAIN: $52.98 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $17.21 AETNA DOMESTIC — AETNA: $17.36 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLEGEANT — COFINITY: $55.11
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total	$118	$76.70	$16.17 – $118
PSA (prostate specific antigen) blood test: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $55.11 ACCLAIM — COFINITY: $55.11 ADMINISTRATIVE CONCEPTS — COFINITY: $55.11 AETNA — AETNA: $17.36 AETNA — AETNA ASA MERITAIN: $52.98 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $17.21 AETNA DOMESTIC — AETNA: $17.36 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLEGEANT — COFINITY: $55.11
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$118	$76.70	$16.17 – $118
PSA (prostate specific antigen) blood test: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $55.11 ACCLAIM — COFINITY: $55.11 ADMINISTRATIVE CONCEPTS — COFINITY: $55.11 AETNA — AETNA: $17.36 AETNA — AETNA ASA MERITAIN: $52.98 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $17.21 AETNA DOMESTIC — AETNA: $17.36 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLEGEANT — COFINITY: $55.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$103	$66.95	$14.77 – $103
Thyroid stimulating hormone (TSH) test: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $48.10 ACCLAIM — COFINITY: $48.10 ADMINISTRATIVE CONCEPTS — COFINITY: $48.10 AETNA — AETNA: $15.86 AETNA — AETNA ASA MERITAIN: $46.25 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $15.72 AETNA DOMESTIC — AETNA: $15.86 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $17.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLEGEANT — COFINITY: $48.10
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Cbc Automated/Differential Wbc Automated	$48	$31.20	$6.83 – $69
Complete blood count (CBC) with differential: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $22.42 ACCLAIM — COFINITY: $22.42 ADMINISTRATIVE CONCEPTS — COFINITY: $22.42 AETNA — AETNA: $7.34 AETNA — AETNA ASA MERITAIN: $21.55 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.28 AETNA DOMESTIC — AETNA: $7.34 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61 ALLEGEANT — COFINITY: $22.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$48	$31.20	$6.83 – $69
Complete blood count (CBC) with differential: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $22.42 ACCLAIM — COFINITY: $22.42 ADMINISTRATIVE CONCEPTS — COFINITY: $22.42 AETNA — AETNA: $7.34 AETNA — AETNA ASA MERITAIN: $21.55 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.28 AETNA DOMESTIC — AETNA: $7.34 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61 ALLEGEANT — COFINITY: $22.42
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated Intrauterine	$74	$48.10	$5.69 – $74
Complete blood count (CBC), automated: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $34.56 ACCLAIM — COFINITY: $34.56 ADMINISTRATIVE CONCEPTS — COFINITY: $34.56 AETNA — AETNA: $6.11 AETNA — AETNA ASA MERITAIN: $33.23 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6.06 AETNA DOMESTIC — AETNA: $6.11 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34 ALLEGEANT — COFINITY: $34.56
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$74	$48.10	$5.69 – $74
Complete blood count (CBC), automated: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $34.56 ACCLAIM — COFINITY: $34.56 ADMINISTRATIVE CONCEPTS — COFINITY: $34.56 AETNA — AETNA: $6.11 AETNA — AETNA ASA MERITAIN: $33.23 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6.06 AETNA DOMESTIC — AETNA: $6.11 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34 ALLEGEANT — COFINITY: $34.56
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated	Not listed in the file	$766.35	$6.06 – $434.62
Complete blood count (CBC), automated: 10 of 32 insurance plan rates AETNA — AETNA: $6.11 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6.06 AETNA DOMESTIC — AETNA: $6.11 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $132.01 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $125.72 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $27.17 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $398.07 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $125.72 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $132.14 CIGNA — CIGNA: $27.17
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3514930 Prothrombin Time	$48	$31.20	$3.77 – $69
Blood clotting time test (prothrombin time, PT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $22.42 ACCLAIM — COFINITY: $22.42 ADMINISTRATIVE CONCEPTS — COFINITY: $22.42 AETNA — AETNA: $4.05 AETNA — AETNA ASA MERITAIN: $21.55 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4.01 AETNA DOMESTIC — AETNA: $4.05 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGEANT — COFINITY: $22.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Prothrombin Time	$48	$31.20	$3.77 – $69
Blood clotting time test (prothrombin time, PT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $22.42 ACCLAIM — COFINITY: $22.42 ADMINISTRATIVE CONCEPTS — COFINITY: $22.42 AETNA — AETNA: $4.05 AETNA — AETNA ASA MERITAIN: $21.55 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4.01 AETNA DOMESTIC — AETNA: $4.05 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGEANT — COFINITY: $22.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$48	$31.20	$3.77 – $69
Blood clotting time test (prothrombin time, PT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $22.42 ACCLAIM — COFINITY: $22.42 ADMINISTRATIVE CONCEPTS — COFINITY: $22.42 AETNA — AETNA: $4.05 AETNA — AETNA ASA MERITAIN: $21.55 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4.01 AETNA DOMESTIC — AETNA: $4.05 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLEGEANT — COFINITY: $22.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3502730 Thromboplastin Time Partial (Ptt)	$63	$40.95	$5.28 – $69
Blood clotting test (partial thromboplastin time, PTT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $29.42 ACCLAIM — COFINITY: $29.42 ADMINISTRATIVE CONCEPTS — COFINITY: $29.42 AETNA — AETNA: $5.68 AETNA — AETNA ASA MERITAIN: $28.29 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5.63 AETNA DOMESTIC — AETNA: $5.68 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGEANT — COFINITY: $29.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Thromboplastin Time Partial (Ptt)	$63	$40.95	$5.28 – $69
Blood clotting test (partial thromboplastin time, PTT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $29.42 ACCLAIM — COFINITY: $29.42 ADMINISTRATIVE CONCEPTS — COFINITY: $29.42 AETNA — AETNA: $5.68 AETNA — AETNA ASA MERITAIN: $28.29 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5.63 AETNA DOMESTIC — AETNA: $5.68 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGEANT — COFINITY: $29.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 91242 Thromboplastin Time Partial (Ptt)	$63	$40.95	$5.28 – $69
Blood clotting test (partial thromboplastin time, PTT): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $29.42 ACCLAIM — COFINITY: $29.42 ADMINISTRATIVE CONCEPTS — COFINITY: $29.42 AETNA — AETNA: $5.68 AETNA — AETNA ASA MERITAIN: $28.29 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5.63 AETNA DOMESTIC — AETNA: $5.68 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLEGEANT — COFINITY: $29.42

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$1,505	$978.25	$88.62 – $1,505
CT scan of the head or brain, without contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $702.84 ACCLAIM — COFINITY: $702.84 ADMINISTRATIVE CONCEPTS — COFINITY: $702.84 AETNA — AETNA: $1,370 AETNA — AETNA ASA MERITAIN: $675.75 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,384.58 AETNA DOMESTIC — AETNA: $1,370 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 ALLEGEANT — COFINITY: $702.84
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	Not listed in the file	$978.25	$88.62 – $1,384.58
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates AETNA — AETNA: $1,370 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,384.58 AETNA DOMESTIC — AETNA: $1,370 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,125.72 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $312.78 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $98.79 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $103.83 CIGNA — CIGNA: $1,125.72
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$3,111	$2,022.15	$295.72 – $3,111
MRI of the brain, before and after contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,452.84 ACCLAIM — COFINITY: $1,452.84 ADMINISTRATIVE CONCEPTS — COFINITY: $1,452.84 AETNA — AETNA: $1,776 AETNA — AETNA ASA MERITAIN: $1,396.84 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,551.84 AETNA DOMESTIC — AETNA: $1,776 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $346.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $329.66 ALLEGEANT — COFINITY: $1,452.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$680	$442	$73.77 – $680
Chest X-ray, 2 views: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $317.56 ACCLAIM — COFINITY: $317.56 ADMINISTRATIVE CONCEPTS — COFINITY: $317.56 AETNA — AETNA: $320.28 AETNA — AETNA ASA MERITAIN: $305.32 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $316.20 AETNA DOMESTIC — AETNA: $320.28 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $86.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $82.23 ALLEGEANT — COFINITY: $317.56
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$580	$377	$88.62 – $580
X-ray of the lower spine, at least 4 views: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $270.86 ACCLAIM — COFINITY: $270.86 ADMINISTRATIVE CONCEPTS — COFINITY: $270.86 AETNA — AETNA: $273.18 AETNA — AETNA ASA MERITAIN: $260.42 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $269.70 AETNA DOMESTIC — AETNA: $273.18 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 ALLEGEANT — COFINITY: $270.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$1,902	$1,236.30	$202.25 – $1,904
MRI of the lower back (lumbar spine), without contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $888.23 ACCLAIM — COFINITY: $888.23 ADMINISTRATIVE CONCEPTS — COFINITY: $888.23 AETNA — AETNA: $1,776 AETNA — AETNA ASA MERITAIN: $854 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,551.84 AETNA DOMESTIC — AETNA: $1,776 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $236.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46 ALLEGEANT — COFINITY: $888.23
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$1,722	$1,119.30	$148.68 – $1,722
CT scan of the pelvis, with contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $804.17 ACCLAIM — COFINITY: $804.17 ADMINISTRATIVE CONCEPTS — COFINITY: $804.17 AETNA — AETNA: $1,370 AETNA — AETNA ASA MERITAIN: $773.18 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,384.58 AETNA DOMESTIC — AETNA: $1,370 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $174.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $165.74 ALLEGEANT — COFINITY: $804.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$2,849	$1,851.85	$202.25 – $2,849
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,330.48 ACCLAIM — COFINITY: $1,330.48 ADMINISTRATIVE CONCEPTS — COFINITY: $1,330.48 AETNA — AETNA: $1,776 AETNA — AETNA ASA MERITAIN: $1,279.20 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,551.84 AETNA DOMESTIC — AETNA: $1,776 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $236.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46 ALLEGEANT — COFINITY: $1,330.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$1,899	$1,234.35	$202.25 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $886.83 ACCLAIM — COFINITY: $886.83 ADMINISTRATIVE CONCEPTS — COFINITY: $886.83 AETNA — AETNA: $1,776 AETNA — AETNA ASA MERITAIN: $852.65 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,551.84 AETNA DOMESTIC — AETNA: $1,776 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $236.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46 ALLEGEANT — COFINITY: $886.83
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt	$1,899	$1,234.35	$202.25 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $886.83 ACCLAIM — COFINITY: $886.83 ADMINISTRATIVE CONCEPTS — COFINITY: $886.83 AETNA — AETNA: $1,776 AETNA — AETNA ASA MERITAIN: $852.65 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,551.84 AETNA DOMESTIC — AETNA: $1,776 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $236.74 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46 ALLEGEANT — COFINITY: $886.83
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$3,200	$2,080	$295.72 – $3,200
CT scan of the abdomen and pelvis, with contrast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,494.40 ACCLAIM — COFINITY: $1,494.40 ADMINISTRATIVE CONCEPTS — COFINITY: $1,494.40 AETNA — AETNA: $1,370 AETNA — AETNA ASA MERITAIN: $1,436.80 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,384.58 AETNA DOMESTIC — AETNA: $1,370 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $346.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $329.66 ALLEGEANT — COFINITY: $1,494.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$889	$577.85	$88.62 – $889
Ultrasound of the abdomen, complete: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $415.16 ACCLAIM — COFINITY: $415.16 ADMINISTRATIVE CONCEPTS — COFINITY: $415.16 AETNA — AETNA: $418.72 AETNA — AETNA ASA MERITAIN: $399.16 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $413.39 AETNA DOMESTIC — AETNA: $418.72 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 ALLEGEANT — COFINITY: $415.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$730	$474.50	$88.62 – $763
Pregnancy ultrasound (after the first trimester): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $340.91 ACCLAIM — COFINITY: $340.91 ADMINISTRATIVE CONCEPTS — COFINITY: $340.91 AETNA — AETNA: $343.83 AETNA — AETNA ASA MERITAIN: $327.77 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $339.45 AETNA DOMESTIC — AETNA: $343.83 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 ALLEGEANT — COFINITY: $340.91
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$825	$536.25	$88.62 – $825
Transvaginal ultrasound: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $385.28 ACCLAIM — COFINITY: $385.28 ADMINISTRATIVE CONCEPTS — COFINITY: $385.28 AETNA — AETNA: $388.58 AETNA — AETNA ASA MERITAIN: $370.43 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $383.63 AETNA DOMESTIC — AETNA: $388.58 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79 ALLEGEANT — COFINITY: $385.28
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$339	$220.35	$69.19 – $339
Diagnostic mammogram, one breast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $158.31 ACCLAIM — COFINITY: $158.31 ADMINISTRATIVE CONCEPTS — COFINITY: $158.31 AETNA — AETNA: $213 AETNA — AETNA ASA MERITAIN: $152.21 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $157.64 AETNA DOMESTIC — AETNA: $213 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $80.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.14 ALLEGEANT — COFINITY: $158.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$339	$220.35	$69.19 – $339
Diagnostic mammogram, one breast: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $158.31 ACCLAIM — COFINITY: $158.31 ADMINISTRATIVE CONCEPTS — COFINITY: $158.31 AETNA — AETNA: $213 AETNA — AETNA ASA MERITAIN: $152.21 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $157.64 AETNA DOMESTIC — AETNA: $213 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $80.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.14 ALLEGEANT — COFINITY: $158.31
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$426	$276.90	$88.79 – $426
Diagnostic mammogram, both breasts: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $198.94 ACCLAIM — COFINITY: $198.94 ADMINISTRATIVE CONCEPTS — COFINITY: $198.94 AETNA — AETNA: $213 AETNA — AETNA ASA MERITAIN: $191.27 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $198.09 AETNA DOMESTIC — AETNA: $213 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.93 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.98 ALLEGEANT — COFINITY: $198.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$122	$79.30	$54.78 – $219.57
Screening mammogram, both breasts: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $56.97 ACCLAIM — COFINITY: $56.97 ADMINISTRATIVE CONCEPTS — COFINITY: $56.97 AETNA — AETNA: $150 AETNA — AETNA ASA MERITAIN: $54.78 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $164.16 AETNA DOMESTIC — AETNA: $150 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $85.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.61 ALLEGEANT — COFINITY: $56.97
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$122	$79.30	$54.78 – $219.57
Screening mammogram, both breasts: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $56.97 ACCLAIM — COFINITY: $56.97 ADMINISTRATIVE CONCEPTS — COFINITY: $56.97 AETNA — AETNA: $150 AETNA — AETNA ASA MERITAIN: $54.78 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $164.16 AETNA DOMESTIC — AETNA: $150 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $85.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.61 ALLEGEANT — COFINITY: $56.97

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram	$6,659	$4,328.35	$2,748.01 – $26,674.48
Left heart catheterization (diagnostic): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $3,109.75 ACCLAIM — COFINITY: $3,109.75 ADMINISTRATIVE CONCEPTS — COFINITY: $3,109.75 AETNA — AETNA: $15,425 AETNA — AETNA ASA MERITAIN: $2,989.89 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $11,758.11 AETNA DOMESTIC — AETNA: $15,425 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,216.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,063.42 ALLEGEANT — COFINITY: $3,109.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia	$10,645	$6,919.25	$4,779.61 – $26,674.48
Heart rhythm study (electrophysiology evaluation): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $4,971.22 ACCLAIM — COFINITY: $4,971.22 ADMINISTRATIVE CONCEPTS — COFINITY: $4,971.22 AETNA — AETNA: $6,067.65 AETNA — AETNA ASA MERITAIN: $4,779.61 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6,549.14 AETNA DOMESTIC — AETNA: $6,067.65 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $7,738.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,370.19 ALLEGEANT — COFINITY: $4,971.22
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation	$38,102	$24,766.30	$6,549.14 – $85,379.61
Heart rhythm study with ablation for atrial fibrillation: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $17,793.63 ACCLAIM — COFINITY: $17,793.63 ADMINISTRATIVE CONCEPTS — COFINITY: $17,793.63 AETNA — AETNA: $44,210 AETNA — AETNA ASA MERITAIN: $17,107.80 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6,549.14 AETNA DOMESTIC — AETNA: $44,210 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $25,933.57 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $24,698.64 ALLEGEANT — COFINITY: $17,793.63
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years	$3,244	$2,108.60	$727.91 – $3,244
Sleep study (overnight, in a sleep lab): 10 of 128 insurance plan rates ACCESS HEALTH — COFINITY: $1,514.95 ACCLAIM — COFINITY: $1,514.95 ADMINISTRATIVE CONCEPTS — COFINITY: $1,514.95 AETNA — AETNA ASA MERITAIN: $1,456.56 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,592.80 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $852.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $811.46 ALLEGEANT — COFINITY: $1,514.95 ALLIED BENEFIT SYSTEMS — COFINITY: $1,514.95 AMERIBEN — AMERIBEN: $2,595.20

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$131	$85.15	$24.62 – $283
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $61.18 ACCLAIM — COFINITY: $61.18 ADMINISTRATIVE CONCEPTS — COFINITY: $61.18 AETNA — AETNA: $96 AETNA — AETNA ASA MERITAIN: $58.82 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $82.60 AETNA DOMESTIC — AETNA: $96 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $28.82 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.45 ALLEGEANT — COFINITY: $61.18
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$131	$85.15	$24.62 – $283
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $61.18 ACCLAIM — COFINITY: $61.18 ADMINISTRATIVE CONCEPTS — COFINITY: $61.18 AETNA — AETNA: $96 AETNA — AETNA ASA MERITAIN: $58.82 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $82.60 AETNA DOMESTIC — AETNA: $96 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $28.82 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.45 ALLEGEANT — COFINITY: $61.18
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$499	$324.35	$82.60 – $499
Physical therapy evaluation (low complexity): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $233.03 ACCLAIM — COFINITY: $233.03 ADMINISTRATIVE CONCEPTS — COFINITY: $233.03 AETNA — AETNA: $96 AETNA — AETNA ASA MERITAIN: $224.05 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $82.60 AETNA DOMESTIC — AETNA: $96 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44 ALLEGEANT — COFINITY: $233.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$730	$474.50	$82.60 – $730
Physical therapy evaluation (moderate complexity): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $340.91 ACCLAIM — COFINITY: $340.91 ADMINISTRATIVE CONCEPTS — COFINITY: $340.91 AETNA — AETNA: $96 AETNA — AETNA ASA MERITAIN: $327.77 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $82.60 AETNA DOMESTIC — AETNA: $96 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44 ALLEGEANT — COFINITY: $340.91
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$885	$575.25	$82.60 – $885
Physical therapy evaluation (high complexity): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $413.30 ACCLAIM — COFINITY: $413.30 ADMINISTRATIVE CONCEPTS — COFINITY: $413.30 AETNA — AETNA: $96 AETNA — AETNA ASA MERITAIN: $397.37 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $82.60 AETNA DOMESTIC — AETNA: $96 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44 ALLEGEANT — COFINITY: $413.30

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Rt	$4,259	$2,768.35	$1,912.29 – $12,789.81
Removal of breast growth (open surgery): 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,988.95 ACCLAIM — COFINITY: $1,988.95 ADMINISTRATIVE CONCEPTS — COFINITY: $1,988.95 AETNA — AETNA: $5,706 AETNA — AETNA ASA MERITAIN: $1,912.29 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $3,400.02 AETNA DOMESTIC — AETNA: $5,706 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,884.83 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,699.84 ALLEGEANT — COFINITY: $1,988.95
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)	Not listed in the file	$55,436.32	$7,584 – $42,111
Total knee replacement: 10 of 24 insurance plan rates AETNA — AETNA: $7,584 AETNA DOMESTIC — AETNA: $7,584 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $12,738.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,131.75 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $38,411.18 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $12,131.75 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $12,750.72 CUSTOM DESIGN BENEFITS — CUSTOM DESIGN BENEFIT: $25,872.81 ENTERPRISE GROUP PLANNING — ENTERPRISE GROUP PLANNING MEDICARE ADV: $23,892.12 GEHA — UNITED HEALTHCARE PPO: $42,111
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)	Not listed in the file	$54,743.94	$3,400.02 – $29,618.52
Shoulder arthroscopy: shaving of shoulder bone: 10 of 32 insurance plan rates AETNA — AETNA: $5,706 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $3,400.02 AETNA DOMESTIC — AETNA: $5,706 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $7,199.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,856.67 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $29,618.52 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $21,709.37 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $6,856.67 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $7,206.50 CIGNA — CIGNA: $29,618.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	Not listed in the file	$27,975.80	$2,773.50 – $12,804
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates AETNA — AETNA: $8,144 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4,507.89 AETNA DOMESTIC — AETNA: $8,144 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,246.43 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,091.84 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,932.82 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $9,789.28 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $3,091.84 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $3,249.58 CIGNA — CIGNA: $5,932.82
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$303	$303	$35.25 – $303
Upper GI endoscopy (diagnostic): 10 of 1,530 insurance plan rates AETNA EAP — PB XR 100% DEFAULT: $303 AETNA MEDICAID — PB XR 100% DEFAULT: $303 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $52.74 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $303 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $303 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $303 ALLEGIANCE — PB XR 100% DEFAULT: $303 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $303 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $303 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $303
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$267	$267	$35.25 – $267
Upper GI endoscopy (diagnostic): 10 of 1,530 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $267 ACCLAIM — PB XR 100% DEFAULT: $267 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $267 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $267 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $267 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $267 ALLEGEANT — PB XR 100% DEFAULT: $267 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $267 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $267 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $267
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee · modifier 51 In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing\|MULTIPLE PROCEDURES	$267	$267	$5.64 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $267
Upper GI endoscopy (diagnostic): 10 of 1,605 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $267 ADAMH BOARD — PB XR 100% DEFAULT: $267 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $52.74 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $267 AETNA TRANSPLANT — PB XR 100% DEFAULT: $267 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $267 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $267 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $267 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $267 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $267
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$360	$360	$39.41 – $360
Upper GI endoscopy with biopsy: 10 of 1,531 insurance plan rates AARP — PB XR 100% DEFAULT: $360 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $360 ADAMH BOARD — PB XR 100% DEFAULT: $360 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $360 ADMIRAL LIFE — PB XR 100% DEFAULT: $360 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $360 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $360 ADVOCATE HEALTH — PB XR 100% DEFAULT: $360 AETNA EAP — PB XR 100% DEFAULT: $360 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $59.03
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$301	$301	$39.41 – $301
Upper GI endoscopy with biopsy: 10 of 1,531 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $301 ADMIRAL LIFE — PB XR 100% DEFAULT: $301 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $301 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $301 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $301 ADVOCATE HEALTH — PB XR 100% DEFAULT: $301 AETNA MEDICAID — PB XR 100% DEFAULT: $301 AFLAC — PB XR 100% DEFAULT: $301 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $301 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $301
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	Not listed in the file	$3,273.14	$768.80 – $6,061
Upper GI endoscopy with biopsy: 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $899.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $857.04 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $2,713.54 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $857.04 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $900.77 CIGNA — CIGNA: $3,261.62
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$457	$457	$52.51 – $457
Colonoscopy (diagnostic): 10 of 1,530 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $457 ACCLAIM — PB XR 100% DEFAULT: $457 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $457 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $457 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $457 AETNA EAP — PB XR 100% DEFAULT: $457 AETNA TRANSPLANT — PB XR 100% DEFAULT: $457 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $457 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $457 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $457
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	Not listed in the file	$457	$52.51 – $457
Colonoscopy (diagnostic): 10 of 1,530 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $457 AETNA EAP — PB XR 100% DEFAULT: $457 AFLAC — PB XR 100% DEFAULT: $457 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $457 ALLEGIANCE — PB XR 100% DEFAULT: $457 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $457 ALTA HEALTH — PB XR 100% DEFAULT: $457 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $457 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $457 AMERIBEN — PB XR 100% DEFAULT: $457
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	Not listed in the file	$2,887.33	$788.28 – $6,061
Colonoscopy (diagnostic): 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $922.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $878.75 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $2,782.29 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $878.75 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $923.59 CIGNA — CIGNA: $3,261.62
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	$546	$546	$56.66 – $546
Colonoscopy with biopsy: 10 of 1,528 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $546 ADAMH BOARD — PB XR 100% DEFAULT: $546 ADMIRAL LIFE — PB XR 100% DEFAULT: $546 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $546 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $546 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $546 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $546 AMERICA'S TPA — PB XR 100% DEFAULT: $546 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $546 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $546
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	Not listed in the file	$546	$56.66 – $668.92
Colonoscopy with biopsy: 10 of 1,528 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $668.92 ACCLAIM — PB XR 100% DEFAULT: $668.92 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $668.92 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $668.92 AETNA TRANSPLANT — PB XR 100% DEFAULT: $668.92 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $668.92 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $668.92 ALLEGEANT — PB XR 100% DEFAULT: $668.92 ALLEGIANCE — PB XR 100% DEFAULT: $668.92 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $668.92
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	Not listed in the file	$4,604.57	$1,014.33 – $6,061
Colonoscopy with biopsy: 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $1,187.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,130.75 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $3,580.14 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $1,130.75 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $1,188.44 CIGNA — CIGNA: $3,261.62
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$635	$635	$71.25 – $635
Colonoscopy with removal of polyps (snare): 10 of 1,528 insurance plan rates AARP — PB XR 100% DEFAULT: $635 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $635 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $635 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $635 ADMIRAL LIFE — PB XR 100% DEFAULT: $635 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $635 ADVOCATE HEALTH — PB XR 100% DEFAULT: $635 AETNA EAP — PB XR 100% DEFAULT: $635 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $107.11 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $635
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551	$551	$71.25 – $551
Colonoscopy with removal of polyps (snare): 10 of 1,528 insurance plan rates ADAMH BOARD — PB XR 100% DEFAULT: $551 ADMIRAL LIFE — PB XR 100% DEFAULT: $551 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $551 ADVOCATE HEALTH — PB XR 100% DEFAULT: $551 AETNA MEDICAID — PB XR 100% DEFAULT: $551 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $551 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $551 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $551 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $551 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $551
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	Not listed in the file	$4,264.75	$1,014.33 – $6,061
Colonoscopy with removal of polyps (snare): 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $1,187.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,130.75 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $3,580.14 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $1,130.75 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $1,188.44 CIGNA — CIGNA: $3,261.62
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	Not listed in the file	$2,869.91	$788.28 – $4,201
Screening colonoscopy (not high risk): 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $922.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $878.75 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $2,782.29 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $878.75 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $923.59 CIGNA — CIGNA: $3,261.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	Not listed in the file	$39,223.45	$4,640.55 – $19,747.80
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates AETNA — AETNA: $8,399 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4,640.55 AETNA DOMESTIC — AETNA: $8,399 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $5,998.28 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5,712.64 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $15,328.66 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $18,087.20 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $5,712.64 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $6,004.11 CIGNA — CIGNA: $15,328.66
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	Not listed in the file	$55,510.42	$4,507.89 – $34,722.49
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates AETNA — AETNA: $8,144 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4,507.89 AETNA DOMESTIC — AETNA: $8,144 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $10,546.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,044.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,997.92 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $31,802.68 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $10,044.53 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $10,557 CIGNA — CIGNA: $9,997.92
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$3,684	$2,394.60	$799.43 – $6,254.09
Prostate biopsy: 10 of 122 insurance plan rates ACCESS HEALTH — COFINITY: $1,720.43 ACCLAIM — COFINITY: $1,720.43 ADMINISTRATIVE CONCEPTS — COFINITY: $1,720.43 AETNA — AETNA: $3,698 AETNA — AETNA ASA MERITAIN: $1,654.12 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $799.43 ALLEGEANT — COFINITY: $1,720.43 ALLIED BENEFIT SYSTEMS — COFINITY: $1,720.43
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$14,247.57	$303.84 – $6,254.09
Prostate biopsy: 10 of 25 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $355.64 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $6,254.09 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $338.71 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $355.99 CIGNA — CIGNA: $3,261.62 CIGNA EAP — CIGNA: $3,261.62
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	Not listed in the file	$60,518.34	$4,640.55 – $34,722.49
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates AETNA — AETNA: $8,399 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4,640.55 AETNA DOMESTIC — AETNA: $8,399 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $10,546.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,044.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,997.92 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $31,802.68 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $10,044.53 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $10,557 CIGNA — CIGNA: $9,997.92
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC)	Not listed in the file	$31,898.44	$4,640.55 – $34,722.49
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates AETNA — AETNA: $8,399 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $4,640.55 AETNA DOMESTIC — AETNA: $8,399 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $10,546.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,044.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,997.92 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $31,802.68 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $10,044.53 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $10,557 CIGNA — CIGNA: $9,997.92
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance	$3,133	$2,036.45	$598.34 – $4,201
Spinal injection, lower back (epidural), with imaging guidance: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,463.11 ACCLAIM — COFINITY: $1,463.11 ADMINISTRATIVE CONCEPTS — COFINITY: $1,463.11 AETNA — AETNA: $3,186 AETNA — AETNA ASA MERITAIN: $1,406.72 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87 AETNA DOMESTIC — AETNA: $3,186 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $700.36 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $667.01 ALLEGEANT — COFINITY: $1,463.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt	$3,273	$2,127.45	$749.72 – $4,201
Nerve root injection, lower back, with imaging guidance: 10 of 132 insurance plan rates ACCESS HEALTH — COFINITY: $1,528.49 ACCLAIM — COFINITY: $1,528.49 ADMINISTRATIVE CONCEPTS — COFINITY: $1,528.49 AETNA — AETNA: $3,186 AETNA — AETNA ASA MERITAIN: $1,469.58 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87 AETNA DOMESTIC — AETNA: $3,186 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $877.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $835.77 ALLEGEANT — COFINITY: $1,528.49
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt	Not listed in the file	$10,302.86	$1,655.22 – $8,089
Carpal tunnel release: 10 of 32 insurance plan rates AETNA — AETNA: $3,698 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,643.20 AETNA DOMESTIC — AETNA: $3,698 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $1,937.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,845.20 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $5,842.23 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $1,845.20 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $1,939.35 CIGNA — CIGNA: $3,261.62

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$80,956.91	$15,527.46 – $57,599.69
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates AETNA — AETNA: $50,698.48 AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $32,828.84 AETNA DOMESTIC — AETNA: $50,698.48 AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $15,527.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,527.46 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $51,098.26 BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY GRP HMO: $53,772.07 BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $15,527.46 CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $15,527.46 CIGNA — CIGNA: $51,098.26

Source: Mount Carmel Dublin’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	4105 Emerald Pkwy, Dublin, OH 43016
County	Franklin County
State	Ohio
Phone	(380) 898‑9000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	Not rated by CMS
CMS Certification Number	360375
Name in Medicare records	MOUNT CARMEL DUBLIN
Profile level	Medicare data + hospital website
Official website	mountcarmelhealth.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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Mount Carmel Dublin — mountcarmelhealth.com
Visitors | Mount Carmel Health System — mountcarmelhealth.com
Emergency Care | Mount Carmel Health System — mountcarmelhealth.com

Mount Carmel Dublin

Summary

Profile from official sources

At a glance