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Acute Care Hospital

Mount Carmel East & West

Also listed as: Mount Carmel East

Columbus, Ohio · Franklin County · Emergency services listed

Mount Carmel East & West is an acute care hospital at 6001 East Broad Street, Columbus, OH 43213. Phone: (614) 234-5000. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Mount Carmel East & West is an acute care hospital in Columbus, Ohio. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 40 services, specialties and programs. Medicare lists 1,301 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(614) 234‑5000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
400Beds (hospital website)
1,301Doctors and clinicians
40Services listed

Quick answers

Does Mount Carmel East & West have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Mount Carmel East & West. In a medical emergency, call 911.
Where is Mount Carmel East & West?
6001 East Broad Street, Columbus, OH 43213, in Franklin County, Ohio.
What is the phone number of Mount Carmel East & West?
(614) 234-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Mount Carmel East & West?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Mount Carmel East & West for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Mount Carmel East & West under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.9490; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[5]

Procedures[5]

Programs and centers[4][5][8]

  • Cardiovascular center
  • Women's Health Center
  • Maternity center
  • Network Cancer Program
  • Orthopedics and spine program
  • Level II trauma center

Emergency care (hospital website)[4][5][6][7][8]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationComprehensive Stroke Center

Visiting and practical information

ParkingGarage and surface lots are free daily[4]
Patient portalMyChart

Recognition[4][8]

  • Comprehensive Stroke Center certification (The Joint Commission / AHA/ASA)
  • Level II Trauma Center verified by the American College of Surgeons

Doctors and clinicians (1,301)

1,301 doctors and other clinicians list Mount Carmel East & West as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,301)

And 1,277 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Columbus

All hospitals in Columbus · Hospitals in Franklin County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted52%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean63%National average: 73%
Completed surveys1,097Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.404No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.737Worse than the national benchmark
Surgical site infections after colon surgery1.515No different from the national benchmark
MRSA bloodstream infections1.114No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.62No different from the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients12.1%
Deaths within 30 days: heart failure patients11.3%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: COPD patients10.7%
Deaths within 30 days: stroke patients11.5%
Deaths within 30 days: coronary bypass surgery (CABG)3.3%
Serious complications (patient safety indicator PSI-90)1.27No different from the national rate
Complications after hip or knee replacement4.2%

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)14.7%
Readmitted within 30 days: heart attack13.2%
Readmitted within 30 days: heart failure19.2%
Readmitted within 30 days: pneumonia15.1%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: coronary bypass surgery9.6%
Readmitted within 30 days: hip or knee replacement6.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Mount Carmel East & West, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.9490Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0342More readmissions than expected
Heart failure0.9724Fewer readmissions than expected
Pneumonia1.0974More readmissions than expected
COPD (chronic lung disease)1.0164More readmissions than expected
Hip or knee replacement1.0239More readmissions than expected
Coronary bypass surgery (CABG)0.9880Fewer readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score9.58 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)1.67 out of 100
Person and community engagement (patient survey)20.00 out of 100
Safety (infections and sepsis care)16.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.98Below the national median hospital (1.00): Medicare spent less

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

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 ColumbusBest hospitals in Columbus

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Mount Carmel East & West 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 →

$ 23 amounts are marked with “!”: they are 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. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 70 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $246 $246 $57.90 – $168.75
New patient office visit (about 30–44 minutes): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $110.25
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $110.25
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $61.22
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $110.25
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $61.22
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $110.25
  • AMERIBEN — AMERIBEN: $151.88
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $110.25
  • AMERICAN HEALTH PLAN — MEDICARE: $110.25
  • AMERIGROUP MEDICAID — MEDICAID: $61.22
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 $42.22 – $149.60
New patient office visit (about 30–44 minutes): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $69.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.01
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $69.01
  • ALIGN SENIOR CARE — MEDICARE: $69.01
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $69.01
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $69.01
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $42.22
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $69.01
  • ALLY ALIGN CARE ADV — MEDICARE: $69.01
  • AMERICAN HEALTH PLAN — MEDICARE: $69.01
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 $366 $366 $93.36 – $255.38
New patient office visit (about 45–59 minutes): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $166.85
  • AETNA MEDICAID — AETNA MEDICAID: $99.90
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $166.85
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $166.85
  • ALIGN SENIOR CARE — MEDICARE: $166.85
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $166.85
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $93.36
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $166.85
  • ALLY ALIGN CARE ADV — MEDICARE: $166.85
  • AMERIBEN — AMERIBEN: $229.84
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 $370 $370 $93.36 – $280.91
New patient office visit (about 45–59 minutes): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $166.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $166.85
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $166.85
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $93.36
  • ALIGN SENIOR CARE — MEDICARE: $166.85
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $166.85
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $166.85
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $93.36
  • ALLY ALIGN CARE ADV — MEDICARE: $166.85
  • AMERICAN HEALTH PLAN — MEDICARE: $166.85
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 $92.75 – $410
New patient office visit (about 60–74 minutes): 10 of 1,427 insurance plan rates
  • ACCESS HEALTH — PB XR 100% DEFAULT: $410
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $410
  • AETNA EAP — PB XR 100% DEFAULT: $410
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $410
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $410
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $410
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $410
  • ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $410
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $410
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — 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 $483 $483 $117.31 – $483
New patient office visit (about 60–74 minutes): 10 of 1,427 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $483
  • ACCESS HEALTH — PB XR 100% DEFAULT: $483
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $483
  • ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $483
  • AETNA EAP — PB XR 100% DEFAULT: $483
  • AETNA MEDICAID — PB XR 100% DEFAULT: $483
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $222.97
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $483
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $483
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $483
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 $200 $200 $49.86 – $200
Established patient office visit (about 20–29 minutes): 10 of 1,611 insurance plan rates
  • ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $200
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $200
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $200
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $200
  • ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $200
  • AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $200
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $200
  • AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $200
  • AMERICAN NATIONAL — PB XR 100% DEFAULT: $200
  • AMERIGROUP MEDICAID — PB XR 100% DEFAULT: $200
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 1,611 insurance plan rates
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $149
  • ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $149
  • ADAMH BOARD — PB XR 100% DEFAULT: $149
  • ADMIRAL LIFE — PB XR 100% DEFAULT: $149
  • ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $149
  • ADVOCATE HEALTH — PB XR 100% DEFAULT: $149
  • AETNA — AETNA: $83.25
  • AETNA EAP — PB XR 100% DEFAULT: $149
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $149
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $149
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Low Pro 20-29 Mins (Restricted Method II CAH) Not listed in the file $568.75 $49.68 – $632
Established patient office visit (about 20–29 minutes): 10 of 98 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $58.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $55.38
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $157.98
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $282 $282 $74.79 – $282
Established patient office visit (about 30–39 minutes): 10 of 1,534 insurance plan rates
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $282
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $282
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $282
  • AETNA EAP — PB XR 100% DEFAULT: $282
  • AETNA MEDICAID — PB XR 100% DEFAULT: $282
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $282
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $282
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $282
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $282
  • ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $282
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 $282 $282 $119.34
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • MEDICAID - MI — MEDICAID: $119.34
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 $282 $282 $86.48
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • MEDICAID - MI — MEDICAID: $86.48
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 – $632
Preventive checkup, new patient, age 18–39: 10 of 121 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 — AETNAIO HEALTH: $135
  • AETNA DOMESTIC — AETNA: $76.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $29.30
  • ALLEGEANT — COFINITY: $63.05
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $164 $164 $37.68 – $164
Emergency room visit (moderate): 10 of 1,427 insurance plan rates
  • AETNA EAP — PB XR 100% DEFAULT: $164
  • AETNA MEDICAID — PB XR 100% DEFAULT: $164
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $164
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $164
  • ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $164
  • ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $164
  • ANDRIE INC — PB XR 100% DEFAULT: $164
  • ANGELA HOSPICE — PB XR 100% DEFAULT: $164
  • ARBOR HOSPICE — PB XR 100% DEFAULT: $164
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — PB XR 100% DEFAULT: $164
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 $227.03 – $1,938.74
Emergency room visit (moderate): 10 of 207 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 — AETNAIO HEALTH: $1,520
  • AETNA DOMESTIC — AETNA: $1,787
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $265.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $253.09
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 $227.03 – $1,938.74
Emergency room visit (moderate): 10 of 207 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 — AETNAIO HEALTH: $1,520
  • AETNA DOMESTIC — AETNA: $1,787
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $265.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $253.09
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $276 $276 $12.06 – $276
Emergency room visit (moderately high): 10 of 1,427 insurance plan rates
  • ACCESS HEALTH — PB XR 100% DEFAULT: $276
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $276
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.49
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $276
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $276
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $276
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $276
  • ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $276
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $276
  • AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $276
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 $347.04 – $4,096
Emergency room visit (moderately high): 10 of 207 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 — AETNAIO HEALTH: $2,420.80
  • AETNA DOMESTIC — AETNA: $3,430
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $406.21
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $386.87
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 $3,026 $1,966.90 $347.04 – $4,096
Emergency room visit (moderately high): 10 of 207 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 — AETNAIO HEALTH: $2,420.80
  • AETNA DOMESTIC — AETNA: $3,430
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $406.21
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $386.87
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $401 $401 $94.23 – $401
Emergency room visit (high): 10 of 1,427 insurance plan rates
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $401
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $401
  • ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $401
  • AETNA MEDICAID — PB XR 100% DEFAULT: $401
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $401
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $401
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $401
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $401
  • AMERIBEN — PB XR 100% DEFAULT: $401
  • AMERICAN NATIONAL — PB XR 100% DEFAULT: $401
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 $495.30 – $7,949
Emergency room visit (high): 10 of 207 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 — AETNAIO HEALTH: $6,359.20
  • AETNA DOMESTIC — AETNA: $5,093
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $579.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $552.15
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade $14,809 $9,625.85 $495.30 – $14,809
Emergency room visit (high): 10 of 207 insurance plan rates
  • ACCESS HEALTH — COFINITY: $6,915.80
  • ACCLAIM — COFINITY: $6,915.80
  • ADMINISTRATIVE CONCEPTS — COFINITY: $6,915.80
  • AETNA — AETNA: $5,093
  • AETNA — AETNA ASA MERITAIN: $6,649.24
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5,336.99
  • AETNA — AETNAIO HEALTH: $11,847.20
  • AETNA DOMESTIC — AETNA: $5,093
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $579.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $552.15

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 – $632
Basic metabolic panel (blood test): 10 of 207 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 — AETNAIO HEALTH: $101
  • AETNA DOMESTIC — AETNA: $7.99
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29
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 – $632
Basic metabolic panel (blood test): 10 of 207 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 — AETNAIO HEALTH: $101
  • AETNA DOMESTIC — AETNA: $7.99
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) Not listed in the file $639.60 $7.92 – $632
Basic metabolic panel (blood test): 10 of 102 insurance plan rates
  • AETNA — AETNA: $7.99
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.92
  • AETNA DOMESTIC — AETNA: $7.99
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $129.52
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $123.36
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $34.35
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $478.56
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $478.56
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $478.56
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $478.56
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 – $632
Comprehensive metabolic panel (blood test): 10 of 207 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 — AETNAIO HEALTH: $95
  • AETNA DOMESTIC — AETNA: $9.97
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $10.87
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel Not listed in the file $3,573.05 $9.89 – $765.05
Comprehensive metabolic panel (blood test): 10 of 99 insurance plan rates
  • AETNA — AETNA: $9.97
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $9.89
  • AETNA DOMESTIC — AETNA: $9.97
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $207.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $197.21
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $42.93
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $765.05
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $765.05
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $765.05
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $765.05
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Obstetric Panel $284 $184.60 $41 – $632
Obstetric blood test panel: 10 of 197 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 – $632
Cholesterol panel (lipid panel): 10 of 207 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 — AETNAIO HEALTH: $83
  • AETNA DOMESTIC — AETNA: $12.64
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $13.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $64 $41.60 $7.63 – $632
Kidney function panel: 10 of 207 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 — AETNAIO HEALTH: $64
  • AETNA DOMESTIC — AETNA: $8.19
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $51 $33.15 $7.18 – $632
Liver function panel: 10 of 207 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 — AETNAIO HEALTH: $51
  • AETNA DOMESTIC — AETNA: $7.72
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01
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 – $632
Urine test (automated, with microscope): 10 of 207 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 — AETNAIO HEALTH: $20
  • AETNA DOMESTIC — AETNA: $3
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3.26
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
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 $1,149.85 $2.97 – $632
Urine test (automated, with microscope): 10 of 102 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: $84.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.69
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $12.89
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
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 – $632
Urine test (manual, without microscope): 10 of 207 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 — AETNAIO HEALTH: $22
  • AETNA DOMESTIC — AETNA: $3.28
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3.58
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.41
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 – $632
Urine test (automated, without microscope): 10 of 207 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 — AETNAIO HEALTH: $21
  • AETNA DOMESTIC — AETNA: $2.12
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $2.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
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 – $632
Urine test (automated, without microscope): 10 of 207 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 — AETNAIO HEALTH: $21
  • AETNA DOMESTIC — AETNA: $2.12
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $2.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated Not listed in the file $146.25 $1.98 – $632
Urine test (automated, without microscope): 10 of 102 insurance plan rates
  • AETNA — AETNA: $2.12
  • 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
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $8.58
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $2.25
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $2.25
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $2.25
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $2.25
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 – $632
PSA (prostate specific antigen) blood test: 10 of 207 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 — AETNAIO HEALTH: $118
  • AETNA DOMESTIC — AETNA: $17.36
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
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 – $632
PSA (prostate specific antigen) blood test: 10 of 207 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 — AETNAIO HEALTH: $118
  • AETNA DOMESTIC — AETNA: $17.36
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
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 – $632
PSA (prostate specific antigen) blood test: 10 of 207 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 — AETNAIO HEALTH: $118
  • AETNA DOMESTIC — AETNA: $17.36
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $18.92
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
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 – $632
Thyroid stimulating hormone (TSH) test: 10 of 207 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 — AETNAIO HEALTH: $103
  • AETNA DOMESTIC — AETNA: $15.86
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $17.29
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46
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 – $632
Complete blood count (CBC) with differential: 10 of 207 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 — AETNAIO HEALTH: $48
  • AETNA DOMESTIC — AETNA: $7.34
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61
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 – $632
Complete blood count (CBC) with differential: 10 of 207 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 — AETNAIO HEALTH: $48
  • AETNA DOMESTIC — AETNA: $7.34
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated Not listed in the file $15,021.87 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $632 – $26,674.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 102 insurance plan rates
  • AETNA — AETNA: $15,425 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $11,758.11 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA DOMESTIC — AETNA: $15,425 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,156.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,005.77
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $26,674.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,660.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,660.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,660.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,660.54 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated $74 $48.10 $5.69 – $632
Complete blood count (CBC), automated: 10 of 207 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 — AETNAIO HEALTH: $74
  • AETNA DOMESTIC — AETNA: $6.11
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.66
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34
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 $317.85 $6.06 – $632
Complete blood count (CBC), automated: 10 of 102 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: $57.43
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $54.70
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $27.17
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $212.18
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $212.18
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $212.18
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $212.18
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 – $632
Blood clotting time test (prothrombin time, PT): 10 of 207 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 — AETNAIO HEALTH: $48
  • AETNA DOMESTIC — AETNA: $4.05
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time $48 $31.20 $3.77 – $632
Blood clotting time test (prothrombin time, PT): 10 of 207 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 — AETNAIO HEALTH: $48
  • AETNA DOMESTIC — AETNA: $4.05
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
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 – $632
Blood clotting time test (prothrombin time, PT): 10 of 207 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 — AETNAIO HEALTH: $48
  • AETNA DOMESTIC — AETNA: $4.05
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $4.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt) $63 $40.95 $5.28 – $632
Blood clotting test (partial thromboplastin time, PTT): 10 of 207 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 — AETNAIO HEALTH: $63
  • AETNA DOMESTIC — AETNA: $5.68
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt) $63 $40.95 $5.28 – $632
Blood clotting test (partial thromboplastin time, PTT): 10 of 207 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 — AETNAIO HEALTH: $63
  • AETNA DOMESTIC — AETNA: $5.68
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
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 – $632
Blood clotting test (partial thromboplastin time, PTT): 10 of 207 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 — AETNAIO HEALTH: $63
  • AETNA DOMESTIC — AETNA: $5.68
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $6.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89

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

ServiceHospital chargeCash priceInsurance 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 $86.95 – $1,505
CT scan of the head or brain, without contrast: 10 of 207 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 — AETNAIO HEALTH: $1,505
  • AETNA DOMESTIC — AETNA: $1,370
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
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 $86.95 – $94,012.40
CT scan of the head or brain, without contrast: 10 of 102 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: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,125.72
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $376.03
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $376.03
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $376.03
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $376.03
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier NC In the file: HC CT Head/Brain W/O Contrast|NC Not listed in the file $80,981.69 $86.95 – $94,012.40
CT scan of the head or brain, without contrast: 10 of 102 insurance plan rates
  • AETNA — AETNA: $44,210
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $6,549.14
  • AETNA DOMESTIC — AETNA: $44,210
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $25,445.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $24,233.86
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $46,955.88
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $94,012.40
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $94,012.40
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $94,012.40
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $94,012.40
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 $290.16 – $3,111
MRI of the brain, before and after contrast: 10 of 207 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 — AETNAIO HEALTH: $3,111
  • AETNA DOMESTIC — AETNA: $1,776
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $339.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $323.46
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: HC MRI Brain W/O & W/Contrast|REDUCED SERVICES $3,111 $2,022.15 $290.16 – $3,111
MRI of the brain, before and after contrast: 10 of 86 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $339.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $323.46
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
  • BLUE CROSS - CA (ANTHEM) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,254.82
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $680 $442 $72.38 – $680
Chest X-ray, 2 views: 10 of 207 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 — AETNAIO HEALTH: $680
  • AETNA DOMESTIC — AETNA: $320.28
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $84.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.69
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views Not listed in the file $442 $72.38 – $94,012.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Chest X-ray, 2 views: 10 of 98 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $84.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.69
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $157.98
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier PN In the file: HC Xr Chest 2 Views|PN - NON-EXCEPTED OFF-CAMPUS SVC $680 $442 $72.38 – $680
Chest X-ray, 2 views: 10 of 86 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $84.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.69
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
  • BLUE CROSS - CA (ANTHEM) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $313.01
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 $86.95 – $632
X-ray of the lower spine, at least 4 views: 10 of 207 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 — AETNAIO HEALTH: $580
  • AETNA DOMESTIC — AETNA: $273.18
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
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 $198.44 – $1,904
MRI of the lower back (lumbar spine), without contrast: 10 of 207 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 — AETNAIO HEALTH: $1,902
  • AETNA DOMESTIC — AETNA: $1,776
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $232.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $221.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: HC MRI Lumbar Spine W/O Contrast|REDUCED SERVICES $1,902 $1,236.30 $198.44 – $1,904
MRI of the lower back (lumbar spine), without contrast: 10 of 86 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $232.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $221.22
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
  • BLUE CROSS - CA (ANTHEM) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $858.19
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 $145.88 – $1,722
CT scan of the pelvis, with contrast: 10 of 207 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 — AETNAIO HEALTH: $1,722
  • AETNA DOMESTIC — AETNA: $1,370
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $170.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $162.62
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 $198.44 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 207 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 — AETNAIO HEALTH: $1,899
  • AETNA DOMESTIC — AETNA: $1,776
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $232.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $221.22
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 $198.44 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 207 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 — AETNAIO HEALTH: $1,899
  • AETNA DOMESTIC — AETNA: $1,776
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $232.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $221.22
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 $198.44 – $2,849
MRI of a leg joint (such as the knee), without contrast: 10 of 207 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 — AETNAIO HEALTH: $2,849
  • AETNA DOMESTIC — AETNA: $1,776
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $232.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $221.22
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 $290.16 – $3,200
CT scan of the abdomen and pelvis, with contrast: 10 of 207 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 — AETNAIO HEALTH: $3,200
  • AETNA DOMESTIC — AETNA: $1,370
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $339.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $323.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $889 $577.85 $86.95 – $889
Ultrasound of the abdomen, complete: 10 of 207 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 — AETNAIO HEALTH: $889
  • AETNA DOMESTIC — AETNA: $418.72
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation $296 $296 $30.03 – $296
Pregnancy ultrasound (after the first trimester): 10 of 675 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $124.31
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $124.31
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $124.31
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $99.62
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $99.62
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $99.62
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $124.31
  • AMERIBEN — AMERIBEN: $236.80
  • AMERICAN HEALTH PLAN — MEDICARE: $124.31
  • AMERIGROUP MEDICAID — MEDICAID: $99.62
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 $86.95 – $763
Pregnancy ultrasound (after the first trimester): 10 of 207 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 — AETNAIO HEALTH: $730
  • AETNA DOMESTIC — AETNA: $343.83
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation Not listed in the file $328.51 $30.03 – $283.61
Pregnancy ultrasound (after the first trimester): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $124.31
  • AETNA MEDICAID — AETNA MEDICAID: $106.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $124.31
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $124.31
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $99.62
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $99.62
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $124.31
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $99.62
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $124.31
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $124.31
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $825 $536.25 $86.95 – $825
Transvaginal ultrasound: 10 of 207 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 — AETNAIO HEALTH: $825
  • AETNA DOMESTIC — AETNA: $388.58
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $101.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.93
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR US Transvaginal Non Obstetric|PROFESSIONAL COMPONENT $75 $75 $20.66 – $75
Transvaginal ultrasound: 10 of 1,427 insurance plan rates
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $75
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $75
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $75
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $75
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $75
  • ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $75
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $75
  • AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $75
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR US Transvaginal Non Obstetric|PROFESSIONAL COMPONENT Not listed in the file $87.09 $20.66 – $87.09
Transvaginal ultrasound: 10 of 1,427 insurance plan rates
  • ACCESS HEALTH — PB XR 100% DEFAULT: $87.09
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $87.09
  • AETNA EAP — PB XR 100% DEFAULT: $87.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $87.09
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $87.09
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $87.09
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $87.09
  • ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $87.09
  • ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $87.09
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 – $632
Diagnostic mammogram, one breast: 10 of 207 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 — AETNAIO HEALTH: $339
  • AETNA DOMESTIC — AETNA: $213
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $80.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.14
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 – $632
Diagnostic mammogram, one breast: 10 of 207 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 — AETNAIO HEALTH: $339
  • AETNA DOMESTIC — AETNA: $213
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $80.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt Not listed in the file $809.25 $69.19 – $763
Diagnostic mammogram, one breast: 10 of 93 insurance plan rates
  • AETNA — AETNA: $213
  • AETNA DOMESTIC — AETNA: $213
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $80.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.14
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $102.32
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral $426 $276.90 $88.79 – $632
Diagnostic mammogram, both breasts: 10 of 207 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 — AETNAIO HEALTH: $426
  • AETNA DOMESTIC — AETNA: $213
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $103.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral $122 $79.30 $54.78 – $632
Screening mammogram, both breasts: 10 of 207 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 — AETNAIO HEALTH: $122
  • AETNA DOMESTIC — AETNA: $150
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $85.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.61
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 – $632
Screening mammogram, both breasts: 10 of 207 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 — AETNAIO HEALTH: $122
  • AETNA DOMESTIC — AETNA: $150
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $85.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.61

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report $32 $32 $9.80 – $32
Electrocardiogram (ECG/EKG) with reading: 10 of 1,430 insurance plan rates
  • ACCESS HEALTH — PB XR 100% DEFAULT: $32
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $32
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $32
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $32
  • AETNA MEDICAID — PB XR 100% DEFAULT: $32
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $32
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $32
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $32
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $32
  • ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $32
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 $632 – $26,674.48
Left heart catheterization (diagnostic): 10 of 207 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 — AETNAIO HEALTH: $6,659
  • AETNA DOMESTIC — AETNA: $15,425
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,156.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,005.77
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 $632 – $28,053.76
Heart rhythm study (electrophysiology evaluation): 10 of 207 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 — AETNAIO HEALTH: $10,645
  • AETNA DOMESTIC — AETNA: $6,067.65
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $7,593.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,231.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath $2,535 $2,535 $257.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,267.50
Heart rhythm study with ablation for atrial fibrillation: 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $390.55
  • AETNA MEDICAID — AETNA MEDICAID: $436.04
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $390.55
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $390.55
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $407.52
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $407.52
  • ALIGN SENIOR CARE — MEDICARE: $390.55
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $390.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $407.52
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $407.52
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 $632 – $94,012.40
Heart rhythm study with ablation for atrial fibrillation: 10 of 207 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 — AETNAIO HEALTH: $38,102
  • AETNA DOMESTIC — AETNA: $44,210
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $25,445.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $24,233.86
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath Not listed in the file $2,602.42 $349.77 – $1,060.50
Heart rhythm study with ablation for atrial fibrillation: 10 of 526 insurance plan rates
  • AETNA MEDICAID — AETNA MEDICAID: $436.04
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $390.55
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $390.55
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $407.52
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $407.52
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $390.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $407.52
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $407.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $390.55
  • ALLY ALIGN CARE ADV — MEDICARE: $390.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $2,543 $2,543 $72.05 – $1,316.65
Sleep study (overnight, in a sleep lab): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $611.14
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $611.14
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $611.14
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $611.14
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $611.14
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $611.14
  • ALLY ALIGN CARE ADV — MEDICARE: $611.14
  • AMERIBEN — AMERIBEN: $841.87
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $611.14
  • AMERICAN HEALTH PLAN — MEDICARE: $611.14
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 $288.21 – $3,244
Sleep study (overnight, in a sleep lab): 10 of 114 insurance plan rates
  • AETNA — AETNA: $1,662
  • AETNA — AETNA ASA MERITAIN: $1,662
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,662
  • AETNA DOMESTIC — AETNA: $1,662
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $521.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $496.26
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,567
  • AMERIHEALTH CARITAS MEDICAID — AMERIHEALTH CARITAS MEDICAID: $3,244
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,486.95
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,486.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years Not listed in the file $2,543 $72.05 – $1,316.65
Sleep study (overnight, in a sleep lab): 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $611.14
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $611.14
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $360.26
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $611.14
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $611.14
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $360.26
  • AMERIBEN — AMERIBEN: $841.87
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $611.14
  • AMERIGROUP MEDICAID — MEDICAID: $360.26
  • AMERIHEALTH CARITAS MEDICAID — AMERIHEALTH MEDICAID: $385.48

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 – $632
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 207 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 — AETNAIO HEALTH: $131
  • AETNA DOMESTIC — AETNA: $96
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $28.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.45
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 – $632
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 207 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 — AETNAIO HEALTH: $131
  • AETNA DOMESTIC — AETNA: $96
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $28.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.45
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes|CQ $131 $85.15 $24.62 – $632
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $28.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.45
  • BLUE CROSS - OH (ANTHEM) — ANTHEM BCBS PATHWAY HMO: $49.02
  • BLUE CROSS - OH (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $27.45
  • CARESOURCE MEDICARE — CARESOURCE MEDICARE ADVANTAGE: $28.85
  • CUSTOM DESIGN BENEFITS — CUSTOM DESIGN BENEFIT: $58.54
  • ENTERPRISE GROUP PLANNING — ENTERPRISE GROUP PLANNING MEDICARE ADV: $54.06
  • HOSPICE MOUNT CARMEL — MOUNT CARMEL HOSPICE: $46.22
  • MEDICAL MUTUAL — MEDICAL MUTUAL MEDFLEX: $51.01
  • MEDICAL MUTUAL — MEDICAL MUTUAL OH SUPERMED PPO POS HMO: $70.84
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 – $632
Physical therapy evaluation (low complexity): 10 of 207 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 — AETNAIO HEALTH: $499
  • AETNA DOMESTIC — AETNA: $96
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44
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 207 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 — AETNAIO HEALTH: $730
  • AETNA DOMESTIC — AETNA: $96
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44
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 207 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 — AETNAIO HEALTH: $885
  • AETNA DOMESTIC — AETNA: $96
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $97.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.44

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 Bl $6,389 $4,152.85 $632 – $14,082.99
Removal of breast growth (open surgery): 10 of 207 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 — AETNAIO HEALTH: $4,259
  • AETNA DOMESTIC — AETNA: $5,706
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $3,811.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,630.22
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt Not listed in the file $11,594.76 $632 – $14,082.99
Removal of breast growth (open surgery): 10 of 102 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: $3,811.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,630.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $4,382.04
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $14,082.99
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $14,082.99
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $14,082.99
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $14,082.99
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,893 $2,893 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,650
Total hip replacement: 10 of 1,427 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $2,893
  • ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $2,893
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $2,893
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $2,893
  • AFLAC — PB XR 100% DEFAULT: $2,893
  • ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $2,893
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $2,893
  • ALTA HEALTH — PB XR 100% DEFAULT: $2,893
  • AMALGAMATED — PB XR 100% DEFAULT: $2,893
  • AMERIBEN — PB XR 100% DEFAULT: $2,893
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement Not listed in the file $4,068.92 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,350
Total hip replacement: 10 of 1,426 insurance plan rates
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $4,068.92
  • AETNA EAP — PB XR 100% DEFAULT: $4,068.92
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $4,068.92
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $4,068.92
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $4,068.92
  • ANDRIE INC — PB XR 100% DEFAULT: $4,068.92
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — PB XR 100% DEFAULT: $4,068.92
  • AURORA SPECIAL NEEDS — PB XR 100% DEFAULT: $4,068.92
  • AUTO AMERICAN MODERN INS CO — PB XR 100% DEFAULT: $4,068.92
  • AUTO METLIFE — PB XR 100% DEFAULT: $4,068.92
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) Not listed in the file $57,497.52 $632 – $46,178.07
Total hip replacement: 10 of 94 insurance plan rates
  • AETNA — AETNA: $7,584
  • AETNA DOMESTIC — AETNA: $7,584
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $12,498.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,903.45
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $3,322 $3,322 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,642
Total knee replacement: 10 of 1,427 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $3,322
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $3,322
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $3,322
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $3,322
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $3,322
  • AFLAC — PB XR 100% DEFAULT: $3,322
  • ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $3,322
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $3,322
  • ALTA HEALTH — PB XR 100% DEFAULT: $3,322
  • AMERIBEN — PB XR 100% DEFAULT: $3,322
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing Not listed in the file $4,009.57 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,821.43
Total knee replacement: 10 of 1,426 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $4,009.57
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $4,009.57
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $4,009.57
  • ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $4,009.57
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $4,009.57
  • AMALGAMATED — PB XR 100% DEFAULT: $4,009.57
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $4,009.57
  • AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $4,009.57
  • AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $4,009.57
  • AMISH HOSPITAL AID — PB XR 100% DEFAULT: $4,009.57
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 $54,733.56 $632 – $46,178.07
Total knee replacement: 10 of 94 insurance plan rates
  • AETNA — AETNA: $7,584
  • AETNA DOMESTIC — AETNA: $7,584
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $12,498.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,903.45
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $46,178.07
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 $55,316.58 $632 – $29,618.52
Shoulder arthroscopy: shaving of shoulder bone: 10 of 102 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: $7,064.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,727.64
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $29,618.52
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $26,099.09
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $26,099.09
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $26,099.09
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $26,099.09
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing Not listed in the file $2,489.99 $632 – $6,061
Upper GI endoscopy (diagnostic): 10 of 102 insurance plan rates
  • AETNA — AETNA: $3,186
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $882.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $840.92
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,570.50
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|REDUCED SERVICES Not listed in the file $2,471.07 $632 – $6,061
Upper GI endoscopy (diagnostic): 10 of 102 insurance plan rates
  • AETNA — AETNA: $3,186
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $882.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $840.92
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,570.50
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE Not listed in the file $2,500.39 $632 – $6,061
Upper GI endoscopy (diagnostic): 10 of 102 insurance plan rates
  • AETNA — AETNA: $3,186
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $882.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $840.92
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,570.50
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
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 $4,625.98 $632 – $6,901.90
Upper GI endoscopy with biopsy: 10 of 102 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: $1,868.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,779.13
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $6,901.90
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $6,901.90
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $6,901.90
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $6,901.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROC Not listed in the file $2,941.02 $632 – $6,901.90
Upper GI endoscopy with biopsy: 10 of 102 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: $882.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $840.92
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,262.23
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 $3,285.39 $632 – $6,061
Colonoscopy (diagnostic): 10 of 102 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: $905.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $862.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY Not listed in the file $2,773.68 $632 – $6,061
Colonoscopy (diagnostic): 10 of 102 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: $905.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $862.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
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 $5,401.24 $632 – $6,061
Colonoscopy with biopsy: 10 of 102 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: $1,164.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,109.47
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)|REDUCED SERVICES Not listed in the file $3,478.54 $632 – $6,061
Colonoscopy with biopsy: 10 of 102 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: $1,164.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,109.47
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
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 $5,037.63 $632 – $6,061
Colonoscopy with removal of polyps (snare): 10 of 102 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: $1,164.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,109.47
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $4,304.06
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 $3,134.04 $632 – $4,201
Screening colonoscopy (not high risk): 10 of 102 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: $905.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $862.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SUR Not listed in the file $3,197.97 $632 – $4,201
Screening colonoscopy (not high risk): 10 of 102 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: $905.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $862.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)|DISCONTINUED PROCEDURE Not listed in the file $3,111.35 $632 – $4,201
Screening colonoscopy (not high risk): 10 of 102 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: $905.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $862.22
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3,344.88
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,513 $1,513 $32.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,451
Gallbladder removal by laparoscope: 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $301.24
  • AETNA MEDICAID — AETNA MEDICAID: $275.89
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $257.84
  • ALIGN SENIOR CARE — MEDICARE: $301.24
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $301.24
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $257.84
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $301.24
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $257.84
  • ALLY ALIGN CARE ADV — MEDICARE: $301.24
  • AMERIBEN — AMERIBEN: $605.20
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy Not listed in the file $1,872.23 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,950.83
Gallbladder removal by laparoscope: 10 of 675 insurance plan rates
  • AETNA MEDICAID — AETNA MEDICAID: $275.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $301.24
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $301.24
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $301.24
  • ALIGN SENIOR CARE — MEDICARE: $301.24
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $301.24
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $257.84
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $301.24
  • ALLY ALIGN CARE ADV — MEDICARE: $301.24
  • AMERIBEN — AMERIBEN: $414.97
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 $43,242.27 $632 – $21,744.51
Gallbladder removal by laparoscope: 10 of 102 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: $5,885.40
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5,605.14
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $15,328.66
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,744.51
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,744.51
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,744.51
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,744.51
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 $25,232.90 $632 – $21,835.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 102 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: $3,485.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,319.59
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,932.82
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $12,877.96
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $12,877.96
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $12,877.96
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $12,877.96
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)|BILATERAL PROCEDURE Not listed in the file $38,152.89 $632 – $21,835.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 102 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: $5,910.10
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5,628.67
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,932.82
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,835.75
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,835.75
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,835.75
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $21,835.75
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 $632 – $7,518.69
Prostate biopsy: 10 of 196 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 — AETNAIO HEALTH: $3,684
  • AETNA DOMESTIC — AETNA: $3,698
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $799.43
  • ALLEGEANT — 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 $19,859.14 $298.12 – $7,518.69
Prostate biopsy: 10 of 94 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: $348.95
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,518.69
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,518.69
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,518.69
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,518.69
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,518.69
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $613 $613 $10.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $498
Hysteroscopy with biopsy of the uterus lining: 10 of 676 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $98.37
  • AETNA MEDICAID — AETNA MEDICAID: $62.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.37
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $58.83
  • ALIGN SENIOR CARE — MEDICARE: $98.37
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $98.37
  • AMERIBEN — AMERIBEN: $245.20
  • AMERIGROUP MEDICAID — MEDICAID: $58.83
  • AMERIHEALTH MEDICARE — MEDICARE: $98.37
  • AMISH MENNONITE — MEDICAID: $58.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C Not listed in the file $2,846.24 $37.48 – $1,410.21
Hysteroscopy with biopsy of the uterus lining: 10 of 676 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $575.48
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $575.48
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $575.48
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $423.89
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $575.48
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $575.48
  • ALLY ALIGN CARE ADV — MEDICARE: $575.48
  • AMERIBEN — AMERIBEN: $792.76
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $575.48
  • AMERICAN HEALTH PLAN — MEDICARE: $575.48
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C Not listed in the file $22,321.19 $632 – $11,643.26
Hysteroscopy with biopsy of the uterus lining: 10 of 102 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: $3,151.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,001.32
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $4,382.04
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,643.26
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,643.26
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,643.26
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,643.26
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 $587.08 – $4,201
Spinal injection, lower back (epidural), with imaging guidance: 10 of 207 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 — AETNAIO HEALTH: $3,133
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $687.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $654.46
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 Bl $4,910 $3,191.50 $632 – $4,910
Nerve root injection, lower back, with imaging guidance: 10 of 207 insurance plan rates
  • ACCESS HEALTH — COFINITY: $2,292.97
  • ACCLAIM — COFINITY: $2,292.97
  • ADMINISTRATIVE CONCEPTS — COFINITY: $2,292.97
  • AETNA — AETNA: $3,186
  • AETNA — AETNA ASA MERITAIN: $2,204.59
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA — AETNAIO HEALTH: $4,910
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $861.05
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $820.04
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 $9,667.97 $632 – $8,089
Carpal tunnel release: 10 of 102 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: $1,901
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,810.48
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,261.62
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,023.55
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,023.55
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,023.55
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $7,023.55

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $5,436 $5,436 $908.68 – $5,436
Vaginal delivery, with care before and after: 10 of 1,427 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $5,436
  • AETNA EAP — PB XR 100% DEFAULT: $5,436
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $5,436
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $5,436
  • AETNA TRANSPLANT — PB XR 100% DEFAULT: $5,436
  • AFLAC — PB XR 100% DEFAULT: $5,436
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $5,436
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $5,436
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $5,436
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $5,436
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care Not listed in the file $5,596.93 $908.68 – $5,596.93
Vaginal delivery, with care before and after: 10 of 1,426 insurance plan rates
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $5,596.93
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $5,596.93
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $5,596.93
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $5,596.93
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $5,596.93
  • AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $5,596.93
  • AURORA SPECIAL NEEDS — PB XR 100% DEFAULT: $5,596.93
  • AUTO AMERICAN FAMILY — PB XR 100% DEFAULT: $5,596.93
  • AUTO ESURANCE — PB XR 100% DEFAULT: $5,596.93
  • AUTO FREMONT MUTUAL — PB XR 100% DEFAULT: $5,596.93
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care $6,017 $6,017 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,017
Cesarean delivery (C-section), with care before and after: 10 of 1,425 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $6,017
  • ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $6,017
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $6,017
  • AETNA EAP — PB XR 100% DEFAULT: $6,017
  • AFLAC — PB XR 100% DEFAULT: $6,017
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $6,017
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $6,017
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,017
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,017
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $6,017
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care Not listed in the file $6,149.87 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,149.87
Cesarean delivery (C-section), with care before and after: 10 of 1,424 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $6,149.87
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $6,149.87
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $6,149.87
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,149.87
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,185.31
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $6,149.87
  • AFLAC — PB XR 100% DEFAULT: $6,149.87
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,149.87
  • ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,149.87
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $6,149.87
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care|ASSISTANT SURGEON $937.60 $937.60 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,017
Cesarean delivery (C-section), with care before and after: 10 of 1,427 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $937.60
  • ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $937.60
  • ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $937.60
  • AETNA EAP — PB XR 100% DEFAULT: $937.60
  • AFLAC — PB XR 100% DEFAULT: $937.60
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $937.60
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $937.60
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $937.60
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $937.60
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $937.60

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $317,739.30 $632 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $262,149.69
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 95 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $69,683.56
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $66,365.30
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $204,761.44
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE CROSS - AR — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
  • BLUE CROSS - AZ — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $262,149.69
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $86,082.44 $632 – $51,688.73
Hip or knee replacement (major joint of the leg), without major complications: 10 of 102 insurance plan rates
  • AETNA — AETNA: $40,057.47
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $25,938.46
  • AETNA DOMESTIC — AETNA: $40,057.47
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $14,734.12
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14,032.49
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $40,373.34
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $51,688.73
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $51,688.73
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $51,688.73
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $51,688.73
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 $89,040.46 $632 – $65,419.52
Neck (cervical) spinal fusion, without complications: 10 of 102 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: $18,319.10
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17,446.76
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $51,098.26
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $65,419.52
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $65,419.52
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $65,419.52
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $65,419.52
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $34,081.47 $632 – $33,247.04
Uterus and ovary surgery (not for cancer), without complications: 10 of 103 insurance plan rates
  • AETNA — AETNA: $25,765.62
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $16,684.04
  • AETNA DOMESTIC — AETNA: $25,765.62
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $9,919.14
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,446.80
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $25,968.79
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $33,247.04
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $33,247.04
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $33,247.04
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $33,247.04

Source: Mount Carmel East & West’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 typeAcute Care Hospital
Address6001 East Broad Street, Columbus, OH 43213
CountyFranklin County
StateOhio
Phone(614) 234‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number360035
Name in Medicare recordsMOUNT CARMEL EAST & WEST
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(614) 234‑6000[4]
Name on the hospital’s websiteMount Carmel East
Official websitemountcarmelhealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Mount Carmel East — mountcarmelhealth.com
  2. Mount Carmel East | Mount Carmel Health System — mountcarmelhealth.com
  3. Emergency Care | Mount Carmel Health System — mountcarmelhealth.com
  4. Stroke | Mount Carmel Health System — mountcarmelhealth.com
  5. Trauma Services | Mount Carmel Health System — mountcarmelhealth.com