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Acute Care Hospital

Mount Carmel New Albany Surgical Hospital

New Albany, Ohio · Franklin County · Emergency services listed

Summary

Mount Carmel New Albany Surgical Hospital is an acute care hospital in New Albany, Ohio. Its official website lists an emergency room (Medicare data does not list emergency services). Its official website lists 22 services, specialties and programs. Medicare lists 331 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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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
Not ratedNot rated by CMSMedicare rating
22Services listed

Quick answers

Does Mount Carmel New Albany Surgical Hospital have an emergency room?
Yes. The hospital’s official website lists an emergency room at Mount Carmel New Albany Surgical Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Mount Carmel New Albany Surgical Hospital?
7333 Smith's Mill Road, New Albany, OH 43054, in Franklin County, Ohio.
What is the phone number of Mount Carmel New Albany Surgical Hospital?
(614) 775-6600, as listed by Medicare (CMS).
What is the Medicare star rating of Mount Carmel New Albany Surgical Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

Treatments[4]

  • Emergency care

Procedures[4]

Programs and centers[4]

  • Joint replacement
  • Spine surgery
  • Joint replacement program
  • Spine surgery program
  • Women's Health Center
  • Pre-operative patient education

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalMyChart

Recognition[4]

  • Hip & Knee Joint Replacement Certification (The Joint Commission)
  • Spinal Surgery Certification (The Joint Commission)
  • Guardian of Excellence Award (Press Ganey)

Doctors and clinicians (331)

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

Main specialties

Doctors with a page on this site (331)

And 307 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1079%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night70%National average: 60%
Completed surveys361Response rate: 42%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacement4.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Mount Carmel New Albany Surgical Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 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.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $388 $388 $123.49 – $388
New patient office visit (about 60–74 minutes): 10 of 1,525 insurance plan rates
  • ACE MEDICARE SUPPLEMENT — PB XR 100% DEFAULT: $388
  • ACTIN CARE GROUPS — PB XR 100% DEFAULT: $388
  • ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $388
  • ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $388
  • AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $388
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — PB XR 100% DEFAULT: $388
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — PB XR 100% DEFAULT: $388
  • AUTO AMERICAN MODERN INS CO — PB XR 100% DEFAULT: $388
  • AUTO LIBERTY MUTUAL — PB XR 100% DEFAULT: $388
  • AVMED MEDICARE — PB XR 100% DEFAULT: $388
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $410 $410 $102.24 – $410
New patient office visit (about 60–74 minutes): 10 of 1,525 insurance plan rates
  • AARP — PB XR 100% DEFAULT: $410
  • ACCESS HEALTH — PB XR 100% DEFAULT: $410
  • ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $410
  • ADMIRAL LIFE — PB XR 100% DEFAULT: $410
  • ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $410
  • ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $410
  • AETNA EAP — PB XR 100% DEFAULT: $410
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $410
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $410
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $410
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $219 $219 $53.89 – $219
Established patient office visit (about 30–39 minutes): 10 of 1,597 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $219
  • ALIGN SENIOR CARE — PB XR 100% DEFAULT: $219
  • ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $219
  • ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $219
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $219
  • AMALGAMATED — PB XR 100% DEFAULT: $219
  • AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $219
  • AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $219
  • AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $219
  • AMERIHEALTH CARITAS NEXT — PB XR 100% DEFAULT: $219
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $207 $207 $65.79 – $207
Established patient office visit (about 30–39 minutes): 10 of 1,597 insurance plan rates
  • ACCESS HEALTH — PB XR 100% DEFAULT: $207
  • ADAMH BOARD — PB XR 100% DEFAULT: $207
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $207
  • AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $207
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $207
  • ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $207
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $207
  • ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $207
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $207
  • ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $207
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe $1,900 $1,235 $231.39 – $1,938.74
Emergency room visit (moderate): 10 of 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: $270.84
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 $1,900 $1,235 $231.39 – $1,938.74
Emergency room visit (moderate): 10 of 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: $270.84
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Type a Level 3 Not listed in the file $1,580.83 $231.39 – $1,938.74
Emergency room visit (moderate): 10 of 102 insurance plan rates
  • AETNA — AETNA: $1,787
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,605.53
  • AETNA DOMESTIC — AETNA: $1,787
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $270.84
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $257.95
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,938.74
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $981.84
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $981.84
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $981.84
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $981.84
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe $3,026 $1,966.90 $353.69 – $4,096
Emergency room visit (moderately high): 10 of 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: $414
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $394.29
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 $353.69 – $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: $414
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $394.29
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED Type a Level 4 Not listed in the file $3,259.46 $353.69 – $4,096
Emergency room visit (moderately high): 10 of 102 insurance plan rates
  • AETNA — AETNA: $3,430
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA DOMESTIC — AETNA: $3,430
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $414
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $394.29
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,820.24
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,500.82
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,500.82
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,500.82
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $1,500.82
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe $4,648 $3,021.20 $504.80 – $5,336.99
Emergency room visit (high): 10 of 207 insurance plan rates
  • ACCESS HEALTH — COFINITY: $2,170.62
  • ACCLAIM — COFINITY: $2,170.62
  • ADMINISTRATIVE CONCEPTS — COFINITY: $2,170.62
  • AETNA — AETNA: $5,093
  • AETNA — AETNA ASA MERITAIN: $2,086.95
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5,336.99
  • AETNA — AETNAIO HEALTH: $3,718.40
  • AETNA DOMESTIC — AETNA: $5,093
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $590.88
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $562.74
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 $4,648 $3,021.20 $504.80 – $5,336.99
Emergency room visit (high): 10 of 207 insurance plan rates
  • ACCESS HEALTH — COFINITY: $2,170.62
  • ACCLAIM — COFINITY: $2,170.62
  • ADMINISTRATIVE CONCEPTS — COFINITY: $2,170.62
  • AETNA — AETNA: $5,093
  • AETNA — AETNA ASA MERITAIN: $2,086.95
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $5,336.99
  • AETNA — AETNAIO HEALTH: $3,718.40
  • AETNA DOMESTIC — AETNA: $5,093
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $590.88
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $562.74
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Critical Care 30-74 Minutes - Downgrade $7,949 $5,166.85 $504.80 – $7,949
Emergency room visit (high): 10 of 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: $590.88
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $562.74

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 $54,867.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $34.35 – $63,065.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 101 insurance plan rates
  • AETNA — AETNA: $8,399 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA DOMESTIC — AETNA: $8,399 (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: $17,396.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,568.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $34.35
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $63,065.48 (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: $63,065.48 (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: $63,065.48 (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: $63,065.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $63,065.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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
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
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel Not listed in the file $137.15 $7.18 – $632
Liver function panel: 10 of 102 insurance plan rates
  • AETNA — AETNA: $7.72
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.65
  • AETNA DOMESTIC — AETNA: $7.72
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $8.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $32.91
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $8.17
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $8.17
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $8.17
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $8.17
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 $424.45 $2.79 – $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: $3.26
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $12.89
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3.17
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3.17
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3.17
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $3.17
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 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 · 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
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
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone Not listed in the file $382.85 $14.77 – $632
Thyroid stimulating hormone (TSH) test: 10 of 102 insurance plan rates
  • AETNA — AETNA: $15.86
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $15.72
  • AETNA DOMESTIC — AETNA: $15.86
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $17.29
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $68.66
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $16.80
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $16.80
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $16.80
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $16.80
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 $895.70 $7.28 – $632
Complete blood count (CBC) with differential: 10 of 101 insurance plan rates
  • AETNA — AETNA: $7.34
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $7.28
  • AETNA DOMESTIC — AETNA: $7.34
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $86.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $82.23
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $31.48
  • 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
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 $42,001.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $632 – $29,618.52 (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: 10 of 101 insurance plan rates
  • AETNA — AETNA: $8,399 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA DOMESTIC — AETNA: $8,399 (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: $7,199.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,856.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $29,618.52 (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: $26,099.09 (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: $26,099.09 (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: $26,099.09 (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: $26,099.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AL — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $26,099.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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 Warde 3500044 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 3500044 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 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 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 $88.62 – $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: $103.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast Not listed in the file $978.25 $88.62 – $1,384.58
CT scan of the head or brain, without contrast: 10 of 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: $103.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79
  • 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
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast $3,111 $2,022.15 $295.72 – $3,111
MRI of the brain, before and after contrast: 10 of 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: $346.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $329.66
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $680 $442 $73.77 – $680
Chest X-ray, 2 views: 10 of 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: $86.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $82.23
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views $580 $377 $88.62 – $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: $103.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast $1,902 $1,236.30 $202.25 – $1,904
MRI of the lower back (lumbar spine), without contrast: 10 of 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: $236.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast $1,722 $1,119.30 $148.68 – $1,722
CT scan of the pelvis, with contrast: 10 of 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: $174.03
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $165.74
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl $2,849 $1,851.85 $202.25 – $2,849
MRI of a leg joint (such as the knee), without contrast: 10 of 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: $236.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt $1,899 $1,234.35 $202.25 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 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: $236.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt $1,899 $1,234.35 $202.25 – $1,904
MRI of a leg joint (such as the knee), without contrast: 10 of 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: $236.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast $3,200 $2,080 $295.72 – $3,200
CT scan of the abdomen and pelvis, with contrast: 10 of 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: $346.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $329.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $889 $577.85 $88.62 – $889
Ultrasound of the abdomen, complete: 10 of 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: $103.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $825 $536.25 $88.62 – $825
Transvaginal ultrasound: 10 of 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: $103.73
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.79
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 · 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, 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)
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 $632 – $3,244
Sleep study (overnight, in a sleep lab): 10 of 203 insurance plan rates
  • ACCESS HEALTH — COFINITY: $1,514.95
  • ACCLAIM — COFINITY: $1,514.95
  • ADMINISTRATIVE CONCEPTS — COFINITY: $1,514.95
  • AETNA — AETNA ASA MERITAIN: $1,456.56
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $1,592.80
  • AETNA — AETNAIO HEALTH: $3,244
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $852.03
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $811.46
  • ALLEGEANT — COFINITY: $1,514.95
  • ALLIED BENEFIT SYSTEMS — COFINITY: $1,514.95

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 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 206 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 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 206 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 Pt 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 18 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) — HB XR ANTHEM BCBS PATHWAY HMO HX OH MCNA: $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 SUPERMED PPO POS HMO: $73.85
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 206 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 206 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 206 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 · 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 $13,817.16 $632 – $29,397.98
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: $3,884.83
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,699.84
  • 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
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt|BILATERAL PROCEDURE Not listed in the file $51,505.90 $632 – $29,397.98
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: $8,109.51
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,723.34
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,997.92
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $29,397.98
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $29,397.98
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $29,397.98
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $29,397.98
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 $55,061.99 $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: $12,738.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,131.75
  • 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 · 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 $50,077.81 $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: $12,738.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,131.75
  • 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 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)|BILATERAL PROCEDURE Not listed in the file $63,267.39 $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: $12,738.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,131.75
  • 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 $47,393.42 $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: $7,199.50
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,856.67
  • 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
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) Not listed in the file $26,244.89 $632 – $12,804
Knee arthroscopy: removal of torn cartilage (meniscus): 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: $3,246.43
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,091.84
  • AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,932.82
  • BCBS GENERIC — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,768.71
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,768.71
  • BLUE CARE NETWORK — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,768.71
  • BLUE CROSS - AK (PREMERA) — ANTHEM BLUE ACCESS PPO BLUE PREF HMO: $11,768.71
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
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $3,133 $2,036.45 $598.34 – $4,201
Spinal injection, lower back (epidural), with imaging guidance: 10 of 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: $700.36
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $667.01
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt $3,273 $2,127.45 $632 – $4,201
Nerve root injection, lower back, with imaging guidance: 10 of 207 insurance plan rates
  • ACCESS HEALTH — COFINITY: $1,528.49
  • ACCLAIM — COFINITY: $1,528.49
  • ADMINISTRATIVE CONCEPTS — COFINITY: $1,528.49
  • AETNA — AETNA: $3,186
  • AETNA — AETNA ASA MERITAIN: $1,469.58
  • AETNA — AETNA NEIGHBORHOOD NARROW NETWORK: $2,219.87
  • AETNA — AETNAIO HEALTH: $3,273
  • AETNA DOMESTIC — AETNA: $3,186
  • AETNA MEDICARE ADVANTAGE — AETNA BETTER HEALTH MEDICARE ADVANTAGE: $877.56
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $835.77
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt Not listed in the file $10,205.68 $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: $1,937.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,845.20
  • 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

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $63,343.67 $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: $13,596.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,949.32
  • 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 $92,900.72 $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: $17,208.69
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,389.23
  • 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

Source: Mount Carmel New Albany Surgical Hospital’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
Address7333 Smith's Mill Road, New Albany, OH 43054
CountyFranklin County
StateOhio
Phone(614) 775‑6600
Emergency servicesYes
OwnershipProprietary
Medicare overall ratingNot rated by CMS
CMS Certification Number360266
Name in Medicare recordsMOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMount Carmel New Albany
Official websitemountcarmelhealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Mount Carmel New Albany — mountcarmelhealth.com
  2. Emergency Care | Mount Carmel Health System — mountcarmelhealth.com