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Acute Care Hospital

Mount Sinai Medical Center of Florida, Inc

Miami Beach, Florida · Miami-Dade County · Emergency services listed

Summary

Mount Sinai Medical Center of Florida, Inc is an acute care hospital in Miami Beach, Florida. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 42 services, specialties and programs. Medicare lists 778 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 2026-11-02). 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
42Services listed

Quick answers

Does Mount Sinai Medical Center of Florida, Inc have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Mount Sinai Medical Center of Florida, Inc. In a medical emergency, call 911.
Where is Mount Sinai Medical Center of Florida, Inc?
4300 Alton Rd, Miami Beach, FL 33140, in Miami-Dade County, Florida.
What is the phone number of Mount Sinai Medical Center of Florida, Inc?
(305) 674-2121, as listed by Medicare (CMS).
What is the Medicare star rating of Mount Sinai Medical Center of Florida, Inc?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

  • Memory disorders and Alzheimer's disease
  • Adult autism

Programs and centers[4][5]

  • Braman Comprehensive Cancer Center
  • Adult Autism Clinic
  • Stroke Center

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

Emergency roomYes
Open 24/7Yes
Stroke designationComprehensive Stroke Center (DNV)

Recognition[5]

  • Comprehensive Stroke Center (DNV)

Doctors and clinicians (778)

778 doctors and other clinicians list Mount Sinai Medical Center of Florida, Inc 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 (778)

And 754 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 Sinai Medical Center of Florida, Inc reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night62%National average: 60%
Completed surveys3,966Response rate: 24%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.258No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.46Better than the national benchmark
Surgical site infections after colon surgery0.159Better than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.453No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.626Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.1%
Deaths within 30 days: heart failure patients9.1%
Deaths within 30 days: pneumonia patients12.4%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients7.5%
Deaths within 30 days: coronary bypass surgery (CABG)2.8%
Serious complications (patient safety indicator PSI-90)1.1No different from the national rate
Complications after hip or knee replacement3.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.9%
Readmitted within 30 days: heart failure21.6%
Readmitted within 30 days: pneumonia17.1%
Readmitted within 30 days: COPD21.5%
Readmitted within 30 days: coronary bypass surgery10.8%
Readmitted within 30 days: hip or knee replacement5.4%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)174 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)74%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 57 common services exactly as Mount Sinai Medical Center of Florida, Inc 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 →

$ 2 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 3 $1,858.78 $1,858.78 $66.74 – $2,766
Emergency room visit (moderate): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,479
  • Aetna Health — Aetna Better Health: $115.26
  • Aetna Health — Aetna Medicare: $296.46
  • Aetna Health — Aetna Workers Comp: $898
  • Aetna International PPO — Aetna International PPO: $1,579.96
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $623.74
  • Align Senior Care — Align Senior Care: $356.32
  • Ambetter — Ambetter: $657.42
  • AvMed Broad Network — AvMed Broad Network: $689.85
  • AvMed HIX Network — AvMed HIX Network: $433.29
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 3 $1,858.78 $1,858.78 $836.45 – $1,858.78
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $1,579.96
  • Beech Street — Beech Street: $1,394.09
  • Care Management Network — Care Management Network: $1,208.21
  • Coventry — Coventry: $1,319.73
  • Dimension Health — Dimension: $1,301.15
  • Dimension Health — Dimension International: $1,115.27
  • First Health Network — First Health: $1,579.96
  • Miscellaneous Insurances — Miscellaneous Insurances: $1,858.78
  • Multiplan — Multiplan: $1,394.08
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $1,858.78
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 4 $2,481.34 $2,481.34 $111.53 – $2,766
Emergency room visit (moderately high): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,479
  • Aetna Health — Aetna Better Health: $115.26
  • Aetna Health — Aetna Medicare: $453.17
  • Aetna Health — Aetna Workers Comp: $898
  • Aetna International PPO — Aetna International PPO: $2,109.14
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $908.98
  • Align Senior Care — Align Senior Care: $544.67
  • Ambetter — Ambetter: $1,004.93
  • AvMed Broad Network — AvMed Broad Network: $1,054.49
  • AvMed HIX Network — AvMed HIX Network: $662.32
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 4 $2,481.34 $2,481.34 $1,116.60 – $2,481.34
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $2,109.14
  • Beech Street — Beech Street: $1,861.01
  • Care Management Network — Care Management Network: $1,612.87
  • Coventry — Coventry: $1,761.75
  • Dimension Health — Dimension: $1,736.94
  • Dimension Health — Dimension International: $1,488.80
  • First Health Network — First Health: $2,109.14
  • Miscellaneous Insurances — Miscellaneous Insurances: $2,481.34
  • Multiplan — Multiplan: $1,861
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $2,481.34
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 5 $3,230.20 $3,230.20 $129.72 – $3,230.20
Emergency room visit (high): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,479
  • Aetna Health — Aetna Better Health: $115.26
  • Aetna Health — Aetna Medicare: $646.78
  • Aetna Health — Aetna Workers Comp: $898
  • Aetna International PPO — Aetna International PPO: $2,745.67
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,340.87
  • Align Senior Care — Align Senior Care: $777.38
  • Ambetter — Ambetter: $1,434.26
  • AvMed Broad Network — AvMed Broad Network: $1,505
  • AvMed HIX Network — AvMed HIX Network: $945.29
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ACUITY LEVEL 5 $3,230.20 $3,230.20 $1,453.59 – $3,230.20
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $2,745.67
  • Beech Street — Beech Street: $2,422.65
  • Care Management Network — Care Management Network: $2,099.63
  • Coventry — Coventry: $2,293.44
  • Dimension Health — Dimension: $2,261.14
  • Dimension Health — Dimension International: $1,938.12
  • First Health Network — First Health: $2,745.67
  • Miscellaneous Insurances — Miscellaneous Insurances: $3,230.20
  • Multiplan — Multiplan: $2,422.65
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $3,230.20

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOL PANEL $604.90 $604.90 $6 – $1,171
Basic metabolic panel (blood test): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $393.19
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $8.80
  • Aetna Health — Aetna Workers Comp: $284.30
  • Aetna International PPO — Aetna International PPO: $514.16
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $198
  • Align Senior Care — Align Senior Care: $10.58
  • Ambetter — Ambetter: $19.51
  • AvMed Broad Network — AvMed Broad Network: $20.47
  • AvMed HIX Network — AvMed HIX Network: $12.86
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOL PANEL $604.90 $604.90 $272.20 – $604.90
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $514.16
  • Beech Street — Beech Street: $453.67
  • Care Management Network — Care Management Network: $393.19
  • Coventry — Coventry: $429.48
  • Dimension Health — Dimension: $423.43
  • Dimension Health — Dimension International: $362.94
  • First Health Network — First Health: $514.16
  • Miscellaneous Insurances — Miscellaneous Insurances: $604.90
  • Multiplan — Multiplan: $453.67
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $604.90
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP METABOLIC PANEL $961.53 $961.53 $7.50 – $1,171
Comprehensive metabolic panel (blood test): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $624.99
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $10.98
  • Aetna Health — Aetna Workers Comp: $451.92
  • Aetna International PPO — Aetna International PPO: $817.30
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $294.30
  • Align Senior Care — Align Senior Care: $13.20
  • Ambetter — Ambetter: $24.35
  • AvMed Broad Network — AvMed Broad Network: $25.56
  • AvMed HIX Network — AvMed HIX Network: $16.05
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP METABOLIC PANEL $961.53 $961.53 $432.69 – $961.53
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $817.30
  • Beech Street — Beech Street: $721.15
  • Care Management Network — Care Management Network: $624.99
  • Coventry — Coventry: $682.69
  • Dimension Health — Dimension: $673.07
  • Dimension Health — Dimension International: $576.92
  • First Health Network — First Health: $817.30
  • Miscellaneous Insurances — Miscellaneous Insurances: $961.53
  • Multiplan — Multiplan: $721.15
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $961.53
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CPT LIPID PROFILE $13.39 $13.39 $3.21 – $1,171
Cholesterol panel (lipid panel): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $8.70
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $13.93
  • Aetna Health — Aetna Workers Comp: $6.29
  • Aetna International PPO — Aetna International PPO: $11.38
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $200.70
  • Align Senior Care — Align Senior Care: $16.74
  • Ambetter — Ambetter: $13.39
  • AvMed Broad Network — AvMed Broad Network: $32.40
  • AvMed HIX Network — AvMed HIX Network: $20.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROF COMPLETE $488.78 $488.78 $7 – $1,171
Cholesterol panel (lipid panel): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $317.71
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $13.93
  • Aetna Health — Aetna Workers Comp: $229.73
  • Aetna International PPO — Aetna International PPO: $415.46
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $200.70
  • Align Senior Care — Align Senior Care: $16.74
  • Ambetter — Ambetter: $30.88
  • AvMed Broad Network — AvMed Broad Network: $32.40
  • AvMed HIX Network — AvMed HIX Network: $20.35
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CPT LIPID PROFILE $13.39 $13.39 $6.03 – $13.39
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $11.38
  • Beech Street — Beech Street: $10.04
  • Care Management Network — Care Management Network: $8.70
  • Coventry — Coventry: $9.51
  • Dimension Health — Dimension: $9.37
  • Dimension Health — Dimension International: $8.03
  • First Health Network — First Health: $11.38
  • Miscellaneous Insurances — Miscellaneous Insurances: $13.39
  • Multiplan — Multiplan: $10.04
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $525.39 $525.39 $6 – $1,171
Kidney function panel: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $341.50
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $9.03
  • Aetna Health — Aetna Workers Comp: $246.93
  • Aetna International PPO — Aetna International PPO: $446.58
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $147.60
  • Align Senior Care — Align Senior Care: $10.85
  • Ambetter — Ambetter: $20.02
  • AvMed Broad Network — AvMed Broad Network: $21.01
  • AvMed HIX Network — AvMed HIX Network: $13.19
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $525.39 $525.39 $236.43 – $525.39
Kidney function panel: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $446.58
  • Beech Street — Beech Street: $394.04
  • Care Management Network — Care Management Network: $341.50
  • Coventry — Coventry: $373.03
  • Dimension Health — Dimension: $367.77
  • Dimension Health — Dimension International: $315.23
  • First Health Network — First Health: $446.58
  • Miscellaneous Insurances — Miscellaneous Insurances: $525.39
  • Multiplan — Multiplan: $394.04
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $525.39
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC PROFILE $695.55 $695.55 $5.62 – $1,171
Liver function panel: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $452.11
  • Aetna Health — Aetna Better Health: $4.55
  • Aetna Health — Aetna Medicare: $8.50
  • Aetna Health — Aetna Workers Comp: $326.91
  • Aetna International PPO — Aetna International PPO: $591.22
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $238.50
  • Align Senior Care — Align Senior Care: $10.21
  • Ambetter — Ambetter: $18.84
  • AvMed Broad Network — AvMed Broad Network: $19.77
  • AvMed HIX Network — AvMed HIX Network: $12.42
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC PROFILE $695.55 $695.55 $313 – $695.55
Liver function panel: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $591.22
  • Beech Street — Beech Street: $521.66
  • Care Management Network — Care Management Network: $452.11
  • Coventry — Coventry: $493.84
  • Dimension Health — Dimension: $486.88
  • Dimension Health — Dimension International: $417.33
  • First Health Network — First Health: $591.22
  • Miscellaneous Insurances — Miscellaneous Insurances: $695.55
  • Multiplan — Multiplan: $521.66
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $695.55
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CPT URINALYSIS W AUTO MICROSCOPY $327.08 $327.08 $2.27 – $1,171
Urine test (automated, with microscope): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $212.60
  • Aetna Health — Aetna Better Health: $1.50
  • Aetna Health — Aetna Medicare: $3.30
  • Aetna Health — Aetna Workers Comp: $153.73
  • Aetna International PPO — Aetna International PPO: $278.02
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $102.60
  • Align Senior Care — Align Senior Care: $3.96
  • Ambetter — Ambetter: $7.31
  • AvMed Broad Network — AvMed Broad Network: $7.67
  • AvMed HIX Network — AvMed HIX Network: $4.82
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MICROSCOPIC URINE $359.79 $359.79 $2.27 – $1,171
Urine test (automated, with microscope): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $233.86
  • Aetna Health — Aetna Better Health: $1.50
  • Aetna Health — Aetna Medicare: $3.30
  • Aetna Health — Aetna Workers Comp: $169.10
  • Aetna International PPO — Aetna International PPO: $305.82
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $102.60
  • Align Senior Care — Align Senior Care: $3.96
  • Ambetter — Ambetter: $7.31
  • AvMed Broad Network — AvMed Broad Network: $7.67
  • AvMed HIX Network — AvMed HIX Network: $4.82
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CPT URINALYSIS W AUTO MICROSCOPY $327.08 $327.08 $147.19 – $327.08
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $278.02
  • Beech Street — Beech Street: $245.31
  • Care Management Network — Care Management Network: $212.60
  • Coventry — Coventry: $232.23
  • Dimension Health — Dimension: $228.96
  • Dimension Health — Dimension International: $196.25
  • First Health Network — First Health: $278.02
  • Miscellaneous Insurances — Miscellaneous Insurances: $327.08
  • Multiplan — Multiplan: $245.31
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $327.08
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W O MICROSCOPY $249.96 $249.96 $1.91 – $1,171
Urine test (automated, without microscope): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $162.47
  • Aetna Health — Aetna Better Health: $1.50
  • Aetna Health — Aetna Medicare: $2.34
  • Aetna Health — Aetna Workers Comp: $117.48
  • Aetna International PPO — Aetna International PPO: $212.47
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $77.40
  • Align Senior Care — Align Senior Care: $2.81
  • Ambetter — Ambetter: $5.19
  • AvMed Broad Network — AvMed Broad Network: $5.45
  • AvMed HIX Network — AvMed HIX Network: $3.42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CREDIT UA W O MICROSCOPY $249.96 $249.96 $1.91 – $1,171
Urine test (automated, without microscope): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $162.47
  • Aetna Health — Aetna Better Health: $1.50
  • Aetna Health — Aetna Medicare: $2.34
  • Aetna Health — Aetna Workers Comp: $117.48
  • Aetna International PPO — Aetna International PPO: $212.47
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $77.40
  • Align Senior Care — Align Senior Care: $2.81
  • Ambetter — Ambetter: $5.19
  • AvMed Broad Network — AvMed Broad Network: $5.45
  • AvMed HIX Network — AvMed HIX Network: $3.42
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS W O MICROSCOPY $249.96 $249.96 $112.48 – $249.96
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $212.47
  • Beech Street — Beech Street: $187.47
  • Care Management Network — Care Management Network: $162.47
  • Coventry — Coventry: $177.47
  • Dimension Health — Dimension: $174.97
  • Dimension Health — Dimension International: $149.98
  • First Health Network — First Health: $212.47
  • Miscellaneous Insurances — Miscellaneous Insurances: $249.96
  • Multiplan — Multiplan: $187.47
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $249.96
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CPT PSA TOTAL $28.08 $28.08 $6.74 – $1,171
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $18.25
  • Aetna Health — Aetna Better Health: $6.09
  • Aetna Health — Aetna Medicare: $19.13
  • Aetna Health — Aetna Workers Comp: $13.20
  • Aetna International PPO — Aetna International PPO: $23.87
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $139.50
  • Align Senior Care — Align Senior Care: $22.99
  • Ambetter — Ambetter: $28.08
  • AvMed Broad Network — AvMed Broad Network: $44.50
  • AvMed HIX Network — AvMed HIX Network: $27.95
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC AG PSA ULTRASENSITIVE $139 $139 $15.63 – $1,171
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $90.35
  • Aetna Health — Aetna Better Health: $6.09
  • Aetna Health — Aetna Medicare: $19.13
  • Aetna Health — Aetna Workers Comp: $65.33
  • Aetna International PPO — Aetna International PPO: $118.15
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $139.50
  • Align Senior Care — Align Senior Care: $22.99
  • Ambetter — Ambetter: $42.41
  • AvMed Broad Network — AvMed Broad Network: $44.50
  • AvMed HIX Network — AvMed HIX Network: $27.95
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL $77.79 $77.79 $15.63 – $1,171
PSA (prostate specific antigen) blood test: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $50.56
  • Aetna Health — Aetna Better Health: $6.09
  • Aetna Health — Aetna Medicare: $19.13
  • Aetna Health — Aetna Workers Comp: $36.56
  • Aetna International PPO — Aetna International PPO: $66.12
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $139.50
  • Align Senior Care — Align Senior Care: $22.99
  • Ambetter — Ambetter: $42.41
  • AvMed Broad Network — AvMed Broad Network: $44.50
  • AvMed HIX Network — AvMed HIX Network: $27.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIM HORMONE $262.55 $262.55 $13.50 – $1,171
Thyroid stimulating hormone (TSH) test: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $170.66
  • Aetna Health — Aetna Better Health: $6.66
  • Aetna Health — Aetna Medicare: $17.47
  • Aetna Health — Aetna Workers Comp: $123.40
  • Aetna International PPO — Aetna International PPO: $223.17
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $162.90
  • Align Senior Care — Align Senior Care: $21
  • Ambetter — Ambetter: $38.75
  • AvMed Broad Network — AvMed Broad Network: $40.66
  • AvMed HIX Network — AvMed HIX Network: $25.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIM HORMONE $262.55 $262.55 $118.15 – $262.55
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $223.17
  • Beech Street — Beech Street: $196.91
  • Care Management Network — Care Management Network: $170.66
  • Coventry — Coventry: $186.41
  • Dimension Health — Dimension: $183.79
  • Dimension Health — Dimension International: $157.53
  • First Health Network — First Health: $223.17
  • Miscellaneous Insurances — Miscellaneous Insurances: $262.55
  • Multiplan — Multiplan: $196.91
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $262.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF $315.17 $315.17 $6 – $1,171
Complete blood count (CBC) with differential: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $204.86
  • Aetna Health — Aetna Better Health: $2.97
  • Aetna Health — Aetna Medicare: $8.08
  • Aetna Health — Aetna Workers Comp: $148.13
  • Aetna International PPO — Aetna International PPO: $267.89
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $142.20
  • Align Senior Care — Align Senior Care: $9.71
  • Ambetter — Ambetter: $17.92
  • AvMed Broad Network — AvMed Broad Network: $18.80
  • AvMed HIX Network — AvMed HIX Network: $11.81
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF $315.17 $315.17 $141.83 – $315.17
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $267.89
  • Beech Street — Beech Street: $236.38
  • Care Management Network — Care Management Network: $204.86
  • Coventry — Coventry: $223.77
  • Dimension Health — Dimension: $220.62
  • Dimension Health — Dimension International: $189.10
  • First Health Network — First Health: $267.89
  • Miscellaneous Insurances — Miscellaneous Insurances: $315.17
  • Multiplan — Multiplan: $236.38
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $315.17
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITHOUT DIFF $272.27 $272.27 $4.50 – $1,171
Complete blood count (CBC), automated: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $176.98
  • Aetna Health — Aetna Better Health: $2.97
  • Aetna Health — Aetna Medicare: $6.73
  • Aetna Health — Aetna Workers Comp: $127.97
  • Aetna International PPO — Aetna International PPO: $231.43
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $111.60
  • Align Senior Care — Align Senior Care: $8.09
  • Ambetter — Ambetter: $14.92
  • AvMed Broad Network — AvMed Broad Network: $15.66
  • AvMed HIX Network — AvMed HIX Network: $9.83
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITHOUT DIFF $272.27 $272.27 $122.52 – $272.27
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $231.43
  • Beech Street — Beech Street: $204.20
  • Care Management Network — Care Management Network: $176.98
  • Coventry — Coventry: $193.31
  • Dimension Health — Dimension: $190.59
  • Dimension Health — Dimension International: $163.36
  • First Health Network — First Health: $231.43
  • Miscellaneous Insurances — Miscellaneous Insurances: $272.27
  • Multiplan — Multiplan: $204.20
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $272.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CPT PROTHROMBIN TIME $4.46 $4.46 $1.07 – $1,171
Blood clotting time test (prothrombin time, PT): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $2.90
  • Aetna Health — Aetna Better Health: $2.23
  • Aetna Health — Aetna Medicare: $4.46
  • Aetna Health — Aetna Workers Comp: $2.10
  • Aetna International PPO — Aetna International PPO: $3.79
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $91.80
  • Align Senior Care — Align Senior Care: $5.36
  • Ambetter — Ambetter: $4.46
  • AvMed Broad Network — AvMed Broad Network: $10.38
  • AvMed HIX Network — AvMed HIX Network: $6.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PRO THR TIME $216.51 $216.51 $3 – $1,171
Blood clotting time test (prothrombin time, PT): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $140.73
  • Aetna Health — Aetna Better Health: $2.23
  • Aetna Health — Aetna Medicare: $4.46
  • Aetna Health — Aetna Workers Comp: $101.76
  • Aetna International PPO — Aetna International PPO: $184.03
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $91.80
  • Align Senior Care — Align Senior Care: $5.36
  • Ambetter — Ambetter: $9.89
  • AvMed Broad Network — AvMed Broad Network: $10.38
  • AvMed HIX Network — AvMed HIX Network: $6.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MIXINGCORRECTION STUDIES $216.51 $216.51 $3 – $1,171
Blood clotting time test (prothrombin time, PT): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $140.73
  • Aetna Health — Aetna Better Health: $2.23
  • Aetna Health — Aetna Medicare: $4.46
  • Aetna Health — Aetna Workers Comp: $101.76
  • Aetna International PPO — Aetna International PPO: $184.03
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $91.80
  • Align Senior Care — Align Senior Care: $5.36
  • Ambetter — Ambetter: $9.89
  • AvMed Broad Network — AvMed Broad Network: $10.38
  • AvMed HIX Network — AvMed HIX Network: $6.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CPT THROMBOPLASTIN TIME PTT $6.25 $6.25 $1.50 – $1,171
Blood clotting test (partial thromboplastin time, PTT): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $4.06
  • Aetna Health — Aetna Better Health: $2.23
  • Aetna Health — Aetna Medicare: $6.25
  • Aetna Health — Aetna Workers Comp: $2.94
  • Aetna International PPO — Aetna International PPO: $5.31
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $116.10
  • Align Senior Care — Align Senior Care: $7.51
  • Ambetter — Ambetter: $6.25
  • AvMed Broad Network — AvMed Broad Network: $14.54
  • AvMed HIX Network — AvMed HIX Network: $9.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT $351.78 $351.78 $4.50 – $1,171
Blood clotting test (partial thromboplastin time, PTT): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $228.66
  • Aetna Health — Aetna Better Health: $2.23
  • Aetna Health — Aetna Medicare: $6.25
  • Aetna Health — Aetna Workers Comp: $165.34
  • Aetna International PPO — Aetna International PPO: $299.01
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $116.10
  • Align Senior Care — Align Senior Care: $7.51
  • Ambetter — Ambetter: $13.86
  • AvMed Broad Network — AvMed Broad Network: $14.54
  • AvMed HIX Network — AvMed HIX Network: $9.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CPT THROMBOPLASTIN TIME PTT $6.25 $6.25 $2.81 – $6.25
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $5.31
  • Beech Street — Beech Street: $4.69
  • Care Management Network — Care Management Network: $4.06
  • Coventry — Coventry: $4.44
  • Dimension Health — Dimension: $4.38
  • Dimension Health — Dimension International: $3.75
  • First Health Network — First Health: $5.31
  • Miscellaneous Insurances — Miscellaneous Insurances: $6.25
  • Multiplan — Multiplan: $4.69
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $6.25

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD BRAIN WO CONTRAST $3,151.92 $3,151.92 $94.30 – $3,151.92
CT scan of the head or brain, without contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,277
  • Aetna Health — Aetna Better Health: $206.90
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $835
  • Aetna International PPO — Aetna International PPO: $2,679.13
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,915.20
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
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 WO CONTRAST STEALTH $3,114.17 $3,114.17 $94.30 – $3,114.17
CT scan of the head or brain, without contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,277
  • Aetna Health — Aetna Better Health: $206.90
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $835
  • Aetna International PPO — Aetna International PPO: $2,647.04
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,915.20
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD BRAIN WO CONTRAST $3,151.92 $3,151.92 $1,418.36 – $3,151.92
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $2,679.13
  • Beech Street — Beech Street: $2,363.94
  • Care Management Network — Care Management Network: $2,048.75
  • Coventry — Coventry: $2,237.86
  • Dimension Health — Dimension: $2,206.34
  • Dimension Health — Dimension International: $1,891.15
  • First Health Network — First Health: $2,679.13
  • Miscellaneous Insurances — Miscellaneous Insurances: $3,151.92
  • Multiplan — Multiplan: $2,363.94
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $3,151.92
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR BRAIN W WO CONTRAST $7,808.09 $7,808.09 $129.72 – $7,808.09
MRI of the brain, before and after contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,748
  • Aetna Health — Aetna Better Health: $254.63
  • Aetna Health — Aetna Medicare: $378.89
  • Aetna Health — Aetna Workers Comp: $1,145
  • Aetna International PPO — Aetna International PPO: $6,636.88
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $3,354.30
  • Align Senior Care — Align Senior Care: $455.40
  • Ambetter — Ambetter: $840.21
  • AvMed Broad Network — AvMed Broad Network: $881.65
  • AvMed HIX Network — AvMed HIX Network: $553.77
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR STROKE BRAIN W WO CONTRAST $7,808.09 $7,808.09 $129.72 – $7,808.09
MRI of the brain, before and after contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,748
  • Aetna Health — Aetna Better Health: $254.63
  • Aetna Health — Aetna Medicare: $378.89
  • Aetna Health — Aetna Workers Comp: $1,145
  • Aetna International PPO — Aetna International PPO: $6,636.88
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $3,354.30
  • Align Senior Care — Align Senior Care: $455.40
  • Ambetter — Ambetter: $840.21
  • AvMed Broad Network — AvMed Broad Network: $881.65
  • AvMed HIX Network — AvMed HIX Network: $553.77
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR BRAIN W WO CONTRAST $7,808.09 $7,808.09 $3,513.64 – $7,808.09
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $6,636.88
  • Beech Street — Beech Street: $5,856.07
  • Care Management Network — Care Management Network: $5,075.26
  • Coventry — Coventry: $5,543.74
  • Dimension Health — Dimension: $5,465.66
  • Dimension Health — Dimension International: $4,684.85
  • First Health Network — First Health: $6,636.88
  • Miscellaneous Insurances — Miscellaneous Insurances: $7,808.09
  • Multiplan — Multiplan: $5,856.07
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $7,808.09
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $791.08 $791.08 $23.25 – $1,417
Chest X-ray, 2 views: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $514.20
  • Aetna Health — Aetna Better Health: $35.59
  • Aetna Health — Aetna Medicare: $94.52
  • Aetna Health — Aetna Workers Comp: $371.81
  • Aetna International PPO — Aetna International PPO: $672.42
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $412.20
  • Align Senior Care — Align Senior Care: $113.60
  • Ambetter — Ambetter: $209.59
  • AvMed Broad Network — AvMed Broad Network: $219.93
  • AvMed HIX Network — AvMed HIX Network: $138.14
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $791.08 $791.08 $355.99 – $791.08
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $672.42
  • Beech Street — Beech Street: $593.31
  • Care Management Network — Care Management Network: $514.20
  • Coventry — Coventry: $561.67
  • Dimension Health — Dimension: $553.76
  • Dimension Health — Dimension International: $474.65
  • First Health Network — First Health: $672.42
  • Miscellaneous Insurances — Miscellaneous Insurances: $791.08
  • Multiplan — Multiplan: $593.31
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $791.08
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR LS SPINE MIN 4VIEWS $1,560.14 $1,560.14 $34 – $1,560.14
X-ray of the lower spine, at least 4 views: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,014.09
  • Aetna Health — Aetna Better Health: $35.59
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $733.27
  • Aetna International PPO — Aetna International PPO: $1,326.12
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $725.40
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR LS SPINE MIN 4VIEWS $1,560.14 $1,560.14 $702.06 – $1,560.14
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $1,326.12
  • Beech Street — Beech Street: $1,170.11
  • Care Management Network — Care Management Network: $1,014.09
  • Coventry — Coventry: $1,107.70
  • Dimension Health — Dimension: $1,092.10
  • Dimension Health — Dimension International: $936.08
  • First Health Network — First Health: $1,326.12
  • Miscellaneous Insurances — Miscellaneous Insurances: $1,560.14
  • Multiplan — Multiplan: $1,170.10
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $1,560.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR SPINE LUMBAR WO CONTRAST $5,313.60 $5,313.60 $129.72 – $5,313.60
MRI of the lower back (lumbar spine), without contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,748
  • Aetna Health — Aetna Better Health: $153.12
  • Aetna Health — Aetna Medicare: $259.14
  • Aetna Health — Aetna Workers Comp: $1,145
  • Aetna International PPO — Aetna International PPO: $4,516.56
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,335.50
  • Align Senior Care — Align Senior Care: $311.46
  • Ambetter — Ambetter: $574.65
  • AvMed Broad Network — AvMed Broad Network: $602.99
  • AvMed HIX Network — AvMed HIX Network: $378.74
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR SPINE LUMBAR WO CONTRAST $5,313.60 $5,313.60 $2,391.12 – $5,313.60
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $4,516.56
  • Beech Street — Beech Street: $3,985.20
  • Care Management Network — Care Management Network: $3,453.84
  • Coventry — Coventry: $3,772.66
  • Dimension Health — Dimension: $3,719.52
  • Dimension Health — Dimension International: $3,188.16
  • First Health Network — First Health: $4,516.56
  • Miscellaneous Insurances — Miscellaneous Insurances: $5,313.60
  • Multiplan — Multiplan: $3,985.20
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $5,313.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $4,041.75 $4,041.75 $129.72 – $4,041.75
CT scan of the pelvis, with contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,277
  • Aetna Health — Aetna Better Health: $206.90
  • Aetna Health — Aetna Medicare: $190.50
  • Aetna Health — Aetna Workers Comp: $835
  • Aetna International PPO — Aetna International PPO: $3,435.49
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,632.50
  • Align Senior Care — Align Senior Care: $228.96
  • Ambetter — Ambetter: $422.44
  • AvMed Broad Network — AvMed Broad Network: $443.27
  • AvMed HIX Network — AvMed HIX Network: $278.42
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $4,041.75 $4,041.75 $1,818.79 – $4,041.75
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $3,435.49
  • Beech Street — Beech Street: $3,031.31
  • Care Management Network — Care Management Network: $2,627.14
  • Coventry — Coventry: $2,869.64
  • Dimension Health — Dimension: $2,829.23
  • Dimension Health — Dimension International: $2,425.05
  • First Health Network — First Health: $3,435.49
  • Miscellaneous Insurances — Miscellaneous Insurances: $4,041.75
  • Multiplan — Multiplan: $3,031.31
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $4,041.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MR LWR EXT JT WO CONTR $4,926.93 $4,926.93 $129.72 – $4,926.93
MRI of a leg joint (such as the knee), without contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,748
  • Aetna Health — Aetna Better Health: $153.12
  • Aetna Health — Aetna Medicare: $259.14
  • Aetna Health — Aetna Workers Comp: $1,145
  • Aetna International PPO — Aetna International PPO: $4,187.89
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,214
  • Align Senior Care — Align Senior Care: $311.46
  • Ambetter — Ambetter: $574.65
  • AvMed Broad Network — AvMed Broad Network: $602.99
  • AvMed HIX Network — AvMed HIX Network: $378.74
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MR LWR EXT JT WO CONTR $4,926.93 $4,926.93 $2,217.12 – $4,926.93
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $4,187.89
  • Beech Street — Beech Street: $3,695.20
  • Care Management Network — Care Management Network: $3,202.50
  • Coventry — Coventry: $3,498.12
  • Dimension Health — Dimension: $3,448.85
  • Dimension Health — Dimension International: $2,956.16
  • First Health Network — First Health: $4,187.89
  • Miscellaneous Insurances — Miscellaneous Insurances: $4,926.93
  • Multiplan — Multiplan: $3,695.20
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $4,926.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN and PELVIS W CONTRAST $8,339.98 $8,339.98 $129.72 – $8,339.98
CT scan of the abdomen and pelvis, with contrast: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,277
  • Aetna Health — Aetna Better Health: $206.90
  • Aetna Health — Aetna Medicare: $378.89
  • Aetna Health — Aetna Workers Comp: $835
  • Aetna International PPO — Aetna International PPO: $7,088.98
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $4,246.20
  • Align Senior Care — Align Senior Care: $455.40
  • Ambetter — Ambetter: $840.21
  • AvMed Broad Network — AvMed Broad Network: $881.65
  • AvMed HIX Network — AvMed HIX Network: $553.77
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN and PELVIS W CONTRAST $8,339.98 $8,339.98 $3,752.99 – $8,339.98
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $7,088.98
  • Beech Street — Beech Street: $6,254.98
  • Care Management Network — Care Management Network: $5,420.99
  • Coventry — Coventry: $5,921.39
  • Dimension Health — Dimension: $5,837.99
  • Dimension Health — Dimension International: $5,003.99
  • First Health Network — First Health: $7,088.98
  • Miscellaneous Insurances — Miscellaneous Insurances: $8,339.98
  • Multiplan — Multiplan: $6,254.98
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $8,339.98
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,668.24 $1,668.24 $73 – $1,668.24
Ultrasound of the abdomen, complete: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,084.36
  • Aetna Health — Aetna Better Health: $105.28
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $784.07
  • Aetna International PPO — Aetna International PPO: $1,418
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,281.60
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,668.24 $1,668.24 $750.71 – $1,668.24
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $1,418
  • Beech Street — Beech Street: $1,251.18
  • Care Management Network — Care Management Network: $1,084.36
  • Coventry — Coventry: $1,184.45
  • Dimension Health — Dimension: $1,167.77
  • Dimension Health — Dimension International: $1,000.94
  • First Health Network — First Health: $1,418
  • Miscellaneous Insurances — Miscellaneous Insurances: $1,668.24
  • Multiplan — Multiplan: $1,251.18
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $1,668.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB 14WKS SNGL FETUS $1,267.27 $1,267.27 $79 – $1,267.27
Pregnancy ultrasound (after the first trimester): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $823.73
  • Aetna Health — Aetna Better Health: $62.83
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $595.62
  • Aetna International PPO — Aetna International PPO: $1,077.18
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $846.90
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB 14WKS SNGL FETUS $1,267.27 $1,267.27 $570.27 – $1,267.27
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $1,077.18
  • Beech Street — Beech Street: $950.45
  • Care Management Network — Care Management Network: $823.73
  • Coventry — Coventry: $899.76
  • Dimension Health — Dimension: $887.09
  • Dimension Health — Dimension International: $760.36
  • First Health Network — First Health: $1,077.18
  • Miscellaneous Insurances — Miscellaneous Insurances: $1,267.27
  • Multiplan — Multiplan: $950.45
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $1,267.27
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB $1,035.50 $1,035.50 $57 – $1,168
Transvaginal ultrasound: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $673.08
  • Aetna Health — Aetna Better Health: $69.84
  • Aetna Health — Aetna Medicare: $113.54
  • Aetna Health — Aetna Workers Comp: $486.68
  • Aetna International PPO — Aetna International PPO: $880.18
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $871.20
  • Align Senior Care — Align Senior Care: $136.46
  • Ambetter — Ambetter: $251.77
  • AvMed Broad Network — AvMed Broad Network: $264.19
  • AvMed HIX Network — AvMed HIX Network: $165.94
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB $1,035.50 $1,035.50 $465.98 – $1,035.50
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $880.18
  • Beech Street — Beech Street: $776.63
  • Care Management Network — Care Management Network: $673.08
  • Coventry — Coventry: $735.20
  • Dimension Health — Dimension: $724.85
  • Dimension Health — Dimension International: $621.30
  • First Health Network — First Health: $880.18
  • Miscellaneous Insurances — Miscellaneous Insurances: $1,035.50
  • Multiplan — Multiplan: $776.62
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $1,035.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MMC DIGITAL DIAGNOSTIC MAMMO UNIL INCLUDING CAD $524.01 $524.01 $75.07 – $1,078
Diagnostic mammogram, one breast: 10 of 91 insurance plan rates
  • Aetna Health — Aetna: $340.61
  • Aetna Health — Aetna Better Health: $29.35
  • Aetna Health — Aetna Medicare: $91.85
  • Aetna Health — Aetna Workers Comp: $246.28
  • Aetna International PPO — Aetna International PPO: $445.41
  • Align Senior Care — Align Senior Care: $110.40
  • Ambetter — Ambetter: $203.69
  • AvMed Broad Network — AvMed Broad Network: $213.73
  • AvMed HIX Network — AvMed HIX Network: $134.25
  • AvMed Medicare Network — AvMed Medicare Network: $86.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MMC DIGITAL DIAGNOSTIC MAMMO UNIL INCLUDING CAD $524.01 $524.01 $235.80 – $524.01
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $445.41
  • Beech Street — Beech Street: $393.01
  • Care Management Network — Care Management Network: $340.61
  • Coventry — Coventry: $372.05
  • Dimension Health — Dimension: $366.81
  • Dimension Health — Dimension International: $314.41
  • First Health Network — First Health: $445.41
  • Miscellaneous Insurances — Miscellaneous Insurances: $524.01
  • Multiplan — Multiplan: $393.01
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $524.01
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MMC DIGITAL DIAGNOSTIC MAMMO BILA INCLUDING CAD $629.26 $629.26 $95.40 – $1,078
Diagnostic mammogram, both breasts: 10 of 91 insurance plan rates
  • Aetna Health — Aetna: $409.02
  • Aetna Health — Aetna Better Health: $29.35
  • Aetna Health — Aetna Medicare: $116.73
  • Aetna Health — Aetna Workers Comp: $295.75
  • Aetna International PPO — Aetna International PPO: $534.87
  • Align Senior Care — Align Senior Care: $140.30
  • Ambetter — Ambetter: $258.85
  • AvMed Broad Network — AvMed Broad Network: $271.62
  • AvMed HIX Network — AvMed HIX Network: $170.60
  • AvMed Medicare Network — AvMed Medicare Network: $110.44
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MMC DIAGNOSTIC MAMMOGRAM BIL INCLUDING CAD $629.26 $629.26 $95.40 – $1,078
Diagnostic mammogram, both breasts: 10 of 91 insurance plan rates
  • Aetna Health — Aetna: $409.02
  • Aetna Health — Aetna Better Health: $29.35
  • Aetna Health — Aetna Medicare: $116.73
  • Aetna Health — Aetna Workers Comp: $295.75
  • Aetna International PPO — Aetna International PPO: $534.87
  • Align Senior Care — Align Senior Care: $140.30
  • Ambetter — Ambetter: $258.85
  • AvMed Broad Network — AvMed Broad Network: $271.62
  • AvMed HIX Network — AvMed HIX Network: $170.60
  • AvMed Medicare Network — AvMed Medicare Network: $110.44
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MMC DIGITAL DIAGNOSTIC MAMMO BILA INCLUDING CAD $629.26 $629.26 $283.17 – $629.26
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $534.87
  • Beech Street — Beech Street: $471.94
  • Care Management Network — Care Management Network: $409.02
  • Coventry — Coventry: $446.77
  • Dimension Health — Dimension: $440.48
  • Dimension Health — Dimension International: $377.56
  • First Health Network — First Health: $534.87
  • Miscellaneous Insurances — Miscellaneous Insurances: $629.26
  • Multiplan — Multiplan: $471.94
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $629.26
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MMC DIGITAL SCREENING MAMMO BILA INCLUDING CAD $437.07 $437.07 $78.63 – $1,078
Screening mammogram, both breasts: 10 of 91 insurance plan rates
  • Aetna Health — Aetna: $284.10
  • Aetna Health — Aetna Better Health: $29.35
  • Aetna Health — Aetna Medicare: $96.20
  • Aetna Health — Aetna Workers Comp: $205.42
  • Aetna International PPO — Aetna International PPO: $371.51
  • Align Senior Care — Align Senior Care: $115.63
  • Ambetter — Ambetter: $213.33
  • AvMed Broad Network — AvMed Broad Network: $223.85
  • AvMed HIX Network — AvMed HIX Network: $140.60
  • AvMed Medicare Network — AvMed Medicare Network: $90.65
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MMC DIGITAL SCREENING MAMMO BILA INCLUDING CAD $437.07 $437.07 $196.68 – $437.07
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $371.51
  • Beech Street — Beech Street: $327.80
  • Care Management Network — Care Management Network: $284.10
  • Coventry — Coventry: $310.32
  • Dimension Health — Dimension: $305.95
  • Dimension Health — Dimension International: $262.24
  • First Health Network — First Health: $371.51
  • Miscellaneous Insurances — Miscellaneous Insurances: $437.07
  • Multiplan — Multiplan: $327.80
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $437.07

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LHC LV $12,402.40 $12,402.40 $129.72 – $26,756
Left heart catheterization (diagnostic): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $7,351
  • Aetna Health — Aetna Better Health: $1,592.85
  • Aetna Health — Aetna Medicare: $3,520.90
  • Aetna Health — Aetna Workers Comp: $5,014
  • Aetna International PPO — Aetna International PPO: $10,542.04
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $14,662.23
  • Align Senior Care — Align Senior Care: $4,231.85
  • Ambetter — Ambetter: $7,807.76
  • AvMed Broad Network — AvMed Broad Network: $8,192.86
  • AvMed HIX Network — AvMed HIX Network: $5,145.93
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LHC LV $12,402.40 $12,402.40 $5,581.08 – $12,402.40
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $10,542.04
  • Beech Street — Beech Street: $9,301.80
  • Care Management Network — Care Management Network: $8,061.56
  • Coventry — Coventry: $8,805.70
  • Dimension Health — Dimension: $8,681.68
  • Dimension Health — Dimension International: $7,441.44
  • First Health Network — First Health: $10,542.04
  • Miscellaneous Insurances — Miscellaneous Insurances: $12,402.40
  • Multiplan — Multiplan: $9,301.80
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $12,402.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE EP EVAL W O AN INDUCTION $13,266.97 $13,266.97 $129.72 – $40,237
Heart rhythm study (electrophysiology evaluation): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $14,765
  • Aetna Health — Aetna Better Health: $4,251.33
  • Aetna Health — Aetna Medicare: $8,470.82
  • Aetna Health — Aetna Workers Comp: $9,265
  • Aetna International PPO — Aetna International PPO: $11,276.92
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $15,082.07
  • Align Senior Care — Align Senior Care: $10,181.28
  • Ambetter — Ambetter: $18,784.45
  • AvMed Broad Network — AvMed Broad Network: $19,710.95
  • AvMed HIX Network — AvMed HIX Network: $12,380.43
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE EP EVAL W O AN INDUCTION $13,266.97 $13,266.97 $5,970.14 – $13,266.97
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $11,276.92
  • Beech Street — Beech Street: $9,950.23
  • Care Management Network — Care Management Network: $8,623.53
  • Coventry — Coventry: $9,419.55
  • Dimension Health — Dimension: $9,286.88
  • Dimension Health — Dimension International: $7,960.18
  • First Health Network — First Health: $11,276.92
  • Miscellaneous Insurances — Miscellaneous Insurances: $13,266.97
  • Multiplan — Multiplan: $9,950.23
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $13,266.97
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL $58,798.25 $58,798.25 $129.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $58,798.25
Heart rhythm study with ablation for atrial fibrillation: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $14,765
  • Aetna Health — Aetna Better Health: $11,098.19
  • Aetna Health — Aetna Medicare: $28,387.03
  • Aetna Health — Aetna Workers Comp: $9,265
  • Aetna International PPO — Aetna International PPO: $49,978.51
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $30,462.44
  • Align Senior Care — Align Senior Care: $34,119.03
  • Ambetter — Ambetter: $62,949.60
  • AvMed Broad Network — AvMed Broad Network: $66,054.43
  • AvMed HIX Network — AvMed HIX Network: $41,488.73
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TX ATRIAL FIB PULM VEIN ISOL $58,798.25 $58,798.25 $26,459.21 – $58,798.25
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $49,978.51
  • Beech Street — Beech Street: $44,098.69
  • Care Management Network — Care Management Network: $38,218.86
  • Coventry — Coventry: $41,746.76
  • Dimension Health — Dimension: $41,158.78
  • Dimension Health — Dimension International: $35,278.95
  • First Health Network — First Health: $49,978.51
  • Miscellaneous Insurances — Miscellaneous Insurances: $58,798.25
  • Multiplan — Multiplan: $44,098.69
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $58,798.25
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSS WITH 4 PARAM W TECH $8,688.68 $8,688.68 $129.72 – $8,688.68
Sleep study (overnight, in a sleep lab): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $5,995.19
  • Aetna Health — Aetna Better Health: $477.75
  • Aetna Health — Aetna Medicare: $932.63
  • Aetna Health — Aetna Workers Comp: $4,205.32
  • Aetna International PPO — Aetna International PPO: $7,385.38
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $5,864.86
  • Align Senior Care — Align Senior Care: $1,120.95
  • Ambetter — Ambetter: $2,068.15
  • AvMed Broad Network — AvMed Broad Network: $2,170.16
  • AvMed HIX Network — AvMed HIX Network: $1,363.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSS WITH 4 PARAM W TECH $8,688.68 $8,688.68 $3,909.91 – $8,688.68
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $7,385.38
  • Beech Street — Beech Street: $6,516.51
  • Care Management Network — Care Management Network: $5,647.64
  • Coventry — Coventry: $6,168.96
  • Dimension Health — Dimension: $6,082.08
  • Dimension Health — Dimension International: $5,213.21
  • First Health Network — First Health: $7,385.38
  • Miscellaneous Insurances — Miscellaneous Insurances: $8,688.68
  • Multiplan — Multiplan: $6,516.51
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $8,688.68

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT TREAT PEDS $229.37 $229.37 $22 – $2,214
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $22.07
  • Aetna Health — Aetna Medicare: $30.84
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $194.96
  • Align Senior Care — Align Senior Care: $37.06
  • Ambetter — Ambetter: $68.38
  • AvMed Broad Network — AvMed Broad Network: $71.75
  • AvMed HIX Network — AvMed HIX Network: $45.07
  • AvMed Medicare Network — AvMed Medicare Network: $29.18
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE $229.37 $229.37 $22 – $2,214
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 84 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Medicare: $30.84
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $194.96
  • Align Senior Care — Align Senior Care: $37.06
  • Ambetter — Ambetter: $68.38
  • AvMed Broad Network — AvMed Broad Network: $71.75
  • AvMed HIX Network — AvMed HIX Network: $45.07
  • AvMed Medicare Network — AvMed Medicare Network: $29.18
  • AvMed Select Network — AvMed Select Network: $63.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE $229.37 $229.37 $103.22 – $229.37
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $194.96
  • Beech Street — Beech Street: $172.03
  • Care Management Network — Care Management Network: $149.09
  • Coventry — Coventry: $162.85
  • Dimension Health — Dimension: $160.56
  • Dimension Health — Dimension International: $137.62
  • First Health Network — First Health: $194.96
  • Miscellaneous Insurances — Miscellaneous Insurances: $229.37
  • Multiplan — Multiplan: $172.03
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $229.37
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT INTIAL EVAL DLY $670.10 $670.10 $85.97 – $2,214
Physical therapy evaluation (low complexity): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $156.82
  • Aetna Health — Aetna Medicare: $105.27
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $569.58
  • Align Senior Care — Align Senior Care: $126.53
  • Ambetter — Ambetter: $233.44
  • AvMed Broad Network — AvMed Broad Network: $244.95
  • AvMed HIX Network — AvMed HIX Network: $153.85
  • AvMed Medicare Network — AvMed Medicare Network: $99.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL PEDS DLY $670.10 $670.10 $85.97 – $2,214
Physical therapy evaluation (low complexity): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $156.82
  • Aetna Health — Aetna Medicare: $105.27
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $569.58
  • Align Senior Care — Align Senior Care: $126.53
  • Ambetter — Ambetter: $233.44
  • AvMed Broad Network — AvMed Broad Network: $244.95
  • AvMed HIX Network — AvMed HIX Network: $153.85
  • AvMed Medicare Network — AvMed Medicare Network: $99.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL NEURO DLY $670.10 $670.10 $85.97 – $2,214
Physical therapy evaluation (low complexity): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $156.82
  • Aetna Health — Aetna Medicare: $105.27
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $569.58
  • Align Senior Care — Align Senior Care: $126.53
  • Ambetter — Ambetter: $233.44
  • AvMed Broad Network — AvMed Broad Network: $244.95
  • AvMed HIX Network — AvMed HIX Network: $153.85
  • AvMed Medicare Network — AvMed Medicare Network: $99.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY 30 MINS $804.13 $804.13 $85.97 – $2,214
Physical therapy evaluation (moderate complexity): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $156.82
  • Aetna Health — Aetna Medicare: $105.27
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $683.51
  • Align Senior Care — Align Senior Care: $126.53
  • Ambetter — Ambetter: $233.44
  • AvMed Broad Network — AvMed Broad Network: $244.95
  • AvMed HIX Network — AvMed HIX Network: $153.85
  • AvMed Medicare Network — AvMed Medicare Network: $99.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODERATE COMPLEXITY 30 MINS $804.13 $804.13 $361.86 – $804.13
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $683.51
  • Beech Street — Beech Street: $603.10
  • Care Management Network — Care Management Network: $522.68
  • Coventry — Coventry: $570.93
  • Dimension Health — Dimension: $562.89
  • Dimension Health — Dimension International: $482.48
  • First Health Network — First Health: $683.51
  • Miscellaneous Insurances — Miscellaneous Insurances: $804.13
  • Multiplan — Multiplan: $603.10
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $804.13
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS $938.14 $938.14 $85.97 – $2,214
Physical therapy evaluation (high complexity): 10 of 93 insurance plan rates
  • Aetna Health — Aetna: $210
  • Aetna Health — Aetna Better Health: $156.82
  • Aetna Health — Aetna Medicare: $105.27
  • Aetna Health — Aetna Workers Comp: $142
  • Aetna International PPO — Aetna International PPO: $797.42
  • Align Senior Care — Align Senior Care: $126.53
  • Ambetter — Ambetter: $233.44
  • AvMed Broad Network — AvMed Broad Network: $244.95
  • AvMed HIX Network — AvMed HIX Network: $153.85
  • AvMed Medicare Network — AvMed Medicare Network: $99.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS $938.14 $938.14 $422.16 – $938.14
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $797.42
  • Beech Street — Beech Street: $703.61
  • Care Management Network — Care Management Network: $609.79
  • Coventry — Coventry: $666.08
  • Dimension Health — Dimension: $656.70
  • Dimension Health — Dimension International: $562.88
  • First Health Network — First Health: $797.42
  • Miscellaneous Insurances — Miscellaneous Insurances: $938.14
  • Multiplan — Multiplan: $703.60
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $938.14
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 30 MIN $182 $182 $43.68 – $1,016
Psychotherapy, 30 minutes: 10 of 88 insurance plan rates
  • Aetna Health — Aetna: $118.30
  • Aetna Health — Aetna Better Health: $78.05
  • Aetna Health — Aetna Medicare: $192.76
  • Aetna Health — Aetna Workers Comp: $85.54
  • Aetna International PPO — Aetna International PPO: $154.70
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $122.85
  • Align Senior Care — Align Senior Care: $231.69
  • Ambetter — Ambetter: $427.46
  • AvMed Broad Network — AvMed Broad Network: $448.55
  • AvMed HIX Network — AvMed HIX Network: $281.73
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 30 MIN $182 $182 $81.90 – $182
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $154.70
  • Beech Street — Beech Street: $136.50
  • Care Management Network — Care Management Network: $118.30
  • Coventry — Coventry: $129.22
  • Dimension Health — Dimension: $127.40
  • Dimension Health — Dimension International: $109.20
  • First Health Network — First Health: $154.70
  • Miscellaneous Insurances — Miscellaneous Insurances: $182
  • Multiplan — Multiplan: $136.50
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $182
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 60 MIN $327.60 $327.60 $78.62 – $1,016
Psychotherapy, 60 minutes: 10 of 88 insurance plan rates
  • Aetna Health — Aetna: $212.94
  • Aetna Health — Aetna Better Health: $86.52
  • Aetna Health — Aetna Medicare: $192.76
  • Aetna Health — Aetna Workers Comp: $153.97
  • Aetna International PPO — Aetna International PPO: $278.46
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $221.13
  • Align Senior Care — Align Senior Care: $231.69
  • Ambetter — Ambetter: $427.46
  • AvMed Broad Network — AvMed Broad Network: $448.55
  • AvMed HIX Network — AvMed HIX Network: $281.73
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 60 MIN $327.60 $327.60 $147.42 – $327.60
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $278.46
  • Beech Street — Beech Street: $245.70
  • Care Management Network — Care Management Network: $212.94
  • Coventry — Coventry: $232.60
  • Dimension Health — Dimension: $229.32
  • Dimension Health — Dimension International: $196.56
  • First Health Network — First Health: $278.46
  • Miscellaneous Insurances — Miscellaneous Insurances: $327.60
  • Multiplan — Multiplan: $245.70
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $327.60
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W O PATIENT PRESENT 50 MIN $332.80 $332.80 $79.87 – $1,016
Family psychotherapy, without the patient: 10 of 79 insurance plan rates
  • Aetna Health — Aetna: $216.32
  • Aetna Health — Aetna Medicare: $192.76
  • Aetna Health — Aetna Workers Comp: $156.42
  • Aetna International PPO — Aetna International PPO: $282.88
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $224.64
  • Align Senior Care — Align Senior Care: $231.69
  • Ambetter — Ambetter: $427.46
  • AvMed Broad Network — AvMed Broad Network: $448.55
  • AvMed HIX Network — AvMed HIX Network: $281.73
  • AvMed Medicare Network — AvMed Medicare Network: $182.38
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W O PATIENT PRESENT 50 MIN $332.80 $332.80 $149.76 – $332.80
Family psychotherapy, without the patient: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $282.88
  • Beech Street — Beech Street: $249.60
  • Care Management Network — Care Management Network: $216.32
  • Coventry — Coventry: $236.29
  • Dimension Health — Dimension: $232.96
  • Dimension Health — Dimension International: $199.68
  • First Health Network — First Health: $282.88
  • Miscellaneous Insurances — Miscellaneous Insurances: $332.80
  • Multiplan — Multiplan: $249.60
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $332.80
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PATIENT PRESENT 50 MINS $332.80 $332.80 $79.87 – $1,016
Family psychotherapy, with the patient: 10 of 79 insurance plan rates
  • Aetna Health — Aetna: $216.32
  • Aetna Health — Aetna Medicare: $192.76
  • Aetna Health — Aetna Workers Comp: $156.42
  • Aetna International PPO — Aetna International PPO: $282.88
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $235.03
  • Align Senior Care — Align Senior Care: $231.69
  • Ambetter — Ambetter: $427.46
  • AvMed Broad Network — AvMed Broad Network: $448.55
  • AvMed HIX Network — AvMed HIX Network: $281.73
  • AvMed Medicare Network — AvMed Medicare Network: $182.38
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PATIENT PRESENT 50 MINS $332.80 $332.80 $149.76 – $332.80
Family psychotherapy, with the patient: 10 of 12 insurance plan rates
  • Aetna International PPO — Aetna International PPO: $282.88
  • Beech Street — Beech Street: $249.60
  • Care Management Network — Care Management Network: $216.32
  • Coventry — Coventry: $236.29
  • Dimension Health — Dimension: $232.96
  • Dimension Health — Dimension International: $199.68
  • First Health Network — First Health: $282.88
  • Miscellaneous Insurances — Miscellaneous Insurances: $332.80
  • Multiplan — Multiplan: $249.60
  • NCH Devoted Medicare — NCH Devoted Medicare Rad Onc: $332.80

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS $2,355 $2,355 $129.72 – $8,831
Upper GI endoscopy (diagnostic): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,502
  • Aetna Health — Aetna Better Health: $648.98
  • Aetna Health — Aetna Medicare: $985.04
  • Aetna Health — Aetna Workers Comp: $927
  • Aetna International PPO — Aetna International PPO: $2,001.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,922.42
  • Align Senior Care — Align Senior Care: $1,183.94
  • Ambetter — Ambetter: $2,184.36
  • AvMed Broad Network — AvMed Broad Network: $2,292.10
  • AvMed HIX Network — AvMed HIX Network: $1,439.67
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY $2,355 $2,355 $129.72 – $8,831
Upper GI endoscopy with biopsy: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Better Health: $648.98
  • Aetna Health — Aetna Medicare: $985.04
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $2,001.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,753.06
  • Align Senior Care — Align Senior Care: $1,183.94
  • Ambetter — Ambetter: $2,184.36
  • AvMed Broad Network — AvMed Broad Network: $2,292.10
  • AvMed HIX Network — AvMed HIX Network: $1,439.67
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $2,515 $2,515 $129.72 – $8,831
Colonoscopy (diagnostic): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Better Health: $636.88
  • Aetna Health — Aetna Medicare: $1,009.99
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $2,137.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,282.62
  • Align Senior Care — Align Senior Care: $1,213.92
  • Ambetter — Ambetter: $2,239.69
  • AvMed Broad Network — AvMed Broad Network: $2,350.16
  • AvMed HIX Network — AvMed HIX Network: $1,476.13
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $2,515 $2,515 $129.72 – $9,231
Colonoscopy with biopsy: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Better Health: $636.88
  • Aetna Health — Aetna Medicare: $1,299.62
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $2,137.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $3,337.62
  • Align Senior Care — Align Senior Care: $1,562.04
  • Ambetter — Ambetter: $2,881.96
  • AvMed Broad Network — AvMed Broad Network: $3,024.10
  • AvMed HIX Network — AvMed HIX Network: $1,899.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY $2,515 $2,515 $129.72 – $9,231
Colonoscopy with removal of polyps (snare): 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Better Health: $636.88
  • Aetna Health — Aetna Medicare: $1,299.62
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $2,137.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,697.63
  • Align Senior Care — Align Senior Care: $1,562.04
  • Ambetter — Ambetter: $2,881.96
  • AvMed Broad Network — AvMed Broad Network: $3,024.10
  • AvMed HIX Network — AvMed HIX Network: $1,899.44
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US $2,648 $2,648 $129.72 – $9,231
Ultrasound of the lower bowel by endoscope: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Better Health: $636.88
  • Aetna Health — Aetna Medicare: $1,299.62
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $2,250.80
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,787.40
  • Align Senior Care — Align Senior Care: $1,562.04
  • Ambetter — Ambetter: $2,881.96
  • AvMed Broad Network — AvMed Broad Network: $3,024.10
  • AvMed HIX Network — AvMed HIX Network: $1,899.44
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $1,614 $1,614 $129.72 – $11,239
Prostate biopsy: 10 of 88 insurance plan rates
  • Aetna Health — Aetna: $1,936
  • Aetna Health — Aetna Medicare: $2,270.26
  • Aetna Health — Aetna Workers Comp: $1,199
  • Aetna International PPO — Aetna International PPO: $1,371.90
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $1,089.45
  • Align Senior Care — Align Senior Care: $2,728.68
  • Ambetter — Ambetter: $5,034.41
  • AvMed Broad Network — AvMed Broad Network: $5,282.71
  • AvMed HIX Network — AvMed HIX Network: $3,318.07
  • AvMed Medicare Network — AvMed Medicare Network: $2,148.01
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY $6,558 $6,558 $129.72 – $14,448
Hysteroscopy with biopsy of the uterus lining: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $2,114
  • Aetna Health — Aetna Better Health: $1,564.38
  • Aetna Health — Aetna Medicare: $3,515.68
  • Aetna Health — Aetna Workers Comp: $1,308
  • Aetna International PPO — Aetna International PPO: $5,574.30
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $4,426.65
  • Align Senior Care — Align Senior Care: $4,225.57
  • Ambetter — Ambetter: $7,796.19
  • AvMed Broad Network — AvMed Broad Network: $8,180.71
  • AvMed HIX Network — AvMed HIX Network: $5,138.30
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $4,175 $4,175 $129.72 – $8,831
Spinal injection, lower back (epidural), with imaging guidance: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,502
  • Aetna Health — Aetna Better Health: $483.22
  • Aetna Health — Aetna Medicare: $766.63
  • Aetna Health — Aetna Workers Comp: $927
  • Aetna International PPO — Aetna International PPO: $3,548.75
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,099.20
  • Align Senior Care — Align Senior Care: $921.42
  • Ambetter — Ambetter: $1,700.03
  • AvMed Broad Network — AvMed Broad Network: $1,783.88
  • AvMed HIX Network — AvMed HIX Network: $1,120.45
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S $4,706 $4,706 $129.72 – $8,831
Nerve root injection, lower back, with imaging guidance: 10 of 95 insurance plan rates
  • Aetna Health — Aetna: $1,502
  • Aetna Health — Aetna Better Health: $483.22
  • Aetna Health — Aetna Medicare: $960.59
  • Aetna Health — Aetna Workers Comp: $927
  • Aetna International PPO — Aetna International PPO: $4,000.10
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,049.98
  • Align Senior Care — Align Senior Care: $1,154.55
  • Ambetter — Ambetter: $2,130.14
  • AvMed Broad Network — AvMed Broad Network: $2,235.21
  • AvMed HIX Network — AvMed HIX Network: $1,403.93

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 Not listed in the file $500 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $236,254.62
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 85 insurance plan rates
  • Aetna Health — Aetna: $72,392
  • Aetna Health — Aetna Medicare: $80,392.25
  • Aetna Health — Aetna Workers Comp: $43,973
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,169.23
  • Align Senior Care — Align Senior Care: $85,030.26
  • Ambetter — Ambetter: $209,059.79
  • AvMed Broad Network — AvMed Broad Network: $115,950.36
  • AvMed HIX Network — AvMed HIX Network: $100,490.31
  • AvMed Medicare Network — AvMed Medicare Network: $75,788.95
  • AvMed Select Network — AvMed Select Network: $100,490.31
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $500 – $80,852.10
Spinal fusion (not neck), without major complications: 10 of 83 insurance plan rates
  • Aetna Health — Aetna: $3,538
  • Aetna Health — Aetna Medicare: $31,185.57
  • Aetna Health — Aetna Workers Comp: $19,620
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,169.23
  • Align Senior Care — Align Senior Care: $32,984.74
  • Ambetter — Ambetter: $80,852.10
  • AvMed Broad Network — AvMed Broad Network: $44,979.19
  • AvMed HIX Network — AvMed HIX Network: $38,981.97
  • AvMed Medicare Network — AvMed Medicare Network: $29,421.12
  • AvMed Select Network — AvMed Select Network: $38,981.97
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $500 – $46,582.94
Hip or knee replacement (major joint of the leg), without major complications: 10 of 85 insurance plan rates
  • Aetna Health — Aetna: $24,946
  • Aetna Health — Aetna Medicare: $17,295
  • Aetna Health — Aetna Workers Comp: $14,595
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,169.23
  • Align Senior Care — Align Senior Care: $18,292.79
  • Ambetter — Ambetter: $44,660.30
  • AvMed Broad Network — AvMed Broad Network: $24,944.72
  • AvMed HIX Network — AvMed HIX Network: $21,618.75
  • AvMed Medicare Network — AvMed Medicare Network: $16,331.93
  • AvMed Select Network — AvMed Select Network: $21,618.75
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $500 – $58,957.40
Neck (cervical) spinal fusion, without complications: 10 of 85 insurance plan rates
  • Aetna Health — Aetna: $17,286
  • Aetna Health — Aetna Medicare: $21,411.58
  • Aetna Health — Aetna Workers Comp: $10,117
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,169.23
  • Align Senior Care — Align Senior Care: $22,646.86
  • Ambetter — Ambetter: $55,386.01
  • AvMed Broad Network — AvMed Broad Network: $30,882.09
  • AvMed HIX Network — AvMed HIX Network: $26,764.48
  • AvMed Medicare Network — AvMed Medicare Network: $20,211.02
  • AvMed Select Network — AvMed Select Network: $26,764.48
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $500 – $30,254.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 85 insurance plan rates
  • Aetna Health — Aetna: $14,015
  • Aetna Health — Aetna Medicare: $11,766.10
  • Aetna Health — Aetna Workers Comp: $1,989
  • Aetna/Coventry Workers Comp — Aetna/Coventry Workers Comp: $2,169.23
  • Align Senior Care — Align Senior Care: $12,444.92
  • Ambetter — Ambetter: $30,254.79
  • AvMed Broad Network — AvMed Broad Network: $16,970.34
  • AvMed HIX Network — AvMed HIX Network: $14,707.63
  • AvMed Medicare Network — AvMed Medicare Network: $11,122.01
  • AvMed Select Network — AvMed Select Network: $14,707.63

Source: Mount Sinai Medical Center of Florida, Inc’s standard charges file (msmc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 13, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address4300 Alton Rd, Miami Beach, FL 33140
CountyMiami-Dade County
StateFlorida
Phone(305) 674‑2121
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100034
Name in Medicare recordsMOUNT SINAI MEDICAL CENTER OF FLORIDA, INC
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(305) 676‑8467[4]
Name on the hospital’s websiteMount Sinai Medical Center (Main Campus)
Official websitemsmc.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 2026-11-02.

  1. Mount Sinai Medical Center Miami Beach — msmc.com
  2. Mount Sinai Medical Center, Miami, FL Hospital — msmc.com