Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Munson Medical Center

Traverse City, Michigan · Grand Traverse County · Emergency services listed

Summary

Munson Medical Center is an acute care hospital in Traverse City, Michigan. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 22 services, specialties and programs. Medicare lists 969 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

Call(231) 935‑5000 Directions Website Medicare profile
Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
442Beds (hospital website)
969Doctors and clinicians
22Services listed

Quick answers

Does Munson Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Munson Medical Center. In a medical emergency, call 911.
Where is Munson Medical Center?
1105 Sixth Street, Traverse City, MI 49684, in Grand Traverse County, Michigan.
What is the phone number of Munson Medical Center?
(231) 935-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Munson Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Treatments[4][5]

Procedures[5]

  • Robotic surgery (daVinci)
  • Joint replacement
  • 3D tomography imaging

Programs and centers[5][9]

  • Cowell Family Cancer Center
  • Webber Heart Center
  • Neonatal Intensive Care Unit
  • Witham Comprehensive Stroke Center

Emergency care (hospital website)[5][8][9]

Emergency roomYes
Trauma designationLevel II
Stroke designationComprehensive Stroke Center

Visiting and practical information

VisitingVisiting hours 6 am to 9 pm; main entrance locked at 9 pm. Overnight support persons allowed in Maternity, NICU, Pediatrics[8]
ParkingParking Deck or Lot A off Sixth Street near main entrance; curbside assistance 5 am-9 pm; after 9 pm use Emergency Entrance on south side of Lot A[7]

Doctors and clinicians (969)

969 doctors and other clinicians list Munson Medical Center 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 (969)

And 945 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 Munson Medical Center 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 well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean1 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1064%National average: 72%
Would definitely recommend the hospital68%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean57%National average: 74%
Area around the room “always” quiet at night44%National average: 60%
Completed surveys492Response rate: 28%

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)0.446No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.876No different from the national benchmark
Surgical site infections after colon surgery1.58No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.752No different from the national benchmark
MRSA bloodstream infections0.382No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.194Better 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 patients13.5%
Deaths within 30 days: heart failure patients14.1%
Deaths within 30 days: pneumonia patients13.9%
Deaths within 30 days: COPD patients10.3%
Deaths within 30 days: stroke patients12%
Deaths within 30 days: coronary bypass surgery (CABG)2.1%
Serious complications (patient safety indicator PSI-90)0.82No different from the national rate
Complications after hip or knee replacement4.4%

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 attack12.8%
Readmitted within 30 days: heart failure20.1%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD21.5%
Readmitted within 30 days: coronary bypass surgery11.4%
Readmitted within 30 days: hip or knee replacement6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)259 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)65%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in MichiganBest hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Munson Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L3 $137 $116.45 $59.18 – $282.87
New patient office visit (about 30–44 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $113.15
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $113.15
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $120.05
  • Blue Cross Complete — Managed Medicaid: $59.18
  • Cigna — Commercial: $191.94
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $192.35
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 New 99203 $137 $116.45 $59.18 – $282.87
New patient office visit (about 30–44 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $113.15
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $113.15
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $120.05
  • Blue Cross Complete — Managed Medicaid: $59.18
  • Cigna — Commercial: $191.94
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $192.35
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L3 $137 $116.45 $72.77 – $1,350
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $109.60
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Cofinity — Commercial: $109.60
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $123.30
  • Fortified Provider Network — Commercial: $130.15
  • HAP (Health Alliance Plan) — Commercial: $109.60
  • Humana Choicecare — Commercial: $109.60
  • McLaren Health Plan — Commercial: $72.77
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L4 $137 $116.45 $70.08 – $428.04
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $171.22
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $171.22
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $160.60
  • Blue Cross Complete — Managed Medicaid: $89.55
  • Cigna — Commercial: $259.29
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $291.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 New 99204 $137 $116.45 $70.08 – $428.04
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $171.22
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $171.22
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $160.60
  • Blue Cross Complete — Managed Medicaid: $89.55
  • Cigna — Commercial: $259.29
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $291.07
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L4 $137 $116.45 $72.77 – $1,350
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $109.60
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Cofinity — Commercial: $109.60
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $123.30
  • Fortified Provider Network — Commercial: $130.15
  • HAP (Health Alliance Plan) — Commercial: $109.60
  • Humana Choicecare — Commercial: $109.60
  • McLaren Health Plan — Commercial: $72.77
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L5 $137 $116.45 $70.08 – $572.44
New patient office visit (about 60–74 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $228.98
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $228.98
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $194.65
  • Blue Cross Complete — Managed Medicaid: $119.76
  • Cigna — Commercial: $333.04
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $389.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 5 New 99205 $137 $116.45 $70.08 – $572.44
New patient office visit (about 60–74 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $109.60
  • Aetna — Medicare Advantage: $228.98
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Blue Care Network — Medicare Advantage: $228.98
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $194.65
  • Blue Cross Complete — Managed Medicaid: $119.76
  • Cigna — Commercial: $333.04
  • Cofinity — Commercial: $109.60
  • Employee Benefits Logistics — Commercial: $389.26
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Outpatient Visit New L5 $137 $116.45 $72.77 – $1,350
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • Aetna — Commercial: $109.60
  • ASR/Physicians Care — Commercial: $109.60
  • Beech Street — Commercial: $132.89
  • Cofinity — Commercial: $109.60
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $123.30
  • Fortified Provider Network — Commercial: $130.15
  • HAP (Health Alliance Plan) — Commercial: $109.60
  • Humana Choicecare — Commercial: $109.60
  • McLaren Health Plan — Commercial: $72.77
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT LV3 $164 $139.40 $47.77 – $228.34
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $131.20
  • Aetna — Medicare Advantage: $91.34
  • ASR/Physicians Care — Commercial: $131.20
  • Beech Street — Commercial: $159.08
  • Blue Care Network — Medicare Advantage: $91.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $90.28
  • Blue Cross Complete — Managed Medicaid: $47.77
  • Cigna — Commercial: $158.91
  • Cofinity — Commercial: $131.20
  • Employee Benefits Logistics — Commercial: $155.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Visit Est Lv3 $164 $139.40 $47.77 – $228.34
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $131.20
  • Aetna — Medicare Advantage: $91.34
  • ASR/Physicians Care — Commercial: $131.20
  • Beech Street — Commercial: $159.08
  • Blue Care Network — Medicare Advantage: $91.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $90.28
  • Blue Cross Complete — Managed Medicaid: $47.77
  • Cigna — Commercial: $158.91
  • Cofinity — Commercial: $131.20
  • Employee Benefits Logistics — Commercial: $155.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M Fac 15 Min Only Serv $164 $139.40 $47.77 – $228.34
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $131.20
  • Aetna — Medicare Advantage: $91.34
  • ASR/Physicians Care — Commercial: $131.20
  • Beech Street — Commercial: $159.08
  • Blue Care Network — Medicare Advantage: $91.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $90.28
  • Blue Cross Complete — Managed Medicaid: $47.77
  • Cigna — Commercial: $158.91
  • Cofinity — Commercial: $131.20
  • Employee Benefits Logistics — Commercial: $155.27
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPATIENT VISIT LV4 $224 $190.40 $68.20 – $326
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $179.20
  • Aetna — Medicare Advantage: $130.40
  • ASR/Physicians Care — Commercial: $179.20
  • Beech Street — Commercial: $217.28
  • Blue Care Network — Medicare Advantage: $130.40
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $123.49
  • Blue Cross Complete — Managed Medicaid: $68.20
  • Cigna — Commercial: $216.10
  • Cofinity — Commercial: $179.20
  • Employee Benefits Logistics — Commercial: $221.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Visit Est Lv4 $224 $190.40 $68.20 – $326
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $179.20
  • Aetna — Medicare Advantage: $130.40
  • ASR/Physicians Care — Commercial: $179.20
  • Beech Street — Commercial: $217.28
  • Blue Care Network — Medicare Advantage: $130.40
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $123.49
  • Blue Cross Complete — Managed Medicaid: $68.20
  • Cigna — Commercial: $216.10
  • Cofinity — Commercial: $179.20
  • Employee Benefits Logistics — Commercial: $221.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E&M Fac 25 Min Only Serv $224 $190.40 $68.20 – $326
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $179.20
  • Aetna — Medicare Advantage: $130.40
  • ASR/Physicians Care — Commercial: $179.20
  • Beech Street — Commercial: $217.28
  • Blue Care Network — Medicare Advantage: $130.40
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $123.49
  • Blue Cross Complete — Managed Medicaid: $68.20
  • Cigna — Commercial: $216.10
  • Cofinity — Commercial: $179.20
  • Employee Benefits Logistics — Commercial: $221.68
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $56.90 – $185.57
Office consultation with a specialist (moderate): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $108.79
  • Blue Care Network — Medicare Advantage: $108.79
  • Blue Cross Complete — Managed Medicaid: $56.90
  • Cigna — Commercial: $185.57
  • HAP (Health Alliance Plan) — Medicare Advantage: $108.79
  • Humana Choicecare — Medicare Advantage: $108.79
  • Longevity — Medicare Advantage: $141.43
  • McLaren Health Plan — Managed Medicaid: $56.90
  • McLaren Health Plan — Medicare Advantage: $108.79
  • Medicare Plus Blue — Medicare Advantage: $108.79
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $56.02 – $140.07
Office consultation with a specialist (moderate): rates for 10 insurance plans
  • Aetna — Commercial: $105.18
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $140.07
  • Blue Cross Complete — Managed Medicaid: $57.14
  • Cigna — Commercial: $117.81
  • McLaren Health Plan — Managed Medicaid: $56.02
  • Meridian — Managed Medicaid: $56.02
  • Molina — Managed Medicaid: $56.02
  • Priority Health — Commercial: $117.81
  • Priority Health — Managed Medicaid: $56.02
  • United Healthcare — Managed Medicaid: $56.02
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $81.60 – $249.15
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $156.03
  • Blue Care Network — Medicare Advantage: $156.03
  • Blue Cross Complete — Managed Medicaid: $81.60
  • Cigna — Commercial: $249.15
  • HAP (Health Alliance Plan) — Medicare Advantage: $156.03
  • Humana Choicecare — Medicare Advantage: $156.03
  • Longevity — Medicare Advantage: $202.84
  • McLaren Health Plan — Managed Medicaid: $81.60
  • McLaren Health Plan — Medicare Advantage: $156.03
  • Medicare Plus Blue — Medicare Advantage: $156.03
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $84.99 – $212.51
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
  • Aetna — Commercial: $160.38
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $212.51
  • Blue Cross Complete — Managed Medicaid: $86.69
  • Cigna — Commercial: $178.72
  • McLaren Health Plan — Managed Medicaid: $84.99
  • Meridian — Managed Medicaid: $84.99
  • Molina — Managed Medicaid: $84.99
  • Priority Health — Commercial: $178.72
  • Priority Health — Managed Medicaid: $84.99
  • United Healthcare — Managed Medicaid: $84.99
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee · modifier KX In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $1,873.94
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Cigna — Commercial: $1,873.94
  • Priority Health — Commercial: $1,873.94
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $67.64 – $221.16
Preventive checkup, new patient, age 18–39: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $129.34
  • Blue Care Network — Medicare Advantage: $129.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $150.50
  • Blue Cross Complete — Managed Medicaid: $67.64
  • Cigna — Commercial: $221.16
  • HAP (Health Alliance Plan) — Medicare Advantage: $129.34
  • Humana Choicecare — Medicare Advantage: $129.34
  • Longevity — Medicare Advantage: $168.14
  • McLaren Health Plan — Managed Medicaid: $67.64
  • McLaren Health Plan — Medicare Advantage: $129.34
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $69 – $151.52
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
  • Aetna — Commercial: $108.61
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $151.52
  • Blue Cross Complete — Managed Medicaid: $70.38
  • Cigna — Commercial: $121.95
  • McLaren Health Plan — Managed Medicaid: $69
  • Meridian — Managed Medicaid: $69
  • Molina — Managed Medicaid: $69
  • Priority Health — Commercial: $121.95
  • Priority Health — Managed Medicaid: $69
  • United Healthcare — Managed Medicaid: $69
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $78.43 – $240.25
Preventive checkup, new patient, age 40–64: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $149.96
  • Blue Care Network — Medicare Advantage: $149.96
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $163.53
  • Blue Cross Complete — Managed Medicaid: $78.43
  • Cigna — Commercial: $240.25
  • HAP (Health Alliance Plan) — Medicare Advantage: $149.96
  • Humana Choicecare — Medicare Advantage: $149.96
  • Longevity — Medicare Advantage: $194.95
  • McLaren Health Plan — Managed Medicaid: $78.43
  • McLaren Health Plan — Medicare Advantage: $149.96
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $84.51 – $174.44
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
  • Aetna — Commercial: $131.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $174.44
  • Blue Cross Complete — Managed Medicaid: $86.20
  • Cigna — Commercial: $147.64
  • McLaren Health Plan — Managed Medicaid: $84.51
  • Meridian — Managed Medicaid: $84.51
  • Molina — Managed Medicaid: $84.51
  • Priority Health — Commercial: $147.64
  • Priority Health — Managed Medicaid: $84.51
  • United Healthcare — Managed Medicaid: $84.51
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED visit for the EM expanded problem focused examination $853 $725.05 $142.25 – $835.94
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • Aetna — Commercial: $682.40
  • Aetna — Medicare Advantage: $272
  • ASR/Physicians Care — Commercial: $682.40
  • Beech Street — Commercial: $827.41
  • Blue Care Network — Medicare Advantage: $272
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $330.33
  • Blue Cross Complete — Managed Medicaid: $142.25
  • Cigna — Commercial: $493.58
  • Cofinity — Commercial: $682.40
  • Employee Benefits Logistics — Commercial: $462.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA NO PRENOTIFICATION ER E/M LV3 $810 $688.50 $142.25 – $793.80
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • Aetna — Commercial: $648
  • Aetna — Medicare Advantage: $272
  • ASR/Physicians Care — Commercial: $648
  • Beech Street — Commercial: $785.70
  • Blue Care Network — Medicare Advantage: $272
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $330.33
  • Blue Cross Complete — Managed Medicaid: $142.25
  • Cigna — Commercial: $493.58
  • Cofinity — Commercial: $648
  • Employee Benefits Logistics — Commercial: $462.39
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA PRENOTIFICATION ER E/M LV3 $810 $688.50 $142.25 – $793.80
Emergency room visit (moderate): 10 of 47 insurance plan rates
  • Aetna — Commercial: $648
  • Aetna — Medicare Advantage: $272
  • ASR/Physicians Care — Commercial: $648
  • Beech Street — Commercial: $785.70
  • Blue Care Network — Medicare Advantage: $272
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $330.33
  • Blue Cross Complete — Managed Medicaid: $142.25
  • Cigna — Commercial: $493.58
  • Cofinity — Commercial: $648
  • Employee Benefits Logistics — Commercial: $462.39
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED visit for the EM of a patient which requires these three key components $1,457 $1,238.45 $217.44 – $1,427.86
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,165.60
  • Aetna — Medicare Advantage: $415.76
  • ASR/Physicians Care — Commercial: $1,165.60
  • Beech Street — Commercial: $1,413.29
  • Blue Care Network — Medicare Advantage: $415.76
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $566.74
  • Blue Cross Complete — Managed Medicaid: $217.44
  • Cigna — Commercial: $775.17
  • Cofinity — Commercial: $1,165.60
  • Employee Benefits Logistics — Commercial: $706.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA NO PRENOTIFICATION ER E/M LV4 $1,385 $1,177.25 $217.44 – $1,357.30
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,108
  • Aetna — Medicare Advantage: $415.76
  • ASR/Physicians Care — Commercial: $1,108
  • Beech Street — Commercial: $1,343.45
  • Blue Care Network — Medicare Advantage: $415.76
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $566.74
  • Blue Cross Complete — Managed Medicaid: $217.44
  • Cigna — Commercial: $775.17
  • Cofinity — Commercial: $1,108
  • Employee Benefits Logistics — Commercial: $706.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA PRENOTIFICATION ER E/M LV4 $1,385 $1,177.25 $217.44 – $1,357.30
Emergency room visit (moderately high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,108
  • Aetna — Medicare Advantage: $415.76
  • ASR/Physicians Care — Commercial: $1,108
  • Beech Street — Commercial: $1,343.45
  • Blue Care Network — Medicare Advantage: $415.76
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $566.74
  • Blue Cross Complete — Managed Medicaid: $217.44
  • Cigna — Commercial: $775.17
  • Cofinity — Commercial: $1,108
  • Employee Benefits Logistics — Commercial: $706.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED visit for the EM of a patient which requires these three key components win the constraints impo $2,248 $1,910.80 $310.34 – $2,203.04
Emergency room visit (high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,798.40
  • Aetna — Medicare Advantage: $593.39
  • ASR/Physicians Care — Commercial: $1,798.40
  • Beech Street — Commercial: $2,180.56
  • Blue Care Network — Medicare Advantage: $593.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $817.80
  • Blue Cross Complete — Managed Medicaid: $310.34
  • Cigna — Commercial: $1,112.67
  • Cofinity — Commercial: $1,798.40
  • Employee Benefits Logistics — Commercial: $1,008.76
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA NO PRENOTIFICATION ER E/M LV5 $2,138 $1,817.30 $310.34 – $2,095.24
Emergency room visit (high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,710.40
  • Aetna — Medicare Advantage: $593.39
  • ASR/Physicians Care — Commercial: $1,710.40
  • Beech Street — Commercial: $2,073.86
  • Blue Care Network — Medicare Advantage: $593.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $817.80
  • Blue Cross Complete — Managed Medicaid: $310.34
  • Cigna — Commercial: $1,112.67
  • Cofinity — Commercial: $1,710.40
  • Employee Benefits Logistics — Commercial: $1,008.76
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MMC LV1 TRAUMA PRENOTIFICATION ER E/M LV5 $2,138 $1,817.30 $310.34 – $2,095.24
Emergency room visit (high): 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,710.40
  • Aetna — Medicare Advantage: $593.39
  • ASR/Physicians Care — Commercial: $1,710.40
  • Beech Street — Commercial: $2,073.86
  • Blue Care Network — Medicare Advantage: $593.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $817.80
  • Blue Cross Complete — Managed Medicaid: $310.34
  • Cigna — Commercial: $1,112.67
  • Cofinity — Commercial: $1,710.40
  • Employee Benefits Logistics — Commercial: $1,008.76

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: Basic Metabolic Panel $134 $113.90 $4.42 – $131.32
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — Commercial: $107.20
  • Aetna — Medicare Advantage: $8.46
  • ASR/Physicians Care — Commercial: $107.20
  • Beech Street — Commercial: $129.98
  • Blue Care Network — Medicare Advantage: $8.46
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $12.97
  • Blue Cross Complete — Managed Medicaid: $4.42
  • Cigna — Commercial: $28.35
  • Cofinity — Commercial: $107.20
  • Employee Benefits Logistics — Commercial: $14.38
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $134 $113.90 $71.18 – $1,350
Basic metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Commercial: $107.20
  • ASR/Physicians Care — Commercial: $107.20
  • Beech Street — Commercial: $129.98
  • Cofinity — Commercial: $107.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $120.60
  • Fortified Provider Network — Commercial: $127.30
  • HAP (Health Alliance Plan) — Commercial: $107.20
  • Humana Choicecare — Commercial: $107.20
  • McLaren Health Plan — Commercial: $71.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PNL TOTAL CA Not listed in the file Not listed in the file $8.74 – $9.98
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Commercial: $8.84
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $9.98
  • Cigna — Commercial: $8.74
  • Priority Health — Commercial: $8.74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $172 $146.20 $5.52 – $168.56
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — Commercial: $137.60
  • Aetna — Medicare Advantage: $10.56
  • ASR/Physicians Care — Commercial: $137.60
  • Beech Street — Commercial: $166.84
  • Blue Care Network — Medicare Advantage: $10.56
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $22.70
  • Blue Cross Complete — Managed Medicaid: $5.52
  • Cigna — Commercial: $28.35
  • Cofinity — Commercial: $137.60
  • Employee Benefits Logistics — Commercial: $17.95
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $172 $146.20 $91.37 – $1,350
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates
  • Aetna — Commercial: $137.60
  • ASR/Physicians Care — Commercial: $137.60
  • Beech Street — Commercial: $166.84
  • Cofinity — Commercial: $137.60
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $154.80
  • Fortified Provider Network — Commercial: $163.40
  • HAP (Health Alliance Plan) — Commercial: $137.60
  • Humana Choicecare — Commercial: $137.60
  • McLaren Health Plan — Commercial: $91.37
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $11.03 – $15.19
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Commercial: $11.03
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $15.19
  • Cigna — Commercial: $11.09
  • Priority Health — Commercial: $11.09
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $25 – $206.33
Obstetric blood test panel: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Blue Care Network — Medicare Advantage: $47.81
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $64.69
  • Blue Cross Complete — Managed Medicaid: $25
  • Cigna — Commercial: $206.33
  • HAP (Health Alliance Plan) — Medicare Advantage: $47.81
  • Humana Choicecare — Medicare Advantage: $47.81
  • Longevity — Medicare Advantage: $62.15
  • McLaren Health Plan — Managed Medicaid: $25
  • McLaren Health Plan — Medicare Advantage: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $49.76 – $49.96
Obstetric blood test panel: rates for 4 insurance plans
  • Aetna — Commercial: $49.96
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $49.77
  • Cigna — Commercial: $49.76
  • Priority Health — Commercial: $49.76
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $43.28
Obstetric blood test panel: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $43.28
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $107 $90.95 $7 – $104.86
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates
  • Aetna — Commercial: $85.60
  • Aetna — Medicare Advantage: $13.39
  • ASR/Physicians Care — Commercial: $85.60
  • Beech Street — Commercial: $103.79
  • Blue Care Network — Medicare Advantage: $13.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $17.31
  • Blue Cross Complete — Managed Medicaid: $7
  • Cigna — Commercial: $29.53
  • Cofinity — Commercial: $85.60
  • Employee Benefits Logistics — Commercial: $22.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel $107 $90.95 $56.84 – $1,350
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates
  • Aetna — Commercial: $85.60
  • ASR/Physicians Care — Commercial: $85.60
  • Beech Street — Commercial: $103.79
  • Cofinity — Commercial: $85.60
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $96.30
  • Fortified Provider Network — Commercial: $101.65
  • HAP (Health Alliance Plan) — Commercial: $85.60
  • Humana Choicecare — Commercial: $85.60
  • McLaren Health Plan — Commercial: $56.84
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL Not listed in the file Not listed in the file $13.78 – $19.07
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Aetna — Commercial: $13.99
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $19.07
  • Cigna — Commercial: $13.78
  • Priority Health — Commercial: $13.78
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $144 $122.40 $4.54 – $141.12
Kidney function panel: 10 of 47 insurance plan rates
  • Aetna — Commercial: $115.20
  • Aetna — Medicare Advantage: $8.68
  • ASR/Physicians Care — Commercial: $115.20
  • Beech Street — Commercial: $139.68
  • Blue Care Network — Medicare Advantage: $8.68
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $16.20
  • Blue Cross Complete — Managed Medicaid: $4.54
  • Cigna — Commercial: $37.46
  • Cofinity — Commercial: $115.20
  • Employee Benefits Logistics — Commercial: $14.76
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $144 $122.40 $76.49 – $1,350
Kidney function panel: 10 of 20 insurance plan rates
  • Aetna — Commercial: $115.20
  • ASR/Physicians Care — Commercial: $115.20
  • Beech Street — Commercial: $139.68
  • Cofinity — Commercial: $115.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $129.60
  • Fortified Provider Network — Commercial: $136.80
  • HAP (Health Alliance Plan) — Commercial: $115.20
  • Humana Choicecare — Commercial: $115.20
  • McLaren Health Plan — Commercial: $76.49
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $9.07 – $10.84
Kidney function panel: rates for 4 insurance plans
  • Aetna — Commercial: $9.08
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $10.84
  • Cigna — Commercial: $9.07
  • Priority Health — Commercial: $9.07
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $124 $105.40 $4.27 – $121.52
Liver function panel: 10 of 47 insurance plan rates
  • Aetna — Commercial: $99.20
  • Aetna — Medicare Advantage: $8.17
  • ASR/Physicians Care — Commercial: $99.20
  • Beech Street — Commercial: $120.28
  • Blue Care Network — Medicare Advantage: $8.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $11.34
  • Blue Cross Complete — Managed Medicaid: $4.27
  • Cigna — Commercial: $10.63
  • Cofinity — Commercial: $99.20
  • Employee Benefits Logistics — Commercial: $13.89
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $124 $105.40 $65.87 – $1,350
Liver function panel: 10 of 20 insurance plan rates
  • Aetna — Commercial: $99.20
  • ASR/Physicians Care — Commercial: $99.20
  • Beech Street — Commercial: $120.28
  • Cofinity — Commercial: $99.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $111.60
  • Fortified Provider Network — Commercial: $117.80
  • HAP (Health Alliance Plan) — Commercial: $99.20
  • Humana Choicecare — Commercial: $99.20
  • McLaren Health Plan — Commercial: $65.87
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $7.59 – $8.54
Liver function panel: rates for 4 insurance plans
  • Aetna — Commercial: $8.54
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $7.59
  • Cigna — Commercial: $8.41
  • Priority Health — Commercial: $8.41
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick auto w/ Micro POC $38 $32.30 $1.66 – $37.24
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $30.40
  • Aetna — Medicare Advantage: $3.17
  • ASR/Physicians Care — Commercial: $30.40
  • Beech Street — Commercial: $36.86
  • Blue Care Network — Medicare Advantage: $3.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.56
  • Blue Cross Complete — Managed Medicaid: $1.66
  • Cigna — Commercial: $13.69
  • Cofinity — Commercial: $30.40
  • Employee Benefits Logistics — Commercial: $5.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Culture if Indicated $38 $32.30 $1.66 – $37.24
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $30.40
  • Aetna — Medicare Advantage: $3.17
  • ASR/Physicians Care — Commercial: $30.40
  • Beech Street — Commercial: $36.86
  • Blue Care Network — Medicare Advantage: $3.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.56
  • Blue Cross Complete — Managed Medicaid: $1.66
  • Cigna — Commercial: $13.69
  • Cofinity — Commercial: $30.40
  • Employee Benefits Logistics — Commercial: $5.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic $38 $32.30 $1.66 – $37.24
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $30.40
  • Aetna — Medicare Advantage: $3.17
  • ASR/Physicians Care — Commercial: $30.40
  • Beech Street — Commercial: $36.86
  • Blue Care Network — Medicare Advantage: $3.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.56
  • Blue Cross Complete — Managed Medicaid: $1.66
  • Cigna — Commercial: $13.69
  • Cofinity — Commercial: $30.40
  • Employee Benefits Logistics — Commercial: $5.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick non-auto POC $25 $21.25 $1.82 – $24.50
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $20
  • Aetna — Medicare Advantage: $3.48
  • ASR/Physicians Care — Commercial: $20
  • Beech Street — Commercial: $24.25
  • Blue Care Network — Medicare Advantage: $3.48
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.90
  • Blue Cross Complete — Managed Medicaid: $1.82
  • Cigna — Commercial: $15.02
  • Cofinity — Commercial: $20
  • Employee Benefits Logistics — Commercial: $5.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick non-auto POC - UC $25 $21.25 $1.82 – $24.50
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $20
  • Aetna — Medicare Advantage: $3.48
  • ASR/Physicians Care — Commercial: $20
  • Beech Street — Commercial: $24.25
  • Blue Care Network — Medicare Advantage: $3.48
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.90
  • Blue Cross Complete — Managed Medicaid: $1.82
  • Cigna — Commercial: $15.02
  • Cofinity — Commercial: $20
  • Employee Benefits Logistics — Commercial: $5.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIPSTICK URINE BCE $25 $21.25 $1.82 – $24.50
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $20
  • Aetna — Medicare Advantage: $3.48
  • ASR/Physicians Care — Commercial: $20
  • Beech Street — Commercial: $24.25
  • Blue Care Network — Medicare Advantage: $3.48
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3.90
  • Blue Cross Complete — Managed Medicaid: $1.82
  • Cigna — Commercial: $15.02
  • Cofinity — Commercial: $20
  • Employee Benefits Logistics — Commercial: $5.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urinalysis Dipstick auto - UC $20 $17 $1.18 – $19.60
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $16
  • Aetna — Medicare Advantage: $2.25
  • ASR/Physicians Care — Commercial: $16
  • Beech Street — Commercial: $19.40
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2.53
  • Blue Cross Complete — Managed Medicaid: $1.18
  • Cigna — Commercial: $9.71
  • Cofinity — Commercial: $16
  • Employee Benefits Logistics — Commercial: $3.83
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick auto POC $20 $17 $1.18 – $19.60
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $16
  • Aetna — Medicare Advantage: $2.25
  • ASR/Physicians Care — Commercial: $16
  • Beech Street — Commercial: $19.40
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2.53
  • Blue Cross Complete — Managed Medicaid: $1.18
  • Cigna — Commercial: $9.71
  • Cofinity — Commercial: $16
  • Employee Benefits Logistics — Commercial: $3.83
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick auto POC - UC $20 $17 $1.18 – $19.60
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • Aetna — Commercial: $16
  • Aetna — Medicare Advantage: $2.25
  • ASR/Physicians Care — Commercial: $16
  • Beech Street — Commercial: $19.40
  • Blue Care Network — Medicare Advantage: $2.25
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2.53
  • Blue Cross Complete — Managed Medicaid: $1.18
  • Cigna — Commercial: $9.71
  • Cofinity — Commercial: $16
  • Employee Benefits Logistics — Commercial: $3.83
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 84153 4140 $67 $56.95 $9.62 – $65.66
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $53.60
  • Aetna — Medicare Advantage: $18.39
  • ASR/Physicians Care — Commercial: $53.60
  • Beech Street — Commercial: $64.99
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $20.61
  • Blue Cross Complete — Managed Medicaid: $9.62
  • Cigna — Commercial: $35.43
  • Cofinity — Commercial: $53.60
  • Employee Benefits Logistics — Commercial: $31.26
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 84153 4727 $67 $56.95 $9.62 – $65.66
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $53.60
  • Aetna — Medicare Advantage: $18.39
  • ASR/Physicians Care — Commercial: $53.60
  • Beech Street — Commercial: $64.99
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $20.61
  • Blue Cross Complete — Managed Medicaid: $9.62
  • Cigna — Commercial: $35.43
  • Cofinity — Commercial: $53.60
  • Employee Benefits Logistics — Commercial: $31.26
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Diagnostic $67 $56.95 $9.62 – $65.66
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $53.60
  • Aetna — Medicare Advantage: $18.39
  • ASR/Physicians Care — Commercial: $53.60
  • Beech Street — Commercial: $64.99
  • Blue Care Network — Medicare Advantage: $18.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $20.61
  • Blue Cross Complete — Managed Medicaid: $9.62
  • Cigna — Commercial: $35.43
  • Cofinity — Commercial: $53.60
  • Employee Benefits Logistics — Commercial: $31.26
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH with Reflex to FT4 $142 $120.70 $8.79 – $139.16
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $113.60
  • Aetna — Medicare Advantage: $16.80
  • ASR/Physicians Care — Commercial: $113.60
  • Beech Street — Commercial: $137.74
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $18.83
  • Blue Cross Complete — Managed Medicaid: $8.79
  • Cigna — Commercial: $33.06
  • Cofinity — Commercial: $113.60
  • Employee Benefits Logistics — Commercial: $28.56
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Function Cascade $142 $120.70 $8.79 – $139.16
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $113.60
  • Aetna — Medicare Advantage: $16.80
  • ASR/Physicians Care — Commercial: $113.60
  • Beech Street — Commercial: $137.74
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $18.83
  • Blue Cross Complete — Managed Medicaid: $8.79
  • Cigna — Commercial: $33.06
  • Cofinity — Commercial: $113.60
  • Employee Benefits Logistics — Commercial: $28.56
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $142 $120.70 $8.79 – $139.16
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • Aetna — Commercial: $113.60
  • Aetna — Medicare Advantage: $16.80
  • ASR/Physicians Care — Commercial: $113.60
  • Beech Street — Commercial: $137.74
  • Blue Care Network — Medicare Advantage: $16.80
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $18.83
  • Blue Cross Complete — Managed Medicaid: $8.79
  • Cigna — Commercial: $33.06
  • Cofinity — Commercial: $113.60
  • Employee Benefits Logistics — Commercial: $28.56
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/ Differential $88 $74.80 $4.06 – $86.24
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates
  • Aetna — Commercial: $70.40
  • Aetna — Medicare Advantage: $7.77
  • ASR/Physicians Care — Commercial: $70.40
  • Beech Street — Commercial: $85.36
  • Blue Care Network — Medicare Advantage: $7.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $8.71
  • Blue Cross Complete — Managed Medicaid: $4.06
  • Cigna — Commercial: $18.89
  • Cofinity — Commercial: $70.40
  • Employee Benefits Logistics — Commercial: $13.21
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/ Differential $88 $74.80 $46.75 – $1,350
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates
  • Aetna — Commercial: $70.40
  • ASR/Physicians Care — Commercial: $70.40
  • Beech Street — Commercial: $85.36
  • Cofinity — Commercial: $70.40
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $79.20
  • Fortified Provider Network — Commercial: $83.60
  • HAP (Health Alliance Plan) — Commercial: $70.40
  • Humana Choicecare — Commercial: $70.40
  • McLaren Health Plan — Commercial: $46.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $8.07 – $8.94
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Aetna — Commercial: $8.12
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $8.94
  • Cigna — Commercial: $8.07
  • Priority Health — Commercial: $8.07
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC without Differential $53 $45.05 $3.38 – $51.94
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • Aetna — Commercial: $42.40
  • Aetna — Medicare Advantage: $6.47
  • ASR/Physicians Care — Commercial: $42.40
  • Beech Street — Commercial: $51.41
  • Blue Care Network — Medicare Advantage: $6.47
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $7.25
  • Blue Cross Complete — Managed Medicaid: $3.38
  • Cigna — Commercial: $18.89
  • Cofinity — Commercial: $42.40
  • Employee Benefits Logistics — Commercial: $11
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC without Differential $53 $45.05 $28.15 – $1,350
Complete blood count (CBC), automated: 10 of 20 insurance plan rates
  • Aetna — Commercial: $42.40
  • ASR/Physicians Care — Commercial: $42.40
  • Beech Street — Commercial: $51.41
  • Cofinity — Commercial: $42.40
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $47.70
  • Fortified Provider Network — Commercial: $50.35
  • HAP (Health Alliance Plan) — Commercial: $42.40
  • Humana Choicecare — Commercial: $42.40
  • McLaren Health Plan — Commercial: $28.15
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $6.73 – $7.44
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Aetna — Commercial: $6.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $7.44
  • Cigna — Commercial: $6.73
  • Priority Health — Commercial: $6.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 4832 $9.72 $8.27 $2.24 – $12.99
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $7.78
  • Aetna — Medicare Advantage: $4.29
  • ASR/Physicians Care — Commercial: $7.78
  • Beech Street — Commercial: $9.43
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $4.81
  • Blue Cross Complete — Managed Medicaid: $2.24
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $7.78
  • Employee Benefits Logistics — Commercial: $7.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 4844 $15 $12.75 $2.24 – $14.70
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $12
  • Aetna — Medicare Advantage: $4.29
  • ASR/Physicians Care — Commercial: $12
  • Beech Street — Commercial: $14.55
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $4.81
  • Blue Cross Complete — Managed Medicaid: $2.24
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $12
  • Employee Benefits Logistics — Commercial: $7.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 4850 $91 $77.35 $2.24 – $89.18
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $72.80
  • Aetna — Medicare Advantage: $4.29
  • ASR/Physicians Care — Commercial: $72.80
  • Beech Street — Commercial: $88.27
  • Blue Care Network — Medicare Advantage: $4.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $4.81
  • Blue Cross Complete — Managed Medicaid: $2.24
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $72.80
  • Employee Benefits Logistics — Commercial: $7.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 6787 $46.16 $39.24 $3.14 – $45.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $36.93
  • Aetna — Medicare Advantage: $6.01
  • ASR/Physicians Care — Commercial: $36.93
  • Beech Street — Commercial: $44.78
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $6.74
  • Blue Cross Complete — Managed Medicaid: $3.14
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $36.93
  • Employee Benefits Logistics — Commercial: $10.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $69 $58.65 $3.14 – $67.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $55.20
  • Aetna — Medicare Advantage: $6.01
  • ASR/Physicians Care — Commercial: $55.20
  • Beech Street — Commercial: $66.93
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $6.74
  • Blue Cross Complete — Managed Medicaid: $3.14
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $55.20
  • Employee Benefits Logistics — Commercial: $10.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time Heparin Protocol $69 $58.65 $3.14 – $67.62
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • Aetna — Commercial: $55.20
  • Aetna — Medicare Advantage: $6.01
  • ASR/Physicians Care — Commercial: $55.20
  • Beech Street — Commercial: $66.93
  • Blue Care Network — Medicare Advantage: $6.01
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $6.74
  • Blue Cross Complete — Managed Medicaid: $3.14
  • Cigna — Commercial: $12.99
  • Cofinity — Commercial: $55.20
  • Employee Benefits Logistics — Commercial: $10.22

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: CT Exams $1,575 $1,338.75 $54.48 – $1,543.50
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,260
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $1,260
  • Beech Street — Commercial: $1,527.75
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $163.18
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $233.80
  • Cofinity — Commercial: $1,260
  • Employee Benefits Logistics — Commercial: $177.09
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST $1,575 $1,338.75 $54.48 – $1,543.50
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,260
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $1,260
  • Beech Street — Commercial: $1,527.75
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $163.18
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $233.80
  • Cofinity — Commercial: $1,260
  • Employee Benefits Logistics — Commercial: $177.09
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT STEALTH HEAD W/O CONTRAST $1,575 $1,338.75 $54.48 – $1,543.50
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,260
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $1,260
  • Beech Street — Commercial: $1,527.75
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $163.18
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $233.80
  • Cofinity — Commercial: $1,260
  • Employee Benefits Logistics — Commercial: $177.09
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Exams $4,401 $3,740.85 $181.80 – $4,312.98
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $3,520.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $3,520.80
  • Beech Street — Commercial: $4,268.97
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $515.02
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $763.99
  • Cofinity — Commercial: $3,520.80
  • Employee Benefits Logistics — Commercial: $590.95
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN CSF FLOW STUDY W/ + W/O $4,401 $3,740.85 $181.80 – $4,312.98
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $3,520.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $3,520.80
  • Beech Street — Commercial: $4,268.97
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $515.02
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $763.99
  • Cofinity — Commercial: $3,520.80
  • Employee Benefits Logistics — Commercial: $590.95
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/ + W/O CONTRAST $4,401 $3,740.85 $181.80 – $4,312.98
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $3,520.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $3,520.80
  • Beech Street — Commercial: $4,268.97
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $515.02
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $763.99
  • Cofinity — Commercial: $3,520.80
  • Employee Benefits Logistics — Commercial: $590.95
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 V $422 $358.70 $45.35 – $413.56
Chest X-ray, 2 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $337.60
  • Aetna — Medicare Advantage: $86.71
  • ASR/Physicians Care — Commercial: $337.60
  • Beech Street — Commercial: $409.34
  • Blue Care Network — Medicare Advantage: $86.71
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $55.72
  • Blue Cross Complete — Managed Medicaid: $45.35
  • Cigna — Commercial: $77.93
  • Cofinity — Commercial: $337.60
  • Employee Benefits Logistics — Commercial: $147.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 V W/ABDOMEN (INFANT ONLY) $422 $358.70 $45.35 – $413.56
Chest X-ray, 2 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $337.60
  • Aetna — Medicare Advantage: $86.71
  • ASR/Physicians Care — Commercial: $337.60
  • Beech Street — Commercial: $409.34
  • Blue Care Network — Medicare Advantage: $86.71
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $55.72
  • Blue Cross Complete — Managed Medicaid: $45.35
  • Cigna — Commercial: $77.93
  • Cofinity — Commercial: $337.60
  • Employee Benefits Logistics — Commercial: $147.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GD Exams $422 $358.70 $45.35 – $413.56
Chest X-ray, 2 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $337.60
  • Aetna — Medicare Advantage: $86.71
  • ASR/Physicians Care — Commercial: $337.60
  • Beech Street — Commercial: $409.34
  • Blue Care Network — Medicare Advantage: $86.71
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $55.72
  • Blue Cross Complete — Managed Medicaid: $45.35
  • Cigna — Commercial: $77.93
  • Cofinity — Commercial: $337.60
  • Employee Benefits Logistics — Commercial: $147.41
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GD Exams $690 $586.50 $54.48 – $676.20
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $552
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $552
  • Beech Street — Commercial: $669.30
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $93.94
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $129.89
  • Cofinity — Commercial: $552
  • Employee Benefits Logistics — Commercial: $177.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR AP + LAT W/ FLEX + EXT $690 $586.50 $54.48 – $676.20
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $552
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $552
  • Beech Street — Commercial: $669.30
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $93.94
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $129.89
  • Cofinity — Commercial: $552
  • Employee Benefits Logistics — Commercial: $177.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR MIN 4 V $690 $586.50 $54.48 – $676.20
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates
  • Aetna — Commercial: $552
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $552
  • Beech Street — Commercial: $669.30
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $93.94
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $129.89
  • Cofinity — Commercial: $552
  • Employee Benefits Logistics — Commercial: $177.09
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Exams $2,904 $2,468.40 $124.34 – $2,845.92
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,323.20
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,323.20
  • Beech Street — Commercial: $2,816.88
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $296.92
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $438.09
  • Cofinity — Commercial: $2,323.20
  • Employee Benefits Logistics — Commercial: $404.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI INCOMPLETE LUMBAR SPINE $2,904 $2,468.40 $124.34 – $2,845.92
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,323.20
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,323.20
  • Beech Street — Commercial: $2,816.88
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $296.92
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $438.09
  • Cofinity — Commercial: $2,323.20
  • Employee Benefits Logistics — Commercial: $404.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONTRAST $2,904 $2,468.40 $124.34 – $2,845.92
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,323.20
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,323.20
  • Beech Street — Commercial: $2,816.88
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $296.92
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $438.09
  • Cofinity — Commercial: $2,323.20
  • Employee Benefits Logistics — Commercial: $404.16
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Exams $2,377 $2,020.45 $91.40 – $2,329.46
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,901.60
  • Aetna — Medicare Advantage: $174.77
  • ASR/Physicians Care — Commercial: $1,901.60
  • Beech Street — Commercial: $2,305.69
  • Blue Care Network — Medicare Advantage: $174.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $419.50
  • Blue Cross Complete — Managed Medicaid: $91.40
  • Cigna — Commercial: $634.10
  • Cofinity — Commercial: $1,901.60
  • Employee Benefits Logistics — Commercial: $297.11
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ CONTRAST (ORAL + IV) $2,377 $2,020.45 $91.40 – $2,329.46
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,901.60
  • Aetna — Medicare Advantage: $174.77
  • ASR/Physicians Care — Commercial: $1,901.60
  • Beech Street — Commercial: $2,305.69
  • Blue Care Network — Medicare Advantage: $174.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $419.50
  • Blue Cross Complete — Managed Medicaid: $91.40
  • Cigna — Commercial: $634.10
  • Cofinity — Commercial: $1,901.60
  • Employee Benefits Logistics — Commercial: $297.11
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/ IV CONTRAST (NO ORAL CONT) $2,377 $2,020.45 $91.40 – $2,329.46
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,901.60
  • Aetna — Medicare Advantage: $174.77
  • ASR/Physicians Care — Commercial: $1,901.60
  • Beech Street — Commercial: $2,305.69
  • Blue Care Network — Medicare Advantage: $174.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $419.50
  • Blue Cross Complete — Managed Medicaid: $91.40
  • Cigna — Commercial: $634.10
  • Cofinity — Commercial: $1,901.60
  • Employee Benefits Logistics — Commercial: $297.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR Exams $3,198 $2,718.30 $124.34 – $3,134.04
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,558.40
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,558.40
  • Beech Street — Commercial: $3,102.06
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $340.69
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $494.76
  • Cofinity — Commercial: $2,558.40
  • Employee Benefits Logistics — Commercial: $404.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE W/O CONTRAST LT $3,198 $2,718.30 $124.34 – $3,134.04
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,558.40
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,558.40
  • Beech Street — Commercial: $3,102.06
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $340.69
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $494.76
  • Cofinity — Commercial: $2,558.40
  • Employee Benefits Logistics — Commercial: $404.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI ANKLE W/O CONTRAST RT $3,198 $2,718.30 $124.34 – $3,134.04
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,558.40
  • Aetna — Medicare Advantage: $237.74
  • ASR/Physicians Care — Commercial: $2,558.40
  • Beech Street — Commercial: $3,102.06
  • Blue Care Network — Medicare Advantage: $237.74
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $340.69
  • Blue Cross Complete — Managed Medicaid: $124.34
  • Cigna — Commercial: $494.76
  • Cofinity — Commercial: $2,558.40
  • Employee Benefits Logistics — Commercial: $404.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93077 CT ABD PELV W/ IV CONT $3,726 $3,167.10 $181.80 – $3,651.48
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,980.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $2,980.80
  • Beech Street — Commercial: $3,614.22
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $526.17
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $793.51
  • Cofinity — Commercial: $2,980.80
  • Employee Benefits Logistics — Commercial: $590.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 93079 CT ABD PELV W/ IV+ORAL CONT $3,726 $3,167.10 $181.80 – $3,651.48
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,980.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $2,980.80
  • Beech Street — Commercial: $3,614.22
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $526.17
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $793.51
  • Cofinity — Commercial: $2,980.80
  • Employee Benefits Logistics — Commercial: $590.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD + PELVIS W/IV CONT (NO ORAL) $3,726 $3,167.10 $181.80 – $3,651.48
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,980.80
  • Aetna — Medicare Advantage: $347.62
  • ASR/Physicians Care — Commercial: $2,980.80
  • Beech Street — Commercial: $3,614.22
  • Blue Care Network — Medicare Advantage: $347.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $526.17
  • Blue Cross Complete — Managed Medicaid: $181.80
  • Cigna — Commercial: $793.51
  • Cofinity — Commercial: $2,980.80
  • Employee Benefits Logistics — Commercial: $590.95
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,064 $904.40 $54.48 – $1,042.72
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
  • Aetna — Commercial: $851.20
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $851.20
  • Beech Street — Commercial: $1,032.08
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $184.67
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $288.12
  • Cofinity — Commercial: $851.20
  • Employee Benefits Logistics — Commercial: $177.09
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exams $1,064 $904.40 $54.48 – $1,042.72
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
  • Aetna — Commercial: $851.20
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $851.20
  • Beech Street — Commercial: $1,032.08
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $184.67
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $288.12
  • Cofinity — Commercial: $851.20
  • Employee Benefits Logistics — Commercial: $177.09
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,064 $904.40 $565.20 – $1,350
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates
  • Aetna — Commercial: $851.20
  • ASR/Physicians Care — Commercial: $851.20
  • Beech Street — Commercial: $1,032.08
  • Cofinity — Commercial: $851.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $957.60
  • Fortified Provider Network — Commercial: $1,010.80
  • HAP (Health Alliance Plan) — Commercial: $851.20
  • Humana Choicecare — Commercial: $851.20
  • McLaren Health Plan — Commercial: $565.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >=14 weeks Single Fetus 76805 $846 $719.10 $54.48 – $829.08
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • Aetna — Commercial: $676.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $676.80
  • Beech Street — Commercial: $820.62
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $207.76
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $297.57
  • Cofinity — Commercial: $676.80
  • Employee Benefits Logistics — Commercial: $177.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exams $846 $719.10 $54.48 – $829.08
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • Aetna — Commercial: $676.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $676.80
  • Beech Street — Commercial: $820.62
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $207.76
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $297.57
  • Cofinity — Commercial: $676.80
  • Employee Benefits Logistics — Commercial: $177.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMPLETE $846 $719.10 $54.48 – $829.08
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates
  • Aetna — Commercial: $676.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $676.80
  • Beech Street — Commercial: $820.62
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $207.76
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $297.57
  • Cofinity — Commercial: $676.80
  • Employee Benefits Logistics — Commercial: $177.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 4611 US TRANSVAGINAL NON OB $781 $663.85 $54.48 – $765.38
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • Aetna — Commercial: $624.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $624.80
  • Beech Street — Commercial: $757.57
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $202.98
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $295.20
  • Cofinity — Commercial: $624.80
  • Employee Benefits Logistics — Commercial: $177.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exams $821 $697.85 $54.48 – $804.58
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • Aetna — Commercial: $656.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $656.80
  • Beech Street — Commercial: $796.37
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $202.98
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $295.20
  • Cofinity — Commercial: $656.80
  • Employee Benefits Logistics — Commercial: $177.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON OB $821 $697.85 $54.48 – $804.58
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • Aetna — Commercial: $656.80
  • Aetna — Medicare Advantage: $104.17
  • ASR/Physicians Care — Commercial: $656.80
  • Beech Street — Commercial: $796.37
  • Blue Care Network — Medicare Advantage: $104.17
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $202.98
  • Blue Cross Complete — Managed Medicaid: $54.48
  • Cigna — Commercial: $295.20
  • Cofinity — Commercial: $656.80
  • Employee Benefits Logistics — Commercial: $177.09
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Exams $381 $323.85 $60.60 – $373.38
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $304.80
  • Aetna — Medicare Advantage: $115.87
  • ASR/Physicians Care — Commercial: $304.80
  • Beech Street — Commercial: $369.57
  • Blue Care Network — Medicare Advantage: $115.87
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $209.35
  • Blue Cross Complete — Managed Medicaid: $60.60
  • Cigna — Commercial: $294.02
  • Cofinity — Commercial: $304.80
  • Employee Benefits Logistics — Commercial: $196.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD DX FOLLOW PROCEDURE LT $381 $323.85 $60.60 – $373.38
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $304.80
  • Aetna — Medicare Advantage: $115.87
  • ASR/Physicians Care — Commercial: $304.80
  • Beech Street — Commercial: $369.57
  • Blue Care Network — Medicare Advantage: $115.87
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $209.35
  • Blue Cross Complete — Managed Medicaid: $60.60
  • Cigna — Commercial: $294.02
  • Cofinity — Commercial: $304.80
  • Employee Benefits Logistics — Commercial: $196.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD DX FOLLOW PROCEDURE RT $381 $323.85 $60.60 – $373.38
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • Aetna — Commercial: $304.80
  • Aetna — Medicare Advantage: $115.87
  • ASR/Physicians Care — Commercial: $304.80
  • Beech Street — Commercial: $369.57
  • Blue Care Network — Medicare Advantage: $115.87
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $209.35
  • Blue Cross Complete — Managed Medicaid: $60.60
  • Cigna — Commercial: $294.02
  • Cofinity — Commercial: $304.80
  • Employee Benefits Logistics — Commercial: $196.97
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Exams $491 $417.35 $76.75 – $481.18
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $392.80
  • Aetna — Medicare Advantage: $146.75
  • ASR/Physicians Care — Commercial: $392.80
  • Beech Street — Commercial: $476.27
  • Blue Care Network — Medicare Advantage: $146.75
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $266.67
  • Blue Cross Complete — Managed Medicaid: $76.75
  • Cigna — Commercial: $375.50
  • Cofinity — Commercial: $392.80
  • Employee Benefits Logistics — Commercial: $249.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD DX FOLLOW PROCEDURE BIL $491 $417.35 $76.75 – $481.18
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $392.80
  • Aetna — Medicare Advantage: $146.75
  • ASR/Physicians Care — Commercial: $392.80
  • Beech Street — Commercial: $476.27
  • Blue Care Network — Medicare Advantage: $146.75
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $266.67
  • Blue Cross Complete — Managed Medicaid: $76.75
  • Cigna — Commercial: $375.50
  • Cofinity — Commercial: $392.80
  • Employee Benefits Logistics — Commercial: $249.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD MAMM DIAGNOSTIC BILAT $491 $417.35 $76.75 – $481.18
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $392.80
  • Aetna — Medicare Advantage: $146.75
  • ASR/Physicians Care — Commercial: $392.80
  • Beech Street — Commercial: $476.27
  • Blue Care Network — Medicare Advantage: $146.75
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $266.67
  • Blue Cross Complete — Managed Medicaid: $76.75
  • Cigna — Commercial: $375.50
  • Cofinity — Commercial: $392.80
  • Employee Benefits Logistics — Commercial: $249.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Exams $379 $322.15 $61.60 – $371.42
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $303.20
  • Aetna — Medicare Advantage: $117.78
  • ASR/Physicians Care — Commercial: $303.20
  • Beech Street — Commercial: $367.63
  • Blue Care Network — Medicare Advantage: $117.78
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $220.50
  • Blue Cross Complete — Managed Medicaid: $61.60
  • Cigna — Commercial: $310.56
  • Cofinity — Commercial: $303.20
  • Employee Benefits Logistics — Commercial: $200.23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD MAMM SCREEN BILATERAL $379 $322.15 $61.60 – $371.42
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $303.20
  • Aetna — Medicare Advantage: $117.78
  • ASR/Physicians Care — Commercial: $303.20
  • Beech Street — Commercial: $367.63
  • Blue Care Network — Medicare Advantage: $117.78
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $220.50
  • Blue Cross Complete — Managed Medicaid: $61.60
  • Cigna — Commercial: $310.56
  • Cofinity — Commercial: $303.20
  • Employee Benefits Logistics — Commercial: $200.23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA FFD MAMM SCREEN LT UNI $379 $322.15 $61.60 – $371.42
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • Aetna — Commercial: $303.20
  • Aetna — Medicare Advantage: $117.78
  • ASR/Physicians Care — Commercial: $303.20
  • Beech Street — Commercial: $367.63
  • Blue Care Network — Medicare Advantage: $117.78
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $220.50
  • Blue Cross Complete — Managed Medicaid: $61.60
  • Cigna — Commercial: $310.56
  • Cofinity — Commercial: $303.20
  • Employee Benefits Logistics — Commercial: $200.23

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG - UC 93000 $276 $234.60 $7.67 – $270.48
Electrocardiogram (ECG/EKG) with reading: 10 of 47 insurance plan rates
  • Aetna — Commercial: $220.80
  • Aetna — Medicare Advantage: $14.67
  • ASR/Physicians Care — Commercial: $220.80
  • Beech Street — Commercial: $267.72
  • Blue Care Network — Medicare Advantage: $14.67
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $21.11
  • Blue Cross Complete — Managed Medicaid: $7.67
  • Cigna — Commercial: $44.99
  • Cofinity — Commercial: $220.80
  • Employee Benefits Logistics — Commercial: $24.93
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram (ECG) Routine 12-Lead Tracing and I&R (Global) 93000 $276 $234.60 $7.67 – $270.48
Electrocardiogram (ECG/EKG) with reading: 10 of 47 insurance plan rates
  • Aetna — Commercial: $220.80
  • Aetna — Medicare Advantage: $14.67
  • ASR/Physicians Care — Commercial: $220.80
  • Beech Street — Commercial: $267.72
  • Blue Care Network — Medicare Advantage: $14.67
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $21.11
  • Blue Cross Complete — Managed Medicaid: $7.67
  • Cigna — Commercial: $44.99
  • Cofinity — Commercial: $220.80
  • Employee Benefits Logistics — Commercial: $24.93
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE $155 $131.75 $7.67 – $151.90
Electrocardiogram (ECG/EKG) with reading: 10 of 47 insurance plan rates
  • Aetna — Commercial: $124
  • Aetna — Medicare Advantage: $14.67
  • ASR/Physicians Care — Commercial: $124
  • Beech Street — Commercial: $150.35
  • Blue Care Network — Medicare Advantage: $14.67
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $21.11
  • Blue Cross Complete — Managed Medicaid: $7.67
  • Cigna — Commercial: $44.99
  • Cofinity — Commercial: $124
  • Employee Benefits Logistics — Commercial: $24.93
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PNL 93452 LEFT HRT CATH W/VENTRCLGRP $11,726 $9,967.10 $1,689.43 – $11,491.48
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • Aetna — Commercial: $9,380.80
  • Aetna — Medicare Advantage: $3,230.27
  • ASR/Physicians Care — Commercial: $9,380.80
  • Beech Street — Commercial: $11,374.22
  • Blue Care Network — Medicare Advantage: $3,230.27
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,093.45
  • Blue Cross Complete — Managed Medicaid: $1,689.43
  • Cigna — Commercial: $2,224.08
  • Cofinity — Commercial: $9,380.80
  • Employee Benefits Logistics — Commercial: $5,491.47
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $12,320 $10,472 $1,689.43 – $12,073.60
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • Aetna — Commercial: $9,856
  • Aetna — Medicare Advantage: $3,230.27
  • ASR/Physicians Care — Commercial: $9,856
  • Beech Street — Commercial: $11,950.40
  • Blue Care Network — Medicare Advantage: $3,230.27
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,093.45
  • Blue Cross Complete — Managed Medicaid: $1,689.43
  • Cigna — Commercial: $2,224.08
  • Cofinity — Commercial: $9,856
  • Employee Benefits Logistics — Commercial: $5,491.47
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HT CATH W/VENTRCLGRPHY PNL $11,726 $9,967.10 $1,689.43 – $11,491.48
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • Aetna — Commercial: $9,380.80
  • Aetna — Medicare Advantage: $3,230.27
  • ASR/Physicians Care — Commercial: $9,380.80
  • Beech Street — Commercial: $11,374.22
  • Blue Care Network — Medicare Advantage: $3,230.27
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,093.45
  • Blue Cross Complete — Managed Medicaid: $1,689.43
  • Cigna — Commercial: $2,224.08
  • Cofinity — Commercial: $9,380.80
  • Employee Benefits Logistics — Commercial: $5,491.47
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION $16,174 $13,747.90 $901.78 – $19,429.04
Heart rhythm study (electrophysiology evaluation): 10 of 47 insurance plan rates
  • Aetna — Commercial: $12,939.20
  • Aetna — Medicare Advantage: $7,771.62
  • ASR/Physicians Care — Commercial: $12,939.20
  • Beech Street — Commercial: $15,688.78
  • Blue Care Network — Medicare Advantage: $7,771.62
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $15,890.24
  • Blue Cross Complete — Managed Medicaid: $4,064.56
  • Cigna — Commercial: $901.78
  • Cofinity — Commercial: $12,939.20
  • Employee Benefits Logistics — Commercial: $13,211.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION $16,174 $13,747.90 $852.12 – $15,850.52
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates
  • Aetna — Commercial: $12,939.20
  • ASR/Physicians Care — Commercial: $12,939.20
  • Beech Street — Commercial: $15,688.78
  • Cofinity — Commercial: $12,939.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $14,556.60
  • Fortified Provider Network — Commercial: $15,365.30
  • HAP (Health Alliance Plan) — Commercial: $12,939.20
  • Humana Choicecare — Commercial: $12,939.20
  • McLaren Health Plan — Commercial: $8,591.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $595.46 – $1,343.12
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates
  • Aetna — Commercial: $953.99
  • Aetna — Medicare Advantage: $790.07
  • ASR/Physicians Care — Commercial: $1,185.11
  • Blue Care Network — Medicare Advantage: $790.07
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $595.46
  • Cigna — Commercial: $928.15
  • Employee Benefits Logistics — Commercial: $1,343.12
  • HAP (Health Alliance Plan) — Commercial: $1,185.11
  • HAP (Health Alliance Plan) — Medicare Advantage: $790.07
  • Humana Choicecare — Medicare Advantage: $790.07
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $39,069 $33,208.65 $770.69 – $65,109.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 47 insurance plan rates
  • Aetna — Commercial: $31,255.20
  • Aetna — Medicare Advantage: $26,043.87
  • ASR/Physicians Care — Commercial: $31,255.20
  • Beech Street — Commercial: $37,896.93
  • Blue Care Network — Medicare Advantage: $26,043.87
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $770.69
  • Blue Cross Complete — Managed Medicaid: $13,620.94
  • Cigna — Commercial: $36,449.21
  • Cofinity — Commercial: $31,255.20
  • Employee Benefits Logistics — Commercial: $44,274.57
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $39,069 $33,208.65 $852.12 – $38,287.62
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates
  • Aetna — Commercial: $31,255.20
  • ASR/Physicians Care — Commercial: $31,255.20
  • Beech Street — Commercial: $37,896.93
  • Cofinity — Commercial: $31,255.20
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $35,162.10
  • Fortified Provider Network — Commercial: $37,115.55
  • HAP (Health Alliance Plan) — Commercial: $31,255.20
  • Humana Choicecare — Commercial: $31,255.20
  • McLaren Health Plan — Commercial: $20,753.45
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $590.44 – $1,476.37
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • Aetna — Commercial: $1,391.61
  • Aetna — Medicare Advantage: $812.84
  • ASR/Physicians Care — Commercial: $1,219.26
  • Blue Care Network — Medicare Advantage: $812.84
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,476.37
  • Blue Cross Complete — Managed Medicaid: $602.25
  • Cigna — Commercial: $1,312
  • Employee Benefits Logistics — Commercial: $1,381.83
  • HAP (Health Alliance Plan) — Commercial: $1,219.26
  • HAP (Health Alliance Plan) — Medicare Advantage: $812.84
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM 95810 $4,702 $3,996.70 $447.51 – $4,607.96
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
  • Aetna — Commercial: $3,761.60
  • Aetna — Medicare Advantage: $855.65
  • ASR/Physicians Care — Commercial: $3,761.60
  • Beech Street — Commercial: $4,560.94
  • Blue Care Network — Medicare Advantage: $855.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,349.19
  • Blue Cross Complete — Managed Medicaid: $447.51
  • Cigna — Commercial: $1,661.40
  • Cofinity — Commercial: $3,761.60
  • Employee Benefits Logistics — Commercial: $1,454.61
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> Yrs 4/> par RDC 95810 $3,665 $3,115.25 $447.51 – $3,591.70
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,932
  • Aetna — Medicare Advantage: $855.65
  • ASR/Physicians Care — Commercial: $2,932
  • Beech Street — Commercial: $3,555.05
  • Blue Care Network — Medicare Advantage: $855.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,349.19
  • Blue Cross Complete — Managed Medicaid: $447.51
  • Cigna — Commercial: $1,661.40
  • Cofinity — Commercial: $2,932
  • Employee Benefits Logistics — Commercial: $1,454.61
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG Study (C) $4,702 $3,996.70 $447.51 – $4,607.96
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
  • Aetna — Commercial: $3,761.60
  • Aetna — Medicare Advantage: $855.65
  • ASR/Physicians Care — Commercial: $3,761.60
  • Beech Street — Commercial: $4,560.94
  • Blue Care Network — Medicare Advantage: $855.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,349.19
  • Blue Cross Complete — Managed Medicaid: $447.51
  • Cigna — Commercial: $1,661.40
  • Cofinity — Commercial: $3,761.60
  • Employee Benefits Logistics — Commercial: $1,454.61

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: 97110 THERAPEUTIC EXERCISES EA 15 OT IP $111 $94.35 $14.60 – $170
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $88.80
  • Aetna — Medicare Advantage: $27.91
  • ASR/Physicians Care — Commercial: $88.80
  • Beech Street — Commercial: $107.67
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $38.72
  • Blue Cross Complete — Managed Medicaid: $14.60
  • Cigna — Commercial: $93.28
  • Cofinity — Commercial: $88.80
  • Employee Benefits Logistics — Commercial: $47.45
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COTA Therapeutic Exercise 15min $120 $102 $14.60 – $170
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $96
  • Aetna — Medicare Advantage: $27.91
  • ASR/Physicians Care — Commercial: $96
  • Beech Street — Commercial: $116.40
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $38.72
  • Blue Cross Complete — Managed Medicaid: $14.60
  • Cigna — Commercial: $93.28
  • Cofinity — Commercial: $96
  • Employee Benefits Logistics — Commercial: $47.45
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise 15min $111 $94.35 $14.60 – $170
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • Aetna — Commercial: $88.80
  • Aetna — Medicare Advantage: $27.91
  • ASR/Physicians Care — Commercial: $88.80
  • Beech Street — Commercial: $107.67
  • Blue Care Network — Medicare Advantage: $27.91
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $38.72
  • Blue Cross Complete — Managed Medicaid: $14.60
  • Cigna — Commercial: $93.28
  • Cofinity — Commercial: $88.80
  • Employee Benefits Logistics — Commercial: $47.45
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Low Complexity Evaluation - PT Untimed Charges $271 $230.35 $49.11 – $265.58
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $216.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $216.80
  • Beech Street — Commercial: $262.87
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $216.80
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval 20 Min - PT MMC $271 $230.35 $49.11 – $265.58
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $216.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $216.80
  • Beech Street — Commercial: $262.87
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $216.80
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT 97161 PT EVAL LOW COMPLEX 20M OP $271 $230.35 $49.11 – $265.58
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $216.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $216.80
  • Beech Street — Commercial: $262.87
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $216.80
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97162 PT EVAL 30 MIN PT IP $298 $253.30 $49.11 – $292.04
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $238.40
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $238.40
  • Beech Street — Commercial: $289.06
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $238.40
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Moderate Complexity Evaluation - PT Untimed Charges $298 $253.30 $49.11 – $292.04
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $238.40
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $238.40
  • Beech Street — Commercial: $289.06
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $238.40
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval 30 Min - PT MMC $298 $253.30 $49.11 – $292.04
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $238.40
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $238.40
  • Beech Street — Commercial: $289.06
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $238.40
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97163 PT EVAL 45 MIN PT IP $326 $277.10 $49.11 – $319.48
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $260.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $260.80
  • Beech Street — Commercial: $316.22
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $260.80
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: High Complexity Evaluation - PT Untimed Charges $326 $277.10 $49.11 – $319.48
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $260.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $260.80
  • Beech Street — Commercial: $316.22
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $260.80
  • Employee Benefits Logistics — Commercial: $159.63
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval 45 Min - PT MMC $326 $277.10 $49.11 – $319.48
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • Aetna — Commercial: $260.80
  • Aetna — Medicare Advantage: $93.90
  • ASR/Physicians Care — Commercial: $260.80
  • Beech Street — Commercial: $316.22
  • Blue Care Network — Medicare Advantage: $93.90
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $114.41
  • Blue Cross Complete — Managed Medicaid: $49.11
  • Cigna — Commercial: $111
  • Cofinity — Commercial: $260.80
  • Employee Benefits Logistics — Commercial: $159.63
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy 30 Mins 90832 $235 $199.75 $82.93 – $442.14
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $188
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $188
  • Beech Street — Commercial: $227.95
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $82.93
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $188
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych THPY 30 Min PO 90832 $219 $186.15 $77.29 – $442.14
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $175.20
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $212.43
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $77.29
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $175.20
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Thpy 30 Min 90832 $235 $199.75 $82.93 – $442.14
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $188
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $227.95
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $82.93
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $188
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy 45 Mins 90834 $295 $250.75 $92.50 – $442.14
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $236
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $236
  • Beech Street — Commercial: $286.15
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $104.11
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $236
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych THPY 45 Min PO 90834 $268 $227.80 $92.50 – $442.14
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $214.40
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $259.96
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $94.58
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $214.40
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Thpy 45 Min 90834 $282 $239.70 $92.50 – $442.14
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $225.60
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $273.54
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $99.52
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $225.60
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy 60 Mins 90837 $283 $240.55 $92.50 – $442.14
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $226.40
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $226.40
  • Beech Street — Commercial: $274.51
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $99.87
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $226.40
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VIDEO Psychotherapy 60 Mins 90837 $269 $228.65 $92.50 – $442.14
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates
  • Aetna — Commercial: $215.20
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $215.20
  • Beech Street — Commercial: $260.93
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $94.93
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $215.20
  • Employee Benefits Logistics — Commercial: $300.66
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy 60 Mins 90837 $283 $240.55 $150.33 – $1,350
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • Aetna — Commercial: $226.40
  • ASR/Physicians Care — Commercial: $226.40
  • Beech Street — Commercial: $274.51
  • Cofinity — Commercial: $226.40
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $254.70
  • Fortified Provider Network — Commercial: $268.85
  • HAP (Health Alliance Plan) — Commercial: $226.40
  • Humana Choicecare — Commercial: $226.40
  • McLaren Health Plan — Commercial: $150.33
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fam Psych w/o PT 26-50 Min 90846 $370 $314.50 $40.14 – $442.14
Family psychotherapy, without the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $296
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $296
  • Beech Street — Commercial: $358.90
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $40.14
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $296
  • Employee Benefits Logistics — Commercial: $300.66
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Fam Psych w/o PT 26-50 Min PO 90846 $353 $300.05 $40.14 – $442.14
Family psychotherapy, without the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $282.40
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $282.40
  • Beech Street — Commercial: $342.41
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $40.14
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $282.40
  • Employee Benefits Logistics — Commercial: $300.66
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHP Fam Psych w/o Pt 26-50 Min $370 $314.50 $40.14 – $442.14
Family psychotherapy, without the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $296
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $296
  • Beech Street — Commercial: $358.90
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $40.14
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $296
  • Employee Benefits Logistics — Commercial: $300.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Therapy 50 Min 90847 $343 $291.55 $33.42 – $442.14
Family psychotherapy, with the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $274.40
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $274.40
  • Beech Street — Commercial: $332.71
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $33.42
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $274.40
  • Employee Benefits Logistics — Commercial: $300.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych THPY 50 Min PO 90837 $327 $277.95 $33.42 – $442.14
Family psychotherapy, with the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $261.60
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $261.60
  • Beech Street — Commercial: $317.19
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $33.42
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $261.60
  • Employee Benefits Logistics — Commercial: $300.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHP Family Therapy 50m $343 $291.55 $33.42 – $442.14
Family psychotherapy, with the patient: 10 of 47 insurance plan rates
  • Aetna — Commercial: $274.40
  • Aetna — Medicare Advantage: $176.86
  • ASR/Physicians Care — Commercial: $274.40
  • Beech Street — Commercial: $332.71
  • Blue Care Network — Medicare Advantage: $176.86
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $33.42
  • Blue Cross Complete — Managed Medicaid: $92.50
  • Cigna — Commercial: $226.90
  • Cofinity — Commercial: $274.40
  • Employee Benefits Logistics — Commercial: $300.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHP Group Therapy 90853 $230 $195.50 $17.59 – $400
Group psychotherapy: 10 of 47 insurance plan rates
  • Aetna — Commercial: $184
  • Aetna — Medicare Advantage: $101.22
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $223.10
  • Blue Care Network — Medicare Advantage: $101.22
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $17.59
  • Blue Cross Complete — Managed Medicaid: $52.94
  • Cigna — Commercial: $127.13
  • Cofinity — Commercial: $184
  • Employee Benefits Logistics — Commercial: $172.08
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHP Group Therapy $230 $195.50 $17.59 – $400
Group psychotherapy: 10 of 47 insurance plan rates
  • Aetna — Commercial: $184
  • Aetna — Medicare Advantage: $101.22
  • ASR/Physicians Care — Commercial: $400
  • Beech Street — Commercial: $223.10
  • Blue Care Network — Medicare Advantage: $101.22
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $17.59
  • Blue Cross Complete — Managed Medicaid: $52.94
  • Cigna — Commercial: $127.13
  • Cofinity — Commercial: $184
  • Employee Benefits Logistics — Commercial: $172.08
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHP Group Therapy 90853 $230 $195.50 $122.18 – $1,350
Group psychotherapy: 10 of 20 insurance plan rates
  • Aetna — Commercial: $184
  • ASR/Physicians Care — Commercial: $184
  • Beech Street — Commercial: $223.10
  • Cofinity — Commercial: $184
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $207
  • Fortified Provider Network — Commercial: $218.50
  • HAP (Health Alliance Plan) — Commercial: $184
  • Humana Choicecare — Commercial: $184
  • McLaren Health Plan — Commercial: $122.18

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy 19120 $6,718 $5,710.30 $1,631.89 – $9,753.39
Removal of breast growth (open surgery): 10 of 47 insurance plan rates
  • Aetna — Commercial: $5,374.40
  • Aetna — Medicare Advantage: $3,901.35
  • ASR/Physicians Care — Commercial: $5,374.40
  • Beech Street — Commercial: $6,516.46
  • Blue Care Network — Medicare Advantage: $3,901.35
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,033.74
  • Blue Cross Complete — Managed Medicaid: $2,040.41
  • Cigna — Commercial: $1,631.89
  • Cofinity — Commercial: $5,374.40
  • Employee Benefits Logistics — Commercial: $6,632.30
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Biopsy 19120 $6,718 $5,710.30 $852.12 – $6,583.64
Removal of breast growth (open surgery): 10 of 20 insurance plan rates
  • Aetna — Commercial: $5,374.40
  • ASR/Physicians Care — Commercial: $5,374.40
  • Beech Street — Commercial: $6,516.46
  • Cofinity — Commercial: $5,374.40
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $6,046.20
  • Fortified Provider Network — Commercial: $6,382.10
  • HAP (Health Alliance Plan) — Commercial: $5,374.40
  • Humana Choicecare — Commercial: $5,374.40
  • McLaren Health Plan — Commercial: $3,568.60
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $271.79 – $730.74
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • Aetna — Commercial: $545.20
  • Aetna — Medicare Advantage: $399.57
  • ASR/Physicians Care — Commercial: $599.36
  • Blue Care Network — Medicare Advantage: $399.57
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $730.74
  • Blue Cross Complete — Managed Medicaid: $277.23
  • Cigna — Commercial: $581.58
  • Employee Benefits Logistics — Commercial: $679.27
  • HAP (Health Alliance Plan) — Commercial: $599.36
  • HAP (Health Alliance Plan) — Medicare Advantage: $399.57
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $829.21 – $2,449.19
Total hip replacement: 10 of 29 insurance plan rates
  • Aetna — Commercial: $1,880.44
  • Aetna — Medicare Advantage: $1,145.30
  • ASR/Physicians Care — Commercial: $1,717.95
  • Blue Care Network — Medicare Advantage: $1,145.30
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,449.19
  • Blue Cross Complete — Managed Medicaid: $845.79
  • Cigna — Commercial: $2,072.35
  • Employee Benefits Logistics — Commercial: $1,947.01
  • HAP (Health Alliance Plan) — Commercial: $1,717.95
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,145.30
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $6,690.48 – $23,182.94
Total hip replacement: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $12,792.51
  • Blue Care Network — Medicare Advantage: $12,792.51
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $19,651.66
  • Blue Cross Complete — Managed Medicaid: $6,690.48
  • Cigna — Commercial: $23,182.94
  • HAP (Health Alliance Plan) — Medicare Advantage: $12,792.51
  • Humana Choicecare — Medicare Advantage: $12,792.51
  • Longevity — Medicare Advantage: $16,630.27
  • McLaren Health Plan — Managed Medicaid: $6,690.48
  • McLaren Health Plan — Medicare Advantage: $12,792.51
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $2,277.79
Total hip replacement: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,277.79
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $828.14 – $2,446.05
Total knee replacement: 10 of 29 insurance plan rates
  • Aetna — Commercial: $1,878.53
  • Aetna — Medicare Advantage: $1,143.32
  • ASR/Physicians Care — Commercial: $1,714.98
  • Blue Care Network — Medicare Advantage: $1,143.32
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,446.05
  • Blue Cross Complete — Managed Medicaid: $844.70
  • Cigna — Commercial: $2,069.69
  • Employee Benefits Logistics — Commercial: $1,943.64
  • HAP (Health Alliance Plan) — Commercial: $1,714.98
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,143.32
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $6,690.48 – $21,837.99
Total knee replacement: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $12,792.51
  • Blue Care Network — Medicare Advantage: $12,792.51
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $19,163.42
  • Blue Cross Complete — Managed Medicaid: $6,690.48
  • Cigna — Commercial: $21,837.99
  • HAP (Health Alliance Plan) — Medicare Advantage: $12,792.51
  • Humana Choicecare — Medicare Advantage: $12,792.51
  • Longevity — Medicare Advantage: $16,630.27
  • McLaren Health Plan — Managed Medicaid: $6,690.48
  • McLaren Health Plan — Medicare Advantage: $12,792.51
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,274.87
Total knee replacement: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,274.87
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $109.70 – $274.14
Shoulder arthroscopy: shaving of shoulder bone: 10 of 29 insurance plan rates
  • Aetna — Commercial: $252.52
  • Aetna — Medicare Advantage: $147.49
  • ASR/Physicians Care — Commercial: $221.24
  • Blue Care Network — Medicare Advantage: $147.49
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $232.58
  • Blue Cross Complete — Managed Medicaid: $111.89
  • Cigna — Commercial: $274.14
  • Employee Benefits Logistics — Commercial: $250.73
  • HAP (Health Alliance Plan) — Commercial: $221.24
  • HAP (Health Alliance Plan) — Medicare Advantage: $147.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $77.14 – $5,963.77
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $147.49
  • Blue Care Network — Medicare Advantage: $147.49
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $5,963.77
  • Blue Cross Complete — Managed Medicaid: $77.14
  • Cigna — Commercial: $3,620.37
  • HAP (Health Alliance Plan) — Medicare Advantage: $147.49
  • Humana Choicecare — Medicare Advantage: $147.49
  • Longevity — Medicare Advantage: $191.73
  • McLaren Health Plan — Managed Medicaid: $77.14
  • McLaren Health Plan — Medicare Advantage: $147.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $216.30
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $216.30
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $354.43 – $1,046.88
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • Aetna — Commercial: $791.41
  • Aetna — Medicare Advantage: $501.15
  • ASR/Physicians Care — Commercial: $751.73
  • Blue Care Network — Medicare Advantage: $501.15
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,046.88
  • Blue Cross Complete — Managed Medicaid: $361.52
  • Cigna — Commercial: $885.80
  • Employee Benefits Logistics — Commercial: $851.96
  • HAP (Health Alliance Plan) — Commercial: $751.73
  • HAP (Health Alliance Plan) — Medicare Advantage: $501.15
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,705.10 – $5,974.63
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $3,260.23
  • Blue Care Network — Medicare Advantage: $3,260.23
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $5,974.63
  • Blue Cross Complete — Managed Medicaid: $1,705.10
  • Cigna — Commercial: $3,268.50
  • HAP (Health Alliance Plan) — Medicare Advantage: $3,260.23
  • Humana Choicecare — Medicare Advantage: $3,260.23
  • Longevity — Medicare Advantage: $4,238.30
  • McLaren Health Plan — Managed Medicaid: $1,705.10
  • McLaren Health Plan — Medicare Advantage: $3,260.23
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $973.61
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $973.61
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $189.36 – $539.41
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Aetna — Commercial: $409.64
  • Aetna — Medicare Advantage: $254.37
  • ASR/Physicians Care — Commercial: $381.56
  • Blue Care Network — Medicare Advantage: $254.37
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $473.48
  • Blue Cross Complete — Managed Medicaid: $193.15
  • Cigna — Commercial: $539.41
  • Employee Benefits Logistics — Commercial: $432.43
  • HAP (Health Alliance Plan) — Commercial: $381.56
  • HAP (Health Alliance Plan) — Medicare Advantage: $254.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $3,084.94 – $8,847.81
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $5,898.54
  • Blue Care Network — Medicare Advantage: $5,898.54
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $5,239.12
  • Blue Cross Complete — Managed Medicaid: $3,084.94
  • Cigna — Commercial: $5,310.12
  • HAP (Health Alliance Plan) — Medicare Advantage: $5,898.54
  • Humana Choicecare — Medicare Advantage: $5,898.54
  • Longevity — Medicare Advantage: $7,668.10
  • McLaren Health Plan — Managed Medicaid: $3,084.94
  • McLaren Health Plan — Medicare Advantage: $5,898.54
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $318.19
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $318.19
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $77.75 – $221.46
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Commercial: $170.02
  • Aetna — Medicare Advantage: $108.60
  • ASR/Physicians Care — Commercial: $162.90
  • Blue Care Network — Medicare Advantage: $108.60
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $194.40
  • Blue Cross Complete — Managed Medicaid: $79.31
  • Cigna — Commercial: $221.46
  • Employee Benefits Logistics — Commercial: $184.62
  • HAP (Health Alliance Plan) — Commercial: $162.90
  • HAP (Health Alliance Plan) — Medicare Advantage: $108.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $472.65 – $1,731.07
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $903.72
  • Blue Care Network — Medicare Advantage: $903.72
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $754.33
  • Blue Cross Complete — Managed Medicaid: $472.65
  • Cigna — Commercial: $1,731.07
  • HAP (Health Alliance Plan) — Medicare Advantage: $903.72
  • Humana Choicecare — Medicare Advantage: $903.72
  • Longevity — Medicare Advantage: $1,174.84
  • McLaren Health Plan — Managed Medicaid: $472.65
  • McLaren Health Plan — Medicare Advantage: $903.72
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $130.64
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $130.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $87.33 – $248.77
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Commercial: $191.86
  • Aetna — Medicare Advantage: $121.55
  • ASR/Physicians Care — Commercial: $182.33
  • Blue Care Network — Medicare Advantage: $121.55
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $218.37
  • Blue Cross Complete — Managed Medicaid: $89.08
  • Cigna — Commercial: $248.77
  • Employee Benefits Logistics — Commercial: $206.64
  • HAP (Health Alliance Plan) — Commercial: $182.33
  • HAP (Health Alliance Plan) — Medicare Advantage: $121.55
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $472.65 – $1,731.07
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $903.72
  • Blue Care Network — Medicare Advantage: $903.72
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $915.45
  • Blue Cross Complete — Managed Medicaid: $472.65
  • Cigna — Commercial: $1,731.07
  • HAP (Health Alliance Plan) — Medicare Advantage: $903.72
  • Humana Choicecare — Medicare Advantage: $903.72
  • Longevity — Medicare Advantage: $1,174.84
  • McLaren Health Plan — Managed Medicaid: $472.65
  • McLaren Health Plan — Medicare Advantage: $903.72
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $146.75
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $146.75
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $116.72 – $332.51
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Commercial: $256.69
  • Aetna — Medicare Advantage: $162.54
  • ASR/Physicians Care — Commercial: $243.81
  • Blue Care Network — Medicare Advantage: $162.54
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $291.86
  • Blue Cross Complete — Managed Medicaid: $119.05
  • Cigna — Commercial: $332.51
  • Employee Benefits Logistics — Commercial: $276.32
  • HAP (Health Alliance Plan) — Commercial: $243.81
  • HAP (Health Alliance Plan) — Medicare Advantage: $162.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $484.62 – $1,465.87
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $926.61
  • Blue Care Network — Medicare Advantage: $926.61
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,465.87
  • Blue Cross Complete — Managed Medicaid: $484.62
  • Cigna — Commercial: $1,019.04
  • HAP (Health Alliance Plan) — Medicare Advantage: $926.61
  • Humana Choicecare — Medicare Advantage: $926.61
  • Longevity — Medicare Advantage: $1,204.60
  • McLaren Health Plan — Managed Medicaid: $484.62
  • McLaren Health Plan — Medicare Advantage: $926.61
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $58.58 – $138.48
Colonoscopy (diagnostic): 10 of 26 insurance plan rates
  • Aetna — Commercial: $128.35
  • Aetna — Medicare Advantage: $81.46
  • ASR/Physicians Care — Commercial: $122.19
  • Blue Care Network — Medicare Advantage: $81.46
  • Blue Cross Complete — Managed Medicaid: $59.75
  • Employee Benefits Logistics — Commercial: $138.48
  • HAP (Health Alliance Plan) — Commercial: $122.19
  • HAP (Health Alliance Plan) — Medicare Advantage: $81.46
  • Humana Choicecare — Medicare Advantage: $81.46
  • Longevity — Medicare Advantage: $105.90
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $126.95 – $361.64
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Commercial: $278.89
  • Aetna — Medicare Advantage: $175.35
  • ASR/Physicians Care — Commercial: $263.03
  • Blue Care Network — Medicare Advantage: $175.35
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $317.43
  • Blue Cross Complete — Managed Medicaid: $129.49
  • Cigna — Commercial: $361.64
  • Employee Benefits Logistics — Commercial: $298.10
  • HAP (Health Alliance Plan) — Commercial: $263.03
  • HAP (Health Alliance Plan) — Medicare Advantage: $175.35
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $623.59 – $1,788.51
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $1,192.34
  • Blue Care Network — Medicare Advantage: $1,192.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $937.42
  • Blue Cross Complete — Managed Medicaid: $623.59
  • Cigna — Commercial: $1,128.85
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,192.34
  • Humana Choicecare — Medicare Advantage: $1,192.34
  • Longevity — Medicare Advantage: $1,550.04
  • McLaren Health Plan — Managed Medicaid: $623.59
  • McLaren Health Plan — Medicare Advantage: $1,192.34
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $213.31
Colonoscopy with biopsy: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $213.31
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $159.96 – $455.67
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Aetna — Commercial: $352.99
  • Aetna — Medicare Advantage: $220.65
  • ASR/Physicians Care — Commercial: $330.98
  • Blue Care Network — Medicare Advantage: $220.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $399.98
  • Blue Cross Complete — Managed Medicaid: $163.16
  • Cigna — Commercial: $455.67
  • Employee Benefits Logistics — Commercial: $375.11
  • HAP (Health Alliance Plan) — Commercial: $330.98
  • HAP (Health Alliance Plan) — Medicare Advantage: $220.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $623.59 – $1,788.51
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $1,192.34
  • Blue Care Network — Medicare Advantage: $1,192.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $937.42
  • Blue Cross Complete — Managed Medicaid: $623.59
  • Cigna — Commercial: $1,128.85
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,192.34
  • Humana Choicecare — Medicare Advantage: $1,192.34
  • Longevity — Medicare Advantage: $1,550.04
  • McLaren Health Plan — Managed Medicaid: $623.59
  • McLaren Health Plan — Medicare Advantage: $1,192.34
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $268.80
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $268.80
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $162.09 – $461.75
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • Aetna — Commercial: $358.07
  • Aetna — Medicare Advantage: $222.82
  • ASR/Physicians Care — Commercial: $334.23
  • Blue Care Network — Medicare Advantage: $222.82
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $405.31
  • Blue Cross Complete — Managed Medicaid: $165.33
  • Cigna — Commercial: $461.75
  • Employee Benefits Logistics — Commercial: $378.79
  • HAP (Health Alliance Plan) — Commercial: $334.23
  • HAP (Health Alliance Plan) — Medicare Advantage: $222.82
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $623.59 – $1,788.51
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $1,192.34
  • Blue Care Network — Medicare Advantage: $1,192.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $937.81
  • Blue Cross Complete — Managed Medicaid: $623.59
  • Cigna — Commercial: $1,019.04
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,192.34
  • Humana Choicecare — Medicare Advantage: $1,192.34
  • Longevity — Medicare Advantage: $1,550.04
  • McLaren Health Plan — Managed Medicaid: $623.59
  • McLaren Health Plan — Medicare Advantage: $1,192.34
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $272.38
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $272.38
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $116.94 – $333.11
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • Aetna — Commercial: $203.79
  • Aetna — Medicare Advantage: $162.92
  • ASR/Physicians Care — Commercial: $244.38
  • Blue Care Network — Medicare Advantage: $162.92
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $292.40
  • Blue Cross Complete — Managed Medicaid: $119.28
  • Cigna — Commercial: $333.11
  • Employee Benefits Logistics — Commercial: $276.96
  • HAP (Health Alliance Plan) — Commercial: $244.38
  • HAP (Health Alliance Plan) — Medicare Advantage: $162.92
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $484.62 – $1,465.87
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $926.61
  • Blue Care Network — Medicare Advantage: $926.61
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,465.87
  • Blue Cross Complete — Managed Medicaid: $484.62
  • Cigna — Commercial: $1,019.04
  • HAP (Health Alliance Plan) — Medicare Advantage: $926.61
  • Humana Choicecare — Medicare Advantage: $926.61
  • Longevity — Medicare Advantage: $1,204.60
  • McLaren Health Plan — Managed Medicaid: $484.62
  • McLaren Health Plan — Medicare Advantage: $926.61
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $58.58 – $138.48
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • Aetna — Commercial: $102.10
  • Aetna — Medicare Advantage: $81.46
  • ASR/Physicians Care — Commercial: $122.19
  • Blue Care Network — Medicare Advantage: $81.46
  • Blue Cross Complete — Managed Medicaid: $59.75
  • Cigna — Commercial: $67.07
  • Employee Benefits Logistics — Commercial: $138.48
  • HAP (Health Alliance Plan) — Commercial: $122.19
  • HAP (Health Alliance Plan) — Medicare Advantage: $81.46
  • Humana Choicecare — Medicare Advantage: $81.46
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $427.28 – $1,217.15
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Aetna — Commercial: $937.95
  • Aetna — Medicare Advantage: $625.52
  • ASR/Physicians Care — Commercial: $938.28
  • Blue Care Network — Medicare Advantage: $625.52
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,068.40
  • Blue Cross Complete — Managed Medicaid: $435.83
  • Cigna — Commercial: $1,217.15
  • Employee Benefits Logistics — Commercial: $1,063.38
  • HAP (Health Alliance Plan) — Commercial: $938.28
  • HAP (Health Alliance Plan) — Medicare Advantage: $625.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,150.44 – $9,422.05
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $6,023.79
  • Blue Care Network — Medicare Advantage: $6,023.79
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $9,422.05
  • Blue Cross Complete — Managed Medicaid: $3,150.44
  • Cigna — Commercial: $5,396.32
  • HAP (Health Alliance Plan) — Medicare Advantage: $6,023.79
  • Humana Choicecare — Medicare Advantage: $6,023.79
  • Longevity — Medicare Advantage: $7,830.92
  • McLaren Health Plan — Managed Medicaid: $3,150.44
  • McLaren Health Plan — Medicare Advantage: $6,023.79
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $718
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $718
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $339.52 – $967.17
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Aetna — Commercial: $743.61
  • Aetna — Medicare Advantage: $500.79
  • ASR/Physicians Care — Commercial: $751.19
  • Blue Care Network — Medicare Advantage: $500.79
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $912.85
  • Blue Cross Complete — Managed Medicaid: $346.31
  • Cigna — Commercial: $967.17
  • Employee Benefits Logistics — Commercial: $851.34
  • HAP (Health Alliance Plan) — Commercial: $751.19
  • HAP (Health Alliance Plan) — Medicare Advantage: $500.79
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,865.82 – $7,124.86
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $3,567.53
  • Blue Care Network — Medicare Advantage: $3,567.53
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $7,124.86
  • Blue Cross Complete — Managed Medicaid: $1,865.82
  • Cigna — Commercial: $4,081.12
  • HAP (Health Alliance Plan) — Medicare Advantage: $3,567.53
  • Humana Choicecare — Medicare Advantage: $3,567.53
  • Longevity — Medicare Advantage: $4,637.78
  • McLaren Health Plan — Managed Medicaid: $1,865.82
  • McLaren Health Plan — Medicare Advantage: $3,567.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $848.96
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $848.96
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Biopsy Needle/Punch-1 or more 55700 $2,241 $1,904.85 $1,146.27 – $2,899.26
Prostate biopsy: 10 of 23 insurance plan rates
  • Aetna — Commercial: $1,792.80
  • ASR/Physicians Care — Commercial: $1,792.80
  • Beech Street — Commercial: $2,173.77
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,899.26
  • Cigna — Commercial: $2,313.36
  • Cofinity — Commercial: $1,792.80
  • First Health/Coventry Healh — Commercial: $2,016.90
  • Fortified Provider Network — Commercial: $2,128.95
  • HAP (Health Alliance Plan) — Commercial: $1,792.80
  • Hospice of Michigan — Commercial: $1,344.60
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Biopsy Needle/Punch-1 or more 55700 $2,241 $1,904.85 $852.12 – $2,196.18
Prostate biopsy: 10 of 20 insurance plan rates
  • Aetna — Commercial: $1,792.80
  • ASR/Physicians Care — Commercial: $1,792.80
  • Beech Street — Commercial: $2,173.77
  • Cofinity — Commercial: $1,792.80
  • Community Mental Health — Commercial: $1,350
  • First Health/Coventry Healh — Commercial: $2,016.90
  • Fortified Provider Network — Commercial: $2,128.95
  • HAP (Health Alliance Plan) — Commercial: $1,792.80
  • Humana Choicecare — Commercial: $1,792.80
  • McLaren Health Plan — Commercial: $1,190.42
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: Professional Services Not listed in the file Not listed in the file $82.22 – $205.58
Prostate biopsy: rates for 8 insurance plans
  • Aetna — Commercial: $181.38
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $205.58
  • Blue Cross Complete — Managed Medicaid: $83.86
  • McLaren Health Plan — Managed Medicaid: $82.22
  • Meridian — Managed Medicaid: $82.22
  • Molina — Managed Medicaid: $82.22
  • Priority Health — Managed Medicaid: $82.22
  • United Healthcare — Managed Medicaid: $82.22
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $761.69 – $1,939.85
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • Aetna — Commercial: $1,671.35
  • Aetna — Medicare Advantage: $1,071.41
  • ASR/Physicians Care — Commercial: $1,607.12
  • Blue Care Network — Medicare Advantage: $1,071.41
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,904.58
  • Blue Cross Complete — Managed Medicaid: $776.92
  • Cigna — Commercial: $1,939.85
  • Employee Benefits Logistics — Commercial: $1,821.40
  • HAP (Health Alliance Plan) — Commercial: $1,607.12
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,071.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $5,539.41 – $15,887.41
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $10,591.61
  • Blue Care Network — Medicare Advantage: $10,591.61
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $15,257.50
  • Blue Cross Complete — Managed Medicaid: $5,539.41
  • Cigna — Commercial: $11,012.74
  • HAP (Health Alliance Plan) — Medicare Advantage: $10,591.61
  • Humana Choicecare — Medicare Advantage: $10,591.61
  • Longevity — Medicare Advantage: $13,769.09
  • McLaren Health Plan — Managed Medicaid: $5,539.41
  • McLaren Health Plan — Medicare Advantage: $10,591.61
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $1,279.94
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,279.94
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $147.82 – $369.62
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Aetna — Commercial: $315.06
  • Aetna — Medicare Advantage: $203.65
  • ASR/Physicians Care — Commercial: $305.48
  • Blue Care Network — Medicare Advantage: $203.65
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $369.62
  • Blue Cross Complete — Managed Medicaid: $150.78
  • Cigna — Commercial: $350.01
  • Employee Benefits Logistics — Commercial: $346.21
  • HAP (Health Alliance Plan) — Commercial: $305.48
  • HAP (Health Alliance Plan) — Medicare Advantage: $203.65
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,686.93 – $4,838.23
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $3,225.49
  • Blue Care Network — Medicare Advantage: $3,225.49
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,513.25
  • Blue Cross Complete — Managed Medicaid: $1,686.93
  • Cigna — Commercial: $2,679.27
  • HAP (Health Alliance Plan) — Medicare Advantage: $3,225.49
  • Humana Choicecare — Medicare Advantage: $3,225.49
  • Longevity — Medicare Advantage: $4,193.13
  • McLaren Health Plan — Managed Medicaid: $1,686.93
  • McLaren Health Plan — Medicare Advantage: $3,225.49
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee · modifier 62 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $248.39
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $248.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection with imaging guidance 62323 $2,444 $2,077.40 $367.85 – $2,395.12
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,955.20
  • Aetna — Medicare Advantage: $703.34
  • ASR/Physicians Care — Commercial: $1,955.20
  • Beech Street — Commercial: $2,370.68
  • Blue Care Network — Medicare Advantage: $703.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,103.36
  • Blue Cross Complete — Managed Medicaid: $367.85
  • Cigna — Commercial: $930.84
  • Cofinity — Commercial: $1,955.20
  • Employee Benefits Logistics — Commercial: $1,195.68
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC W/IMG (PC-2600) $1,930 $1,640.50 $367.85 – $1,891.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,544
  • Aetna — Medicare Advantage: $703.34
  • ASR/Physicians Care — Commercial: $1,544
  • Beech Street — Commercial: $1,872.10
  • Blue Care Network — Medicare Advantage: $703.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,103.36
  • Blue Cross Complete — Managed Medicaid: $367.85
  • Cigna — Commercial: $930.84
  • Cofinity — Commercial: $1,544
  • Employee Benefits Logistics — Commercial: $1,195.68
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CISTERNOGRAM INJECTION (NM) $2,444 $2,077.40 $367.85 – $2,395.12
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,955.20
  • Aetna — Medicare Advantage: $703.34
  • ASR/Physicians Care — Commercial: $1,955.20
  • Beech Street — Commercial: $2,370.68
  • Blue Care Network — Medicare Advantage: $703.34
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,103.36
  • Blue Cross Complete — Managed Medicaid: $367.85
  • Cigna — Commercial: $930.84
  • Cofinity — Commercial: $1,955.20
  • Employee Benefits Logistics — Commercial: $1,195.68
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 64483 $1,821 $1,547.85 $460.92 – $2,203.23
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,456.80
  • Aetna — Medicare Advantage: $881.29
  • ASR/Physicians Care — Commercial: $1,456.80
  • Beech Street — Commercial: $1,766.37
  • Blue Care Network — Medicare Advantage: $881.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,557.51
  • Blue Cross Complete — Managed Medicaid: $460.92
  • Cigna — Commercial: $1,579.93
  • Cofinity — Commercial: $1,456.80
  • Employee Benefits Logistics — Commercial: $1,498.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 (PC-2600) $1,430 $1,215.50 $460.92 – $2,203.23
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $1,144
  • Aetna — Medicare Advantage: $881.29
  • ASR/Physicians Care — Commercial: $1,144
  • Beech Street — Commercial: $1,387.10
  • Blue Care Network — Medicare Advantage: $881.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,557.51
  • Blue Cross Complete — Managed Medicaid: $460.92
  • Cigna — Commercial: $1,579.93
  • Cofinity — Commercial: $1,144
  • Employee Benefits Logistics — Commercial: $1,498.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 BIL (PC-2600) $2,997 $2,547.45 $460.92 – $2,937.06
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — Commercial: $2,397.60
  • Aetna — Medicare Advantage: $881.29
  • ASR/Physicians Care — Commercial: $2,397.60
  • Beech Street — Commercial: $2,907.09
  • Blue Care Network — Medicare Advantage: $881.29
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $1,557.51
  • Blue Cross Complete — Managed Medicaid: $460.92
  • Cigna — Commercial: $1,579.93
  • Cofinity — Commercial: $2,397.60
  • Employee Benefits Logistics — Commercial: $1,498.20
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $287.34 – $780.25
Carpal tunnel release: 10 of 29 insurance plan rates
  • Aetna — Commercial: $635.45
  • Aetna — Medicare Advantage: $407.61
  • ASR/Physicians Care — Commercial: $611.42
  • Blue Care Network — Medicare Advantage: $407.61
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $772.55
  • Blue Cross Complete — Managed Medicaid: $293.09
  • Cigna — Commercial: $780.25
  • Employee Benefits Logistics — Commercial: $692.94
  • HAP (Health Alliance Plan) — Commercial: $611.42
  • HAP (Health Alliance Plan) — Medicare Advantage: $407.61
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,017.60 – $2,918.55
Carpal tunnel release: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $1,945.70
  • Blue Care Network — Medicare Advantage: $1,945.70
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $2,176.06
  • Blue Cross Complete — Managed Medicaid: $1,017.60
  • Cigna — Commercial: $2,335.92
  • HAP (Health Alliance Plan) — Medicare Advantage: $1,945.70
  • Humana Choicecare — Medicare Advantage: $1,945.70
  • Longevity — Medicare Advantage: $2,529.41
  • McLaren Health Plan — Managed Medicaid: $1,017.60
  • McLaren Health Plan — Medicare Advantage: $1,945.70
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $718.48
Carpal tunnel release: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $718.48
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $196.81 – $538.97
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates
  • Aetna — Commercial: $454.95
  • Aetna — Medicare Advantage: $262.76
  • ASR/Physicians Care — Commercial: $394.14
  • Blue Care Network — Medicare Advantage: $262.76
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $529.15
  • Blue Cross Complete — Managed Medicaid: $200.75
  • Cigna — Commercial: $538.97
  • Employee Benefits Logistics — Commercial: $446.69
  • HAP (Health Alliance Plan) — Commercial: $394.14
  • HAP (Health Alliance Plan) — Medicare Advantage: $262.76
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $286.61 – $822.03
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $548.02
  • Blue Care Network — Medicare Advantage: $548.02
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $555.91
  • Blue Cross Complete — Managed Medicaid: $286.61
  • Cigna — Commercial: $739.07
  • HAP (Health Alliance Plan) — Medicare Advantage: $548.02
  • Humana Choicecare — Medicare Advantage: $548.02
  • Longevity — Medicare Advantage: $712.43
  • McLaren Health Plan — Managed Medicaid: $286.61
  • McLaren Health Plan — Medicare Advantage: $548.02
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $492.12
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $492.12
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $343.57 – $940.87
Cataract removal with lens implant: 10 of 29 insurance plan rates
  • Aetna — Commercial: $799.06
  • Aetna — Medicare Advantage: $447.39
  • ASR/Physicians Care — Commercial: $671.09
  • Blue Care Network — Medicare Advantage: $447.39
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $923.73
  • Blue Cross Complete — Managed Medicaid: $350.44
  • Cigna — Commercial: $940.87
  • Employee Benefits Logistics — Commercial: $760.56
  • HAP (Health Alliance Plan) — Commercial: $671.09
  • HAP (Health Alliance Plan) — Medicare Advantage: $447.39
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,202.65 – $3,534.08
Cataract removal with lens implant: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2,299.52
  • Blue Care Network — Medicare Advantage: $2,299.52
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,534.08
  • Blue Cross Complete — Managed Medicaid: $1,202.65
  • Cigna — Commercial: $2,258.90
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,299.52
  • Humana Choicecare — Medicare Advantage: $2,299.52
  • Longevity — Medicare Advantage: $2,989.38
  • McLaren Health Plan — Managed Medicaid: $1,202.65
  • McLaren Health Plan — Medicare Advantage: $2,299.52
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee · modifier X In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $859.08
Cataract removal with lens implant: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $859.08

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,205 – $3,748.50
Vaginal delivery, with care before and after: 10 of 29 insurance plan rates
  • Aetna — Commercial: $3,080
  • Aetna — Medicare Advantage: $2,205
  • ASR/Physicians Care — Commercial: $3,307.50
  • Blue Care Network — Medicare Advantage: $2,205
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,504.67
  • Blue Cross Complete — Managed Medicaid: $2,265.14
  • Cigna — Commercial: $3,423.23
  • Employee Benefits Logistics — Commercial: $3,748.50
  • HAP (Health Alliance Plan) — Commercial: $3,307.50
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,205
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,153.41 – $8,288.48
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2,205.38
  • Blue Care Network — Medicare Advantage: $2,205.38
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $8,288.48
  • Blue Cross Complete — Managed Medicaid: $1,153.41
  • Cigna — Commercial: $2,471.41
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,205.38
  • Humana Choicecare — Medicare Advantage: $2,205.38
  • Longevity — Medicare Advantage: $2,866.99
  • McLaren Health Plan — Managed Medicaid: $1,153.41
  • McLaren Health Plan — Medicare Advantage: $2,205.38
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $736.41
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $736.41
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,471.54 – $4,201.62
Cesarean delivery (C-section), with care before and after: 10 of 29 insurance plan rates
  • Aetna — Commercial: $3,080
  • Aetna — Medicare Advantage: $2,471.54
  • ASR/Physicians Care — Commercial: $3,707.31
  • Blue Care Network — Medicare Advantage: $2,471.54
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,504.67
  • Blue Cross Complete — Managed Medicaid: $2,525.28
  • Cigna — Commercial: $3,802.61
  • Employee Benefits Logistics — Commercial: $4,201.62
  • HAP (Health Alliance Plan) — Commercial: $3,707.31
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,471.54
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,292.45 – $9,200.10
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2,471.23
  • Blue Care Network — Medicare Advantage: $2,471.23
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $9,200.10
  • Blue Cross Complete — Managed Medicaid: $1,292.45
  • Cigna — Commercial: $2,642.57
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,471.23
  • Humana Choicecare — Medicare Advantage: $2,471.23
  • Longevity — Medicare Advantage: $3,212.60
  • McLaren Health Plan — Managed Medicaid: $1,292.45
  • McLaren Health Plan — Medicare Advantage: $2,471.23
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $736.41
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $736.41
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,330.18 – $3,961.31
Vaginal delivery after a previous C-section, with care before and after: 10 of 29 insurance plan rates
  • Aetna — Commercial: $3,080
  • Aetna — Medicare Advantage: $2,330.18
  • ASR/Physicians Care — Commercial: $3,495.27
  • Blue Care Network — Medicare Advantage: $2,330.18
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $3,679.92
  • Blue Cross Complete — Managed Medicaid: $2,382.51
  • Cigna — Commercial: $3,585.89
  • Employee Benefits Logistics — Commercial: $3,961.31
  • HAP (Health Alliance Plan) — Commercial: $3,495.27
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,330.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,218.68 – $8,724.34
Vaginal delivery after a previous C-section, with care before and after: 10 of 25 insurance plan rates
  • Aetna — Medicare Advantage: $2,330.18
  • Blue Care Network — Medicare Advantage: $2,330.18
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $8,724.34
  • Blue Cross Complete — Managed Medicaid: $1,218.68
  • Cigna — Commercial: $2,484.58
  • HAP (Health Alliance Plan) — Medicare Advantage: $2,330.18
  • Humana Choicecare — Medicare Advantage: $2,330.18
  • Longevity — Medicare Advantage: $3,029.23
  • McLaren Health Plan — Managed Medicaid: $1,218.68
  • McLaren Health Plan — Medicare Advantage: $2,330.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: VBAC DELIVERY Not listed in the file Not listed in the file $773.24
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $773.24

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 $89,803.75 – $152,666.38
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $89,803.75
  • Blue Care Network — Medicare Advantage: $89,803.75
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $150,007.51
  • Cigna — Commercial: $118,050.81
  • Employee Benefits Logistics — Commercial: $152,666.38
  • HAP (Health Alliance Plan) — Medicare Advantage: $89,803.75
  • Humana Choicecare — Medicare Advantage: $89,803.75
  • Longevity — Medicare Advantage: $116,744.88
  • McLaren Health Plan — Medicare Advantage: $89,803.75
  • Medicare Plus Blue — Medicare Advantage: $89,803.75
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 $17,759.10 – $30,190.47
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $17,759.10
  • Blue Care Network — Medicare Advantage: $17,759.10
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $27,308.49
  • Cigna — Commercial: $21,557.54
  • Employee Benefits Logistics — Commercial: $30,190.47
  • HAP (Health Alliance Plan) — Medicare Advantage: $17,759.10
  • Humana Choicecare — Medicare Advantage: $17,759.10
  • Longevity — Medicare Advantage: $23,086.83
  • McLaren Health Plan — Medicare Advantage: $17,759.10
  • Medicare Plus Blue — Medicare Advantage: $17,759.10
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 $22,459.43 – $38,181.03
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $22,459.43
  • Blue Care Network — Medicare Advantage: $22,459.43
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $29,167.57
  • Cigna — Commercial: $29,459.61
  • Employee Benefits Logistics — Commercial: $38,181.03
  • HAP (Health Alliance Plan) — Medicare Advantage: $22,459.43
  • Humana Choicecare — Medicare Advantage: $22,459.43
  • Longevity — Medicare Advantage: $29,197.26
  • McLaren Health Plan — Medicare Advantage: $22,459.43
  • Medicare Plus Blue — Medicare Advantage: $22,459.43
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 $11,446.21 – $19,458.56
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $11,446.21
  • Blue Care Network — Medicare Advantage: $11,446.21
  • Blue Cross — PPO/Traditional/HMO/Blue Care Network: $17,205.14
  • Cigna — Commercial: $14,971.75
  • Employee Benefits Logistics — Commercial: $19,458.56
  • HAP (Health Alliance Plan) — Medicare Advantage: $11,446.21
  • Humana Choicecare — Medicare Advantage: $11,446.21
  • Longevity — Medicare Advantage: $14,880.07
  • McLaren Health Plan — Medicare Advantage: $11,446.21
  • Medicare Plus Blue — Medicare Advantage: $11,446.21

Source: Munson Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 17, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1105 Sixth Street, Traverse City, MI 49684
CountyGrand Traverse County
StateMichigan
Phone(231) 935‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number230097
Name in Medicare recordsMUNSON MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitemunsonhealthcare.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Munson Medical Center I Munson Healthcare I Traverse City, Michigan — munsonhealthcare.org
  2. About Us | Munson Medical Center | Traverse City, Michigan — munsonhealthcare.org
  3. Getting Here | Munson Medical Center | Traverse City, Michigan — munsonhealthcare.org
  4. Visitor Information I Munson Medical Center I Traverse City, Michigan — munsonhealthcare.org
  5. Awards and Recognition | Munson Healthcare | northern Michigan — munsonhealthcare.org