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Acute Care Hospital

Nassau University Medical Center

East Meadow, New York · Nassau County · Emergency services listed

Summary

Nassau University Medical Center is an acute care hospital in East Meadow, New York. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 50 services, specialties and programs. Medicare lists 224 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(516) 572‑0123 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
530Beds (hospital website)
224Doctors and clinicians
50Services listed

Quick answers

Does Nassau University Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Nassau University Medical Center. In a medical emergency, call 911.
Where is Nassau University Medical Center?
2201 Hempstead Turnpike, East Meadow, NY 11554, in Nassau County, New York.
What is the phone number of Nassau University Medical Center?
(516) 572-0123, as listed by Medicare (CMS).
What is the Medicare star rating of Nassau University Medical Center?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[5][11][12][13]

Treatments[4][6][7][9][13]

Procedures[13]

  • Endovascular procedures

Programs and centers[4][7][9][10][11][12][13]

  • Burn Center (Nassau County Firefighters Burn Center)
  • Trauma Center
  • Zaki Hossain Center for Hypertension, Diabetes and Vascular Disease
  • Cancer Services Program of Nassau
  • Travel Medicine Service
  • Pediatric Emergency Department
  • Psychiatric Emergency Department
  • Suspected Child Abuse and Neglect (SCAN) Unit
  • Sexual Assault Forensic Examiner (SAFE) Center of Excellence
  • Rape advocacy program
  • Surgical intensive care unit
  • Emergency medical services training
  • Mobile mammography center

Emergency care (hospital website)[4][9][11][13]

Emergency roomYes
Trauma designationLevel I
Stroke designationDesignated Stroke Center

Visiting and practical information

ParkingVisitor and patient lot on Carman Avenue (west side), open 6 a.m. to midnight, with hourly and all-day fees listed[8]

Recognition[4][13]

  • American College of Surgeons Verified Level I Trauma Center
  • NYSDOH designated Level I Trauma Center
  • Designated Stroke Center

Doctors and clinicians (224)

224 doctors and other clinicians list Nassau University 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 (224)

And 200 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 Nassau University 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) 1 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital1 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean1 of 5 stars
Quiet at night1 of 5 stars
Rated the hospital 9 or 10 out of 1044%National average: 72%
Would definitely recommend the hospital47%National average: 71%
Nurses “always” communicated well62%National average: 80%
Doctors “always” communicated well67%National average: 80%
Staff “always” explained medicines before giving them48%National average: 62%
Were given information about recovery at home73%National average: 86%
Room and bathroom “always” clean57%National average: 74%
Area around the room “always” quiet at night38%National average: 60%
Completed surveys588Response rate: 11%

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)0.548No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.176Better than the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.123No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.578Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.1%
Deaths within 30 days: heart failure patients11.4%
Deaths within 30 days: pneumonia patients17.5%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients10.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.23No different from the national rate
Complications after hip or knee replacementToo few cases to report

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 attackToo few cases to report
Readmitted within 30 days: heart failure23.3%
Readmitted within 30 days: pneumonia18.4%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)164 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)19%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 New YorkBest hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Nassau University 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/Outpt Visit New Lvl 3 $474 $331.80 $144.87 – $474
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $284.40
  • Aetna — Commercial: $244.16
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $244.16
  • Blue Cross Blue Shield — Blue Access: $474
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $474
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Visit New $348.14 $243.70 $144.87 – $348.14
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $244.16
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $244.16
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office O/P New Low Mdm 30 Min $348.14 $243.70 $144.87 – $348.14
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $244.16
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $244.16
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Visit- New 45 Tele $348.14 $243.70 $144.87 – $396.45
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $396.45
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $396.45
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Visit New $348.14 $243.70 $144.87 – $396.45
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $396.45
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $396.45
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office O/P New Mod Mdm 45 Min $348.14 $243.70 $144.87 – $396.45
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $396.45
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $396.45
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Visit- New 60 Tele $348.14 $243.70 $144.87 – $540.80
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $540.80
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $540.80
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complex Vst-New Patient $348.14 $243.70 $144.87 – $540.80
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $540.80
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $540.80
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office O/P New Hi Mdm 60 Min $348.14 $243.70 $144.87 – $540.80
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $540.80
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $540.80
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office O/P Est Low Mdm 20 Min $348.14 $243.70 $144.87 – $348.14
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $194.42
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $194.42
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rehab - Off O/P Est Low 20 Min $348.14 $243.70 $144.87 – $348.14
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $194.42
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $194.42
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Visit Est $348.14 $243.70 $144.87 – $348.14
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $194.42
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $194.42
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tb Clinic Follow Up Visit $348.14 $243.70 $144.87 – $348.14
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $286.30
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $286.30
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpt Visit Est Lvl 4 $474 $331.80 $144.87 – $474
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $284.40
  • Aetna — Commercial: $286.30
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $286.30
  • Blue Cross Blue Shield — Blue Access: $474
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $474
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office O/P Est Mod Mdm 30 Min $348.14 $243.70 $144.87 – $348.14
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $286.30
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $286.30
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Lvl 3 $474 $331.80 $144.87 – $474
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $284.40
  • Aetna — Commercial: $284.40
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $284.40
  • Blue Cross Blue Shield — Blue Access: $474
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $474
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consultation $546.59 $382.62 $144.87 – $546.59
Office consultation with a specialist (moderate): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $327.95
  • Aetna — Commercial: $327.95
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $327.95
  • Blue Cross Blue Shield — Blue Access: $546.59
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $546.59
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psych Off/Op Cnsltj New/Est Lo $348.14 $243.70 $87.04 – $261.11
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $208.88
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $208.88
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • Cigna — Commercial: $87.04
  • EmblemHealth — Commercial: $156.66
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consultation $348.14 $243.70 $144.87 – $348.14
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $208.88
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $208.88
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Consulation - Level 4 $348.14 $243.70 $144.87 – $348.14
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $208.88
  • Aetna — Commercial: $208.88
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $208.88
  • Blue Cross Blue Shield — Blue Access: $348.14
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $348.14
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Lvl 4 $474 $331.80 $144.87 – $474
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $284.40
  • Aetna — Commercial: $284.40
  • Aetna — Medicare Advantage: $152.50
  • Aetna Whole Health — Commercial: $284.40
  • Blue Cross Blue Shield — Blue Access: $474
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $474
  • Blue Cross Blue Shield — Medicare Advantage: $152.50
  • Centers Plan for Healthy Living — Medicare Advantage: $152.50
  • EmblemHealth — Medicare Advantage: $144.87
  • Fidelis Care — Health Benefit Exchange: $160.12
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Well Visit Init 18 - 39 Yoa $186.27 $130.39 $83.82 – $220
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $111.76
  • Aetna — Commercial: $111.76
  • Aetna Whole Health — Commercial: $111.76
  • Blue Cross Blue Shield — Blue Access: $186.27
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $186.27
  • EmblemHealth — Medicare Advantage: $83.82
  • MagnaCare — Commercial: $220
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $180
  • United Healthcare — Commercial: $200
  • United Healthcare — Compass: $180
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prevent Visit-New-Age 18-39 $258.34 $180.84 $116.25 – $258.34
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $155
  • Aetna — Commercial: $155
  • Aetna Whole Health — Commercial: $155
  • Blue Cross Blue Shield — Blue Access: $258.34
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $258.34
  • EmblemHealth — Medicare Advantage: $116.25
  • MagnaCare — Commercial: $220
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $180
  • United Healthcare — Commercial: $200
  • United Healthcare — Compass: $180
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 $299 $209.30 $37.20 – $136.76
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Aetna — Commercial: $79.83
  • Humana — Medicare Advantage: $136.76
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $37.20
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $37.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Well Visit Init 40 - 64 Yoa $186.27 $130.39 $83.82 – $220
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $111.76
  • Aetna — Commercial: $111.76
  • Aetna Whole Health — Commercial: $111.76
  • Blue Cross Blue Shield — Blue Access: $186.27
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $186.27
  • EmblemHealth — Medicare Advantage: $83.82
  • MagnaCare — Commercial: $220
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $180
  • United Healthcare — Commercial: $200
  • United Healthcare — Compass: $180
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prevent Visit-New-Age 40-64 $258.34 $180.84 $116.25 – $258.34
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $155
  • Aetna — Commercial: $155
  • Aetna Whole Health — Commercial: $155
  • Blue Cross Blue Shield — Blue Access: $258.34
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $258.34
  • EmblemHealth — Medicare Advantage: $116.25
  • MagnaCare — Commercial: $220
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $180
  • United Healthcare — Commercial: $200
  • United Healthcare — Compass: $180
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 $299 $209.30 $45.71 – $157.26
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Aetna — Commercial: $97.31
  • Humana — Medicare Advantage: $157.26
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $45.71
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $45.71
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Follow-Up $1,905.50 $1,333.85 $250 – $1,905.50
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $327.66
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $1,905.50
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,905.50
  • Blue Cross Blue Shield — Medicare Advantage: $327.66
  • Centers Plan for Healthy Living — Medicare Advantage: $327.66
  • Cigna — Commercial: $476.38
  • EmblemHealth — Commercial: $703
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Er Dental Exam Fee $1,905.50 $1,333.85 $250 – $1,905.50
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $327.66
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $1,905.50
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,905.50
  • Blue Cross Blue Shield — Medicare Advantage: $327.66
  • Centers Plan for Healthy Living — Medicare Advantage: $327.66
  • Cigna — Commercial: $476.38
  • EmblemHealth — Commercial: $703
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Room Fee $1,905.50 $1,333.85 $250 – $1,905.50
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $327.66
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $1,905.50
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,905.50
  • Blue Cross Blue Shield — Medicare Advantage: $327.66
  • Centers Plan for Healthy Living — Medicare Advantage: $327.66
  • Cigna — Commercial: $476.38
  • EmblemHealth — Commercial: $703
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ed Visit Level 4 W/Proc $2,060 $1,442 $250 – $2,060
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $503.90
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $2,060
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,060
  • Blue Cross Blue Shield — Medicare Advantage: $503.90
  • Centers Plan for Healthy Living — Medicare Advantage: $503.90
  • Cigna — Commercial: $515
  • EmblemHealth — Commercial: $1,136
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Room Fee - Level 4 $2,060 $1,442 $250 – $2,060
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $503.90
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $2,060
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,060
  • Blue Cross Blue Shield — Medicare Advantage: $503.90
  • Centers Plan for Healthy Living — Medicare Advantage: $503.90
  • Cigna — Commercial: $515
  • EmblemHealth — Commercial: $1,136
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM $468 $327.60 $45.02 – $232.49
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $131.99
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $114.27
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $114.27
  • Centers Plan for Healthy Living — Medicare Advantage: $134.44
  • Fidelis Care — Essential Plan: $141.16
  • Fidelis Care — Health Benefit Exchange: $147.88
  • Fidelis Care — Medicare Advantage: $134.44
  • Humana — Medicare Advantage: $232.49
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $45.02
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $45.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Room Fee - Level 5 $2,286.67 $1,600.67 $250 – $2,286.67
Emergency room visit (high): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $725.52
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $2,286.67
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,286.67
  • Blue Cross Blue Shield — Medicare Advantage: $725.52
  • Centers Plan for Healthy Living — Medicare Advantage: $725.52
  • Cigna — Commercial: $571.67
  • EmblemHealth — Commercial: $1,514
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ed Visit Level 5 W/Proc $2,286.68 $1,600.68 $250 – $2,286.68
Emergency room visit (high): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $725.52
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $2,286.68
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,286.68
  • Blue Cross Blue Shield — Medicare Advantage: $725.52
  • Centers Plan for Healthy Living — Medicare Advantage: $725.52
  • Cigna — Commercial: $571.67
  • EmblemHealth — Commercial: $1,514
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM $1,467 $1,026.90 $67.19 – $340.59
Emergency room visit (high): 10 of 12 insurance plan rates
  • Aetna — Commercial: $194.93
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $165.78
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $165.78
  • Centers Plan for Healthy Living — Medicare Advantage: $195.04
  • Fidelis Care — Essential Plan: $204.79
  • Fidelis Care — Health Benefit Exchange: $214.54
  • Fidelis Care — Medicare Advantage: $195.04
  • Humana — Medicare Advantage: $340.59
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $67.19
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $67.19

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: Chem Ur Sod/Potass $108.15 $75.71 $2.62 – $625
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $64.89
  • Aetna — Commercial: $64.89
  • Aetna — Medicare Advantage: $8.46
  • Aetna Whole Health — Commercial: $64.89
  • Blue Cross Blue Shield — Blue Access: $108.15
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $108.15
  • Blue Cross Blue Shield — Medicare Advantage: $8.46
  • Centers Plan for Healthy Living — Medicare Advantage: $8.46
  • Cigna — Commercial: $5.23
  • EmblemHealth — Commercial: $48.67
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Basic Metabolic Panel $108.15 $75.71 $2.62 – $625
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $64.89
  • Aetna — Commercial: $64.89
  • Aetna — Medicare Advantage: $8.46
  • Aetna Whole Health — Commercial: $64.89
  • Blue Cross Blue Shield — Blue Access: $108.15
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $108.15
  • Blue Cross Blue Shield — Medicare Advantage: $8.46
  • Centers Plan for Healthy Living — Medicare Advantage: $8.46
  • Cigna — Commercial: $5.23
  • EmblemHealth — Commercial: $48.67
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: METABOLIC PANEL TOTAL CA Not listed in the file Not listed in the file $4.65 – $5.23
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Commercial: $5.21
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $4.65
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $4.65
  • Humana — Medicare Advantage: $5.23
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $4.65
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Comp Metabolic Panel $278.78 $195.15 $3.91 – $625
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $167.27
  • Aetna — Commercial: $167.27
  • Aetna — Medicare Advantage: $10.56
  • Aetna Whole Health — Commercial: $167.27
  • Blue Cross Blue Shield — Blue Access: $278.78
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $278.78
  • Blue Cross Blue Shield — Medicare Advantage: $10.56
  • Centers Plan for Healthy Living — Medicare Advantage: $10.56
  • Cigna — Commercial: $7.82
  • EmblemHealth — Commercial: $125.45
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 $5.81 – $7.82
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Commercial: $7.81
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $5.81
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $5.81
  • Humana — Medicare Advantage: $7.82
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $5.81
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chem Se Comp Metabolic Panel $278.78 $195.15 Not listed in the file
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 $22.65 – $81.28
Obstetric blood test panel: 10 of 15 insurance plan rates
  • Aetna — Medicare Advantage: $47.81
  • Blue Cross Blue Shield — Medicare Advantage: $47.81
  • Centers Plan for Healthy Living — Medicare Advantage: $47.81
  • Cigna — Commercial: $45.29
  • EmblemHealth — Medicare Advantage: $45.42
  • Fidelis Care — Health Benefit Exchange: $50.20
  • Fidelis Care — Medicare Advantage: $47.81
  • Humana — Medicare Advantage: $47.81
  • MagnaCare — Commercial: $81.28
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $27.17
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 $26.30 – $45.29
Obstetric blood test panel: rates for 5 insurance plans
  • Aetna — Commercial: $39.04
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $26.30
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $26.30
  • Humana — Medicare Advantage: $45.29
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $26.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Lipid Profile $44 $30.80 $5.48 – $625
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $26.40
  • Aetna — Commercial: $26.40
  • Aetna — Medicare Advantage: $13.39
  • Aetna Whole Health — Commercial: $26.40
  • Blue Cross Blue Shield — Blue Access: $44
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $44
  • Blue Cross Blue Shield — Medicare Advantage: $13.39
  • Centers Plan for Healthy Living — Medicare Advantage: $13.39
  • Cigna — Commercial: $10.96
  • EmblemHealth — Commercial: $19.80
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $44 $30.80 $5.48 – $625
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $26.40
  • Aetna — Commercial: $26.40
  • Aetna — Medicare Advantage: $13.39
  • Aetna Whole Health — Commercial: $26.40
  • Blue Cross Blue Shield — Blue Access: $44
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $44
  • Blue Cross Blue Shield — Medicare Advantage: $13.39
  • Centers Plan for Healthy Living — Medicare Advantage: $13.39
  • Cigna — Commercial: $10.96
  • EmblemHealth — Commercial: $19.80
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 $7.36 – $10.96
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • Aetna — Commercial: $10.93
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $7.36
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $7.36
  • Humana — Medicare Advantage: $10.96
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $7.36
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $29 $20.30 $3.28 – $625
Kidney function panel: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $17.40
  • Aetna — Commercial: $17.40
  • Aetna — Medicare Advantage: $8.68
  • Aetna Whole Health — Commercial: $17.40
  • Blue Cross Blue Shield — Blue Access: $29
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $29
  • Blue Cross Blue Shield — Medicare Advantage: $8.68
  • Centers Plan for Healthy Living — Medicare Advantage: $8.68
  • Cigna — Commercial: $6.56
  • EmblemHealth — Commercial: $13.05
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 $4.77 – $6.56
Kidney function panel: rates for 5 insurance plans
  • Aetna — Commercial: $6.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $4.77
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $4.77
  • Humana — Medicare Advantage: $6.56
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $4.77
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $29 $20.30 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Prof Hepatic $56.34 $39.44 $2.62 – $625
Liver function panel: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $33.80
  • Aetna — Commercial: $33.80
  • Aetna — Medicare Advantage: $8.17
  • Aetna Whole Health — Commercial: $33.80
  • Blue Cross Blue Shield — Blue Access: $56.34
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $56.34
  • Blue Cross Blue Shield — Medicare Advantage: $8.17
  • Centers Plan for Healthy Living — Medicare Advantage: $8.17
  • Cigna — Commercial: $5.23
  • EmblemHealth — Commercial: $25.35
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 $4.49 – $5.23
Liver function panel: rates for 5 insurance plans
  • Aetna — Commercial: $5.21
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $4.49
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $4.49
  • Humana — Medicare Advantage: $5.23
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $4.49
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chem Se Prof Hepatic $56.34 $39.44 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ur Anal/Micro $49.60 $34.72 $1.30 – $625
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $29.76
  • Aetna — Commercial: $29.76
  • Aetna — Medicare Advantage: $3.17
  • Aetna Whole Health — Commercial: $29.76
  • Blue Cross Blue Shield — Blue Access: $49.60
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $49.60
  • Blue Cross Blue Shield — Medicare Advantage: $3.17
  • Centers Plan for Healthy Living — Medicare Advantage: $3.17
  • Cigna — Commercial: $2.59
  • EmblemHealth — Commercial: $22.32
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $1.74 – $3.17
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna — Commercial: $2.59
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $1.74
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $1.74
  • Humana — Medicare Advantage: $2.59
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $3.17
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $3.17
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $1.74
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ur Anal/Micro $49.60 $34.72 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Stl Red Subst $33.04 $23.13 $1.05 – $625
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $19.82
  • Aetna — Commercial: $19.82
  • Aetna — Medicare Advantage: $3.48
  • Aetna Whole Health — Commercial: $19.82
  • Blue Cross Blue Shield — Blue Access: $33.04
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $33.04
  • Blue Cross Blue Shield — Medicare Advantage: $3.48
  • Centers Plan for Healthy Living — Medicare Advantage: $3.48
  • Cigna — Commercial: $2.09
  • EmblemHealth — Commercial: $14.87
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Ur Bilirubin $33.04 $23.13 $1.05 – $625
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $19.82
  • Aetna — Commercial: $19.82
  • Aetna — Medicare Advantage: $3.48
  • Aetna Whole Health — Commercial: $19.82
  • Blue Cross Blue Shield — Blue Access: $33.04
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $33.04
  • Blue Cross Blue Shield — Medicare Advantage: $3.48
  • Centers Plan for Healthy Living — Medicare Advantage: $3.48
  • Cigna — Commercial: $2.09
  • EmblemHealth — Commercial: $14.87
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Ur Reducing Sub $33.04 $23.13 $1.05 – $625
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $19.82
  • Aetna — Commercial: $19.82
  • Aetna — Medicare Advantage: $3.48
  • Aetna Whole Health — Commercial: $19.82
  • Blue Cross Blue Shield — Blue Access: $33.04
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $33.04
  • Blue Cross Blue Shield — Medicare Advantage: $3.48
  • Centers Plan for Healthy Living — Medicare Advantage: $3.48
  • Cigna — Commercial: $2.09
  • EmblemHealth — Commercial: $14.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Ur Urinalysis Wo Scope $40.83 $28.59 $0.92 – $625
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $24.50
  • Aetna — Commercial: $24.50
  • Aetna — Medicare Advantage: $2.25
  • Aetna Whole Health — Commercial: $24.50
  • Blue Cross Blue Shield — Blue Access: $40.83
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $40.83
  • Blue Cross Blue Shield — Medicare Advantage: $2.25
  • Centers Plan for Healthy Living — Medicare Advantage: $2.25
  • Cigna — Commercial: $1.84
  • EmblemHealth — Commercial: $18.37
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Urine Analysis Wo Scope $40.83 $28.59 $0.92 – $625
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $24.50
  • Aetna — Commercial: $24.50
  • Aetna — Medicare Advantage: $2.25
  • Aetna Whole Health — Commercial: $24.50
  • Blue Cross Blue Shield — Blue Access: $40.83
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $40.83
  • Blue Cross Blue Shield — Medicare Advantage: $2.25
  • Centers Plan for Healthy Living — Medicare Advantage: $2.25
  • Cigna — Commercial: $1.84
  • EmblemHealth — Commercial: $18.37
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $1.24 – $2.02
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna — Commercial: $1.84
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $1.24
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $1.24
  • Humana — Medicare Advantage: $1.84
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $2.02
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $2.02
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $1.24
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Psa Diagnostic $69.98 $48.99 $7.53 – $625
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $41.99
  • Aetna — Commercial: $41.99
  • Aetna — Medicare Advantage: $18.39
  • Aetna Whole Health — Commercial: $41.99
  • Blue Cross Blue Shield — Blue Access: $69.98
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $69.98
  • Blue Cross Blue Shield — Medicare Advantage: $18.39
  • Centers Plan for Healthy Living — Medicare Advantage: $18.39
  • Cigna — Commercial: $15.05
  • EmblemHealth — Commercial: $31.49
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psa Prost Spec Ag $138.01 $96.61 $7.53 – $625
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $82.81
  • Aetna — Commercial: $82.81
  • Aetna — Medicare Advantage: $18.39
  • Aetna Whole Health — Commercial: $82.81
  • Blue Cross Blue Shield — Blue Access: $138.01
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $138.01
  • Blue Cross Blue Shield — Medicare Advantage: $18.39
  • Centers Plan for Healthy Living — Medicare Advantage: $18.39
  • Cigna — Commercial: $15.05
  • EmblemHealth — Commercial: $62.10
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY OF PSA TOTAL Not listed in the file Not listed in the file $10.11 – $15.05
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Aetna — Commercial: $15.03
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $10.11
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $10.11
  • Humana — Medicare Advantage: $15.05
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $10.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chem Se Tsh $97.20 $68.04 $6.88 – $625
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $58.32
  • Aetna — Commercial: $58.32
  • Aetna — Medicare Advantage: $16.80
  • Aetna Whole Health — Commercial: $58.32
  • Blue Cross Blue Shield — Blue Access: $97.20
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $97.20
  • Blue Cross Blue Shield — Medicare Advantage: $16.80
  • Centers Plan for Healthy Living — Medicare Advantage: $16.80
  • Cigna — Commercial: $13.76
  • EmblemHealth — Commercial: $43.74
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: ASSAY THYROID STIM HORMONE Not listed in the file Not listed in the file $9.24 – $13.76
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • Aetna — Commercial: $13.73
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $9.24
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $9.24
  • Humana — Medicare Advantage: $13.76
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $9.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chem Se Tsh $97.20 $68.04 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Cbc/Diff Auto $128.75 $90.13 $3.19 – $625
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $77.25
  • Aetna — Commercial: $77.25
  • Aetna — Medicare Advantage: $7.77
  • Aetna Whole Health — Commercial: $77.25
  • Blue Cross Blue Shield — Blue Access: $128.75
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $128.75
  • Blue Cross Blue Shield — Medicare Advantage: $7.77
  • Centers Plan for Healthy Living — Medicare Advantage: $7.77
  • Cigna — Commercial: $6.37
  • EmblemHealth — Commercial: $57.94
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 $3.20 – $6.37
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna — Commercial: $6.35
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $4.27
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $4.27
  • Humana — Medicare Advantage: $6.37
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $3.20
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $3.20
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $4.27
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hem Cbc/Diff Auto $128.75 $90.13 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Bld Ct Coult $40.83 $28.59 $2.38 – $625
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $24.50
  • Aetna — Commercial: $24.50
  • Aetna — Medicare Advantage: $6.47
  • Aetna Whole Health — Commercial: $24.50
  • Blue Cross Blue Shield — Blue Access: $40.83
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $40.83
  • Blue Cross Blue Shield — Medicare Advantage: $6.47
  • Centers Plan for Healthy Living — Medicare Advantage: $6.47
  • Cigna — Commercial: $4.76
  • EmblemHealth — Commercial: $18.37
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 $3.56 – $4.76
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Aetna — Commercial: $4.75
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $3.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $3.56
  • Humana — Medicare Advantage: $4.76
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $3.56
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hem Bld Ct Coult $40.83 $28.59 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Prothr Time Auto $23.33 $16.34 $1.61 – $625
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $14
  • Aetna — Commercial: $14
  • Aetna — Medicare Advantage: $4.29
  • Aetna Whole Health — Commercial: $14
  • Blue Cross Blue Shield — Blue Access: $23.33
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $23.33
  • Blue Cross Blue Shield — Medicare Advantage: $4.29
  • Centers Plan for Healthy Living — Medicare Advantage: $4.29
  • Cigna — Commercial: $3.22
  • EmblemHealth — Commercial: $10.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time $15 $10.50 $1.61 – $625
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $9
  • Aetna — Commercial: $9
  • Aetna — Medicare Advantage: $4.29
  • Aetna Whole Health — Commercial: $9
  • Blue Cross Blue Shield — Blue Access: $15
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $15
  • Blue Cross Blue Shield — Medicare Advantage: $4.29
  • Centers Plan for Healthy Living — Medicare Advantage: $4.29
  • Cigna — Commercial: $3.22
  • EmblemHealth — Commercial: $6.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PROTHROMBIN TIME Not listed in the file Not listed in the file $2.36 – $3.22
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
  • Aetna — Commercial: $3.21
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $2.36
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $2.36
  • Humana — Medicare Advantage: $3.22
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $2.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hem Part Throm Tm Au $33.04 $23.13 $2.46 – $625
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $19.82
  • Aetna — Commercial: $19.82
  • Aetna — Medicare Advantage: $6.01
  • Aetna Whole Health — Commercial: $19.82
  • Blue Cross Blue Shield — Blue Access: $33.04
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $33.04
  • Blue Cross Blue Shield — Medicare Advantage: $6.01
  • Centers Plan for Healthy Living — Medicare Advantage: $6.01
  • Cigna — Commercial: $4.91
  • EmblemHealth — Commercial: $14.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: THROMBOPLASTIN TIME PARTIAL Not listed in the file Not listed in the file $3.31 – $4.91
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • Aetna — Commercial: $4.91
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $3.31
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $3.31
  • Humana — Medicare Advantage: $4.91
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $3.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hem Part Throm Tm Au $33.04 $23.13 Not listed in the file

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 Head/Brain W/O Contrast $939.07 $657.35 $76.63 – $1,251
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $563.44
  • Aetna — Commercial: $976
  • Aetna — Medicare Advantage: $125.84
  • Aetna Whole Health — Commercial: $793.71
  • Blue Cross Blue Shield — Blue Access: $939.07
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $939.07
  • Blue Cross Blue Shield — Medicare Advantage: $125.84
  • Centers Plan for Healthy Living — Medicare Advantage: $125.84
  • Cigna — Commercial: $132.79
  • EmblemHealth — Commercial: $216.28
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE $1,254 $877.80 $105.05 – $135.95
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $131.67
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $105.05
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $105.05
  • Centers Plan for Healthy Living — Medicare Advantage: $123.59
  • Fidelis Care — Essential Plan: $129.77
  • Fidelis Care — Health Benefit Exchange: $135.95
  • Fidelis Care — Medicare Advantage: $123.59
  • Humana — Medicare Advantage: $132.79
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $105.05
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $66.40 – $286.38
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna — Commercial: $99.75
  • Aetna Whole Health — Commercial: $84.59
  • Cigna — Commercial: $132.79
  • EmblemHealth — Commercial: $216.28
  • Fidelis Care — Child Health Plus: $127.28
  • Fidelis Care — Essential Plan: $286.38
  • Fidelis Care — Health Benefit Exchange: $134.65
  • Fidelis Care — Managed Medicaid: $127.28
  • Fidelis Care — Medicare Advantage: $125.84
  • MagnaCare — Commercial: $213.93
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 $4,514.59 $3,160.22 $207.81 – $4,514.59
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,708.75
  • Aetna — Commercial: $1,321
  • Aetna — Medicare Advantage: $422.61
  • Aetna Whole Health — Commercial: $1,073.38
  • Blue Cross Blue Shield — Blue Access: $4,514.59
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $4,514.59
  • Blue Cross Blue Shield — Medicare Advantage: $422.61
  • Centers Plan for Healthy Living — Medicare Advantage: $422.61
  • Cigna — Commercial: $423.74
  • EmblemHealth — Commercial: $648.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE $1,264 $884.80 $314.99 – $423.74
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna — Commercial: $407.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $314.99
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $314.99
  • Centers Plan for Healthy Living — Medicare Advantage: $370.58
  • Fidelis Care — Essential Plan: $389.11
  • Fidelis Care — Health Benefit Exchange: $407.64
  • Fidelis Care — Medicare Advantage: $370.58
  • Humana — Medicare Advantage: $423.74
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $314.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mri Brain W&W/O Contrast $4,514.59 $3,160.22 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views $476.97 $333.88 $16.41 – $625
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $286.18
  • Aetna — Commercial: $34.25
  • Aetna — Medicare Advantage: $104.19
  • Aetna Whole Health — Commercial: $29.04
  • Blue Cross Blue Shield — Blue Access: $476.97
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $476.97
  • Blue Cross Blue Shield — Medicare Advantage: $104.19
  • Centers Plan for Healthy Living — Medicare Advantage: $104.19
  • Cigna — Commercial: $32.82
  • EmblemHealth — Commercial: $67.73
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS $131 $91.70 $26.29 – $42.57
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — Commercial: $26.29
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $32.90
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $32.90
  • Centers Plan for Healthy Living — Medicare Advantage: $38.70
  • Fidelis Care — Essential Plan: $40.64
  • Fidelis Care — Health Benefit Exchange: $42.57
  • Fidelis Care — Medicare Advantage: $38.70
  • Humana — Medicare Advantage: $32.82
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $32.90
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views $476.97 $333.88 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xray Lumbosac Spine Min 4 Vws $860.05 $602.04 $24.22 – $860.05
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $516.03
  • Aetna — Commercial: $57.54
  • Aetna — Medicare Advantage: $125.84
  • Aetna Whole Health — Commercial: $48.79
  • Blue Cross Blue Shield — Blue Access: $860.05
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $860.05
  • Blue Cross Blue Shield — Medicare Advantage: $125.84
  • Centers Plan for Healthy Living — Medicare Advantage: $125.84
  • Cigna — Commercial: $54.22
  • EmblemHealth — Commercial: $104.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS $202 $141.40 $41.56 – $65.87
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Commercial: $41.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $50.90
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $50.90
  • Centers Plan for Healthy Living — Medicare Advantage: $59.88
  • Fidelis Care — Essential Plan: $62.87
  • Fidelis Care — Health Benefit Exchange: $65.87
  • Fidelis Care — Medicare Advantage: $59.88
  • Humana — Medicare Advantage: $54.22
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $50.90
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xray Lumbosac Spine Min 4 Vws $860.05 $602.04 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri Spine Lumbar W/O Contrast $2,316.50 $1,621.55 $133.47 – $2,316.50
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,389.90
  • Aetna — Commercial: $1,321
  • Aetna — Medicare Advantage: $286.04
  • Aetna Whole Health — Commercial: $1,073.38
  • Blue Cross Blue Shield — Blue Access: $2,316.50
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,316.50
  • Blue Cross Blue Shield — Medicare Advantage: $286.04
  • Centers Plan for Healthy Living — Medicare Advantage: $286.04
  • Cigna — Commercial: $262.64
  • EmblemHealth — Commercial: $387.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE $1,003.20 $702.24 $188.28 – $407.55
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $407.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $188.28
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $188.28
  • Centers Plan for Healthy Living — Medicare Advantage: $221.51
  • Fidelis Care — Essential Plan: $232.59
  • Fidelis Care — Health Benefit Exchange: $243.66
  • Fidelis Care — Medicare Advantage: $221.51
  • Humana — Medicare Advantage: $262.64
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $188.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mri Spine Lumbar W/O Contrast $2,316.50 $1,621.55 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct Pelvis W/ Contrast $1,343.96 $940.78 $103.86 – $1,343.96
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $806.38
  • Aetna — Commercial: $976
  • Aetna — Medicare Advantage: $210.66
  • Aetna Whole Health — Commercial: $793.71
  • Blue Cross Blue Shield — Blue Access: $1,343.96
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,343.96
  • Blue Cross Blue Shield — Medicare Advantage: $210.66
  • Centers Plan for Healthy Living — Medicare Advantage: $210.66
  • Cigna — Commercial: $254.75
  • EmblemHealth — Commercial: $462.65
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE $903 $632.10 $224.71 – $290.81
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Commercial: $257.35
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $224.71
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $224.71
  • Centers Plan for Healthy Living — Medicare Advantage: $264.37
  • Fidelis Care — Essential Plan: $277.59
  • Fidelis Care — Health Benefit Exchange: $290.81
  • Fidelis Care — Medicare Advantage: $264.37
  • Humana — Medicare Advantage: $254.75
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $224.71
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Pelvis W/ Contrast $1,343.96 $940.78 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri Low Extrem Jnt W/O Contrst $2,046.42 $1,432.50 $121.84 – $2,046.42
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,227.85
  • Aetna — Commercial: $1,321
  • Aetna — Medicare Advantage: $286.04
  • Aetna Whole Health — Commercial: $1,073.38
  • Blue Cross Blue Shield — Blue Access: $2,046.42
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,046.42
  • Blue Cross Blue Shield — Medicare Advantage: $286.04
  • Centers Plan for Healthy Living — Medicare Advantage: $286.04
  • Cigna — Commercial: $275.81
  • EmblemHealth — Commercial: $413.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $966.54 $676.58 $200.97 – $407.55
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — Commercial: $407.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $200.97
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $200.97
  • Centers Plan for Healthy Living — Medicare Advantage: $236.44
  • Fidelis Care — Essential Plan: $248.26
  • Fidelis Care — Health Benefit Exchange: $260.08
  • Fidelis Care — Medicare Advantage: $236.44
  • Humana — Medicare Advantage: $275.81
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $200.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Mri Low Extrem Jnt W/O Contrst $2,046.42 $1,432.50 Not listed in the file
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/ Contrast $1,445 $1,011.50 $165.38 – $1,445
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $867
  • Aetna — Commercial: $976
  • Aetna — Medicare Advantage: $422.61
  • Aetna Whole Health — Commercial: $793.71
  • Blue Cross Blue Shield — Blue Access: $1,445
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,445
  • Blue Cross Blue Shield — Medicare Advantage: $422.61
  • Centers Plan for Healthy Living — Medicare Advantage: $422.61
  • Cigna — Commercial: $349.48
  • EmblemHealth — Commercial: $615.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST $1,205 $843.50 $298.80 – $386.68
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Commercial: $353.13
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $298.80
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $298.80
  • Centers Plan for Healthy Living — Medicare Advantage: $351.53
  • Fidelis Care — Essential Plan: $369.11
  • Fidelis Care — Health Benefit Exchange: $386.68
  • Fidelis Care — Medicare Advantage: $351.53
  • Humana — Medicare Advantage: $349.48
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $298.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ct Abd/Pelvis W/ Contrast $1,445 $1,011.50 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us Abdom/Real Time Comp $485.83 $340.09 $72.85 – $485.83
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $291.50
  • Aetna — Commercial: $351.52
  • Aetna — Medicare Advantage: $125.84
  • Aetna Whole Health — Commercial: $351.52
  • Blue Cross Blue Shield — Blue Access: $485.83
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $485.83
  • Blue Cross Blue Shield — Medicare Advantage: $125.84
  • Centers Plan for Healthy Living — Medicare Advantage: $125.84
  • Cigna — Commercial: $121.46
  • EmblemHealth — Commercial: $231.26
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE $450 $315 $104.79 – $152.52
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Commercial: $104.79
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $112.33
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $112.33
  • Centers Plan for Healthy Living — Medicare Advantage: $132.15
  • Fidelis Care — Essential Plan: $138.76
  • Fidelis Care — Health Benefit Exchange: $145.37
  • Fidelis Care — Medicare Advantage: $132.15
  • Humana — Medicare Advantage: $152.52
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $112.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Us Abdom/Real Time Comp $485.83 $340.09 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us Ob>/=14 Wks Sngl/1st Gestat $541.71 $379.20 $78.42 – $541.71
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $325.03
  • Aetna — Commercial: $407.25
  • Aetna — Medicare Advantage: $125.84
  • Aetna Whole Health — Commercial: $407.25
  • Blue Cross Blue Shield — Blue Access: $541.71
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $541.71
  • Blue Cross Blue Shield — Medicare Advantage: $125.84
  • Centers Plan for Healthy Living — Medicare Advantage: $125.84
  • Cigna — Commercial: $135.43
  • EmblemHealth — Commercial: $267.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: OB US >= 14 WKS SNGL FETUS $523 $366.10 $121.89 – $168.41
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Commercial: $121.89
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $130.14
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $130.14
  • Centers Plan for Healthy Living — Medicare Advantage: $153.10
  • Fidelis Care — Essential Plan: $160.76
  • Fidelis Care — Health Benefit Exchange: $168.41
  • Fidelis Care — Medicare Advantage: $153.10
  • Humana — Medicare Advantage: $156.84
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $130.14
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Us Ob>/=14 Wks Sngl/1st Gestat $541.71 $379.20 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us Transvaginal Non-Ob $420 $294 $62.51 – $420
Transvaginal ultrasound: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $252
  • Aetna — Commercial: $359.53
  • Aetna — Medicare Advantage: $125.84
  • Aetna Whole Health — Commercial: $359.53
  • Blue Cross Blue Shield — Blue Access: $420
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $420
  • Blue Cross Blue Shield — Medicare Advantage: $125.84
  • Centers Plan for Healthy Living — Medicare Advantage: $125.84
  • Cigna — Commercial: $105
  • EmblemHealth — Commercial: $236.53
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB $462 $323.40 $104.84 – $148.68
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Commercial: $104.84
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $114.89
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $114.89
  • Centers Plan for Healthy Living — Medicare Advantage: $135.16
  • Fidelis Care — Essential Plan: $141.92
  • Fidelis Care — Health Benefit Exchange: $148.68
  • Fidelis Care — Medicare Advantage: $135.16
  • Humana — Medicare Advantage: $136.56
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $114.89
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Us Transvaginal Non-Ob $420 $294 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx Mammo Incl Cad Uni $685.18 $479.63 $71.87 – $685.18
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $411.11
  • Aetna — Commercial: $383.52
  • Aetna — Medicare Advantage: $80.59
  • Aetna Whole Health — Commercial: $383.52
  • Blue Cross Blue Shield — Blue Access: $685.18
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $685.18
  • Blue Cross Blue Shield — Medicare Advantage: $80.59
  • Centers Plan for Healthy Living — Medicare Advantage: $80.59
  • Cigna — Commercial: $171.30
  • EmblemHealth — Commercial: $252.32
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mm Mammary Duct/Galact 1 Duct $916 $641.20 $72.85 – $916
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $549.60
  • Aetna — Commercial: $383.52
  • Aetna — Medicare Advantage: $80.59
  • Aetna Whole Health — Commercial: $383.52
  • Blue Cross Blue Shield — Blue Access: $916
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $916
  • Blue Cross Blue Shield — Medicare Advantage: $80.59
  • Centers Plan for Healthy Living — Medicare Advantage: $80.59
  • Cigna — Commercial: $229
  • EmblemHealth — Commercial: $252.32
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI $968 $677.60 $114.44 – $158.60
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — Commercial: $114.44
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $122.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $122.55
  • Centers Plan for Healthy Living — Medicare Advantage: $144.18
  • Fidelis Care — Essential Plan: $151.39
  • Fidelis Care — Health Benefit Exchange: $158.60
  • Fidelis Care — Medicare Advantage: $144.18
  • Humana — Medicare Advantage: $143.74
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $122.55
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx Mammo Incl Cad Bi $665.22 $465.66 $89.08 – $665.22
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $399.13
  • Aetna — Commercial: $482.50
  • Aetna — Medicare Advantage: $102.69
  • Aetna Whole Health — Commercial: $482.50
  • Blue Cross Blue Shield — Blue Access: $665.22
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $665.22
  • Blue Cross Blue Shield — Medicare Advantage: $102.69
  • Centers Plan for Healthy Living — Medicare Advantage: $102.69
  • Cigna — Commercial: $166.31
  • EmblemHealth — Commercial: $317.43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mm Digital Diag Mammo Bilat $685.18 $479.63 $89.08 – $685.18
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $411.11
  • Aetna — Commercial: $482.50
  • Aetna — Medicare Advantage: $102.69
  • Aetna Whole Health — Commercial: $482.50
  • Blue Cross Blue Shield — Blue Access: $685.18
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $685.18
  • Blue Cross Blue Shield — Medicare Advantage: $102.69
  • Centers Plan for Healthy Living — Medicare Advantage: $102.69
  • Cigna — Commercial: $171.30
  • EmblemHealth — Commercial: $317.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI $614 $429.80 $145.20 – $199.53
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Commercial: $145.20
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $154.18
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $154.18
  • Centers Plan for Healthy Living — Medicare Advantage: $181.39
  • Fidelis Care — Essential Plan: $190.46
  • Fidelis Care — Health Benefit Exchange: $199.53
  • Fidelis Care — Medicare Advantage: $181.39
  • Humana — Medicare Advantage: $182.38
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $154.18
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scrn Mammo Dir Digtl Img Bilat $685.18 $479.63 $69.16 – $685.18
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $411.11
  • Aetna — Commercial: $391.74
  • Aetna — Medicare Advantage: $84.96
  • Aetna Whole Health — Commercial: $391.74
  • Blue Cross Blue Shield — Blue Access: $685.18
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $685.18
  • Blue Cross Blue Shield — Medicare Advantage: $84.96
  • Centers Plan for Healthy Living — Medicare Advantage: $84.96
  • Cigna — Commercial: $171.30
  • EmblemHealth — Commercial: $257.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mm Digital Mobile Mammo Van $685.18 $479.63 $69.16 – $685.18
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $411.11
  • Aetna — Commercial: $391.74
  • Aetna — Medicare Advantage: $84.96
  • Aetna Whole Health — Commercial: $391.74
  • Blue Cross Blue Shield — Blue Access: $685.18
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $685.18
  • Blue Cross Blue Shield — Medicare Advantage: $84.96
  • Centers Plan for Healthy Living — Medicare Advantage: $84.96
  • Cigna — Commercial: $171.30
  • EmblemHealth — Commercial: $257.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad $685.18 $479.63 $69.16 – $685.18
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $411.11
  • Aetna — Commercial: $391.74
  • Aetna — Medicare Advantage: $84.96
  • Aetna Whole Health — Commercial: $391.74
  • Blue Cross Blue Shield — Blue Access: $685.18
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $685.18
  • Blue Cross Blue Shield — Medicare Advantage: $84.96
  • Centers Plan for Healthy Living — Medicare Advantage: $84.96
  • Cigna — Commercial: $171.30
  • EmblemHealth — Commercial: $257.72

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 Routine Ecg W/Interp&Rept $79.83 $55.89 $19.96 – $97
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $47.90
  • Aetna — Commercial: $43.65
  • Aetna Whole Health — Commercial: $43.65
  • Blue Cross Blue Shield — Blue Access: $79.83
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $79.83
  • Cigna — Commercial: $19.96
  • EmblemHealth — Commercial: $28.72
  • EmblemHealth — Medicare Advantage: $35.92
  • MagnaCare — Commercial: $59.87
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $87
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE $55 $38.50 $13.95 – $19.84
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Aetna — Commercial: $16.54
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $13.95
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $13.95
  • Centers Plan for Healthy Living — Medicare Advantage: $16.41
  • Fidelis Care — Essential Plan: $17.23
  • Fidelis Care — Health Benefit Exchange: $18.05
  • Fidelis Care — Medicare Advantage: $16.41
  • Humana — Medicare Advantage: $19.84
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $15.15
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $15.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ekg Routine Ecg W/Interp&Rept $79.83 $55.89 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left Hrt Cath W/Ventrclgrphy $11,602 $8,121.40 $3,134 – $11,602
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $3,134
  • Aetna — Commercial: $5,684
  • Aetna — Medicare Advantage: $3,806.17
  • Aetna Whole Health — Commercial: $4,760.51
  • Blue Cross Blue Shield — Blue Access: $11,602
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $11,602
  • Blue Cross Blue Shield — Medicare Advantage: $3,806.17
  • Centers Plan for Healthy Living — Medicare Advantage: $3,806.17
  • Cigna — Commercial: $5,202
  • EmblemHealth — Commercial: $5,408
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $409.11 – $1,096.01
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $875.35
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $846.91
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $846.91
  • Centers Plan for Healthy Living — Medicare Advantage: $996.37
  • Fidelis Care — Essential Plan: $1,046.19
  • Fidelis Care — Health Benefit Exchange: $1,096.01
  • Fidelis Care — Medicare Advantage: $996.37
  • Humana — Medicare Advantage: $1,068.94
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $409.11
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $409.11
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $467.04 – $1,743.65
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • EmblemHealth — Commercial: $1,743.65
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $2,753.15 – $3,287.59
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • Aetna — Commercial: $3,287.59
  • Aetna — Medicare Advantage: $8,979.45
  • Aetna Whole Health — Commercial: $2,753.15
  • Blue Cross Blue Shield — Medicare Advantage: $8,979.45
  • Centers Plan for Healthy Living — Medicare Advantage: $8,979.45
  • EmblemHealth — Commercial: $1,543.89
  • EmblemHealth — Medicare Advantage: $8,530.48
  • Fidelis Care — Health Benefit Exchange: $9,608.02
  • Fidelis Care — Medicare Advantage: $8,979.45
  • Humana — Medicare Advantage: $8,979.45
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 $568.75 – $970.44
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — Commercial: $725.22
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $749.89
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $749.89
  • Centers Plan for Healthy Living — Medicare Advantage: $882.22
  • Fidelis Care — Essential Plan: $926.33
  • Fidelis Care — Health Benefit Exchange: $970.44
  • Fidelis Care — Medicare Advantage: $882.22
  • Humana — Medicare Advantage: $922.46
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $568.75
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $568.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $367.88 – $476.08
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans
  • Aetna — Commercial: $409.37
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $367.88
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $367.88
  • Centers Plan for Healthy Living — Medicare Advantage: $432.80
  • Fidelis Care — Essential Plan: $454.44
  • Fidelis Care — Health Benefit Exchange: $476.08
  • Fidelis Care — Medicare Advantage: $432.80
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $367.88
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $2,753.15 – $3,287.59
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates
  • Aetna — Commercial: $3,287.59
  • Aetna — Medicare Advantage: $29,030.54
  • Aetna Whole Health — Commercial: $2,753.15
  • Blue Cross Blue Shield — Medicare Advantage: $29,030.54
  • Centers Plan for Healthy Living — Medicare Advantage: $29,030.54
  • EmblemHealth — Commercial: $1,906.38
  • EmblemHealth — Medicare Advantage: $27,579.02
  • Fidelis Care — Health Benefit Exchange: $31,062.68
  • Fidelis Care — Medicare Advantage: $29,030.54
  • Humana — Medicare Advantage: $29,030.54
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 $573.30 – $1,372.15
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — Commercial: $1,160.86
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $925.96
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $925.96
  • Centers Plan for Healthy Living — Medicare Advantage: $1,089.36
  • Fidelis Care — Essential Plan: $1,143.83
  • Fidelis Care — Health Benefit Exchange: $1,198.30
  • Fidelis Care — Medicare Advantage: $1,089.36
  • Humana — Medicare Advantage: $1,372.15
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $573.30
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $573.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $219.82 – $1,927.78
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Aetna — Commercial: $1,927.78
  • Aetna — Medicare Advantage: $1,203.94
  • Aetna Whole Health — Commercial: $1,927.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,203.94
  • Centers Plan for Healthy Living — Medicare Advantage: $1,203.94
  • EmblemHealth — Commercial: $1,268.28
  • EmblemHealth — Medicare Advantage: $1,143.74
  • Fidelis Care — Health Benefit Exchange: $1,264.14
  • Fidelis Care — Medicare Advantage: $1,203.94
  • Humana — Medicare Advantage: $1,203.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $611.25 – $797.20
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — Commercial: $611.25
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $616.02
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $616.02
  • Centers Plan for Healthy Living — Medicare Advantage: $724.73
  • Fidelis Care — Essential Plan: $760.97
  • Fidelis Care — Health Benefit Exchange: $797.20
  • Fidelis Care — Medicare Advantage: $724.73
  • Humana — Medicare Advantage: $742.28
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $654.30
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $654.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $106.77 – $138.17
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Commercial: $114.25
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $106.77
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $106.77
  • Centers Plan for Healthy Living — Medicare Advantage: $125.61
  • Fidelis Care — Essential Plan: $131.89
  • Fidelis Care — Health Benefit Exchange: $138.17
  • Fidelis Care — Medicare Advantage: $125.61
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $106.77

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: O/T Hme/Com Rhb Prgm Ea 15min $112 $78.40 $26.59 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $67.20
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $27.99
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $112
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $112
  • Blue Cross Blue Shield — Medicare Advantage: $27.99
  • Centers Plan for Healthy Living — Medicare Advantage: $27.99
  • Cigna — Commercial: $28
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O/T Therapeutic Exercise $112 $78.40 $26.59 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $67.20
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $27.99
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $112
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $112
  • Blue Cross Blue Shield — Medicare Advantage: $27.99
  • Centers Plan for Healthy Living — Medicare Advantage: $27.99
  • Cigna — Commercial: $28
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P/T Exrcse-Un/ Ea 15 Min $112 $78.40 $26.59 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $67.20
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $27.99
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $112
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $112
  • Blue Cross Blue Shield — Medicare Advantage: $27.99
  • Centers Plan for Healthy Living — Medicare Advantage: $27.99
  • Cigna — Commercial: $28
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Min $457.96 $320.58 $65 – $457.96
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $274.78
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $95.27
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $457.96
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $457.96
  • Blue Cross Blue Shield — Medicare Advantage: $95.27
  • Centers Plan for Healthy Living — Medicare Advantage: $95.27
  • Cigna — Commercial: $114.49
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN $374 $261.80 $54.02 – $122.99
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • Aetna — Commercial: $54.02
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $95.04
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $95.04
  • Centers Plan for Healthy Living — Medicare Advantage: $111.81
  • Fidelis Care — Essential Plan: $117.40
  • Fidelis Care — Health Benefit Exchange: $122.99
  • Fidelis Care — Medicare Advantage: $111.81
  • Humana — Medicare Advantage: $94.11
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $95.04
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Min $457.96 $320.58 $1,672 – $2,102
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Blue Cross Blue Shield — Blue Access: $1,672
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,102
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Min $457.96 $320.58 $65 – $457.96
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $274.78
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $95.27
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $457.96
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $457.96
  • Blue Cross Blue Shield — Medicare Advantage: $95.27
  • Centers Plan for Healthy Living — Medicare Advantage: $95.27
  • Cigna — Commercial: $114.49
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Min $457.96 $320.58 $1,672 – $2,102
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Blue Cross Blue Shield — Blue Access: $1,672
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,102
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $54.02 – $122.99
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • Aetna — Commercial: $54.02
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $95.04
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $95.04
  • Centers Plan for Healthy Living — Medicare Advantage: $111.81
  • Fidelis Care — Essential Plan: $117.40
  • Fidelis Care — Health Benefit Exchange: $122.99
  • Fidelis Care — Medicare Advantage: $111.81
  • Humana — Medicare Advantage: $94.11
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $95.04
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt Eval High Complex 45 Min $457.96 $320.58 $65 – $457.96
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $274.78
  • Aetna — Commercial: $141
  • Aetna — Medicare Advantage: $95.27
  • Aetna Whole Health — Commercial: $116.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $65
  • Blue Cross Blue Shield — Blue Access: $457.96
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $457.96
  • Blue Cross Blue Shield — Medicare Advantage: $95.27
  • Centers Plan for Healthy Living — Medicare Advantage: $95.27
  • Cigna — Commercial: $114.49
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $374 $261.80 $54.02 – $122.99
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • Aetna — Commercial: $54.02
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $95.04
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $95.04
  • Centers Plan for Healthy Living — Medicare Advantage: $111.81
  • Fidelis Care — Essential Plan: $117.40
  • Fidelis Care — Health Benefit Exchange: $122.99
  • Fidelis Care — Medicare Advantage: $111.81
  • Humana — Medicare Advantage: $94.11
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $95.04
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Pt Eval High Complex 45 Min $457.96 $320.58 $1,672 – $2,102
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Blue Cross Blue Shield — Blue Access: $1,672
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,102
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx Pt&/Family 30 Minutes $572 $400.40 $61 – $572
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $200.78
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $200.78
  • Blue Cross Blue Shield — Blue Access: $572
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $572
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $132.09
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psycotherapy- Tele $572 $400.40 $180 – $572
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $200.78
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $200.78
  • Blue Cross Blue Shield — Blue Access: $572
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $572
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • EmblemHealth — Medicare Advantage: $180.62
  • Fidelis Care — Health Benefit Exchange: $199.64
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx 30 Mins W/Patient $572 $400.40 $132.09 – $429
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $200.78
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $200.78
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $132.09
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psycotherapy- Tele $572 $400.40 $180 – $572
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $264.72
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $264.72
  • Blue Cross Blue Shield — Blue Access: $572
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $572
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • EmblemHealth — Medicare Advantage: $180.62
  • Fidelis Care — Health Benefit Exchange: $199.64
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx Pt&/Family 45 Minutes $572 $400.40 $143 – $429
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $264.72
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $264.72
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $174.16
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx 45 Mins W/Patient $572 $400.40 $143 – $429
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $264.72
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $264.72
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $174.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx Pt&/Family 60 Minutes $572 $400.40 $143 – $429
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $392.24
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $392.24
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $258.06
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx 60 Min W/Patient $572 $400.40 $143 – $429
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $392.24
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $392.24
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $258.06
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $57.05 – $176.98
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • Aetna — Commercial: $176.98
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $125.34
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $125.34
  • Centers Plan for Healthy Living — Medicare Advantage: $147.46
  • Fidelis Care — Essential Plan: $154.83
  • Fidelis Care — Health Benefit Exchange: $162.21
  • Fidelis Care — Medicare Advantage: $147.46
  • Humana — Medicare Advantage: $140.65
  • Molina Healthcare (FKA Affinity) — Essential Plan 1 & 2: $57.05
  • Molina Healthcare (FKA Affinity) — Essential Plan 3 & 4: $57.05
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy Family W/O Pat $572 $400.40 $143 – $429
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $287.01
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $287.01
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $188.83
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psytx W/O Pt 50 Min $572 $400.40 $143 – $429
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $287.01
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $287.01
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $188.83
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rhb Family Pthy W/O Patient $572 $400.40 $143 – $429
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $287.01
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $287.01
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $188.83
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rhb Family Pthy With Patient $572 $400.40 $143 – $429
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $299.14
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $299.14
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $196.81
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psytx W/Pt 50 Min $572 $400.40 $143 – $429
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $299.14
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $299.14
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $196.81
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy Family W/ Pat $572 $400.40 $143 – $429
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $343.20
  • Aetna — Commercial: $299.14
  • Aetna — Medicare Advantage: $190.13
  • Aetna Whole Health — Commercial: $299.14
  • Blue Cross Blue Shield — Blue Access: $162
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $203
  • Blue Cross Blue Shield — Medicare Advantage: $190.13
  • Centers Plan for Healthy Living — Medicare Advantage: $190.13
  • Cigna — Commercial: $143
  • EmblemHealth — Commercial: $196.81
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Therapy Not Multi-Family $299.34 $209.54 $46.78 – $299.34
Group psychotherapy: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $179.60
  • Aetna — Commercial: $71.10
  • Aetna — Medicare Advantage: $109.46
  • Aetna Whole Health — Commercial: $71.10
  • Blue Cross Blue Shield — Blue Access: $299.34
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $299.34
  • Blue Cross Blue Shield — Medicare Advantage: $109.46
  • Centers Plan for Healthy Living — Medicare Advantage: $109.46
  • Cigna — Commercial: $74.84
  • EmblemHealth — Commercial: $46.78
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Psycotherapy $298 $208.60 $46.78 – $298
Group psychotherapy: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $178.80
  • Aetna — Commercial: $71.10
  • Aetna — Medicare Advantage: $109.46
  • Aetna Whole Health — Commercial: $71.10
  • Blue Cross Blue Shield — Blue Access: $298
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $298
  • Blue Cross Blue Shield — Medicare Advantage: $109.46
  • Centers Plan for Healthy Living — Medicare Advantage: $109.46
  • Cigna — Commercial: $74.50
  • EmblemHealth — Commercial: $46.78
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rhb Group Psycotherapy Other $298 $208.60 $46.78 – $298
Group psychotherapy: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $178.80
  • Aetna — Commercial: $71.10
  • Aetna — Medicare Advantage: $109.46
  • Aetna Whole Health — Commercial: $71.10
  • Blue Cross Blue Shield — Blue Access: $298
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $298
  • Blue Cross Blue Shield — Medicare Advantage: $109.46
  • Centers Plan for Healthy Living — Medicare Advantage: $109.46
  • Cigna — Commercial: $74.50
  • EmblemHealth — Commercial: $46.78

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: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $880.29 – $4,848.62
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,070
  • Aetna — Commercial: $1,949.66
  • Aetna — Medicare Advantage: $4,531.42
  • Aetna Whole Health — Commercial: $1,632.72
  • Blue Cross Blue Shield — Medicare Advantage: $4,531.42
  • Centers Plan for Healthy Living — Medicare Advantage: $4,531.42
  • EmblemHealth — Commercial: $880.29
  • EmblemHealth — Medicare Advantage: $4,304.85
  • Fidelis Care — Health Benefit Exchange: $4,848.62
  • Fidelis Care — Medicare Advantage: $4,531.42
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 $403.52 – $593.66
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — Commercial: $403.52
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $427.57
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $427.57
  • Centers Plan for Healthy Living — Medicare Advantage: $503.02
  • Fidelis Care — Essential Plan: $528.17
  • Fidelis Care — Health Benefit Exchange: $553.32
  • Fidelis Care — Medicare Advantage: $503.02
  • Humana — Medicare Advantage: $593.66
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $427.57
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY $5,081 $3,556.70 $1,289.68 – $1,669
Total hip replacement: rates for 9 insurance plans
  • Aetna — Commercial: $1,541.19
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $1,289.68
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $1,289.68
  • Centers Plan for Healthy Living — Medicare Advantage: $1,517.27
  • Fidelis Care — Essential Plan: $1,593.13
  • Fidelis Care — Health Benefit Exchange: $1,669
  • Fidelis Care — Medicare Advantage: $1,517.27
  • Humana — Medicare Advantage: $1,654.49
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $1,289.68
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 $2,655.22 – $16,291.91
Total hip replacement: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $16,028
  • Aetna — Commercial: $4,035.94
  • Aetna — Medicare Advantage: $15,226.08
  • Aetna Whole Health — Commercial: $4,035.94
  • Blue Cross Blue Shield — Medicare Advantage: $15,226.08
  • Centers Plan for Healthy Living — Medicare Advantage: $15,226.08
  • EmblemHealth — Commercial: $2,655.22
  • EmblemHealth — Medicare Advantage: $14,464.78
  • Fidelis Care — Health Benefit Exchange: $16,291.91
  • Fidelis Care — Medicare Advantage: $15,226.08
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY $5,072 $3,550.40 $1,287.84 – $1,666.61
Total knee replacement: rates for 9 insurance plans
  • Aetna — Commercial: $1,540.79
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $1,287.84
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $1,287.84
  • Centers Plan for Healthy Living — Medicare Advantage: $1,515.10
  • Fidelis Care — Essential Plan: $1,590.86
  • Fidelis Care — Health Benefit Exchange: $1,666.61
  • Fidelis Care — Medicare Advantage: $1,515.10
  • Humana — Medicare Advantage: $1,653.40
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $1,287.84
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 $2,651.43 – $41,039
Total knee replacement: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $41,039
  • Aetna — Commercial: $2,953.63
  • Aetna — Medicare Advantage: $15,226.08
  • Aetna Whole Health — Commercial: $2,473.48
  • Blue Cross Blue Shield — Medicare Advantage: $15,226.08
  • Centers Plan for Healthy Living — Medicare Advantage: $15,226.08
  • EmblemHealth — Commercial: $2,651.43
  • EmblemHealth — Medicare Advantage: $14,464.78
  • Fidelis Care — Health Benefit Exchange: $16,291.91
  • Fidelis Care — Medicare Advantage: $15,226.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION $669 $468.30 $170.31 – $220.41
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • Aetna — Commercial: $200.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $170.31
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $170.31
  • Centers Plan for Healthy Living — Medicare Advantage: $200.37
  • Fidelis Care — Essential Plan: $210.39
  • Fidelis Care — Health Benefit Exchange: $220.41
  • Fidelis Care — Medicare Advantage: $200.37
  • Humana — Medicare Advantage: $214.80
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $170.31
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 $350.65 – $2,070
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • 1199SEIU National Benefit Funds — Commercial: $2,070
  • Aetna — Commercial: $1,949.66
  • Aetna Whole Health — Commercial: $1,632.72
  • EmblemHealth — Commercial: $350.65
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY $2,165 $1,515.50 $550.09 – $711.88
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • Aetna — Commercial: $614.33
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $550.09
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $550.09
  • Centers Plan for Healthy Living — Medicare Advantage: $647.16
  • Fidelis Care — Essential Plan: $679.52
  • Fidelis Care — Health Benefit Exchange: $711.88
  • Fidelis Care — Medicare Advantage: $647.16
  • Humana — Medicare Advantage: $659.02
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $550.09
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,132.53 – $4,108.31
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,543
  • Aetna — Commercial: $1,721.45
  • Aetna — Medicare Advantage: $3,839.54
  • Aetna Whole Health — Commercial: $1,721.45
  • Blue Cross Blue Shield — Medicare Advantage: $3,839.54
  • Centers Plan for Healthy Living — Medicare Advantage: $3,839.54
  • EmblemHealth — Commercial: $1,132.53
  • EmblemHealth — Medicare Advantage: $3,647.56
  • Fidelis Care — Health Benefit Exchange: $4,108.31
  • Fidelis Care — Medicare Advantage: $3,839.54
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 $596.17 – $7,490.38
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,070
  • Aetna — Commercial: $1,949.66
  • Aetna — Medicare Advantage: $7,000.36
  • Aetna Whole Health — Commercial: $1,632.72
  • Blue Cross Blue Shield — Medicare Advantage: $7,000.36
  • Centers Plan for Healthy Living — Medicare Advantage: $7,000.36
  • EmblemHealth — Commercial: $596.17
  • EmblemHealth — Medicare Advantage: $6,650.34
  • Fidelis Care — Health Benefit Exchange: $7,490.38
  • Fidelis Care — Medicare Advantage: $7,000.36
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 $289.57 – $374.74
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans
  • Aetna — Commercial: $371.47
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $289.57
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $289.57
  • Centers Plan for Healthy Living — Medicare Advantage: $340.67
  • Fidelis Care — Essential Plan: $357.70
  • Fidelis Care — Health Benefit Exchange: $374.74
  • Fidelis Care — Medicare Advantage: $340.67
  • Humana — Medicare Advantage: $351.47
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $289.57
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH $1,119 $783.30 $117.95 – $379.42
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Commercial: $164.12
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $117.95
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $117.95
  • Centers Plan for Healthy Living — Medicare Advantage: $138.76
  • Fidelis Care — Essential Plan: $145.70
  • Fidelis Care — Health Benefit Exchange: $152.64
  • Fidelis Care — Medicare Advantage: $138.76
  • Humana — Medicare Advantage: $379.42
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $117.95
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 $242.83 – $3,079
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,360
  • Aetna — Commercial: $369.10
  • Aetna — Medicare Advantage: $1,109.47
  • Aetna Whole Health — Commercial: $369.10
  • Blue Cross Blue Shield — Medicare Advantage: $1,109.47
  • Centers Plan for Healthy Living — Medicare Advantage: $1,109.47
  • Cigna — Commercial: $3,079
  • EmblemHealth — Commercial: $242.83
  • EmblemHealth — Medicare Advantage: $1,054
  • Fidelis Care — Health Benefit Exchange: $1,187.13
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $1,465 $1,025.50 $132.07 – $484.17
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $185.08
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $132.07
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $132.07
  • Centers Plan for Healthy Living — Medicare Advantage: $155.38
  • Fidelis Care — Essential Plan: $163.15
  • Fidelis Care — Health Benefit Exchange: $170.92
  • Fidelis Care — Medicare Advantage: $155.38
  • Humana — Medicare Advantage: $484.17
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $132.07
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 $271.92 – $3,079
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $413.31
  • Aetna — Medicare Advantage: $1,109.47
  • Aetna Whole Health — Commercial: $413.31
  • Blue Cross Blue Shield — Medicare Advantage: $1,109.47
  • Centers Plan for Healthy Living — Medicare Advantage: $1,109.47
  • Cigna — Commercial: $3,079
  • EmblemHealth — Commercial: $271.92
  • EmblemHealth — Medicare Advantage: $1,054
  • Fidelis Care — Health Benefit Exchange: $1,187.13
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surg Colonoscopy $3,259 $2,281.30 $1,024.94 – $3,498
Colonoscopy (diagnostic): 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $1,616.74
  • Aetna — Medicare Advantage: $1,078.88
  • Aetna Whole Health — Commercial: $1,353.92
  • Blue Cross Blue Shield — Blue Access: $3,259
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $3,259
  • Blue Cross Blue Shield — Medicare Advantage: $1,078.88
  • Centers Plan for Healthy Living — Medicare Advantage: $1,078.88
  • Cigna — Commercial: $3,498
  • EmblemHealth — Commercial: $1,622
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY $1,319 $923.30 $177.11 – $469.33
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Commercial: $244.52
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $177.11
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $177.11
  • Centers Plan for Healthy Living — Medicare Advantage: $208.36
  • Fidelis Care — Essential Plan: $218.78
  • Fidelis Care — Health Benefit Exchange: $229.20
  • Fidelis Care — Medicare Advantage: $208.36
  • Humana — Medicare Advantage: $469.33
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $177.11
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Surg Colonoscopy $3,259 $2,281.30 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY $1,682 $1,177.40 $192.62 – $557.88
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $264.35
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $192.62
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $192.62
  • Centers Plan for Healthy Living — Medicare Advantage: $226.61
  • Fidelis Care — Essential Plan: $237.94
  • Fidelis Care — Health Benefit Exchange: $249.27
  • Fidelis Care — Medicare Advantage: $226.61
  • Humana — Medicare Advantage: $557.88
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $192.62
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 $396.57 – $1,714
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $1,616.74
  • Aetna — Medicare Advantage: $1,395.28
  • Aetna Whole Health — Commercial: $1,353.92
  • Blue Cross Blue Shield — Medicare Advantage: $1,395.28
  • Centers Plan for Healthy Living — Medicare Advantage: $1,395.28
  • EmblemHealth — Commercial: $1,622
  • EmblemHealth — Medicare Advantage: $1,325.51
  • Fidelis Care — Health Benefit Exchange: $1,492.95
  • Fidelis Care — Medicare Advantage: $1,395.28
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL $1,757 $1,229.90 $241.77 – $628.98
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — Commercial: $333.86
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $241.77
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $241.77
  • Centers Plan for Healthy Living — Medicare Advantage: $284.43
  • Fidelis Care — Essential Plan: $298.65
  • Fidelis Care — Health Benefit Exchange: $312.87
  • Fidelis Care — Medicare Advantage: $284.43
  • Humana — Medicare Advantage: $628.98
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $241.77
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 $497.75 – $1,714
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $756.58
  • Aetna — Medicare Advantage: $1,395.28
  • Aetna Whole Health — Commercial: $756.58
  • Blue Cross Blue Shield — Medicare Advantage: $1,395.28
  • Centers Plan for Healthy Living — Medicare Advantage: $1,395.28
  • EmblemHealth — Commercial: $497.75
  • EmblemHealth — Medicare Advantage: $1,325.51
  • Fidelis Care — Health Benefit Exchange: $1,492.95
  • Fidelis Care — Medicare Advantage: $1,395.28
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Endoscope Us $3,230 $2,261 $1,325.51 – $3,498
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $1,616.74
  • Aetna — Medicare Advantage: $1,395.28
  • Aetna Whole Health — Commercial: $1,353.92
  • Blue Cross Blue Shield — Blue Access: $3,230
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $3,230
  • Blue Cross Blue Shield — Medicare Advantage: $1,395.28
  • Centers Plan for Healthy Living — Medicare Advantage: $1,395.28
  • Cigna — Commercial: $3,498
  • EmblemHealth — Commercial: $1,622
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 $244.42 – $350.59
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans
  • Aetna — Commercial: $337.11
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $244.42
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $244.42
  • Centers Plan for Healthy Living — Medicare Advantage: $287.55
  • Fidelis Care — Essential Plan: $301.93
  • Fidelis Care — Health Benefit Exchange: $316.31
  • Fidelis Care — Medicare Advantage: $287.55
  • Humana — Medicare Advantage: $350.59
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $244.42
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W/Endoscope Us $3,230 $2,261 Not listed in the file
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 $183.21 – $1,154.40
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $779
  • Aetna — Commercial: $555.89
  • Aetna — Medicare Advantage: $1,078.88
  • Aetna Whole Health — Commercial: $555.89
  • Blue Cross Blue Shield — Medicare Advantage: $1,078.88
  • Centers Plan for Healthy Living — Medicare Advantage: $1,078.88
  • EmblemHealth — Commercial: $365.72
  • EmblemHealth — Medicare Advantage: $1,024.94
  • Fidelis Care — Health Benefit Exchange: $1,154.40
  • Fidelis Care — Medicare Advantage: $1,078.88
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 $133.88 – $469.33
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Aetna — Commercial: $133.88
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $177.63
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $177.63
  • Centers Plan for Healthy Living — Medicare Advantage: $208.98
  • Fidelis Care — Essential Plan: $219.43
  • Fidelis Care — Health Benefit Exchange: $229.88
  • Fidelis Care — Medicare Advantage: $208.98
  • Humana — Medicare Advantage: $469.33
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $177.63
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 $66.81 – $115.16
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • Aetna — Commercial: $66.81
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $88.99
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $88.99
  • Centers Plan for Healthy Living — Medicare Advantage: $104.69
  • Fidelis Care — Essential Plan: $109.92
  • Fidelis Care — Health Benefit Exchange: $115.16
  • Fidelis Care — Medicare Advantage: $104.69
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $88.99
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $2,659 $1,861.30 $674.20 – $872.50
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Aetna — Commercial: $858.78
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $674.20
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $674.20
  • Centers Plan for Healthy Living — Medicare Advantage: $793.18
  • Fidelis Care — Essential Plan: $832.84
  • Fidelis Care — Health Benefit Exchange: $872.50
  • Fidelis Care — Medicare Advantage: $793.18
  • Humana — Medicare Advantage: $796.30
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $674.20
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 $1,388.07 – $7,387.44
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $3,488
  • Aetna — Commercial: $2,109.86
  • Aetna — Medicare Advantage: $6,904.15
  • Aetna Whole Health — Commercial: $2,109.86
  • Blue Cross Blue Shield — Medicare Advantage: $6,904.15
  • Centers Plan for Healthy Living — Medicare Advantage: $6,904.15
  • EmblemHealth — Commercial: $1,388.07
  • EmblemHealth — Medicare Advantage: $6,558.94
  • Fidelis Care — Health Benefit Exchange: $7,387.44
  • Fidelis Care — Medicare Advantage: $6,904.15
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 $2,110 $1,477 $535.27 – $692.70
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Aetna — Commercial: $678.57
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $535.27
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $535.27
  • Centers Plan for Healthy Living — Medicare Advantage: $629.73
  • Fidelis Care — Essential Plan: $661.22
  • Fidelis Care — Health Benefit Exchange: $692.70
  • Fidelis Care — Medicare Advantage: $629.73
  • Humana — Medicare Advantage: $629.41
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $535.27
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 $1,102.03 – $4,468.48
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,543
  • Aetna — Commercial: $2,395.99
  • Aetna — Medicare Advantage: $4,176.15
  • Aetna Whole Health — Commercial: $2,006.49
  • Blue Cross Blue Shield — Medicare Advantage: $4,176.15
  • Centers Plan for Healthy Living — Medicare Advantage: $4,176.15
  • EmblemHealth — Commercial: $1,102.03
  • EmblemHealth — Medicare Advantage: $3,967.34
  • Fidelis Care — Health Benefit Exchange: $4,468.48
  • Fidelis Care — Medicare Advantage: $4,176.15
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Needle Punch Bx $5,330.64 $3,731.45 $1,353.92 – $5,330.64
Prostate biopsy: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $1,616.74
  • Aetna — Medicare Advantage: $2,424.12
  • Aetna Whole Health — Commercial: $1,353.92
  • Blue Cross Blue Shield — Blue Access: $5,330.64
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $5,330.64
  • Blue Cross Blue Shield — Medicare Advantage: $2,424.12
  • Centers Plan for Healthy Living — Medicare Advantage: $2,424.12
  • Cigna — Commercial: $3,498
  • EmblemHealth — Commercial: $2,704
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $123.74 – $255.09
Prostate biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $180.38
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $123.74
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $123.74
  • Centers Plan for Healthy Living — Medicare Advantage: $145.58
  • Fidelis Care — Essential Plan: $152.86
  • Fidelis Care — Health Benefit Exchange: $160.14
  • Fidelis Care — Medicare Advantage: $145.58
  • Humana — Medicare Advantage: $255.09
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $123.74
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $2,424.12 – $2,545.33
Prostate biopsy: rates for 2 insurance plans
  • Fidelis Care — Health Benefit Exchange: $2,545.33
  • Fidelis Care — Medicare Advantage: $2,424.12
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 $2,367.73 – $41,039
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $41,039
  • Aetna — Commercial: $2,646.71
  • Aetna — Medicare Advantage: $12,320.22
  • Aetna Whole Health — Commercial: $2,216.46
  • Blue Cross Blue Shield — Medicare Advantage: $12,320.22
  • Centers Plan for Healthy Living — Medicare Advantage: $12,320.22
  • EmblemHealth — Commercial: $2,367.73
  • EmblemHealth — Medicare Advantage: $11,704.21
  • Fidelis Care — Health Benefit Exchange: $13,182.64
  • Fidelis Care — Medicare Advantage: $12,320.22
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 $1,150.04 – $2,017.83
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans
  • Aetna — Commercial: $1,820.96
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $1,150.04
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $1,150.04
  • Centers Plan for Healthy Living — Medicare Advantage: $1,352.99
  • Fidelis Care — Essential Plan: $1,420.64
  • Fidelis Care — Health Benefit Exchange: $1,488.29
  • Fidelis Care — Medicare Advantage: $1,352.99
  • Humana — Medicare Advantage: $2,017.83
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $1,150.04
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy Biopsy $11,088 $7,761.60 $711.55 – $11,088
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $2,070
  • Aetna — Commercial: $711.55
  • Aetna — Medicare Advantage: $3,762.53
  • Aetna Whole Health — Commercial: $711.55
  • Blue Cross Blue Shield — Blue Access: $11,088
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $11,088
  • Blue Cross Blue Shield — Medicare Advantage: $3,762.53
  • Centers Plan for Healthy Living — Medicare Advantage: $3,762.53
  • Cigna — Commercial: $3,498
  • EmblemHealth — Medicare Advantage: $3,574.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY $5,172 $3,620.40 $227.38 – $479.99
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Commercial: $361.72
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $227.38
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $227.38
  • Centers Plan for Healthy Living — Medicare Advantage: $267.50
  • Fidelis Care — Essential Plan: $280.88
  • Fidelis Care — Health Benefit Exchange: $294.25
  • Fidelis Care — Medicare Advantage: $267.50
  • Humana — Medicare Advantage: $479.99
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $227.38
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 $1,632.72 – $1,949.66
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Aetna — Commercial: $1,949.66
  • Aetna Whole Health — Commercial: $1,632.72
  • Fidelis Care — Health Benefit Exchange: $4,025.91
  • Fidelis Care — Medicare Advantage: $3,762.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac $1,927 $1,348.90 $778.53 – $3,498
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $779
  • Aetna — Commercial: $1,281.74
  • Aetna — Medicare Advantage: $819.50
  • Aetna Whole Health — Commercial: $1,073.38
  • Blue Cross Blue Shield — Blue Access: $1,927
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $1,927
  • Blue Cross Blue Shield — Medicare Advantage: $819.50
  • Centers Plan for Healthy Living — Medicare Advantage: $819.50
  • Cigna — Commercial: $3,498
  • EmblemHealth — Commercial: $2,704
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $94.63 – $294.54
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Commercial: $126.76
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $94.63
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $94.63
  • Centers Plan for Healthy Living — Medicare Advantage: $111.33
  • Fidelis Care — Essential Plan: $116.90
  • Fidelis Care — Health Benefit Exchange: $122.46
  • Fidelis Care — Medicare Advantage: $111.33
  • Humana — Medicare Advantage: $294.54
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $94.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $147.27 – $1,393.15
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Cigna — Commercial: $294.54
  • EmblemHealth — Commercial: $194.83
  • Fidelis Care — Health Benefit Exchange: $876.87
  • Fidelis Care — Medicare Advantage: $819.50
  • MagnaCare — Commercial: $1,393.15
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $323.99
  • United Healthcare — Commercial: $147.27
  • United Healthcare — Compass: $323.99
  • United Healthcare — Core: $323.99
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 $2,549 $1,784.30 $1,000.86 – $3,498
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,360
  • Aetna — Commercial: $1,281.74
  • Aetna — Medicare Advantage: $1,053.53
  • Aetna Whole Health — Commercial: $1,073.38
  • Blue Cross Blue Shield — Blue Access: $2,549
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,549
  • Blue Cross Blue Shield — Medicare Advantage: $1,053.53
  • Centers Plan for Healthy Living — Medicare Advantage: $1,053.53
  • Cigna — Commercial: $3,498
  • EmblemHealth — Commercial: $2,704
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $955 $668.50 $105.94 – $265.09
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — Commercial: $141.69
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $105.94
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $105.94
  • Centers Plan for Healthy Living — Medicare Advantage: $124.64
  • Fidelis Care — Essential Plan: $130.87
  • Fidelis Care — Health Benefit Exchange: $137.10
  • Fidelis Care — Medicare Advantage: $124.64
  • Humana — Medicare Advantage: $265.09
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $105.94
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 Not listed in the file Not listed in the file $1,053.53 – $1,106.21
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • Fidelis Care — Health Benefit Exchange: $1,106.21
  • Fidelis Care — Medicare Advantage: $1,053.53
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ed Carpal Tunnel $7,050 $4,935 $250 – $7,050
Carpal tunnel release: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $792
  • Aetna — Commercial: $1,070
  • Aetna — Medicare Advantage: $2,310.83
  • Aetna Whole Health — Commercial: $869.55
  • Blue Cross Blue Shield — Blue Access: $7,050
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $7,050
  • Blue Cross Blue Shield — Medicare Advantage: $2,310.83
  • Centers Plan for Healthy Living — Medicare Advantage: $2,310.83
  • Cigna — Commercial: $1,762.50
  • EmblemHealth — Medicare Advantage: $2,195.29
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 $445.99 – $577.16
Carpal tunnel release: rates for 9 insurance plans
  • Aetna — Commercial: $552.55
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $445.99
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $445.99
  • Centers Plan for Healthy Living — Medicare Advantage: $524.69
  • Fidelis Care — Essential Plan: $550.92
  • Fidelis Care — Health Benefit Exchange: $577.16
  • Fidelis Care — Medicare Advantage: $524.69
  • Humana — Medicare Advantage: $519.71
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $445.99
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 $1,353.92 – $1,616.74
Carpal tunnel release: rates for 4 insurance plans
  • Aetna — Commercial: $1,616.74
  • Aetna Whole Health — Commercial: $1,353.92
  • Fidelis Care — Health Benefit Exchange: $2,472.59
  • Fidelis Care — Medicare Advantage: $2,310.83
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Yag Laser $2,082 $1,457.40 $180 – $2,082
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $1,714
  • Aetna — Commercial: $929.59
  • Aetna — Medicare Advantage: $649.19
  • Aetna Whole Health — Commercial: $929.59
  • Blue Cross Blue Shield — Blue Access: $2,082
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $2,082
  • Blue Cross Blue Shield — Medicare Advantage: $649.19
  • Centers Plan for Healthy Living — Medicare Advantage: $649.19
  • EmblemHealth — Medicare Advantage: $616.73
  • Fidelis Care — Health Benefit Exchange: $681.65
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY $1,276 $893.20 $297.05 – $408.18
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans
  • Aetna — Commercial: $408.18
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $297.05
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $297.05
  • Centers Plan for Healthy Living — Medicare Advantage: $349.47
  • Fidelis Care — Essential Plan: $366.94
  • Fidelis Care — Health Benefit Exchange: $384.42
  • Fidelis Care — Medicare Advantage: $349.47
  • Humana — Medicare Advantage: $406.03
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $297.05
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 $1,353.92 – $1,616.74
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Aetna — Commercial: $1,616.74
  • Aetna Whole Health — Commercial: $1,353.92
  • Fidelis Care — Health Benefit Exchange: $694.63
  • Fidelis Care — Medicare Advantage: $649.19
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP $2,047 $1,432.90 $515.65 – $834.35
Cataract removal with lens implant: rates for 9 insurance plans
  • Aetna — Commercial: $834.35
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $515.65
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $515.65
  • Centers Plan for Healthy Living — Medicare Advantage: $606.65
  • Fidelis Care — Essential Plan: $636.98
  • Fidelis Care — Health Benefit Exchange: $667.32
  • Fidelis Care — Medicare Advantage: $606.65
  • Humana — Medicare Advantage: $793.68
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $515.65
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 $1,061.64 – $3,687
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $3,687
  • Aetna — Commercial: $1,613.69
  • Aetna — Medicare Advantage: $2,698.92
  • Aetna Whole Health — Commercial: $1,613.69
  • Blue Cross Blue Shield — Medicare Advantage: $2,698.92
  • Centers Plan for Healthy Living — Medicare Advantage: $2,698.92
  • EmblemHealth — Commercial: $1,061.64
  • EmblemHealth — Medicare Advantage: $2,563.98
  • Fidelis Care — Health Benefit Exchange: $2,887.85
  • Fidelis Care — Medicare Advantage: $2,698.92

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 $2,461.91 – $3,704.62
Vaginal delivery, with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $2,720.30
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $2,461.91
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $2,461.91
  • Centers Plan for Healthy Living — Medicare Advantage: $2,896.36
  • Fidelis Care — Essential Plan: $3,041.18
  • Fidelis Care — Health Benefit Exchange: $3,186
  • Fidelis Care — Medicare Advantage: $2,896.36
  • Humana — Medicare Advantage: $3,704.62
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $2,461.91
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 $5,068.63 – $7,704.32
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • Aetna — Commercial: $7,704.32
  • Aetna Whole Health — Commercial: $7,704.32
  • EmblemHealth — Commercial: $5,068.63
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 $2,524.50 – $4,103.19
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $2,524.50
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $2,756.92
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $2,756.92
  • Centers Plan for Healthy Living — Medicare Advantage: $3,243.43
  • Fidelis Care — Essential Plan: $3,405.60
  • Fidelis Care — Health Benefit Exchange: $3,567.77
  • Fidelis Care — Medicare Advantage: $3,243.43
  • Humana — Medicare Advantage: $4,103.19
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $2,756.92
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 $5,676 – $8,627.52
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • Aetna — Commercial: $8,627.52
  • Aetna Whole Health — Commercial: $8,627.52
  • EmblemHealth — Commercial: $5,676
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Routin Ob Care After Vag Deliv $7,174.35 $5,022.05 $180 – $8,144.47
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates
  • 1199SEIU National Benefit Funds — Commercial: $4,304.61
  • Aetna — Commercial: $8,144.47
  • Aetna Whole Health — Commercial: $8,144.47
  • Blue Cross Blue Shield — Blue Access: $7,174.35
  • Blue Cross Blue Shield — Commercial/EPO/HMO/POS/PPO/Indemnity: $7,174.35
  • EmblemHealth — Medicare Advantage: $3,228.46
  • MagnaCare — Commercial: $220
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $180
  • United Healthcare — Commercial: $200
  • United Healthcare — Compass: $180
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 $2,602.56 – $3,893.64
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $2,775.30
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Essential: $2,602.56
  • Anthem Blue Cross and Blue Shield (FKA Empire) — Managed Medicaid: $2,602.56
  • Centers Plan for Healthy Living — Medicare Advantage: $3,061.83
  • Fidelis Care — Essential Plan: $3,214.92
  • Fidelis Care — Health Benefit Exchange: $3,368.01
  • Fidelis Care — Medicare Advantage: $3,061.83
  • Humana — Medicare Advantage: $3,893.64
  • Molina Healthcare (FKA Affinity) — Managed Medicaid: $2,602.56
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Routin Ob Care After Vag Deliv $7,174.35 $5,022.05 Not listed in the file

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 $88,156.40 – $156,268.93
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans
  • 1199SEIU National Benefit Funds — Commercial: $146,715.03
  • Aetna — Commercial: $144,051.52
  • Aetna Whole Health — Commercial: $117,088.59
  • Cigna — Commercial: $122,087.21
  • EmblemHealth — Commercial: $112,726.32
  • MagnaCare — Commercial: $156,268.93
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $88,156.40
  • United Healthcare — Compass: $88,156.40
  • United Healthcare — Core: $88,156.40
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Other Inpatient MS-DRG Not listed in the file Not listed in the file $33,414.92 – $59,232.37
Spinal fusion (not neck), without major complications: rates for 8 insurance plans
  • Aetna — Commercial: $54,601.47
  • Aetna Whole Health — Commercial: $44,381.41
  • Cigna — Commercial: $46,276.09
  • EmblemHealth — Commercial: $42,727.93
  • MagnaCare — Commercial: $59,232.37
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $33,414.92
  • United Healthcare — Compass: $33,414.92
  • United Healthcare — Core: $33,414.92
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inpatient MS-DRG Not listed in the file Not listed in the file $33,414.92 – $59,232.37
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • 1199SEIU National Benefit Funds — Commercial: $55,611.05
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 $17,224.04 – $30,531.90
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans
  • 1199SEIU National Benefit Funds — Commercial: $28,665.26
  • Aetna — Commercial: $28,144.86
  • Aetna Whole Health — Commercial: $22,876.83
  • Cigna — Commercial: $23,853.46
  • EmblemHealth — Commercial: $22,024.53
  • MagnaCare — Commercial: $30,531.90
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $17,224.04
  • United Healthcare — Compass: $17,224.04
  • United Healthcare — Core: $17,224.04
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 $21,624.37 – $38,332.07
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans
  • 1199SEIU National Benefit Funds — Commercial: $35,988.54
  • Aetna — Commercial: $35,335.19
  • Aetna Whole Health — Commercial: $28,721.31
  • Cigna — Commercial: $29,947.45
  • EmblemHealth — Commercial: $27,651.26
  • MagnaCare — Commercial: $38,332.07
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $21,624.37
  • United Healthcare — Compass: $21,624.37
  • United Healthcare — Core: $21,624.37
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 $10,949.21 – $19,408.93
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans
  • 1199SEIU National Benefit Funds — Commercial: $18,222.32
  • Aetna — Commercial: $17,891.50
  • Aetna Whole Health — Commercial: $14,542.65
  • Cigna — Commercial: $15,163.49
  • EmblemHealth — Commercial: $14,000.85
  • MagnaCare — Commercial: $19,408.93
  • United Healthcare — Charter/Charter Balanced/Charter Plus: $10,949.21
  • United Healthcare — Compass: $10,949.21
  • United Healthcare — Core: $10,949.21

Source: Nassau University Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on October 28, 2025; 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
Address2201 Hempstead Turnpike, East Meadow, NY 11554
CountyNassau County
StateNew York
Phone(516) 572‑0123
Emergency servicesYes
OwnershipGovernment - State
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330027
Name in Medicare recordsNASSAU UNIVERSITY MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitenumc.edu
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. Nassau University Medical Center — numc.edu
  2. Department of Neurosciences - Numc — numc.edu
  3. Food & Nutrition - Numc — numc.edu
  4. Mobile Breast Imaging Center - Numc — numc.edu
  5. Directions & Parking - NUMC — numc.edu
  6. Emergency Medicine - Numc — numc.edu
  7. Pediatric Emergency Department - Numc — numc.edu
  8. Emergency Department - Numc — numc.edu
  9. Psychiatric Emergency Department - Numc — numc.edu
  10. Trauma Center - Numc — numc.edu