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Acute Care Hospital

Newport Hospital

Newport, Rhode Island · Newport County · Emergency services listed

Summary

Newport Hospital is an acute care hospital in Newport, Rhode Island. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 29 services, specialties and programs. Medicare lists 716 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(401) 846‑6400 Directions Website Medicare profile
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Exterior of Newport Hospital
Photo: Kenneth C. Zirkel, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
129Beds (hospital website)
716Doctors and clinicians
29Services listed

Quick answers

Does Newport Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Newport Hospital. In a medical emergency, call 911.
Where is Newport Hospital?
11 Friendship Street, Newport, RI 02840, in Newport County, Rhode Island.
What is the phone number of Newport Hospital?
(401) 846-6400, as listed by Medicare (CMS).
What is the Medicare star rating of Newport Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][7][8][10]

Conditions treated[10]

Treatments[4][8][10]

Procedures[8]

Programs and centers[4][6][8][10]

  • Noreen Stonor Drexel Birthing Center
  • Vanderbilt Rehabilitation Center
  • Total Joint Replacement Program
  • Adult inpatient rehabilitation program
  • Adult stroke specialty program
  • Brown University Health Orthopedics Institute
  • Norman Prince Spine Institute, Newport
  • Brown University Health Pharmacy
  • Behavioral health unit

Emergency care (hospital website)[7][9][10]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (The Joint Commission)

Visiting and practical information

VisitingInpatient units 8 a.m.-8 p.m., up to two visitors per patient, photo ID required; behavioral health by appointment[6]
ParkingFree parking in the lot across from the hospital entrance on 20 Powel Avenue. Valet free Mon-Fri 8 a.m.-4 p.m[9]
Interpreters and languagesInterpreter services include Spanish, Cape Verdean Creole, Portuguese, Russian and American Sign Language[9]

Recognition[10]

  • Primary Stroke Center (The Joint Commission)
  • Get With The Guidelines-Stroke Gold Plus with Target: Stroke Honor Roll and Target: Type 2 Diabetes Honor Roll 2026
  • Joint Commission Gold Seal of Approval for Advanced Total Hip and Knee Replacement Certification (renewed) 2026
  • U.S. News & World Report Best Hospitals: top rehabilitation center in Rhode Island and Providence metro area 2026
  • U.S. News & World Report Best Hospitals: high performing in diabetes care 2026
  • CARF accreditation for Adult Inpatient Rehabilitation Program and Adult Stroke Specialty Program, through June 30, 2029
  • Baby-Friendly hospital designation (WHO and UNICEF), continuing through 2029
  • Accreditations from AABB, College of American Pathologists, AACVPR, CARF and ICAEL

Doctors and clinicians (716)

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

Main specialties

Doctors with a page on this site (716)

And 692 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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys415Response rate: 23%

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)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.843No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.273Better 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients9.6%
Deaths within 30 days: pneumonia patients15%
Deaths within 30 days: COPD patients7%
Deaths within 30 days: stroke patients6.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.07No different from the national rate
Complications after hip or knee replacement3.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia18.3%
Readmitted within 30 days: COPD22.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.4%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)172 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)58%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 Rhode IslandBest hospitals in Rhode Island

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Newport Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $66.92 – $187.55
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Bcbs — Hmo: $168.80
  • Bcbs — Medicare Managed Care Plan: $119.94
  • Bcbs — Ppo: $187.55
  • Tufts Health Plan — Hmo/Ppo: $66.92
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL III $299 $299 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR OPD NEW PT LEVEL III $299 $299 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $66.92 – $280.90
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Bcbs — Hmo: $252.81
  • Bcbs — Medicare Managed Care Plan: $179.63
  • Bcbs — Ppo: $280.90
  • Tufts Health Plan — Hmo/Ppo: $66.92
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL IV $386 $386 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR OPD NEW PT LEVEL IV $386 $386 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $66.92 – $370.23
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Bcbs — Hmo: $333.21
  • Bcbs — Medicare Managed Care Plan: $236.76
  • Bcbs — Ppo: $370.23
  • Tufts Health Plan — Hmo/Ppo: $66.92
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD NEW PT LEVEL V $507 $507 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR OPD NEW PT LEVEL V $474 $474 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $66.92 – $153.16
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans
  • Bcbs — Hmo: $137.84
  • Bcbs — Medicare Managed Care Plan: $97.95
  • Bcbs — Ppo: $153.16
  • Tufts Health Plan — Hmo/Ppo: $66.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD ESTAB PT LEVEL III $323 $323 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR OPD ESTAB PT LEVEL III $280 $280 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $66.92 – $215.94
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Bcbs — Hmo: $194.35
  • Bcbs — Medicare Managed Care Plan: $138.10
  • Bcbs — Ppo: $215.94
  • Tufts Health Plan — Hmo/Ppo: $66.92
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OPD ESTAB PT LEVEL IV $403 $403 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR OPD ESTAB PT LEVEL IV $326 $326 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $66.92 – $217.30
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Bcbs — Hmo: $195.57
  • Bcbs — Medicare Managed Care Plan: $138.96
  • Bcbs — Ppo: $217.30
  • Tufts Health Plan — Hmo/Ppo: $66.92
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $66.92 – $250.32
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Bcbs — Hmo: $225.29
  • Bcbs — Medicare Managed Care Plan: $160.08
  • Bcbs — Ppo: $250.32
  • Tufts Health Plan — Hmo/Ppo: $66.92
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $299.53 – $1,336.29
Emergency room visit (moderate): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $313.82
  • Bcbs — Hmo: $580.91
  • Bcbs — Medicare Managed Care Plan: $299.53
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $306.92
  • Bcbs — Ppo: $645.46
  • Cigna — Hmo/Ppo: $1,336.29
  • Tufts Health Plan — Hmo/Ppo: $589.44
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL III $1,494 $1,494 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $464.96 – $2,042.60
Emergency room visit (moderately high): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $479.70
  • Bcbs — Hmo: $901.75
  • Bcbs — Medicare Managed Care Plan: $464.96
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $469.14
  • Bcbs — Ppo: $1,001.94
  • Cigna — Hmo/Ppo: $2,042.60
  • Tufts Health Plan — Hmo/Ppo: $753.58
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL IV $3,500 $3,500 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $669.58 – $2,915.27
Emergency room visit (high): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $684.64
  • Bcbs — Hmo: $1,307.74
  • Bcbs — Medicare Managed Care Plan: $674.30
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $669.58
  • Bcbs — Ppo: $1,453.04
  • Cigna — Hmo/Ppo: $2,915.27
  • Tufts Health Plan — Hmo/Ppo: $954.72
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED LEVEL V $4,500 $4,500 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $6.08 – $53.96
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $53.96
  • Aetna — Medicare Managed Care Plan: $8.65
  • Bcbs — Hmo: $9.74
  • Bcbs — Medicare Managed Care Plan: $6.08
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $8.46
  • Bcbs — Ppo: $9.74
  • Cigna — Hmo/Ppo: $15.27
  • Harvard Pilgrim Health Care — Hmo/Ppo: $40.43
  • Tufts Health Plan — Hmo/Ppo: $25.25
  • Unitedhealthcare — All Commercial Plans: $16.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $7.59 – $67.37
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $67.37
  • Aetna — Medicare Managed Care Plan: $10.80
  • Bcbs — Hmo: $12.16
  • Bcbs — Medicare Managed Care Plan: $7.59
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $10.56
  • Bcbs — Ppo: $12.16
  • Cigna — Hmo/Ppo: $19.06
  • Harvard Pilgrim Health Care — Hmo/Ppo: $50.51
  • Tufts Health Plan — Hmo/Ppo: $31.52
  • Unitedhealthcare — All Commercial Plans: $20.99
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 $34.36 – $286.44
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $286.44
  • Aetna — Medicare Managed Care Plan: $48.89
  • Bcbs — Hmo: $55.05
  • Bcbs — Medicare Managed Care Plan: $34.36
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $47.81
  • Bcbs — Ppo: $55.05
  • Cigna — Hmo/Ppo: $86.31
  • Harvard Pilgrim Health Care — Hmo/Ppo: $206.96
  • Tufts Health Plan — Hmo/Ppo: $142.68
  • Unitedhealthcare — All Commercial Plans: $80.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $9.62 – $85.41
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $85.41
  • Aetna — Medicare Managed Care Plan: $13.69
  • Bcbs — Hmo: $15.42
  • Bcbs — Medicare Managed Care Plan: $9.62
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $13.39
  • Bcbs — Ppo: $15.42
  • Cigna — Hmo/Ppo: $24.17
  • Harvard Pilgrim Health Care — Hmo/Ppo: $64.03
  • Tufts Health Plan — Hmo/Ppo: $39.95
  • Unitedhealthcare — All Commercial Plans: $26.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LDL LIPID PANEL SO $108.60 $108.60 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $6.24 – $55.37
Kidney function panel: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $55.37
  • Aetna — Medicare Managed Care Plan: $8.88
  • Bcbs — Hmo: $10
  • Bcbs — Medicare Managed Care Plan: $6.24
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $8.68
  • Bcbs — Ppo: $10
  • Cigna — Hmo/Ppo: $15.67
  • Harvard Pilgrim Health Care — Hmo/Ppo: $41.50
  • Tufts Health Plan — Hmo/Ppo: $25.91
  • Unitedhealthcare — All Commercial Plans: $17.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $5.87 – $52.06
Liver function panel: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $52.06
  • Aetna — Medicare Managed Care Plan: $8.35
  • Bcbs — Hmo: $9.41
  • Bcbs — Medicare Managed Care Plan: $5.87
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $8.17
  • Bcbs — Ppo: $9.41
  • Cigna — Hmo/Ppo: $14.75
  • Harvard Pilgrim Health Care — Hmo/Ppo: $39.04
  • Tufts Health Plan — Hmo/Ppo: $24.38
  • Unitedhealthcare — All Commercial Plans: $16.22
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.28 – $20.15
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $20.15
  • Aetna — Medicare Managed Care Plan: $3.24
  • Bcbs — Hmo: $3.65
  • Bcbs — Medicare Managed Care Plan: $2.28
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $3.17
  • Bcbs — Ppo: $3.65
  • Cigna — Hmo/Ppo: $5.72
  • Harvard Pilgrim Health Care — Hmo/Ppo: $15.12
  • Tufts Health Plan — Hmo/Ppo: $9.45
  • Unitedhealthcare — All Commercial Plans: $6.28
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS W/MICRO $25 $25 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2.50 – $16.31
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $16.31
  • Aetna — Medicare Managed Care Plan: $3.56
  • Bcbs — Hmo: $4.01
  • Bcbs — Medicare Managed Care Plan: $2.50
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $3.48
  • Bcbs — Ppo: $4.01
  • Cigna — Hmo/Ppo: $6.28
  • Harvard Pilgrim Health Care — Hmo/Ppo: $12.24
  • Tufts Health Plan — Hmo/Ppo: $10.37
  • Unitedhealthcare — All Commercial Plans: $5.08
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.62 – $12.19
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $12.19
  • Aetna — Medicare Managed Care Plan: $2.30
  • Bcbs — Hmo: $2.59
  • Bcbs — Medicare Managed Care Plan: $1.62
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $2.25
  • Bcbs — Ppo: $2.59
  • Cigna — Hmo/Ppo: $4.06
  • Harvard Pilgrim Health Care — Hmo/Ppo: $10.74
  • Tufts Health Plan — Hmo/Ppo: $6.70
  • Unitedhealthcare — All Commercial Plans: $4.46
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT $27 $27 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ROUTINE URINALYSIS $27 $27 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $13.22 – $116.90
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $116.90
  • Aetna — Medicare Managed Care Plan: $18.80
  • Bcbs — Hmo: $21.18
  • Bcbs — Medicare Managed Care Plan: $13.22
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $18.39
  • Bcbs — Ppo: $21.18
  • Cigna — Hmo/Ppo: $33.20
  • Harvard Pilgrim Health Care — Hmo/Ppo: $87.91
  • Tufts Health Plan — Hmo/Ppo: $54.89
  • Unitedhealthcare — All Commercial Plans: $36.54
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSA POST PROSTATECTOMY $115 $115 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT $115 $115 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $12.07 – $107.11
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $107.11
  • Aetna — Medicare Managed Care Plan: $17.18
  • Bcbs — Hmo: $19.35
  • Bcbs — Medicare Managed Care Plan: $12.07
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $16.80
  • Bcbs — Ppo: $19.35
  • Cigna — Hmo/Ppo: $30.33
  • Harvard Pilgrim Health Care — Hmo/Ppo: $80.30
  • Tufts Health Plan — Hmo/Ppo: $50.12
  • Unitedhealthcare — All Commercial Plans: $33.37
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH 3RD GENERATION $107 $107 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $5.58 – $49.57
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $49.57
  • Aetna — Medicare Managed Care Plan: $7.94
  • Bcbs — Hmo: $8.95
  • Bcbs — Medicare Managed Care Plan: $5.58
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $7.77
  • Bcbs — Ppo: $8.95
  • Cigna — Hmo/Ppo: $14.03
  • Harvard Pilgrim Health Care — Hmo/Ppo: $37.16
  • Tufts Health Plan — Hmo/Ppo: $23.20
  • Unitedhealthcare — All Commercial Plans: $15.45
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AUTO CBC WITH DIFF $52 $52 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $4.65 – $41.28
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $41.28
  • Aetna — Medicare Managed Care Plan: $6.62
  • Bcbs — Hmo: $7.45
  • Bcbs — Medicare Managed Care Plan: $4.65
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $6.47
  • Bcbs — Ppo: $7.45
  • Cigna — Hmo/Ppo: $11.68
  • Harvard Pilgrim Health Care — Hmo/Ppo: $30.90
  • Tufts Health Plan — Hmo/Ppo: $19.30
  • Unitedhealthcare — All Commercial Plans: $12.86
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AUTO CBC NO DIFF $48 $48 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $3.08 – $25.06
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $25.06
  • Aetna — Medicare Managed Care Plan: $4.39
  • Bcbs — Hmo: $4.94
  • Bcbs — Medicare Managed Care Plan: $3.08
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $4.29
  • Bcbs — Ppo: $4.94
  • Cigna — Hmo/Ppo: $7.74
  • Harvard Pilgrim Health Care — Hmo/Ppo: $18.77
  • Tufts Health Plan — Hmo/Ppo: $12.80
  • Unitedhealthcare — All Commercial Plans: $7.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $37 $37 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $4.32 – $38.30
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Hmo/Ppo: $38.30
  • Aetna — Medicare Managed Care Plan: $6.15
  • Bcbs — Hmo: $6.92
  • Bcbs — Medicare Managed Care Plan: $4.32
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $6.01
  • Bcbs — Ppo: $6.92
  • Cigna — Hmo/Ppo: $10.85
  • Harvard Pilgrim Health Care — Hmo/Ppo: $28.68
  • Tufts Health Plan — Hmo/Ppo: $17.94
  • Unitedhealthcare — All Commercial Plans: $11.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SILICA CLOTTING TIME RATIO $47 $47 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC APTT $47 $47 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 dye Not listed in the file Not listed in the file $89.81 – $662.11
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $120.19
  • Bcbs — Hmo: $145.97
  • Bcbs — Medicare Managed Care Plan: $89.81
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $117.54
  • Bcbs — Ppo: $162.19
  • Cigna — Hmo/Ppo: $511.78
  • Harvard Pilgrim Health Care — Hmo/Ppo: $603.36
  • Tufts Health Plan — Hmo/Ppo: $384.95
  • Unitedhealthcare — All Commercial Plans: $662.11
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT BRAIN W/O CONTRAST $1,100 $1,100 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $307.14 – $3,487.66
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $401.08
  • Bcbs — Hmo: $527.68
  • Bcbs — Medicare Managed Care Plan: $307.14
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $392.25
  • Bcbs — Ppo: $586.31
  • Cigna — Hmo/Ppo: $1,707.82
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,909.96
  • Tufts Health Plan — Hmo/Ppo: $1,324.39
  • Unitedhealthcare — All Commercial Plans: $3,487.66
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI BRAIN W/W/O CONTRAST $3,600 $3,600 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 Not listed in the file Not listed in the file $85.31 – $426.01
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $100.05
  • Bcbs — Hmo: $185
  • Bcbs — Medicare Managed Care Plan: $95.40
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $97.85
  • Bcbs — Ppo: $205.56
  • Cigna — Hmo/Ppo: $426.01
  • Harvard Pilgrim Health Care — Hmo/Ppo: $159.72
  • Tufts Health Plan — Hmo/Ppo: $300.88
  • Unitedhealthcare — All Commercial Plans: $85.31
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS $238 $238 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: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $115.42 – $511.78
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $120.19
  • Bcbs — Hmo: $223.86
  • Bcbs — Medicare Managed Care Plan: $115.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $117.54
  • Bcbs — Ppo: $248.73
  • Cigna — Hmo/Ppo: $511.78
  • Harvard Pilgrim Health Care — Hmo/Ppo: $246.24
  • Tufts Health Plan — Hmo/Ppo: $384.95
  • Unitedhealthcare — All Commercial Plans: $129.11
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC L SPINE MIN 4 VIEW $302 $302 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 lumbar spine w/o dye Not listed in the file Not listed in the file $185.92 – $1,742.38
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $274.30
  • Bcbs — Hmo: $356.87
  • Bcbs — Medicare Managed Care Plan: $185.92
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $268.27
  • Bcbs — Ppo: $396.52
  • Cigna — Hmo/Ppo: $1,168.02
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,176.59
  • Tufts Health Plan — Hmo/Ppo: $841.13
  • Unitedhealthcare — All Commercial Plans: $1,742.38
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI L SPINE W/O CONTRAST $2,300 $2,300 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/dye Not listed in the file Not listed in the file $195.33 – $1,032.89
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $201.65
  • Bcbs — Hmo: $243.63
  • Bcbs — Medicare Managed Care Plan: $195.33
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $197.21
  • Bcbs — Ppo: $270.70
  • Cigna — Hmo/Ppo: $858.63
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,032.89
  • Tufts Health Plan — Hmo/Ppo: $648.27
  • Unitedhealthcare — All Commercial Plans: $959.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT PELVIS W/CYSTOGRAM $1,782 $1,782 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 jnt of lwr extre w/o dye Not listed in the file Not listed in the file $205.15 – $1,570.05
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $274.30
  • Bcbs — Hmo: $247.91
  • Bcbs — Medicare Managed Care Plan: $205.15
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $268.27
  • Bcbs — Ppo: $275.45
  • Cigna — Hmo/Ppo: $1,168.02
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,176.59
  • Tufts Health Plan — Hmo/Ppo: $841.13
  • Unitedhealthcare — All Commercial Plans: $1,570.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI LOWER EXTREMITY JOINT WO CONT $2,100 $2,100 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 & pelv w/contrast Not listed in the file Not listed in the file $256.93 – $1,707.82
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $401.08
  • Bcbs — Hmo: $289.55
  • Bcbs — Medicare Managed Care Plan: $256.93
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $392.25
  • Bcbs — Ppo: $321.72
  • Cigna — Hmo/Ppo: $1,707.82
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,677.45
  • Tufts Health Plan — Hmo/Ppo: $1,324.39
  • Unitedhealthcare — All Commercial Plans: $1,664.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT ABD PELVIS W CONTRAST $2,900 $2,900 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $115.42 – $511.78
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $120.19
  • Bcbs — Hmo: $223.86
  • Bcbs — Medicare Managed Care Plan: $115.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $117.54
  • Bcbs — Ppo: $248.73
  • Cigna — Hmo/Ppo: $511.78
  • Harvard Pilgrim Health Care — Hmo/Ppo: $345.24
  • Tufts Health Plan — Hmo/Ppo: $385.78
  • Unitedhealthcare — All Commercial Plans: $276.39
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US ABDOMEN REAL TIME COMPLETE $455 $455 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $115.42 – $511.78
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $120.19
  • Bcbs — Hmo: $223.86
  • Bcbs — Medicare Managed Care Plan: $115.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $117.54
  • Bcbs — Ppo: $248.73
  • Cigna — Hmo/Ppo: $511.78
  • Harvard Pilgrim Health Care — Hmo/Ppo: $345.24
  • Tufts Health Plan — Hmo/Ppo: $384.95
  • Unitedhealthcare — All Commercial Plans: $294.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US PREG > OR EQUAL TO 14 WKS $486 $486 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $115.42 – $511.78
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $120.19
  • Bcbs — Hmo: $223.86
  • Bcbs — Medicare Managed Care Plan: $115.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $117.54
  • Bcbs — Ppo: $248.73
  • Cigna — Hmo/Ppo: $511.78
  • Harvard Pilgrim Health Care — Hmo/Ppo: $345.24
  • Tufts Health Plan — Hmo/Ppo: $384.95
  • Unitedhealthcare — All Commercial Plans: $214.70
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US TRANSVAGINAL $449 $449 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 Not listed in the file Not listed in the file $98.04 – $280.30
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • Bcbs — Hmo: $190.13
  • Bcbs — Medicare Managed Care Plan: $98.04
  • Bcbs — Ppo: $211.26
  • Harvard Pilgrim Health Care — Hmo/Ppo: $280.30
  • Tufts Health Plan — Hmo/Ppo: $223.48
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $88.97 – $387.37
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $90.97
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $88.97
  • Cigna — Hmo/Ppo: $387.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC DIAG MAMMO W WO CAD UNILAT $278 $278 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $125.68 – $357.16
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Bcbs — Hmo: $243.76
  • Bcbs — Medicare Managed Care Plan: $125.68
  • Bcbs — Ppo: $270.84
  • Harvard Pilgrim Health Care — Hmo/Ppo: $357.16
  • Tufts Health Plan — Hmo/Ppo: $284.98
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $114.11 – $496.82
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $116.68
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $114.11
  • Cigna — Hmo/Ppo: $496.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC DIAG MAMMO W WO CAD BILAT $403 $403 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $103.66 – $276.13
Screening mammogram, both breasts: rates for 5 insurance plans
  • Bcbs — Hmo: $201.04
  • Bcbs — Medicare Managed Care Plan: $103.66
  • Bcbs — Ppo: $223.38
  • Harvard Pilgrim Health Care — Hmo/Ppo: $276.13
  • Tufts Health Plan — Hmo/Ppo: $235.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $94.15 – $409.92
Screening mammogram, both breasts: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $96.27
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $94.15
  • Cigna — Hmo/Ppo: $409.92
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC SCREEN MAMMO BILAT W WO CAD $403 $403 Not listed in the file

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: Electrocardiogram complete Not listed in the file Not listed in the file $34.13 – $92.70
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans
  • Bcbs — Hmo: $76.92
  • Bcbs — Medicare Managed Care Plan: $34.13
  • Bcbs — Ppo: $85.47
  • Harvard Pilgrim Health Care — Hmo/Ppo: $92.70
  • Tufts Health Plan — Hmo/Ppo: $54.95
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 $3,420.81 – $36,189.40
Left heart catheterization (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,727.03
  • Bcbs — Hmo: $6,634.31
  • Bcbs — Medicare Managed Care Plan: $3,420.81
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $3,645.02
  • Bcbs — Ppo: $7,371.46
  • Cigna — Hmo/Ppo: $15,870.06
  • Harvard Pilgrim Health Care — Hmo/Ppo: $36,189.40
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $15,049
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $4,317.65 – $38,181.28
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $8,966.76
  • Bcbs — Hmo: $15,204.94
  • Bcbs — Medicare Managed Care Plan: $7,840.01
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $8,769.44
  • Bcbs — Ppo: $16,894.38
  • Cigna — Hmo/Ppo: $38,181.28
  • Harvard Pilgrim Health Care — Hmo/Ppo: $13,633.95
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $18,453
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $24,932.92 – $127,951.29
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $30,048.97
  • Bcbs — Hmo: $48,354.99
  • Bcbs — Medicare Managed Care Plan: $24,932.92
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $29,387.74
  • Bcbs — Ppo: $53,727.77
  • Cigna — Hmo/Ppo: $127,951.29
  • Harvard Pilgrim Health Care — Hmo/Ppo: $38,742.52
  • Tufts Health Plan — Hmo/Ppo: $33,698.41
  • Unitedhealthcare — All Commercial Plans: $47,805
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 $965.51 – $4,203.75
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $987.24
  • Bcbs — Hmo: $2,128.69
  • Bcbs — Medicare Managed Care Plan: $1,097.60
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $965.51
  • Bcbs — Ppo: $2,365.21
  • Cigna — Hmo/Ppo: $4,203.75
  • Harvard Pilgrim Health Care — Hmo/Ppo: $2,802.11
  • Tufts Health Plan — Hmo/Ppo: $1,684.12

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: Therapeutic exercises Not listed in the file Not listed in the file $29.76 – $129.57
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $30.43
  • Bcbs — Hmo: $63.33
  • Bcbs — Medicare Managed Care Plan: $32.66
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $29.76
  • Bcbs — Ppo: $70.37
  • Cigna — Hmo/Ppo: $129.57
  • Tufts Health Plan — Hmo/Ppo: $68.87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC THER EX EA 15 MIN $185 $185 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: HC OT THER EX EA 15 MIN $185 $185 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $100.33 – $436.83
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.59
  • Bcbs — Hmo: $216.56
  • Bcbs — Medicare Managed Care Plan: $111.66
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $100.33
  • Bcbs — Ppo: $240.62
  • Cigna — Hmo/Ppo: $436.83
  • Tufts Health Plan — Hmo/Ppo: $166.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MINS W/PT AND/OR FAM $518 $518 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $100.33 – $436.83
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.59
  • Bcbs — Hmo: $216.56
  • Bcbs — Medicare Managed Care Plan: $111.66
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $100.33
  • Bcbs — Ppo: $240.62
  • Cigna — Hmo/Ppo: $436.83
  • Tufts Health Plan — Hmo/Ppo: $166.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MINS W/PT AND/OR FAM $558 $558 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $100.33 – $436.83
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.59
  • Bcbs — Hmo: $216.56
  • Bcbs — Medicare Managed Care Plan: $111.66
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $100.33
  • Bcbs — Ppo: $240.62
  • Cigna — Hmo/Ppo: $436.83
  • Tufts Health Plan — Hmo/Ppo: $166.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MINS W/PT AND/OR FAM $575 $575 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $63.18 – $868.88
Psychotherapy, 30 minutes: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $204.05
  • Bcbs — Hmo: $324.61
  • Bcbs — Medicare Managed Care Plan: $167.38
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $199.56
  • Bcbs — Ppo: $360.68
  • Cigna — Hmo/Ppo: $868.88
  • Tufts Health Plan — Hmo/Ppo: $63.18
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHER 30 MIN W PT $143 $143 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR PSYCHOTHER 30 MIN W PT $288 $288 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $80.06 – $868.88
Psychotherapy, 45 minutes: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $204.05
  • Bcbs — Hmo: $324.61
  • Bcbs — Medicare Managed Care Plan: $167.38
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $199.56
  • Bcbs — Ppo: $360.68
  • Cigna — Hmo/Ppo: $868.88
  • Tufts Health Plan — Hmo/Ppo: $80.06
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHER 45 MIN W PT $169 $169 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $80.06 – $868.88
Psychotherapy, 60 minutes: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $204.05
  • Bcbs — Hmo: $324.61
  • Bcbs — Medicare Managed Care Plan: $167.38
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $199.56
  • Bcbs — Ppo: $360.68
  • Cigna — Hmo/Ppo: $868.88
  • Tufts Health Plan — Hmo/Ppo: $80.06
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $88.86 – $868.88
Family psychotherapy, without the patient: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $204.05
  • Bcbs — Hmo: $324.61
  • Bcbs — Medicare Managed Care Plan: $167.38
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $199.56
  • Bcbs — Ppo: $360.68
  • Cigna — Hmo/Ppo: $868.88
  • Tufts Health Plan — Hmo/Ppo: $88.86
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $88.86 – $868.88
Family psychotherapy, with the patient: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $204.05
  • Bcbs — Hmo: $324.61
  • Bcbs — Medicare Managed Care Plan: $167.38
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $199.56
  • Bcbs — Ppo: $360.68
  • Cigna — Hmo/Ppo: $868.88
  • Tufts Health Plan — Hmo/Ppo: $88.86
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PART HOS FAMILY THER OTH 50MINS $414 $414 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR FAMILY PSYCHOTHERAPY W PT 50MINS $400 $400 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $44.95 – $497.31
Group psychotherapy: rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $116.79
  • Bcbs — Hmo: $181.47
  • Bcbs — Medicare Managed Care Plan: $93.57
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $114.22
  • Bcbs — Ppo: $201.63
  • Cigna — Hmo/Ppo: $497.31
  • Tufts Health Plan — Hmo/Ppo: $44.95
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR GROUP PSYCHOTHERAPY $207 $207 Not listed in the file

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 $4,001.51 – $19,167.02
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,501.32
  • Bcbs — Hmo: $7,760.54
  • Bcbs — Medicare Managed Care Plan: $4,001.51
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $4,402.26
  • Bcbs — Ppo: $8,622.82
  • Cigna — Hmo/Ppo: $19,167.02
  • Harvard Pilgrim Health Care — Hmo/Ppo: $6,474.99
  • Tufts Health Plan — Hmo/Ppo: $6,757.19
  • Unitedhealthcare — All Commercial Plans: $8,858
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 $13,816.42 – $62,848.52
Total hip replacement: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $14,759.78
  • Bcbs — Hmo: $26,795.61
  • Bcbs — Medicare Managed Care Plan: $13,816.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $14,434.99
  • Bcbs — Ppo: $29,772.90
  • Cigna — Hmo/Ppo: $62,848.52
  • Tufts Health Plan — Hmo/Ppo: $19,355.28
  • Unitedhealthcare — All Commercial Plans: $33,378
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 $13,816.42 – $62,848.52
Total knee replacement: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $14,759.78
  • Bcbs — Hmo: $26,795.61
  • Bcbs — Medicare Managed Care Plan: $13,816.42
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $14,434.99
  • Bcbs — Ppo: $29,772.90
  • Cigna — Hmo/Ppo: $62,848.52
  • Tufts Health Plan — Hmo/Ppo: $19,355.28
  • Unitedhealthcare — All Commercial Plans: $33,378
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $1,656 – $13,487.64
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Harvard Pilgrim Health Care — Hmo/Ppo: $13,487.64
  • Unitedhealthcare — All Commercial Plans: $1,656
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 $3,397.99 – $16,017.25
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,761.60
  • Bcbs — Hmo: $6,590.09
  • Bcbs — Medicare Managed Care Plan: $3,397.99
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $3,678.83
  • Bcbs — Ppo: $7,322.32
  • Cigna — Hmo/Ppo: $16,017.25
  • Harvard Pilgrim Health Care — Hmo/Ppo: $7,339.99
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $11,950
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 $2,167.11 – $28,979.03
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,805.64
  • Bcbs — Hmo: $11,922.94
  • Bcbs — Medicare Managed Care Plan: $6,147.74
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $6,655.88
  • Bcbs — Ppo: $13,247.71
  • Cigna — Hmo/Ppo: $28,979.03
  • Harvard Pilgrim Health Care — Hmo/Ppo: $2,167.11
  • Tufts Health Plan — Hmo/Ppo: $6,757.19
  • Unitedhealthcare — All Commercial Plans: $8,858
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 $951.62 – $17,801.95
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,042.70
  • Bcbs — Hmo: $1,845.57
  • Bcbs — Medicare Managed Care Plan: $951.62
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,019.76
  • Bcbs — Ppo: $2,050.63
  • Cigna — Hmo/Ppo: $4,439.92
  • Harvard Pilgrim Health Care — Hmo/Ppo: $17,801.95
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF $3,153 $3,153 Not listed in the file
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 $951.62 – $4,439.92
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,042.70
  • Bcbs — Hmo: $1,845.57
  • Bcbs — Medicare Managed Care Plan: $951.62
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,019.76
  • Bcbs — Ppo: $2,050.63
  • Cigna — Hmo/Ppo: $4,439.92
  • Harvard Pilgrim Health Care — Hmo/Ppo: $2,869.47
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD W BIOPSY SINGL/MULTI $3,153 $3,153 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $959.46 – $6,359.10
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,069.11
  • Bcbs — Hmo: $1,860.77
  • Bcbs — Medicare Managed Care Plan: $959.46
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,045.59
  • Bcbs — Ppo: $2,067.52
  • Cigna — Hmo/Ppo: $4,552.37
  • Harvard Pilgrim Health Care — Hmo/Ppo: $6,359.10
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF $3,671 $3,671 Not listed in the file
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 $1,238.82 – $6,359.10
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,375.70
  • Bcbs — Hmo: $2,402.58
  • Bcbs — Medicare Managed Care Plan: $1,238.82
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,345.43
  • Bcbs — Ppo: $2,669.53
  • Cigna — Hmo/Ppo: $5,857.86
  • Harvard Pilgrim Health Care — Hmo/Ppo: $6,359.10
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE $3,671 $3,671 Not listed in the file
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 $1,238.82 – $5,857.86
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,375.70
  • Bcbs — Hmo: $2,402.58
  • Bcbs — Medicare Managed Care Plan: $1,238.82
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,345.43
  • Bcbs — Ppo: $2,669.53
  • Cigna — Hmo/Ppo: $5,857.86
  • Harvard Pilgrim Health Care — Hmo/Ppo: $4,445.28
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE $3,671 $3,671 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,238.82 – $5,857.86
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,375.70
  • Bcbs — Hmo: $2,402.58
  • Bcbs — Medicare Managed Care Plan: $1,238.82
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,345.43
  • Bcbs — Ppo: $2,669.53
  • Cigna — Hmo/Ppo: $5,857.86
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,461.03
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
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 $959.46 – $4,552.37
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,069.11
  • Bcbs — Hmo: $1,860.77
  • Bcbs — Medicare Managed Care Plan: $959.46
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $1,045.59
  • Bcbs — Ppo: $2,067.52
  • Cigna — Hmo/Ppo: $4,552.37
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $2,445
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLORECTAL CANCER SCREEN COLONOSCOPY NOT HIGH RISK $2,678 $2,678 Not listed in the file
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 $6,057.25 – $29,594.35
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,950.14
  • Bcbs — Hmo: $11,747.46
  • Bcbs — Medicare Managed Care Plan: $6,057.25
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $6,797.21
  • Bcbs — Ppo: $13,052.73
  • Cigna — Hmo/Ppo: $29,594.35
  • Harvard Pilgrim Health Care — Hmo/Ppo: $8,443.59
  • Tufts Health Plan — Hmo/Ppo: $6,757.19
  • Unitedhealthcare — All Commercial Plans: $18,453
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 $3,631.91 – $17,526.95
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,116.15
  • Bcbs — Hmo: $7,043.75
  • Bcbs — Medicare Managed Care Plan: $3,631.91
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $4,025.57
  • Bcbs — Ppo: $7,826.39
  • Cigna — Hmo/Ppo: $17,526.95
  • Harvard Pilgrim Health Care — Hmo/Ppo: $3,932.29
  • Tufts Health Plan — Hmo/Ppo: $6,757.19
  • Unitedhealthcare — All Commercial Plans: $11,950
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 $1,811.37 – $11,837.62
Prostate biopsy: rates for 6 insurance plans
  • Bcbs — Hmo: $4,146.90
  • Bcbs — Medicare Managed Care Plan: $2,138.24
  • Bcbs — Ppo: $4,607.67
  • Harvard Pilgrim Health Care — Hmo/Ppo: $11,837.62
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $4,052
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $8,944.64 – $52,035.67
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $12,220.42
  • Bcbs — Hmo: $20,957.63
  • Bcbs — Medicare Managed Care Plan: $10,806.22
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $11,951.51
  • Bcbs — Ppo: $23,286.26
  • Cigna — Hmo/Ppo: $52,035.67
  • Tufts Health Plan — Hmo/Ppo: $8,944.64
  • Unitedhealthcare — All Commercial Plans: $33,378
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 $1,201.03 – $15,846.53
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,721.51
  • Bcbs — Hmo: $6,365.18
  • Bcbs — Medicare Managed Care Plan: $3,282.03
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $3,639.62
  • Bcbs — Ppo: $7,072.42
  • Cigna — Hmo/Ppo: $15,846.53
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,201.03
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $8,858
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 $725.97 – $3,455.46
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $811.50
  • Bcbs — Hmo: $1,407.95
  • Bcbs — Medicare Managed Care Plan: $725.97
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $793.65
  • Bcbs — Ppo: $1,564.39
  • Cigna — Hmo/Ppo: $3,455.46
  • Harvard Pilgrim Health Care — Hmo/Ppo: $1,966.55
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $2,445
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID $2,678 $2,678 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $956.86 – $4,674.25
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,016.82
  • Bcbs — Hmo: $1,855.73
  • Bcbs — Medicare Managed Care Plan: $956.86
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $994.44
  • Bcbs — Ppo: $2,061.92
  • Cigna — Hmo/Ppo: $4,329.71
  • Harvard Pilgrim Health Care — Hmo/Ppo: $4,674.25
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $2,445
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ PARAVERT LS SNGL LEVEL $2,700 $2,700 Not listed in the file
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 $2,026.91 – $9,846.53
Carpal tunnel release: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,244.92
  • Bcbs — Hmo: $3,930.98
  • Bcbs — Medicare Managed Care Plan: $2,026.91
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $2,195.52
  • Bcbs — Ppo: $4,367.76
  • Cigna — Hmo/Ppo: $9,559.07
  • Harvard Pilgrim Health Care — Hmo/Ppo: $9,846.53
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $8,858
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 $610.20 – $9,846.53
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $632.30
  • Bcbs — Hmo: $1,183.44
  • Bcbs — Medicare Managed Care Plan: $610.20
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $618.38
  • Bcbs — Ppo: $1,314.93
  • Cigna — Hmo/Ppo: $2,692.37
  • Harvard Pilgrim Health Care — Hmo/Ppo: $9,846.53
  • Tufts Health Plan — Hmo/Ppo: $1,811.37
  • Unitedhealthcare — All Commercial Plans: $2,445
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,140.14 – $11,297.37
Cataract removal with lens implant: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,653.15
  • Bcbs — Hmo: $4,744.56
  • Bcbs — Medicare Managed Care Plan: $2,446.40
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $2,594.77
  • Bcbs — Ppo: $5,271.73
  • Cigna — Hmo/Ppo: $11,297.37
  • Harvard Pilgrim Health Care — Hmo/Ppo: $2,140.14
  • Tufts Health Plan — Hmo/Ppo: $4,317.65
  • Unitedhealthcare — All Commercial Plans: $8,858

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $2,645.02 – $5,699.74
Vaginal delivery, with care before and after: rates for 4 insurance plans
  • Bcbs — Hmo: $5,129.77
  • Bcbs — Medicare Managed Care Plan: $2,645.02
  • Bcbs — Ppo: $5,699.74
  • Tufts Health Plan — Hmo/Ppo: $3,229.15
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 $2,933.23 – $6,757.19
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans
  • Bcbs — Hmo: $5,688.72
  • Bcbs — Medicare Managed Care Plan: $2,933.23
  • Bcbs — Ppo: $6,320.80
  • Tufts Health Plan — Hmo/Ppo: $6,757.19
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $2,764.70 – $6,757.19
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans
  • Bcbs — Hmo: $5,361.87
  • Bcbs — Medicare Managed Care Plan: $2,764.70
  • Bcbs — Ppo: $5,957.63
  • Tufts Health Plan — Hmo/Ppo: $6,757.19

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 $74,774.76 – $230,717.56
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates
  • Aetna — Hmo/Ppo: $230,717.56
  • Aetna — Medicare Managed Care Plan: $82,686.44
  • Bcbs — Medicare Managed Care Plan: $74,774.76
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $80,866.93
  • Cigna — Medicare Managed Care - Ppo: $80,866.93
  • Commonwealth Care Alliance — Medicare Managed Care Plan: $80,866.93
  • Commonwealth Care Alliance — Medicare Managed Care Plan - Dual (D-Snp): $80,866.93
  • Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $80,866.93
  • Tufts Health Plan — Medicare Managed Care Plan: $80,866.93
  • Unitedhealthcare — All Commercial Plans: $143,748.46
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file $30,740.88
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Bcbs — Medicare Managed Care Plan: $30,740.88
  • Cigna — Hmo/Ppo: 53% (a percentage in the contract, not a dollar amount)
  • Multiplan — Ppo: 85% (a percentage in the contract, not a dollar amount)
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 $15,150.02 – $45,491.18
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates
  • Aetna — Hmo/Ppo: $45,491.18
  • Aetna — Medicare Managed Care Plan: $16,787.67
  • Bcbs — Medicare Managed Care Plan: $15,150.02
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $16,418.26
  • Cigna — Medicare Managed Care - Ppo: $16,418.26
  • Commonwealth Care Alliance — Medicare Managed Care Plan: $16,418.26
  • Commonwealth Care Alliance — Medicare Managed Care Plan - Dual (D-Snp): $16,418.26
  • Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $16,418.26
  • Tufts Health Plan — Medicare Managed Care Plan: $16,418.26
  • Unitedhealthcare — All Commercial Plans: $28,343.26
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 $18,066.88 – $57,575.62
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates
  • Aetna — Hmo/Ppo: $57,575.62
  • Aetna — Medicare Managed Care Plan: $21,087
  • Bcbs — Medicare Managed Care Plan: $18,066.88
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $20,622.98
  • Cigna — Medicare Managed Care - Ppo: $20,622.98
  • Commonwealth Care Alliance — Medicare Managed Care Plan: $20,622.98
  • Commonwealth Care Alliance — Medicare Managed Care Plan - Dual (D-Snp): $20,622.98
  • Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $20,622.98
  • Tufts Health Plan — Medicare Managed Care Plan: $20,622.98
  • Unitedhealthcare — All Commercial Plans: $35,872.46
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 $8,494 – $29,260.67
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates
  • Aetna — Hmo/Ppo: $29,260.67
  • Aetna — Medicare Managed Care Plan: $11,013.28
  • Bcbs — Medicare Managed Care Plan: $8,494
  • Bcbs — Medicare Managed Care Plan - Dual (D-Snp): $10,770.93
  • Cigna — Medicare Managed Care - Ppo: $10,770.93
  • Commonwealth Care Alliance — Medicare Managed Care Plan: $10,770.93
  • Commonwealth Care Alliance — Medicare Managed Care Plan - Dual (D-Snp): $10,770.93
  • Neighborhood Health Plan - Ri — Medicare Managed Care Plan - Dual (D-Snp): $10,770.93
  • Tufts Health Plan — Medicare Managed Care Plan: $10,770.93
  • Unitedhealthcare — All Commercial Plans: $18,230.85

Source: Newport Hospital’s standard charges file (brownhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address11 Friendship Street, Newport, RI 02840
CountyNewport County
StateRhode Island
Phone(401) 846‑6400
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number410006
Name in Medicare recordsNEWPORT HOSPITAL
Profile levelMedicare data + hospital website
Official websitebrownhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Newport Hospital — brownhealth.org
  2. Visiting Hours & Guidelines — brownhealth.org
  3. Emergency Services at Newport Hospital — brownhealth.org
  4. Orthopedics Institute at Newport Hospital — brownhealth.org
  5. About Newport Hospital — brownhealth.org
  6. Newport Hospital Awards and Recognition | Brown University Health — brownhealth.org
  7. Newport Hospital: Celebrating 150 Years | Brown University Health — brownhealth.org