Does NGMC Barrow, LLC have an emergency room?

Yes. Medicare (CMS) data lists emergency services at NGMC Barrow, LLC. In a medical emergency, call 911.

Where is NGMC Barrow, LLC?

316 North Broad Street, Winder, GA 30680, in Barrow County, Georgia.

What is the phone number of NGMC Barrow, LLC?

(770) 848-8611, as listed by Medicare (CMS).

What is the Medicare star rating of NGMC Barrow, LLC?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

NGMC Barrow, LLC — Winder, GA

Quick answers

Does NGMC Barrow, LLC have an emergency room?: Yes. Medicare (CMS) data lists emergency services at NGMC Barrow, LLC. In a medical emergency, call 911.
Where is NGMC Barrow, LLC?: 316 North Broad Street, Winder, GA 30680, in Barrow County, Georgia.
What is the phone number of NGMC Barrow, LLC?: (770) 848-8611, as listed by Medicare (CMS).
What is the Medicare star rating of NGMC Barrow, LLC?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Emergency Services
Orthopedics
Surgery
Heart services
Imaging/Radiology
Pediatric Emergency Services
Laboratory Services
Pulmonary Rehabilitation
Wound Healing
Stroke Care
OB/GYN

Treatments^[6]

Surgery

Procedures^[6]

Imaging / radiology
Laboratory services

Programs and centers^[6][8]

Emergency services
Stroke care
Pulmonary rehabilitation
Wound healing

Emergency care (hospital website)^[4][5][6][8]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	All entrances close 6:30 p.m. to 7 a.m. except the emergency room entrance; enter through the ER during those hours^[6]
Patient portal	MyChart

Recognition^[4][6][9]

Primary Stroke Center
Level III Pediatric Readiness Center (Georgia Department of Public Health)
Level III Emergency Cardiac Care Center
Pain and Addiction Care in the Emergency Department (ACEP)
Patient Safety & Quality Award (Georgia Hospital Association) 2026

Doctors and clinicians (311)

311 doctors and other clinicians list NGMC Barrow, LLC 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

And 287 more: the button below opens the full list.

Other emergency rooms nearby

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

Northside Hospital Gwinnett14 mi · Lawrenceville, GA · Acute Care Hospital
Piedmont Walton Hospital16 mi · Monroe, GA · Acute Care Hospital
St Mary's Hospital18 mi · Athens, GA · Acute Care Hospital
Piedmont Athens Regional Medical Center18 mi · Athens, GA · Acute Care Hospital
Piedmont Eastside Medical Center20 mi · Snellville, GA · Acute Care Hospital

Other hospitals nearby

Ridgeview Institute Monroe15 mi · Monroe, GA · Psychiatric Hospital
Rehabilitation Hospital of Athens16 mi · Athens, GA · Inpatient Rehabilitation Hospital
Summitridge Center- Psychiatry & Addictive Med17 mi · Lawrenceville, GA · Psychiatric Hospital
Landmark Hospital of Athens, LLC17 mi · Athens, GA · Long-Term Acute Care Hospital

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

Winder Center for Nursing and Healing1.8 mi · Winder, GA · 1 of 5 stars
Park Place Nursing Facility14 mi · Monroe, GA · 2 of 5 stars
Mesun Health and Rehabilitation Center15 mi · Lawrenceville, GA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Eternal Faith Hospice and Palliative Care12 mi · Bogart, GA
Agape Hospice Care of Northeast Georgia, LLC14 mi · Lawrenceville, GA · 4 of 5 stars
Agape Hospice Care of Clarke County, LLC15 mi · Watkinsville, GA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Piedmont Home Health16 mi · Athens, GA
Mesun Home Health17 mi · Lawrenceville, GA · 4 of 5 stars
Accentcare Home Health of Northeast Georgia20 mi · Buford, GA

All home health agencies in the state →

Dialysis facilities

Barrow County Dialysis Center0.9 mi · Winder, GA · 1 of 5 stars
USRC Winder Dialysis0.9 mi · Winder, GA · 1 of 5 stars
DaVita Braselton Dialysis10 mi · Braselton, GA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Braselton ASC, LLC10 mi · Braselton, GA
Georgia Interventional Pain Q, LLC10 mi · Braselton, GA
Georgia Urology Ambulatory Surgery Center Braselton10 mi · Braselton, GA

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

MedLink Winder - Ancillary Services1.3 mi · Winder, GA · Community health center
MedLink Winder1.4 mi · Winder, GA · Community health center
MedLink Winder Women's Health Center1.4 mi · Winder, GA · Community health center

Clinics and urgent care

Advanced Urgent Care LLC10 mi · Braselton, GA · Urgent care center
Northeast Georgia Physicians Group-Urgent Care, LLC10 mi · Braselton, GA · Urgent care center
Cedar in Lebanon10 mi · Dacula, GA · Urgent care center

Pharmacies

Ingles Markets Inc0.9 mi · Winder, GA · Community/retail pharmacy
Medlink Georgia Inc0.9 mi · Winder, GA · Community/retail pharmacy
Publix Super Markets Inc0.9 mi · Winder, GA · Community/retail pharmacy

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 NGMC Barrow, LLC 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 hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	157Response rate: 13%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	11%
Deaths within 30 days: pneumonia patients	13.9%
Deaths within 30 days: COPD patients	7.7%
Deaths within 30 days: stroke patients	9.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.98No different from the national rate
Complications after hip or knee replacement	Too 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 attack	Too few cases to report
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: COPD	18.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	134 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)	81%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 Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as NGMC Barrow, LLC 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Visit New Pt Level 3	$480	$220.80	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 New Oupt E&M Services Lvl 3	$217	$99.82	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 Visit New Pt Level 4	$522	$240.12	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 New Oupt E&M Services Lvl 4	$306	$140.76	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 Visit New Pt Level 5	$664	$305.44	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 New Oupt E&M Services Lvl 5	$383	$176.18	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 Lactation Consult Extended >60 Min	$368	$169.28	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 Visit Established Pt Level 3	$368	$169.28	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 Est Oupt E&M Services Lvl 3	$128	$58.88	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 Visit Established Pt Level 4	$417	$191.82	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 Est Oupt E&M Services Lvl 4	$188	$86.48	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Consult New/Est Lvl 3	$304	$139.84	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Consult New/Est Lvl 4	$424	$195.04	Not listed in the file
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	$273.80 – $287.49
Emergency room visit (moderate): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $279.28 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $273.80 Cigna — Healthspring Medicare Managed Care Plan: $282.02 Humana — Medicare Managed Care Plan: $287.49
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Er Fee Level 3	$1,994	$917.24	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Lvl 3	$170	$78.20	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	$418.52 – $439.45
Emergency room visit (moderately high): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $426.89 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $418.52 Cigna — Healthspring Medicare Managed Care Plan: $431.08 Humana — Medicare Managed Care Plan: $439.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Er Fee Level 4	$3,021	$1,389.66	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Lvl 4	$230	$105.80	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	$597.33 – $627.20
Emergency room visit (high): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $609.28 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $597.33 Cigna — Healthspring Medicare Managed Care Plan: $615.25 Humana — Medicare Managed Care Plan: $627.20
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Er Fee Level 5	$3,507	$1,613.22	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Dept Visit Lvl 5	$342	$157.32	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance 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	$4.26 – $24.87
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $9.23 Aetna — Medicare Managed Care Plan: $8.63 Amerigroup — Medicaid Managed Care Plan: $4.26 Bcbs — Anthem Hmo: $6.54 Bcbs — Anthem Ppo: $6.54 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $8.46 Cigna — All Commercial Plans: $13.75 Cigna — Connect Hix Ifp Exchange: $13.75 Cigna — Healthspring Medicare Managed Care Plan: $8.71 Cigna — Local Plus Other Commercial Plan: $11
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel	$259	$119.14	Not listed in the file
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	$5.31 – $31.06
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates Aetna — All Commercial Plans: $11.53 Aetna — Medicare Managed Care Plan: $10.77 Amerigroup — Medicaid Managed Care Plan: $5.31 Bcbs — Anthem Ppo: $6.26 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $10.56 Cigna — All Commercial Plans: $17.15 Cigna — Connect Hix Ifp Exchange: $17.15 Cigna — Healthspring Medicare Managed Care Plan: $10.88 Cigna — Local Plus Other Commercial Plan: $13.72 Humana — Choicecare All Commercial Plans: $31.06
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comp Metabolic Panel	$474	$218.04	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	$24.07 – $120.04
Obstetric blood test panel: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $48.77 Amerigroup — Medicaid Managed Care Plan: $24.07 Bcbs — Anthem Ppo: $24.67 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $47.81 Cigna — All Commercial Plans: $77.70 Cigna — Connect Hix Ifp Exchange: $77.70 Cigna — Healthspring Medicare Managed Care Plan: $49.24 Cigna — Local Plus Other Commercial Plan: $62.16 Humana — Choicecare All Commercial Plans: $120.04 Humana — Medicare Managed Care Plan: $50.20
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prenatal Obstetric Panel	$848	$390.08	Not listed in the file
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	$6.75 – $39.40
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $14.62 Aetna — Medicare Managed Care Plan: $13.66 Amerigroup — Medicaid Managed Care Plan: $6.75 Bcbs — Anthem Hmo: $10.37 Bcbs — Anthem Ppo: $10.37 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $13.39 Cigna — All Commercial Plans: $21.75 Cigna — Connect Hix Ifp Exchange: $21.75 Cigna — Healthspring Medicare Managed Care Plan: $13.79 Cigna — Local Plus Other Commercial Plan: $17.40
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel	$384	$176.64	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	$4.37 – $25.52
Kidney function panel: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $9.48 Aetna — Medicare Managed Care Plan: $8.85 Amerigroup — Medicaid Managed Care Plan: $4.37 Bcbs — Anthem Hmo: $6.72 Bcbs — Anthem Ppo: $6.72 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $8.68 Cigna — All Commercial Plans: $14.10 Cigna — Connect Hix Ifp Exchange: $14.10 Cigna — Healthspring Medicare Managed Care Plan: $8.94 Cigna — Local Plus Other Commercial Plan: $11.28
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Function Panel	$286	$131.56	Not listed in the file
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	$4.12 – $24.02
Liver function panel: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $8.91 Aetna — Medicare Managed Care Plan: $8.33 Amerigroup — Medicaid Managed Care Plan: $4.12 Bcbs — Anthem Ppo: $4.22 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $8.17 Cigna — All Commercial Plans: $13.28 Cigna — Connect Hix Ifp Exchange: $13.28 Cigna — Healthspring Medicare Managed Care Plan: $8.42 Cigna — Local Plus Other Commercial Plan: $10.62 Humana — Choicecare All Commercial Plans: $24.02
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel	$371	$170.66	Not listed in the file
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	$1.60 – $9.37
Urine test (automated, with microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $3.46 Aetna — Medicare Managed Care Plan: $3.23 Amerigroup — Medicaid Managed Care Plan: $1.60 Bcbs — Anthem Hmo: $2.46 Bcbs — Anthem Ppo: $2.46 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3.17 Caresource — Medicaid Managed Care Plan: $4.46 Cigna — All Commercial Plans: $5.15 Cigna — Connect Hix Ifp Exchange: $5.15 Cigna — Healthspring Medicare Managed Care Plan: $3.27
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis With Microscopics	$164	$75.44	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis W/Microscopic	$164	$75.44	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	$1.76 – $7.51
Urine test (manual, without microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $2.79 Aetna — Medicare Managed Care Plan: $3.55 Amerigroup — Medicaid Managed Care Plan: $1.76 Bcbs — Anthem Hmo: $2.18 Bcbs — Anthem Ppo: $2.18 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3.48 Caresource — Medicaid Managed Care Plan: $3.59 Cigna — All Commercial Plans: $5.65 Cigna — Connect Hix Ifp Exchange: $5.65 Cigna — Healthspring Medicare Managed Care Plan: $3.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Specific Gravit	$33	$15.18	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Glucose Qual Urine	$116	$53.36	Not listed in the file
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	$1.13 – $6.60
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $2.45 Aetna — Medicare Managed Care Plan: $2.30 Amerigroup — Medicaid Managed Care Plan: $1.13 Bcbs — Anthem Hmo: $1.73 Bcbs — Anthem Ppo: $1.73 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $2.25 Caresource — Medicaid Managed Care Plan: $3.17 Cigna — All Commercial Plans: $3.65 Cigna — Connect Hix Ifp Exchange: $3.65 Cigna — Healthspring Medicare Managed Care Plan: $2.32
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis W/O Microscopics	$146	$67.16	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis W/O Microsopics	$146	$67.16	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	$9.26 – $54.06
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $20.07 Aetna — Medicare Managed Care Plan: $18.76 Amerigroup — Medicaid Managed Care Plan: $9.26 Bcbs — Anthem Ppo: $10.89 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $18.39 Caresource — Medicaid Managed Care Plan: $25.88 Cigna — All Commercial Plans: $29.88 Cigna — Connect Hix Ifp Exchange: $29.88 Cigna — Healthspring Medicare Managed Care Plan: $18.94 Cigna — Local Plus Other Commercial Plan: $23.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Free/Total Psa Ratio (Send Out)	$237	$109.02	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ultrasensitive Psa (Send Out)	$185	$85.10	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	$8.46 – $49.37
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $18.34 Aetna — Medicare Managed Care Plan: $17.14 Amerigroup — Medicaid Managed Care Plan: $8.46 Bcbs — Anthem Hmo: $13.01 Bcbs — Anthem Ppo: $13.01 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $16.80 Caresource — Medicaid Managed Care Plan: $23.63 Cigna — All Commercial Plans: $27.30 Cigna — Connect Hix Ifp Exchange: $27.30 Cigna — Healthspring Medicare Managed Care Plan: $17.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thyroid Stimulating Hormone	$305	$140.30	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tsh	$197	$90.62	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	$3.92 – $22.87
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $8.49 Aetna — Medicare Managed Care Plan: $7.93 Amerigroup — Medicaid Managed Care Plan: $3.92 Bcbs — Anthem Hmo: $6.01 Bcbs — Anthem Ppo: $6.01 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $7.77 Caresource — Medicaid Managed Care Plan: $10.93 Cigna — All Commercial Plans: $12.63 Cigna — Connect Hix Ifp Exchange: $12.63 Cigna — Healthspring Medicare Managed Care Plan: $8
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cbc With Diff	$167	$76.82	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	$3.26 – $19.02
Complete blood count (CBC), automated: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $7.06 Aetna — Medicare Managed Care Plan: $6.60 Amerigroup — Medicaid Managed Care Plan: $3.26 Bcbs — Anthem Hmo: $5.01 Bcbs — Anthem Ppo: $5.01 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $6.47 Caresource — Medicaid Managed Care Plan: $9.11 Cigna — All Commercial Plans: $10.53 Cigna — Connect Hix Ifp Exchange: $10.53 Cigna — Healthspring Medicare Managed Care Plan: $6.66
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cbc Without Diff	$83	$38.18	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	$2.16 – $11.57
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $4.30 Aetna — Medicare Managed Care Plan: $4.38 Amerigroup — Medicaid Managed Care Plan: $2.16 Bcbs — Anthem Hmo: $3.04 Bcbs — Anthem Ppo: $3.04 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $4.29 Caresource — Medicaid Managed Care Plan: $5.53 Cigna — All Commercial Plans: $6.98 Cigna — Connect Hix Ifp Exchange: $6.98 Cigna — Healthspring Medicare Managed Care Plan: $4.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Poct Prothrombin Time (Pt/Inr)	$149	$68.54	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prothrombin Time	$149	$68.54	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	$3.02 – $17.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $6.55 Aetna — Medicare Managed Care Plan: $6.13 Amerigroup — Medicaid Managed Care Plan: $3.02 Bcbs — Anthem Ppo: $3.10 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $6.01 Caresource — Medicaid Managed Care Plan: $8.44 Cigna — All Commercial Plans: $9.78 Cigna — Connect Hix Ifp Exchange: $9.78 Cigna — Healthspring Medicare Managed Care Plan: $6.19 Cigna — Local Plus Other Commercial Plan: $7.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Partial Thromboplastin Time (Aptt)	$179	$82.34	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Partial Thromboplastin Time (Ptt)	$69	$31.74	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance 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	$104.86 – $525.29
CT scan of the head or brain, without contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $106.96 Bcbs — Anthem Hmo: $525.29 Bcbs — Anthem Ppo: $525.29 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $104.86 Cigna — Healthspring Medicare Managed Care Plan: $108.01 Humana — Medicare Managed Care Plan: $110.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head W/O	$1,754	$806.84	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	$349.93 – $787.95
MRI of the brain, before and after contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $356.93 Bcbs — Anthem Hmo: $787.95 Bcbs — Anthem Ppo: $787.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $349.93 Cigna — Healthspring Medicare Managed Care Plan: $360.43 Humana — Medicare Managed Care Plan: $367.43
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain W/O/W	$4,368	$2,009.28	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	$47.60 – $103.85
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $89.03 Bcbs — Anthem Hmo: $103.85 Bcbs — Anthem Ppo: $103.85 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $87.29 Cigna — All Commercial Plans: $59.50 Cigna — Connect Hix Ifp Exchange: $59.20 Cigna — Healthspring Medicare Managed Care Plan: $89.91 Cigna — Local Plus Other Commercial Plan: $47.60 Humana — Medicare Managed Care Plan: $91.65
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc X-Ray Exam Chest 2 Views	$648	$298.08	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	$80.06 – $175.51
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $106.96 Bcbs — Anthem Hmo: $175.51 Bcbs — Anthem Ppo: $175.51 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $104.86 Cigna — All Commercial Plans: $100.08 Cigna — Connect Hix Ifp Exchange: $98.94 Cigna — Healthspring Medicare Managed Care Plan: $108.01 Cigna — Local Plus Other Commercial Plan: $80.06 Humana — Medicare Managed Care Plan: $110.10
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Xr Spine Lumb 4 5 Vws	$1,585	$729.10	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	$239.32 – $787.95
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $244.11 Bcbs — Anthem Hmo: $787.95 Bcbs — Anthem Ppo: $787.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $239.32 Cigna — Healthspring Medicare Managed Care Plan: $246.50 Humana — Medicare Managed Care Plan: $251.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri L Spine W/O	$2,083	$958.18	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	$175.93 – $525.29
CT scan of the pelvis, with contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $179.45 Bcbs — Anthem Hmo: $525.29 Bcbs — Anthem Ppo: $525.29 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $175.93 Cigna — Healthspring Medicare Managed Care Plan: $181.21 Humana — Medicare Managed Care Plan: $184.73
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis With	$2,555	$1,175.30	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	$239.32 – $787.95
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $244.11 Bcbs — Anthem Hmo: $787.95 Bcbs — Anthem Ppo: $787.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $239.32 Cigna — Healthspring Medicare Managed Care Plan: $246.50 Humana — Medicare Managed Care Plan: $251.29
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lower Ext Joint W/O	$2,122	$976.12	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	$349.93 – $525.29
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $356.93 Bcbs — Anthem Hmo: $525.29 Bcbs — Anthem Ppo: $525.29 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $349.93 Cigna — Healthspring Medicare Managed Care Plan: $360.43 Humana — Medicare Managed Care Plan: $367.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abd & Pelvis With	$5,137	$2,363.02	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	$104.86 – $206.28
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $106.96 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $104.86 Cigna — All Commercial Plans: $206.28 Cigna — Connect Hix Ifp Exchange: $200.40 Cigna — Healthspring Medicare Managed Care Plan: $108.01 Cigna — Local Plus Other Commercial Plan: $165.02 Humana — Medicare Managed Care Plan: $110.10
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete	$2,719	$1,250.74	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	$104.86 – $228.73
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $106.96 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $104.86 Cigna — All Commercial Plans: $228.73 Cigna — Connect Hix Ifp Exchange: $225.78 Cigna — Healthspring Medicare Managed Care Plan: $108.01 Cigna — Local Plus Other Commercial Plan: $182.98 Humana — Medicare Managed Care Plan: $110.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob Transabd >/=14Wk	$1,467	$674.82	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Poc Ob Us >/= 14 Wks Sngl Fetus	$1,467	$674.82	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	$104.86 – $227
Transvaginal ultrasound: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $106.96 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $104.86 Cigna — All Commercial Plans: $227 Cigna — Connect Hix Ifp Exchange: $221.53 Cigna — Healthspring Medicare Managed Care Plan: $108.01 Cigna — Local Plus Other Commercial Plan: $181.60 Humana — Medicare Managed Care Plan: $110.10
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Endovaginal Non Ob	$1,747	$803.62	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Poc Us Transvaginal Non Ob	$1,747	$803.62	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	$76.97 – $503.54
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $78.51 Bcbs — Anthem Hmo: $503.54 Bcbs — Anthem Ppo: $503.54 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $76.97 Cigna — All Commercial Plans: $226.13 Cigna — Connect Hix Ifp Exchange: $221.53 Cigna — Healthspring Medicare Managed Care Plan: $79.28 Cigna — Local Plus Other Commercial Plan: $180.91 Humana — Medicare Managed Care Plan: $80.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mammo Diag Unilateral	$677	$311.42	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	$98.82 – $643.06
Diagnostic mammogram, both breasts: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $100.80 Bcbs — Anthem Hmo: $643.06 Bcbs — Anthem Ppo: $643.06 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $98.82 Cigna — All Commercial Plans: $288.30 Cigna — Connect Hix Ifp Exchange: $282.41 Cigna — Healthspring Medicare Managed Care Plan: $101.78 Cigna — Local Plus Other Commercial Plan: $230.64 Humana — Medicare Managed Care Plan: $103.76
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mammo Diag Bilateral	$991	$455.86	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	$92.71 – $531.86
Screening mammogram, both breasts: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $94.56 Bcbs — Anthem Hmo: $531.86 Bcbs — Anthem Ppo: $531.86 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $92.71 Cigna — All Commercial Plans: $238.23 Cigna — Connect Hix Ifp Exchange: $234.21 Cigna — Healthspring Medicare Managed Care Plan: $95.49 Cigna — Local Plus Other Commercial Plan: $190.58 Humana — Medicare Managed Care Plan: $97.35
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mammo Scrn Bilat	$968	$445.28	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$3,251.74 – $20,598.14
Left heart catheterization (diagnostic): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $3,316.77 Bcbs — Anthem Hmo: $20,598.14 Bcbs — Anthem Ppo: $20,598.14 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3,251.74 Cigna — Healthspring Medicare Managed Care Plan: $3,349.29 Humana — Medicare Managed Care Plan: $3,414.32
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Left Hrt Cath W/Ventrclgraphy	$14,357	$6,604.22	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep Study W/O Arrhythmia	$10,708	$4,925.68	Not listed in the file
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	$26,216.91 – $31,386.38
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $26,741.25 Bcbs — Anthem Hmo: $31,386.38 Bcbs — Anthem Ppo: $31,386.38 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $26,216.91 Cigna — Healthspring Medicare Managed Care Plan: $27,003.42 Humana — Medicare Managed Care Plan: $27,527.75
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tx Atrial Fib Pulm Vein Isol	$47,394	$21,801.24	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Sleep Study (Partial)	$7,984	$3,672.64	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Sleep Study	$7,984	$3,672.64	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Exercise/Training 15 Min	$104	$47.84	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ot Exercise/Training(97110) 15Min	$104	$47.84	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Therapeutic Px 1/> Areas Each 15 Min Exercises	$46	$21.16	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Low	$242	$111.32	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Moderate	$242	$111.32	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High	$242	$111.32	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	$62.29 – $186.93
Psychotherapy, 30 minutes: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $181.59 Amerigroup — Medicaid Managed Care Plan: $62.29 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $178.03 Cigna — Healthspring Medicare Managed Care Plan: $183.37 Humana — Medicare Managed Care Plan: $186.93
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W/Patient 30 Minutes	$1,128	$518.88	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	$124.59 – $186.93
Psychotherapy, 45 minutes: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $181.59 Amerigroup — Medicaid Managed Care Plan: $124.59 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $178.03 Cigna — Healthspring Medicare Managed Care Plan: $183.37 Humana — Medicare Managed Care Plan: $186.93
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W/Patient 45 Minutes	$443	$203.78	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	$144.52 – $186.93
Psychotherapy, 60 minutes: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $181.59 Amerigroup — Medicaid Managed Care Plan: $144.52 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $178.03 Cigna — Healthspring Medicare Managed Care Plan: $183.37 Humana — Medicare Managed Care Plan: $186.93
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W/Patient 60 Minutes	$1,044	$480.24	Not listed in the file
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	$93.23 – $186.93
Family psychotherapy, without the patient: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $181.59 Amerigroup — Medicaid Managed Care Plan: $93.23 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $178.03 Cigna — Healthspring Medicare Managed Care Plan: $183.37 Humana — Medicare Managed Care Plan: $186.93
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy W/O Patient Present 50 Mins	$1,044	$480.24	Not listed in the file
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	$110.87 – $186.93
Family psychotherapy, with the patient: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $181.59 Amerigroup — Medicaid Managed Care Plan: $110.87 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $178.03 Cigna — Healthspring Medicare Managed Care Plan: $183.37 Humana — Medicare Managed Care Plan: $186.93
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy W/Patient Present 50 Mins	$1,044	$480.24	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	$33.98 – $106.99
Group psychotherapy: rates for 5 insurance plans Aetna — Medicare Managed Care Plan: $103.93 Amerigroup — Medicaid Managed Care Plan: $33.98 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $101.90 Cigna — Healthspring Medicare Managed Care Plan: $104.95 Humana — Medicare Managed Care Plan: $106.99
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Intensive Outpatient	$431	$198.26	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Day Partial Hosp	$431	$198.26	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	$3,927.28 – $18,462.82
Removal of breast growth (open surgery): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $4,005.82 Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3,927.28 Cigna — All Commercial Plans: $17,920 Cigna — Connect Hix Ifp Exchange: $9,843 Cigna — Healthspring Medicare Managed Care Plan: $4,045.09 Cigna — Local Plus Other Commercial Plan: $14,335 Humana — Medicare Managed Care Plan: $4,123.64
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	$12,877.51 – $27,249.69
Total hip replacement: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $13,135.06 Bcbs — Anthem Hmo: $27,249.69 Bcbs — Anthem Ppo: $27,249.69 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $12,877.51 Cigna — Connect Hix Ifp Exchange: $16,181 Cigna — Healthspring Medicare Managed Care Plan: $13,263.84 Humana — Medicare Managed Care Plan: $13,521.39
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	$12,877.51 – $29,416.54
Total knee replacement: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $13,135.06 Bcbs — Anthem Hmo: $29,416.54 Bcbs — Anthem Ppo: $29,416.54 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $12,877.51 Cigna — Connect Hix Ifp Exchange: $17,497 Cigna — Healthspring Medicare Managed Care Plan: $13,263.84 Humana — Medicare Managed Care Plan: $13,521.39
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	$9,843 – $17,920
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Cigna — All Commercial Plans: $17,920 Cigna — Connect Hix Ifp Exchange: $9,843 Cigna — Local Plus Other Commercial Plan: $14,335
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	$3,281.90 – $21,668
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,347.53 Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3,281.90 Cigna — All Commercial Plans: $21,668 Cigna — Connect Hix Ifp Exchange: $12,066 Cigna — Healthspring Medicare Managed Care Plan: $3,380.35 Cigna — Local Plus Other Commercial Plan: $17,334 Humana — Medicare Managed Care Plan: $3,445.99
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	$5,937.73 – $22,325.05
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $6,056.49 Bcbs — Anthem Hmo: $22,325.05 Bcbs — Anthem Ppo: $22,325.05 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $5,937.73 Cigna — All Commercial Plans: $17,920 Cigna — Connect Hix Ifp Exchange: $9,843 Cigna — Healthspring Medicare Managed Care Plan: $6,115.87 Cigna — Local Plus Other Commercial Plan: $14,335 Humana — Medicare Managed Care Plan: $6,234.62
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	$909.73 – $10,044.95
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $927.92 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $909.73 Cigna — All Commercial Plans: $9,750 Cigna — Connect Hix Ifp Exchange: $5,494 Cigna — Healthspring Medicare Managed Care Plan: $937.02 Cigna — Local Plus Other Commercial Plan: $7,800 Humana — Medicare Managed Care Plan: $955.21
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Egd Diagnostic Brush Wash	$1,561	$718.06	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	$909.73 – $14,322
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $927.92 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $909.73 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $937.02 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $955.21
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	$932.77 – $14,322
Colonoscopy (diagnostic): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $951.43 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $932.77 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $960.75 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $979.41
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	$1,200.26 – $16,441.74
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,224.27 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $1,200.26 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $1,236.27 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $1,260.27
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	$1,200.26 – $16,441.74
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,224.27 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $1,200.26 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $1,236.27 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $1,260.27
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	$1,200.26 – $16,441.74
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,224.27 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $1,200.26 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $1,236.27 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $1,260.27
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	$932.77 – $14,322
Screening colonoscopy (not high risk): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $951.43 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $932.77 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $960.75 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $979.41
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	$6,063.81 – $29,917
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $6,185.09 Bcbs — Anthem Hmo: $23,309.97 Bcbs — Anthem Ppo: $23,309.97 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $6,063.81 Cigna — All Commercial Plans: $29,917 Cigna — Connect Hix Ifp Exchange: $19,238 Cigna — Healthspring Medicare Managed Care Plan: $6,245.73 Cigna — Local Plus Other Commercial Plan: $23,934 Humana — Medicare Managed Care Plan: $6,367
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	$3,591.23 – $21,668
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,663.05 Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3,591.23 Cigna — All Commercial Plans: $21,668 Cigna — Connect Hix Ifp Exchange: $12,066 Cigna — Healthspring Medicare Managed Care Plan: $3,698.97 Cigna — Local Plus Other Commercial Plan: $17,334 Humana — Medicare Managed Care Plan: $3,770.79
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	$8,563 – $16,441.74
Prostate biopsy: rates for 5 insurance plans Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Local Plus Other Commercial Plan: $11,458
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Biopsy Prostate	$11,871	$5,460.66	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prostate Needle Biopsy Any Approach	$11,871	$5,460.66	Not listed in the file
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	$10,661.98 – $29,416.54
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $10,875.22 Bcbs — Anthem Hmo: $29,416.54 Bcbs — Anthem Ppo: $29,416.54 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $10,661.98 Cigna — Healthspring Medicare Managed Care Plan: $10,981.84 Humana — Medicare Managed Care Plan: $11,195.08
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	$3,246.92 – $17,920
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $3,311.85 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $3,246.92 Cigna — All Commercial Plans: $17,920 Cigna — Connect Hix Ifp Exchange: $9,843 Cigna — Healthspring Medicare Managed Care Plan: $3,344.32 Cigna — Local Plus Other Commercial Plan: $14,335 Humana — Medicare Managed Care Plan: $3,409.26
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	$708.02 – $10,044.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $722.18 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $708.02 Cigna — All Commercial Plans: $9,750 Cigna — Connect Hix Ifp Exchange: $5,494 Cigna — Healthspring Medicare Managed Care Plan: $729.26 Cigna — Local Plus Other Commercial Plan: $7,800 Humana — Medicare Managed Care Plan: $743.42
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inject Spine L/S Single	$8,333	$3,833.18	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	$887.15 – $10,044.95
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $904.89 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $887.15 Cigna — All Commercial Plans: $9,750 Cigna — Connect Hix Ifp Exchange: $5,494 Cigna — Healthspring Medicare Managed Care Plan: $913.76 Cigna — Local Plus Other Commercial Plan: $7,800 Humana — Medicare Managed Care Plan: $931.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,494	$1,607.24	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	$1,958.63 – $16,441.74
Carpal tunnel release: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $1,997.80 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $1,958.63 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $2,017.39 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $2,056.56
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	$551.66 – $14,322
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $562.69 Bcbs — Anthem Hmo: $10,044.95 Bcbs — Anthem Ppo: $10,044.95 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $551.66 Cigna — All Commercial Plans: $14,322 Cigna — Connect Hix Ifp Exchange: $8,563 Cigna — Healthspring Medicare Managed Care Plan: $568.21 Cigna — Local Plus Other Commercial Plan: $11,458 Humana — Medicare Managed Care Plan: $579.24
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	$2,314.80 – $28,551
Cataract removal with lens implant: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $2,361.10 Bcbs — Anthem Hmo: $16,441.74 Bcbs — Anthem Ppo: $16,441.74 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $2,314.80 Cigna — All Commercial Plans: $28,551 Cigna — Connect Hix Ifp Exchange: $17,497 Cigna — Healthspring Medicare Managed Care Plan: $2,384.25 Cigna — Local Plus Other Commercial Plan: $22,840 Humana — Medicare Managed Care Plan: $2,430.54

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance 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	$18,462.82
Vaginal delivery, with care before and after: rates for 2 insurance plans Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82
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	$18,462.82
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82
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	$18,462.82
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Bcbs — Anthem Hmo: $18,462.82 Bcbs — Anthem Ppo: $18,462.82

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$77,452.21 – $316,831.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $257,009.45 Aetna — Medicare Managed Care Plan: $79,001.25 Bcbs — Anthem Hmo: $316,831.61 Bcbs — Anthem Ppo: $316,831.61 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $77,452.21 Cigna — All Commercial Plans: $275,924.24 Cigna — Connect Hix Ifp Exchange: $109,532.04 Cigna — Healthspring Medicare Managed Care Plan: $79,775.78 Cigna — Local Plus Other Commercial Plan: $212,453.56 Healthpartners — Alliant All Commercial Plans: $93,039.51
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	$53,326.69 – $59,920.61
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Healthpartners — Banks County Boc All Commercial Plans: $53,326.69 Healthpartners — Cottrell Inc All Commercial Plans: $53,326.69 Healthpartners — Pharma Tech Industries All Commercial Plans: $59,920.61
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	$18,178.11 – $56,950.53
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $46,355.02 Aetna — Medicare Managed Care Plan: $20,181.15 Bcbs — Anthem Hmo: $56,950.53 Bcbs — Anthem Ppo: $56,950.53 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $19,785.44 Cigna — All Commercial Plans: $53,910.22 Cigna — Connect Hix Ifp Exchange: $21,400.43 Cigna — Healthspring Medicare Managed Care Plan: $20,379 Cigna — Local Plus Other Commercial Plan: $41,509.28 Healthpartners — Alliant All Commercial Plans: $18,178.11
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$22,822.18 – $71,500.02
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $58,197.61 Aetna — Medicare Managed Care Plan: $24,018.65 Bcbs — Anthem Hmo: $71,500.02 Bcbs — Anthem Ppo: $71,500.02 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $23,547.70 Cigna — All Commercial Plans: $67,682.98 Cigna — Connect Hix Ifp Exchange: $26,867.72 Cigna — Healthspring Medicare Managed Care Plan: $24,254.13 Cigna — Local Plus Other Commercial Plan: $52,113.91 Healthpartners — Alliant All Commercial Plans: $22,822.18
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$11,555.70 – $36,203.08
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $29,467.58 Aetna — Medicare Managed Care Plan: $15,027.02 Bcbs — Anthem Hmo: $36,203.08 Bcbs — Anthem Ppo: $36,203.08 Blue Cross — State Health Benefit Plan Medicare Managed Care Plan: $14,732.37 Cigna — All Commercial Plans: $34,270.37 Cigna — Connect Hix Ifp Exchange: $13,604.11 Cigna — Healthspring Medicare Managed Care Plan: $15,174.34 Cigna — Local Plus Other Commercial Plan: $26,387.18 Healthpartners — Alliant All Commercial Plans: $11,555.70

Source: NGMC Barrow, LLC’s standard charges file (nghs.com, JSON, 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 type	Acute Care Hospital
Address	316 North Broad Street, Winder, GA 30680
County	Barrow County
State	Georgia
Phone	(770) 848‑8611
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
CMS Certification Number	110045
Name in Medicare records	NGMC BARROW, LLC
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(770) 867‑3400^[4]
Name on the hospital’s website	Northeast Georgia Medical Center Barrow
Official website	nghs.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Northeast Georgia Medical Center Barrow — nghs.com
Visitation - Northeast Georgia Health System — nghs.com
Northeast Georgia Medical Center Barrow - Northeast Georgia Health System — nghs.com
Emergency Care — nghs.com
NGHS hospitals win statewide patient safety awards - Northeast Georgia Health System — nghs.com

NGMC Barrow, LLC

Summary

Profile from official sources

At a glance