Does Nicklaus Children's Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Nicklaus Children's Hospital. In a medical emergency, call 911.

Where is Nicklaus Children's Hospital?

3100 SW 62nd Ave, Miami, FL 33155, in Miami-Dade County, Florida.

What is the phone number of Nicklaus Children's Hospital?

(305) 666-6511, as listed by Medicare (CMS).

What is the Medicare star rating of Nicklaus Children's Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Nicklaus Children's Hospital — Miami, FL

Quick answers

Does Nicklaus Children's Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Nicklaus Children's Hospital. In a medical emergency, call 911.
Where is Nicklaus Children's Hospital?: 3100 SW 62nd Ave, Miami, FL 33155, in Miami-Dade County, Florida.
What is the phone number of Nicklaus Children's Hospital?: (305) 666-6511, as listed by Medicare (CMS).
What is the Medicare star rating of Nicklaus Children's Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[6]

Cancer and Blood Disorders
Pediatric Cardiology
Neuroscience
Orthopedics and Spine Surgery
Sports Medicine
Hematology/Oncology
Neurosurgery
Spine Surgery
General Pediatrics

Programs and centers^[6]

Beckwith-Wiedemann Syndrome Center
Colorectal Center
Diabetes Treatment Center
Eating Disorders Program
Epilepsy Center
Headache Program
IBD Center
Leukemia and Lymphoma Program
Neuromuscular and Movement Disorders Program
Sleep Disorders Center
Sports Health

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Visiting	General visitation 9:00 a.m. to 9:30 p.m.; children under 12 need adult supervision; ICU and some units have stricter rules^[5]

Recognition^[6]

No. 1 Pediatric Hospital in Florida (tied), U.S. News & World Report

Doctors and clinicians (11)

11 doctors and other clinicians list Nicklaus Children's 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

Other emergency rooms nearby

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

Keralty Hospital1.4 mi · Miami, FL · Acute Care Hospital
Doctors Hospital1.8 mi · Coral Gables, FL · Acute Care Hospital
Larkin Community Hospital2.6 mi · South Miami, FL · Acute Care Hospital
Coral Gables Hospital2.6 mi · Coral Gables, FL · Acute Care Hospital
South Miami Hospital2.7 mi · Miami, FL · Acute Care Hospital

Other hospitals nearby

West Gables Rehabilitation Hospital1.4 mi · Miami, FL · Inpatient Rehabilitation 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

West Gables Health Care Center1.4 mi · Miami, FL · 5 of 5 stars
Coral Gables Nursing and Rehabilitation Center1.6 mi · Miami, FL · 5 of 5 stars
Palmetto Subacute Care Center2.0 mi · Miami, FL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Bristol Hospice - Miami Dade, LLC2.6 mi · Miami, FL
Continuum Care of Miami Dade LLC2.6 mi · Miami, FL
Gentiva2.6 mi · Miami, FL · 3 of 5 stars

All hospice providers in the state →

Home health agencies

A Joyful Heart Home Services LLC1.0 mi · Miami, FL
Alternative Medical Healthcare Services Corp1.0 mi · Miami, FL
Continental Home Health Care, Inc1.0 mi · Miami, FL

All home health agencies in the state →

Dialysis facilities

DaVita Interamerican Dialysis Center1.0 mi · Miami, FL · 4 of 5 stars
Nicklaus Children's Health System1.0 mi · Miami, FL
BMA - Metropolitan Miami1.7 mi · Miami, FL · 2 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.

Douglas Laser and Surgery Center1.7 mi · Coral Gables, FL
Surgery Center of Coral Gables1.7 mi · Coral Gables, FL
The Endoscopy Center1.7 mi · Miami, FL

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

Coconut Grove Health Center2.7 mi · Miami, FL · Community health center
South Miami Health Center2.7 mi · Miami, FL · Community health center
BMC Flagami Center2.7 mi · Miami, FL · Community health center

Clinics and urgent care

Action-Med, Inc.1.0 mi · Miami, FL · Urgent care center
MD Now Medical Centers, Inc1.0 mi · Miami, FL · Urgent care center
Medlife Health Care, Inc.1.0 mi · Miami, FL · Urgent care center

Pharmacies

Advanced Health Pharmacy LLC1.0 mi · Miami, FL · Community/retail pharmacy
Black & White Pharmacy Corp1.0 mi · Miami, FL · Community/retail pharmacy
Connect Meds Pharmacy Group LLC1.0 mi · Miami, FL · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

A Piedra ALF Inc1.0 mi · Miami, FL
ALF Family Solution Corp1.0 mi · Miami, FL
Alis Sweet Home Inc1.0 mi · Miami, FL
Amigos Home ALF Corp1.0 mi · Miami, FL

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 Nicklaus Children's 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.

Not reported to Medicare

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	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Miami Best hospitals in Miami

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Nicklaus Children's 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

Service	Hospital charge	Cash price	Insurance 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	$83.38 – $93
New patient office visit (about 30–44 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $93 Cigna — Surfit/Local Plus: $83.38
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	$135.26 – $150.87
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $150.87 Cigna — Surfit/Local Plus: $135.26
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	$187.20 – $208.80
New patient office visit (about 60–74 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $208.80 Cigna — Surfit/Local Plus: $187.20
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	$65 – $72.50
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $72.50 Cigna — Surfit/Local Plus: $65
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	$95.99 – $107.07
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $107.07 Cigna — Surfit/Local Plus: $95.99
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	$1,497.94 – $1,662.69
Emergency room visit (moderate): rates for 2 insurance plans Cigna — Hmo/Ppo: $1,662.69 Cigna — Surfit/Local Plus: $1,497.94
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	$2,289.73 – $2,541.55
Emergency room visit (moderately high): rates for 2 insurance plans Cigna — Hmo/Ppo: $2,541.55 Cigna — Surfit/Local Plus: $2,289.73
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	$3,267.95 – $3,627.36
Emergency room visit (high): rates for 2 insurance plans Cigna — Hmo/Ppo: $3,627.36 Cigna — Surfit/Local Plus: $3,267.95

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	$8.88 – $10.58
Basic metabolic panel (blood test): rates for 3 insurance plans Cigna — Hmo/Ppo: $9.90 Cigna — Surfit/Local Plus: $8.88 Imagine Health — Commercial: $10.58
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	$11.09 – $13.20
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Cigna — Hmo/Ppo: $12.36 Cigna — Surfit/Local Plus: $11.09 Imagine Health — Commercial: $13.20
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	$50.20 – $59.76
Obstetric blood test panel: rates for 3 insurance plans Cigna — Hmo/Ppo: $55.94 Cigna — Surfit/Local Plus: $50.20 Imagine Health — Commercial: $59.76
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	$14.06 – $16.74
Cholesterol panel (lipid panel): rates for 3 insurance plans Cigna — Hmo/Ppo: $15.67 Cigna — Surfit/Local Plus: $14.06 Imagine Health — Commercial: $16.74
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	$9.11 – $10.85
Kidney function panel: rates for 3 insurance plans Cigna — Hmo/Ppo: $10.16 Cigna — Surfit/Local Plus: $9.11 Imagine Health — Commercial: $10.85
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	$8.58 – $10.21
Liver function panel: rates for 3 insurance plans Cigna — Hmo/Ppo: $9.56 Cigna — Surfit/Local Plus: $8.58 Imagine Health — Commercial: $10.21
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	$3.33 – $3.96
Urine test (automated, with microscope): rates for 3 insurance plans Cigna — Hmo/Ppo: $3.71 Cigna — Surfit/Local Plus: $3.33 Imagine Health — Commercial: $3.96
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	$3.65 – $4.35
Urine test (manual, without microscope): rates for 3 insurance plans Cigna — Hmo/Ppo: $4.07 Cigna — Surfit/Local Plus: $3.65 Imagine Health — Commercial: $4.35
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	$2.36 – $2.81
Urine test (automated, without microscope): rates for 3 insurance plans Cigna — Hmo/Ppo: $2.63 Cigna — Surfit/Local Plus: $2.36 Imagine Health — Commercial: $2.81
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	$19.31 – $22.99
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Cigna — Hmo/Ppo: $21.52 Cigna — Surfit/Local Plus: $19.31 Imagine Health — Commercial: $22.99
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	$17.64 – $21
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Cigna — Hmo/Ppo: $19.66 Cigna — Surfit/Local Plus: $17.64 Imagine Health — Commercial: $21
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	$8.16 – $9.71
Complete blood count (CBC) with differential: rates for 3 insurance plans Cigna — Hmo/Ppo: $9.09 Cigna — Surfit/Local Plus: $8.16 Imagine Health — Commercial: $9.71
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	$6.79 – $8.09
Complete blood count (CBC), automated: rates for 3 insurance plans Cigna — Hmo/Ppo: $7.57 Cigna — Surfit/Local Plus: $6.79 Imagine Health — Commercial: $8.09
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	$4.50 – $5.36
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Cigna — Hmo/Ppo: $5.02 Cigna — Surfit/Local Plus: $4.50 Imagine Health — Commercial: $5.36
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	$6.31 – $7.51
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Cigna — Hmo/Ppo: $7.03 Cigna — Surfit/Local Plus: $6.31 Imagine Health — Commercial: $7.51

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	$573.68 – $636.78
CT scan of the head or brain, without contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $636.78 Cigna — Surfit/Local Plus: $573.68
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	$1,914.41 – $2,124.96
MRI of the brain, before and after contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $2,124.96 Cigna — Surfit/Local Plus: $1,914.41
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	$477.55 – $530.07
Chest X-ray, 2 views: rates for 2 insurance plans Cigna — Hmo/Ppo: $530.07 Cigna — Surfit/Local Plus: $477.55
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	$573.68 – $636.78
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans Cigna — Hmo/Ppo: $636.78 Cigna — Surfit/Local Plus: $573.68
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	$1,309.30 – $1,453.30
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,453.30 Cigna — Surfit/Local Plus: $1,309.30
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	$962.51 – $1,068.36
CT scan of the pelvis, with contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,068.36 Cigna — Surfit/Local Plus: $962.51
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	$1,309.30 – $1,453.30
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,453.30 Cigna — Surfit/Local Plus: $1,309.30
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	$1,914.41 – $2,124.96
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans Cigna — Hmo/Ppo: $2,124.96 Cigna — Surfit/Local Plus: $1,914.41
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	$573.68 – $636.78
Ultrasound of the abdomen, complete: rates for 2 insurance plans Cigna — Hmo/Ppo: $636.78 Cigna — Surfit/Local Plus: $573.68
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	$573.68 – $636.78
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans Cigna — Hmo/Ppo: $636.78 Cigna — Surfit/Local Plus: $573.68
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	$573.68 – $636.78
Transvaginal ultrasound: rates for 2 insurance plans Cigna — Hmo/Ppo: $636.78 Cigna — Surfit/Local Plus: $573.68
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	$93.81 – $104.63
Diagnostic mammogram, one breast: rates for 2 insurance plans Cigna — Hmo/Ppo: $104.63 Cigna — Surfit/Local Plus: $93.81
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	$120.72 – $134.65
Diagnostic mammogram, both breasts: rates for 2 insurance plans Cigna — Hmo/Ppo: $134.65 Cigna — Surfit/Local Plus: $120.72
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	$99.24 – $110.69
Screening mammogram, both breasts: rates for 2 insurance plans Cigna — Hmo/Ppo: $110.69 Cigna — Surfit/Local Plus: $99.24

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance 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	$17.43 – $19.44
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Cigna — Hmo/Ppo: $19.44 Cigna — Surfit/Local Plus: $17.43
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	$17,789.91 – $19,746.44
Left heart catheterization (diagnostic): rates for 3 insurance plans Cigna — Hmo/Ppo: $19,746.44 Cigna — Surfit/Local Plus: $17,789.91 Unitedhealthcare — Commercial: $19,151
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	$465.76 – $68,770
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $46,234 Blue Cross Blue Shield — Mbn: $34,559 Blue Cross Blue Shield — Nwb: $56,497 Blue Cross Blue Shield — Phs: $65,445 Blue Cross Blue Shield — Ppo: $68,770 Cigna — Hmo/Ppo: $47,507.38 Cigna — Surfit/Local Plus: $42,800.22 Unitedhealthcare — Commercial: $23,109
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	$29,353 – $159,204.42
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $46,234 Blue Cross Blue Shield — Mbn: $34,559 Blue Cross Blue Shield — Nwb: $56,497 Blue Cross Blue Shield — Phs: $65,445 Blue Cross Blue Shield — Ppo: $68,770 Cigna — Hmo/Ppo: $159,204.42 Cigna — Surfit/Local Plus: $143,430.04 Unitedhealthcare — Commercial: $29,353
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	$4,712.27 – $5,230.53
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans Cigna — Hmo/Ppo: $5,230.53 Cigna — Surfit/Local Plus: $4,712.27

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance 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	$31.34 – $34.95
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans Cigna — Hmo/Ppo: $34.95 Cigna — Surfit/Local Plus: $31.34
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	$104.28 – $116.31
Physical therapy evaluation (low complexity): rates for 2 insurance plans Cigna — Hmo/Ppo: $116.31 Cigna — Surfit/Local Plus: $104.28
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	$104.28 – $116.31
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans Cigna — Hmo/Ppo: $116.31 Cigna — Surfit/Local Plus: $104.28
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	$104.28 – $116.31
Physical therapy evaluation (high complexity): rates for 2 insurance plans Cigna — Hmo/Ppo: $116.31 Cigna — Surfit/Local Plus: $104.28
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	$974 – $1,081.12
Psychotherapy, 30 minutes: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,081.12 Cigna — Surfit/Local Plus: $974
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	$974 – $1,081.12
Psychotherapy, 45 minutes: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,081.12 Cigna — Surfit/Local Plus: $974
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	$974 – $1,081.12
Psychotherapy, 60 minutes: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,081.12 Cigna — Surfit/Local Plus: $974
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	$974 – $1,081.12
Family psychotherapy, without the patient: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,081.12 Cigna — Surfit/Local Plus: $974
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	$974 – $1,081.12
Family psychotherapy, with the patient: rates for 2 insurance plans Cigna — Hmo/Ppo: $1,081.12 Cigna — Surfit/Local Plus: $974
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	$557.48 – $618.79
Group psychotherapy: rates for 2 insurance plans Cigna — Hmo/Ppo: $618.79 Cigna — Surfit/Local Plus: $557.48

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	$8,654 – $27,625
Removal of breast growth (open surgery): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $23,848.71 Cigna — Surfit/Local Plus: $21,485.72 Unitedhealthcare — Commercial: $8,654
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	$14,578 – $78,199.82
Total hip replacement: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $78,199.82 Cigna — Surfit/Local Plus: $70,451.58 Unitedhealthcare — Commercial: $23,320
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	$14,578 – $78,199.82
Total knee replacement: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $78,199.82 Cigna — Surfit/Local Plus: $70,451.58 Unitedhealthcare — Commercial: $23,320
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	$185.64 – $2,649
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Cigna — Hmo/Ppo: $207.06 Cigna — Surfit/Local Plus: $185.64 Unitedhealthcare — Commercial: $2,649
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	$13,048 – $24,243
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $17,119 Blue Cross Blue Shield — Mbn: $13,048 Blue Cross Blue Shield — Nwb: $20,427 Blue Cross Blue Shield — Phs: $23,993 Blue Cross Blue Shield — Ppo: $24,243 Cigna — Hmo/Ppo: $19,929.61 Cigna — Surfit/Local Plus: $17,954.94 Unitedhealthcare — Commercial: $13,555
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	$5,513 – $36,057.42
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans Aetna — Commercial: $5,513 Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $36,057.42 Cigna — Surfit/Local Plus: $32,484.76 Unitedhealthcare — Commercial: $8,654
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	$4,977.02 – $16,655
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,760 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $13,900 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $5,524.39 Cigna — Surfit/Local Plus: $4,977.02 Unitedhealthcare — Commercial: $8,105
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	$4,961 – $16,655
Upper GI endoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $4,961 Blue Cross Blue Shield — Hmo: $11,760 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $13,900 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $5,524.39 Cigna — Surfit/Local Plus: $4,977.02 Unitedhealthcare — Commercial: $8,105
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	$97.91 – $16,655
Colonoscopy (diagnostic): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,760 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $13,900 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $5,664.35 Cigna — Surfit/Local Plus: $5,103.11 Unitedhealthcare — Commercial: $8,105
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	$3,969 – $16,655
Colonoscopy with biopsy: rates for 9 insurance plans Aetna — Commercial: $3,969 Blue Cross Blue Shield — Hmo: $11,762 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $14,152 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $7,288.67 Cigna — Surfit/Local Plus: $6,566.49 Unitedhealthcare — Commercial: $8,105
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	$6,566.49 – $16,655
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,762 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $14,152 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $7,288.67 Cigna — Surfit/Local Plus: $6,566.49 Unitedhealthcare — Commercial: $8,105
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	$6,566.49 – $16,655
Ultrasound of the lower bowel by endoscope: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,762 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $14,152 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $7,288.67 Cigna — Surfit/Local Plus: $6,566.49 Unitedhealthcare — Commercial: $8,105
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	$97.91 – $6,675
Screening colonoscopy (not high risk): rates for 3 insurance plans Cigna — Hmo/Ppo: $5,664.35 Cigna — Surfit/Local Plus: $5,103.11 Unitedhealthcare — Commercial: $6,675
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	$14,578 – $36,823.03
Gallbladder removal by laparoscope: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $36,823.03 Cigna — Surfit/Local Plus: $33,174.51 Unitedhealthcare — Commercial: $23,109
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	$13,555 – $27,625
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $21,808.07 Cigna — Surfit/Local Plus: $19,647.27 Unitedhealthcare — Commercial: $13,555
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	$8,105 – $16,847
Prostate biopsy: rates for 6 insurance plans Blue Cross Blue Shield — Hmo: $11,894 Blue Cross Blue Shield — Mbn: $9,240 Blue Cross Blue Shield — Nwb: $14,622 Blue Cross Blue Shield — Phs: $16,674 Blue Cross Blue Shield — Ppo: $16,847 Unitedhealthcare — Commercial: $8,105
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	$14,578 – $64,745.84
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $19,310 Blue Cross Blue Shield — Mbn: $14,578 Blue Cross Blue Shield — Nwb: $22,833 Blue Cross Blue Shield — Phs: $27,340 Blue Cross Blue Shield — Ppo: $27,625 Cigna — Hmo/Ppo: $64,745.84 Cigna — Surfit/Local Plus: $58,330.65 Unitedhealthcare — Commercial: $23,320
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	$8,654 – $24,243
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $17,119 Blue Cross Blue Shield — Mbn: $13,048 Blue Cross Blue Shield — Nwb: $20,427 Blue Cross Blue Shield — Phs: $23,993 Blue Cross Blue Shield — Ppo: $24,243 Cigna — Hmo/Ppo: $19,717.17 Cigna — Surfit/Local Plus: $17,763.55 Unitedhealthcare — Commercial: $8,654
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	$3,873.50 – $16,655
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,760 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $13,900 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $4,299.51 Cigna — Surfit/Local Plus: $3,873.50 Unitedhealthcare — Commercial: $6,675
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	$4,853.49 – $16,655
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,760 Blue Cross Blue Shield — Mbn: $8,966 Blue Cross Blue Shield — Nwb: $13,900 Blue Cross Blue Shield — Phs: $16,484 Blue Cross Blue Shield — Ppo: $16,655 Cigna — Hmo/Ppo: $5,387.27 Cigna — Surfit/Local Plus: $4,853.49 Unitedhealthcare — Commercial: $6,675
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	$8,654 – $16,847
Carpal tunnel release: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,894 Blue Cross Blue Shield — Mbn: $9,240 Blue Cross Blue Shield — Nwb: $14,622 Blue Cross Blue Shield — Phs: $16,674 Blue Cross Blue Shield — Ppo: $16,847 Cigna — Hmo/Ppo: $11,893.97 Cigna — Surfit/Local Plus: $10,715.49 Unitedhealthcare — Commercial: $8,654
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	$3,018.08 – $9,641
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $6,803 Blue Cross Blue Shield — Mbn: $5,037 Blue Cross Blue Shield — Nwb: $8,045 Blue Cross Blue Shield — Phs: $9,540 Blue Cross Blue Shield — Ppo: $9,641 Cigna — Hmo/Ppo: $3,350.01 Cigna — Surfit/Local Plus: $3,018.08 Unitedhealthcare — Commercial: $6,675
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	$8,654 – $16,847
Cataract removal with lens implant: rates for 8 insurance plans Blue Cross Blue Shield — Hmo: $11,894 Blue Cross Blue Shield — Mbn: $9,240 Blue Cross Blue Shield — Nwb: $14,622 Blue Cross Blue Shield — Phs: $16,674 Blue Cross Blue Shield — Ppo: $16,847 Cigna — Hmo/Ppo: $14,056.86 Cigna — Surfit/Local Plus: $12,664.07 Unitedhealthcare — Commercial: $8,654

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	$2,889.59 – $3,223
Vaginal delivery, with care before and after: rates for 2 insurance plans Cigna — Hmo/Ppo: $3,223 Cigna — Surfit/Local Plus: $2,889.59
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	$3,291.23 – $3,670.98
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Cigna — Hmo/Ppo: $3,670.98 Cigna — Surfit/Local Plus: $3,291.23
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	$3,111.20 – $3,470.19
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Cigna — Hmo/Ppo: $3,470.19 Cigna — Surfit/Local Plus: $3,111.20

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	$216,679.24 – $452,268.63
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Blue Cross Blue Shield — Hmo: $279,621.77 Blue Cross Blue Shield — Mbn: $216,679.24 Blue Cross Blue Shield — Nwb: $339,639.25 Blue Cross Blue Shield — Phs: $452,268.63 Blue Cross Blue Shield — Ppo: $430,863.86 Cigna — Hmo/Ppo: $244,570 Cigna — Surfit/Local Plus: $220,113 Unitedhealthcare — Commercial: $277,443 Avmed — Broad: 71% (a percentage in the contract, not a dollar amount) Bmi — Commercial: 55% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 10 insurance plans Avmed — Broad: 71% (a percentage in the contract, not a dollar amount) Bmi — Commercial: 55% (a percentage in the contract, not a dollar amount) Curative — Commercial: 63% (a percentage in the contract, not a dollar amount) Global Excel Management — International: 65% (a percentage in the contract, not a dollar amount) Gmmi Global Medical Mgmt — International: 65% (a percentage in the contract, not a dollar amount) Imagine Health — Commercial: 48% (a percentage in the contract, not a dollar amount) Quality Health Management — International: 65% (a percentage in the contract, not a dollar amount) Sanus — International: 65% (a percentage in the contract, not a dollar amount) Unitedhealthcare — Federal Exchange: 28.1% (a percentage in the contract, not a dollar amount) Vumi — International: 55% (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	$42,723.21 – $89,174.98
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Blue Cross Blue Shield — Hmo: $55,133.75 Blue Cross Blue Shield — Mbn: $42,723.21 Blue Cross Blue Shield — Nwb: $66,967.55 Blue Cross Blue Shield — Phs: $89,174.98 Blue Cross Blue Shield — Ppo: $84,954.54 Cigna — Hmo/Ppo: $48,222.50 Cigna — Surfit/Local Plus: $43,400.25 Unitedhealthcare — Commercial: $54,254 Avmed — Broad: 71% (a percentage in the contract, not a dollar amount) Bmi — Commercial: 55% (a percentage in the contract, not a dollar amount)
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	$39,782 – $112,863.74
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Blue Cross Blue Shield — Hmo: $69,779.68 Blue Cross Blue Shield — Mbn: $54,072.35 Blue Cross Blue Shield — Nwb: $84,757.05 Blue Cross Blue Shield — Phs: $112,863.74 Blue Cross Blue Shield — Ppo: $107,522.18 Cigna — Hmo/Ppo: $61,032.50 Cigna — Surfit/Local Plus: $54,929.25 Unitedhealthcare — Commercial: $39,782 Avmed — Broad: 71% (a percentage in the contract, not a dollar amount) Bmi — Commercial: 55% (a percentage in the contract, not a dollar amount)
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	$27,480.26 – $57,358.80
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates Blue Cross Blue Shield — Hmo: $35,462.93 Blue Cross Blue Shield — Mbn: $27,480.26 Blue Cross Blue Shield — Nwb: $43,074.62 Blue Cross Blue Shield — Phs: $57,358.80 Blue Cross Blue Shield — Ppo: $54,644.15 Cigna — Hmo/Ppo: $31,017.50 Cigna — Surfit/Local Plus: $27,915.75 Avmed — Broad: 71% (a percentage in the contract, not a dollar amount) Bmi — Commercial: 55% (a percentage in the contract, not a dollar amount) Curative — Commercial: 63% (a percentage in the contract, not a dollar amount)

Source: Nicklaus Children's Hospital’s standard charges file (nicklauschildrens.org, 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	Children's Hospital
Address	3100 SW 62nd Ave, Miami, FL 33155
County	Miami-Dade County
State	Florida
Phone	(305) 666‑6511
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	103301
Name in Medicare records	NICKLAUS CHILDREN'S HOSPITAL
Profile level	Medicare data + hospital website
Official website	nicklauschildrens.org
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.

Locations — nicklauschildrens.org
Planning Your Visit - Miami — nicklauschildrens.org
Nicklaus Children's Hospital — nicklauschildrens.org

Nicklaus Children's Hospital

Summary

Profile from official sources

At a glance