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Acute Care Hospital

North Shore Medical Center

Miami, Florida · Miami-Dade County · Emergency services listed

Summary

North Shore Medical Center is an acute care hospital in Miami, Florida. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 17 services, specialties and programs. Medicare lists 202 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(305) 835‑6000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
202Doctors and clinicians
17Services listed

Quick answers

Does North Shore Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at North Shore Medical Center. In a medical emergency, call 911.
Where is North Shore Medical Center?
1100 NW 95th St, Miami, FL 33150, in Miami-Dade County, Florida.
What is the phone number of North Shore Medical Center?
(305) 835-6000, as listed by Medicare (CMS).
What is the Medicare star rating of North Shore Medical Center?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6]

Conditions treated[6]

Treatments[4][5]

Procedures[4][5]

  • Joint repair and replacement

Programs and centers[4][6]

  • Minor Care (ER fast track, 11 a.m. to 11 p.m. daily)
  • Pain Care Center

Emergency care (hospital website)[6]

Emergency roomYes

Visiting and practical information

VisitingAdult visitors 8 a.m. to 8 p.m.; one inpatient visitor at a time; register for a pass in the main lobby[7]
Interpreters and languagesFree interpreter and ASL services; Spanish and Creole speaking coordinators available[8]
Patient portalMyCareZone Patient Portal

Doctors and clinicians (202)

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

Main specialties

Doctors with a page on this site (202)

And 178 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 1 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital1 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home1 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1048%National average: 72%
Would definitely recommend the hospital47%National average: 71%
Nurses “always” communicated well68%National average: 80%
Doctors “always” communicated well71%National average: 80%
Staff “always” explained medicines before giving them48%National average: 62%
Were given information about recovery at home72%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night53%National average: 60%
Completed surveys470Response rate: 7%

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)0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.549No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.807No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.034Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.8%
Deaths within 30 days: heart failure patients10.8%
Deaths within 30 days: pneumonia patients14.2%
Deaths within 30 days: COPD patients8.4%
Deaths within 30 days: stroke patients15.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.89No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure24%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD20.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)47%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 MiamiBest hospitals in Miami

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as North Shore Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 $1,047.49 Not listed in the file $80.97 – $1,047.49
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna Exchange — Aetna Exchange: $251.35
  • Aetna GateKeeper — Aetna GateKeeper: $377.02
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $754.19
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $408.44
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $607.54
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
  • AVMED Broad Network — AVMED Broad Network: $274.91
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $165.29
  • BC/BS of FL Blue Select Exchange Non Par — BC/BS of FL Blue Select Exchange Non Par: $159.95
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3 $1,047.49 Not listed in the file $523.75 – $785.62
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $754.19
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $607.54
  • Cigna Behavioral Health — Cigna Behavioral Health: $523.75
  • Dimension Health International — Dimension Health International: $680.87
  • Dimension Health PPO — Dimension Health PPO: $785.62
  • First Health — First Health: $712.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 $1,350.51 Not listed in the file $104.39 – $1,350.51
New patient office visit (about 45–59 minutes): 10 of 35 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $972.37
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $783.30
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $213.11
  • BC/BS of FL Blue Select Exchange Non Par — BC/BS of FL Blue Select Exchange Non Par: $206.22
  • BC/BS of FL Health Options HMO — BC/BS of FL Health Options HMO: $213.11
  • BC/BS of FL Network Blue — BC/BS of FL Network Blue: $200.15
  • BC/BS of FL PHS — BC/BS of FL PHS: $723.60
  • BC/BS of FL PPO — BC/BS of FL PPO: $239.31
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4 $1,350.51 Not listed in the file $675.25 – $1,012.88
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $972.37
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $783.30
  • Cigna Behavioral Health — Cigna Behavioral Health: $675.25
  • Dimension Health International — Dimension Health International: $877.83
  • Dimension Health PPO — Dimension Health PPO: $1,012.88
  • First Health — First Health: $918.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 $1,665.52 Not listed in the file $128.74 – $1,665.52
New patient office visit (about 60–74 minutes): 10 of 35 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,199.17
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $966
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $262.82
  • BC/BS of FL Blue Select Exchange Non Par — BC/BS of FL Blue Select Exchange Non Par: $254.32
  • BC/BS of FL Health Options HMO — BC/BS of FL Health Options HMO: $262.82
  • BC/BS of FL Network Blue — BC/BS of FL Network Blue: $246.83
  • BC/BS of FL PHS — BC/BS of FL PHS: $892.39
  • BC/BS of FL PPO — BC/BS of FL PPO: $295.13
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5 $1,665.52 Not listed in the file $832.76 – $1,249.14
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,199.17
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $966
  • Cigna Behavioral Health — Cigna Behavioral Health: $832.76
  • Dimension Health International — Dimension Health International: $1,082.59
  • Dimension Health PPO — Dimension Health PPO: $1,249.14
  • First Health — First Health: $1,132.55
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 $1,284.02 Not listed in the file $99.25 – $1,284.02
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna Exchange — Aetna Exchange: $257.83
  • Aetna GateKeeper — Aetna GateKeeper: $386.75
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $924.49
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $418.98
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $744.73
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
  • AVMED Broad Network — AVMED Broad Network: $282
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $202.62
  • BC/BS of FL Blue Select Exchange Non Par — BC/BS of FL Blue Select Exchange Non Par: $196.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 3 $1,284.02 Not listed in the file $642.01 – $963.01
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $924.49
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $744.73
  • Cigna Behavioral Health — Cigna Behavioral Health: $642.01
  • Dimension Health International — Dimension Health International: $834.61
  • Dimension Health PPO — Dimension Health PPO: $963.01
  • First Health — First Health: $873.13
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 $1,490.03 Not listed in the file $115.18 – $1,490.03
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,072.82
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $864.22
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $235.13
  • BC/BS of FL Blue Select Exchange Non Par — BC/BS of FL Blue Select Exchange Non Par: $227.53
  • BC/BS of FL Health Options HMO — BC/BS of FL Health Options HMO: $235.13
  • BC/BS of FL Network Blue — BC/BS of FL Network Blue: $220.82
  • BC/BS of FL PHS — BC/BS of FL PHS: $798.36
  • BC/BS of FL PPO — BC/BS of FL PPO: $264.03
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEVEL 4 $1,490.03 Not listed in the file $745.01 – $1,117.52
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,072.82
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $864.22
  • Cigna Behavioral Health — Cigna Behavioral Health: $745.01
  • Dimension Health International — Dimension Health International: $968.52
  • Dimension Health PPO — Dimension Health PPO: $1,117.52
  • First Health — First Health: $1,013.22
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3 $2,808.93 $280.50 $196.35 – $1,110.49
Emergency room visit (moderate): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna Exchange — Aetna Exchange: $682
  • Aetna GateKeeper — Aetna GateKeeper: $1,018
  • Aetna Medicare — Aetna Medicare: $285.06
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,022.43
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,018
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,629.18
  • Align Senior Care Florida — Align Senior Care Florida: $299.31
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $527.36
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 3 $2,808.93 Not listed in the file $1,404.46 – $2,106.70
Emergency room visit (moderate): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,022.43
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,629.18
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,404.46
  • Dimension Health International — Dimension Health International: $1,825.80
  • Dimension Health PPO — Dimension Health PPO: $2,106.70
  • First Health — First Health: $1,910.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4 $5,545.92 $428.77 $300.14 – $1,697.48
Emergency room visit (moderately high): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna Exchange — Aetna Exchange: $1,064.82
  • Aetna GateKeeper — Aetna GateKeeper: $1,552.86
  • Aetna Medicare — Aetna Medicare: $435.74
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $3,993.06
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,552.86
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $3,216.63
  • Align Senior Care Florida — Align Senior Care Florida: $457.53
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $806.12
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 4 $5,545.92 Not listed in the file $2,772.96 – $4,159.44
Emergency room visit (moderately high): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $3,993.06
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $3,216.63
  • Cigna Behavioral Health — Cigna Behavioral Health: $2,772.96
  • Dimension Health International — Dimension Health International: $3,604.85
  • Dimension Health PPO — Dimension Health PPO: $4,159.44
  • First Health — First Health: $3,771.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5 $7,149.31 $611.95 $428.36 – $2,422.67
Emergency room visit (high): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $117.56
  • Aetna Exchange — Aetna Exchange: $1,372.67
  • Aetna GateKeeper — Aetna GateKeeper: $2,001.81
  • Aetna Medicare — Aetna Medicare: $621.90
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $5,147.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,001.81
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $4,146.60
  • Align Senior Care Florida — Align Senior Care Florida: $653
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,150.52
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $117.56
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL 5 $7,149.31 Not listed in the file $3,574.66 – $5,361.98
Emergency room visit (high): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $5,147.50
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $4,146.60
  • Cigna Behavioral Health — Cigna Behavioral Health: $3,574.66
  • Dimension Health International — Dimension Health International: $4,647.05
  • Dimension Health PPO — Dimension Health PPO: $5,361.98
  • First Health — First Health: $4,861.53

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $1,218.62 $8.29 $4.15 – $1,218.62
Basic metabolic panel (blood test): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $12.78
  • Aetna GateKeeper — Aetna GateKeeper: $19.12
  • Aetna Medicare — Aetna Medicare: $8.46
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $877.41
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $19.12
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $706.80
  • Align Senior Care Florida — Align Senior Care Florida: $8.88
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $15.65
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $1,218.62 Not listed in the file $609.31 – $913.96
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $877.41
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $706.80
  • Cigna Behavioral Health — Cigna Behavioral Health: $609.31
  • Dimension Health International — Dimension Health International: $792.10
  • Dimension Health PPO — Dimension Health PPO: $913.96
  • First Health — First Health: $828.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $2,419.80 $10.35 $5.17 – $2,419.80
Comprehensive metabolic panel (blood test): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $15.95
  • Aetna GateKeeper — Aetna GateKeeper: $23.87
  • Aetna Medicare — Aetna Medicare: $10.56
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,742.26
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $23.87
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,403.48
  • Align Senior Care Florida — Align Senior Care Florida: $11.09
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $19.54
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $2,419.80 Not listed in the file $1,209.90 – $1,814.85
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,742.26
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,403.48
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,209.90
  • Dimension Health International — Dimension Health International: $1,572.87
  • Dimension Health PPO — Dimension Health PPO: $1,814.85
  • First Health — First Health: $1,645.46
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $969.01 $13.12 $6.57 – $969.01
Cholesterol panel (lipid panel): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $17.15
  • Aetna GateKeeper — Aetna GateKeeper: $25.66
  • Aetna Medicare — Aetna Medicare: $13.39
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $697.69
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $25.66
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $562.03
  • Align Senior Care Florida — Align Senior Care Florida: $14.06
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $24.77
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL LIPID PANEL $969.01 $13.12 $6.57 – $969.01
Cholesterol panel (lipid panel): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $17.15
  • Aetna GateKeeper — Aetna GateKeeper: $25.66
  • Aetna Medicare — Aetna Medicare: $13.39
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $697.69
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $25.66
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $562.03
  • Align Senior Care Florida — Align Senior Care Florida: $14.06
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $24.77
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $969.01 Not listed in the file $484.50 – $726.76
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $697.69
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $562.03
  • Cigna Behavioral Health — Cigna Behavioral Health: $484.50
  • Dimension Health International — Dimension Health International: $629.86
  • Dimension Health PPO — Dimension Health PPO: $726.76
  • First Health — First Health: $658.93
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $635.47 $8.51 $4.25 – $635.47
Kidney function panel: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $13.10
  • Aetna GateKeeper — Aetna GateKeeper: $19.60
  • Aetna Medicare — Aetna Medicare: $8.68
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $457.54
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $19.60
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $368.57
  • Align Senior Care Florida — Align Senior Care Florida: $9.11
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $16.06
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $635.47 Not listed in the file $317.74 – $476.60
Kidney function panel: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $457.54
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $368.57
  • Cigna Behavioral Health — Cigna Behavioral Health: $317.74
  • Dimension Health International — Dimension Health International: $413.06
  • Dimension Health PPO — Dimension Health PPO: $476.60
  • First Health — First Health: $432.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $850.20 $8.01 $4.01 – $850.20
Liver function panel: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4.48
  • Aetna Exchange — Aetna Exchange: $12.33
  • Aetna GateKeeper — Aetna GateKeeper: $18.45
  • Aetna Medicare — Aetna Medicare: $8.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $612.14
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $18.45
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $493.12
  • Align Senior Care Florida — Align Senior Care Florida: $8.58
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $15.11
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4.48
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $850.20 Not listed in the file $425.10 – $637.65
Liver function panel: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $612.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $493.12
  • Cigna Behavioral Health — Cigna Behavioral Health: $425.10
  • Dimension Health International — Dimension Health International: $552.63
  • Dimension Health PPO — Dimension Health PPO: $637.65
  • First Health — First Health: $578.14
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO $1,030.05 $3.11 $1.56 – $1,030.05
Urine test (automated, with microscope): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1.48
  • Aetna Exchange — Aetna Exchange: $4.78
  • Aetna GateKeeper — Aetna GateKeeper: $7.16
  • Aetna Medicare — Aetna Medicare: $3.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $741.64
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $7.16
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $597.43
  • Align Senior Care Florida — Align Senior Care Florida: $3.33
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $5.86
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1.48
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINE DIP W MICRO $1,030.05 Not listed in the file $515.02 – $772.54
Urine test (automated, with microscope): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $741.64
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $597.43
  • Cigna Behavioral Health — Cigna Behavioral Health: $515.02
  • Dimension Health International — Dimension Health International: $669.53
  • Dimension Health PPO — Dimension Health PPO: $772.54
  • First Health — First Health: $700.43
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK $305.20 $3.41 $1.71 – $305.20
Urine test (manual, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1.48
  • Aetna Exchange — Aetna Exchange: $3.86
  • Aetna GateKeeper — Aetna GateKeeper: $5.77
  • Aetna Medicare — Aetna Medicare: $3.48
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $219.74
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $5.77
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $177.02
  • Align Senior Care Florida — Align Senior Care Florida: $3.65
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $6.44
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK $305.20 Not listed in the file $152.60 – $228.90
Urine test (manual, without microscope): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $219.74
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $177.02
  • Cigna Behavioral Health — Cigna Behavioral Health: $152.60
  • Dimension Health International — Dimension Health International: $198.38
  • Dimension Health PPO — Dimension Health PPO: $228.90
  • First Health — First Health: $207.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO $910.15 $2.20 $1.11 – $910.15
Urine test (automated, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1.48
  • Aetna Exchange — Aetna Exchange: $3.39
  • Aetna GateKeeper — Aetna GateKeeper: $5.07
  • Aetna Medicare — Aetna Medicare: $2.25
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $655.31
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $5.07
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $527.89
  • Align Senior Care Florida — Align Senior Care Florida: $2.36
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $4.16
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL AUTOM URINALYSIS WO MICRO $910.15 $2.20 $1.11 – $910.15
Urine test (automated, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1.48
  • Aetna Exchange — Aetna Exchange: $3.39
  • Aetna GateKeeper — Aetna GateKeeper: $5.07
  • Aetna Medicare — Aetna Medicare: $2.25
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $655.31
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $5.07
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $527.89
  • Align Senior Care Florida — Align Senior Care Florida: $2.36
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $4.16
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1.48
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: AUTOM URINALYSIS WO MICRO $910.15 Not listed in the file $455.07 – $682.61
Urine test (automated, without microscope): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $655.31
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $527.89
  • Cigna Behavioral Health — Cigna Behavioral Health: $455.07
  • Dimension Health International — Dimension Health International: $591.60
  • Dimension Health PPO — Dimension Health PPO: $682.61
  • First Health — First Health: $618.90
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA; TOTAL $596.23 $18.02 $9.02 – $596.23
PSA (prostate specific antigen) blood test: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6.04
  • Aetna Exchange — Aetna Exchange: $27.76
  • Aetna GateKeeper — Aetna GateKeeper: $41.53
  • Aetna Medicare — Aetna Medicare: $18.39
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $429.29
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $41.53
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $345.81
  • Align Senior Care Florida — Align Senior Care Florida: $19.31
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $34.02
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PSA; TOTAL $596.23 $18.02 $9.02 – $596.23
PSA (prostate specific antigen) blood test: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6.04
  • Aetna Exchange — Aetna Exchange: $27.76
  • Aetna GateKeeper — Aetna GateKeeper: $41.53
  • Aetna Medicare — Aetna Medicare: $18.39
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $429.29
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $41.53
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $345.81
  • Align Senior Care Florida — Align Senior Care Florida: $19.31
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $34.02
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA; TOTAL $596.23 Not listed in the file $298.12 – $447.17
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $429.29
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $345.81
  • Cigna Behavioral Health — Cigna Behavioral Health: $298.12
  • Dimension Health International — Dimension Health International: $387.55
  • Dimension Health PPO — Dimension Health PPO: $447.17
  • First Health — First Health: $405.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE $1,396.29 $16.46 $8.23 – $1,396.29
Thyroid stimulating hormone (TSH) test: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6.61
  • Aetna Exchange — Aetna Exchange: $25.35
  • Aetna GateKeeper — Aetna GateKeeper: $37.93
  • Aetna Medicare — Aetna Medicare: $16.80
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,005.33
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $37.93
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $809.85
  • Align Senior Care Florida — Align Senior Care Florida: $17.64
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $31.08
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6.61
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $1,396.29 $16.46 $8.23 – $1,396.29
Thyroid stimulating hormone (TSH) test: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6.61
  • Aetna Exchange — Aetna Exchange: $25.35
  • Aetna GateKeeper — Aetna GateKeeper: $37.93
  • Aetna Medicare — Aetna Medicare: $16.80
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,005.33
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $37.93
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $809.85
  • Align Senior Care Florida — Align Senior Care Florida: $17.64
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $31.08
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6.61
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RL THYROID STIMULATING HORMONE $1,396.29 Not listed in the file $698.14 – $1,047.22
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,005.33
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $809.85
  • Cigna Behavioral Health — Cigna Behavioral Health: $698.14
  • Dimension Health International — Dimension Health International: $907.59
  • Dimension Health PPO — Dimension Health PPO: $1,047.22
  • First Health — First Health: $949.48
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF $612.58 $7.61 $3.81 – $612.58
Complete blood count (CBC) with differential: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.96
  • Aetna Exchange — Aetna Exchange: $11.73
  • Aetna GateKeeper — Aetna GateKeeper: $17.55
  • Aetna Medicare — Aetna Medicare: $7.77
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $441.06
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $17.55
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $355.30
  • Align Senior Care Florida — Align Senior Care Florida: $8.16
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $14.37
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.96
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL CBC W PLT W AUTOM DIFF $612.58 Not listed in the file $306.29 – $459.44
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $441.06
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $355.30
  • Cigna Behavioral Health — Cigna Behavioral Health: $306.29
  • Dimension Health International — Dimension Health International: $398.18
  • Dimension Health PPO — Dimension Health PPO: $459.44
  • First Health — First Health: $416.55
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $784.80 $6.34 $3.18 – $784.80
Complete blood count (CBC), automated: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.96
  • Aetna Exchange — Aetna Exchange: $9.76
  • Aetna GateKeeper — Aetna GateKeeper: $14.61
  • Aetna Medicare — Aetna Medicare: $6.47
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $565.06
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $14.61
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $455.18
  • Align Senior Care Florida — Align Senior Care Florida: $6.79
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $11.97
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.96
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $784.80 Not listed in the file $392.40 – $588.60
Complete blood count (CBC), automated: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $565.06
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $455.18
  • Cigna Behavioral Health — Cigna Behavioral Health: $392.40
  • Dimension Health International — Dimension Health International: $510.12
  • Dimension Health PPO — Dimension Health PPO: $588.60
  • First Health — First Health: $533.66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME; $337.90 $4.20 $2.11 – $337.90
Blood clotting time test (prothrombin time, PT): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.22
  • Aetna Exchange — Aetna Exchange: $5.93
  • Aetna GateKeeper — Aetna GateKeeper: $8.87
  • Aetna Medicare — Aetna Medicare: $4.29
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $243.29
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $8.87
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $195.98
  • Align Senior Care Florida — Align Senior Care Florida: $4.50
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $7.94
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PROTIME/INR $337.90 $4.20 $2.11 – $337.90
Blood clotting time test (prothrombin time, PT): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.22
  • Aetna Exchange — Aetna Exchange: $5.93
  • Aetna GateKeeper — Aetna GateKeeper: $8.87
  • Aetna Medicare — Aetna Medicare: $4.29
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $243.29
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $8.87
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $195.98
  • Align Senior Care Florida — Align Senior Care Florida: $4.50
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $7.94
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME; $337.90 Not listed in the file $168.95 – $253.42
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $243.29
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $195.98
  • Cigna Behavioral Health — Cigna Behavioral Health: $168.95
  • Dimension Health International — Dimension Health International: $219.63
  • Dimension Health PPO — Dimension Health PPO: $253.42
  • First Health — First Health: $229.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. $731.39 $5.89 $2.95 – $731.39
Blood clotting test (partial thromboplastin time, PTT): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.22
  • Aetna Exchange — Aetna Exchange: $9.05
  • Aetna GateKeeper — Aetna GateKeeper: $13.54
  • Aetna Medicare — Aetna Medicare: $6.01
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $526.60
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $13.54
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $424.21
  • Align Senior Care Florida — Align Senior Care Florida: $6.31
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $11.12
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RL PTT (LAC) $731.39 $5.89 $2.95 – $731.39
Blood clotting test (partial thromboplastin time, PTT): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2.22
  • Aetna Exchange — Aetna Exchange: $9.05
  • Aetna GateKeeper — Aetna GateKeeper: $13.54
  • Aetna Medicare — Aetna Medicare: $6.01
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $526.60
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $13.54
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $424.21
  • Align Senior Care Florida — Align Senior Care Florida: $6.31
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $11.12
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD. $731.39 Not listed in the file $365.69 – $548.54
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $526.60
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $424.21
  • Cigna Behavioral Health — Cigna Behavioral Health: $365.69
  • Dimension Health International — Dimension Health International: $475.40
  • Dimension Health PPO — Dimension Health PPO: $548.54
  • First Health — First Health: $497.35

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST $9,882.99 $107.42 $75.19 – $286.26
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $204.10
  • Aetna Exchange — Aetna Exchange: $117.12
  • Aetna GateKeeper — Aetna GateKeeper: $174.94
  • Aetna Medicare — Aetna Medicare: $109.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $7,115.75
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $174.94
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,732.13
  • Align Senior Care Florida — Align Senior Care Florida: $114.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $201.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $204.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT - HEAD/BRAIN WO CONTRAST $9,882.99 Not listed in the file $4,941.49 – $7,412.24
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $7,115.75
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,732.13
  • Cigna Behavioral Health — Cigna Behavioral Health: $4,941.49
  • Dimension Health International — Dimension Health International: $6,423.94
  • Dimension Health PPO — Dimension Health PPO: $7,412.24
  • First Health — First Health: $6,720.43
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST $15,258.91 $358.49 $250.94 – $1,013.74
MRI of the brain, before and after contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $249.56
  • Aetna Exchange — Aetna Exchange: $315.20
  • Aetna GateKeeper — Aetna GateKeeper: $470.80
  • Aetna Medicare — Aetna Medicare: $364.32
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $10,986.42
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $470.80
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $8,850.17
  • Align Senior Care Florida — Align Senior Care Florida: $382.54
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $673.99
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $249.56
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W & WO CONTRAST $15,258.91 Not listed in the file $7,629.45 – $11,444.18
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $10,986.42
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $8,850.17
  • Cigna Behavioral Health — Cigna Behavioral Health: $7,629.45
  • Dimension Health International — Dimension Health International: $9,918.29
  • Dimension Health PPO — Dimension Health PPO: $11,444.18
  • First Health — First Health: $10,376.06
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS $2,705.38 $89.43 $62.60 – $238.29
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $36.29
  • Aetna Exchange — Aetna Exchange: $519.43
  • Aetna GateKeeper — Aetna GateKeeper: $779.15
  • Aetna Medicare — Aetna Medicare: $90.88
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,947.87
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $844.08
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,569.12
  • Align Senior Care Florida — Align Senior Care Florida: $95.42
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $168.13
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $36.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $2,705.38 $89.43 $62.60 – $238.29
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $36.29
  • Aetna Exchange — Aetna Exchange: $519.43
  • Aetna GateKeeper — Aetna GateKeeper: $779.15
  • Aetna Medicare — Aetna Medicare: $90.88
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,947.87
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $844.08
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,569.12
  • Align Senior Care Florida — Align Senior Care Florida: $95.42
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $168.13
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $36.29
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST X-RAY 2 VIEWS $2,705.38 Not listed in the file $1,352.69 – $2,029.04
Chest X-ray, 2 views: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,947.87
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,569.12
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,352.69
  • Dimension Health International — Dimension Health International: $1,758.50
  • Dimension Health PPO — Dimension Health PPO: $2,029.04
  • First Health — First Health: $1,839.66
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW $3,665.67 $107.42 $75.19 – $286.26
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $36.29
  • Aetna Exchange — Aetna Exchange: $23.71
  • Aetna GateKeeper — Aetna GateKeeper: $35.42
  • Aetna Medicare — Aetna Medicare: $109.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,639.28
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $35.42
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $2,126.09
  • Align Senior Care Florida — Align Senior Care Florida: $114.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $201.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $36.29
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY OF LOWER SPINE 4+ VW $3,665.67 Not listed in the file $1,832.84 – $2,749.25
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,639.28
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $2,126.09
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,832.84
  • Dimension Health International — Dimension Health International: $2,382.69
  • Dimension Health PPO — Dimension Health PPO: $2,749.25
  • First Health — First Health: $2,492.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR $11,128.90 $245.18 $171.63 – $666.65
MRI of the lower back (lumbar spine), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $150.64
  • Aetna Exchange — Aetna Exchange: $220.35
  • Aetna GateKeeper — Aetna GateKeeper: $329.14
  • Aetna Medicare — Aetna Medicare: $249.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $8,012.81
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $329.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $6,454.76
  • Align Senior Care Florida — Align Senior Care Florida: $261.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $460.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $150.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONTR $11,128.90 Not listed in the file $5,564.45 – $8,346.67
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $8,012.81
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $6,454.76
  • Cigna Behavioral Health — Cigna Behavioral Health: $5,564.45
  • Dimension Health International — Dimension Health International: $7,233.78
  • Dimension Health PPO — Dimension Health PPO: $8,346.67
  • First Health — First Health: $7,567.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR $8,811.30 $180.24 $126.17 – $480.27
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $204.10
  • Aetna Exchange — Aetna Exchange: $158.56
  • Aetna GateKeeper — Aetna GateKeeper: $236.83
  • Aetna Medicare — Aetna Medicare: $183.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $6,344.14
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $236.83
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,110.55
  • Align Senior Care Florida — Align Senior Care Florida: $192.33
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $338.86
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $204.10
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS; W CONTR $8,811.30 Not listed in the file $4,405.65 – $6,608.47
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $6,344.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,110.55
  • Cigna Behavioral Health — Cigna Behavioral Health: $4,405.65
  • Dimension Health International — Dimension Health International: $5,727.34
  • Dimension Health PPO — Dimension Health PPO: $6,608.47
  • First Health — First Health: $5,991.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI - LE JNT WO CONTR BIL $13,250.04 $540.96 $378.67 – $1,529.74
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $225.96
  • Aetna Exchange — Aetna Exchange: $220.35
  • Aetna GateKeeper — Aetna GateKeeper: $329.14
  • Aetna Medicare — Aetna Medicare: $549.76
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $9,540.03
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $329.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $7,685.02
  • Align Senior Care Florida — Align Senior Care Florida: $577.25
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,017.06
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $225.96
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI - LE JNT WO CONTR LT $8,833.36 $245.18 $171.63 – $666.65
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $150.64
  • Aetna Exchange — Aetna Exchange: $220.35
  • Aetna GateKeeper — Aetna GateKeeper: $329.14
  • Aetna Medicare — Aetna Medicare: $249.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $6,360.02
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $329.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,123.35
  • Align Senior Care Florida — Align Senior Care Florida: $261.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $460.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $150.64
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI - LE JNT WO CONTR RT $8,833.36 $245.18 $171.63 – $666.65
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $150.64
  • Aetna Exchange — Aetna Exchange: $220.35
  • Aetna GateKeeper — Aetna GateKeeper: $329.14
  • Aetna Medicare — Aetna Medicare: $249.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $6,360.02
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $329.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $5,123.35
  • Align Senior Care Florida — Align Senior Care Florida: $261.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $460.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $150.64
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 $19,423.66 $358.49 $250.94 – $1,013.74
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $204.10
  • Aetna Exchange — Aetna Exchange: $317.26
  • Aetna GateKeeper — Aetna GateKeeper: $473.89
  • Aetna Medicare — Aetna Medicare: $364.32
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $13,985.04
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $473.89
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $11,265.72
  • Align Senior Care Florida — Align Senior Care Florida: $382.54
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $673.99
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $204.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST $19,423.66 Not listed in the file $9,711.83 – $14,567.74
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $13,985.04
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $11,265.72
  • Cigna Behavioral Health — Cigna Behavioral Health: $9,711.83
  • Dimension Health International — Dimension Health International: $12,625.38
  • Dimension Health PPO — Dimension Health PPO: $14,567.74
  • First Health — First Health: $13,208.09
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $6,605.40 $107.42 $75.19 – $286.26
Ultrasound of the abdomen, complete: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $105
  • Aetna Exchange — Aetna Exchange: $53.65
  • Aetna GateKeeper — Aetna GateKeeper: $80.14
  • Aetna Medicare — Aetna Medicare: $109.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $4,755.89
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $80.14
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $3,831.13
  • Align Senior Care Florida — Align Senior Care Florida: $114.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $201.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $105
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $6,605.40 Not listed in the file $3,302.70 – $4,954.05
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $4,755.89
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $3,831.13
  • Cigna Behavioral Health — Cigna Behavioral Health: $3,302.70
  • Dimension Health International — Dimension Health International: $4,293.51
  • Dimension Health PPO — Dimension Health PPO: $4,954.05
  • First Health — First Health: $4,491.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $2,170.19 $107.42 $75.19 – $286.26
Pregnancy ultrasound (after the first trimester): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $62.50
  • Aetna Exchange — Aetna Exchange: $56.29
  • Aetna GateKeeper — Aetna GateKeeper: $84.07
  • Aetna Medicare — Aetna Medicare: $109.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,562.54
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $84.07
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,258.71
  • Align Senior Care Florida — Align Senior Care Florida: $114.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $201.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $62.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $2,170.19 Not listed in the file $1,085.10 – $1,627.64
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,562.54
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,258.71
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,085.10
  • Dimension Health International — Dimension Health International: $1,410.62
  • Dimension Health PPO — Dimension Health PPO: $1,627.64
  • First Health — First Health: $1,475.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US $2,806.75 $107.42 $75.19 – $286.26
Transvaginal ultrasound: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $70.10
  • Aetna Exchange — Aetna Exchange: $44.31
  • Aetna GateKeeper — Aetna GateKeeper: $66.18
  • Aetna Medicare — Aetna Medicare: $109.17
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,020.86
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $66.18
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,627.91
  • Align Senior Care Florida — Align Senior Care Florida: $114.63
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $201.96
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $70.10
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-OB TRANSVAG US $2,806.75 Not listed in the file $1,403.38 – $2,105.06
Transvaginal ultrasound: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,020.86
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,627.91
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,403.38
  • Dimension Health International — Dimension Health International: $1,824.39
  • Dimension Health PPO — Dimension Health PPO: $2,105.06
  • First Health — First Health: $1,908.59
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT $754.28 $88.76 $51.50 – $754.28
Diagnostic mammogram, one breast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $29.38
  • Aetna Exchange — Aetna Exchange: $51.50
  • Aetna GateKeeper — Aetna GateKeeper: $76.92
  • Aetna Medicare — Aetna Medicare: $90.20
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $543.08
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $76.92
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $437.48
  • Align Senior Care Florida — Align Senior Care Florida: $94.71
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $166.87
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $29.38
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: DX MAMMO INCL CAD UNI RT $754.28 $88.76 $51.50 – $754.28
Diagnostic mammogram, one breast: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $29.38
  • Aetna Exchange — Aetna Exchange: $51.50
  • Aetna GateKeeper — Aetna GateKeeper: $76.92
  • Aetna Medicare — Aetna Medicare: $90.20
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $543.08
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $76.92
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $437.48
  • Align Senior Care Florida — Align Senior Care Florida: $94.71
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $166.87
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $29.38
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: DX MAMMO INCL CAD UNI LT $754.28 Not listed in the file $377.14 – $565.71
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $543.08
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $437.48
  • Cigna Behavioral Health — Cigna Behavioral Health: $377.14
  • Dimension Health International — Dimension Health International: $490.28
  • Dimension Health PPO — Dimension Health PPO: $565.71
  • First Health — First Health: $512.91
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,127.06 $114.22 $63.95 – $1,127.06
Diagnostic mammogram, both breasts: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $29.38
  • Aetna Exchange — Aetna Exchange: $63.95
  • Aetna GateKeeper — Aetna GateKeeper: $95.52
  • Aetna Medicare — Aetna Medicare: $116.08
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $811.48
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $95.52
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $653.69
  • Align Senior Care Florida — Align Senior Care Florida: $121.88
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $214.75
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $29.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,127.06 Not listed in the file $563.53 – $845.29
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $811.48
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $653.69
  • Cigna Behavioral Health — Cigna Behavioral Health: $563.53
  • Dimension Health International — Dimension Health International: $732.59
  • Dimension Health PPO — Dimension Health PPO: $845.29
  • First Health — First Health: $766.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $781.53 $93.51 $62.03 – $781.53
Screening mammogram, both breasts: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $29.38
  • Aetna Exchange — Aetna Exchange: $62.03
  • Aetna GateKeeper — Aetna GateKeeper: $92.65
  • Aetna Medicare — Aetna Medicare: $95.42
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $562.70
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $92.65
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $453.29
  • Align Senior Care Florida — Align Senior Care Florida: $100.19
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $176.53
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $29.38
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $781.53 Not listed in the file $390.76 – $586.15
Screening mammogram, both breasts: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $562.70
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $453.29
  • Cigna Behavioral Health — Cigna Behavioral Health: $390.76
  • Dimension Health International — Dimension Health International: $507.99
  • Dimension Health PPO — Dimension Health PPO: $586.15
  • First Health — First Health: $531.44
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCR MAMMO BI INCL CAD RED SVC $781.53 $46.76 $32.73 – $781.53
Screening mammogram, both breasts: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $14.69
  • Aetna Exchange — Aetna Exchange: $62.03
  • Aetna GateKeeper — Aetna GateKeeper: $92.65
  • Aetna Medicare — Aetna Medicare: $47.71
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $562.70
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $92.65
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $453.29
  • Align Senior Care Florida — Align Senior Care Florida: $50.10
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $88.26
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $14.69

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $34,496.32 $3,335.43 $2,334.80 – $13,188.45
Left heart catheterization (diagnostic): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,619.31
  • Aetna Exchange — Aetna Exchange: $3,524
  • Aetna GateKeeper — Aetna GateKeeper: $5,259
  • Aetna Medicare — Aetna Medicare: $3,385.48
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $24,837.35
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $5,785
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $20,007.87
  • Align Senior Care Florida — Align Senior Care Florida: $3,554.75
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $6,263.14
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,619.31
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $34,496.32 Not listed in the file $17,248.16 – $25,872.24
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $24,837.35
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $20,007.87
  • Cigna Behavioral Health — Cigna Behavioral Health: $17,248.16
  • Dimension Health International — Dimension Health International: $22,422.61
  • Dimension Health PPO — Dimension Health PPO: $25,872.24
  • First Health — First Health: $23,457.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTION $28,406.49 $8,014.70 $5,610.29 – $31,729.70
Heart rhythm study (electrophysiology evaluation): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $4,371.71
  • Aetna Exchange — Aetna Exchange: $4,995
  • Aetna GateKeeper — Aetna GateKeeper: $7,455
  • Aetna Medicare — Aetna Medicare: $8,145.02
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $20,452.67
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $8,473
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $16,475.76
  • Align Senior Care Florida — Align Senior Care Florida: $8,552.27
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $15,068.29
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $4,371.71
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP EP EVAL WO A INDUCTION $28,406.49 Not listed in the file $14,203.25 – $21,304.87
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $20,452.67
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $16,475.76
  • Cigna Behavioral Health — Cigna Behavioral Health: $14,203.25
  • Dimension Health International — Dimension Health International: $18,464.22
  • Dimension Health PPO — Dimension Health PPO: $21,304.87
  • First Health — First Health: $19,316.41
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 $49,440.22 $26,784.04 $18,748.83 – $106,331.02
Heart rhythm study with ablation for atrial fibrillation: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $12,245.03
  • Aetna Exchange — Aetna Exchange: $6,811
  • Aetna GateKeeper — Aetna GateKeeper: $10,166
  • Aetna Medicare — Aetna Medicare: $27,295.22
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $35,596.96
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $11,179
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $28,675.33
  • Align Senior Care Florida — Align Senior Care Florida: $28,659.98
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $50,496.16
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $12,245.03
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL $49,440.22 Not listed in the file $24,720.11 – $37,080.17
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $35,596.96
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $28,675.33
  • Cigna Behavioral Health — Cigna Behavioral Health: $24,720.11
  • Dimension Health International — Dimension Health International: $32,136.14
  • Dimension Health PPO — Dimension Health PPO: $37,080.17
  • First Health — First Health: $33,619.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM $16,581.08 $882.41 $617.69 – $3,493.42
Sleep study (overnight, in a sleep lab): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $484.08
  • Aetna Exchange — Aetna Exchange: $847.52
  • Aetna GateKeeper — Aetna GateKeeper: $1,266.17
  • Aetna Medicare — Aetna Medicare: $1,292.06
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $11,938.38
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,266.17
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $9,617.03
  • Align Senior Care Florida — Align Senior Care Florida: $941.60
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,659.01
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $484.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM $16,581.08 Not listed in the file $8,290.54 – $12,435.81
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $11,938.38
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $9,617.03
  • Cigna Behavioral Health — Cigna Behavioral Health: $8,290.54
  • Dimension Health International — Dimension Health International: $10,777.70
  • Dimension Health PPO — Dimension Health PPO: $12,435.81
  • First Health — First Health: $11,275.13

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN $388.04 $29.65 $20.75 – $388.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 76 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $69
  • Aetna GateKeeper — Aetna GateKeeper: $102
  • Aetna Medicare — Aetna Medicare: $30.13
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $279.39
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $108
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $225.06
  • Align Senior Care Florida — Align Senior Care Florida: $31.64
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $55.74
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $30.13
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $64.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISE EA 15 MIN $392.40 $29.65 $20.75 – $392.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 76 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $69
  • Aetna GateKeeper — Aetna GateKeeper: $102
  • Aetna Medicare — Aetna Medicare: $30.13
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $282.53
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $108
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $227.59
  • Align Senior Care Florida — Align Senior Care Florida: $31.64
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $55.74
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $30.13
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $64.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISE EA 15 MIN $388.04 Not listed in the file $194.02 – $291.03
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $279.39
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $225.06
  • Cigna Behavioral Health — Cigna Behavioral Health: $194.02
  • Dimension Health International — Dimension Health International: $252.23
  • Dimension Health PPO — Dimension Health PPO: $291.03
  • First Health — First Health: $263.87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $988.63 $98.67 $69 – $988.63
Physical therapy evaluation (low complexity): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $168.11
  • Aetna Exchange — Aetna Exchange: $69
  • Aetna GateKeeper — Aetna GateKeeper: $102
  • Aetna Medicare — Aetna Medicare: $100.27
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $711.81
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $108
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $573.41
  • Align Senior Care Florida — Align Senior Care Florida: $105.28
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $185.50
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $168.11
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $988.63 Not listed in the file $494.31 – $741.47
Physical therapy evaluation (low complexity): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $711.81
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $573.41
  • Cigna Behavioral Health — Cigna Behavioral Health: $494.31
  • Dimension Health International — Dimension Health International: $642.61
  • Dimension Health PPO — Dimension Health PPO: $741.47
  • First Health — First Health: $672.27
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $988.63 $98.67 $69 – $988.63
Physical therapy evaluation (moderate complexity): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $168.11
  • Aetna Exchange — Aetna Exchange: $69
  • Aetna GateKeeper — Aetna GateKeeper: $102
  • Aetna Medicare — Aetna Medicare: $100.27
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $711.81
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $108
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $573.41
  • Align Senior Care Florida — Align Senior Care Florida: $105.28
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $185.50
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $168.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $988.63 Not listed in the file $494.31 – $741.47
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $711.81
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $573.41
  • Cigna Behavioral Health — Cigna Behavioral Health: $494.31
  • Dimension Health International — Dimension Health International: $642.61
  • Dimension Health PPO — Dimension Health PPO: $741.47
  • First Health — First Health: $672.27
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $853.47 $98.67 $69 – $853.47
Physical therapy evaluation (high complexity): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $168.11
  • Aetna Exchange — Aetna Exchange: $69
  • Aetna GateKeeper — Aetna GateKeeper: $102
  • Aetna Medicare — Aetna Medicare: $100.27
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $614.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $108
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $495.01
  • Align Senior Care Florida — Align Senior Care Florida: $105.28
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $185.50
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $168.11
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $853.47 Not listed in the file $426.74 – $640.10
Physical therapy evaluation (high complexity): rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $614.50
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $495.01
  • Cigna Behavioral Health — Cigna Behavioral Health: $426.74
  • Dimension Health International — Dimension Health International: $554.76
  • Dimension Health PPO — Dimension Health PPO: $640.10
  • First Health — First Health: $580.36
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES $173.31 $182.38 $127.67 – $722.07
Psychotherapy, 30 minutes: 10 of 79 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $79.67
  • Aetna Exchange — Aetna Exchange: $173.31
  • Aetna GateKeeper — Aetna GateKeeper: $173.31
  • Aetna Medicare — Aetna Medicare: $185.35
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $124.78
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $173.31
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $100.52
  • Align Senior Care Florida — Align Senior Care Florida: $194.62
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $342.90
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $79.67
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES $173.31 Not listed in the file $86.66 – $129.98
Psychotherapy, 30 minutes: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $124.78
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $100.52
  • Cigna Behavioral Health — Cigna Behavioral Health: $86.66
  • Dimension Health International — Dimension Health International: $112.65
  • Dimension Health PPO — Dimension Health PPO: $129.98
  • First Health — First Health: $117.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES $304.11 $182.38 $127.67 – $722.07
Psychotherapy, 45 minutes: 10 of 79 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $93.44
  • Aetna Exchange — Aetna Exchange: $304.11
  • Aetna GateKeeper — Aetna GateKeeper: $304.11
  • Aetna Medicare — Aetna Medicare: $185.35
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $218.96
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $304.11
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $176.38
  • Align Senior Care Florida — Align Senior Care Florida: $194.62
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $342.90
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $93.44
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES $304.11 Not listed in the file $152.06 – $228.08
Psychotherapy, 45 minutes: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $218.96
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $176.38
  • Cigna Behavioral Health — Cigna Behavioral Health: $152.06
  • Dimension Health International — Dimension Health International: $197.67
  • Dimension Health PPO — Dimension Health PPO: $228.08
  • First Health — First Health: $206.79
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $770.63 $182.38 $127.67 – $722.07
Family psychotherapy, without the patient: 10 of 73 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $147.96
  • Aetna GateKeeper — Aetna GateKeeper: $221.94
  • Aetna Medicare — Aetna Medicare: $185.35
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $554.85
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $240.44
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $446.97
  • Align Senior Care Florida — Align Senior Care Florida: $194.62
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $342.90
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $185.35
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $398.50
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $770.63 Not listed in the file $385.31 – $577.97
Family psychotherapy, without the patient: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $554.85
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $446.97
  • Cigna Behavioral Health — Cigna Behavioral Health: $385.31
  • Dimension Health International — Dimension Health International: $500.91
  • Dimension Health PPO — Dimension Health PPO: $577.97
  • First Health — First Health: $524.03
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $304.47 $182.38 $127.67 – $722.07
Family psychotherapy, with the patient: 10 of 73 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $304.47
  • Aetna GateKeeper — Aetna GateKeeper: $304.47
  • Aetna Medicare — Aetna Medicare: $185.35
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $219.22
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $304.47
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $176.59
  • Align Senior Care Florida — Align Senior Care Florida: $194.62
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $342.90
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $185.35
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $398.50
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $304.47 Not listed in the file $152.24 – $228.35
Family psychotherapy, with the patient: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $219.22
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $176.59
  • Cigna Behavioral Health — Cigna Behavioral Health: $152.24
  • Dimension Health International — Dimension Health International: $197.91
  • Dimension Health PPO — Dimension Health PPO: $228.35
  • First Health — First Health: $207.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP TX 90853 IOP/PSY $288.20 $104.39 $73.07 – $413.29
Group psychotherapy: 10 of 76 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $55.33
  • Aetna GateKeeper — Aetna GateKeeper: $83
  • Aetna Medicare — Aetna Medicare: $106.09
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $207.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $89.92
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $167.16
  • Align Senior Care Florida — Align Senior Care Florida: $111.39
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $196.27
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $106.09
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $228.09
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY NOT MULTI-FAMILY $288.20 $104.39 $73.07 – $413.29
Group psychotherapy: 10 of 73 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $288.20
  • Aetna GateKeeper — Aetna GateKeeper: $288.20
  • Aetna Medicare — Aetna Medicare: $106.09
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $207.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $288.20
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $167.16
  • Align Senior Care Florida — Align Senior Care Florida: $111.39
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $196.27
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $106.09
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $228.09
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GRP PSYCH PARTIAL HOSP 45-50 $288.20 $104.39 $73.07 – $413.29
Group psychotherapy: 10 of 73 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $288.20
  • Aetna GateKeeper — Aetna GateKeeper: $288.20
  • Aetna Medicare — Aetna Medicare: $106.09
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $207.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $288.20
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $167.16
  • Align Senior Care Florida — Align Senior Care Florida: $111.39
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $196.27
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $106.09
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $228.09

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file $4,023.39 $2,816.37 – $15,928.31
Removal of breast growth (open surgery): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $876.45
  • Aetna Exchange — Aetna Exchange: $422
  • Aetna GateKeeper — Aetna GateKeeper: $630
  • Aetna Medicare — Aetna Medicare: $4,088.81
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $630
  • Align Senior Care Florida — Align Senior Care Florida: $4,293.25
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $7,564.30
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $876.45
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $4,088.81
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $8,790.94
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file $13,173.75 $9,221.63 – $52,228.87
Total hip replacement: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6,097.24
  • Aetna Exchange — Aetna Exchange: $682
  • Aetna GateKeeper — Aetna GateKeeper: $1,018
  • Aetna Medicare — Aetna Medicare: $13,407.17
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,018
  • Align Senior Care Florida — Align Senior Care Florida: $14,077.53
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $24,803.26
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6,097.24
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $13,407.17
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $28,825.42
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file $13,173.75 $9,221.63 – $52,228.87
Total knee replacement: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $6,097.24
  • Aetna Exchange — Aetna Exchange: $682
  • Aetna GateKeeper — Aetna GateKeeper: $1,018
  • Aetna Medicare — Aetna Medicare: $13,407.17
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,018
  • Align Senior Care Florida — Align Senior Care Florida: $14,077.53
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $24,803.26
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $6,097.24
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $13,407.17
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $28,825.42
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $157.26 – $35,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 39 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,423.47
  • Aetna Exchange — Aetna Exchange: $1,498
  • Aetna GateKeeper — Aetna GateKeeper: $2,235
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,235
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,423.47
  • AVMED Broad Network — AVMED Broad Network: $157.26
  • Claritev Medical — Claritev Medical: $1,500
  • Humana Commercial HMO — Humana Commercial HMO: $2,468
  • Humana Commercial PPO — Humana Commercial PPO: $2,594
  • Humana Medical Plan / FL Medicaid — Humana Medical Plan / FL Medicaid: $1,423.47
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file $3,362.21 $2,353.55 – $13,310.79
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,423.47
  • Aetna Exchange — Aetna Exchange: $1,498
  • Aetna GateKeeper — Aetna GateKeeper: $2,235
  • Aetna Medicare — Aetna Medicare: $3,416.88
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,235
  • Align Senior Care Florida — Align Senior Care Florida: $3,587.72
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $6,321.23
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,423.47
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $3,416.88
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $7,346.29
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 $6,083.04 $4,258.13 – $24,082.39
Removal of tonsils and adenoids (under age 12): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,419.82
  • Aetna Exchange — Aetna Exchange: $422
  • Aetna GateKeeper — Aetna GateKeeper: $630
  • Aetna Medicare — Aetna Medicare: $6,181.95
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $630
  • Align Senior Care Florida — Align Senior Care Florida: $6,491.05
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $11,436.61
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,419.82
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6,181.95
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $13,291.19
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 $932 $652.40 – $3,689.69
Upper GI endoscopy (diagnostic): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $671.79
  • Aetna Exchange — Aetna Exchange: $276
  • Aetna GateKeeper — Aetna GateKeeper: $412
  • Aetna Medicare — Aetna Medicare: $947.15
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $412
  • Align Senior Care Florida — Align Senior Care Florida: $994.51
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,752.23
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $671.79
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $947.15
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,036.37
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 $932 $652.40 – $3,689.69
Upper GI endoscopy with biopsy: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $671.79
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $947.15
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $994.51
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,752.23
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $671.79
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $947.15
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,036.37
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file $955.60 $668.92 – $3,783.16
Colonoscopy (diagnostic): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $654.89
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $971.14
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $1,019.70
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,796.61
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $654.89
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $971.14
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,087.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file $1,229.64 $860.75 – $4,868.03
Colonoscopy with biopsy: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $654.89
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $1,249.63
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $1,312.11
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $2,311.82
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $654.89
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $1,249.63
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,686.70
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 $1,229.64 $860.75 – $4,868.03
Colonoscopy with removal of polyps (snare): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $654.89
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $1,249.63
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $1,312.11
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $2,311.82
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $654.89
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $1,249.63
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,686.70
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 $1,229.64 $860.75 – $4,868.03
Ultrasound of the lower bowel by endoscope: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $654.89
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $1,249.63
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $1,312.11
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $2,311.82
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $654.89
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $1,249.63
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $2,686.70
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file $6,212.21 $4,348.55 – $24,593.73
Gallbladder removal by laparoscope: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2,540.22
  • Aetna Exchange — Aetna Exchange: $1,498
  • Aetna GateKeeper — Aetna GateKeeper: $2,235
  • Aetna Medicare — Aetna Medicare: $6,313.22
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,235
  • Align Senior Care Florida — Align Senior Care Florida: $6,628.88
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $11,679.46
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2,540.22
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $6,313.22
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $13,573.42
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 $3,679.12 $2,575.38 – $14,565.39
Groin (inguinal) hernia repair, age 5 or older: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $2,643.18
  • Aetna Exchange — Aetna Exchange: $522
  • Aetna GateKeeper — Aetna GateKeeper: $778
  • Aetna Medicare — Aetna Medicare: $3,738.94
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $778
  • Align Senior Care Florida — Align Senior Care Florida: $3,925.89
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $6,917.04
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $2,643.18
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $3,738.94
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $8,038.72
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 $115.50 – $35,000
Prostate biopsy: 10 of 42 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $115.50
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • AVMED Broad Network — AVMED Broad Network: $200.92
  • Avmed Exchange — Avmed Exchange: $6,350
  • Avmed Medicare — Avmed Medicare: $4,200
  • Avmed Select Network — Avmed Select Network: $6,350
  • Cigna Commercial — Cigna Commercial: $14,700
  • Cigna Individual Family — Cigna Individual Family: $10,300
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file $10,913.22 $7,639.25 – $43,243.09
Prostate removal by laparoscope (radical prostatectomy): 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $3,176.81
  • Aetna Exchange — Aetna Exchange: $1,498
  • Aetna GateKeeper — Aetna GateKeeper: $2,235
  • Aetna Medicare — Aetna Medicare: $11,100.51
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,235
  • Align Senior Care Florida — Align Senior Care Florida: $11,655.54
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $20,535.94
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $3,176.81
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $11,100.51
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $23,866.10
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 $3,326.37 $2,328.46 – $13,168.90
Hysteroscopy with biopsy of the uterus lining: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,616.87
  • Aetna Exchange — Aetna Exchange: $1,498
  • Aetna GateKeeper — Aetna GateKeeper: $2,235
  • Aetna Medicare — Aetna Medicare: $3,380.46
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $2,235
  • Align Senior Care Florida — Align Senior Care Florida: $3,549.48
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $6,253.85
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,616.87
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $3,380.46
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $7,267.99
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $2,033.89 $725.35 $507.75 – $2,871.60
Spinal injection, lower back (epidural), with imaging guidance: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $471.65
  • Aetna Exchange — Aetna Exchange: $113
  • Aetna GateKeeper — Aetna GateKeeper: $169
  • Aetna Medicare — Aetna Medicare: $737.14
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,464.40
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $178
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,179.66
  • Align Senior Care Florida — Align Senior Care Florida: $774
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,363.71
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $471.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $2,033.89 Not listed in the file $1,016.95 – $1,525.42
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,464.40
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,179.66
  • Cigna Behavioral Health — Cigna Behavioral Health: $1,016.95
  • Dimension Health International — Dimension Health International: $1,322.03
  • Dimension Health PPO — Dimension Health PPO: $1,525.42
  • First Health — First Health: $1,383.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file $908.86 $636.20 – $3,598.10
Nerve root injection, lower back, with imaging guidance: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $471.65
  • Aetna Exchange — Aetna Exchange: $276
  • Aetna GateKeeper — Aetna GateKeeper: $412
  • Aetna Medicare — Aetna Medicare: $923.64
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $412
  • Align Senior Care Florida — Align Senior Care Florida: $969.82
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,708.73
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $471.65
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $923.64
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $1,985.83
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJ FORAMEN EPIDURAL L/S BIL $3,955.03 $1,363.28 $954.30 – $5,397.16
Nerve root injection, lower back, with imaging guidance: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $707.48
  • Aetna Exchange — Aetna Exchange: $113
  • Aetna GateKeeper — Aetna GateKeeper: $169
  • Aetna Medicare — Aetna Medicare: $1,385.45
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $2,847.62
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $178
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $2,293.92
  • Align Senior Care Florida — Align Senior Care Florida: $1,454.72
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $2,563.08
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $707.48
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: INJ FORAMEN EPIDURAL L/S LT $2,636.69 $908.86 $636.20 – $3,598.10
Nerve root injection, lower back, with imaging guidance: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $471.65
  • Aetna Exchange — Aetna Exchange: $113
  • Aetna GateKeeper — Aetna GateKeeper: $169
  • Aetna Medicare — Aetna Medicare: $923.64
  • Aetna National Advantage Program (NAP) — Aetna National Advantage Program (NAP): $1,898.42
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $178
  • Aetna Signature Administrators (ASA) — Aetna Signature Administrators (ASA): $1,529.28
  • Align Senior Care Florida — Align Senior Care Florida: $969.82
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,708.73
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $471.65
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file $2,006.56 $1,404.59 – $7,943.86
Carpal tunnel release: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $907.79
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $2,039.19
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $2,141.15
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $3,772.50
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $907.79
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $2,039.19
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $4,384.26
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 $565.16 $395.61 – $2,237.44
Laser treatment of clouding after cataract surgery: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $359.47
  • Aetna Exchange — Aetna Exchange: $370
  • Aetna GateKeeper — Aetna GateKeeper: $551
  • Aetna Medicare — Aetna Medicare: $574.35
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $551
  • Align Senior Care Florida — Align Senior Care Florida: $603.07
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $1,062.55
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $359.47
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $574.35
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $1,234.85
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file $2,371.45 $1,660.02 – $9,388.43
Cataract removal with lens implant: 10 of 82 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,142.75
  • Aetna Exchange — Aetna Exchange: $806
  • Aetna GateKeeper — Aetna GateKeeper: $1,202
  • Aetna Medicare — Aetna Medicare: $2,410.01
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $1,202
  • Align Senior Care Florida — Align Senior Care Florida: $2,530.51
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $4,458.52
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,142.75
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $2,410.01
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $5,181.52

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,449.76 – $6,760.56
Vaginal delivery, with care before and after: 10 of 36 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,714.71
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,714.71
  • AVMED Broad Network — AVMED Broad Network: $1,449.76
  • Claritev Medical — Claritev Medical: $6,500
  • Humana Commercial HMO — Humana Commercial HMO: $6,000
  • Humana Commercial PPO — Humana Commercial PPO: $6,302
  • Humana Medical Plan / FL Medicaid — Humana Medical Plan / FL Medicaid: $1,714.71
  • Molina Managed Medicaid — Molina Managed Medicaid: $1,766.15
  • Simply Healthcare Medicaid HMO — Simply Healthcare Medicaid HMO: $1,714.71
  • Sunshine State Health Plan Medicaid — Sunshine State Health Plan Medicaid: $1,766.15
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,449.76 – $35,000
Cesarean delivery (C-section), with care before and after: 10 of 36 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,488.70
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,488.70
  • AVMED Broad Network — AVMED Broad Network: $1,449.76
  • Claritev Medical — Claritev Medical: $6,500
  • Humana Commercial HMO — Humana Commercial HMO: $6,000
  • Humana Commercial PPO — Humana Commercial PPO: $6,302
  • Humana Medical Plan / FL Medicaid — Humana Medical Plan / FL Medicaid: $1,488.70
  • Molina Managed Medicaid — Molina Managed Medicaid: $1,533.36
  • Simply Healthcare Medicaid HMO — Simply Healthcare Medicaid HMO: $1,488.70
  • Sunshine State Health Plan Medicaid — Sunshine State Health Plan Medicaid: $1,533.36
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,449.76 – $35,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 36 insurance plan rates
  • Aetna Better Health Medicaid HMO — Aetna Better Health Medicaid HMO: $1,714.71
  • Amerihealth Caritas Medicaid — Amerihealth Caritas Medicaid: $1,714.71
  • AVMED Broad Network — AVMED Broad Network: $1,449.76
  • Claritev Medical — Claritev Medical: $6,500
  • Humana Commercial HMO — Humana Commercial HMO: $6,000
  • Humana Commercial PPO — Humana Commercial PPO: $6,302
  • Humana Medical Plan / FL Medicaid — Humana Medical Plan / FL Medicaid: $1,714.71
  • Molina Managed Medicaid — Molina Managed Medicaid: $1,766.15
  • Simply Healthcare Medicaid HMO — Simply Healthcare Medicaid HMO: $1,714.71
  • Sunshine State Health Plan Medicaid — Sunshine State Health Plan Medicaid: $1,766.15

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $80,601.59 $53,863 – $212,666.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 74 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $53,863
  • Aetna GateKeeper — Aetna GateKeeper: $80,393
  • Aetna Medicare — Aetna Medicare: $82,211.09
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $88,432
  • Align Senior Care Florida — Align Senior Care Florida: $86,321.64
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $152,090.52
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $82,211.09
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $176,753.84
  • AVMED Broad Network — AVMED Broad Network: $122,226.30
  • Avmed Exchange — Avmed Exchange: $143,869.41
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 $32,048.77 $4,098 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 71 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $12,430
  • Aetna GateKeeper — Aetna GateKeeper: $18,552
  • Aetna Medicare — Aetna Medicare: $32,667.40
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $19,789
  • Align Senior Care Florida — Align Senior Care Florida: $34,300.77
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $60,434.69
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $32,667.40
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $70,234.91
  • AVMED Broad Network — AVMED Broad Network: $20,729.51
  • Avmed Exchange — Avmed Exchange: $57,167.95
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 $18,342.78 $4,098 – $46,135.51
Hip or knee replacement (major joint of the leg), without major complications: 10 of 74 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $18,681.69
  • Align Senior Care Florida — Align Senior Care Florida: $19,615.77
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $34,561.13
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $18,681.69
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $40,165.63
  • AVMED Broad Network — AVMED Broad Network: $24,099.68
  • Avmed Exchange — Avmed Exchange: $32,692.96
  • Avmed Medicare — Avmed Medicare: $17,747.61
  • Avmed Select Network — Avmed Select Network: $38,857.92
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $24,606.79
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 $22,404.65 $4,098 – $52,109.55
Neck (cervical) spinal fusion, without complications: 10 of 74 insurance plan rates
  • Aetna Exchange — Aetna Exchange: $12,430
  • Aetna GateKeeper — Aetna GateKeeper: $18,552
  • Aetna Medicare — Aetna Medicare: $22,826.46
  • Aetna Non-GateKeeper — Aetna Non-GateKeeper: $19,789
  • Align Senior Care Florida — Align Senior Care Florida: $23,967.78
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $42,228.95
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $22,826.46
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $49,076.89
  • AVMED Broad Network — AVMED Broad Network: $30,501.60
  • Avmed Exchange — Avmed Exchange: $39,946.31
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 $12,887.34 $1,100 – $36,391.26
Uterus and ovary surgery (not for cancer), without complications: 10 of 74 insurance plan rates
  • Aetna Medicare — Aetna Medicare: $13,114.92
  • Align Senior Care Florida — Align Senior Care Florida: $13,770.67
  • Ambetter by Sunshine HIX — Ambetter by Sunshine HIX: $24,262.60
  • AmeriHealth Caritas Medicare — AmeriHealth Caritas Medicare: $13,114.92
  • AmeriHealth Caritas Next Exchange — AmeriHealth Caritas Next Exchange: $28,197.08
  • AVMED Broad Network — AVMED Broad Network: $15,501.31
  • Avmed Exchange — Avmed Exchange: $22,951.11
  • Avmed Medicare — Avmed Medicare: $12,459.17
  • Avmed Select Network — Avmed Select Network: $27,279.03
  • BC/BS myBlue HMO HIX — BC/BS myBlue HMO HIX: $10,228.30

Source: North Shore Medical Center’s standard charges file (northshoremc.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 16, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1100 NW 95th St, Miami, FL 33150
CountyMiami-Dade County
StateFlorida
Phone(305) 835‑6000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating1 of 5 stars
CMS Certification Number100029
Name in Medicare recordsNORTH SHORE MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitenorthshoremc.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. North Shore Medical Center — northshoremc.org
  2. Services – North Shore Medical Center — northshoremc.org
  3. Emergency Care – North Shore Medical Center — northshoremc.org
  4. Visiting Hours – North Shore Medical Center — northshoremc.org
  5. Interpreter Language Services – North Shore Medical Center — northshoremc.org