Does Northern Light A R Gould Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Northern Light A R Gould Hospital. In a medical emergency, call 911.

Where is Northern Light A R Gould Hospital?

PO Box 151, Presque Isle, ME 04769, in Aroostook County, Maine.

What is the phone number of Northern Light A R Gould Hospital?

(207) 768-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Northern Light A R Gould Hospital?

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

Northern Light A R Gould Hospital

Quick answers

Does Northern Light A R Gould Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Northern Light A R Gould Hospital. In a medical emergency, call 911.
Where is Northern Light A R Gould Hospital?: PO Box 151, Presque Isle, ME 04769, in Aroostook County, Maine.
What is the phone number of Northern Light A R Gould Hospital?: (207) 768-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Northern Light A R Gould Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Cancer care
Cardiology
Dialysis
Sleep medicine
Imaging
Orthopedics
Behavioral care
Eye care
Primary care
Pediatric care
Women's health
Walk-in care
Day surgery

Procedures^[5]

Mammography

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

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Language assistance is available; the site lists many languages (a language assistance page is linked)^[5]
Patient portal	myNorthernLightHealth

Doctors and clinicians (261)

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

Main specialties

Doctors with a page on this site (261)

Adam G. Russell, CNACertified Registered Nurse Anesthetist (CRNA)
Ahmad F. Hamdan, MDInfectious Disease
Alan Mautz, MDDiagnostic Radiology
Alejo Visuara-Maldonado, MDAnesthesiology
Alexander V. Fisher, MDSurgical Oncology
Alhassan M. Badahman, MDPulmonary Disease
Ali Elkhedr, MDHospitalist
Alireza Naderipour, MDOrthopedic Surgery
Alisha J. ReidNurse Practitioner
Allison GuerretteNurse Practitioner
Allison M. Ainsworth, NPNurse Practitioner
Alvin D. Wycoco, MDEmergency Medicine
Amanda E. TracyNurse Practitioner
Amanda M. RautenbergPhysician Assistant
Amber L. Murphy, NPNurse Practitioner
Amit Agrawal, MDGastroenterology
Andrew J. Sherwood, MDVascular Surgery
Angela Silverfield, MDEmergency Medicine
Ann Marie B. Giedd, NPNurse Practitioner
Ansu Karki, MDInternal Medicine
Ashley BassettPhysician Assistant
Ashley ChabreNurse Practitioner
Ashley M. CharlouxNurse Practitioner
Aubrey Siegel, DOFamily Practice

And 237 more: the button below opens the full list.

Other emergency rooms nearby

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

Cary Medical Center13 mi · Caribou, ME · Acute Care Hospital
Houlton Regional Hospital39 mi · Houlton, ME · Critical Access Hospital
Northern Maine Medical Center49 mi · Fort Kent, ME · Critical Access Hospital
Millinocket Regional Hospital79 mi · Millinocket, ME · Critical Access Hospital
Penobscot Valley Hospital96 mi · Lincoln, ME · Critical Access Hospital

Other hospitals nearby

Calais Community Hospital110 mi · Calais, ME · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Presque Isle Healthcare Center0.8 mi · Presque Isle, ME · 1 of 5 stars
Maine Veterans Home - Caribou11 mi · Caribou, ME · 5 of 5 stars
Caribou Healthcare Center, LLC13 mi · Caribou, ME · 3 of 5 stars

All nursing homes in the state →

Home health agencies

Valley Home Health Services16 mi · Caribou, ME

All home health agencies in the state →

Dialysis facilities

Northern Light Dialysis0.0 mi · Presque Isle, ME · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Nmofs Ambulatory Surgical Center PC0.0 mi · Presque Isle, ME
Vision Care of Maine - Aroostook LLC0.0 mi · Presque Isle, ME

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

Pines Health Services0.0 mi · Presque Isle, ME · Community health center
Pines Kimball Community Health Center8.9 mi · Fort Fairfield, ME · Community health center
Pines Health Services12 mi · Washburn, ME · Community health center

Pharmacies

Aroostook Apothecary LLC0.0 mi · Presque Isle, ME · Pharmacy
Presque Isle Pharmacy Co., LLC0.0 mi · Presque Isle, ME · Community/retail pharmacy
Wal-Mart Stores East LP0.0 mi · Presque Isle, ME · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	61%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	307Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	1.659No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.4%
Deaths within 30 days: pneumonia patients	15.6%
Deaths within 30 days: COPD patients	8.9%
Deaths within 30 days: stroke patients	12.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.1No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	200 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	61%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 Maine

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Northern Light A R Gould Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT EXTENDED SERVICE FF	$178	$37.38	$90.07 – $144
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — Commercial: $138.66 Aetna — MCR Advantage: $90.07 Anthem — Commercial: $115.70 Anthem — Enhanced Pathways: $115.70 CHO — Commercial: $115.70 Cigna — Commercial: $132.79 Harvard — Commercial: $125.21 UHC — Commercial: $144
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT EXTENDED SERV FF	$178	$37.38	$90.07 – $144
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — Commercial: $138.66 Aetna — MCR Advantage: $90.07 Anthem — Commercial: $115.70 Anthem — Enhanced Pathways: $115.70 CHO — Commercial: $115.70 Cigna — Commercial: $132.79 Harvard — Commercial: $125.21 UHC — Commercial: $144
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT EXTENDED SERV FFEE	$178	$37.38	$90.07 – $144
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — Commercial: $138.66 Aetna — MCR Advantage: $90.07 Anthem — Commercial: $115.70 Anthem — Enhanced Pathways: $115.70 CHO — Commercial: $115.70 Cigna — Commercial: $132.79 Harvard — Commercial: $125.21 UHC — Commercial: $144
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT COMPREH SERVICE FF	$243	$51.03	$122.96 – $196.59
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Commercial: $189.30 Aetna — MCR Advantage: $122.96 Anthem — Commercial: $157.95 Anthem — Enhanced Pathways: $157.95 CHO — Commercial: $157.95 Cigna — Commercial: $181.28 Harvard — Commercial: $170.93 UHC — Commercial: $196.59
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT COMPREH SERV FF	$243	$51.03	$122.96 – $196.59
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Commercial: $189.30 Aetna — MCR Advantage: $122.96 Anthem — Commercial: $157.95 Anthem — Enhanced Pathways: $157.95 CHO — Commercial: $157.95 Cigna — Commercial: $181.28 Harvard — Commercial: $170.93 UHC — Commercial: $196.59
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT COMPREH SERV FFEE	$243	$51.03	$122.96 – $196.59
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Commercial: $189.30 Aetna — MCR Advantage: $122.96 Anthem — Commercial: $157.95 Anthem — Enhanced Pathways: $157.95 CHO — Commercial: $157.95 Cigna — Commercial: $181.28 Harvard — Commercial: $170.93 UHC — Commercial: $196.59
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT EX COMPREH SERVICE FF	$428	$89.88	$216.57 – $346.25
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — Commercial: $333.41 Aetna — MCR Advantage: $216.57 Anthem — Commercial: $278.20 Anthem — Enhanced Pathways: $278.20 CHO — Commercial: $278.20 Cigna — Commercial: $319.29 Harvard — Commercial: $301.06 UHC — Commercial: $346.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT EX COMPREH SERV FF	$428	$89.88	$216.57 – $346.25
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — Commercial: $333.41 Aetna — MCR Advantage: $216.57 Anthem — Commercial: $278.20 Anthem — Enhanced Pathways: $278.20 CHO — Commercial: $278.20 Cigna — Commercial: $319.29 Harvard — Commercial: $301.06 UHC — Commercial: $346.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT HI COMPLEX SERV FF	$428	$89.88	$216.57 – $346.25
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — Commercial: $333.41 Aetna — MCR Advantage: $216.57 Anthem — Commercial: $278.20 Anthem — Enhanced Pathways: $278.20 CHO — Commercial: $278.20 Cigna — Commercial: $319.29 Harvard — Commercial: $301.06 UHC — Commercial: $346.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LIMITED SERVICE FF	$164	$34.44	$82.98 – $132.68
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Commercial: $127.76 Aetna — MCR Advantage: $82.98 Anthem — Commercial: $106.60 Anthem — Enhanced Pathways: $106.60 CHO — Commercial: $106.60 Cigna — Commercial: $122.34 Harvard — Commercial: $115.36 UHC — Commercial: $132.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LIMITED SERV FF	$164	$34.44	$82.98 – $132.68
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Commercial: $127.76 Aetna — MCR Advantage: $82.98 Anthem — Commercial: $106.60 Anthem — Enhanced Pathways: $106.60 CHO — Commercial: $106.60 Cigna — Commercial: $122.34 Harvard — Commercial: $115.36 UHC — Commercial: $132.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LIMITED SERV FFEE	$164	$34.44	$82.98 – $132.68
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Commercial: $127.76 Aetna — MCR Advantage: $82.98 Anthem — Commercial: $106.60 Anthem — Enhanced Pathways: $106.60 CHO — Commercial: $106.60 Cigna — Commercial: $122.34 Harvard — Commercial: $115.36 UHC — Commercial: $132.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT INTERMED SERVICE FF	$215	$45.15	$108.79 – $173.94
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Commercial: $167.48 Aetna — MCR Advantage: $108.79 Anthem — Commercial: $139.75 Anthem — Enhanced Pathways: $139.75 CHO — Commercial: $139.75 Cigna — Commercial: $160.39 Harvard — Commercial: $151.23 UHC — Commercial: $173.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT INTERMED SERV FF	$215	$45.15	$108.79 – $173.94
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Commercial: $167.48 Aetna — MCR Advantage: $108.79 Anthem — Commercial: $139.75 Anthem — Enhanced Pathways: $139.75 CHO — Commercial: $139.75 Cigna — Commercial: $160.39 Harvard — Commercial: $151.23 UHC — Commercial: $173.94
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT INTERMED SERV FFEE	$215	$45.15	$108.79 – $173.94
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Commercial: $167.48 Aetna — MCR Advantage: $108.79 Anthem — Commercial: $139.75 Anthem — Enhanced Pathways: $139.75 CHO — Commercial: $139.75 Cigna — Commercial: $160.39 Harvard — Commercial: $151.23 UHC — Commercial: $173.94
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CONSUL NEW/EST 30MIN FF	$204	$42.84	$103.22 – $165.04
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — Commercial: $158.92 Aetna — MCR Advantage: $103.22 Anthem — Commercial: $132.60 Anthem — Enhanced Pathways: $132.60 CHO — Commercial: $132.60 Cigna — Commercial: $152.18 Harvard — Commercial: $143.49 UHC — Commercial: $165.04
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFF/OP CONSUL NEW/EST 30MIN	$204	$42.84	$103.22 – $165.04
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — Commercial: $158.92 Aetna — MCR Advantage: $103.22 Anthem — Commercial: $132.60 Anthem — Enhanced Pathways: $132.60 CHO — Commercial: $132.60 Cigna — Commercial: $152.18 Harvard — Commercial: $143.49 UHC — Commercial: $165.04
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE/OP CONSUL NEW/EST 30MIN	$205	$43.05	$103.73 – $165.84
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — Commercial: $159.70 Aetna — MCR Advantage: $103.73 Anthem — Commercial: $133.25 Anthem — Enhanced Pathways: $133.25 CHO — Commercial: $133.25 Cigna — Commercial: $152.93 Harvard — Commercial: $144.20 UHC — Commercial: $165.84
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CONSUL NEW/EST 40MIN FF	$240	$50.40	$121.44 – $194.16
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — Commercial: $186.96 Aetna — MCR Advantage: $121.44 Anthem — Commercial: $156 Anthem — Enhanced Pathways: $156 CHO — Commercial: $156 Cigna — Commercial: $179.04 Harvard — Commercial: $168.82 UHC — Commercial: $194.16
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULT LVL 4 NEW PT	$240	$50.40	$121.44 – $194.16
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — Commercial: $186.96 Aetna — MCR Advantage: $121.44 Anthem — Commercial: $156 Anthem — Enhanced Pathways: $156 CHO — Commercial: $156 Cigna — Commercial: $179.04 Harvard — Commercial: $168.82 UHC — Commercial: $194.16
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULT LVL 4 EST PT	$240	$50.40	$121.44 – $194.16
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — Commercial: $186.96 Aetna — MCR Advantage: $121.44 Anthem — Commercial: $156 Anthem — Enhanced Pathways: $156 CHO — Commercial: $156 Cigna — Commercial: $179.04 Harvard — Commercial: $168.82 UHC — Commercial: $194.16
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVNT HLTH PHY 18-39 NP	$144	$30.24	$72.86 – $116.50
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — Commercial: $112.18 Aetna — MCR Advantage: $72.86 Anthem — Commercial: $93.60 Anthem — Enhanced Pathways: $93.60 CHO — Commercial: $93.60 Cigna — Commercial: $107.42 Harvard — Commercial: $101.29 UHC — Commercial: $116.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PF PREVNT HLTH PHY 18-39 NP	$285	$59.85	$144.21 – $230.57
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — Commercial: $222.02 Aetna — MCR Advantage: $144.21 Anthem — Commercial: $185.25 Anthem — Enhanced Pathways: $185.25 CHO — Commercial: $185.25 Cigna — Commercial: $212.61 Harvard — Commercial: $200.47 UHC — Commercial: $230.57
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVNT HLTH PHY 18-39 NP	$144	$30.24	$93.60 – $107.42
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans Aetna — Commercial: $106.99 Anthem — Commercial: $93.60 Anthem — Enhanced Pathways: $93.60 CHO — Commercial: $93.60 Cigna — Commercial: $107.42 UHC — Commercial: $100.22
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVNT HLTH PHY 40-64 NP	$174	$36.54	$88.04 – $140.77
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Commercial: $135.55 Aetna — MCR Advantage: $88.04 Anthem — Commercial: $113.10 Anthem — Enhanced Pathways: $113.10 CHO — Commercial: $113.10 Cigna — Commercial: $129.80 Harvard — Commercial: $122.39 UHC — Commercial: $140.77
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PF PREVNT HLTH PHY 40-64 NP	$303	$63.63	$153.32 – $245.13
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Commercial: $236.04 Aetna — MCR Advantage: $153.32 Anthem — Commercial: $196.95 Anthem — Enhanced Pathways: $196.95 CHO — Commercial: $196.95 Cigna — Commercial: $226.04 Harvard — Commercial: $213.13 UHC — Commercial: $245.13
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVNT HLTH PHY 40-64 NP	$174	$36.54	$113.10 – $129.80
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans Aetna — Commercial: $129.28 Anthem — Commercial: $113.10 Anthem — Enhanced Pathways: $113.10 CHO — Commercial: $113.10 Cigna — Commercial: $129.80 UHC — Commercial: $121.10
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 3	$1,597	$335.37	$808.08 – $1,291.97
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Commercial: $1,244.06 Aetna — MCR Advantage: $808.08 Anthem — Commercial: $1,038.05 Anthem — Enhanced Pathways: $1,038.05 CHO — Commercial: $1,038.05 Cigna — Commercial: $1,191.36 Harvard — Commercial: $1,123.33 UHC — Commercial: $1,291.97
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT H&E MOD COMPLEX	$319	$66.99	$161.41 – $258.07
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Commercial: $248.50 Aetna — MCR Advantage: $161.41 Anthem — Commercial: $207.35 Anthem — Enhanced Pathways: $207.35 CHO — Commercial: $207.35 Cigna — Commercial: $237.97 Harvard — Commercial: $224.38 UHC — Commercial: $258.07
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT H&E MODERATE	$319	$66.99	$161.41 – $258.07
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Commercial: $248.50 Aetna — MCR Advantage: $161.41 Anthem — Commercial: $207.35 Anthem — Enhanced Pathways: $207.35 CHO — Commercial: $207.35 Cigna — Commercial: $237.97 Harvard — Commercial: $224.38 UHC — Commercial: $258.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 4	$3,720	$781.20	$1,882.32 – $3,009.48
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Commercial: $2,897.88 Aetna — MCR Advantage: $1,882.32 Anthem — Commercial: $2,418 Anthem — Enhanced Pathways: $2,418 CHO — Commercial: $2,418 Cigna — Commercial: $2,775.12 Harvard — Commercial: $2,616.65 UHC — Commercial: $3,009.48
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ED CONSULT MODERATE	$512	$107.52	$259.07 – $414.21
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Commercial: $398.85 Aetna — MCR Advantage: $259.07 Anthem — Commercial: $332.80 Anthem — Enhanced Pathways: $332.80 CHO — Commercial: $332.80 Cigna — Commercial: $381.95 Harvard — Commercial: $360.14 UHC — Commercial: $414.21
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT HIGH	$512	$107.52	$259.07 – $414.21
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Commercial: $398.85 Aetna — MCR Advantage: $259.07 Anthem — Commercial: $332.80 Anthem — Enhanced Pathways: $332.80 CHO — Commercial: $332.80 Cigna — Commercial: $381.95 Harvard — Commercial: $360.14 UHC — Commercial: $414.21
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL 5	$6,240	$1,310.40	$3,157.44 – $5,048.16
Emergency room visit (high): rates for 8 insurance plans Aetna — Commercial: $4,860.96 Aetna — MCR Advantage: $3,157.44 Anthem — Commercial: $4,056 Anthem — Enhanced Pathways: $4,056 CHO — Commercial: $4,056 Cigna — Commercial: $4,655.04 Harvard — Commercial: $4,389.22 UHC — Commercial: $5,048.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT COMPLEX	$905	$190.05	$457.93 – $732.15
Emergency room visit (high): rates for 8 insurance plans Aetna — Commercial: $705 Aetna — MCR Advantage: $457.93 Anthem — Commercial: $588.25 Anthem — Enhanced Pathways: $588.25 CHO — Commercial: $588.25 Cigna — Commercial: $675.13 Harvard — Commercial: $636.58 UHC — Commercial: $732.15
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER VISIT H&E COMPREHENSIVE	$905	$190.05	$457.93 – $732.15
Emergency room visit (high): rates for 8 insurance plans Aetna — Commercial: $705 Aetna — MCR Advantage: $457.93 Anthem — Commercial: $588.25 Anthem — Enhanced Pathways: $588.25 CHO — Commercial: $588.25 Cigna — Commercial: $675.13 Harvard — Commercial: $636.58 UHC — Commercial: $732.15

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL-Q	$97	$20.37	$49.08 – $78.47
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $75.56 Aetna — MCR Advantage: $49.08 Anthem — Commercial: $63.05 Anthem — Enhanced Pathways: $63.05 CHO — Commercial: $63.05 Cigna — Commercial: $72.36 Harvard — Commercial: $68.23 UHC — Commercial: $78.47
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PAN	$97	$20.37	$49.08 – $78.47
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $75.56 Aetna — MCR Advantage: $49.08 Anthem — Commercial: $63.05 Anthem — Enhanced Pathways: $63.05 CHO — Commercial: $63.05 Cigna — Commercial: $72.36 Harvard — Commercial: $68.23 UHC — Commercial: $78.47
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL-Q	$97	$20.37	$63.05 – $72.36
Basic metabolic panel (blood test): rates for 6 insurance plans Aetna — Commercial: $72.07 Anthem — Commercial: $63.05 Anthem — Enhanced Pathways: $63.05 CHO — Commercial: $63.05 Cigna — Commercial: $72.36 UHC — Commercial: $67.51
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PAN	$171	$35.91	$86.53 – $138.34
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $133.21 Aetna — MCR Advantage: $86.53 Anthem — Commercial: $111.15 Anthem — Enhanced Pathways: $111.15 CHO — Commercial: $111.15 Cigna — Commercial: $127.57 Harvard — Commercial: $120.28 UHC — Commercial: $138.34
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANL-Q	$171	$35.91	$86.53 – $138.34
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $133.21 Aetna — MCR Advantage: $86.53 Anthem — Commercial: $111.15 Anthem — Enhanced Pathways: $111.15 CHO — Commercial: $111.15 Cigna — Commercial: $127.57 Harvard — Commercial: $120.28 UHC — Commercial: $138.34
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METABOLIC PAN	$171	$35.91	$111.15 – $127.57
Comprehensive metabolic panel (blood test): rates for 6 insurance plans Aetna — Commercial: $127.05 Anthem — Commercial: $111.15 Anthem — Enhanced Pathways: $111.15 CHO — Commercial: $111.15 Cigna — Commercial: $127.57 UHC — Commercial: $119.02
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRENATAL PANEL	$206	$43.26	$104.24 – $166.65
Obstetric blood test panel: rates for 8 insurance plans Aetna — Commercial: $160.47 Aetna — MCR Advantage: $104.24 Anthem — Commercial: $133.90 Anthem — Enhanced Pathways: $133.90 CHO — Commercial: $133.90 Cigna — Commercial: $153.68 Harvard — Commercial: $144.90 UHC — Commercial: $166.65
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$206	$43.26	$104.24 – $166.65
Obstetric blood test panel: rates for 8 insurance plans Aetna — Commercial: $160.47 Aetna — MCR Advantage: $104.24 Anthem — Commercial: $133.90 Anthem — Enhanced Pathways: $133.90 CHO — Commercial: $133.90 Cigna — Commercial: $153.68 Harvard — Commercial: $144.90 UHC — Commercial: $166.65
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRENATAL PANEL	$206	$43.26	$133.90 – $153.68
Obstetric blood test panel: rates for 6 insurance plans Aetna — Commercial: $153.06 Anthem — Commercial: $133.90 Anthem — Enhanced Pathways: $133.90 CHO — Commercial: $133.90 Cigna — Commercial: $153.68 UHC — Commercial: $143.38
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HDL II	$112	$23.52	$56.67 – $90.61
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Commercial: $87.25 Aetna — MCR Advantage: $56.67 Anthem — Commercial: $72.80 Anthem — Enhanced Pathways: $72.80 CHO — Commercial: $72.80 Cigna — Commercial: $83.55 Harvard — Commercial: $78.78 UHC — Commercial: $90.61
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HDL PROFILE	$112	$23.52	$56.67 – $90.61
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Commercial: $87.25 Aetna — MCR Advantage: $56.67 Anthem — Commercial: $72.80 Anthem — Enhanced Pathways: $72.80 CHO — Commercial: $72.80 Cigna — Commercial: $83.55 Harvard — Commercial: $78.78 UHC — Commercial: $90.61
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HDL II	$112	$23.52	$72.80 – $83.55
Cholesterol panel (lipid panel): rates for 6 insurance plans Aetna — Commercial: $83.22 Anthem — Commercial: $72.80 Anthem — Enhanced Pathways: $72.80 CHO — Commercial: $72.80 Cigna — Commercial: $83.55 UHC — Commercial: $77.95
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$75	$15.75	$37.95 – $60.68
Kidney function panel: rates for 8 insurance plans Aetna — Commercial: $58.42 Aetna — MCR Advantage: $37.95 Anthem — Commercial: $48.75 Anthem — Enhanced Pathways: $48.75 CHO — Commercial: $48.75 Cigna — Commercial: $55.95 Harvard — Commercial: $52.76 UHC — Commercial: $60.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL-Q	$75	$15.75	$37.95 – $60.68
Kidney function panel: rates for 8 insurance plans Aetna — Commercial: $58.42 Aetna — MCR Advantage: $37.95 Anthem — Commercial: $48.75 Anthem — Enhanced Pathways: $48.75 CHO — Commercial: $48.75 Cigna — Commercial: $55.95 Harvard — Commercial: $52.76 UHC — Commercial: $60.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$75	$15.75	$48.75 – $55.95
Kidney function panel: rates for 6 insurance plans Aetna — Commercial: $55.72 Anthem — Commercial: $48.75 Anthem — Enhanced Pathways: $48.75 CHO — Commercial: $48.75 Cigna — Commercial: $55.95 UHC — Commercial: $52.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$104	$21.84	$52.62 – $84.14
Liver function panel: rates for 8 insurance plans Aetna — Commercial: $81.02 Aetna — MCR Advantage: $52.62 Anthem — Commercial: $67.60 Anthem — Enhanced Pathways: $67.60 CHO — Commercial: $67.60 Cigna — Commercial: $77.58 Harvard — Commercial: $73.15 UHC — Commercial: $84.14
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL-Q	$104	$21.84	$52.62 – $84.14
Liver function panel: rates for 8 insurance plans Aetna — Commercial: $81.02 Aetna — MCR Advantage: $52.62 Anthem — Commercial: $67.60 Anthem — Enhanced Pathways: $67.60 CHO — Commercial: $67.60 Cigna — Commercial: $77.58 Harvard — Commercial: $73.15 UHC — Commercial: $84.14
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$104	$21.84	$67.60 – $77.58
Liver function panel: rates for 6 insurance plans Aetna — Commercial: $77.27 Anthem — Commercial: $67.60 Anthem — Enhanced Pathways: $67.60 CHO — Commercial: $67.60 Cigna — Commercial: $77.58 UHC — Commercial: $72.38
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS/AUTO/MIC	$42	$8.82	$21.25 – $33.98
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Commercial: $32.72 Aetna — MCR Advantage: $21.25 Anthem — Commercial: $27.30 Anthem — Enhanced Pathways: $27.30 CHO — Commercial: $27.30 Cigna — Commercial: $31.33 Harvard — Commercial: $29.54 UHC — Commercial: $33.98
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS REFLEX TO CULTURE-Q	$42	$8.82	$21.25 – $33.98
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Commercial: $32.72 Aetna — MCR Advantage: $21.25 Anthem — Commercial: $27.30 Anthem — Enhanced Pathways: $27.30 CHO — Commercial: $27.30 Cigna — Commercial: $31.33 Harvard — Commercial: $29.54 UHC — Commercial: $33.98
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS/AUTO/MIC	$42	$8.82	$27.30 – $31.33
Urine test (automated, with microscope): rates for 6 insurance plans Aetna — Commercial: $31.21 Anthem — Commercial: $27.30 Anthem — Enhanced Pathways: $27.30 CHO — Commercial: $27.30 Cigna — Commercial: $31.33 UHC — Commercial: $29.23
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK (MANUAL)	$20	$4.20	$10.12 – $16.18
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Commercial: $15.58 Aetna — MCR Advantage: $10.12 Anthem — Commercial: $13 Anthem — Enhanced Pathways: $13 CHO — Commercial: $13 Cigna — Commercial: $14.92 Harvard — Commercial: $14.07 UHC — Commercial: $16.18
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$20	$4.20	$10.12 – $16.18
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Commercial: $15.58 Aetna — MCR Advantage: $10.12 Anthem — Commercial: $13 Anthem — Enhanced Pathways: $13 CHO — Commercial: $13 Cigna — Commercial: $14.92 Harvard — Commercial: $14.07 UHC — Commercial: $16.18
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE DIP	$20	$4.20	$10.12 – $16.18
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Commercial: $15.58 Aetna — MCR Advantage: $10.12 Anthem — Commercial: $13 Anthem — Enhanced Pathways: $13 CHO — Commercial: $13 Cigna — Commercial: $14.92 Harvard — Commercial: $14.07 UHC — Commercial: $16.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE SCREEN/LAB	$35	$7.35	$17.71 – $28.32
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Commercial: $27.26 Aetna — MCR Advantage: $17.71 Anthem — Commercial: $22.75 Anthem — Enhanced Pathways: $22.75 CHO — Commercial: $22.75 Cigna — Commercial: $26.11 Harvard — Commercial: $24.62 UHC — Commercial: $28.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY/LAB	$35	$7.35	$17.71 – $28.32
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Commercial: $27.26 Aetna — MCR Advantage: $17.71 Anthem — Commercial: $22.75 Anthem — Enhanced Pathways: $22.75 CHO — Commercial: $22.75 Cigna — Commercial: $26.11 Harvard — Commercial: $24.62 UHC — Commercial: $28.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE PH/LAB	$35	$7.35	$17.71 – $28.32
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Commercial: $27.26 Aetna — MCR Advantage: $17.71 Anthem — Commercial: $22.75 Anthem — Enhanced Pathways: $22.75 CHO — Commercial: $22.75 Cigna — Commercial: $26.11 Harvard — Commercial: $24.62 UHC — Commercial: $28.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL (PART OF PSA FREE)	$125	$26.25	$63.25 – $101.12
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Commercial: $97.38 Aetna — MCR Advantage: $63.25 Anthem — Commercial: $81.25 Anthem — Enhanced Pathways: $81.25 CHO — Commercial: $81.25 Cigna — Commercial: $93.25 Harvard — Commercial: $87.92 UHC — Commercial: $101.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROS SPECIFIC ANTIG PSA	$125	$26.25	$63.25 – $101.12
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Commercial: $97.38 Aetna — MCR Advantage: $63.25 Anthem — Commercial: $81.25 Anthem — Enhanced Pathways: $81.25 CHO — Commercial: $81.25 Cigna — Commercial: $93.25 Harvard — Commercial: $87.92 UHC — Commercial: $101.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPE-AG/LAB	$125	$26.25	$63.25 – $101.12
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Commercial: $97.38 Aetna — MCR Advantage: $63.25 Anthem — Commercial: $81.25 Anthem — Enhanced Pathways: $81.25 CHO — Commercial: $81.25 Cigna — Commercial: $93.25 Harvard — Commercial: $87.92 UHC — Commercial: $101.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH/LAB	$155	$32.55	$78.43 – $125.40
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Commercial: $120.74 Aetna — MCR Advantage: $78.43 Anthem — Commercial: $100.75 Anthem — Enhanced Pathways: $100.75 CHO — Commercial: $100.75 Cigna — Commercial: $115.63 Harvard — Commercial: $109.03 UHC — Commercial: $125.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH/LAB	$155	$32.55	$100.75 – $115.63
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Aetna — Commercial: $115.16 Anthem — Commercial: $100.75 Anthem — Enhanced Pathways: $100.75 CHO — Commercial: $100.75 Cigna — Commercial: $115.63 UHC — Commercial: $107.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.26 – $122.98
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Commercial: $16.80 Aetna — MCR Advantage: $17.14 Anthem — Commercial: $20.84 Anthem — Enhanced Pathways: $16.26 Anthem — MCR Advantage: $16.80 CHO — Commercial: $21 Cigna — Commercial: $122.98 Martin's Point — MCR Advantage: $17.14 UHC — MCR Advantage: $17.14 Wellcare — MCR Advantage: $17.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFF-Q	$72	$15.12	$36.43 – $58.25
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Commercial: $56.09 Aetna — MCR Advantage: $36.43 Anthem — Commercial: $46.80 Anthem — Enhanced Pathways: $46.80 CHO — Commercial: $46.80 Cigna — Commercial: $53.71 Harvard — Commercial: $50.64 UHC — Commercial: $58.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC/AUTO DIFF	$72	$15.12	$36.43 – $58.25
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Commercial: $56.09 Aetna — MCR Advantage: $36.43 Anthem — Commercial: $46.80 Anthem — Enhanced Pathways: $46.80 CHO — Commercial: $46.80 Cigna — Commercial: $53.71 Harvard — Commercial: $50.64 UHC — Commercial: $58.25
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WITH DIFF-Q	$72	$15.12	$46.80 – $53.71
Complete blood count (CBC) with differential: rates for 6 insurance plans Aetna — Commercial: $53.50 Anthem — Commercial: $46.80 Anthem — Enhanced Pathways: $46.80 CHO — Commercial: $46.80 Cigna — Commercial: $53.71 UHC — Commercial: $50.11
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM	$65	$13.65	$32.89 – $52.58
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — Commercial: $50.64 Aetna — MCR Advantage: $32.89 Anthem — Commercial: $42.25 Anthem — Enhanced Pathways: $42.25 CHO — Commercial: $42.25 Cigna — Commercial: $48.49 Harvard — Commercial: $45.72 UHC — Commercial: $52.58
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFFERENTIAL-Q	$65	$13.65	$32.89 – $52.58
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — Commercial: $50.64 Aetna — MCR Advantage: $32.89 Anthem — Commercial: $42.25 Anthem — Enhanced Pathways: $42.25 CHO — Commercial: $42.25 Cigna — Commercial: $48.49 Harvard — Commercial: $45.72 UHC — Commercial: $52.58
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM	$65	$13.65	$42.25 – $48.49
Complete blood count (CBC), automated: rates for 6 insurance plans Aetna — Commercial: $48.30 Anthem — Commercial: $42.25 Anthem — Enhanced Pathways: $42.25 CHO — Commercial: $42.25 Cigna — Commercial: $48.49 UHC — Commercial: $45.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$47	$9.87	$23.78 – $38.02
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Commercial: $36.61 Aetna — MCR Advantage: $23.78 Anthem — Commercial: $30.55 Anthem — Enhanced Pathways: $30.55 CHO — Commercial: $30.55 Cigna — Commercial: $35.06 Harvard — Commercial: $33.06 UHC — Commercial: $38.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/LAB	$47	$9.87	$23.78 – $38.02
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Commercial: $36.61 Aetna — MCR Advantage: $23.78 Anthem — Commercial: $30.55 Anthem — Enhanced Pathways: $30.55 CHO — Commercial: $30.55 Cigna — Commercial: $35.06 Harvard — Commercial: $33.06 UHC — Commercial: $38.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$47	$9.87	$30.55 – $35.06
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans Aetna — Commercial: $34.92 Anthem — Commercial: $30.55 Anthem — Enhanced Pathways: $30.55 CHO — Commercial: $30.55 Cigna — Commercial: $35.06 UHC — Commercial: $32.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$96	$20.16	$48.58 – $77.66
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Commercial: $74.78 Aetna — MCR Advantage: $48.58 Anthem — Commercial: $62.40 Anthem — Enhanced Pathways: $62.40 CHO — Commercial: $62.40 Cigna — Commercial: $71.62 Harvard — Commercial: $67.53 UHC — Commercial: $77.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT SUBSTITUTION, EA	$96	$20.16	$48.58 – $77.66
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Commercial: $74.78 Aetna — MCR Advantage: $48.58 Anthem — Commercial: $62.40 Anthem — Enhanced Pathways: $62.40 CHO — Commercial: $62.40 Cigna — Commercial: $71.62 Harvard — Commercial: $67.53 UHC — Commercial: $77.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT/LAB	$96	$20.16	$48.58 – $77.66
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Commercial: $74.78 Aetna — MCR Advantage: $48.58 Anthem — Commercial: $62.40 Anthem — Enhanced Pathways: $62.40 CHO — Commercial: $62.40 Cigna — Commercial: $71.62 Harvard — Commercial: $67.53 UHC — Commercial: $77.66

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$104.98 – $576.03
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — Commercial: $250.91 Aetna — MCR Advantage: $104.98 Anthem — Commercial: $489.60 Anthem — Enhanced Pathways: $381.89 Anthem — MCR Advantage: $104.98 CHO — Commercial: $432.10 Cigna — Commercial: $576.03 Martin's Point — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $112.44
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$171.41
CT scan of the head or brain, without contrast: rates for 1 insurance plan CHO — Commercial: $171.41
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT BRAIN	$1,233	$258.93	$623.90 – $997.50
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial: $960.51 Aetna — MCR Advantage: $623.90 Anthem — Commercial: $801.45 Anthem — Enhanced Pathways: $801.45 CHO — Commercial: $801.45 Cigna — Commercial: $919.82 Harvard — Commercial: $867.29 UHC — Commercial: $997.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$352.56 – $1,934.46
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — Commercial: $791.90 Aetna — MCR Advantage: $352.56 Anthem — Commercial: $1,644.21 Anthem — Enhanced Pathways: $1,282.49 Anthem — MCR Advantage: $352.56 CHO — Commercial: $1,451.13 Cigna — Commercial: $1,934.46 Martin's Point — MCR Advantage: $352.56 UHC — MCR Advantage: $352.56 Wellcare — MCR Advantage: $377.59
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$510.72
MRI of the brain, before and after contrast: rates for 1 insurance plan CHO — Commercial: $510.72
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI HEAD W/WO CONTRAST	$3,262	$685.02	$1,650.57 – $2,638.96
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — Commercial: $2,541.10 Aetna — MCR Advantage: $1,650.57 Anthem — Commercial: $2,120.30 Anthem — Enhanced Pathways: $2,120.30 CHO — Commercial: $2,120.30 Cigna — Commercial: $2,433.45 Harvard — Commercial: $2,294.49 UHC — Commercial: $2,638.96
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$85.45 – $476.91
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — Commercial: $85.45 Aetna — MCR Advantage: $86.92 Anthem — Commercial: $405.36 Anthem — Enhanced Pathways: $316.18 Anthem — MCR Advantage: $86.92 CHO — Commercial: $357.76 Cigna — Commercial: $476.91 Martin's Point — MCR Advantage: $86.92 UHC — MCR Advantage: $86.92 Wellcare — MCR Advantage: $93.09
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$52.99
Chest X-ray, 2 views: rates for 1 insurance plan CHO — Commercial: $52.99
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CHEST TWO VIEWS	$529	$111.09	$267.67 – $427.96
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Commercial: $412.09 Aetna — MCR Advantage: $267.67 Anthem — Commercial: $343.85 Anthem — Enhanced Pathways: $343.85 CHO — Commercial: $343.85 Cigna — Commercial: $394.63 Harvard — Commercial: $372.10 UHC — Commercial: $427.96
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$104.98 – $576.03
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — Commercial: $144.25 Aetna — MCR Advantage: $104.98 Anthem — Commercial: $489.60 Anthem — Enhanced Pathways: $381.89 Anthem — MCR Advantage: $104.98 CHO — Commercial: $432.10 Cigna — Commercial: $576.03 Martin's Point — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $112.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$81.60
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan CHO — Commercial: $81.60
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE MIN 4 VIEWS	$468	$98.28	$236.81 – $378.61
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Commercial: $364.57 Aetna — MCR Advantage: $236.81 Anthem — Commercial: $304.20 Anthem — Enhanced Pathways: $304.20 CHO — Commercial: $304.20 Cigna — Commercial: $349.13 Harvard — Commercial: $329.19 UHC — Commercial: $378.61
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$238.62 – $1,309.32
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — Commercial: $456.46 Aetna — MCR Advantage: $238.62 Anthem — Commercial: $1,112.86 Anthem — Enhanced Pathways: $868.03 Anthem — MCR Advantage: $238.62 CHO — Commercial: $982.18 Cigna — Commercial: $1,309.32 Martin's Point — MCR Advantage: $238.62 UHC — MCR Advantage: $238.62 Wellcare — MCR Advantage: $255.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$306.74
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan CHO — Commercial: $306.74
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE WO CONTRAST	$1,798	$377.58	$909.79 – $1,454.58
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Commercial: $1,400.64 Aetna — MCR Advantage: $909.79 Anthem — Commercial: $1,168.70 Anthem — Enhanced Pathways: $1,168.70 CHO — Commercial: $1,168.70 Cigna — Commercial: $1,341.31 Harvard — Commercial: $1,264.71 UHC — Commercial: $1,454.58
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$175.74 – $964.26
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Commercial: $645.20 Aetna — MCR Advantage: $175.74 Anthem — Commercial: $819.58 Anthem — Enhanced Pathways: $639.27 Anthem — MCR Advantage: $175.74 CHO — Commercial: $723.34 Cigna — Commercial: $964.26 Martin's Point — MCR Advantage: $175.74 UHC — MCR Advantage: $175.74 Wellcare — MCR Advantage: $188.22
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$361.27
CT scan of the pelvis, with contrast: rates for 1 insurance plan CHO — Commercial: $361.27
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/CONTRAST	$1,736	$364.56	$878.42 – $1,404.42
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $1,352.34 Aetna — MCR Advantage: $878.42 Anthem — Commercial: $1,128.40 Anthem — Enhanced Pathways: $1,128.40 CHO — Commercial: $1,128.40 Cigna — Commercial: $1,295.06 Harvard — Commercial: $1,221.10 UHC — Commercial: $1,404.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$238.62 – $1,309.32
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Commercial: $523.48 Aetna — MCR Advantage: $238.62 Anthem — Commercial: $1,112.86 Anthem — Enhanced Pathways: $868.03 Anthem — MCR Advantage: $238.62 CHO — Commercial: $982.18 Cigna — Commercial: $1,309.32 Martin's Point — MCR Advantage: $238.62 UHC — MCR Advantage: $238.62 Wellcare — MCR Advantage: $255.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$325.22
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan CHO — Commercial: $325.22
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 ANKLE W/O CONTRAST LT	$1,798	$377.58	$909.79 – $1,454.58
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Commercial: $1,400.64 Aetna — MCR Advantage: $909.79 Anthem — Commercial: $1,168.70 Anthem — Enhanced Pathways: $1,168.70 CHO — Commercial: $1,168.70 Cigna — Commercial: $1,341.31 Harvard — Commercial: $1,264.71 UHC — Commercial: $1,454.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$352.56 – $1,934.46
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Commercial: $809.42 Aetna — MCR Advantage: $352.56 Anthem — Commercial: $1,644.21 Anthem — Enhanced Pathways: $1,282.49 Anthem — MCR Advantage: $352.56 CHO — Commercial: $1,451.13 Cigna — Commercial: $1,934.46 Martin's Point — MCR Advantage: $352.56 UHC — MCR Advantage: $352.56 Wellcare — MCR Advantage: $377.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$482.13
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan CHO — Commercial: $482.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELVIS W CONTRAST	$4,729	$993.09	$2,392.87 – $3,825.76
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $3,683.89 Aetna — MCR Advantage: $2,392.87 Anthem — Commercial: $3,073.85 Anthem — Enhanced Pathways: $3,073.85 CHO — Commercial: $3,073.85 Cigna — Commercial: $3,527.83 Harvard — Commercial: $3,326.38 UHC — Commercial: $3,825.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$104.98 – $576.03
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Aetna — Commercial: $283.61 Aetna — MCR Advantage: $104.98 Anthem — Commercial: $489.60 Anthem — Enhanced Pathways: $381.89 Anthem — MCR Advantage: $104.98 CHO — Commercial: $432.10 Cigna — Commercial: $576.03 Martin's Point — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $112.44
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$181.91
Ultrasound of the abdomen, complete: rates for 1 insurance plan CHO — Commercial: $181.91
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ABDOMINAL SONOGRAM	$752	$157.92	$380.51 – $608.37
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Commercial: $585.81 Aetna — MCR Advantage: $380.51 Anthem — Commercial: $488.80 Anthem — Enhanced Pathways: $488.80 CHO — Commercial: $488.80 Cigna — Commercial: $560.99 Harvard — Commercial: $528.96 UHC — Commercial: $608.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/ 14 wks sngl fetus	Not listed in the file	Not listed in the file	$104.98 – $576.03
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates Aetna — Commercial: $319.18 Aetna — MCR Advantage: $104.98 Anthem — Commercial: $489.60 Anthem — Enhanced Pathways: $381.89 Anthem — MCR Advantage: $104.98 CHO — Commercial: $432.10 Cigna — Commercial: $576.03 Martin's Point — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $112.44
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ob us >/ 14 wks sngl fetus	Not listed in the file	Not listed in the file	$211.75
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan CHO — Commercial: $211.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US PREG UTER AFTR 1ST TRI	$719	$150.99	$363.81 – $581.67
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — Commercial: $560.10 Aetna — MCR Advantage: $363.81 Anthem — Commercial: $467.35 Anthem — Enhanced Pathways: $467.35 CHO — Commercial: $467.35 Cigna — Commercial: $536.37 Harvard — Commercial: $505.74 UHC — Commercial: $581.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POCUS NON-PREGNANT TRANSVAG	$549	$115.29	$277.79 – $444.14
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Commercial: $427.67 Aetna — MCR Advantage: $277.79 Anthem — Commercial: $356.85 Anthem — Enhanced Pathways: $356.85 CHO — Commercial: $356.85 Cigna — Commercial: $409.55 Harvard — Commercial: $386.17 UHC — Commercial: $444.14
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POCUS NON-PREGNANT TRANSVAG	$549	$115.29	$356.85 – $409.55
Transvaginal ultrasound: rates for 6 insurance plans Aetna — Commercial: $407.91 Anthem — Commercial: $356.85 Anthem — Enhanced Pathways: $356.85 CHO — Commercial: $356.85 Cigna — Commercial: $409.55 UHC — Commercial: $382.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$104.98 – $576.03
Transvaginal ultrasound: 10 of 11 insurance plan rates Aetna — Commercial: $311.83 Aetna — MCR Advantage: $104.98 Anthem — Commercial: $489.60 Anthem — Enhanced Pathways: $381.89 Anthem — MCR Advantage: $104.98 CHO — Commercial: $432.10 Cigna — Commercial: $576.03 Martin's Point — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $112.44
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$75 – $321.63
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Commercial: $321.63 Aetna — MCR Advantage: $79.05 Anthem — Commercial: $96.15 Anthem — Enhanced Pathways: $75 Anthem — MCR Advantage: $79.05 CHO — Commercial: $96.88 Cigna — Commercial: $214.65 Martin's Point — MCR Advantage: $79.05 UHC — MCR Advantage: $79.05 Wellcare — MCR Advantage: $79.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$197.94
Diagnostic mammogram, one breast: rates for 1 insurance plan CHO — Commercial: $197.94
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAG MAMMO W/CAD EXVIEW UNILAT	$494	$103.74	$249.96 – $399.65
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Commercial: $384.83 Aetna — MCR Advantage: $249.96 Anthem — Commercial: $321.10 Anthem — Enhanced Pathways: $321.10 CHO — Commercial: $321.10 Cigna — Commercial: $368.52 Harvard — Commercial: $347.48 UHC — Commercial: $399.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$95.57 – $409.85
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Commercial: $409.85 Aetna — MCR Advantage: $100.74 Anthem — Commercial: $122.53 Anthem — Enhanced Pathways: $95.57 Anthem — MCR Advantage: $100.74 CHO — Commercial: $123.45 Cigna — Commercial: $273.58 Martin's Point — MCR Advantage: $100.74 UHC — MCR Advantage: $100.74 Wellcare — MCR Advantage: $100.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$249.52
Diagnostic mammogram, both breasts: rates for 1 insurance plan CHO — Commercial: $249.52
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAG MAMMO W/CAD BILAT	$632	$132.72	$319.79 – $511.29
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $492.33 Aetna — MCR Advantage: $319.79 Anthem — Commercial: $410.80 Anthem — Enhanced Pathways: $410.80 CHO — Commercial: $410.80 Cigna — Commercial: $471.47 Harvard — Commercial: $444.55 UHC — Commercial: $511.29
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$79.08 – $339.14
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Commercial: $339.14 Aetna — MCR Advantage: $83.35 Anthem — Commercial: $101.39 Anthem — Enhanced Pathways: $79.08 Anthem — MCR Advantage: $83.35 CHO — Commercial: $102.15 Cigna — Commercial: $226.40 Martin's Point — MCR Advantage: $83.35 UHC — MCR Advantage: $83.35 Wellcare — MCR Advantage: $83.35
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$201.97
Screening mammogram, both breasts: rates for 1 insurance plan CHO — Commercial: $201.97
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: SCREEN MAMMO RT OR LT W/CAD	$593	$124.53	$300.06 – $479.74
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $461.95 Aetna — MCR Advantage: $300.06 Anthem — Commercial: $385.45 Anthem — Enhanced Pathways: $385.45 CHO — Commercial: $385.45 Cigna — Commercial: $442.38 Harvard — Commercial: $417.12 UHC — Commercial: $479.74

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$13.01 – $31.50
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates Aetna — Commercial: $22.77 Aetna — MCR Advantage: $18.98 Anthem — Commercial: $26.99 Anthem — Enhanced Pathways: $26.99 Anthem — MCR Advantage: $13.01 CHO — Commercial: $22.77 Cigna — Commercial: $31.03 Harvard — Commercial: $31.50 Martin's Point — MCR Advantage: $13.27 UHC — Commercial: $28.14
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$70.34
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,175.23 – $17,422.29
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — MCR Advantage: $3,175.23 Anthem — Commercial: $14,808.23 Anthem — Enhanced Pathways: $11,550.42 Anthem — MCR Advantage: $3,175.23 CHO — Commercial: $13,069.27 Cigna — Commercial: $17,422.29 Martin's Point — MCR Advantage: $3,175.23 UHC — MCR Advantage: $3,175.23 Wellcare — MCR Advantage: $3,400.68 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$1,335.36
Left heart catheterization (diagnostic): rates for 1 insurance plan CHO — Commercial: $1,335.36
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HEART CATHETERIZATION	$7,953	$1,670.13	$4,024.22 – $6,433.98
Left heart catheterization (diagnostic): rates for 8 insurance plans Aetna — Commercial: $6,195.39 Aetna — MCR Advantage: $4,024.22 Anthem — Commercial: $5,169.45 Anthem — Enhanced Pathways: $5,169.45 CHO — Commercial: $5,169.45 Cigna — Commercial: $5,932.94 Harvard — Commercial: $5,594.14 UHC — Commercial: $6,433.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$7,490.95 – $41,102.33
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans Aetna — MCR Advantage: $7,490.95 Anthem — Commercial: $34,935.28 Anthem — Enhanced Pathways: $27,249.52 Anthem — MCR Advantage: $7,490.95 CHO — Commercial: $30,832.76 Cigna — Commercial: $41,102.33 Martin's Point — MCR Advantage: $7,490.95 UHC — MCR Advantage: $7,490.95 Wellcare — MCR Advantage: $8,022.81 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$1,117.13
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan CHO — Commercial: $1,117.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$339.07 – $821.46
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates Aetna — Commercial: $593.37 Aetna — MCR Advantage: $436.46 Anthem — Commercial: $701.56 Anthem — Enhanced Pathways: $701.56 Anthem — MCR Advantage: $339.07 Cigna — Commercial: $821.46 Harvard — Commercial: $820.80 Martin's Point — MCR Advantage: $345.85 UHC — Commercial: $683.80 UHC — MCR Advantage: $345.85
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$834.07 – $2,351.22
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates Aetna — Commercial: $1,459.62 Aetna — MCR Advantage: $1,247.94 Anthem — Commercial: $1,739.48 Anthem — Enhanced Pathways: $1,739.48 Anthem — MCR Advantage: $834.07 CHO — Commercial: $1,459.62 Cigna — Commercial: $2,351.22 Harvard — Commercial: $2,029.26 Martin's Point — MCR Advantage: $850.75 UHC — Commercial: $1,910.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$24,218.21 – $132,883.64
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans Aetna — MCR Advantage: $24,218.21 Anthem — Commercial: $112,945.59 Anthem — Enhanced Pathways: $88,097.56 Anthem — MCR Advantage: $24,218.21 CHO — Commercial: $99,682.15 Cigna — Commercial: $132,883.64 Martin's Point — MCR Advantage: $24,218.21 UHC — MCR Advantage: $24,218.21 Wellcare — MCR Advantage: $25,937.70 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY DIAGNOSTI	$4,443	$933.03	$2,248.16 – $3,594.39
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Aetna — Commercial: $3,461.10 Aetna — MCR Advantage: $2,248.16 Anthem — Commercial: $2,887.95 Anthem — Enhanced Pathways: $2,887.95 CHO — Commercial: $2,887.95 Cigna — Commercial: $3,314.48 Harvard — Commercial: $3,125.21 UHC — Commercial: $3,594.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY DIAGNOSTI	$4,443	$933.03	$2,887.95 – $3,314.48
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Aetna — Commercial: $3,301.15 Anthem — Commercial: $2,887.95 Anthem — Enhanced Pathways: $2,887.95 CHO — Commercial: $2,887.95 Cigna — Commercial: $3,314.48 UHC — Commercial: $3,092.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,004.37 – $5,510.89
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna — MCR Advantage: $1,004.37 Anthem — Commercial: $4,684.02 Anthem — Enhanced Pathways: $3,653.54 Anthem — MCR Advantage: $1,004.37 CHO — Commercial: $4,133.97 Cigna — Commercial: $5,510.89 Martin's Point — MCR Advantage: $1,004.37 UHC — MCR Advantage: $1,004.37 Wellcare — MCR Advantage: $1,075.68 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT 15 MIN THER PROCED	$116	$24.36	$58.70 – $93.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $90.36 Aetna — MCR Advantage: $58.70 Anthem — Commercial: $75.40 Anthem — Enhanced Pathways: $75.40 CHO — Commercial: $75.40 Cigna — Commercial: $86.54 Harvard — Commercial: $81.59 UHC — Commercial: $93.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTA 15 MIN THER PROCED	$116	$24.36	$58.70 – $93.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $90.36 Aetna — MCR Advantage: $58.70 Anthem — Commercial: $75.40 Anthem — Enhanced Pathways: $75.40 CHO — Commercial: $75.40 Cigna — Commercial: $86.54 Harvard — Commercial: $81.59 UHC — Commercial: $93.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT INDIV 15MINS TP	$116	$24.36	$58.70 – $93.84
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $90.36 Aetna — MCR Advantage: $58.70 Anthem — Commercial: $75.40 Anthem — Enhanced Pathways: $75.40 CHO — Commercial: $75.40 Cigna — Commercial: $86.54 Harvard — Commercial: $81.59 UHC — Commercial: $93.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY	$263	$55.23	$133.08 – $212.77
Physical therapy evaluation (low complexity): rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY	$263	$55.23	$170.95 – $196.20
Physical therapy evaluation (low complexity): rates for 6 insurance plans Aetna — Commercial: $195.41 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 UHC — Commercial: $183.05
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$90.66 – $220.64
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $90.66 Anthem — Commercial: $190.14 Anthem — Enhanced Pathways: $190.14 Anthem — MCR Advantage: $93.48 CHO — Commercial: $163.59 Cigna — Commercial: $220.64 Harvard — Commercial: $220.58 Martin's Point — MCR Advantage: $95.35 UHC — Commercial: $135.57
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY	$287	$60.27	$145.22 – $232.18
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — Commercial: $223.57 Aetna — MCR Advantage: $145.22 Anthem — Commercial: $186.55 Anthem — Enhanced Pathways: $186.55 CHO — Commercial: $186.55 Cigna — Commercial: $214.10 Harvard — Commercial: $201.88 UHC — Commercial: $232.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY	$287	$60.27	$186.55 – $214.10
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans Aetna — Commercial: $213.24 Anthem — Commercial: $186.55 Anthem — Enhanced Pathways: $186.55 CHO — Commercial: $186.55 Cigna — Commercial: $214.10 UHC — Commercial: $199.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$90.66 – $220.64
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $90.66 Anthem — Commercial: $190.14 Anthem — Enhanced Pathways: $190.14 Anthem — MCR Advantage: $93.48 CHO — Commercial: $163.59 Cigna — Commercial: $220.64 Harvard — Commercial: $220.58 Martin's Point — MCR Advantage: $95.35 UHC — Commercial: $135.57
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY	$343	$72.03	$173.56 – $277.49
Physical therapy evaluation (high complexity): rates for 8 insurance plans Aetna — Commercial: $267.20 Aetna — MCR Advantage: $173.56 Anthem — Commercial: $222.95 Anthem — Enhanced Pathways: $222.95 CHO — Commercial: $222.95 Cigna — Commercial: $255.88 Harvard — Commercial: $241.27 UHC — Commercial: $277.49
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY	$343	$72.03	$222.95 – $255.88
Physical therapy evaluation (high complexity): rates for 6 insurance plans Aetna — Commercial: $254.85 Anthem — Commercial: $222.95 Anthem — Enhanced Pathways: $222.95 CHO — Commercial: $222.95 Cigna — Commercial: $255.88 UHC — Commercial: $238.73
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$90.66 – $220.64
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $90.66 Anthem — Commercial: $190.14 Anthem — Enhanced Pathways: $190.14 Anthem — MCR Advantage: $93.48 CHO — Commercial: $163.59 Cigna — Commercial: $220.64 Harvard — Commercial: $220.58 Martin's Point — MCR Advantage: $95.35 UHC — Commercial: $135.57
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX PATIENT 30 MIN FF	$199	$41.79	$100.69 – $160.99
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — Commercial: $155.02 Aetna — MCR Advantage: $100.69 Anthem — Commercial: $129.35 Anthem — Enhanced Pathways: $129.35 CHO — Commercial: $129.35 Cigna — Commercial: $148.45 Harvard — Commercial: $139.98 UHC — Commercial: $160.99
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW PSYTX PATIENT 30 MIN	$199	$41.79	$100.69 – $160.99
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — Commercial: $155.02 Aetna — MCR Advantage: $100.69 Anthem — Commercial: $129.35 Anthem — Enhanced Pathways: $129.35 CHO — Commercial: $129.35 Cigna — Commercial: $148.45 Harvard — Commercial: $139.98 UHC — Commercial: $160.99
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FP LCSW PSYTX PATIENT 30 MIN	$199	$41.79	$100.69 – $160.99
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — Commercial: $155.02 Aetna — MCR Advantage: $100.69 Anthem — Commercial: $129.35 Anthem — Enhanced Pathways: $129.35 CHO — Commercial: $129.35 Cigna — Commercial: $148.45 Harvard — Commercial: $139.98 UHC — Commercial: $160.99
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX PATIENT 45 MIN FF	$263	$55.23	$133.08 – $212.77
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW PSYTX PATIENT 45 MIN	$263	$55.23	$133.08 – $212.77
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FP LCSW PSYTX PATIENT 45 MIN	$263	$55.23	$133.08 – $212.77
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX PATIENT 60 MIN FF	$386	$81.06	$195.32 – $312.27
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — Commercial: $300.69 Aetna — MCR Advantage: $195.32 Anthem — Commercial: $250.90 Anthem — Enhanced Pathways: $250.90 CHO — Commercial: $250.90 Cigna — Commercial: $287.96 Harvard — Commercial: $271.51 UHC — Commercial: $312.27
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW PSYTX PATIENT 60 MIN	$386	$81.06	$195.32 – $312.27
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — Commercial: $300.69 Aetna — MCR Advantage: $195.32 Anthem — Commercial: $250.90 Anthem — Enhanced Pathways: $250.90 CHO — Commercial: $250.90 Cigna — Commercial: $287.96 Harvard — Commercial: $271.51 UHC — Commercial: $312.27
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FP LCSW PSYTX PATIENT 60 MIN	$386	$81.06	$195.32 – $312.27
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — Commercial: $300.69 Aetna — MCR Advantage: $195.32 Anthem — Commercial: $250.90 Anthem — Enhanced Pathways: $250.90 CHO — Commercial: $250.90 Cigna — Commercial: $287.96 Harvard — Commercial: $271.51 UHC — Commercial: $312.27
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY W/O PT 50 MN FF	$350	$73.50	$177.10 – $283.15
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — Commercial: $272.65 Aetna — MCR Advantage: $177.10 Anthem — Commercial: $227.50 Anthem — Enhanced Pathways: $227.50 CHO — Commercial: $227.50 Cigna — Commercial: $261.10 Harvard — Commercial: $246.19 UHC — Commercial: $283.15
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW FAMILY THER W/O PT	$350	$73.50	$177.10 – $283.15
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — Commercial: $272.65 Aetna — MCR Advantage: $177.10 Anthem — Commercial: $227.50 Anthem — Enhanced Pathways: $227.50 CHO — Commercial: $227.50 Cigna — Commercial: $261.10 Harvard — Commercial: $246.19 UHC — Commercial: $283.15
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY THERAPY W/O PT 50 MIN	$202	$42.42	$102.21 – $163.42
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — Commercial: $157.36 Aetna — MCR Advantage: $102.21 Anthem — Commercial: $131.30 Anthem — Enhanced Pathways: $131.30 CHO — Commercial: $131.30 Cigna — Commercial: $150.69 Harvard — Commercial: $142.09 UHC — Commercial: $163.42
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY CONJOINT 50M FF	$365	$76.65	$184.69 – $295.29
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — Commercial: $284.34 Aetna — MCR Advantage: $184.69 Anthem — Commercial: $237.25 Anthem — Enhanced Pathways: $237.25 CHO — Commercial: $237.25 Cigna — Commercial: $272.29 Harvard — Commercial: $256.74 UHC — Commercial: $295.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY THERAPY CONJNT 50 MN FF	$365	$76.65	$184.69 – $295.29
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — Commercial: $284.34 Aetna — MCR Advantage: $184.69 Anthem — Commercial: $237.25 Anthem — Enhanced Pathways: $237.25 CHO — Commercial: $237.25 Cigna — Commercial: $272.29 Harvard — Commercial: $256.74 UHC — Commercial: $295.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW FAMILY THERAPY	$365	$76.65	$184.69 – $295.29
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — Commercial: $284.34 Aetna — MCR Advantage: $184.69 Anthem — Commercial: $237.25 Anthem — Enhanced Pathways: $237.25 CHO — Commercial: $237.25 Cigna — Commercial: $272.29 Harvard — Commercial: $256.74 UHC — Commercial: $295.29
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW GROUP THERAPY 15 MIN	$193	$40.53	$97.66 – $156.14
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial: $150.35 Aetna — MCR Advantage: $97.66 Anthem — Commercial: $125.45 Anthem — Enhanced Pathways: $125.45 CHO — Commercial: $125.45 Cigna — Commercial: $143.98 Harvard — Commercial: $135.76 UHC — Commercial: $156.14
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW GROUP THERAPY 30 MIN	$193	$40.53	$97.66 – $156.14
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial: $150.35 Aetna — MCR Advantage: $97.66 Anthem — Commercial: $125.45 Anthem — Enhanced Pathways: $125.45 CHO — Commercial: $125.45 Cigna — Commercial: $143.98 Harvard — Commercial: $135.76 UHC — Commercial: $156.14
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LCSW GROUP THERAPY 45 MIN	$193	$40.53	$97.66 – $156.14
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial: $150.35 Aetna — MCR Advantage: $97.66 Anthem — Commercial: $125.45 Anthem — Enhanced Pathways: $125.45 CHO — Commercial: $125.45 Cigna — Commercial: $143.98 Harvard — Commercial: $135.76 UHC — Commercial: $156.14

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE BREAST LESION FFEE	$5,898	$1,238.58	$2,984.39 – $4,771.48
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — Commercial: $4,594.54 Aetna — MCR Advantage: $2,984.39 Anthem — Commercial: $3,833.70 Anthem — Enhanced Pathways: $3,833.70 CHO — Commercial: $3,833.70 Cigna — Commercial: $4,399.91 Harvard — Commercial: $4,148.65 UHC — Commercial: $4,771.48
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMV BREAST LES 1 OR MORE FF	$5,898	$1,238.58	$2,984.39 – $4,771.48
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — Commercial: $4,594.54 Aetna — MCR Advantage: $2,984.39 Anthem — Commercial: $3,833.70 Anthem — Enhanced Pathways: $3,833.70 CHO — Commercial: $3,833.70 Cigna — Commercial: $4,399.91 Harvard — Commercial: $4,148.65 UHC — Commercial: $4,771.48
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMV BREAST LES 1 OR MORE LES	$1,160	$243.60	$586.96 – $938.44
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — Commercial: $903.64 Aetna — MCR Advantage: $586.96 Anthem — Commercial: $754 Anthem — Enhanced Pathways: $754 CHO — Commercial: $754 Cigna — Commercial: $865.36 Harvard — Commercial: $815.94 UHC — Commercial: $938.44
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	$3,764	$790.44	$1,904.58 – $3,045.08
Total hip replacement: rates for 8 insurance plans Aetna — Commercial: $2,932.16 Aetna — MCR Advantage: $1,904.58 Anthem — Commercial: $2,446.60 Anthem — Enhanced Pathways: $2,446.60 CHO — Commercial: $2,446.60 Cigna — Commercial: $2,807.94 Harvard — Commercial: $2,647.60 UHC — Commercial: $3,045.08
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	$3,764	$790.44	$2,446.60 – $2,807.94
Total hip replacement: rates for 6 insurance plans Aetna — Commercial: $2,796.65 Anthem — Commercial: $2,446.60 Anthem — Enhanced Pathways: $2,446.60 CHO — Commercial: $2,446.60 Cigna — Commercial: $2,807.94 UHC — Commercial: $2,619.74
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$12,702.08 – $69,695.45
Total hip replacement: rates for 10 insurance plans Aetna — MCR Advantage: $12,702.08 Anthem — Commercial: $59,238.25 Anthem — Enhanced Pathways: $46,205.83 Anthem — MCR Advantage: $12,702.08 CHO — Commercial: $52,281.78 Cigna — Commercial: $69,695.45 Martin's Point — MCR Advantage: $12,702.08 UHC — MCR Advantage: $12,702.08 Wellcare — MCR Advantage: $13,603.93 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ARTHRO KNEE W/WO RESURFAC	$2,772	$582.12	$1,402.63 – $2,242.55
Total knee replacement: rates for 8 insurance plans Aetna — Commercial: $2,159.39 Aetna — MCR Advantage: $1,402.63 Anthem — Commercial: $1,801.80 Anthem — Enhanced Pathways: $1,801.80 CHO — Commercial: $1,801.80 Cigna — Commercial: $2,067.91 Harvard — Commercial: $1,949.82 UHC — Commercial: $2,242.55
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ARTHRO KNEE W/WO RESURFAC	$2,772	$582.12	$1,801.80 – $2,067.91
Total knee replacement: rates for 6 insurance plans Aetna — Commercial: $2,059.60 Anthem — Commercial: $1,801.80 Anthem — Enhanced Pathways: $1,801.80 CHO — Commercial: $1,801.80 Cigna — Commercial: $2,067.91 UHC — Commercial: $1,929.31
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$12,702.08 – $69,695.45
Total knee replacement: rates for 10 insurance plans Aetna — MCR Advantage: $12,702.08 Anthem — Commercial: $59,238.25 Anthem — Enhanced Pathways: $46,205.83 Anthem — MCR Advantage: $12,702.08 CHO — Commercial: $52,281.78 Cigna — Commercial: $69,695.45 Martin's Point — MCR Advantage: $12,702.08 UHC — MCR Advantage: $12,702.08 Wellcare — MCR Advantage: $13,603.93 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ARTHROSCOPY SHLDER DECOMPRES	$614	$128.94	$310.68 – $496.73
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Aetna — Commercial: $478.31 Aetna — MCR Advantage: $310.68 Anthem — Commercial: $399.10 Anthem — Enhanced Pathways: $399.10 CHO — Commercial: $399.10 Cigna — Commercial: $458.04 Harvard — Commercial: $431.89 UHC — Commercial: $496.73
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ARTHROSCOPY SHLDER DECOMPRES	$614	$128.94	$399.10 – $458.04
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans Aetna — Commercial: $456.20 Anthem — Commercial: $399.10 Anthem — Enhanced Pathways: $399.10 CHO — Commercial: $399.10 Cigna — Commercial: $458.04 UHC — Commercial: $427.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$272.14 – $323.17
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Anthem — Commercial: $323.17 Anthem — Enhanced Pathways: $323.17 CHO — Commercial: $272.14
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ANTHROSCOPY W/MEN MED/LAT	$2,101	$441.21	$1,063.11 – $1,699.71
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Aetna — Commercial: $1,636.68 Aetna — MCR Advantage: $1,063.11 Anthem — Commercial: $1,365.65 Anthem — Enhanced Pathways: $1,365.65 CHO — Commercial: $1,365.65 Cigna — Commercial: $1,567.35 Harvard — Commercial: $1,477.84 UHC — Commercial: $1,699.71
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: ANTHROSCOPY W/MEN MED/LAT	$2,101	$441.21	$1,365.65 – $1,567.35
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans Aetna — Commercial: $1,561.04 Anthem — Commercial: $1,365.65 Anthem — Enhanced Pathways: $1,365.65 CHO — Commercial: $1,365.65 Cigna — Commercial: $1,567.35 UHC — Commercial: $1,462.30
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	Not listed in the file	$3,203.07 – $17,575.02
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — MCR Advantage: $3,203.07 Anthem — Commercial: $14,938.04 Anthem — Enhanced Pathways: $11,651.67 Anthem — MCR Advantage: $3,203.07 CHO — Commercial: $13,183.83 Cigna — Commercial: $17,575.02 Martin's Point — MCR Advantage: $3,203.07 UHC — MCR Advantage: $3,203.07 Wellcare — MCR Advantage: $3,430.49 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TONSILLECT/ADENOIDECT <12 YRS	$1,046	$219.66	$529.28 – $846.21
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — Commercial: $814.83 Aetna — MCR Advantage: $529.28 Anthem — Commercial: $679.90 Anthem — Enhanced Pathways: $679.90 CHO — Commercial: $679.90 Cigna — Commercial: $780.32 Harvard — Commercial: $735.76 UHC — Commercial: $846.21
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: TONSILLECT/ADENOIDECT <12 YRS	$1,046	$219.66	$679.90 – $780.32
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans Aetna — Commercial: $777.18 Anthem — Commercial: $679.90 Anthem — Enhanced Pathways: $679.90 CHO — Commercial: $679.90 Cigna — Commercial: $780.32 UHC — Commercial: $728.02
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$5,839.92 – $32,043.23
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — MCR Advantage: $5,839.92 Anthem — Commercial: $27,235.42 Anthem — Enhanced Pathways: $21,243.63 Anthem — MCR Advantage: $5,839.92 CHO — Commercial: $24,037.11 Cigna — Commercial: $32,043.23 Martin's Point — MCR Advantage: $5,839.92 UHC — MCR Advantage: $5,839.92 Wellcare — MCR Advantage: $6,254.55 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY	$618	$129.78	$312.71 – $499.96
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $481.42 Aetna — MCR Advantage: $312.71 Anthem — Commercial: $401.70 Anthem — Enhanced Pathways: $401.70 CHO — Commercial: $401.70 Cigna — Commercial: $461.03 Harvard — Commercial: $434.70 UHC — Commercial: $499.96
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY	$618	$129.78	$401.70 – $461.03
Upper GI endoscopy (diagnostic): rates for 6 insurance plans Aetna — Commercial: $459.17 Anthem — Commercial: $401.70 Anthem — Enhanced Pathways: $401.70 CHO — Commercial: $401.70 Cigna — Commercial: $461.03 UHC — Commercial: $430.13
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$111.38 – $266.02
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Commercial: $194.92 Aetna — MCR Advantage: $148.35 Anthem — Commercial: $229.04 Anthem — Enhanced Pathways: $229.04 Anthem — MCR Advantage: $111.38 CHO — Commercial: $194.92 Cigna — Commercial: $263.36 Harvard — Commercial: $266.02 Martin's Point — MCR Advantage: $113.61 UHC — Commercial: $221.76
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$906	$190.26	$458.44 – $732.95
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $705.77 Aetna — MCR Advantage: $458.44 Anthem — Commercial: $588.90 Anthem — Enhanced Pathways: $588.90 CHO — Commercial: $588.90 Cigna — Commercial: $675.88 Harvard — Commercial: $637.28 UHC — Commercial: $732.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: UPPER GI ENDOSCOPY W/BX	$906	$190.26	$458.44 – $732.95
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $705.77 Aetna — MCR Advantage: $458.44 Anthem — Commercial: $588.90 Anthem — Enhanced Pathways: $588.90 CHO — Commercial: $588.90 Cigna — Commercial: $675.88 Harvard — Commercial: $637.28 UHC — Commercial: $732.95
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$906	$190.26	$588.90 – $675.88
Upper GI endoscopy with biopsy: rates for 6 insurance plans Aetna — Commercial: $673.16 Anthem — Commercial: $588.90 Anthem — Enhanced Pathways: $588.90 CHO — Commercial: $588.90 Cigna — Commercial: $675.88 UHC — Commercial: $630.58
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY FLEXIBLE	$1,097	$230.37	$555.08 – $887.47
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $854.56 Aetna — MCR Advantage: $555.08 Anthem — Commercial: $713.05 Anthem — Enhanced Pathways: $713.05 CHO — Commercial: $713.05 Cigna — Commercial: $818.36 Harvard — Commercial: $771.63 UHC — Commercial: $887.47
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY FLEXIBLE	$1,097	$230.37	$713.05 – $818.36
Colonoscopy (diagnostic): rates for 6 insurance plans Aetna — Commercial: $815.07 Anthem — Commercial: $713.05 Anthem — Enhanced Pathways: $713.05 CHO — Commercial: $713.05 Cigna — Commercial: $818.36 UHC — Commercial: $763.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$900.04 – $4,938.43
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Commercial: $4,000 Aetna — MCR Advantage: $900.04 Anthem — Commercial: $4,197.46 Anthem — Enhanced Pathways: $3,274.02 Anthem — MCR Advantage: $900.04 CHO — Commercial: $3,704.55 Cigna — Commercial: $4,938.43 Martin's Point — MCR Advantage: $900.04 UHC — MCR Advantage: $900.04 Wellcare — MCR Advantage: $963.94
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/BIOPSY	$931	$195.51	$471.09 – $753.18
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $725.25 Aetna — MCR Advantage: $471.09 Anthem — Commercial: $605.15 Anthem — Enhanced Pathways: $605.15 CHO — Commercial: $605.15 Cigna — Commercial: $694.53 Harvard — Commercial: $654.87 UHC — Commercial: $753.18
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY W/BIOPSY	$931	$195.51	$605.15 – $694.53
Colonoscopy with biopsy: rates for 6 insurance plans Aetna — Commercial: $691.73 Anthem — Commercial: $605.15 Anthem — Enhanced Pathways: $605.15 CHO — Commercial: $605.15 Cigna — Commercial: $694.53 UHC — Commercial: $647.98
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$182.03 – $433.85
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Commercial: $318.55 Aetna — MCR Advantage: $242.85 Anthem — Commercial: $374.01 Anthem — Enhanced Pathways: $374.01 Anthem — MCR Advantage: $182.03 CHO — Commercial: $318.55 Cigna — Commercial: $429.87 Harvard — Commercial: $433.85 Martin's Point — MCR Advantage: $185.67 UHC — Commercial: $358.33
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/REM LES SNA	$999	$209.79	$505.49 – $808.19
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — Commercial: $778.22 Aetna — MCR Advantage: $505.49 Anthem — Commercial: $649.35 Anthem — Enhanced Pathways: $649.35 CHO — Commercial: $649.35 Cigna — Commercial: $745.25 Harvard — Commercial: $702.70 UHC — Commercial: $808.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: COLONOSCOPY W/REM LES SNA	$999	$209.79	$649.35 – $745.25
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans Aetna — Commercial: $742.26 Anthem — Commercial: $649.35 Anthem — Enhanced Pathways: $649.35 CHO — Commercial: $649.35 Cigna — Commercial: $745.25 UHC — Commercial: $695.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$229.88 – $548.90
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Commercial: $402.29 Aetna — MCR Advantage: $308.28 Anthem — Commercial: $471.26 Anthem — Enhanced Pathways: $471.26 Anthem — MCR Advantage: $229.88 CHO — Commercial: $402.29 Cigna — Commercial: $546.03 Harvard — Commercial: $548.90 Martin's Point — MCR Advantage: $234.48 UHC — Commercial: $452.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$233.21 – $556.23
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — Commercial: $408.12 Aetna — MCR Advantage: $312.16 Anthem — Commercial: $477.55 Anthem — Enhanced Pathways: $477.55 Anthem — MCR Advantage: $233.21 CHO — Commercial: $408.12 Cigna — Commercial: $553.58 Harvard — Commercial: $556.23 Martin's Point — MCR Advantage: $237.87 UHC — Commercial: $458.43
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,163.99 – $6,386.71
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Aetna — MCR Advantage: $1,163.99 Anthem — Commercial: $5,428.44 Anthem — Enhanced Pathways: $4,234.18 Anthem — MCR Advantage: $1,163.99 CHO — Commercial: $4,790.97 Cigna — Commercial: $6,386.71 Martin's Point — MCR Advantage: $1,163.99 UHC — MCR Advantage: $1,163.99 Wellcare — MCR Advantage: $1,246.63 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCREENING COLONOSCOPY	$1,097	$230.37	$555.08 – $887.47
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $854.56 Aetna — MCR Advantage: $555.08 Anthem — Commercial: $713.05 Anthem — Enhanced Pathways: $713.05 CHO — Commercial: $713.05 Cigna — Commercial: $818.36 Harvard — Commercial: $771.63 UHC — Commercial: $887.47
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: SCREENING COLONOSCOPY	$1,097	$230.37	$713.05 – $818.36
Screening colonoscopy (not high risk): rates for 6 insurance plans Aetna — Commercial: $815.07 Anthem — Commercial: $713.05 Anthem — Enhanced Pathways: $713.05 CHO — Commercial: $713.05 Cigna — Commercial: $818.36 UHC — Commercial: $763.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$900.04 – $4,938.43
Screening colonoscopy (not high risk): rates for 9 insurance plans Aetna — MCR Advantage: $900.04 Anthem — Commercial: $4,197.46 Anthem — Enhanced Pathways: $3,274.02 Anthem — MCR Advantage: $900.04 CHO — Commercial: $3,704.55 Cigna — Commercial: $4,938.43 Martin's Point — MCR Advantage: $900.04 UHC — MCR Advantage: $900.04 Wellcare — MCR Advantage: $963.94
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CHOLECYSTETOMY	$1,410	$296.10	$713.46 – $1,140.69
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — Commercial: $1,098.39 Aetna — MCR Advantage: $713.46 Anthem — Commercial: $916.50 Anthem — Enhanced Pathways: $916.50 CHO — Commercial: $916.50 Cigna — Commercial: $1,051.86 Harvard — Commercial: $991.79 UHC — Commercial: $1,140.69
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAP CHOLECYSTECTOMY	$1,410	$296.10	$713.46 – $1,140.69
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — Commercial: $1,098.39 Aetna — MCR Advantage: $713.46 Anthem — Commercial: $916.50 Anthem — Enhanced Pathways: $916.50 CHO — Commercial: $916.50 Cigna — Commercial: $1,051.86 Harvard — Commercial: $991.79 UHC — Commercial: $1,140.69
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: CHOLECYSTETOMY	$1,410	$296.10	$916.50 – $1,051.86
Gallbladder removal by laparoscope: rates for 6 insurance plans Aetna — Commercial: $1,047.63 Anthem — Commercial: $916.50 Anthem — Enhanced Pathways: $916.50 CHO — Commercial: $916.50 Cigna — Commercial: $1,051.86 UHC — Commercial: $981.36
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REPAIR INGUIN HERNIA 5 GREATTH	$1,120	$235.20	$566.72 – $906.08
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — Commercial: $872.48 Aetna — MCR Advantage: $566.72 Anthem — Commercial: $728 Anthem — Enhanced Pathways: $728 CHO — Commercial: $728 Cigna — Commercial: $835.52 Harvard — Commercial: $787.81 UHC — Commercial: $906.08
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REPAIR INGUIN HERNIA 5>	$1,120	$235.20	$566.72 – $906.08
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — Commercial: $872.48 Aetna — MCR Advantage: $566.72 Anthem — Commercial: $728 Anthem — Enhanced Pathways: $728 CHO — Commercial: $728 Cigna — Commercial: $835.52 Harvard — Commercial: $787.81 UHC — Commercial: $906.08
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: REPAIR INGUIN HERNIA 5 GREATTH	$1,120	$235.20	$728 – $835.52
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans Aetna — Commercial: $832.16 Anthem — Commercial: $728 Anthem — Enhanced Pathways: $728 CHO — Commercial: $728 Cigna — Commercial: $835.52 UHC — Commercial: $779.52
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE FF	$2,090	$438.90	$1,057.54 – $1,690.81
Prostate biopsy: rates for 8 insurance plans Aetna — Commercial: $1,628.11 Aetna — MCR Advantage: $1,057.54 Anthem — Commercial: $1,358.50 Anthem — Enhanced Pathways: $1,358.50 CHO — Commercial: $1,358.50 Cigna — Commercial: $1,559.14 Harvard — Commercial: $1,470.11 UHC — Commercial: $1,690.81
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BIOPSY PROSTATE	$428	$89.88	$216.57 – $346.25
Prostate biopsy: rates for 8 insurance plans Aetna — Commercial: $333.41 Aetna — MCR Advantage: $216.57 Anthem — Commercial: $278.20 Anthem — Enhanced Pathways: $278.20 CHO — Commercial: $278.20 Cigna — Commercial: $319.29 Harvard — Commercial: $301.06 UHC — Commercial: $346.25
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY PROSTATE FF	$2,090	$438.90	$1,358.50 – $1,559.14
Prostate biopsy: rates for 6 insurance plans Aetna — Commercial: $1,552.87 Anthem — Commercial: $1,358.50 Anthem — Enhanced Pathways: $1,358.50 CHO — Commercial: $1,358.50 Cigna — Commercial: $1,559.14 UHC — Commercial: $1,454.64
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$10,277.92 – $56,394.26
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans Aetna — MCR Advantage: $10,277.92 Anthem — Commercial: $47,932.78 Anthem — Enhanced Pathways: $37,387.57 Anthem — MCR Advantage: $10,277.92 CHO — Commercial: $42,303.94 Cigna — Commercial: $56,394.26 Martin's Point — MCR Advantage: $10,277.92 UHC — MCR Advantage: $10,277.92 Wellcare — MCR Advantage: $11,007.66 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$1,917.95 – $2,244.02
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Anthem — Commercial: $2,244.02 Anthem — Enhanced Pathways: $2,244.02 CHO — Commercial: $1,917.95
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$909.66 – $2,553.87
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans Aetna — Commercial: $1,591.90 Aetna — MCR Advantage: $1,193.76 Anthem — MCR Advantage: $909.66 Cigna — Commercial: $2,553.87 Harvard — Commercial: $2,161.16 Martin's Point — MCR Advantage: $927.85 UHC — Commercial: $1,981.05 UHC — MCR Advantage: $927.85 Wellcare — MCR Advantage: $927.85
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY SURG W/BX	$1,405	$295.05	$710.93 – $1,136.64
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans Aetna — Commercial: $1,094.50 Aetna — MCR Advantage: $710.93 Anthem — Commercial: $913.25 Anthem — Enhanced Pathways: $913.25 CHO — Commercial: $913.25 Cigna — Commercial: $1,048.13 Harvard — Commercial: $988.28 UHC — Commercial: $1,136.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: HYSTEROSCOPY SURG W/BX	$1,405	$295.05	$913.25 – $1,048.13
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans Aetna — Commercial: $1,043.92 Anthem — Commercial: $913.25 Anthem — Enhanced Pathways: $913.25 CHO — Commercial: $913.25 Cigna — Commercial: $1,048.13 UHC — Commercial: $977.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,138.82 – $17,222.48
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — MCR Advantage: $3,138.82 Anthem — Commercial: $14,638.39 Anthem — Enhanced Pathways: $11,417.95 Anthem — MCR Advantage: $3,138.82 CHO — Commercial: $12,919.37 Cigna — Commercial: $17,222.48 Martin's Point — MCR Advantage: $3,138.82 UHC — MCR Advantage: $3,138.82 Wellcare — MCR Advantage: $3,361.67 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMIN LMBR/SAC W/IMAG	$2,939	$617.19	$1,487.13 – $2,377.65
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $2,289.48 Aetna — MCR Advantage: $1,487.13 Anthem — Commercial: $1,910.35 Anthem — Enhanced Pathways: $1,910.35 CHO — Commercial: $1,910.35 Cigna — Commercial: $2,192.49 Harvard — Commercial: $2,067.29 UHC — Commercial: $2,377.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ INTERLAMIN LMBR/SAC W/GUID	$263	$55.23	$133.08 – $212.77
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: INJ INTERLAMIN LMBR/SAC W/IMAG	$263	$55.23	$133.08 – $212.77
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $204.88 Aetna — MCR Advantage: $133.08 Anthem — Commercial: $170.95 Anthem — Enhanced Pathways: $170.95 CHO — Commercial: $170.95 Cigna — Commercial: $196.20 Harvard — Commercial: $184.99 UHC — Commercial: $212.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUM/SAC TRANS EPI STEROID FFEE	$3,873	$813.33	$1,959.74 – $3,133.26
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $3,017.07 Aetna — MCR Advantage: $1,959.74 Anthem — Commercial: $2,517.45 Anthem — Enhanced Pathways: $2,517.45 CHO — Commercial: $2,517.45 Cigna — Commercial: $2,889.26 Harvard — Commercial: $2,724.27 UHC — Commercial: $3,133.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECT FORAMEN EPIDURAL L/S	$3,873	$813.33	$1,959.74 – $3,133.26
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $3,017.07 Aetna — MCR Advantage: $1,959.74 Anthem — Commercial: $2,517.45 Anthem — Enhanced Pathways: $2,517.45 CHO — Commercial: $2,517.45 Cigna — Commercial: $2,889.26 Harvard — Commercial: $2,724.27 UHC — Commercial: $3,133.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUM/SAC TRANS EPI STERIOD FF	$3,873	$813.33	$1,959.74 – $3,133.26
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $3,017.07 Aetna — MCR Advantage: $1,959.74 Anthem — Commercial: $2,517.45 Anthem — Enhanced Pathways: $2,517.45 CHO — Commercial: $2,517.45 Cigna — Commercial: $2,889.26 Harvard — Commercial: $2,724.27 UHC — Commercial: $3,133.26
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NEUROP&TRANSPOS MED NERVE	$1,388	$291.48	$702.33 – $1,122.89
Carpal tunnel release: rates for 8 insurance plans Aetna — Commercial: $1,081.25 Aetna — MCR Advantage: $702.33 Anthem — Commercial: $902.20 Anthem — Enhanced Pathways: $902.20 CHO — Commercial: $902.20 Cigna — Commercial: $1,035.45 Harvard — Commercial: $976.32 UHC — Commercial: $1,122.89
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: NEUROP&TRANSPOS MED NERVE	$1,388	$291.48	$902.20 – $1,035.45
Carpal tunnel release: rates for 6 insurance plans Aetna — Commercial: $1,031.28 Anthem — Commercial: $902.20 Anthem — Enhanced Pathways: $902.20 CHO — Commercial: $902.20 Cigna — Commercial: $1,035.45 UHC — Commercial: $966.05
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,927.77 – $10,577.56
Carpal tunnel release: rates for 10 insurance plans Aetna — MCR Advantage: $1,927.77 Anthem — Commercial: $8,990.48 Anthem — Enhanced Pathways: $7,012.58 Anthem — MCR Advantage: $1,927.77 CHO — Commercial: $7,934.71 Cigna — Commercial: $10,577.56 Martin's Point — MCR Advantage: $1,927.77 UHC — MCR Advantage: $1,927.77 Wellcare — MCR Advantage: $2,064.64 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG CAPSULOTOMY FF	$1,353	$284.13	$684.62 – $1,094.58
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Aetna — Commercial: $1,053.99 Aetna — MCR Advantage: $684.62 Anthem — Commercial: $879.45 Anthem — Enhanced Pathways: $879.45 CHO — Commercial: $879.45 Cigna — Commercial: $1,009.34 Harvard — Commercial: $951.70 UHC — Commercial: $1,094.58
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: YAG CAPSULOTOMY	$706	$148.26	$357.24 – $571.15
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Aetna — Commercial: $549.97 Aetna — MCR Advantage: $357.24 Anthem — Commercial: $458.90 Anthem — Enhanced Pathways: $458.90 CHO — Commercial: $458.90 Cigna — Commercial: $526.68 Harvard — Commercial: $496.60 UHC — Commercial: $571.15
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: YAG CAPSULOTOMY FF	$1,353	$284.13	$879.45 – $1,009.34
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans Aetna — Commercial: $1,005.28 Anthem — Commercial: $879.45 Anthem — Enhanced Pathways: $879.45 CHO — Commercial: $879.45 Cigna — Commercial: $1,009.34 UHC — Commercial: $941.69
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PHACO-ECCE W/IOL	$1,141	$239.61	$577.35 – $923.07
Cataract removal with lens implant: rates for 8 insurance plans Aetna — Commercial: $888.84 Aetna — MCR Advantage: $577.35 Anthem — Commercial: $741.65 Anthem — Enhanced Pathways: $741.65 CHO — Commercial: $741.65 Cigna — Commercial: $851.19 Harvard — Commercial: $802.58 UHC — Commercial: $923.07
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PHACO-ECCE W/IOL	$1,141	$239.61	$741.65 – $851.19
Cataract removal with lens implant: rates for 6 insurance plans Aetna — Commercial: $847.76 Anthem — Commercial: $741.65 Anthem — Enhanced Pathways: $741.65 CHO — Commercial: $741.65 Cigna — Commercial: $851.19 UHC — Commercial: $794.14
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$2,251.53 – $12,353.98
Cataract removal with lens implant: rates for 10 insurance plans Aetna — MCR Advantage: $2,251.53 Anthem — Commercial: $10,500.37 Anthem — Enhanced Pathways: $8,190.29 Anthem — MCR Advantage: $2,251.53 CHO — Commercial: $9,267.29 Cigna — Commercial: $12,353.98 Martin's Point — MCR Advantage: $2,251.53 UHC — MCR Advantage: $2,251.53 Wellcare — MCR Advantage: $2,411.39 Harvard — Commercial: 70.34% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: VAGINAL DELVRY ANT&POST	$10,446	$2,193.66	$5,285.68 – $8,450.81
Vaginal delivery, with care before and after: rates for 8 insurance plans Aetna — Commercial: $8,137.43 Aetna — MCR Advantage: $5,285.68 Anthem — Commercial: $6,789.90 Anthem — Enhanced Pathways: $6,789.90 CHO — Commercial: $6,789.90 Cigna — Commercial: $7,792.72 Harvard — Commercial: $7,347.72 UHC — Commercial: $8,450.81
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: VAGINAL DELVRY ANT&POST	$10,446	$2,193.66	$6,789.90 – $7,792.72
Vaginal delivery, with care before and after: rates for 6 insurance plans Aetna — Commercial: $7,761.38 Anthem — Commercial: $6,789.90 Anthem — Enhanced Pathways: $6,789.90 CHO — Commercial: $6,789.90 Cigna — Commercial: $7,792.72 UHC — Commercial: $7,270.42
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,169.09 – $5,349.80
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates Aetna — Commercial: $3,795.91 Aetna — MCR Advantage: $2,350 Anthem — Commercial: $4,569.61 Anthem — Enhanced Pathways: $4,569.61 Anthem — MCR Advantage: $2,169.09 CHO — Commercial: $3,795.91 Cigna — Commercial: $5,095.10 Harvard — Commercial: $5,349.80 Martin's Point — MCR Advantage: $2,212.47 UHC — Commercial: $3,491.65
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELVRY ANT&POST	$11,483	$2,411.43	$5,810.40 – $9,289.75
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans Aetna — Commercial: $8,945.26 Aetna — MCR Advantage: $5,810.40 Anthem — Commercial: $7,463.95 Anthem — Enhanced Pathways: $7,463.95 CHO — Commercial: $7,463.95 Cigna — Commercial: $8,566.32 Harvard — Commercial: $8,077.14 UHC — Commercial: $9,289.75
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: CESAREAN DELVRY ANT&POST	$11,483	$2,411.43	$7,463.95 – $8,566.32
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans Aetna — Commercial: $8,531.87 Anthem — Commercial: $7,463.95 Anthem — Enhanced Pathways: $7,463.95 CHO — Commercial: $7,463.95 Cigna — Commercial: $8,566.32 UHC — Commercial: $7,992.17
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$2,350 – $5,948.54
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates Aetna — Commercial: $4,199.58 Aetna — MCR Advantage: $2,350 Anthem — Commercial: $5,076.03 Anthem — Enhanced Pathways: $5,076.03 Anthem — MCR Advantage: $2,399.76 CHO — Commercial: $4,199.58 Cigna — Commercial: $5,601.09 Harvard — Commercial: $5,948.54 Martin's Point — MCR Advantage: $2,447.76 UHC — Commercial: $3,866.96
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: V-BAC DELIVERY	$8,723	$1,831.83	$4,413.84 – $7,056.91
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans Aetna — Commercial: $6,795.22 Aetna — MCR Advantage: $4,413.84 Anthem — Commercial: $5,669.95 Anthem — Enhanced Pathways: $5,669.95 CHO — Commercial: $5,669.95 Cigna — Commercial: $6,507.36 Harvard — Commercial: $6,135.76 UHC — Commercial: $7,056.91
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: V-BAC DELIVERY	$8,723	$1,831.83	$5,669.95 – $6,507.36
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans Aetna — Commercial: $6,481.19 Anthem — Commercial: $5,669.95 Anthem — Enhanced Pathways: $5,669.95 CHO — Commercial: $5,669.95 Cigna — Commercial: $6,507.36 UHC — Commercial: $6,071.21
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,261.79 – $5,608.49
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates Aetna — Commercial: $3,958.13 Aetna — MCR Advantage: $2,350 Anthem — Commercial: $4,786.74 Anthem — Enhanced Pathways: $4,786.74 Anthem — MCR Advantage: $2,261.79 CHO — Commercial: $3,958.13 Cigna — Commercial: $5,301.19 Harvard — Commercial: $5,608.49 Martin's Point — MCR Advantage: $2,307.03 UHC — Commercial: $3,664.62

Source: Northern Light A R Gould Hospital’s standard charges file (northernlighthealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 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 type	Acute Care Hospital
Address	PO Box 151, Presque Isle, ME 04769
County	Aroostook County
State	Maine
Phone	(207) 768‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	200018
Name in Medicare records	NORTHERN LIGHT A R GOULD HOSPITAL
Profile level	Medicare data + hospital website
Official website	northernlighthealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

About Us - Northern Light Health — northernlighthealth.org
Northern Light AR Gould Hospital - Northern Light AR Gould Hospital - Northern Light Health — northernlighthealth.org
Northern Light AR Gould Hospital - Northern Light Health — northernlighthealth.org