Does Northern Light Acadia Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at Northern Light Acadia Hospital. The closest hospitals that do: St Joseph Hospital (0.5 mi), Northern Light Eastern Maine Medical Center (0.9 mi) and Northern Light Maine Coast Hospital (25 mi). In a medical emergency, call 911.

Where is Northern Light Acadia Hospital?

268 Stillwater Ave, Bangor, ME 04401, in Penobscot County, Maine.

What is the phone number of Northern Light Acadia Hospital?

(207) 973-6100, as listed by Medicare (CMS).

What is the Medicare star rating of Northern Light Acadia Hospital?

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

Northern Light Acadia Hospital — Bangor, ME

Quick answers

Does Northern Light Acadia Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at Northern Light Acadia Hospital. The closest hospitals that do: St Joseph Hospital (0.5 mi), Northern Light Eastern Maine Medical Center (0.9 mi) and Northern Light Maine Coast Hospital (25 mi). In a medical emergency, call 911.
Where is Northern Light Acadia Hospital?: 268 Stillwater Ave, Bangor, ME 04401, in Penobscot County, Maine.
What is the phone number of Northern Light Acadia Hospital?: (207) 973-6100, as listed by Medicare (CMS).
What is the Medicare star rating of Northern Light Acadia Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[6][7][8]

Psychiatry / behavioral health
Addiction care
Adult behavioral health
Pediatric behavioral health
Memory and aging care
Integrated behavioral health
Behavioral consultation services
School-based counseling
Telehealth

Conditions treated^[6][7]

Mental illness
Substance use disorder
Chemical dependency
Alzheimer's disease and other dementia

Treatments^[5][6][7]

Inpatient psychiatric care
Outpatient therapy
Adult individual and group therapy
Psychiatric medication management
Addiction treatment
Pediatric inpatient and outpatient behavioral care
Pediatric outpatient day program
Telehealth

Programs and centers^[5][6][7][8]

Pediatric Outpatient Day Program
Behavioral Health Home
School-based clinician services
Psychological First Aid training
Behavioral Health Resource Center (24/7 phone line)
Northern Light Memory and Aging
Acadia Food Insecurity Program
Acadia Caring Hearts Project

Visiting and practical information

Visiting	Adult inpatient visiting 10 am-6 pm daily; pediatric inpatient 8 am-7 pm daily. Call ahead to arrange other times^[5]
Interpreters and languages	Site footer lists language assistance in many languages^[4]
Patient portal	myNorthernLightHealth

Nearest emergency rooms

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

St Joseph Hospital0.5 mi · Bangor, ME · Acute Care Hospital
Northern Light Eastern Maine Medical Center0.9 mi · Bangor, ME · Acute Care Hospital
Northern Light Maine Coast Hospital25 mi · Ellsworth, ME · Acute Care Hospital
MaineHealth Waldo Hospital28 mi · Belfast, ME · Critical Access Hospital
Northern Light Blue Hill Memorial Hospital29 mi · Blue Hill, ME · Critical Access Hospital

Other hospitals nearby

Dorothea Dix Psychiatric Center1.1 mi · Bangor, ME · Psychiatric 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

Stillwater Health Care0.2 mi · Bangor, ME · 4 of 5 stars
Eastside Center for Health & Rehabilitation, LLC0.9 mi · Bangor, ME · 2 of 5 stars
Ross Manor1.1 mi · Bangor, ME · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Gentiva2.8 mi · Brewer, ME · 3 of 5 stars
Beacon Hospice, An Amedisys Company4.7 mi · Bangor, ME · 3 of 5 stars
Bristol Hospice - Bangor LLC4.7 mi · Bangor, ME

All hospice providers in the state →

Home health agencies

Amedisys Home Health4.7 mi · Bangor, ME · 4 of 5 stars
Centerwell Home Health4.7 mi · Bangor, ME
St Joseph Homecare4.7 mi · Bangor, ME

All home health agencies in the state →

Dialysis facilities

DaVita Brewer Dialysis2.8 mi · Brewer, ME · 2 of 5 stars
DaVita Boyd Dialysis4.7 mi · Bangor, ME · 3 of 5 stars
DaVita Eastern Maine Dialysis20 mi · Ellsworth, ME · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Bangor Eye Surgery, PA4.7 mi · Bangor, ME
Downeast Surgery Center4.7 mi · Bangor, ME
Vision Care of Maine, LLC - Bangor4.7 mi · Bangor, 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

Stillwater Health Care0.2 mi · Bangor, ME · Community health center
Bangor School Dept. SBHC William S Cohen Middle School0.7 mi · Bangor, ME · Community health center
Eastside Rehab & Living Ctr0.9 mi · Bangor, ME · Community health center

Clinics and urgent care

American Current Care P.A .4.7 mi · Bangor, ME · Urgent care center
Convenientmd - FFS UC LLC4.7 mi · Bangor, ME · Urgent care center
Penobscot Community Health Center4.7 mi · Bangor, ME · Urgent care center

Pharmacies

Hannaford Bros Co LLC2.8 mi · Brewer, ME · Community/retail pharmacy
M Drug LLC2.8 mi · Brewer, ME · Community/retail pharmacy
M Drug LLC2.8 mi · Brewer, ME · 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 Acadia 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.

Not reported to Medicare. The latest Medicare release has no patient survey, infection, complication, readmission or emergency room results for this hospital. This is common for small, specialty and psychiatric hospitals.

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 Bangor

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 Acadia 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) · both In the file: ACAA NEW PT VISIT LVL 3 MD	$306	$110.16	$167.69 – $296.82
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — Commercial: $236.54 Aetna — MCR Advantage: $167.69 Anthem — Commercial: $230.57 Anthem — Enhanced Pathways: $230.57 CHO — Commercial: $262.24 Cigna — Commercial: $296.82 Harvard — Commercial: $215.24
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · both In the file: ECTA NEW OFFICE VISIT LVL 3	$306	$110.16	$167.69 – $296.82
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — Commercial: $236.54 Aetna — MCR Advantage: $167.69 Anthem — Commercial: $230.57 Anthem — Enhanced Pathways: $230.57 CHO — Commercial: $262.24 Cigna — Commercial: $296.82 Harvard — Commercial: $215.24
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · both In the file: GER NEW PATIENT LVL 3	$306	$110.16	$167.69 – $296.82
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — Commercial: $236.54 Aetna — MCR Advantage: $167.69 Anthem — Commercial: $230.57 Anthem — Enhanced Pathways: $230.57 CHO — Commercial: $262.24 Cigna — Commercial: $296.82 Harvard — Commercial: $215.24
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · both In the file: ACAA NEW PT VISIT LVL 4 MD	$454	$163.44	$248.79 – $440.38
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — Commercial: $350.94 Aetna — MCR Advantage: $248.79 Anthem — Commercial: $342.09 Anthem — Enhanced Pathways: $342.09 CHO — Commercial: $389.08 Cigna — Commercial: $440.38 Harvard — Commercial: $319.34
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · both In the file: ECTA NEW OFFICE VISIT LVL 4	$454	$163.44	$248.79 – $440.38
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — Commercial: $350.94 Aetna — MCR Advantage: $248.79 Anthem — Commercial: $342.09 Anthem — Enhanced Pathways: $342.09 CHO — Commercial: $389.08 Cigna — Commercial: $440.38 Harvard — Commercial: $319.34
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · both In the file: GER NEW PATIENT LVL 4	$454	$163.44	$248.79 – $440.38
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — Commercial: $350.94 Aetna — MCR Advantage: $248.79 Anthem — Commercial: $342.09 Anthem — Enhanced Pathways: $342.09 CHO — Commercial: $389.08 Cigna — Commercial: $440.38 Harvard — Commercial: $319.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · both In the file: ACAA NEW PT VISIT LVL 5 MD	$672	$241.92	$368.26 – $651.84
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Commercial: $519.46 Aetna — MCR Advantage: $368.26 Anthem — Commercial: $506.35 Anthem — Enhanced Pathways: $506.35 CHO — Commercial: $575.90 Cigna — Commercial: $651.84 Harvard — Commercial: $472.68
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · both In the file: ECTA NEW OFFICE VISIT LVL 5	$672	$241.92	$368.26 – $651.84
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Commercial: $519.46 Aetna — MCR Advantage: $368.26 Anthem — Commercial: $506.35 Anthem — Enhanced Pathways: $506.35 CHO — Commercial: $575.90 Cigna — Commercial: $651.84 Harvard — Commercial: $472.68
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · both In the file: GER NEW PATIENT LVL 5	$672	$241.92	$368.26 – $651.84
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — Commercial: $519.46 Aetna — MCR Advantage: $368.26 Anthem — Commercial: $506.35 Anthem — Enhanced Pathways: $506.35 CHO — Commercial: $575.90 Cigna — Commercial: $651.84 Harvard — Commercial: $472.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · both In the file: ACAA ESTAB PT LVL 3	$242	$87.12	$132.62 – $234.74
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Commercial: $187.07 Aetna — MCR Advantage: $132.62 Anthem — Commercial: $182.35 Anthem — Enhanced Pathways: $182.35 CHO — Commercial: $207.39 Cigna — Commercial: $234.74 Harvard — Commercial: $170.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · both In the file: ADOP ESTAB PT LVL 3	$242	$87.12	$132.62 – $234.74
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Commercial: $187.07 Aetna — MCR Advantage: $132.62 Anthem — Commercial: $182.35 Anthem — Enhanced Pathways: $182.35 CHO — Commercial: $207.39 Cigna — Commercial: $234.74 Harvard — Commercial: $170.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · both In the file: ECTA ESTAB PT LVL 3 ECT MD	$242	$87.12	$132.62 – $234.74
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — Commercial: $187.07 Aetna — MCR Advantage: $132.62 Anthem — Commercial: $182.35 Anthem — Enhanced Pathways: $182.35 CHO — Commercial: $207.39 Cigna — Commercial: $234.74 Harvard — Commercial: $170.22
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · both In the file: ACAA ESTAB PT LVL 4	$340	$122.40	$186.32 – $329.80
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — Commercial: $262.82 Aetna — MCR Advantage: $186.32 Anthem — Commercial: $256.19 Anthem — Enhanced Pathways: $256.19 CHO — Commercial: $291.38 Cigna — Commercial: $329.80 Harvard — Commercial: $239.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · both In the file: ADOP ESTAB PT LVL 4	$340	$122.40	$186.32 – $329.80
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — Commercial: $262.82 Aetna — MCR Advantage: $186.32 Anthem — Commercial: $256.19 Anthem — Enhanced Pathways: $256.19 CHO — Commercial: $291.38 Cigna — Commercial: $329.80 Harvard — Commercial: $239.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · both In the file: ECTA ESTAB PT LVL 4 ECT MD	$340	$122.40	$186.32 – $329.80
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — Commercial: $262.82 Aetna — MCR Advantage: $186.32 Anthem — Commercial: $256.19 Anthem — Enhanced Pathways: $256.19 CHO — Commercial: $291.38 Cigna — Commercial: $329.80 Harvard — Commercial: $239.16
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · both In the file: ECTA CONSLT LVL 3 OPT	$292	$105.12	$160.02 – $283.24
Office consultation with a specialist (moderate): rates for 7 insurance plans Aetna — Commercial: $225.72 Aetna — MCR Advantage: $160.02 Anthem — Commercial: $220.02 Anthem — Enhanced Pathways: $220.02 CHO — Commercial: $250.24 Cigna — Commercial: $283.24 Harvard — Commercial: $205.39
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Off/op cnsltj new/est low 30	Not listed in the file	Not listed in the file	$139.23 – $250
Office consultation with a specialist (moderate): rates for 5 insurance plans Aetna — Commercial: $139.23 Anthem — Commercial: $147.39 CHO — Commercial: $250 Harvard — Commercial: $142.34 UHC — Commercial: $163.07
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: ECTA CONSLT LVL 3 OPT-TM	$292	$105.12	$160.02 – $283.24
Office consultation with a specialist (moderate): rates for 7 insurance plans Aetna — Commercial: $225.72 Aetna — MCR Advantage: $160.02 Anthem — Commercial: $220.02 Anthem — Enhanced Pathways: $220.02 CHO — Commercial: $250.24 Cigna — Commercial: $283.24 Harvard — Commercial: $205.39
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · both In the file: ECTA CONSLT LVL 4 OPT	$1,046	$376.56	$573.21 – $1,014.62
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Aetna — Commercial: $808.56 Aetna — MCR Advantage: $573.21 Anthem — Commercial: $788.16 Anthem — Enhanced Pathways: $788.16 CHO — Commercial: $896.42 Cigna — Commercial: $1,014.62 Harvard — Commercial: $735.76
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Off/op cnsltj new/est mod 40	Not listed in the file	Not listed in the file	$211.44 – $375
Office consultation with a specialist (moderate to high): rates for 5 insurance plans Aetna — Commercial: $211.44 Anthem — Commercial: $236.85 CHO — Commercial: $375 Harvard — Commercial: $215.95 UHC — Commercial: $262.05
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: ECTA CONSLT LVL 4 OPT-TM	$1,046	$376.56	$573.21 – $1,014.62
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Aetna — Commercial: $808.56 Aetna — MCR Advantage: $573.21 Anthem — Commercial: $788.16 Anthem — Enhanced Pathways: $788.16 CHO — Commercial: $896.42 Cigna — Commercial: $1,014.62 Harvard — Commercial: $735.76
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$64.44 – $166.72
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Aetna — Commercial: $152.23 Anthem — Commercial: $151.20 Harvard — Commercial: $151.55 Optum — Commercial: $64.44 UHC — Commercial: $166.72
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$204
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Wellcare — MCR Advantage: $204
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$78.15 – $202.81
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Aetna — Commercial: $184.45 Anthem — Commercial: $183.85 Harvard — Commercial: $183.48 Optum — Commercial: $78.15 UHC — Commercial: $202.81
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$204
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Wellcare — MCR Advantage: $204
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit low mdm	Not listed in the file	Not listed in the file	$48.70 – $130
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Commercial: $114.54 Aetna — MCR Advantage: $65.45 Anthem — Commercial: $95.37 Anthem — MCR Advantage: $65.45 CHO — Commercial: $130 Harvard — Commercial: $114.19 Martin's Point — MCR Advantage: $65.45 Optum — Commercial: $48.70 Optum — MCR Advantage: $66.76 UHC — Commercial: $105.47
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm	Not listed in the file	Not listed in the file	$267.98 – $273.34
Emergency room visit (moderate): rates for 6 insurance plans Aetna — MCR Advantage: $273.34 Anthem — MCR Advantage: $267.98 Martin's Point — MCR Advantage: $267.98 Optum — MCR Advantage: $273.34 UHC — MCR Advantage: $273.34 Wellcare — MCR Advantage: $273.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit mod mdm	Not listed in the file	Not listed in the file	$82.90 – $245
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Commercial: $195.23 Aetna — MCR Advantage: $111.56 Anthem — Commercial: $180.97 Anthem — MCR Advantage: $111.56 CHO — Commercial: $245 Harvard — Commercial: $194.84 Martin's Point — MCR Advantage: $111.56 Optum — Commercial: $82.90 Optum — MCR Advantage: $113.79 UHC — Commercial: $200.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm	Not listed in the file	Not listed in the file	$412.12 – $420.37
Emergency room visit (moderately high): rates for 6 insurance plans Aetna — MCR Advantage: $420.37 Anthem — MCR Advantage: $412.12 Martin's Point — MCR Advantage: $412.12 Optum — MCR Advantage: $420.37 UHC — MCR Advantage: $420.37 Wellcare — MCR Advantage: $420.37
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit hi mdm	Not listed in the file	Not listed in the file	$120.14 – $355
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Commercial: $283.08 Aetna — MCR Advantage: $161.76 Anthem — Commercial: $266.66 Anthem — MCR Advantage: $161.76 CHO — Commercial: $355 Harvard — Commercial: $282.52 Martin's Point — MCR Advantage: $161.76 Optum — Commercial: $120.14 Optum — MCR Advantage: $165 UHC — Commercial: $295.31
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm	Not listed in the file	Not listed in the file	$593.38 – $605.25
Emergency room visit (high): rates for 6 insurance plans Aetna — MCR Advantage: $605.25 Anthem — MCR Advantage: $593.38 Martin's Point — MCR Advantage: $593.38 Optum — MCR Advantage: $605.25 UHC — MCR Advantage: $605.25 Wellcare — MCR Advantage: $605.25

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 PANE	$108	$38.88	$59.18 – $104.76
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — Commercial: $83.48 Aetna — MCR Advantage: $59.18 Anthem — Commercial: $81.38 Anthem — Enhanced Pathways: $81.38 CHO — Commercial: $92.56 Cigna — Commercial: $104.76 Harvard — Commercial: $75.97
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANE	$108	$38.88	$80.78 – $104.76
Basic metabolic panel (blood test): rates for 3 insurance plans Aetna — Commercial: $80.78 CHO — Commercial: $92.56 Cigna — Commercial: $104.76
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic pnl total ca	Not listed in the file	Not listed in the file	$8.28 – $10.62
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna — Commercial: $8.46 Aetna — MCR Advantage: $8.63 Anthem — Commercial: $10.62 Anthem — Enhanced Pathways: $8.28 Anthem — MCR Advantage: $8.46 Martin's Point — MCR Advantage: $8.46 Optum — MCR Advantage: $8.63 UHC — MCR Advantage: $8.63 Wellcare — MCR Advantage: $8.63 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP	$155	$55.80	$84.94 – $150.35
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — Commercial: $119.82 Aetna — MCR Advantage: $84.94 Anthem — Commercial: $116.79 Anthem — Enhanced Pathways: $116.79 CHO — Commercial: $132.84 Cigna — Commercial: $150.35 Harvard — Commercial: $109.03
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CMP	$155	$55.80	$115.94 – $150.35
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Aetna — Commercial: $115.94 CHO — Commercial: $132.84 Cigna — Commercial: $150.35
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.34 – $13.26
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna — Commercial: $10.56 Aetna — MCR Advantage: $10.77 Anthem — Commercial: $13.26 Anthem — Enhanced Pathways: $10.34 Anthem — MCR Advantage: $10.56 Martin's Point — MCR Advantage: $10.56 Optum — MCR Advantage: $10.77 UHC — MCR Advantage: $10.77 Wellcare — MCR Advantage: $10.77 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$19.12 – $113.96
Obstetric blood test panel: 10 of 11 insurance plan rates Aetna — Commercial: $38.73 Aetna — MCR Advantage: $47.81 Anthem — Commercial: $19.12 Anthem — MCR Advantage: $47.81 Harvard — Commercial: $47.81 Martin's Point — MCR Advantage: $47.81 Optum — Commercial: $45.58 Optum — MCR Advantage: $48.77 UHC — Commercial: $113.96 UHC — MCR Advantage: $48.77
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$46.82 – $60.02
Obstetric blood test panel: rates for 10 insurance plans Aetna — Commercial: $47.81 Aetna — MCR Advantage: $48.77 Anthem — Commercial: $60.02 Anthem — Enhanced Pathways: $46.82 Anthem — MCR Advantage: $47.81 Martin's Point — MCR Advantage: $47.81 Optum — MCR Advantage: $48.77 UHC — MCR Advantage: $48.77 Wellcare — MCR Advantage: $48.77 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$149	$53.64	$81.65 – $144.53
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — Commercial: $115.18 Aetna — MCR Advantage: $81.65 Anthem — Commercial: $112.27 Anthem — Enhanced Pathways: $112.27 CHO — Commercial: $127.69 Cigna — Commercial: $144.53 Harvard — Commercial: $104.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$149	$53.64	$111.45 – $144.53
Cholesterol panel (lipid panel): rates for 3 insurance plans Aetna — Commercial: $111.45 CHO — Commercial: $127.69 Cigna — Commercial: $144.53
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.11 – $16.81
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna — Commercial: $13.39 Aetna — MCR Advantage: $13.66 Anthem — Commercial: $16.81 Anthem — Enhanced Pathways: $13.11 Anthem — MCR Advantage: $13.39 Martin's Point — MCR Advantage: $13.39 Optum — MCR Advantage: $13.66 UHC — MCR Advantage: $13.66 Wellcare — MCR Advantage: $13.66 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$119	$42.84	$65.21 – $115.43
Kidney function panel: rates for 7 insurance plans Aetna — Commercial: $91.99 Aetna — MCR Advantage: $65.21 Anthem — Commercial: $89.67 Anthem — Enhanced Pathways: $89.67 CHO — Commercial: $101.98 Cigna — Commercial: $115.43 Harvard — Commercial: $83.70
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$119	$42.84	$89.01 – $115.43
Kidney function panel: rates for 3 insurance plans Aetna — Commercial: $89.01 CHO — Commercial: $101.98 Cigna — Commercial: $115.43
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.50 – $10.90
Kidney function panel: rates for 10 insurance plans Aetna — Commercial: $8.68 Aetna — MCR Advantage: $8.85 Anthem — Commercial: $10.90 Anthem — Enhanced Pathways: $8.50 Anthem — MCR Advantage: $8.68 Martin's Point — MCR Advantage: $8.68 Optum — MCR Advantage: $8.85 UHC — MCR Advantage: $8.85 Wellcare — MCR Advantage: $8.85 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$53	$19.08	$29.04 – $51.41
Liver function panel: rates for 7 insurance plans Aetna — Commercial: $40.97 Aetna — MCR Advantage: $29.04 Anthem — Commercial: $39.94 Anthem — Enhanced Pathways: $39.94 CHO — Commercial: $45.42 Cigna — Commercial: $51.41 Harvard — Commercial: $37.28
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$53	$19.08	$39.64 – $51.41
Liver function panel: rates for 3 insurance plans Aetna — Commercial: $39.64 CHO — Commercial: $45.42 Cigna — Commercial: $51.41
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$3.27 – $19.48
Liver function panel: 10 of 11 insurance plan rates Aetna — Commercial: $6.62 Aetna — MCR Advantage: $8.17 Anthem — Commercial: $3.27 Anthem — MCR Advantage: $8.17 Harvard — Commercial: $8.17 Martin's Point — MCR Advantage: $8.17 Optum — Commercial: $8.17 Optum — MCR Advantage: $8.33 UHC — Commercial: $19.48 UHC — MCR Advantage: $8.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$1.27 – $7.56
Urine test (automated, with microscope): 10 of 11 insurance plan rates Aetna — Commercial: $2.57 Aetna — MCR Advantage: $3.17 Anthem — Commercial: $1.27 Anthem — MCR Advantage: $3.17 Harvard — Commercial: $3.17 Martin's Point — MCR Advantage: $3.17 Optum — Commercial: $3.17 Optum — MCR Advantage: $3.23 UHC — Commercial: $7.56 UHC — MCR Advantage: $3.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.10 – $3.98
Urine test (automated, with microscope): rates for 10 insurance plans Aetna — Commercial: $3.17 Aetna — MCR Advantage: $3.23 Anthem — Commercial: $3.98 Anthem — Enhanced Pathways: $3.10 Anthem — MCR Advantage: $3.17 Martin's Point — MCR Advantage: $3.17 Optum — MCR Advantage: $3.23 UHC — MCR Advantage: $3.23 Wellcare — MCR Advantage: $3.23 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.09 – $6.09
Urine test (manual, without microscope): 10 of 11 insurance plan rates Aetna — Commercial: $2.82 Aetna — MCR Advantage: $3.48 Anthem — Commercial: $2.09 Anthem — MCR Advantage: $3.48 Harvard — Commercial: $3.48 Martin's Point — MCR Advantage: $3.48 Optum — Commercial: $2.62 Optum — MCR Advantage: $3.55 UHC — Commercial: $6.09 UHC — MCR Advantage: $3.55
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.41 – $4.37
Urine test (manual, without microscope): rates for 10 insurance plans Aetna — Commercial: $3.48 Aetna — MCR Advantage: $3.55 Anthem — Commercial: $4.37 Anthem — Enhanced Pathways: $3.41 Anthem — MCR Advantage: $3.48 Martin's Point — MCR Advantage: $3.48 Optum — MCR Advantage: $3.55 UHC — MCR Advantage: $3.55 Wellcare — MCR Advantage: $3.55 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE SCREEN/LAB	$28	$10.08	$15.34 – $27.16
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — Commercial: $21.64 Aetna — MCR Advantage: $15.34 Anthem — Commercial: $21.10 Anthem — Enhanced Pathways: $21.10 CHO — Commercial: $24 Cigna — Commercial: $27.16 Harvard — Commercial: $19.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS	$28	$10.08	$15.34 – $27.16
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — Commercial: $21.64 Aetna — MCR Advantage: $15.34 Anthem — Commercial: $21.10 Anthem — Enhanced Pathways: $21.10 CHO — Commercial: $24 Cigna — Commercial: $27.16 Harvard — Commercial: $19.70
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE SCREEN/LAB	$28	$10.08	$20.94 – $27.16
Urine test (automated, without microscope): rates for 3 insurance plans Aetna — Commercial: $20.94 CHO — Commercial: $24 Cigna — Commercial: $27.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL (PART OF PSA FREE)	$73	$26.28	$40 – $70.81
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — Commercial: $56.43 Aetna — MCR Advantage: $40 Anthem — Commercial: $55.01 Anthem — Enhanced Pathways: $55.01 CHO — Commercial: $62.56 Cigna — Commercial: $70.81 Harvard — Commercial: $51.35
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATIC SPE AG LAB	$112	$40.32	$61.38 – $108.64
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — Commercial: $86.58 Aetna — MCR Advantage: $61.38 Anthem — Commercial: $84.39 Anthem — Enhanced Pathways: $84.39 CHO — Commercial: $95.98 Cigna — Commercial: $108.64 Harvard — Commercial: $78.78
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL (PART OF PSA FREE)	$73	$26.28	$54.60 – $70.81
PSA (prostate specific antigen) blood test: rates for 3 insurance plans Aetna — Commercial: $54.60 CHO — Commercial: $62.56 Cigna — Commercial: $70.81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$173	$62.28	$94.80 – $167.81
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — Commercial: $133.73 Aetna — MCR Advantage: $94.80 Anthem — Commercial: $130.36 Anthem — Enhanced Pathways: $130.36 CHO — Commercial: $148.26 Cigna — Commercial: $167.81 Harvard — Commercial: $121.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$173	$62.28	$129.40 – $167.81
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Aetna — Commercial: $129.40 CHO — Commercial: $148.26 Cigna — Commercial: $167.81
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	$16.45 – $21.09
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna — Commercial: $16.80 Aetna — MCR Advantage: $17.14 Anthem — Commercial: $21.09 Anthem — Enhanced Pathways: $16.45 Anthem — MCR Advantage: $16.80 Martin's Point — MCR Advantage: $16.80 Optum — MCR Advantage: $17.14 UHC — MCR Advantage: $17.14 Wellcare — MCR Advantage: $17.14 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC	$92	$33.12	$50.42 – $89.24
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — Commercial: $71.12 Aetna — MCR Advantage: $50.42 Anthem — Commercial: $69.32 Anthem — Enhanced Pathways: $69.32 CHO — Commercial: $78.84 Cigna — Commercial: $89.24 Harvard — Commercial: $64.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC	$92	$33.12	$68.82 – $89.24
Complete blood count (CBC) with differential: rates for 3 insurance plans Aetna — Commercial: $68.82 CHO — Commercial: $78.84 Cigna — Commercial: $89.24
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.61 – $9.75
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna — Commercial: $7.77 Aetna — MCR Advantage: $7.93 Anthem — Commercial: $9.75 Anthem — Enhanced Pathways: $7.61 Anthem — MCR Advantage: $7.77 Martin's Point — MCR Advantage: $7.77 Optum — MCR Advantage: $7.93 UHC — MCR Advantage: $7.93 Wellcare — MCR Advantage: $7.93 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM/CELL COUNT	$76	$27.36	$41.65 – $73.72
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — Commercial: $58.75 Aetna — MCR Advantage: $41.65 Anthem — Commercial: $57.27 Anthem — Enhanced Pathways: $57.27 CHO — Commercial: $65.13 Cigna — Commercial: $73.72 Harvard — Commercial: $53.46
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM/CELL COUNT	$76	$27.36	$56.85 – $73.72
Complete blood count (CBC), automated: rates for 3 insurance plans Aetna — Commercial: $56.85 CHO — Commercial: $65.13 Cigna — Commercial: $73.72
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$2.59 – $15.42
Complete blood count (CBC), automated: 10 of 11 insurance plan rates Aetna — Commercial: $5.24 Aetna — MCR Advantage: $6.47 Anthem — Commercial: $2.59 Anthem — MCR Advantage: $6.47 Harvard — Commercial: $6.47 Martin's Point — MCR Advantage: $6.47 Optum — Commercial: $6.47 Optum — MCR Advantage: $6.60 UHC — Commercial: $15.42 UHC — MCR Advantage: $6.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$66	$23.76	$36.17 – $64.02
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna — Commercial: $51.02 Aetna — MCR Advantage: $36.17 Anthem — Commercial: $49.73 Anthem — Enhanced Pathways: $49.73 CHO — Commercial: $56.56 Cigna — Commercial: $64.02 Harvard — Commercial: $46.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$66	$23.76	$49.37 – $64.02
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Aetna — Commercial: $49.37 CHO — Commercial: $56.56 Cigna — Commercial: $64.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.20 – $5.39
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna — Commercial: $4.29 Aetna — MCR Advantage: $4.38 Anthem — Commercial: $5.39 Anthem — Enhanced Pathways: $4.20 Anthem — MCR Advantage: $4.29 Martin's Point — MCR Advantage: $4.29 Optum — MCR Advantage: $4.38 UHC — MCR Advantage: $4.38 Wellcare — MCR Advantage: $4.38 Harvard — Commercial: 60.98% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT/LAB	$96	$34.56	$52.61 – $93.12
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna — Commercial: $74.21 Aetna — MCR Advantage: $52.61 Anthem — Commercial: $72.34 Anthem — Enhanced Pathways: $72.34 CHO — Commercial: $82.27 Cigna — Commercial: $93.12 Harvard — Commercial: $67.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT/LAB	$96	$34.56	$71.81 – $93.12
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Aetna — Commercial: $71.81 CHO — Commercial: $82.27 Cigna — Commercial: $93.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$2.40 – $14.32
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates Aetna — Commercial: $4.87 Aetna — MCR Advantage: $6.01 Anthem — Commercial: $2.40 Anthem — MCR Advantage: $6.01 Harvard — Commercial: $6.01 Martin's Point — MCR Advantage: $6.01 Optum — Commercial: $6.01 Optum — MCR Advantage: $6.13 UHC — Commercial: $14.32 UHC — MCR Advantage: $6.13

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	$102.92 – $104.98
CT scan of the head or brain, without contrast: rates for 6 insurance plans Aetna — MCR Advantage: $104.98 Anthem — MCR Advantage: $102.92 Martin's Point — MCR Advantage: $102.92 Optum — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $104.98
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	$238.15
CT scan of the head or brain, without contrast: rates for 1 insurance plan Harvard — Commercial: $238.15
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$27.71 – $73.68
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — Commercial: $65.61 Aetna — MCR Advantage: $37.49 Anthem — Commercial: $66.08 Anthem — MCR Advantage: $37.49 Martin's Point — MCR Advantage: $37.49 Optum — Commercial: $27.71 Optum — MCR Advantage: $38.24 UHC — Commercial: $73.68 UHC — MCR Advantage: $38.24 Wellcare — MCR Advantage: $38.24
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	$345.65 – $352.56
MRI of the brain, before and after contrast: rates for 6 insurance plans Aetna — MCR Advantage: $352.56 Anthem — MCR Advantage: $345.65 Martin's Point — MCR Advantage: $345.65 Optum — MCR Advantage: $352.56 UHC — MCR Advantage: $352.56 Wellcare — MCR Advantage: $352.56
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	$711.49
MRI of the brain, before and after contrast: rates for 1 insurance plan Harvard — Commercial: $711.49
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$74.67 – $197.61
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — Commercial: $176.79 Aetna — MCR Advantage: $101.02 Anthem — Commercial: $177.55 Anthem — MCR Advantage: $101.02 Martin's Point — MCR Advantage: $101.02 Optum — Commercial: $74.67 Optum — MCR Advantage: $103.04 UHC — Commercial: $197.61 UHC — MCR Advantage: $103.04 Wellcare — MCR Advantage: $103.04
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	$85.21 – $86.92
Chest X-ray, 2 views: rates for 6 insurance plans Aetna — MCR Advantage: $86.92 Anthem — MCR Advantage: $85.21 Martin's Point — MCR Advantage: $85.21 Optum — MCR Advantage: $86.92 UHC — MCR Advantage: $86.92 Wellcare — MCR Advantage: $86.92
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	$74
Chest X-ray, 2 views: rates for 1 insurance plan Harvard — Commercial: $74
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC XR CHEST 2 VW	$513	$184.68	$281.12 – $497.61
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — Commercial: $396.55 Aetna — MCR Advantage: $281.12 Anthem — Commercial: $386.55 Anthem — Enhanced Pathways: $386.55 CHO — Commercial: $439.64 Cigna — Commercial: $497.61 Harvard — Commercial: $360.84
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	$102.92 – $104.98
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans Aetna — MCR Advantage: $104.98 Anthem — MCR Advantage: $102.92 Martin's Point — MCR Advantage: $102.92 Optum — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $104.98
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	$114.30
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Harvard — Commercial: $114.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$8.62 – $27.13
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — Commercial: $20.77 Aetna — MCR Advantage: $11.87 Anthem — Commercial: $24.53 Anthem — MCR Advantage: $11.87 Martin's Point — MCR Advantage: $11.87 Optum — Commercial: $8.62 Optum — MCR Advantage: $12.11 UHC — Commercial: $27.13 UHC — MCR Advantage: $12.11 Wellcare — MCR Advantage: $12.11
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	$233.95 – $238.62
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans Aetna — MCR Advantage: $238.62 Anthem — MCR Advantage: $233.95 Martin's Point — MCR Advantage: $233.95 Optum — MCR Advantage: $238.62 UHC — MCR Advantage: $238.62 Wellcare — MCR Advantage: $238.62
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	$426.45
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Harvard — Commercial: $426.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$48.58 – $128
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — Commercial: $114.26 Aetna — MCR Advantage: $65.29 Anthem — Commercial: $115.70 Anthem — MCR Advantage: $65.29 Martin's Point — MCR Advantage: $65.29 Optum — Commercial: $48.58 Optum — MCR Advantage: $66.60 UHC — Commercial: $128 UHC — MCR Advantage: $66.60 Wellcare — MCR Advantage: $66.60
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	$172.29 – $175.74
CT scan of the pelvis, with contrast: rates for 6 insurance plans Aetna — MCR Advantage: $175.74 Anthem — MCR Advantage: $172.29 Martin's Point — MCR Advantage: $172.29 Optum — MCR Advantage: $175.74 UHC — MCR Advantage: $175.74 Wellcare — MCR Advantage: $175.74
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	$505.59
CT scan of the pelvis, with contrast: rates for 1 insurance plan Harvard — Commercial: $505.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$37.92 – $100.24
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — Commercial: $89.22 Aetna — MCR Advantage: $50.98 Anthem — Commercial: $90.60 Anthem — MCR Advantage: $50.98 Martin's Point — MCR Advantage: $50.98 Optum — Commercial: $37.92 Optum — MCR Advantage: $52 UHC — Commercial: $100.24 UHC — MCR Advantage: $52 Wellcare — MCR Advantage: $52
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	$233.95 – $238.62
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans Aetna — MCR Advantage: $238.62 Anthem — MCR Advantage: $233.95 Martin's Point — MCR Advantage: $233.95 Optum — MCR Advantage: $238.62 UHC — MCR Advantage: $238.62 Wellcare — MCR Advantage: $238.62
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	$453.56
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Harvard — Commercial: $453.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$44.41 – $117.15
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — Commercial: $104.48 Aetna — MCR Advantage: $59.70 Anthem — Commercial: $105.89 Anthem — MCR Advantage: $59.70 Martin's Point — MCR Advantage: $59.70 Optum — Commercial: $44.41 Optum — MCR Advantage: $60.89 UHC — Commercial: $117.15 UHC — MCR Advantage: $60.89 Wellcare — MCR Advantage: $60.89
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	$345.65 – $352.56
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans Aetna — MCR Advantage: $352.56 Anthem — MCR Advantage: $345.65 Martin's Point — MCR Advantage: $345.65 Optum — MCR Advantage: $352.56 UHC — MCR Advantage: $352.56 Wellcare — MCR Advantage: $352.56
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	$673.37
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Harvard — Commercial: $673.37
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$59.35 – $157.17
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — Commercial: $140.81 Aetna — MCR Advantage: $80.46 Anthem — Commercial: $142.05 Anthem — MCR Advantage: $80.46 Martin's Point — MCR Advantage: $80.46 Optum — Commercial: $59.35 Optum — MCR Advantage: $82.07 UHC — Commercial: $157.17 UHC — MCR Advantage: $82.07 Wellcare — MCR Advantage: $82.07
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	$102.92 – $104.98
Ultrasound of the abdomen, complete: rates for 6 insurance plans Aetna — MCR Advantage: $104.98 Anthem — MCR Advantage: $102.92 Martin's Point — MCR Advantage: $102.92 Optum — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $104.98
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	$253.52
Ultrasound of the abdomen, complete: rates for 1 insurance plan Harvard — Commercial: $253.52
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$26.31 – $69.62
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — Commercial: $62.32 Aetna — MCR Advantage: $35.61 Anthem — Commercial: $62.91 Anthem — MCR Advantage: $35.61 Martin's Point — MCR Advantage: $35.61 Optum — Commercial: $26.31 Optum — MCR Advantage: $36.32 UHC — Commercial: $69.62 UHC — MCR Advantage: $36.32 Wellcare — MCR Advantage: $36.32
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	$102.92 – $104.98
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans Aetna — MCR Advantage: $104.98 Anthem — MCR Advantage: $102.92 Martin's Point — MCR Advantage: $102.92 Optum — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $104.98
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	$294.55
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Harvard — Commercial: $294.55
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ob us >/ 14 wks sngl fetus	Not listed in the file	Not listed in the file	$32.62 – $86.72
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans Aetna — Commercial: $77.16 Aetna — MCR Advantage: $44.09 Anthem — Commercial: $78.39 Anthem — MCR Advantage: $44.09 Martin's Point — MCR Advantage: $44.09 Optum — Commercial: $32.62 Optum — MCR Advantage: $44.97 UHC — Commercial: $86.72 UHC — MCR Advantage: $44.97 Wellcare — MCR Advantage: $44.97
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	$102.92 – $104.98
Transvaginal ultrasound: rates for 6 insurance plans Aetna — MCR Advantage: $104.98 Anthem — MCR Advantage: $102.92 Martin's Point — MCR Advantage: $102.92 Optum — MCR Advantage: $104.98 UHC — MCR Advantage: $104.98 Wellcare — MCR Advantage: $104.98
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$258.66
Transvaginal ultrasound: rates for 1 insurance plan Harvard — Commercial: $258.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$22.60 – $59.80
Transvaginal ultrasound: rates for 10 insurance plans Aetna — Commercial: $53.60 Aetna — MCR Advantage: $30.63 Anthem — Commercial: $54.04 Anthem — MCR Advantage: $30.63 Martin's Point — MCR Advantage: $30.63 Optum — Commercial: $22.60 Optum — MCR Advantage: $31.24 UHC — Commercial: $59.80 UHC — MCR Advantage: $31.24 Wellcare — MCR Advantage: $31.24
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	$77.50 – $79.05
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — MCR Advantage: $79.05 Anthem — MCR Advantage: $77.50 Martin's Point — MCR Advantage: $77.50 Optum — 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	$276.24
Diagnostic mammogram, one breast: rates for 1 insurance plan Harvard — Commercial: $276.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$26.53 – $67.15
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Commercial: $62.32 Aetna — MCR Advantage: $35.61 Anthem — Commercial: $63.29 Anthem — MCR Advantage: $35.61 Martin's Point — MCR Advantage: $35.61 Optum — Commercial: $26.53 Optum — MCR Advantage: $36.32 UHC — Commercial: $67.15 UHC — MCR Advantage: $36.32 Wellcare — MCR Advantage: $36.32
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$98.76 – $100.74
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — MCR Advantage: $100.74 Anthem — MCR Advantage: $98.76 Martin's Point — MCR Advantage: $98.76 Optum — 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	$348.06
Diagnostic mammogram, both breasts: rates for 1 insurance plan Harvard — Commercial: $348.06
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$32.59 – $83.48
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Commercial: $76.69 Aetna — MCR Advantage: $43.82 Anthem — Commercial: $78.06 Anthem — MCR Advantage: $43.82 Martin's Point — MCR Advantage: $43.82 Optum — Commercial: $32.59 Optum — MCR Advantage: $44.70 UHC — Commercial: $83.48 UHC — MCR Advantage: $44.70 Wellcare — MCR Advantage: $44.70
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	$81.72 – $83.35
Screening mammogram, both breasts: rates for 6 insurance plans Aetna — MCR Advantage: $83.35 Anthem — MCR Advantage: $81.72 Martin's Point — MCR Advantage: $81.72 Optum — 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	$282.11
Screening mammogram, both breasts: rates for 1 insurance plan Harvard — Commercial: $282.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$24.88 – $63.61
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Commercial: $58.96 Aetna — MCR Advantage: $33.69 Anthem — Commercial: $59.05 Anthem — MCR Advantage: $33.69 Martin's Point — MCR Advantage: $33.69 Optum — Commercial: $24.88 Optum — MCR Advantage: $34.36 UHC — Commercial: $63.61 UHC — MCR Advantage: $34.36 Wellcare — MCR Advantage: $34.36

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	$9.69 – $31.50
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — Commercial: $22.77 Aetna — MCR Advantage: $13.01 Anthem — Commercial: $25.47 Anthem — MCR Advantage: $13.01 Harvard — Commercial: $31.50 Martin's Point — MCR Advantage: $13.01 Optum — Commercial: $9.69 Optum — MCR Advantage: $13.27 UHC — Commercial: $28.14 UHC — MCR Advantage: $13.27
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	$3,112.98 – $3,175.23
Left heart catheterization (diagnostic): rates for 6 insurance plans Aetna — MCR Advantage: $3,175.23 Anthem — MCR Advantage: $3,112.98 Martin's Point — MCR Advantage: $3,112.98 Optum — MCR Advantage: $3,175.23 UHC — MCR Advantage: $3,175.23 Wellcare — MCR Advantage: $3,175.23
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	$1,880.19
Left heart catheterization (diagnostic): rates for 1 insurance plan Harvard — Commercial: $1,880.19
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$155.65 – $428.16
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Commercial: $365.89 Aetna — MCR Advantage: $209.08 Anthem — Commercial: $368.24 Anthem — MCR Advantage: $209.08 Martin's Point — MCR Advantage: $209.08 Optum — Commercial: $155.65 Optum — MCR Advantage: $213.26 UHC — Commercial: $428.16 UHC — MCR Advantage: $213.26 Wellcare — MCR Advantage: $213.26
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	$7,344.07 – $7,490.95
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans Aetna — MCR Advantage: $7,490.95 Anthem — MCR Advantage: $7,344.07 Martin's Point — MCR Advantage: $7,344.07 Optum — MCR Advantage: $7,490.95 UHC — MCR Advantage: $7,490.95 Wellcare — MCR Advantage: $7,490.95
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	$1,436.87
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Harvard — Commercial: $1,436.87
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	$252.81 – $683.80
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans Aetna — Commercial: $593.37 Aetna — MCR Advantage: $339.07 Anthem — Commercial: $603.10 Anthem — MCR Advantage: $339.07 Martin's Point — MCR Advantage: $339.07 Optum — Commercial: $252.81 Optum — MCR Advantage: $345.85 UHC — Commercial: $683.80 UHC — MCR Advantage: $345.85 Wellcare — 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	$620.39 – $2,031.13
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates Aetna — Commercial: $1,459.62 Aetna — MCR Advantage: $834.07 Anthem — Commercial: $1,725.18 Anthem — MCR Advantage: $834.07 Harvard — Commercial: $2,031.13 Martin's Point — MCR Advantage: $834.07 Optum — Commercial: $620.39 Optum — MCR Advantage: $850.75 UHC — Commercial: $1,910.25 UHC — MCR Advantage: $850.75
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	$23,743.34 – $24,218.21
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans Aetna — MCR Advantage: $24,218.21 Anthem — MCR Advantage: $23,743.34 Martin's Point — MCR Advantage: $23,743.34 Optum — MCR Advantage: $24,218.21 UHC — MCR Advantage: $24,218.21 Wellcare — MCR Advantage: $24,218.21
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	$984.67 – $1,004.37
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans Aetna — MCR Advantage: $1,004.37 Anthem — MCR Advantage: $984.67 Martin's Point — MCR Advantage: $984.67 Optum — MCR Advantage: $1,004.37 UHC — MCR Advantage: $1,004.37 Wellcare — MCR Advantage: $1,004.37
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$1,378.27
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Harvard — Commercial: $1,378.27
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$81.02 – $209.97
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna — Commercial: $190.45 Aetna — MCR Advantage: $108.83 Anthem — Commercial: $189.72 Anthem — MCR Advantage: $108.83 Martin's Point — MCR Advantage: $108.83 Optum — Commercial: $81.02 Optum — MCR Advantage: $111.01 UHC — Commercial: $209.97 UHC — MCR Advantage: $111.01 Wellcare — MCR Advantage: $111.01

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) · Doctor (professional) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$20.24 – $65.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $48.07 Aetna — MCR Advantage: $27.47 Anthem — Commercial: $47.03 Anthem — MCR Advantage: $27.47 Harvard — Commercial: $65.22 Martin's Point — MCR Advantage: $27.47 Optum — Commercial: $20.24 Optum — MCR Advantage: $28.02 UHC — Commercial: $54.30 UHC — MCR Advantage: $28.02
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.47 – $28.02
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans Aetna — MCR Advantage: $28.02 Anthem — MCR Advantage: $27.47 Martin's Point — MCR Advantage: $27.47 Optum — MCR Advantage: $28.02 UHC — MCR Advantage: $28.02 Wellcare — MCR Advantage: $28.02
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	$69.21 – $222.02
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $93.48 Anthem — Commercial: $128.57 Anthem — MCR Advantage: $93.48 Harvard — Commercial: $222.02 Martin's Point — MCR Advantage: $93.48 Optum — Commercial: $69.21 Optum — MCR Advantage: $95.35 UHC — Commercial: $135.57 UHC — MCR Advantage: $95.35
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$93.48 – $95.35
Physical therapy evaluation (low complexity): rates for 6 insurance plans Aetna — MCR Advantage: $95.35 Anthem — MCR Advantage: $93.48 Martin's Point — MCR Advantage: $93.48 Optum — MCR Advantage: $95.35 UHC — MCR Advantage: $95.35 Wellcare — MCR Advantage: $95.35
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	$69.21 – $222.02
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $93.48 Anthem — Commercial: $128.57 Anthem — MCR Advantage: $93.48 Harvard — Commercial: $222.02 Martin's Point — MCR Advantage: $93.48 Optum — Commercial: $69.21 Optum — MCR Advantage: $95.35 UHC — Commercial: $135.57 UHC — MCR Advantage: $95.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$93.48 – $95.35
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans Aetna — MCR Advantage: $95.35 Anthem — MCR Advantage: $93.48 Martin's Point — MCR Advantage: $93.48 Optum — MCR Advantage: $95.35 UHC — MCR Advantage: $95.35 Wellcare — MCR Advantage: $95.35
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	$69.21 – $222.02
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Commercial: $163.59 Aetna — MCR Advantage: $93.48 Anthem — Commercial: $128.57 Anthem — MCR Advantage: $93.48 Harvard — Commercial: $222.02 Martin's Point — MCR Advantage: $93.48 Optum — Commercial: $69.21 Optum — MCR Advantage: $95.35 UHC — Commercial: $135.57 UHC — MCR Advantage: $95.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$93.48 – $95.35
Physical therapy evaluation (high complexity): rates for 6 insurance plans Aetna — MCR Advantage: $95.35 Anthem — MCR Advantage: $93.48 Martin's Point — MCR Advantage: $93.48 Optum — MCR Advantage: $95.35 UHC — MCR Advantage: $95.35 Wellcare — MCR Advantage: $95.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · both In the file: PHD PSYCHOTHERAPY 30M	$308	$110.88	$168.78 – $298.76
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Commercial: $238.08 Aetna — MCR Advantage: $168.78 Anthem — Commercial: $232.08 Anthem — Enhanced Pathways: $232.08 CHO — Commercial: $263.96 Cigna — Commercial: $298.76 Harvard — Commercial: $216.65
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP PSYTH 30M CONDITIONAL	$179	$64.44	$98.09 – $173.63
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Commercial: $138.37 Aetna — MCR Advantage: $98.09 Anthem — Commercial: $134.88 Anthem — Enhanced Pathways: $134.88 CHO — Commercial: $153.40 Cigna — Commercial: $173.63 Harvard — Commercial: $125.91
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · both In the file: ADOP PSYTH 30M SOCIAL	$308	$110.88	$168.78 – $298.76
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Commercial: $238.08 Aetna — MCR Advantage: $168.78 Anthem — Commercial: $232.08 Anthem — Enhanced Pathways: $232.08 CHO — Commercial: $263.96 Cigna — Commercial: $298.76 Harvard — Commercial: $216.65
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · both In the file: PHD PSYCHOTHERAPY 45M	$425	$153	$232.90 – $412.25
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Commercial: $328.52 Aetna — MCR Advantage: $232.90 Anthem — Commercial: $320.24 Anthem — Enhanced Pathways: $320.24 CHO — Commercial: $364.22 Cigna — Commercial: $412.25 Harvard — Commercial: $298.94
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP PSYTH 45M CONDITIONAL	$236	$84.96	$129.33 – $228.92
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Commercial: $182.43 Aetna — MCR Advantage: $129.33 Anthem — Commercial: $177.83 Anthem — Enhanced Pathways: $177.83 CHO — Commercial: $202.25 Cigna — Commercial: $228.92 Harvard — Commercial: $166
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · both In the file: ADOP PSYTH 45M SOCIAL	$425	$153	$232.90 – $412.25
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Commercial: $328.52 Aetna — MCR Advantage: $232.90 Anthem — Commercial: $320.24 Anthem — Enhanced Pathways: $320.24 CHO — Commercial: $364.22 Cigna — Commercial: $412.25 Harvard — Commercial: $298.94
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · both In the file: PHD PSYCHOTHERAPY 60M	$520	$187.20	$284.96 – $504.40
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Commercial: $401.96 Aetna — MCR Advantage: $284.96 Anthem — Commercial: $391.82 Anthem — Enhanced Pathways: $391.82 CHO — Commercial: $445.64 Cigna — Commercial: $504.40 Harvard — Commercial: $365.77
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP PSYTH 60M CONDITIONAL	$293	$105.48	$160.56 – $284.21
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Commercial: $226.49 Aetna — MCR Advantage: $160.56 Anthem — Commercial: $220.78 Anthem — Enhanced Pathways: $220.78 CHO — Commercial: $251.10 Cigna — Commercial: $284.21 Harvard — Commercial: $206.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · both In the file: ADOP PSYTH 60M SOCIAL	$520	$187.20	$284.96 – $504.40
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Commercial: $401.96 Aetna — MCR Advantage: $284.96 Anthem — Commercial: $391.82 Anthem — Enhanced Pathways: $391.82 CHO — Commercial: $445.64 Cigna — Commercial: $504.40 Harvard — Commercial: $365.77
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · both In the file: ADOP FAM W/O PT SOCIAL	$552	$198.72	$302.50 – $535.44
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Commercial: $426.70 Aetna — MCR Advantage: $302.50 Anthem — Commercial: $415.93 Anthem — Enhanced Pathways: $415.93 CHO — Commercial: $473.06 Cigna — Commercial: $535.44 Harvard — Commercial: $388.28
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP FAM W/O PT CONDITIONAL	$319	$114.84	$174.81 – $309.43
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Commercial: $246.59 Aetna — MCR Advantage: $174.81 Anthem — Commercial: $240.37 Anthem — Enhanced Pathways: $240.37 CHO — Commercial: $273.38 Cigna — Commercial: $309.43 Harvard — Commercial: $224.38
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · both In the file: PHD FAM TH W/O PT	$552	$198.72	$302.50 – $535.44
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Commercial: $426.70 Aetna — MCR Advantage: $302.50 Anthem — Commercial: $415.93 Anthem — Enhanced Pathways: $415.93 CHO — Commercial: $473.06 Cigna — Commercial: $535.44 Harvard — Commercial: $388.28
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP FAM THRPY CONDITIONAL	$336	$120.96	$184.13 – $325.92
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Commercial: $259.73 Aetna — MCR Advantage: $184.13 Anthem — Commercial: $253.18 Anthem — Enhanced Pathways: $253.18 CHO — Commercial: $287.95 Cigna — Commercial: $325.92 Harvard — Commercial: $236.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · both In the file: ADOP FAM THRPY SOCIAL	$578	$208.08	$316.74 – $560.66
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Commercial: $446.79 Aetna — MCR Advantage: $316.74 Anthem — Commercial: $435.52 Anthem — Enhanced Pathways: $435.52 CHO — Commercial: $495.35 Cigna — Commercial: $560.66 Harvard — Commercial: $406.57
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · both In the file: PHD FAM THERAPY	$578	$208.08	$316.74 – $560.66
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Commercial: $446.79 Aetna — MCR Advantage: $316.74 Anthem — Commercial: $435.52 Anthem — Enhanced Pathways: $435.52 CHO — Commercial: $495.35 Cigna — Commercial: $560.66 Harvard — Commercial: $406.57
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP GROUP 60M CONDITIONAL	$164	$59.04	$89.87 – $159.08
Group psychotherapy: rates for 7 insurance plans Aetna — Commercial: $126.77 Aetna — MCR Advantage: $89.87 Anthem — Commercial: $123.57 Anthem — Enhanced Pathways: $123.57 CHO — Commercial: $140.55 Cigna — Commercial: $159.08 Harvard — Commercial: $115.36
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP GROUP 120M CONDITIONAL	$164	$59.04	$89.87 – $159.08
Group psychotherapy: rates for 7 insurance plans Aetna — Commercial: $126.77 Aetna — MCR Advantage: $89.87 Anthem — Commercial: $123.57 Anthem — Enhanced Pathways: $123.57 CHO — Commercial: $140.55 Cigna — Commercial: $159.08 Harvard — Commercial: $115.36
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ADOP GROUP 90M CONDITIONAL	$164	$59.04	$89.87 – $159.08
Group psychotherapy: rates for 7 insurance plans Aetna — Commercial: $126.77 Aetna — MCR Advantage: $89.87 Anthem — Commercial: $123.57 Anthem — Enhanced Pathways: $123.57 CHO — Commercial: $140.55 Cigna — Commercial: $159.08 Harvard — Commercial: $115.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,706.13 – $3,780.26
Removal of breast growth (open surgery): rates for 6 insurance plans Aetna — MCR Advantage: $3,780.26 Anthem — MCR Advantage: $3,706.13 Martin's Point — MCR Advantage: $3,706.13 Optum — MCR Advantage: $3,780.26 UHC — MCR Advantage: $3,780.26 Wellcare — MCR Advantage: $3,780.26
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$934.97
Removal of breast growth (open surgery): rates for 1 insurance plan Harvard — Commercial: $934.97
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$422.49 – $1,035.17
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — Commercial: $1,000.31 Aetna — MCR Advantage: $571.61 Anthem — Commercial: $939.38 Anthem — MCR Advantage: $571.61 Martin's Point — MCR Advantage: $571.61 Optum — Commercial: $422.49 Optum — MCR Advantage: $583.04 UHC — Commercial: $1,035.17 UHC — MCR Advantage: $583.04 Wellcare — MCR Advantage: $583.04
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	$12,453.02 – $12,702.08
Total hip replacement: rates for 6 insurance plans Aetna — MCR Advantage: $12,702.08 Anthem — MCR Advantage: $12,453.02 Martin's Point — MCR Advantage: $12,453.02 Optum — MCR Advantage: $12,702.08 UHC — MCR Advantage: $12,702.08 Wellcare — MCR Advantage: $12,702.08
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$2,852.51
Total hip replacement: rates for 1 insurance plan Harvard — Commercial: $2,852.51
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,298.31 – $3,429.36
Total hip replacement: rates for 10 insurance plans Aetna — Commercial: $3,073.64 Aetna — MCR Advantage: $1,756.37 Anthem — Commercial: $3,111.77 Anthem — MCR Advantage: $1,756.37 Martin's Point — MCR Advantage: $1,756.37 Optum — Commercial: $1,298.31 Optum — MCR Advantage: $1,791.49 UHC — Commercial: $3,429.36 UHC — MCR Advantage: $1,791.49 Wellcare — MCR Advantage: $1,791.49
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	$12,453.02 – $12,702.08
Total knee replacement: rates for 6 insurance plans Aetna — MCR Advantage: $12,702.08 Anthem — MCR Advantage: $12,453.02 Martin's Point — MCR Advantage: $12,453.02 Optum — MCR Advantage: $12,702.08 UHC — MCR Advantage: $12,702.08 Wellcare — MCR Advantage: $12,702.08
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$2,848.84
Total knee replacement: rates for 1 insurance plan Harvard — Commercial: $2,848.84
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,296.53 – $3,428.49
Total knee replacement: rates for 10 insurance plans Aetna — Commercial: $3,069.99 Aetna — MCR Advantage: $1,754.28 Anthem — Commercial: $3,108.84 Anthem — MCR Advantage: $1,754.28 Martin's Point — MCR Advantage: $1,754.28 Optum — Commercial: $1,296.53 Optum — MCR Advantage: $1,789.37 UHC — Commercial: $3,428.49 UHC — MCR Advantage: $1,789.37 Wellcare — MCR Advantage: $1,789.37
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	$377.35
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Harvard — Commercial: $377.35
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$172.25 – $446.99
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna — Commercial: $408.21 Aetna — MCR Advantage: $233.27 Anthem — Commercial: $405.21 Anthem — MCR Advantage: $233.27 Martin's Point — MCR Advantage: $233.27 Optum — Commercial: $172.25 Optum — MCR Advantage: $237.93 UHC — Commercial: $446.99 UHC — MCR Advantage: $237.93 Wellcare — MCR Advantage: $237.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 80\|81\|82 In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$18.37 – $47.68
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans Aetna — Commercial: $43.54 Aetna — MCR Advantage: $24.88 Anthem — Commercial: $43.22 Anthem — MCR Advantage: $24.88 Martin's Point — MCR Advantage: $24.88 Optum — Commercial: $18.37 Optum — MCR Advantage: $25.38 UHC — Commercial: $47.68 UHC — MCR Advantage: $25.38 Wellcare — MCR Advantage: $25.38
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	$3,140.26 – $3,203.07
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans Aetna — MCR Advantage: $3,203.07 Anthem — MCR Advantage: $3,140.26 Martin's Point — MCR Advantage: $3,140.26 Optum — MCR Advantage: $3,203.07 UHC — MCR Advantage: $3,203.07 Wellcare — MCR Advantage: $3,203.07
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$1,219.26
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Harvard — Commercial: $1,219.26
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Arthrs kne srg mnisectmy m/l	Not listed in the file	Not listed in the file	$553.38 – $1,363.22
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — Commercial: $1,310.88 Aetna — MCR Advantage: $749.07 Anthem — Commercial: $1,236.30 Anthem — MCR Advantage: $749.07 Martin's Point — MCR Advantage: $749.07 Optum — Commercial: $553.38 Optum — MCR Advantage: $764.05 UHC — Commercial: $1,363.22 UHC — MCR Advantage: $764.05 Wellcare — MCR Advantage: $764.05
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	$5,725.41 – $5,839.92
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans Aetna — MCR Advantage: $5,839.92 Anthem — MCR Advantage: $5,725.41 Martin's Point — MCR Advantage: $5,725.41 Optum — MCR Advantage: $5,839.92 UHC — MCR Advantage: $5,839.92 Wellcare — MCR Advantage: $5,839.92
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$651.40
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Harvard — Commercial: $651.40
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$161.77 – $402.72
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — Commercial: $381.63 Aetna — MCR Advantage: $218.08 Anthem — Commercial: $356.29 Anthem — MCR Advantage: $218.08 Martin's Point — MCR Advantage: $218.08 Optum — Commercial: $161.77 Optum — MCR Advantage: $222.44 UHC — Commercial: $402.72 UHC — MCR Advantage: $222.44 Wellcare — MCR Advantage: $222.44
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	$82.61 – $267.44
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Commercial: $194.92 Aetna — MCR Advantage: $111.38 Anthem — Commercial: $193.15 Anthem — MCR Advantage: $111.38 Harvard — Commercial: $267.44 Martin's Point — MCR Advantage: $111.38 Optum — Commercial: $82.61 Optum — MCR Advantage: $113.61 UHC — Commercial: $221.76 UHC — MCR Advantage: $113.61
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$907.41 – $925.55
Upper GI endoscopy (diagnostic): rates for 6 insurance plans Aetna — MCR Advantage: $925.55 Anthem — MCR Advantage: $907.41 Martin's Point — MCR Advantage: $907.41 Optum — MCR Advantage: $925.55 UHC — MCR Advantage: $925.55 Wellcare — MCR Advantage: $925.55
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$93.32 – $300.42
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Commercial: $219.35 Aetna — MCR Advantage: $125.34 Anthem — Commercial: $217.64 Anthem — MCR Advantage: $125.34 Harvard — Commercial: $300.42 Martin's Point — MCR Advantage: $125.34 Optum — Commercial: $93.32 Optum — MCR Advantage: $127.85 UHC — Commercial: $250.22 UHC — MCR Advantage: $127.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$907.41 – $925.55
Upper GI endoscopy with biopsy: rates for 6 insurance plans Aetna — MCR Advantage: $925.55 Anthem — MCR Advantage: $907.41 Martin's Point — MCR Advantage: $907.41 Optum — MCR Advantage: $925.55 UHC — MCR Advantage: $925.55 Wellcare — MCR Advantage: $925.55
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	$882.39 – $900.04
Colonoscopy (diagnostic): rates for 6 insurance plans Aetna — MCR Advantage: $900.04 Anthem — MCR Advantage: $882.39 Martin's Point — MCR Advantage: $882.39 Optum — MCR Advantage: $900.04 UHC — MCR Advantage: $900.04 Wellcare — MCR Advantage: $900.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$124.09 – $401.54
Colonoscopy (diagnostic): rates for 3 insurance plans Harvard — Commercial: $401.54 Optum — Commercial: $124.09 UHC — Commercial: $329.93
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$152.44 – $266.77
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $266.77 Aetna — MCR Advantage: $152.44 Anthem — Commercial: $239.25 Anthem — MCR Advantage: $152.44 Martin's Point — MCR Advantage: $152.44 Optum — MCR Advantage: $155.49 UHC — MCR Advantage: $155.49 Wellcare — MCR Advantage: $155.49
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	$134.94 – $436.70
Colonoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Commercial: $318.55 Aetna — MCR Advantage: $182.03 Anthem — Commercial: $316.75 Anthem — MCR Advantage: $182.03 Harvard — Commercial: $436.70 Martin's Point — MCR Advantage: $182.03 Optum — Commercial: $134.94 Optum — MCR Advantage: $185.67 UHC — Commercial: $358.33 UHC — MCR Advantage: $185.67
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,141.16 – $1,163.99
Colonoscopy with biopsy: rates for 6 insurance plans Aetna — MCR Advantage: $1,163.99 Anthem — MCR Advantage: $1,141.16 Martin's Point — MCR Advantage: $1,141.16 Optum — MCR Advantage: $1,163.99 UHC — MCR Advantage: $1,163.99 Wellcare — MCR Advantage: $1,163.99
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	$170.84 – $550.28
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates Aetna — Commercial: $402.29 Aetna — MCR Advantage: $229.88 Anthem — Commercial: $401.14 Anthem — MCR Advantage: $229.88 Harvard — Commercial: $550.28 Martin's Point — MCR Advantage: $229.88 Optum — Commercial: $170.84 Optum — MCR Advantage: $234.48 UHC — Commercial: $452.55 UHC — MCR Advantage: $234.48
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,141.16 – $1,163.99
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans Aetna — MCR Advantage: $1,163.99 Anthem — MCR Advantage: $1,141.16 Martin's Point — MCR Advantage: $1,141.16 Optum — MCR Advantage: $1,163.99 UHC — MCR Advantage: $1,163.99 Wellcare — MCR Advantage: $1,163.99
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	$173.31 – $557.60
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates Aetna — Commercial: $408.12 Aetna — MCR Advantage: $233.21 Anthem — Commercial: $406.95 Anthem — MCR Advantage: $233.21 Harvard — Commercial: $557.60 Martin's Point — MCR Advantage: $233.21 Optum — Commercial: $173.31 Optum — MCR Advantage: $237.87 UHC — Commercial: $458.43 UHC — MCR Advantage: $237.87
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	$1,141.16 – $1,163.99
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans Aetna — MCR Advantage: $1,163.99 Anthem — MCR Advantage: $1,141.16 Martin's Point — MCR Advantage: $1,141.16 Optum — MCR Advantage: $1,163.99 UHC — MCR Advantage: $1,163.99 Wellcare — MCR Advantage: $1,163.99
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	$882.39 – $900.04
Screening colonoscopy (not high risk): rates for 6 insurance plans Aetna — MCR Advantage: $900.04 Anthem — MCR Advantage: $882.39 Martin's Point — MCR Advantage: $882.39 Optum — MCR Advantage: $900.04 UHC — MCR Advantage: $900.04 Wellcare — MCR Advantage: $900.04
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$124.25 – $402.27
Screening colonoscopy (not high risk): rates for 3 insurance plans Harvard — Commercial: $402.27 Optum — Commercial: $124.25 UHC — Commercial: $329.93
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$152.44 – $266.77
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $266.77 Aetna — MCR Advantage: $152.44 Anthem — Commercial: $238.86 Anthem — MCR Advantage: $152.44 Martin's Point — MCR Advantage: $152.44 Optum — MCR Advantage: $155.49 UHC — MCR Advantage: $155.49 Wellcare — MCR Advantage: $155.49
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$5,646.73 – $5,759.66
Gallbladder removal by laparoscope: rates for 6 insurance plans Aetna — MCR Advantage: $5,759.66 Anthem — MCR Advantage: $5,646.73 Martin's Point — MCR Advantage: $5,646.73 Optum — MCR Advantage: $5,759.66 UHC — MCR Advantage: $5,759.66 Wellcare — MCR Advantage: $5,759.66
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$1,469.85
Gallbladder removal by laparoscope: rates for 1 insurance plan Harvard — Commercial: $1,469.85
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$359.26 – $896.86
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — Commercial: $849.92 Aetna — MCR Advantage: $485.67 Anthem — Commercial: $812.58 Anthem — MCR Advantage: $485.67 Martin's Point — MCR Advantage: $485.67 Optum — Commercial: $359.26 Optum — MCR Advantage: $495.38 UHC — Commercial: $896.86 UHC — MCR Advantage: $495.38 Wellcare — MCR Advantage: $495.38
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,415.56 – $3,483.88
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans Aetna — MCR Advantage: $3,483.88 Anthem — MCR Advantage: $3,415.56 Martin's Point — MCR Advantage: $3,415.56 Optum — MCR Advantage: $3,483.88 UHC — MCR Advantage: $3,483.88 Wellcare — MCR Advantage: $3,483.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,167.98
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Harvard — Commercial: $1,167.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$528.08 – $1,312.82
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Commercial: $1,250.09 Aetna — MCR Advantage: $714.33 Anthem — Commercial: $1,187.87 Anthem — MCR Advantage: $714.33 Martin's Point — MCR Advantage: $714.33 Optum — Commercial: $528.08 Optum — MCR Advantage: $728.62 UHC — Commercial: $1,312.82 UHC — MCR Advantage: $728.62 Wellcare — MCR Advantage: $728.62
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$88.21 – $282.83
Prostate biopsy: 10 of 11 insurance plan rates Aetna — Commercial: $207.48 Aetna — MCR Advantage: $118.56 Anthem — Commercial: $204.63 Anthem — MCR Advantage: $118.56 Harvard — Commercial: $282.83 Martin's Point — MCR Advantage: $118.56 Optum — Commercial: $88.21 Optum — MCR Advantage: $120.93 UHC — Commercial: $238.89 UHC — MCR Advantage: $120.93
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$1,982.63 – $2,022.28
Prostate biopsy: rates for 6 insurance plans Aetna — MCR Advantage: $2,022.28 Anthem — MCR Advantage: $1,982.63 Martin's Point — MCR Advantage: $1,982.63 Optum — MCR Advantage: $2,022.28 UHC — MCR Advantage: $2,022.28 Wellcare — MCR Advantage: $2,022.28
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	$10,076.40 – $10,277.92
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans Aetna — MCR Advantage: $10,277.92 Anthem — MCR Advantage: $10,076.40 Martin's Point — MCR Advantage: $10,076.40 Optum — MCR Advantage: $10,277.92 UHC — MCR Advantage: $10,277.92 Wellcare — MCR Advantage: $10,277.92
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	$2,620.24
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Harvard — Commercial: $2,620.24
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	$673.55 – $1,981.05
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans Aetna — Commercial: $1,591.90 Aetna — MCR Advantage: $909.66 Anthem — Commercial: $1,873.92 Anthem — MCR Advantage: $909.66 Martin's Point — MCR Advantage: $909.66 Optum — Commercial: $673.55 Optum — 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) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,077.27 – $3,138.82
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans Aetna — MCR Advantage: $3,138.82 Anthem — MCR Advantage: $3,077.27 Martin's Point — MCR Advantage: $3,077.27 Optum — MCR Advantage: $3,138.82 UHC — MCR Advantage: $3,138.82 Wellcare — MCR Advantage: $3,138.82
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$508.52
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Harvard — Commercial: $508.52
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 62 In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$97.04 – $278.38
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — Commercial: $228.56 Aetna — MCR Advantage: $130.60 Anthem — Commercial: $222.34 Anthem — MCR Advantage: $130.60 Martin's Point — MCR Advantage: $130.60 Optum — Commercial: $97.04 Optum — MCR Advantage: $133.22 UHC — Commercial: $278.38 UHC — MCR Advantage: $133.22 Wellcare — MCR Advantage: $133.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$67.77 – $217.61
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates Aetna — Commercial: $159.83 Aetna — MCR Advantage: $91.33 Anthem — Commercial: $154.13 Anthem — MCR Advantage: $91.33 Harvard — Commercial: $217.61 Martin's Point — MCR Advantage: $91.33 Optum — Commercial: $67.77 Optum — MCR Advantage: $93.16 UHC — Commercial: $172.03 UHC — MCR Advantage: $93.16
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$670.25 – $683.66
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans Aetna — MCR Advantage: $683.66 Anthem — MCR Advantage: $670.25 Martin's Point — MCR Advantage: $670.25 Optum — MCR Advantage: $683.66 UHC — MCR Advantage: $683.66 Wellcare — MCR Advantage: $683.66
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$861.66 – $878.89
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans Aetna — MCR Advantage: $878.89 Anthem — MCR Advantage: $861.66 Martin's Point — MCR Advantage: $861.66 Optum — MCR Advantage: $878.89 UHC — MCR Advantage: $878.89 Wellcare — MCR Advantage: $878.89
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$243.99
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan Harvard — Commercial: $243.99
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$113.85 – $290.91
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — Commercial: $268.62 Aetna — MCR Advantage: $153.50 Anthem — Commercial: $260.78 Anthem — MCR Advantage: $153.50 Martin's Point — MCR Advantage: $153.50 Optum — Commercial: $113.85 Optum — MCR Advantage: $156.56 UHC — Commercial: $290.91 UHC — MCR Advantage: $156.56 Wellcare — MCR Advantage: $156.56
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	$1,889.97 – $1,927.77
Carpal tunnel release: rates for 6 insurance plans Aetna — MCR Advantage: $1,927.77 Anthem — MCR Advantage: $1,889.97 Martin's Point — MCR Advantage: $1,889.97 Optum — MCR Advantage: $1,927.77 UHC — MCR Advantage: $1,927.77 Wellcare — MCR Advantage: $1,927.77
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$988.46
Carpal tunnel release: rates for 1 insurance plan Harvard — Commercial: $988.46
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$447.32 – $1,067.04
Carpal tunnel release: rates for 10 insurance plans Aetna — Commercial: $1,060.40 Aetna — MCR Advantage: $605.94 Anthem — Commercial: $970.58 Anthem — MCR Advantage: $605.94 Martin's Point — MCR Advantage: $605.94 Optum — Commercial: $447.32 Optum — MCR Advantage: $618.06 UHC — Commercial: $1,067.04 UHC — MCR Advantage: $618.06 Wellcare — MCR Advantage: $618.06
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$530.96 – $541.58
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans Aetna — MCR Advantage: $541.58 Anthem — MCR Advantage: $530.96 Martin's Point — MCR Advantage: $530.96 Optum — MCR Advantage: $541.58 UHC — MCR Advantage: $541.58 Wellcare — MCR Advantage: $541.58
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$677.04
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Harvard — Commercial: $677.04
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$315 – $780
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — Commercial: $736.01 Aetna — MCR Advantage: $420.57 Anthem — Commercial: $710.45 Anthem — MCR Advantage: $420.57 Martin's Point — MCR Advantage: $420.57 Optum — Commercial: $315 Optum — MCR Advantage: $428.98 UHC — Commercial: $780 UHC — MCR Advantage: $428.98 Wellcare — MCR Advantage: $428.98
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	$2,207.38 – $2,251.53
Cataract removal with lens implant: rates for 6 insurance plans Aetna — MCR Advantage: $2,251.53 Anthem — MCR Advantage: $2,207.38 Martin's Point — MCR Advantage: $2,207.38 Optum — MCR Advantage: $2,251.53 UHC — MCR Advantage: $2,251.53 Wellcare — MCR Advantage: $2,251.53
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$1,181.89
Cataract removal with lens implant: rates for 1 insurance plan Harvard — Commercial: $1,181.89
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$550.59 – $1,612.35
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Commercial: $1,292.45 Aetna — MCR Advantage: $738.54 Anthem — Commercial: $1,468.11 Anthem — MCR Advantage: $738.54 Martin's Point — MCR Advantage: $738.54 Optum — Commercial: $550.59 Optum — MCR Advantage: $753.31 UHC — Commercial: $1,612.35 UHC — MCR Advantage: $753.31 Wellcare — MCR Advantage: $753.31

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: Obstetrical care	Not listed in the file	Not listed in the file	$1,619.18 – $5,335.73
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates Aetna — Commercial: $3,795.91 Aetna — MCR Advantage: $2,169.09 Anthem — Commercial: $3,154.93 Anthem — MCR Advantage: $2,169.09 Harvard — Commercial: $5,335.73 Martin's Point — MCR Advantage: $2,169.09 Optum — Commercial: $1,619.18 Optum — MCR Advantage: $2,212.47 UHC — Commercial: $3,491.65 UHC — MCR Advantage: $2,212.47
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	$1,792.92 – $5,927.05
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates Aetna — Commercial: $4,199.58 Aetna — MCR Advantage: $2,399.76 Anthem — Commercial: $3,491.48 Anthem — MCR Advantage: $2,399.76 Harvard — Commercial: $5,927.05 Martin's Point — MCR Advantage: $2,399.76 Optum — Commercial: $1,792.92 Optum — MCR Advantage: $2,447.76 UHC — Commercial: $3,866.96 UHC — MCR Advantage: $2,447.76
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	$1,689.66 – $5,589.26
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates Aetna — Commercial: $3,958.13 Aetna — MCR Advantage: $2,261.79 Anthem — Commercial: $3,312.99 Anthem — MCR Advantage: $2,261.79 Harvard — Commercial: $5,589.26 Martin's Point — MCR Advantage: $2,261.79 Optum — Commercial: $1,689.66 Optum — MCR Advantage: $2,307.03 UHC — Commercial: $3,664.62 UHC — MCR Advantage: $2,307.03

Source: Northern Light Acadia 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	Psychiatric Hospital
Address	268 Stillwater Ave, Bangor, ME 04401
County	Penobscot County
State	Maine
Phone	(207) 973‑6100
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	204006
Name in Medicare records	NORTHERN LIGHT ACADIA 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 Geocoder — map position used for distances

From the hospital’s website

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

Northern Light Acadia Hospital in Bangor - Acadia Hospital - Northern Light Health — northernlighthealth.org
Patients and Visitors - Northern Light Health — northernlighthealth.org
Northern Light Acadia Hospital - Northern Light Acadia Hospital - Northern Light Health — northernlighthealth.org
About Acadia Hospital - Northern Light Health — northernlighthealth.org
Locations in - Acadia Hospital - Northern Light Health — northernlighthealth.org

Northern Light Acadia Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[6][7][8]

Conditions treated^[6][7]

Treatments^[5][6][7]

Programs and centers^[5][6][7][8]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Northern Light Acadia Hospital

Summary

Profile from official sources

At a glance

Quick answers

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

Conditions treated[6][7]

Treatments[5][6][7]

Programs and centers[5][6][7][8]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[6][7][8]

Conditions treated^[6][7]

Treatments^[5][6][7]

Programs and centers^[5][6][7][8]