Does Northwest Florida Community Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Northwest Florida Community Hospital. In a medical emergency, call 911.

Where is Northwest Florida Community Hospital?

1360 Brickyard Rd, Chipley, FL 32428, in Washington County, Florida.

What is the phone number of Northwest Florida Community Hospital?

(850) 638-1610, as listed by Medicare (CMS).

What is the Medicare star rating of Northwest Florida Community Hospital?

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

Northwest Florida Community Hospital

Quick answers

Does Northwest Florida Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Northwest Florida Community Hospital. In a medical emergency, call 911.
Where is Northwest Florida Community Hospital?: 1360 Brickyard Rd, Chipley, FL 32428, in Washington County, Florida.
What is the phone number of Northwest Florida Community Hospital?: (850) 638-1610, as listed by Medicare (CMS).
What is the Medicare star rating of Northwest Florida Community Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][10][18]

Emergency
Surgical
Inpatient Rehab
Women's Health
Radiology/Imaging
Long Term Care
Outpatient Rehab
Respiratory
Wound Healing Institute
Cardiac Rehab
Infusion Center
Behavioral Health
Hormone therapy
Wound care
General surgery
ENT (ear, nose and throat)
Podiatry
Pain management

Conditions treated^[7][12][13]

Cancer
Multiple sclerosis
Rheumatoid arthritis
CIDP (chronic inflammatory demyelinating polyneuropathy)
Infectious disease
Crohn's disease
Ulcerative colitis
Immune deficiency
Osteoporosis
Heart failure
Heart attack (MI within past 12 months)
Stable angina

Treatments^{[4][11][12][13]}

Outpatient IV infusion therapy
Cardiac rehabilitation
Outpatient physical, occupational and speech therapy
Wound care

Procedures^{[7][8][10][14][18]}

CT scan
DEXA bone density scan
Mammogram
3D mammography
Ultrasound (general and vascular)
Nuclear stress testing
Nuclear medicine
Diagnostic X-ray
MRI / MRA
Clinical laboratory testing (24/7)
Upper endoscopy (EGD)
Colonoscopy
Laparoscopic cholecystectomy
Appendectomy
Breast and lymph node biopsy
Mastectomy
Lumpectomy
Tonsillectomy
Hernia repair
Adenoidectomy
Ear tube (PE tube) placement
Thyroidectomy
Nasal fracture repair
Sinus surgery
Direct laryngoscopy
Hammer toe repair
Ankle fracture repair
Bunionectomy
Amputation
Facet joint injections (cervical, thoracic, lumbar)
Trigger point injections
Radiofrequency denervation
Intercostal nerve blocks

Programs and centers^{[6][7][8][9][11][12][13][14][15][17][19]}

Emergency services (emergency department)
Self-referral mammogram program
Infusion center
Cardiac rehab program
Outpatient rehab services
Clinical laboratory services
Radiology / imaging services
Women's imaging services
Acute inpatient care (medical/surgical and special care units)
Health education programs (Education Department)

Emergency care (hospital website)^[4][6][15]

Emergency room	Yes

Visiting and practical information

Patient portal	https://www.nfch.org/patient-portal/

Doctors and clinicians (130)

130 doctors and other clinicians list Northwest Florida Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 106 more: the button below opens the full list.

Other emergency rooms nearby

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

Doctors Memorial Hospital8.3 mi · Bonifay, FL · Critical Access Hospital
Jackson Hospital19 mi · Marianna, FL · Acute Care Hospital
Wiregrass Medical Center29 mi · Geneva, AL · Critical Access Hospital
Flowers Hospital33 mi · Dothan, AL · Acute Care Hospital
Southeast Health Medical Center33 mi · Dothan, AL · Acute Care Hospital

Other hospitals nearby

Noland Hospital Dothan II, LLC33 mi · Dothan, AL · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Northwest Florida Community Hospital (Snu)0.0 mi · Chipley, FL · 5 of 5 stars
Washington Rehabilitation and Nursing Center0.2 mi · Chipley, FL · 5 of 5 stars
Bonifay Nursing and Rehab Center8.5 mi · Bonifay, FL · 4 of 5 stars

All nursing homes in the state →

Home health agencies

NHC Homecare10 mi · Chipley, FL
Centerwell Home Health20 mi · Marianna, FL · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Chipley Dialysis10 mi · Chipley, FL · 3 of 5 stars
DaVita Marianna Dialysis Center20 mi · Marianna, FL · 3 of 5 stars

All dialysis facilities 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

PanCare - Chipley0.4 mi · Chipley, FL · Community health center
PanCare - Bonifay8.5 mi · Bonifay, FL · Community health center
PanCare Health Mobile Unit #38.5 mi · Bonifay, FL · Community health center

Clinics and urgent care

Chipley Medical Group10 mi · Chipley, FL · Rural health clinic
Family Healthcare of Chipley10 mi · Chipley, FL · Rural health clinic
Southern Family Healthcare, P.A.10 mi · Chipley, FL · Rural health clinic

Assisted living nearby

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

Home Sweet Home A.L.F.10 mi · Chipley, FL
Tropical Paradise Villa Assisted Living and Retirement10 mi · Chipley, FL
Chatman Home Assisted Living Facility LLC11 mi · Graceville, FL
Angel Vision Bonifay LLC12 mi · Bonifay, FL

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	58%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	47%National average: 62%
Were given information about recovery at home	72%National average: 86%
Room and bathroom “always” clean	68%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	78Response rate: 18%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	14.8%
Deaths within 30 days: pneumonia patients	19.5%
Deaths within 30 days: COPD patients	8.8%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	16.5%
Readmitted within 30 days: COPD	19.2%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Northwest Florida Community 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 →

$ 18 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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) In the file: OFFICE VISIT 30 MIN NEW	$84	$67.20	$16.12 – $96.60
New patient office visit (about 30–44 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $69.30 BLUE_CROSS_PHS_PPO — Commercial: $69.30 CIGNA — Commercial: $61.32 FLORIDA_COMMUNITY_CARE — MEDICAID: $51.23 HUMANA — MEDICARE: $16.12 LIGHTHOUSE — MEDICAID: $51.23 MEDICARE — MEDICARE: $96.60 SUNSHINE — MEDICAID: $51.23 UNITED_HEALTHCARE — COMMERCIAL: $42 WELLCARE — MEDICAID: $51.23
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: LEVEL III NEW PT 30 MINS	$184	$147.20	$51.23 – $94.60
New patient office visit (about 30–44 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $89.09 BLUE_CROSS_PHS_PPO — Commercial: $89.09 FLORIDA_COMMUNITY_CARE — MEDICAID: $51.23 HUMANA — MEDICARE: $94.60 LIGHTHOUSE — MEDICAID: $51.23 SUNSHINE — MEDICAID: $51.23 UNITED_HEALTHCARE — COMMERCIAL: $80.27 WELLCARE — MEDICAID: $51.23
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PATIENT-LEVEL III	$198	$158.40	$51.23 – $94.60
New patient office visit (about 30–44 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $89.09 BLUE_CROSS_PHS_PPO — Commercial: $89.09 FLORIDA_COMMUNITY_CARE — MEDICAID: $51.23 HUMANA — MEDICARE: $94.60 LIGHTHOUSE — MEDICAID: $51.23 SUNSHINE — MEDICAID: $51.23 UNITED_HEALTHCARE — COMMERCIAL: $80.27 WELLCARE — MEDICAID: $51.23
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT 45 MIN NEW	$141	$112.80	$27.06 – $162.15
New patient office visit (about 45–59 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $116.33 BLUE_CROSS_PHS_PPO — Commercial: $116.33 CIGNA — Commercial: $102.93 FLORIDA_COMMUNITY_CARE — MEDICAID: $87.62 HUMANA — MEDICARE: $27.06 LIGHTHOUSE — MEDICAID: $87.62 MEDICARE — MEDICARE: $162.15 SUNSHINE — MEDICAID: $87.62 UNITED_HEALTHCARE — COMMERCIAL: $70.50 WELLCARE — MEDICAID: $87.62
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: LEVEL IV NEW PT 45 MINS	$259	$207.20	$87.62 – $153.51
New patient office visit (about 45–59 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $129.20 BLUE_CROSS_PHS_PPO — Commercial: $129.20 FLORIDA_COMMUNITY_CARE — MEDICAID: $87.62 HUMANA — MEDICARE: $153.51 LIGHTHOUSE — MEDICAID: $87.62 SUNSHINE — MEDICAID: $87.62 UNITED_HEALTHCARE — COMMERCIAL: $130.37 WELLCARE — MEDICAID: $87.62
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PATIENT-LEVEL IV	$281	$224.80	$87.62 – $153.51
New patient office visit (about 45–59 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $129.20 BLUE_CROSS_PHS_PPO — Commercial: $129.20 FLORIDA_COMMUNITY_CARE — MEDICAID: $87.62 HUMANA — MEDICARE: $153.51 LIGHTHOUSE — MEDICAID: $87.62 SUNSHINE — MEDICAID: $87.62 UNITED_HEALTHCARE — COMMERCIAL: $130.37 WELLCARE — MEDICAID: $87.62
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT 60 MIN NEW	$184	$147.20	$35.31 – $211.60
New patient office visit (about 60–74 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $151.80 BLUE_CROSS_PHS_PPO — Commercial: $151.80 CIGNA — Commercial: $134.32 FLORIDA_COMMUNITY_CARE — MEDICAID: $114.42 HUMANA — MEDICARE: $35.31 LIGHTHOUSE — MEDICAID: $114.42 MEDICARE — MEDICARE: $211.60 SUNSHINE — MEDICAID: $114.42 UNITED_HEALTHCARE — COMMERCIAL: $92 WELLCARE — MEDICAID: $114.42
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: LEVEL V NEW PT 60 MINS	$332	$265.60	$114.42 – $208.81
New patient office visit (about 60–74 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $163.15 BLUE_CROSS_PHS_PPO — Commercial: $163.15 FLORIDA_COMMUNITY_CARE — MEDICAID: $114.42 HUMANA — MEDICARE: $208.81 LIGHTHOUSE — MEDICAID: $114.42 SUNSHINE — MEDICAID: $114.42 UNITED_HEALTHCARE — COMMERCIAL: $177.58 WELLCARE — MEDICAID: $114.42
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: RHC-LEVEL V NEW PT 60 MINS	$328	$262.40	$62.94 – $377.20
New patient office visit (about 60–74 minutes): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $270.60 BLUE_CROSS_PHS_PPO — Commercial: $270.60 CIGNA — Commercial: $239.44 HUMANA — MEDICARE: $62.94 MEDICARE — MEDICARE: $377.20 UNITED_HEALTHCARE — COMMERCIAL: $164
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: EST PT LEVEL III	$63	$50.40	$12.09 – $72.45
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $51.98 BLUE_CROSS_PHS_PPO — Commercial: $51.98 CIGNA — Commercial: $45.99 FLORIDA_COMMUNITY_CARE — MEDICAID: $29.62 HUMANA — MEDICARE: $12.09 LIGHTHOUSE — MEDICAID: $29.62 MEDICARE — MEDICARE: $72.45 SUNSHINE — MEDICAID: $29.62 UNITED_HEALTHCARE — COMMERCIAL: $31.50 WELLCARE — MEDICAID: $29.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE VISIT 15 MIN EST	$56	$44.80	$10.75 – $64.40
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $46.20 BLUE_CROSS_PHS_PPO — Commercial: $46.20 CIGNA — Commercial: $40.88 FLORIDA_COMMUNITY_CARE — MEDICAID: $29.62 HUMANA — MEDICARE: $10.75 LIGHTHOUSE — MEDICAID: $29.62 MEDICARE — MEDICARE: $64.40 SUNSHINE — MEDICAID: $29.62 UNITED_HEALTHCARE — COMMERCIAL: $28 WELLCARE — MEDICAID: $29.62
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: LEVEL III EST PT 15 MINS	$101	$80.80	$29.62 – $75.46
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $48.94 BLUE_CROSS_PHS_PPO — Commercial: $48.94 FLORIDA_COMMUNITY_CARE — MEDICAID: $29.62 HUMANA — MEDICARE: $75.46 LIGHTHOUSE — MEDICAID: $29.62 SUNSHINE — MEDICAID: $29.62 UNITED_HEALTHCARE — COMMERCIAL: $64.09 WELLCARE — MEDICAID: $29.62
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE VISIT 25 MIN EST	$85	$68	$16.31 – $97.75
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $70.13 BLUE_CROSS_PHS_PPO — Commercial: $70.13 CIGNA — Commercial: $62.05 FLORIDA_COMMUNITY_CARE — MEDICAID: $46.15 HUMANA — MEDICARE: $16.31 LIGHTHOUSE — MEDICAID: $46.15 MEDICARE — MEDICARE: $97.75 SUNSHINE — MEDICAID: $46.15 UNITED_HEALTHCARE — COMMERCIAL: $42.50 WELLCARE — MEDICAID: $46.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: LEVEL IV EST PT 25 MINS	$156	$124.80	$46.15 – $111.14
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $76.35 BLUE_CROSS_PHS_PPO — Commercial: $76.35 FLORIDA_COMMUNITY_CARE — MEDICAID: $46.15 HUMANA — MEDICARE: $111.14 LIGHTHOUSE — MEDICAID: $46.15 SUNSHINE — MEDICAID: $46.15 UNITED_HEALTHCARE — COMMERCIAL: $94.41 WELLCARE — MEDICAID: $46.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT; LEVEL IV	$243	$194.40	$46.63 – $279.45
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $200.48 BLUE_CROSS_PHS_PPO — Commercial: $200.48 CIGNA — Commercial: $177.39 HUMANA — MEDICARE: $46.63 MEDICARE — MEDICARE: $279.45 UNITED_HEALTHCARE — COMMERCIAL: $121.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: O/P OFFICE CONSULT-40 MINUTES	$84	$67.20	$16.12 – $96.60
Office consultation with a specialist (moderate): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $69.30 BLUE_CROSS_PHS_PPO — Commercial: $69.30 CIGNA — Commercial: $61.32 FLORIDA_COMMUNITY_CARE — MEDICAID: $63.69 HUMANA — MEDICARE: $16.12 LIGHTHOUSE — MEDICAID: $63.69 MEDICARE — MEDICARE: $96.60 SUNSHINE — MEDICAID: $63.69 UNITED_HEALTHCARE — COMMERCIAL: $42 WELLCARE — MEDICAID: $63.69
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: O/P CONSULT-40 MINUTES	$177	$141.60	$33.97 – $203.55
Office consultation with a specialist (moderate): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $146.03 BLUE_CROSS_PHS_PPO — Commercial: $146.03 CIGNA — Commercial: $129.21 FLORIDA_COMMUNITY_CARE — MEDICAID: $63.69 HUMANA — MEDICARE: $33.97 LIGHTHOUSE — MEDICAID: $63.69 MEDICARE — MEDICARE: $203.55 SUNSHINE — MEDICAID: $63.69 UNITED_HEALTHCARE — COMMERCIAL: $88.50 WELLCARE — MEDICAID: $63.69
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION, 40 MIN	$38	$30.40	$7.29 – $43.70
Office consultation with a specialist (moderate): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $31.35 BLUE_CROSS_PHS_PPO — Commercial: $31.35 CIGNA — Commercial: $27.74 HUMANA — MEDICARE: $7.29 MEDICARE — MEDICARE: $43.70 UNITED_HEALTHCARE — COMMERCIAL: $19
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: LEVEL IV O/P CONSULT	$260	$208	$101.76 – $163.19
Office consultation with a specialist (moderate to high): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $163.19 BLUE_CROSS_PHS_PPO — Commercial: $163.19 FLORIDA_COMMUNITY_CARE — MEDICAID: $101.76 HUMANA — MEDICARE: $152.88 LIGHTHOUSE — MEDICAID: $101.76 SUNSHINE — MEDICAID: $101.76 UNITED_HEALTHCARE — COMMERCIAL: $129.21 WELLCARE — MEDICAID: $101.76
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: O/P CONSULT-60 MINUTES	$260	$208	$49.89 – $299
Office consultation with a specialist (moderate to high): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $214.50 BLUE_CROSS_PHS_PPO — Commercial: $214.50 CIGNA — Commercial: $189.80 HUMANA — MEDICARE: $49.89 MEDICARE — MEDICARE: $299 UNITED_HEALTHCARE — COMMERCIAL: $130
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION, 60 MIN	$56	$44.80	$10.75 – $64.40
Office consultation with a specialist (moderate to high): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $46.20 BLUE_CROSS_PHS_PPO — Commercial: $46.20 CIGNA — Commercial: $40.88 HUMANA — MEDICARE: $10.75 MEDICARE — MEDICARE: $64.40 UNITED_HEALTHCARE — COMMERCIAL: $28
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: MCD CHCUP(ESPDT) NEW 18-39YRS	$104	$83.20	$19.96 – $119.60
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $85.80 BLUE_CROSS_PHS_PPO — Commercial: $85.80 CIGNA — Commercial: $75.92 FLORIDA_COMMUNITY_CARE — MEDICAID: $59.57 HUMANA — MEDICARE: $19.96 LIGHTHOUSE — MEDICAID: $59.57 MEDICARE — MEDICARE: $119.60 SUNSHINE — MEDICAID: $59.57 UNITED_HEALTHCARE — COMMERCIAL: $52 WELLCARE — MEDICAID: $59.57
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: ANNUAL FAMILY PLANNING NEW PT 18-39YRS	$104	$83.20	$59.57 – $114.62
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $114.62 BLUE_CROSS_PHS_PPO — Commercial: $114.62 FLORIDA_COMMUNITY_CARE — MEDICAID: $59.57 HUMANA — MEDICARE: $106.79 LIGHTHOUSE — MEDICAID: $59.57 SUNSHINE — MEDICAID: $59.57 UNITED_HEALTHCARE — COMMERCIAL: $91.03 WELLCARE — MEDICAID: $59.57
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: ANNUAL FAMILY PLANNING NEW PT-18-39YRS	$104	$83.20	$19.96 – $119.60
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $85.80 BLUE_CROSS_PHS_PPO — Commercial: $85.80 CIGNA — Commercial: $75.92 HUMANA — MEDICARE: $19.96 MEDICARE — MEDICARE: $119.60 UNITED_HEALTHCARE — COMMERCIAL: $52
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: ANNUAL FAMILY PLANNING NEW PT 40-64YRS	$104	$83.20	$79.15 – $136.51
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $136.51 BLUE_CROSS_PHS_PPO — Commercial: $136.51 FLORIDA_COMMUNITY_CARE — MEDICAID: $79.15 HUMANA — MEDICARE: $119.60 LIGHTHOUSE — MEDICAID: $79.15 SUNSHINE — MEDICAID: $79.15 UNITED_HEALTHCARE — COMMERCIAL: $104 WELLCARE — MEDICAID: $79.15
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: ANNUAL FAMILY PLANNING NEW PT-40-64 YRS	$104	$83.20	$19.96 – $119.60
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $85.80 BLUE_CROSS_PHS_PPO — Commercial: $85.80 CIGNA — Commercial: $75.92 HUMANA — MEDICARE: $19.96 MEDICARE — MEDICARE: $119.60 UNITED_HEALTHCARE — COMMERCIAL: $52
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EDP ER VISIT MODERATE	$308	$246.40	$45.80 – $82.92
Emergency room visit (moderate): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $63.63 BLUE_CROSS_PHS_PPO — Commercial: $63.63 FLORIDA_COMMUNITY_CARE — MEDICAID: $45.80 HUMANA — MEDICARE: $82.92 LIGHTHOUSE — MEDICAID: $45.80 SUNSHINE — MEDICAID: $45.80 UNITED_HEALTHCARE — COMMERCIAL: $69.93 WELLCARE — MEDICAID: $45.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EDP ER VISIT MODERATE W/PROCEDURE	$308	$246.40	$45.80 – $82.92
Emergency room visit (moderate): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $63.63 BLUE_CROSS_PHS_PPO — Commercial: $63.63 FLORIDA_COMMUNITY_CARE — MEDICAID: $45.80 HUMANA — MEDICARE: $82.92 LIGHTHOUSE — MEDICAID: $45.80 SUNSHINE — MEDICAID: $45.80 UNITED_HEALTHCARE — COMMERCIAL: $69.93 WELLCARE — MEDICAID: $45.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT; LEVEL III	$541	$432.80	$103.82 – $622.15
Emergency room visit (moderate): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $446.33 BLUE_CROSS_PHS_PPO — Commercial: $446.33 CIGNA — Commercial: $394.93 HUMANA — MEDICARE: $103.82 MEDICARE — MEDICARE: $622.15 UNITED_HEALTHCARE — COMMERCIAL: $270.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EDP ER VISIT HIGH	$586	$468.80	$84.15 – $141.14
Emergency room visit (moderately high): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $98.98 BLUE_CROSS_PHS_PPO — Commercial: $98.98 FLORIDA_COMMUNITY_CARE — MEDICAID: $84.15 HUMANA — MEDICARE: $141.14 LIGHTHOUSE — MEDICAID: $84.15 SUNSHINE — MEDICAID: $84.15 UNITED_HEALTHCARE — COMMERCIAL: $119.62 WELLCARE — MEDICAID: $84.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EDP ER VISIT HIGH W/PROCEDURE	$586	$468.80	$84.15 – $141.14
Emergency room visit (moderately high): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $98.98 BLUE_CROSS_PHS_PPO — Commercial: $98.98 FLORIDA_COMMUNITY_CARE — MEDICAID: $84.15 HUMANA — MEDICARE: $141.14 LIGHTHOUSE — MEDICAID: $84.15 SUNSHINE — MEDICAID: $84.15 UNITED_HEALTHCARE — COMMERCIAL: $119.62 WELLCARE — MEDICAID: $84.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT; LEVEL IV	$876	$700.80	$168.10 – $1,007.40
Emergency room visit (moderately high): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $722.70 BLUE_CROSS_PHS_PPO — Commercial: $722.70 CIGNA — Commercial: $639.48 HUMANA — MEDICARE: $168.10 MEDICARE — MEDICARE: $1,007.40 UNITED_HEALTHCARE — COMMERCIAL: $438
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EDP ER VISIT LIFE THREATENING	$856	$684.80	$122.23 – $204.52
Emergency room visit (high): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $154.72 BLUE_CROSS_PHS_PPO — Commercial: $154.72 FLORIDA_COMMUNITY_CARE — MEDICAID: $122.23 HUMANA — MEDICARE: $204.52 LIGHTHOUSE — MEDICAID: $122.23 SUNSHINE — MEDICAID: $122.23 UNITED_HEALTHCARE — COMMERCIAL: $173.67 WELLCARE — MEDICAID: $122.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EDP ER VISIT LIFE THREATENING W/PROC	$856	$684.80	$122.23 – $204.52
Emergency room visit (high): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $154.72 BLUE_CROSS_PHS_PPO — Commercial: $154.72 FLORIDA_COMMUNITY_CARE — MEDICAID: $122.23 HUMANA — MEDICARE: $204.52 LIGHTHOUSE — MEDICAID: $122.23 SUNSHINE — MEDICAID: $122.23 UNITED_HEALTHCARE — COMMERCIAL: $173.67 WELLCARE — MEDICAID: $122.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT; LEVEL V	$1,262	$1,009.60	$242.18 – $1,451.30
Emergency room visit (high): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,041.15 BLUE_CROSS_PHS_PPO — Commercial: $1,041.15 CIGNA — Commercial: $921.26 HUMANA — MEDICARE: $242.18 MEDICARE — MEDICARE: $1,451.30 UNITED_HEALTHCARE — COMMERCIAL: $631

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: DAILY CHEM 8 BASIC METAB PANEL	$148	$118.40	$8.46 – $108.04
Basic metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $36.86 BLUE_CROSS_PHS_PPO — Commercial: $37.21 CIGNA — Commercial: $108.04 HUMANA — MEDICARE: $28.40 MEDICARE — MEDICARE: $8.46 UNITED_HEALTHCARE — COMMERCIAL: $74
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: DO NOT USE CHEM 7 BASIC METAB PANEL	$36	$28.80	$6.91 – $37.21
Basic metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $36.86 BLUE_CROSS_PHS_PPO — Commercial: $37.21 CIGNA — Commercial: $26.28 HUMANA — MEDICARE: $6.91 MEDICARE — MEDICARE: $8.46 UNITED_HEALTHCARE — COMMERCIAL: $18
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: CHEM 8 BASIC METAB PANEL	$148	$118.40	$8.46 – $108.04
Basic metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $36.86 BLUE_CROSS_PHS_PPO — Commercial: $37.21 CIGNA — Commercial: $108.04 HUMANA — MEDICARE: $28.40 MEDICARE — MEDICARE: $8.46 UNITED_HEALTHCARE — COMMERCIAL: $74
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: DAILY CHEM 14 COMP METAB PANEL	$225	$180	$10.56 – $164.25
Comprehensive metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $46.02 BLUE_CROSS_PHS_PPO — Commercial: $46.46 CIGNA — Commercial: $164.25 HUMANA — MEDICARE: $43.18 MEDICARE — MEDICARE: $10.56 UNITED_HEALTHCARE — COMMERCIAL: $112.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: DO NOT USE -CHEM 12 PANEL	$24	$19.20	$4.61 – $46.46
Comprehensive metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $46.02 BLUE_CROSS_PHS_PPO — Commercial: $46.46 CIGNA — Commercial: $17.52 HUMANA — MEDICARE: $4.61 MEDICARE — MEDICARE: $10.56 UNITED_HEALTHCARE — COMMERCIAL: $12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: CHEM 14 COMP METAB PANEL	$225	$180	$10.56 – $164.25
Comprehensive metabolic panel (blood test): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $46.02 BLUE_CROSS_PHS_PPO — Commercial: $46.46 CIGNA — Commercial: $164.25 HUMANA — MEDICARE: $43.18 MEDICARE — MEDICARE: $10.56 UNITED_HEALTHCARE — COMMERCIAL: $112.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: NMR LIPO PROFILE	$45	$36	$8.64 – $60.45
Cholesterol panel (lipid panel): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $59.88 BLUE_CROSS_PHS_PPO — Commercial: $60.45 CIGNA — Commercial: $32.85 HUMANA — MEDICARE: $8.64 MEDICARE — MEDICARE: $13.39 UNITED_HEALTHCARE — COMMERCIAL: $22.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$195	$156	$13.39 – $142.35
Cholesterol panel (lipid panel): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $59.88 BLUE_CROSS_PHS_PPO — Commercial: $60.45 CIGNA — Commercial: $142.35 HUMANA — MEDICARE: $37.42 MEDICARE — MEDICARE: $13.39 UNITED_HEALTHCARE — COMMERCIAL: $97.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$132	$105.60	$8.68 – $108.90
Kidney function panel: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $108.90 BLUE_CROSS_PHS_PPO — Commercial: $108.90 CIGNA — Commercial: $96.36 HUMANA — MEDICARE: $25.33 MEDICARE — MEDICARE: $8.68 UNITED_HEALTHCARE — COMMERCIAL: $66
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL WITH LIVER PROF	$132	$105.60	$8.68 – $108.90
Kidney function panel: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $108.90 BLUE_CROSS_PHS_PPO — Commercial: $108.90 CIGNA — Commercial: $96.36 HUMANA — MEDICARE: $25.33 MEDICARE — MEDICARE: $8.68 UNITED_HEALTHCARE — COMMERCIAL: $66
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER PROF HEPATIC FUNC	$125	$100	$8.17 – $91.25
Liver function panel: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $35.56 BLUE_CROSS_PHS_PPO — Commercial: $35.90 CIGNA — Commercial: $91.25 HUMANA — MEDICARE: $23.99 MEDICARE — MEDICARE: $8.17 UNITED_HEALTHCARE — COMMERCIAL: $62.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: DNU STAT CHARGE	$26	$20.80	$3.17 – $18.98
Urine test (automated, with microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $14.14 BLUE_CROSS_PHS_PPO — Commercial: $14.28 CIGNA — Commercial: $18.98 HUMANA — MEDICARE: $4.99 MEDICARE — MEDICARE: $3.17 UNITED_HEALTHCARE — COMMERCIAL: $13
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA AUTOMATED WITH MICROSCOPIC	$96	$76.80	$3.17 – $70.08
Urine test (automated, with microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $14.14 BLUE_CROSS_PHS_PPO — Commercial: $14.28 CIGNA — Commercial: $70.08 HUMANA — MEDICARE: $18.42 MEDICARE — MEDICARE: $3.17 UNITED_HEALTHCARE — COMMERCIAL: $48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS	$11	$8.80	$2.11 – $11.54
Urine test (manual, without microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $11.43 BLUE_CROSS_PHS_PPO — Commercial: $11.54 CIGNA — Commercial: $8.03 HUMANA — MEDICARE: $2.11 MEDICARE — MEDICARE: $3.48 UNITED_HEALTHCARE — COMMERCIAL: $5.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: DNU URINALYSIS	$11	$8.80	$2.11 – $11.54
Urine test (manual, without microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $11.43 BLUE_CROSS_PHS_PPO — Commercial: $11.54 CIGNA — Commercial: $8.03 HUMANA — MEDICARE: $2.11 MEDICARE — MEDICARE: $3.48 UNITED_HEALTHCARE — COMMERCIAL: $5.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: DNUURINALYSIS	$11	$8.80	$2.11 – $11.54
Urine test (manual, without microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $11.43 BLUE_CROSS_PHS_PPO — Commercial: $11.54 CIGNA — Commercial: $8.03 HUMANA — MEDICARE: $2.11 MEDICARE — MEDICARE: $3.48 UNITED_HEALTHCARE — COMMERCIAL: $5.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA AUTOMATED W/O MICROSCOPIC	$69	$55.20	$2.25 – $50.37
Urine test (automated, without microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $10.02 BLUE_CROSS_PHS_PPO — Commercial: $10.11 CIGNA — Commercial: $50.37 HUMANA — MEDICARE: $13.24 MEDICARE — MEDICARE: $2.25 UNITED_HEALTHCARE — COMMERCIAL: $34.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS W/O MICRO; AUTOMATED	$69	$55.20	$2.25 – $50.37
Urine test (automated, without microscope): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $10.02 BLUE_CROSS_PHS_PPO — Commercial: $10.11 CIGNA — Commercial: $50.37 HUMANA — MEDICARE: $13.24 MEDICARE — MEDICARE: $2.25 UNITED_HEALTHCARE — COMMERCIAL: $34.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL + % FREE	$14.80	$11.84	$2.84 – $83.03
PSA (prostate specific antigen) blood test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $82.25 BLUE_CROSS_PHS_PPO — Commercial: $83.03 CIGNA — Commercial: $10.80 HUMANA — MEDICARE: $2.84 MEDICARE — MEDICARE: $18.39 UNITED_HEALTHCARE — COMMERCIAL: $7.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA	$201	$160.80	$18.39 – $146.73
PSA (prostate specific antigen) blood test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $82.25 BLUE_CROSS_PHS_PPO — Commercial: $83.03 CIGNA — Commercial: $146.73 HUMANA — MEDICARE: $38.57 MEDICARE — MEDICARE: $18.39 UNITED_HEALTHCARE — COMMERCIAL: $100.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ULTRA SENSITIVE PSA	$201	$160.80	$18.39 – $146.73
PSA (prostate specific antigen) blood test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $82.25 BLUE_CROSS_PHS_PPO — Commercial: $83.03 CIGNA — Commercial: $146.73 HUMANA — MEDICARE: $38.57 MEDICARE — MEDICARE: $18.39 UNITED_HEALTHCARE — COMMERCIAL: $100.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$175	$140	$16.80 – $127.75
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $75.10 BLUE_CROSS_PHS_PPO — Commercial: $75.81 CIGNA — Commercial: $127.75 HUMANA — MEDICARE: $33.58 MEDICARE — MEDICARE: $16.80 UNITED_HEALTHCARE — COMMERCIAL: $87.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH REFLEX TO FT4 IF ABN	$168	$134.40	$16.80 – $122.64
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $75.10 BLUE_CROSS_PHS_PPO — Commercial: $75.81 CIGNA — Commercial: $122.64 HUMANA — MEDICARE: $32.24 MEDICARE — MEDICARE: $16.80 UNITED_HEALTHCARE — COMMERCIAL: $84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID PANEL TSH	$168	$134.40	$16.80 – $122.64
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $75.10 BLUE_CROSS_PHS_PPO — Commercial: $75.81 CIGNA — Commercial: $122.64 HUMANA — MEDICARE: $32.24 MEDICARE — MEDICARE: $16.80 UNITED_HEALTHCARE — COMMERCIAL: $84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC (W/ AUTO DIFF)	$135	$108	$7.77 – $98.55
Complete blood count (CBC) with differential: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $34.78 BLUE_CROSS_PHS_PPO — Commercial: $35.11 CIGNA — Commercial: $98.55 HUMANA — MEDICARE: $25.91 MEDICARE — MEDICARE: $7.77 UNITED_HEALTHCARE — COMMERCIAL: $67.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: DAILY CBC	$135	$108	$7.77 – $98.55
Complete blood count (CBC) with differential: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $34.78 BLUE_CROSS_PHS_PPO — Commercial: $35.11 CIGNA — Commercial: $98.55 HUMANA — MEDICARE: $25.91 MEDICARE — MEDICARE: $7.77 UNITED_HEALTHCARE — COMMERCIAL: $67.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: REFERRAL CBC	$135	$108	$7.77 – $98.55
Complete blood count (CBC) with differential: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $34.78 BLUE_CROSS_PHS_PPO — Commercial: $35.11 CIGNA — Commercial: $98.55 HUMANA — MEDICARE: $25.91 MEDICARE — MEDICARE: $7.77 UNITED_HEALTHCARE — COMMERCIAL: $67.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME/INR	$74	$59.20	$4.29 – $54.02
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $17.58 BLUE_CROSS_PHS_PPO — Commercial: $17.74 CIGNA — Commercial: $54.02 HUMANA — MEDICARE: $14.20 MEDICARE — MEDICARE: $4.29 UNITED_HEALTHCARE — COMMERCIAL: $37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME/INR & PTT	$74	$59.20	$4.29 – $54.02
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $17.58 BLUE_CROSS_PHS_PPO — Commercial: $17.74 CIGNA — Commercial: $54.02 HUMANA — MEDICARE: $14.20 MEDICARE — MEDICARE: $4.29 UNITED_HEALTHCARE — COMMERCIAL: $37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME/INR POC	$70	$56	$4.29 – $51.10
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $17.58 BLUE_CROSS_PHS_PPO — Commercial: $17.74 CIGNA — Commercial: $51.10 HUMANA — MEDICARE: $13.43 MEDICARE — MEDICARE: $4.29 UNITED_HEALTHCARE — COMMERCIAL: $35
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$138	$110.40	$6.01 – $100.74
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $26.84 BLUE_CROSS_PHS_PPO — Commercial: $27.09 CIGNA — Commercial: $100.74 HUMANA — MEDICARE: $26.48 MEDICARE — MEDICARE: $6.01 UNITED_HEALTHCARE — COMMERCIAL: $69

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) In the file: CT HEAD/BRAIN W/O CONTRAST	$3,069	$2,455.20	$496.69 – $3,529.35
CT scan of the head or brain, without contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $496.69 BLUE_CROSS_PHS_PPO — Commercial: $501.42 CIGNA — Commercial: $2,240.37 HUMANA — MEDICARE: $588.94 MEDICARE — MEDICARE: $3,529.35 UNITED_HEALTHCARE — COMMERCIAL: $1,534.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONTRAST	$4,026	$3,220.80	$772.59 – $4,629.90
MRI of the brain, before and after contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $2,612.33 BLUE_CROSS_PHS_PPO — Commercial: $2,637.21 CIGNA — Commercial: $2,938.98 HUMANA — MEDICARE: $772.59 MEDICARE — MEDICARE: $4,629.90 UNITED_HEALTHCARE — COMMERCIAL: $2,013
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 VIEW	$438	$350.40	$64.17 – $503.70
Chest X-ray, 2 views: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $64.17 BLUE_CROSS_PHS_PPO — Commercial: $64.78 CIGNA — Commercial: $319.74 HUMANA — MEDICARE: $84.05 MEDICARE — MEDICARE: $503.70 UNITED_HEALTHCARE — COMMERCIAL: $219
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE LUMB 4+ VIEWS	$742	$593.60	$96.61 – $853.30
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $96.61 BLUE_CROSS_PHS_PPO — Commercial: $97.53 CIGNA — Commercial: $541.66 HUMANA — MEDICARE: $142.39 MEDICARE — MEDICARE: $853.30 UNITED_HEALTHCARE — COMMERCIAL: $371
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O CONTRAST	$3,103	$2,482.40	$595.47 – $3,568.45
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,305.42 BLUE_CROSS_PHS_PPO — Commercial: $1,317.86 CIGNA — Commercial: $2,265.19 HUMANA — MEDICARE: $595.47 MEDICARE — MEDICARE: $3,568.45 UNITED_HEALTHCARE — COMMERCIAL: $1,551.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$2,895	$2,316	$555.55 – $3,329.25
CT scan of the pelvis, with contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $718.14 BLUE_CROSS_PHS_PPO — Commercial: $724.98 CIGNA — Commercial: $2,113.35 HUMANA — MEDICARE: $555.55 MEDICARE — MEDICARE: $3,329.25 UNITED_HEALTHCARE — COMMERCIAL: $1,447.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT LWR EXTREM W/O CONTRAST RT	$3,451	$2,760.80	$662.25 – $3,968.65
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,176.08 BLUE_CROSS_PHS_PPO — Commercial: $1,187.28 CIGNA — Commercial: $2,519.23 HUMANA — MEDICARE: $662.25 MEDICARE — MEDICARE: $3,968.65 UNITED_HEALTHCARE — COMMERCIAL: $1,725.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT LWR EXTREM W/O CONTRAST LT	$3,451	$2,760.80	$662.25 – $3,968.65
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,176.08 BLUE_CROSS_PHS_PPO — Commercial: $1,187.28 CIGNA — Commercial: $2,519.23 HUMANA — MEDICARE: $662.25 MEDICARE — MEDICARE: $3,968.65 UNITED_HEALTHCARE — COMMERCIAL: $1,725.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD AND PELVIS WITH CONTRAST	$3,358	$2,686.40	$644.40 – $3,861.70
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,436.27 BLUE_CROSS_PHS_PPO — Commercial: $1,449.95 CIGNA — Commercial: $2,451.34 HUMANA — MEDICARE: $644.40 MEDICARE — MEDICARE: $3,861.70 UNITED_HEALTHCARE — COMMERCIAL: $1,679
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$1,056	$844.80	$202.65 – $1,214.40
Ultrasound of the abdomen, complete: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $207.33 BLUE_CROSS_PHS_PPO — Commercial: $209.31 CIGNA — Commercial: $770.88 HUMANA — MEDICARE: $202.65 MEDICARE — MEDICARE: $1,214.40 UNITED_HEALTHCARE — COMMERCIAL: $528
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: *OB STUDY COMPLETE	$265	$212	$50.85 – $304.75
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $220.91 BLUE_CROSS_PHS_PPO — Commercial: $223.01 CIGNA — Commercial: $193.45 HUMANA — MEDICARE: $50.85 MEDICARE — MEDICARE: $304.75 UNITED_HEALTHCARE — COMMERCIAL: $132.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMPLETE >14WEEKS	$994	$795.20	$190.75 – $1,143.10
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $220.91 BLUE_CROSS_PHS_PPO — Commercial: $223.01 CIGNA — Commercial: $725.62 HUMANA — MEDICARE: $190.75 MEDICARE — MEDICARE: $1,143.10 UNITED_HEALTHCARE — COMMERCIAL: $497
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL-NON OB	$618	$494.40	$118.59 – $710.70
Transvaginal ultrasound: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $161.03 BLUE_CROSS_PHS_PPO — Commercial: $162.56 CIGNA — Commercial: $451.14 HUMANA — MEDICARE: $118.59 MEDICARE — MEDICARE: $710.70 UNITED_HEALTHCARE — COMMERCIAL: $309
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY DIAG, INC CAD UNIL LEFT	$310	$248	$59.49 – $356.50
Diagnostic mammogram, one breast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $255.75 BLUE_CROSS_PHS_PPO — Commercial: $255.75 CIGNA — Commercial: $226.30 HUMANA — MEDICARE: $59.49 MEDICARE — MEDICARE: $356.50 UNITED_HEALTHCARE — COMMERCIAL: $155
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY DIAG, INC CAD UNIL RIGHT	$310	$248	$59.49 – $356.50
Diagnostic mammogram, one breast: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $255.75 BLUE_CROSS_PHS_PPO — Commercial: $255.75 CIGNA — Commercial: $226.30 HUMANA — MEDICARE: $59.49 MEDICARE — MEDICARE: $356.50 UNITED_HEALTHCARE — COMMERCIAL: $155
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY DIAG, INC CAD BILATERAL	$375	$300	$71.96 – $431.25
Diagnostic mammogram, both breasts: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $309.38 BLUE_CROSS_PHS_PPO — Commercial: $309.38 CIGNA — Commercial: $273.75 HUMANA — MEDICARE: $71.96 MEDICARE — MEDICARE: $431.25 UNITED_HEALTHCARE — COMMERCIAL: $187.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMOGRAPHY SCREENING;INC CAD BILATERAL	$343	$274.40	$65.82 – $394.45
Screening mammogram, both breasts: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $282.98 BLUE_CROSS_PHS_PPO — Commercial: $282.98 CIGNA — Commercial: $250.39 HUMANA — MEDICARE: $65.82 MEDICARE — MEDICARE: $394.45 UNITED_HEALTHCARE — COMMERCIAL: $171.50

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) In the file: EKG W/INTERP & REPORT - MARLING	$355	$284	$68.12 – $408.25
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $292.88 BLUE_CROSS_PHS_PPO — Commercial: $292.88 CIGNA — Commercial: $259.15 HUMANA — MEDICARE: $68.12 MEDICARE — MEDICARE: $408.25 UNITED_HEALTHCARE — COMMERCIAL: $177.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM W/ INTERP & REPORT	$38	$30.40	$7.29 – $43.70
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $31.35 BLUE_CROSS_PHS_PPO — Commercial: $31.35 CIGNA — Commercial: $27.74 HUMANA — MEDICARE: $7.29 MEDICARE — MEDICARE: $43.70 UNITED_HEALTHCARE — COMMERCIAL: $19
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY, 4 OR MORE	$1,546	$1,236.80	$296.68 – $1,777.90
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $706.58 BLUE_CROSS_PHS_PPO — Commercial: $713.31 CIGNA — Commercial: $1,128.58 HUMANA — MEDICARE: $296.68 MEDICARE — MEDICARE: $1,777.90 UNITED_HEALTHCARE — COMMERCIAL: $773

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) In the file: THERAPUETIC EXERCISES, 15 MIN	$59	$47.20	$11.32 – $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $48.68 BLUE_CROSS_PHS_PPO — Commercial: $48.68 CIGNA — Commercial: $43.07 HUMANA — MEDICARE: $11.32 MEDICARE — MEDICARE: $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $29.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPUETIC EXERCISES (KX), 15 MIN	$59	$47.20	$11.32 – $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $48.68 BLUE_CROSS_PHS_PPO — Commercial: $48.68 CIGNA — Commercial: $43.07 HUMANA — MEDICARE: $11.32 MEDICARE — MEDICARE: $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $29.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THERAP. EXER EACH 15	$59	$47.20	$11.32 – $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $48.68 BLUE_CROSS_PHS_PPO — Commercial: $48.68 CIGNA — Commercial: $43.07 HUMANA — MEDICARE: $11.32 MEDICARE — MEDICARE: $15,052.90 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $29.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVALUATION;LOW COMPLEX,20 MIN	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVALUATION;LOW COMPLEX,20 MIN (KX)	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVALUATION;MOD COMPLEX,30 MIN	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVALUATION;MOD COMPLEX,30 MIN (KX)	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVALUATION;HIGH COMPLEX,30 MIN	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVALUATION;HIGH COMPLEX,30 MIN (KX)	$266	$212.80	$51.05 – $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (high complexity): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $219.45 BLUE_CROSS_PHS_PPO — Commercial: $219.45 CIGNA — Commercial: $194.18 HUMANA — MEDICARE: $51.05 MEDICARE — MEDICARE: $50,760.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) UNITED_HEALTHCARE — COMMERCIAL: $133
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIIVIDUAL PSYCHOTHERAPY, 30 MINUTES	$188	$150.40	$36.08 – $216.20
Psychotherapy, 30 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $155.10 BLUE_CROSS_PHS_PPO — Commercial: $155.10 CIGNA — Commercial: $137.24 HUMANA — MEDICARE: $36.08 MEDICARE — MEDICARE: $216.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIIVIDUAL PSYCHOTHERAPY 30MIN (59 MOD)	$188	$150.40	$36.08 – $216.20
Psychotherapy, 30 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $155.10 BLUE_CROSS_PHS_PPO — Commercial: $155.10 CIGNA — Commercial: $137.24 HUMANA — MEDICARE: $36.08 MEDICARE — MEDICARE: $216.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIVIDUAL PSYCHOTHERAPY, 45 MINUTES	$225	$180	$43.18 – $258.75
Psychotherapy, 45 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $185.63 BLUE_CROSS_PHS_PPO — Commercial: $185.63 CIGNA — Commercial: $164.25 HUMANA — MEDICARE: $43.18 MEDICARE — MEDICARE: $258.75
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIVIDUAL PSYCHOTHERAPY, 45MIN (59 MOD)	$225	$180	$43.18 – $258.75
Psychotherapy, 45 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $185.63 BLUE_CROSS_PHS_PPO — Commercial: $185.63 CIGNA — Commercial: $164.25 HUMANA — MEDICARE: $43.18 MEDICARE — MEDICARE: $258.75
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIVIDUAL PSYCHOTHERAPY, 60 MINUTES	$260	$208	$49.89 – $299
Psychotherapy, 60 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $214.50 BLUE_CROSS_PHS_PPO — Commercial: $214.50 CIGNA — Commercial: $189.80 HUMANA — MEDICARE: $49.89 MEDICARE — MEDICARE: $299
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIVIDUAL PSYCHOTHERAPY, 60MIN (59 MOD)	$260	$208	$49.89 – $299
Psychotherapy, 60 minutes: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $214.50 BLUE_CROSS_PHS_PPO — Commercial: $214.50 CIGNA — Commercial: $189.80 HUMANA — MEDICARE: $49.89 MEDICARE — MEDICARE: $299
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/O PATIENT PER SESSION	$354	$283.20	$67.93 – $407.10
Family psychotherapy, without the patient: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $292.05 BLUE_CROSS_PHS_PPO — Commercial: $292.05 CIGNA — Commercial: $258.42 HUMANA — MEDICARE: $67.93 MEDICARE — MEDICARE: $407.10
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: *FAMILY THERAPY WITH PATIENT PER SESSION	$354	$283.20	$67.93 – $407.10
Family psychotherapy, with the patient: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $292.05 BLUE_CROSS_PHS_PPO — Commercial: $292.05 CIGNA — Commercial: $258.42 HUMANA — MEDICARE: $67.93 MEDICARE — MEDICARE: $407.10
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY WITH PT PER SESSION,30 MI	$253	$202.40	$48.55 – $290.95
Family psychotherapy, with the patient: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $208.73 BLUE_CROSS_PHS_PPO — Commercial: $208.73 CIGNA — Commercial: $184.69 HUMANA — MEDICARE: $48.55 MEDICARE — MEDICARE: $290.95
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY WITH PT PER SESSION, 1 HR	$328	$262.40	$62.94 – $377.20
Family psychotherapy, with the patient: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $270.60 BLUE_CROSS_PHS_PPO — Commercial: $270.60 CIGNA — Commercial: $239.44 HUMANA — MEDICARE: $62.94 MEDICARE — MEDICARE: $377.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: *GROUP THERAPY PER SESSION	$173	$138.40	$33.20 – $198.95
Group psychotherapy: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $142.73 BLUE_CROSS_PHS_PPO — Commercial: $142.73 CIGNA — Commercial: $126.29 HUMANA — MEDICARE: $33.20 MEDICARE — MEDICARE: $198.95
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP THERAPY PER SESSION	$225	$180	$43.18 – $258.75
Group psychotherapy: rates for 5 insurance plans BLUE_CROSS_NWB — Commercial: $185.63 BLUE_CROSS_PHS_PPO — Commercial: $185.63 CIGNA — Commercial: $164.25 HUMANA — MEDICARE: $43.18 MEDICARE — MEDICARE: $258.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXCISION OF BREAST CYST	$468	$374.40	$89.81 – $1,523.22
Removal of breast growth (open surgery): rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $1,508.85 BLUE_CROSS_PHS_PPO — Commercial: $1,523.22 CIGNA — Commercial: $341.64 FLORIDA_COMMUNITY_CARE — MEDICAID: $286.83 HUMANA — MEDICARE: $89.81 LIGHTHOUSE — MEDICAID: $286.83 MEDICARE — MEDICARE: $538.20 SUNSHINE — MEDICAID: $286.83 UNITED_HEALTHCARE — COMMERCIAL: $234 WELLCARE — MEDICAID: $286.83
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXCISION OF BREAST CYST (MAL/BENIGN)	$671	$536.80	$286.83 – $497.90
Removal of breast growth (open surgery): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $383.71 BLUE_CROSS_PHS_PPO — Commercial: $383.71 FLORIDA_COMMUNITY_CARE — MEDICAID: $286.83 HUMANA — MEDICARE: $497.90 LIGHTHOUSE — MEDICAID: $286.83 SUNSHINE — MEDICAID: $286.83 UNITED_HEALTHCARE — COMMERCIAL: $423.88 WELLCARE — MEDICAID: $286.83
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: ARTHROSCOPY, SHOULDER, SUBACROMIAL DECM	$2,795	$2,236	$536.36 – $3,214.25
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $3,150 BLUE_CROSS_PHS_PPO — Commercial: $3,180 CIGNA — Commercial: $2,040.35 HUMANA — MEDICARE: $536.36 MEDICARE — MEDICARE: $3,214.25 UNITED_HEALTHCARE — COMMERCIAL: $1,397.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHOSCOPY/SURGERY	$2,063	$1,650.40	$395.89 – $3,180
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $3,150 BLUE_CROSS_PHS_PPO — Commercial: $3,180 CIGNA — Commercial: $1,505.99 HUMANA — MEDICARE: $395.89 MEDICARE — MEDICARE: $2,372.45 UNITED_HEALTHCARE — COMMERCIAL: $1,031.50
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY	$260	$208	$82.84 – $256.10
Upper GI endoscopy (diagnostic): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $256.10 BLUE_CROSS_PHS_PPO — Commercial: $256.10 FLORIDA_COMMUNITY_CARE — MEDICAID: $82.84 HUMANA — MEDICARE: $140.51 LIGHTHOUSE — MEDICAID: $82.84 SUNSHINE — MEDICAID: $82.84 UNITED_HEALTHCARE — COMMERCIAL: $119.55 WELLCARE — MEDICAID: $82.84
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI END W BIOPSY SINGLE OR MULTIPLE	$306	$244.80	$93.22 – $275.75
Upper GI endoscopy with biopsy: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $275.75 BLUE_CROSS_PHS_PPO — Commercial: $275.75 FLORIDA_COMMUNITY_CARE — MEDICAID: $93.22 HUMANA — MEDICARE: $158.88 LIGHTHOUSE — MEDICAID: $93.22 SUNSHINE — MEDICAID: $93.22 UNITED_HEALTHCARE — COMMERCIAL: $134.15 WELLCARE — MEDICAID: $93.22
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD WITH BIOPSY	$328	$262.40	$93.22 – $275.75
Upper GI endoscopy with biopsy: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $275.75 BLUE_CROSS_PHS_PPO — Commercial: $275.75 FLORIDA_COMMUNITY_CARE — MEDICAID: $93.22 HUMANA — MEDICARE: $158.88 LIGHTHOUSE — MEDICAID: $93.22 SUNSHINE — MEDICAID: $93.22 UNITED_HEALTHCARE — COMMERCIAL: $134.15 WELLCARE — MEDICAID: $93.22
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: DNU GASTROSCOPY BIOPSY	$395	$316	$75.80 – $1,332.42
Upper GI endoscopy with biopsy: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,319.85 BLUE_CROSS_PHS_PPO — Commercial: $1,332.42 CIGNA — Commercial: $288.35 HUMANA — MEDICARE: $75.80 MEDICARE — MEDICARE: $454.25 UNITED_HEALTHCARE — COMMERCIAL: $197.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLEXIBLE	$396	$316.80	$124.61 – $367.11
Colonoscopy (diagnostic): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $367.11 BLUE_CROSS_PHS_PPO — Commercial: $367.11 FLORIDA_COMMUNITY_CARE — MEDICAID: $124.61 HUMANA — MEDICARE: $211.81 LIGHTHOUSE — MEDICAID: $124.61 SUNSHINE — MEDICAID: $124.61 UNITED_HEALTHCARE — COMMERCIAL: $180.14 WELLCARE — MEDICAID: $124.61
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY	$441	$352.80	$124.61 – $367.11
Colonoscopy (diagnostic): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $367.11 BLUE_CROSS_PHS_PPO — Commercial: $367.11 FLORIDA_COMMUNITY_CARE — MEDICAID: $124.61 HUMANA — MEDICARE: $211.81 LIGHTHOUSE — MEDICAID: $124.61 SUNSHINE — MEDICAID: $124.61 UNITED_HEALTHCARE — COMMERCIAL: $180.14 WELLCARE — MEDICAID: $124.61
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DNU COLONOSCOPY DIAG	$631	$504.80	$121.09 – $1,332.42
Colonoscopy (diagnostic): rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,319.85 BLUE_CROSS_PHS_PPO — Commercial: $1,332.42 CIGNA — Commercial: $460.63 HUMANA — MEDICARE: $121.09 MEDICARE — MEDICARE: $725.65 UNITED_HEALTHCARE — COMMERCIAL: $315.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W BX SINGLE OR MULTIPLE	$834	$667.20	$135.22 – $390.39
Colonoscopy with biopsy: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $390.39 BLUE_CROSS_PHS_PPO — Commercial: $390.39 FLORIDA_COMMUNITY_CARE — MEDICAID: $135.22 HUMANA — MEDICARE: $229.80 LIGHTHOUSE — MEDICAID: $135.22 SUNSHINE — MEDICAID: $135.22 UNITED_HEALTHCARE — COMMERCIAL: $195.98 WELLCARE — MEDICAID: $135.22
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY WITH BIOPSY	$478	$382.40	$135.22 – $390.39
Colonoscopy with biopsy: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $390.39 BLUE_CROSS_PHS_PPO — Commercial: $390.39 FLORIDA_COMMUNITY_CARE — MEDICAID: $135.22 HUMANA — MEDICARE: $229.80 LIGHTHOUSE — MEDICAID: $135.22 SUNSHINE — MEDICAID: $135.22 UNITED_HEALTHCARE — COMMERCIAL: $195.98 WELLCARE — MEDICAID: $135.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W REM POLYP/TUMOR BY SNARE	$552	$441.60	$171.91 – $481.47
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $481.47 BLUE_CROSS_PHS_PPO — Commercial: $481.47 FLORIDA_COMMUNITY_CARE — MEDICAID: $171.91 HUMANA — MEDICARE: $290.96 LIGHTHOUSE — MEDICAID: $171.91 SUNSHINE — MEDICAID: $171.91 UNITED_HEALTHCARE — COMMERCIAL: $246.58 WELLCARE — MEDICAID: $171.91
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparascopic Cholecystectomy	$1,261	$1,008.80	$474.21 – $792.48
Gallbladder removal by laparoscope: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $685.27 BLUE_CROSS_PHS_PPO — Commercial: $685.27 FLORIDA_COMMUNITY_CARE — MEDICAID: $474.21 HUMANA — MEDICARE: $792.48 LIGHTHOUSE — MEDICAID: $474.21 SUNSHINE — MEDICAID: $474.21 UNITED_HEALTHCARE — COMMERCIAL: $674.07 WELLCARE — MEDICAID: $474.21
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSOCPY CHOLECYSTECTOMY	$1,261	$1,008.80	$474.21 – $792.48
Gallbladder removal by laparoscope: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $685.27 BLUE_CROSS_PHS_PPO — Commercial: $685.27 FLORIDA_COMMUNITY_CARE — MEDICAID: $474.21 HUMANA — MEDICARE: $792.48 LIGHTHOUSE — MEDICAID: $474.21 SUNSHINE — MEDICAID: $474.21 UNITED_HEALTHCARE — COMMERCIAL: $674.07 WELLCARE — MEDICAID: $474.21
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: REPAIR OF INGUINAL HERNIA>5YRS	$898	$718.40	$375.43 – $626.85
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans BLUE_CROSS_NWB — Commercial: $431.92 BLUE_CROSS_PHS_PPO — Commercial: $431.92 FLORIDA_COMMUNITY_CARE — MEDICAID: $375.43 HUMANA — MEDICARE: $626.85 LIGHTHOUSE — MEDICAID: $375.43 SUNSHINE — MEDICAID: $375.43 UNITED_HEALTHCARE — COMMERCIAL: $533.39 WELLCARE — MEDICAID: $375.43
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: LUMB SAC CAUDAL INTERLAMINAR ESI W/IMAGI	$2,301	$1,840.80	$441.56 – $2,646.15
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $982.80 BLUE_CROSS_PHS_PPO — Commercial: $992.16 CIGNA — Commercial: $1,679.73 HUMANA — MEDICARE: $441.56 MEDICARE — MEDICARE: $2,646.15 UNITED_HEALTHCARE — COMMERCIAL: $1,150.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S	$1,951	$1,560.80	$374.40 – $2,243.65
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,609.58 BLUE_CROSS_PHS_PPO — Commercial: $1,609.58 CIGNA — Commercial: $1,424.23 HUMANA — MEDICARE: $374.40 MEDICARE — MEDICARE: $2,243.65 UNITED_HEALTHCARE — COMMERCIAL: $975.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL RELEASE LEFT WRIST	$474	$379.20	$90.96 – $1,332.42
Carpal tunnel release: rates for 10 insurance plans BLUE_CROSS_NWB — Commercial: $1,319.85 BLUE_CROSS_PHS_PPO — Commercial: $1,332.42 CIGNA — Commercial: $346.02 FLORIDA_COMMUNITY_CARE — MEDICAID: $296.11 HUMANA — MEDICARE: $90.96 LIGHTHOUSE — MEDICAID: $296.11 MEDICARE — MEDICARE: $545.10 SUNSHINE — MEDICAID: $296.11 UNITED_HEALTHCARE — COMMERCIAL: $237 WELLCARE — MEDICAID: $296.11
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	$1,671	$1,336.80	$320.66 – $1,921.65
Carpal tunnel release: rates for 6 insurance plans BLUE_CROSS_NWB — Commercial: $1,319.85 BLUE_CROSS_PHS_PPO — Commercial: $1,332.42 CIGNA — Commercial: $1,219.83 HUMANA — MEDICARE: $320.66 MEDICARE — MEDICARE: $1,921.65 UNITED_HEALTHCARE — COMMERCIAL: $835.50

Source: Northwest Florida Community Hospital’s standard charges file (northwestfloridacommunityhospital.pg.quadax.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 19, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (northwestfloridacommunityhospital.pg.quadax.revenuemasters.com), because the hospital has no cms-hpt.txt file; both are 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	Critical Access Hospital
Address	1360 Brickyard Rd, Chipley, FL 32428
County	Washington County
State	Florida
Phone	(850) 638‑1610
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
CMS Certification Number	101308
Name in Medicare records	NORTHWEST FLORIDA COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	nfch.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Northwest Florida Community Hospital — nfch.org
Emergency Services | Northwest Florida Community Hospital — nfch.org
Radiology / Imaging | Northwest Florida Community Hospital — nfch.org
Women’s Imaging Services | Northwest Florida Community Hospital — nfch.org
Education Department | Northwest Florida Community Hospital — nfch.org
Surgical Services | Northwest Florida Community Hospital — nfch.org
Outpatient Rehab Services | Northwest Florida Community Hospital — nfch.org
What is Cardiac Rehab? | Northwest Florida Community Hospital — nfch.org
Infusion Center | Northwest Florida Community Hospital — nfch.org
Clinical Laboratory Services | Northwest Florida Community Hospital — nfch.org
Emergency Services | Northwest Florida Community Hospital — nfch.org
Education Department | Northwest Florida Community Hospital — nfch.org
Surgical Services | Northwest Florida Community Hospital — nfch.org
Inpatient Services | Northwest Florida Community Hospital — nfch.org