Does Northwest Health - Starke have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Northwest Health - Starke. In a medical emergency, call 911.

Where is Northwest Health - Starke?

102 E Culver Rd, Knox, IN 46534, in Starke County, Indiana.

What is the phone number of Northwest Health - Starke?

(574) 772-6231, as listed by Medicare (CMS).

What is the Medicare star rating of Northwest Health - Starke?

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

Northwest Health - Starke — Knox, IN

Quick answers

Does Northwest Health - Starke have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Northwest Health - Starke. In a medical emergency, call 911.
Where is Northwest Health - Starke?: 102 E Culver Rd, Knox, IN 46534, in Starke County, Indiana.
What is the phone number of Northwest Health - Starke?: (574) 772-6231, as listed by Medicare (CMS).
What is the Medicare star rating of Northwest Health - Starke?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][7][8]}

Bariatric Weight Loss Services
Diabetes Care
Diagnostic Imaging
Heart Care
Laboratory Services
Respiratory Care
Surgical Services
Urgent Care
Wellness & Rehabilitation
Emergency Medicine
General Surgery
Orthopedic Surgery
Podiatric Surgery
Ophthalmological Surgery
Gynecological Surgery
Gastrointestinal Services
Cardiac Rehabilitation

Treatments^[5][8]

Emergency care
Sexual assault forensic exam (SANE nurses)
Cardiac rehabilitation

Procedures^[5][6][8][9]

Arthroscopy
Laparoscopy
Endoscopy
Gastrointestinal (digestive) procedures
Orthopedic surgery
General surgery
Podiatric surgery
Ophthalmological surgery
Gynecological surgery
Cardiac stress testing
Stress echocardiogram
EKG
EMG
EEG
24-hour Holter monitoring
Vascular testing
Nuclear stress testing
Tilt table testing
CT scan
Mammography
MRI
Ultrasound
X-ray
PET/CT scan
Nuclear medicine imaging
Interventional radiology
Biopsy

Programs and centers^[4][5][7][8]

Swing Bed Program
Cardiac Rehabilitation program
30-Minutes-Or-Less ER Service Pledge
Sexual assault nurse examiner care in the ER
Outpatient wellness and rehabilitation

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Visiting	Flu-season limit: 2 visitors at a time, age 18+; OB, pediatric and end-of-life exceptions. No hours listed^[10]
Patient portal	https://www.nwhealthstarke.com/Starke-Hospital/hospital-patient-portal.aspx

Recognition^[9]

Hospital Accreditation with Commendation (The Joint Commission)
ACR accreditation: Computed Tomography
ACR accreditation: Mammography
ACR accreditation: MRI
ACR accreditation: Ultrasound

Doctors and clinicians (113)

113 doctors and other clinicians list Northwest Health - Starke 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 89 more: the button below opens the full list.

Other emergency rooms nearby

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

Saint Joseph Regional Medical Center - Plymouth15 mi · Plymouth, IN · Acute Care Hospital
Michiana Behavioral Health Center16 mi · Plymouth, IN · Psychiatric Hospital
Pulaski Memorial Hospital16 mi · Winamac, IN · Critical Access Hospital
Northwest Health-La Porte23 mi · La Porte, IN · Acute Care Hospital
Community Hospital of Bremen Inc27 mi · Bremen, IN · Critical Access Hospital

Other hospitals nearby

Porter-Starke Services Inc26 mi · Valparaiso, IN · 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

Brickyard Healthcare - Knox Care Center0.1 mi · Knox, IN · 5 of 5 stars
Miller's Merry Manor11 mi · Culver, IN · 3 of 5 stars
Miller's Merry Manor14 mi · Walkerton, IN · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Aseracare Hospice23 mi · Valparaiso, IN · 2 of 5 stars
Dunes Hospice LLC23 mi · Valparaiso, IN · 5 of 5 stars
Heart to Heart Hospice of Northwest Indiana, LLC23 mi · Valparaiso, IN · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Community Home Care Services Inc0.3 mi · Knox, IN · 2 of 5 stars
Caretenders23 mi · Valparaiso, IN
Elara Caring23 mi · Valparaiso, IN

All home health agencies in the state →

Dialysis facilities

USRC Knox Dialysis0.3 mi · Knox, IN
FMC - Nephrology - Marshall County16 mi · Plymouth, IN · 3 of 5 stars
DaVita La Porte Dialysis23 mi · La Porte, IN · 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.

Franciscan Surgery Center Laporte23 mi · La Porte, IN
Interventional Pain Management LLC23 mi · La Porte, IN
Interventional Pain Management LLC23 mi · Valparaiso, IN

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

HealthLinc Knox0.0 mi · Knox, IN · Community health center
Knox Winamac Community Health Centers Mobile Medical Unit0.5 mi · Knox, IN · Community health center
Knox/Winamac Community Health Centers0.5 mi · Knox, IN · Community health center

Clinics and urgent care

Knox Family Medical Center0.3 mi · Knox, IN · Rural health clinic
Pulaski Memorial Hospital Knox Medical Center0.3 mi · Knox, IN · Rural health clinic
Pulaski Memorial Hospital North Judson Family Medicine9.2 mi · North Judson, IN · Rural health clinic

Pharmacies

Hook-Superx LLC0.3 mi · Knox, IN · Pharmacy
KWCHC Pharmacy0.3 mi · Knox, IN · Community/retail pharmacy
Walgreen Co0.3 mi · Knox, IN · 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 Northwest Health - Starke 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	85%National average: 72%
Would definitely recommend the hospital	77%National average: 71%
Nurses “always” communicated well	89%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	95%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	69Response rate: 25%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	12.8%
Deaths within 30 days: pneumonia patients	14.4%
Deaths within 30 days: COPD patients	7.5%
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)	Too few cases to report
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	Not reported to Medicare
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	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.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	75%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Northwest Health - Starke 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: $ED Cricothyrotomy	$1,972.98	$532.70	$65.36 – $1,854.60
Emergency room visit (moderate): 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,611.92 Aetna — Aetna NAP: $1,706.63 Aetna — NODE Aetna MCR ADV: $304.37 Alpha Baking — Alpha Baking: $887.84 Anthem — Anthem IN HIP: $309.32 Anthem — Anthem IN HMO PPO TRAD: $1,163.15 Anthem — Anthem IN Marketplace STLD: $930.50 Anthem — Anthem IN Medicaid: $295.62 Anthem — NODE Anthem MCR ADV: $304.37 Anthem IN Healthsync — Anthem IN Healthsync: $953.79
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3	$1,164.78	$314.49	$273.93 – $1,163.15
Emergency room visit (moderate): 10 of 63 insurance plan rates Aetna — Aetna ALL: $951.63 Aetna — Aetna NAP: $1,007.53 Aetna — NODE Aetna MCR ADV: $304.37 Alpha Baking — Alpha Baking: $524.15 Anthem — Anthem IN HIP: $309.32 Anthem — Anthem IN HMO PPO TRAD: $1,163.15 Anthem — Anthem IN Marketplace STLD: $930.50 Anthem — Anthem IN Medicaid: $295.62 Anthem — NODE Anthem MCR ADV: $304.37 Anthem IN Healthsync — Anthem IN Healthsync: $953.79
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: $ED Cricothyrotomy	$1,972.98	$1,085.14	$660.95 – $1,854.60
Emergency room visit (moderate): 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,706.63 Cigna All — Cigna All: $1,637.57 Community Health Alliance — Community Health Alliance: $1,775.68 Coventry First Health — Coventry First Health: $1,706.63 Encore — Encore: $1,716.49 Encore — Encore Combined PPO: $1,282.44 Lutheran Network — Lutheran Preferred Choice: $1,736.22 MedPartners — Lutheran Preferred CHS Employees: $660.95 MultiPlan Inc — MultiPlan Complementary: $1,677.03 MultiPlan Inc — MultiPlan Primary: $1,775.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4	$2,291.59	$618.73	$111.13 – $2,154.09
Emergency room visit (moderately high): 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,872.23 Aetna — Aetna NAP: $1,982.23 Aetna — NODE Aetna MCR ADV: $465.24 Alpha Baking — Alpha Baking: $1,031.22 Anthem — Anthem IN HIP: $472.81 Anthem — Anthem IN HMO PPO TRAD: $1,788.77 Anthem — Anthem IN Marketplace STLD: $1,431 Anthem — Anthem IN Medicaid: $295.62 Anthem — NODE Anthem MCR ADV: $465.24 Anthem IN Healthsync — Anthem IN Healthsync: $1,466.81
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99284 - Level 4	$2,291.59	$1,260.37	$767.68 – $2,154.09
Emergency room visit (moderately high): 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,982.23 Cigna All — Cigna All: $1,902.02 Community Health Alliance — Community Health Alliance: $2,062.43 Coventry First Health — Coventry First Health: $1,982.23 Encore — Encore: $1,993.68 Encore — Encore Combined PPO: $1,489.53 Lutheran Network — Lutheran Preferred Choice: $2,016.60 MedPartners — Lutheran Preferred CHS Employees: $767.68 MultiPlan Inc — MultiPlan Complementary: $1,947.85 MultiPlan Inc — MultiPlan Primary: $2,062.43
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5	$3,063.23	$827.07	$161.52 – $2,879.44
Emergency room visit (high): 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,502.66 Aetna — Aetna NAP: $2,649.69 Aetna — NODE Aetna MCR ADV: $664.01 Alpha Baking — Alpha Baking: $1,378.45 Anthem — Anthem IN HIP: $674.81 Anthem — Anthem IN HMO PPO TRAD: $2,575.50 Anthem — Anthem IN Marketplace STLD: $2,060.37 Anthem — Anthem IN Medicaid: $295.62 Anthem — NODE Anthem MCR ADV: $664.01 Anthem IN Healthsync — Anthem IN Healthsync: $2,111.94
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99285 - Level 5	$3,063.23	$1,684.78	$1,026.18 – $2,879.44
Emergency room visit (high): 10 of 13 insurance plan rates Aetna — Aetna NAP: $2,649.69 Cigna All — Cigna All: $2,542.48 Community Health Alliance — Community Health Alliance: $2,756.91 Coventry First Health — Coventry First Health: $2,649.69 Encore — Encore: $2,665.01 Encore — Encore Combined PPO: $1,991.10 Lutheran Network — Lutheran Preferred Choice: $2,695.64 MedPartners — Lutheran Preferred CHS Employees: $1,026.18 MultiPlan Inc — MultiPlan Complementary: $2,603.75 MultiPlan Inc — MultiPlan Primary: $2,756.91

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: BMPWTCA	$235.76	$63.66	$7.46 – $221.61
Basic metabolic panel (blood test): 10 of 62 insurance plan rates Aetna — Aetna ALL: $192.62 Aetna — Aetna NAP: $203.93 Aetna — NODE Aetna MCR ADV: $8.29 Alpha Baking — Alpha Baking: $106.09 Anthem — Anthem IN HIP: $8.46 Anthem — Anthem IN HMO PPO TRAD: $8.46 Anthem — Anthem IN Marketplace STLD: $8.46 Anthem — Anthem IN Medicaid: $8.46 Anthem — NODE Anthem MCR ADV: $8.29 Anthem IN Healthsync — Anthem IN Healthsync: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMPWTCA	$235.76	$129.67	$78.98 – $221.61
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Aetna NAP: $203.93 Cigna All — Cigna All: $195.68 Community Health Alliance — Community Health Alliance: $212.18 Coventry First Health — Coventry First Health: $203.93 Encore — Encore: $205.11 Encore — Encore Combined PPO: $153.24 Lutheran Network — Lutheran Preferred Choice: $207.47 MedPartners — Lutheran Preferred CHS Employees: $78.98 MultiPlan Inc — MultiPlan Complementary: $200.40 MultiPlan Inc — MultiPlan Primary: $212.18
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: BMPWTCA	$235.76	$63.66	$3.47
Basic metabolic panel (blood test): rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $3.47 Anthem — Anthem IN Marketplace STLD: $3.47 Anthem IN Healthsync — Anthem IN Healthsync: $3.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP	$397.51	$107.33	$9.31 – $373.66
Comprehensive metabolic panel (blood test): 10 of 62 insurance plan rates Aetna — Aetna ALL: $324.77 Aetna — Aetna NAP: $343.85 Aetna — NODE Aetna MCR ADV: $10.35 Alpha Baking — Alpha Baking: $178.88 Anthem — Anthem IN HIP: $10.56 Anthem — Anthem IN HMO PPO TRAD: $10.56 Anthem — Anthem IN Marketplace STLD: $10.56 Anthem — Anthem IN Medicaid: $10.56 Anthem — NODE Anthem MCR ADV: $10.35 Anthem IN Healthsync — Anthem IN Healthsync: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CMP	$397.51	$218.63	$133.17 – $373.66
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — Aetna NAP: $343.85 Cigna All — Cigna All: $329.93 Community Health Alliance — Community Health Alliance: $357.76 Coventry First Health — Coventry First Health: $343.85 Encore — Encore: $345.83 Encore — Encore Combined PPO: $258.38 Lutheran Network — Lutheran Preferred Choice: $349.81 MedPartners — Lutheran Preferred CHS Employees: $133.17 MultiPlan Inc — MultiPlan Complementary: $337.88 MultiPlan Inc — MultiPlan Primary: $357.76
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CMP	$397.51	$107.33	$5
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $5 Anthem — Anthem IN Marketplace STLD: $5 Anthem IN Healthsync — Anthem IN Healthsync: $5
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric Panel CS	$1,291.93	$348.82	$42.16 – $1,214.41
Obstetric blood test panel: 10 of 62 insurance plan rates Aetna — Aetna ALL: $1,055.51 Aetna — Aetna NAP: $1,117.52 Aetna — NODE Aetna MCR ADV: $46.85 Alpha Baking — Alpha Baking: $581.37 Anthem — Anthem IN HIP: $47.81 Anthem — Anthem IN HMO PPO TRAD: $47.81 Anthem — Anthem IN Marketplace STLD: $47.81 Anthem — Anthem IN Medicaid: $47.81 Anthem — NODE Anthem MCR ADV: $46.85 Anthem IN Healthsync — Anthem IN Healthsync: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Obstetric Panel CS	$1,291.93	$710.56	$432.80 – $1,214.41
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,117.52 Cigna All — Cigna All: $1,072.30 Community Health Alliance — Community Health Alliance: $1,162.74 Coventry First Health — Coventry First Health: $1,117.52 Encore — Encore: $1,123.98 Encore — Encore Combined PPO: $839.75 Lutheran Network — Lutheran Preferred Choice: $1,136.90 MedPartners — Lutheran Preferred CHS Employees: $432.80 MultiPlan Inc — MultiPlan Complementary: $1,098.14 MultiPlan Inc — MultiPlan Primary: $1,162.74
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric Panel CS	$1,291.93	$348.82	$23.61
Obstetric blood test panel: rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $23.61 Anthem — Anthem IN Marketplace STLD: $23.61 Anthem IN Healthsync — Anthem IN Healthsync: $23.61
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$419.42	$113.24	$11.81 – $394.25
Cholesterol panel (lipid panel): 10 of 62 insurance plan rates Aetna — Aetna ALL: $342.67 Aetna — Aetna NAP: $362.80 Aetna — NODE Aetna MCR ADV: $13.12 Alpha Baking — Alpha Baking: $188.74 Anthem — Anthem IN HIP: $13.39 Anthem — Anthem IN HMO PPO TRAD: $13.39 Anthem — Anthem IN Marketplace STLD: $13.39 Anthem — Anthem IN Medicaid: $13.39 Anthem — NODE Anthem MCR ADV: $13.12 Anthem IN Healthsync — Anthem IN Healthsync: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$419.42	$230.68	$140.51 – $394.25
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — Aetna NAP: $362.80 Cigna All — Cigna All: $348.12 Community Health Alliance — Community Health Alliance: $377.48 Coventry First Health — Coventry First Health: $362.80 Encore — Encore: $364.90 Encore — Encore Combined PPO: $272.62 Lutheran Network — Lutheran Preferred Choice: $369.09 MedPartners — Lutheran Preferred CHS Employees: $140.51 MultiPlan Inc — MultiPlan Complementary: $356.51 MultiPlan Inc — MultiPlan Primary: $377.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lipid Panel	$419.42	$113.24	$6.02
Cholesterol panel (lipid panel): rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $6.02 Anthem — Anthem IN Marketplace STLD: $6.02 Anthem IN Healthsync — Anthem IN Healthsync: $6.02
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RFP	$306.92	$82.87	$7.66 – $288.50
Kidney function panel: 10 of 62 insurance plan rates Aetna — Aetna ALL: $250.75 Aetna — Aetna NAP: $265.49 Aetna — NODE Aetna MCR ADV: $8.51 Alpha Baking — Alpha Baking: $138.11 Anthem — Anthem IN HIP: $8.68 Anthem — Anthem IN HMO PPO TRAD: $8.68 Anthem — Anthem IN Marketplace STLD: $8.68 Anthem — Anthem IN Medicaid: $8.68 Anthem — NODE Anthem MCR ADV: $8.51 Anthem IN Healthsync — Anthem IN Healthsync: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RFP	$306.92	$168.81	$102.82 – $288.50
Kidney function panel: 10 of 13 insurance plan rates Aetna — Aetna NAP: $265.49 Cigna All — Cigna All: $254.74 Community Health Alliance — Community Health Alliance: $276.23 Coventry First Health — Coventry First Health: $265.49 Encore — Encore: $267.02 Encore — Encore Combined PPO: $199.50 Lutheran Network — Lutheran Preferred Choice: $270.09 MedPartners — Lutheran Preferred CHS Employees: $102.82 MultiPlan Inc — MultiPlan Complementary: $260.88 MultiPlan Inc — MultiPlan Primary: $276.23
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: RFP	$306.92	$82.87	$4.11
Kidney function panel: rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $4.11 Anthem — Anthem IN Marketplace STLD: $4.11 Anthem IN Healthsync — Anthem IN Healthsync: $4.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$534.92	$144.43	$7.21 – $502.82
Liver function panel: 10 of 62 insurance plan rates Aetna — Aetna ALL: $437.03 Aetna — Aetna NAP: $462.71 Aetna — NODE Aetna MCR ADV: $8.01 Alpha Baking — Alpha Baking: $240.71 Anthem — Anthem IN HIP: $8.17 Anthem — Anthem IN HMO PPO TRAD: $8.17 Anthem — Anthem IN Marketplace STLD: $8.17 Anthem — Anthem IN Medicaid: $8.17 Anthem — NODE Anthem MCR ADV: $8.01 Anthem IN Healthsync — Anthem IN Healthsync: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$534.92	$294.21	$179.20 – $502.82
Liver function panel: 10 of 13 insurance plan rates Aetna — Aetna NAP: $462.71 Cigna All — Cigna All: $443.98 Community Health Alliance — Community Health Alliance: $481.43 Coventry First Health — Coventry First Health: $462.71 Encore — Encore: $465.38 Encore — Encore Combined PPO: $347.70 Lutheran Network — Lutheran Preferred Choice: $470.73 MedPartners — Lutheran Preferred CHS Employees: $179.20 MultiPlan Inc — MultiPlan Complementary: $454.68 MultiPlan Inc — MultiPlan Primary: $481.43
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hepatic Function Panel	$534.92	$144.43	$2.99
Liver function panel: rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $2.99 Anthem — Anthem IN Marketplace STLD: $2.99 Anthem IN Healthsync — Anthem IN Healthsync: $2.99
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis w/Microscopic Automated	$169.54	$45.78	$2.80 – $159.37
Urine test (automated, with microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $138.51 Aetna — Aetna NAP: $146.65 Aetna — NODE Aetna MCR ADV: $3.11 Alpha Baking — Alpha Baking: $76.29 Anthem — Anthem IN HIP: $3.17 Anthem — Anthem IN HMO PPO TRAD: $3.17 Anthem — Anthem IN Marketplace STLD: $3.17 Anthem — Anthem IN Medicaid: $3.17 Anthem — NODE Anthem MCR ADV: $3.11 Anthem IN Healthsync — Anthem IN Healthsync: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Perform Microscopic - Yes	$169.54	$45.78	$2.80 – $159.37
Urine test (automated, with microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $138.51 Aetna — Aetna NAP: $146.65 Aetna — NODE Aetna MCR ADV: $3.11 Alpha Baking — Alpha Baking: $76.29 Anthem — Anthem IN HIP: $3.17 Anthem — Anthem IN HMO PPO TRAD: $3.17 Anthem — Anthem IN Marketplace STLD: $3.17 Anthem — Anthem IN Medicaid: $3.17 Anthem — NODE Anthem MCR ADV: $3.11 Anthem IN Healthsync — Anthem IN Healthsync: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Bill Only DS Auto/MSc Reqd	$169.54	$45.78	$2.80 – $159.37
Urine test (automated, with microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $138.51 Aetna — Aetna NAP: $146.65 Aetna — NODE Aetna MCR ADV: $3.11 Alpha Baking — Alpha Baking: $76.29 Anthem — Anthem IN HIP: $3.17 Anthem — Anthem IN HMO PPO TRAD: $3.17 Anthem — Anthem IN Marketplace STLD: $3.17 Anthem — Anthem IN Medicaid: $3.17 Anthem — NODE Anthem MCR ADV: $3.11 Anthem IN Healthsync — Anthem IN Healthsync: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis w/o Microscopic Manual	$64.79	$17.49	$3.07 – $60.90
Urine test (manual, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $52.93 Aetna — Aetna NAP: $56.04 Aetna — NODE Aetna MCR ADV: $3.41 Alpha Baking — Alpha Baking: $29.16 Anthem — Anthem IN HIP: $3.48 Anthem — Anthem IN HMO PPO TRAD: $3.48 Anthem — Anthem IN Marketplace STLD: $3.48 Anthem — Anthem IN Medicaid: $3.48 Anthem — NODE Anthem MCR ADV: $3.41 Anthem IN Healthsync — Anthem IN Healthsync: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Urinalysis Manual w/o MicroSc POC	$64.79	$17.49	$3.07 – $60.90
Urine test (manual, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $52.93 Aetna — Aetna NAP: $56.04 Aetna — NODE Aetna MCR ADV: $3.41 Alpha Baking — Alpha Baking: $29.16 Anthem — Anthem IN HIP: $3.48 Anthem — Anthem IN HMO PPO TRAD: $3.48 Anthem — Anthem IN Marketplace STLD: $3.48 Anthem — Anthem IN Medicaid: $3.48 Anthem — NODE Anthem MCR ADV: $3.41 Anthem IN Healthsync — Anthem IN Healthsync: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dipstick Type? - Manual	$64.79	$17.49	$3.07 – $60.90
Urine test (manual, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $52.93 Aetna — Aetna NAP: $56.04 Aetna — NODE Aetna MCR ADV: $3.41 Alpha Baking — Alpha Baking: $29.16 Anthem — Anthem IN HIP: $3.48 Anthem — Anthem IN HMO PPO TRAD: $3.48 Anthem — Anthem IN Marketplace STLD: $3.48 Anthem — Anthem IN Medicaid: $3.48 Anthem — NODE Anthem MCR ADV: $3.41 Anthem IN Healthsync — Anthem IN Healthsync: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis w/o Microscopic Automated	$143.22	$38.67	$1.98 – $134.63
Urine test (automated, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $117.01 Aetna — Aetna NAP: $123.89 Aetna — NODE Aetna MCR ADV: $2.20 Alpha Baking — Alpha Baking: $64.45 Anthem — Anthem IN HIP: $2.25 Anthem — Anthem IN HMO PPO TRAD: $2.25 Anthem — Anthem IN Marketplace STLD: $2.25 Anthem — Anthem IN Medicaid: $2.25 Anthem — NODE Anthem MCR ADV: $2.20 Anthem IN Healthsync — Anthem IN Healthsync: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Perform Microscopic - No	$143.22	$38.67	$1.98 – $134.63
Urine test (automated, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $117.01 Aetna — Aetna NAP: $123.89 Aetna — NODE Aetna MCR ADV: $2.20 Alpha Baking — Alpha Baking: $64.45 Anthem — Anthem IN HIP: $2.25 Anthem — Anthem IN HMO PPO TRAD: $2.25 Anthem — Anthem IN Marketplace STLD: $2.25 Anthem — Anthem IN Medicaid: $2.25 Anthem — NODE Anthem MCR ADV: $2.20 Anthem IN Healthsync — Anthem IN Healthsync: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dipstick Type? - Auto	$143.22	$38.67	$1.98 – $134.63
Urine test (automated, without microscope): 10 of 62 insurance plan rates Aetna — Aetna ALL: $117.01 Aetna — Aetna NAP: $123.89 Aetna — NODE Aetna MCR ADV: $2.20 Alpha Baking — Alpha Baking: $64.45 Anthem — Anthem IN HIP: $2.25 Anthem — Anthem IN HMO PPO TRAD: $2.25 Anthem — Anthem IN Marketplace STLD: $2.25 Anthem — Anthem IN Medicaid: $2.25 Anthem — NODE Anthem MCR ADV: $2.20 Anthem IN Healthsync — Anthem IN Healthsync: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Ag Total	$181.97	$49.13	$16.22 – $171.05
PSA (prostate specific antigen) blood test: 10 of 62 insurance plan rates Aetna — Aetna ALL: $148.67 Aetna — Aetna NAP: $157.40 Aetna — NODE Aetna MCR ADV: $18.02 Alpha Baking — Alpha Baking: $81.89 Anthem — Anthem IN HIP: $18.39 Anthem — Anthem IN HMO PPO TRAD: $18.39 Anthem — Anthem IN Marketplace STLD: $18.39 Anthem — Anthem IN Medicaid: $18.39 Anthem — NODE Anthem MCR ADV: $18.02 Anthem IN Healthsync — Anthem IN Healthsync: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 84153 L480947 PSA, TOTAL	$181.97	$49.13	$16.22 – $171.05
PSA (prostate specific antigen) blood test: 10 of 62 insurance plan rates Aetna — Aetna ALL: $148.67 Aetna — Aetna NAP: $157.40 Aetna — NODE Aetna MCR ADV: $18.02 Alpha Baking — Alpha Baking: $81.89 Anthem — Anthem IN HIP: $18.39 Anthem — Anthem IN HMO PPO TRAD: $18.39 Anthem — Anthem IN Marketplace STLD: $18.39 Anthem — Anthem IN Medicaid: $18.39 Anthem — NODE Anthem MCR ADV: $18.02 Anthem IN Healthsync — Anthem IN Healthsync: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Specific Ag Total	$181.97	$100.08	$60.96 – $171.05
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — Aetna NAP: $157.40 Cigna All — Cigna All: $151.04 Community Health Alliance — Community Health Alliance: $163.77 Coventry First Health — Coventry First Health: $157.40 Encore — Encore: $158.31 Encore — Encore Combined PPO: $118.28 Lutheran Network — Lutheran Preferred Choice: $160.13 MedPartners — Lutheran Preferred CHS Employees: $60.96 MultiPlan Inc — MultiPlan Complementary: $154.67 MultiPlan Inc — MultiPlan Primary: $163.77
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$100.86	$27.23	$14.81 – $94.81
Thyroid stimulating hormone (TSH) test: 10 of 62 insurance plan rates Aetna — Aetna ALL: $82.40 Aetna — Aetna NAP: $87.24 Aetna — NODE Aetna MCR ADV: $16.46 Alpha Baking — Alpha Baking: $45.39 Anthem — Anthem IN HIP: $16.80 Anthem — Anthem IN HMO PPO TRAD: $16.80 Anthem — Anthem IN Marketplace STLD: $16.80 Anthem — Anthem IN Medicaid: $16.80 Anthem — NODE Anthem MCR ADV: $16.46 Anthem IN Healthsync — Anthem IN Healthsync: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH reflex to T4F (LC)	$100.86	$27.23	$14.81 – $94.81
Thyroid stimulating hormone (TSH) test: 10 of 62 insurance plan rates Aetna — Aetna ALL: $82.40 Aetna — Aetna NAP: $87.24 Aetna — NODE Aetna MCR ADV: $16.46 Alpha Baking — Alpha Baking: $45.39 Anthem — Anthem IN HIP: $16.80 Anthem — Anthem IN HMO PPO TRAD: $16.80 Anthem — Anthem IN Marketplace STLD: $16.80 Anthem — Anthem IN Medicaid: $16.80 Anthem — NODE Anthem MCR ADV: $16.46 Anthem IN Healthsync — Anthem IN Healthsync: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH LC	$100.86	$27.23	$14.81 – $94.81
Thyroid stimulating hormone (TSH) test: 10 of 62 insurance plan rates Aetna — Aetna ALL: $82.40 Aetna — Aetna NAP: $87.24 Aetna — NODE Aetna MCR ADV: $16.46 Alpha Baking — Alpha Baking: $45.39 Anthem — Anthem IN HIP: $16.80 Anthem — Anthem IN HMO PPO TRAD: $16.80 Anthem — Anthem IN Marketplace STLD: $16.80 Anthem — Anthem IN Medicaid: $16.80 Anthem — NODE Anthem MCR ADV: $16.46 Anthem IN Healthsync — Anthem IN Healthsync: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBCADIFF	$267.44	$72.21	$6.85 – $251.39
Complete blood count (CBC) with differential: 10 of 62 insurance plan rates Aetna — Aetna ALL: $218.50 Aetna — Aetna NAP: $231.34 Aetna — NODE Aetna MCR ADV: $7.61 Alpha Baking — Alpha Baking: $120.35 Anthem — Anthem IN HIP: $7.77 Anthem — Anthem IN HMO PPO TRAD: $7.77 Anthem — Anthem IN Marketplace STLD: $7.77 Anthem — Anthem IN Medicaid: $7.77 Anthem — NODE Anthem MCR ADV: $7.61 Anthem IN Healthsync — Anthem IN Healthsync: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBCADIFF	$267.44	$147.09	$89.59 – $251.39
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — Aetna NAP: $231.34 Cigna All — Cigna All: $221.98 Community Health Alliance — Community Health Alliance: $240.70 Coventry First Health — Coventry First Health: $231.34 Encore — Encore: $232.67 Encore — Encore Combined PPO: $173.84 Lutheran Network — Lutheran Preferred Choice: $235.35 MedPartners — Lutheran Preferred CHS Employees: $89.59 MultiPlan Inc — MultiPlan Complementary: $227.32 MultiPlan Inc — MultiPlan Primary: $240.70
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBCADIFF	$267.44	$72.21	$3.68
Complete blood count (CBC) with differential: rates for 3 insurance plans Anthem — Anthem IN HMO PPO TRAD: $3.68 Anthem — Anthem IN Marketplace STLD: $3.68 Anthem IN Healthsync — Anthem IN Healthsync: $3.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC	$144.71	$39.07	$5.71 – $136.03
Complete blood count (CBC), automated: 10 of 62 insurance plan rates Aetna — Aetna ALL: $118.23 Aetna — Aetna NAP: $125.17 Aetna — NODE Aetna MCR ADV: $6.34 Alpha Baking — Alpha Baking: $65.12 Anthem — Anthem IN HIP: $6.47 Anthem — Anthem IN HMO PPO TRAD: $6.47 Anthem — Anthem IN Marketplace STLD: $6.47 Anthem — Anthem IN Medicaid: $6.47 Anthem — NODE Anthem MCR ADV: $6.34 Anthem IN Healthsync — Anthem IN Healthsync: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85027 CBC W-PLT	$144.71	$39.07	$5.71 – $136.03
Complete blood count (CBC), automated: 10 of 62 insurance plan rates Aetna — Aetna ALL: $118.23 Aetna — Aetna NAP: $125.17 Aetna — NODE Aetna MCR ADV: $6.34 Alpha Baking — Alpha Baking: $65.12 Anthem — Anthem IN HIP: $6.47 Anthem — Anthem IN HMO PPO TRAD: $6.47 Anthem — Anthem IN Marketplace STLD: $6.47 Anthem — Anthem IN Medicaid: $6.47 Anthem — NODE Anthem MCR ADV: $6.34 Anthem IN Healthsync — Anthem IN Healthsync: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC	$144.71	$79.59	$48.48 – $136.03
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — Aetna NAP: $125.17 Cigna All — Cigna All: $120.11 Community Health Alliance — Community Health Alliance: $130.24 Coventry First Health — Coventry First Health: $125.17 Encore — Encore: $125.90 Encore — Encore Combined PPO: $94.06 Lutheran Network — Lutheran Preferred Choice: $127.34 MedPartners — Lutheran Preferred CHS Employees: $48.48 MultiPlan Inc — MultiPlan Complementary: $123 MultiPlan Inc — MultiPlan Primary: $130.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 L117028 PROTHROMBIN	$108.16	$29.20	$3.78 – $101.67
Blood clotting time test (prothrombin time, PT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $88.37 Aetna — Aetna NAP: $93.56 Aetna — NODE Aetna MCR ADV: $4.20 Alpha Baking — Alpha Baking: $48.67 Anthem — Anthem IN HIP: $4.29 Anthem — Anthem IN HMO PPO TRAD: $4.29 Anthem — Anthem IN Marketplace STLD: $4.29 Anthem — Anthem IN Medicaid: $4.29 Anthem — NODE Anthem MCR ADV: $4.20 Anthem IN Healthsync — Anthem IN Healthsync: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 - L117079 PT	$108.16	$29.20	$3.78 – $101.67
Blood clotting time test (prothrombin time, PT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $88.37 Aetna — Aetna NAP: $93.56 Aetna — NODE Aetna MCR ADV: $4.20 Alpha Baking — Alpha Baking: $48.67 Anthem — Anthem IN HIP: $4.29 Anthem — Anthem IN HMO PPO TRAD: $4.29 Anthem — Anthem IN Marketplace STLD: $4.29 Anthem — Anthem IN Medicaid: $4.29 Anthem — NODE Anthem MCR ADV: $4.20 Anthem IN Healthsync — Anthem IN Healthsync: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Protime w/INR POC	$108.16	$29.20	$3.78 – $101.67
Blood clotting time test (prothrombin time, PT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $88.37 Aetna — Aetna NAP: $93.56 Aetna — NODE Aetna MCR ADV: $4.20 Alpha Baking — Alpha Baking: $48.67 Anthem — Anthem IN HIP: $4.29 Anthem — Anthem IN HMO PPO TRAD: $4.29 Anthem — Anthem IN Marketplace STLD: $4.29 Anthem — Anthem IN Medicaid: $4.29 Anthem — NODE Anthem MCR ADV: $4.20 Anthem IN Healthsync — Anthem IN Healthsync: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 - L117079 APTT	$135.92	$36.70	$5.30 – $127.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $111.05 Aetna — Aetna NAP: $117.57 Aetna — NODE Aetna MCR ADV: $5.89 Alpha Baking — Alpha Baking: $61.16 Anthem — Anthem IN HIP: $6.01 Anthem — Anthem IN HMO PPO TRAD: $6.01 Anthem — Anthem IN Marketplace STLD: $6.01 Anthem — Anthem IN Medicaid: $6.01 Anthem — NODE Anthem MCR ADV: $5.89 Anthem IN Healthsync — Anthem IN Healthsync: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time	$135.92	$36.70	$5.30 – $127.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $111.05 Aetna — Aetna NAP: $117.57 Aetna — NODE Aetna MCR ADV: $5.89 Alpha Baking — Alpha Baking: $61.16 Anthem — Anthem IN HIP: $6.01 Anthem — Anthem IN HMO PPO TRAD: $6.01 Anthem — Anthem IN Marketplace STLD: $6.01 Anthem — Anthem IN Medicaid: $6.01 Anthem — NODE Anthem MCR ADV: $5.89 Anthem IN Healthsync — Anthem IN Healthsync: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT, Activated (LC)	$135.92	$36.70	$5.30 – $127.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 62 insurance plan rates Aetna — Aetna ALL: $111.05 Aetna — Aetna NAP: $117.57 Aetna — NODE Aetna MCR ADV: $5.89 Alpha Baking — Alpha Baking: $61.16 Anthem — Anthem IN HIP: $6.01 Anthem — Anthem IN HMO PPO TRAD: $6.01 Anthem — Anthem IN Marketplace STLD: $6.01 Anthem — Anthem IN Medicaid: $6.01 Anthem — NODE Anthem MCR ADV: $5.89 Anthem IN Healthsync — Anthem IN Healthsync: $6.01

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 or Brain WO	$3,085.14	$832.99	$105.08 – $2,900.03
CT scan of the head or brain, without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,520.56 Aetna — Aetna NAP: $2,668.65 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $1,388.31 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $220.90 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head Stroke Alert	$3,085.14	$832.99	$105.08 – $2,900.03
CT scan of the head or brain, without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,520.56 Aetna — Aetna NAP: $2,668.65 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $1,388.31 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $220.90 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head or Brain WO	$3,085.14	$1,696.83	$1,033.52 – $2,900.03
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — Aetna NAP: $2,668.65 Cigna All — Cigna All: $2,560.67 Community Health Alliance — Community Health Alliance: $2,776.63 Coventry First Health — Coventry First Health: $2,668.65 Encore — Encore: $2,684.07 Encore — Encore Combined PPO: $2,005.34 Lutheran Network — Lutheran Preferred Choice: $2,714.92 MedPartners — Lutheran Preferred CHS Employees: $1,033.52 MultiPlan Inc — MultiPlan Complementary: $2,622.37 MultiPlan Inc — MultiPlan Primary: $2,776.63
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain WWO	$4,628.51	$1,249.70	$350.65 – $4,350.80
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,781.49 Aetna — Aetna NAP: $4,003.66 Aetna — NODE Aetna MCR ADV: $388.99 Alpha Baking — Alpha Baking: $2,082.83 Anthem — Anthem IN HIP: $395.32 Anthem — Anthem IN HMO PPO TRAD: $1,500.23 Anthem — Anthem IN Marketplace STLD: $1,200.17 Anthem — Anthem IN Medicaid: $756.13 Anthem — NODE Anthem MCR ADV: $388.99 Anthem IN Healthsync — Anthem IN Healthsync: $1,230.21
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI IAC WWO	$4,628.51	$1,249.70	$350.65 – $4,350.80
MRI of the brain, before and after contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,781.49 Aetna — Aetna NAP: $4,003.66 Aetna — NODE Aetna MCR ADV: $388.99 Alpha Baking — Alpha Baking: $2,082.83 Anthem — Anthem IN HIP: $395.32 Anthem — Anthem IN HMO PPO TRAD: $1,500.23 Anthem — Anthem IN Marketplace STLD: $1,200.17 Anthem — Anthem IN Medicaid: $756.13 Anthem — NODE Anthem MCR ADV: $388.99 Anthem IN Healthsync — Anthem IN Healthsync: $1,230.21
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain WWO	$4,628.51	$2,545.68	$1,550.55 – $4,350.80
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — Aetna NAP: $4,003.66 Cigna All — Cigna All: $3,841.66 Community Health Alliance — Community Health Alliance: $4,165.66 Coventry First Health — Coventry First Health: $4,003.66 Encore — Encore: $4,026.80 Encore — Encore Combined PPO: $3,008.53 Lutheran Network — Lutheran Preferred Choice: $4,073.09 MedPartners — Lutheran Preferred CHS Employees: $1,550.55 MultiPlan Inc — MultiPlan Complementary: $3,934.23 MultiPlan Inc — MultiPlan Primary: $4,165.66
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V CR	$552.41	$149.15	$30.87 – $519.27
Chest X-ray, 2 views: 10 of 63 insurance plan rates Aetna — Aetna ALL: $451.32 Aetna — Aetna NAP: $477.83 Aetna — NODE Aetna MCR ADV: $97.03 Alpha Baking — Alpha Baking: $248.58 Anthem — Anthem IN HIP: $98.61 Anthem — Anthem IN HMO PPO TRAD: $369.86 Anthem — Anthem IN Marketplace STLD: $295.88 Anthem — Anthem IN Medicaid: $242.27 Anthem — NODE Anthem MCR ADV: $97.03 Anthem IN Healthsync — Anthem IN Healthsync: $303.29
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 V DR	$552.41	$149.15	$30.87 – $519.27
Chest X-ray, 2 views: 10 of 63 insurance plan rates Aetna — Aetna ALL: $451.32 Aetna — Aetna NAP: $477.83 Aetna — NODE Aetna MCR ADV: $97.03 Alpha Baking — Alpha Baking: $248.58 Anthem — Anthem IN HIP: $98.61 Anthem — Anthem IN HMO PPO TRAD: $369.86 Anthem — Anthem IN Marketplace STLD: $295.88 Anthem — Anthem IN Medicaid: $242.27 Anthem — NODE Anthem MCR ADV: $97.03 Anthem IN Healthsync — Anthem IN Healthsync: $303.29
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Chest 2 V CR	$552.41	$303.83	$185.06 – $519.27
Chest X-ray, 2 views: 10 of 13 insurance plan rates Aetna — Aetna NAP: $477.83 Cigna All — Cigna All: $458.50 Community Health Alliance — Community Health Alliance: $497.17 Coventry First Health — Coventry First Health: $477.83 Encore — Encore: $480.60 Encore — Encore Combined PPO: $359.07 Lutheran Network — Lutheran Preferred Choice: $486.12 MedPartners — Lutheran Preferred CHS Employees: $185.06 MultiPlan Inc — MultiPlan Complementary: $469.55 MultiPlan Inc — MultiPlan Primary: $497.17
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V DR	$878.38	$237.16	$49.71 – $825.68
X-ray of the lower spine, at least 4 views: 10 of 63 insurance plan rates Aetna — Aetna ALL: $717.64 Aetna — Aetna NAP: $759.80 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $395.27 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $91.45 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V DR	$878.38	$483.11	$294.26 – $825.68
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Aetna — Aetna NAP: $759.80 Cigna All — Cigna All: $729.06 Community Health Alliance — Community Health Alliance: $790.54 Coventry First Health — Coventry First Health: $759.80 Encore — Encore: $764.19 Encore — Encore Combined PPO: $570.95 Lutheran Network — Lutheran Preferred Choice: $772.97 MedPartners — Lutheran Preferred CHS Employees: $294.26 MultiPlan Inc — MultiPlan Complementary: $746.62 MultiPlan Inc — MultiPlan Primary: $790.54
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar WO	$3,856.86	$1,041.35	$239.82 – $3,625.45
MRI of the lower back (lumbar spine), without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,151.05 Aetna — Aetna NAP: $3,336.18 Aetna — NODE Aetna MCR ADV: $266.04 Alpha Baking — Alpha Baking: $1,735.59 Anthem — Anthem IN HIP: $270.37 Anthem — Anthem IN HMO PPO TRAD: $1,015.41 Anthem — Anthem IN Marketplace STLD: $812.32 Anthem — Anthem IN Medicaid: $457.59 Anthem — NODE Anthem MCR ADV: $266.04 Anthem IN Healthsync — Anthem IN Healthsync: $832.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spine Lumbar WO	$3,856.86	$2,121.27	$1,292.05 – $3,625.45
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — Aetna NAP: $3,336.18 Cigna All — Cigna All: $3,201.19 Community Health Alliance — Community Health Alliance: $3,471.17 Coventry First Health — Coventry First Health: $3,336.18 Encore — Encore: $3,355.47 Encore — Encore Combined PPO: $2,506.96 Lutheran Network — Lutheran Preferred Choice: $3,394.04 MedPartners — Lutheran Preferred CHS Employees: $1,292.05 MultiPlan Inc — MultiPlan Complementary: $3,278.33 MultiPlan Inc — MultiPlan Primary: $3,471.17
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W	$3,471.01	$937.17	$176.30 – $3,262.75
CT scan of the pelvis, with contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,835.82 Aetna — Aetna NAP: $3,002.42 Aetna — NODE Aetna MCR ADV: $195.57 Alpha Baking — Alpha Baking: $1,561.95 Anthem — Anthem IN HIP: $198.75 Anthem — Anthem IN HMO PPO TRAD: $747.81 Anthem — Anthem IN Marketplace STLD: $598.24 Anthem — Anthem IN Medicaid: $480.79 Anthem — NODE Anthem MCR ADV: $195.57 Anthem IN Healthsync — Anthem IN Healthsync: $613.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W	$3,471.01	$1,909.06	$1,162.79 – $3,262.75
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Aetna NAP: $3,002.42 Cigna All — Cigna All: $2,880.94 Community Health Alliance — Community Health Alliance: $3,123.91 Coventry First Health — Coventry First Health: $3,002.42 Encore — Encore: $3,019.78 Encore — Encore Combined PPO: $2,256.16 Lutheran Network — Lutheran Preferred Choice: $3,054.49 MedPartners — Lutheran Preferred CHS Employees: $1,162.79 MultiPlan Inc — MultiPlan Complementary: $2,950.36 MultiPlan Inc — MultiPlan Primary: $3,123.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Left WO	$3,856.86	$1,041.35	$239.82 – $3,625.45
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,151.05 Aetna — Aetna NAP: $3,336.18 Aetna — NODE Aetna MCR ADV: $266.04 Alpha Baking — Alpha Baking: $1,735.59 Anthem — Anthem IN HIP: $270.37 Anthem — Anthem IN HMO PPO TRAD: $1,015.41 Anthem — Anthem IN Marketplace STLD: $812.32 Anthem — Anthem IN Medicaid: $504.93 Anthem — NODE Anthem MCR ADV: $266.04 Anthem IN Healthsync — Anthem IN Healthsync: $832.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle Right WO	$3,856.86	$1,041.35	$239.82 – $3,625.45
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,151.05 Aetna — Aetna NAP: $3,336.18 Aetna — NODE Aetna MCR ADV: $266.04 Alpha Baking — Alpha Baking: $1,735.59 Anthem — Anthem IN HIP: $270.37 Anthem — Anthem IN HMO PPO TRAD: $1,015.41 Anthem — Anthem IN Marketplace STLD: $812.32 Anthem — Anthem IN Medicaid: $504.93 Anthem — NODE Anthem MCR ADV: $266.04 Anthem IN Healthsync — Anthem IN Healthsync: $832.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip Left WO	$3,856.86	$1,041.35	$239.82 – $3,625.45
MRI of a leg joint (such as the knee), without contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $3,151.05 Aetna — Aetna NAP: $3,336.18 Aetna — NODE Aetna MCR ADV: $266.04 Alpha Baking — Alpha Baking: $1,735.59 Anthem — Anthem IN HIP: $270.37 Anthem — Anthem IN HMO PPO TRAD: $1,015.41 Anthem — Anthem IN Marketplace STLD: $812.32 Anthem — Anthem IN Medicaid: $504.93 Anthem — NODE Anthem MCR ADV: $266.04 Anthem IN Healthsync — Anthem IN Healthsync: $832.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis W	$3,471.01	$937.17	$350 – $3,262.75
CT scan of the abdomen and pelvis, with contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,835.82 Aetna — Aetna NAP: $3,002.42 Aetna — NODE Aetna MCR ADV: $388.99 Alpha Baking — Alpha Baking: $1,561.95 Anthem — Anthem IN HIP: $395.32 Anthem — Anthem IN HMO PPO TRAD: $1,500.23 Anthem — Anthem IN Marketplace STLD: $1,200.17 Anthem — Anthem IN Medicaid: $632.46 Anthem — NODE Anthem MCR ADV: $388.99 Anthem IN Healthsync — Anthem IN Healthsync: $1,230.21
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Enterography Abdomen Pelvis	$3,471.01	$937.17	$350 – $3,262.75
CT scan of the abdomen and pelvis, with contrast: 10 of 63 insurance plan rates Aetna — Aetna ALL: $2,835.82 Aetna — Aetna NAP: $3,002.42 Aetna — NODE Aetna MCR ADV: $388.99 Alpha Baking — Alpha Baking: $1,561.95 Anthem — Anthem IN HIP: $395.32 Anthem — Anthem IN HMO PPO TRAD: $1,500.23 Anthem — Anthem IN Marketplace STLD: $1,200.17 Anthem — Anthem IN Medicaid: $632.46 Anthem — NODE Anthem MCR ADV: $388.99 Anthem IN Healthsync — Anthem IN Healthsync: $1,230.21
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis W	$3,471.01	$1,909.06	$1,162.79 – $3,262.75
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — Aetna NAP: $3,002.42 Cigna All — Cigna All: $2,880.94 Community Health Alliance — Community Health Alliance: $3,123.91 Coventry First Health — Coventry First Health: $3,002.42 Encore — Encore: $3,019.78 Encore — Encore Combined PPO: $2,256.16 Lutheran Network — Lutheran Preferred Choice: $3,054.49 MedPartners — Lutheran Preferred CHS Employees: $1,162.79 MultiPlan Inc — MultiPlan Complementary: $2,950.36 MultiPlan Inc — MultiPlan Primary: $3,123.91
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete	$1,984.68	$535.86	$105.08 – $1,865.60
Ultrasound of the abdomen, complete: 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,621.48 Aetna — Aetna NAP: $1,716.75 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $893.11 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $274.05 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete	$1,984.68	$1,091.57	$664.87 – $1,865.60
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,716.75 Cigna All — Cigna All: $1,647.28 Community Health Alliance — Community Health Alliance: $1,786.21 Coventry First Health — Coventry First Health: $1,716.75 Encore — Encore: $1,726.67 Encore — Encore Combined PPO: $1,290.04 Lutheran Network — Lutheran Preferred Choice: $1,746.52 MedPartners — Lutheran Preferred CHS Employees: $664.87 MultiPlan Inc — MultiPlan Complementary: $1,686.98 MultiPlan Inc — MultiPlan Primary: $1,786.21
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester Transabdominal	$1,753.75	$473.51	$105.08 – $1,648.52
Pregnancy ultrasound (after the first trimester): 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,432.81 Aetna — Aetna NAP: $1,516.99 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $789.19 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $263.41 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 US-PELVIS PREG	$1,753.75	$473.51	$105.08 – $1,648.52
Pregnancy ultrasound (after the first trimester): 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,432.81 Aetna — Aetna NAP: $1,516.99 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $789.19 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $263.41 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester Transabdominal	$1,753.75	$964.56	$587.51 – $1,648.52
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,516.99 Cigna All — Cigna All: $1,455.61 Community Health Alliance — Community Health Alliance: $1,578.38 Coventry First Health — Coventry First Health: $1,516.99 Encore — Encore: $1,525.76 Encore — Encore Combined PPO: $1,139.94 Lutheran Network — Lutheran Preferred Choice: $1,543.30 MedPartners — Lutheran Preferred CHS Employees: $587.51 MultiPlan Inc — MultiPlan Complementary: $1,490.69 MultiPlan Inc — MultiPlan Primary: $1,578.38
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 US-TRANSVAGINAL	$1,552.08	$419.06	$105.08 – $1,458.96
Transvaginal ultrasound: 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,268.05 Aetna — Aetna NAP: $1,342.55 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $698.44 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $249.91 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non OB	$1,552.08	$419.06	$105.08 – $1,458.96
Transvaginal ultrasound: 10 of 63 insurance plan rates Aetna — Aetna ALL: $1,268.05 Aetna — Aetna NAP: $1,342.55 Aetna — NODE Aetna MCR ADV: $116.56 Alpha Baking — Alpha Baking: $698.44 Anthem — Anthem IN HIP: $118.46 Anthem — Anthem IN HMO PPO TRAD: $446.72 Anthem — Anthem IN Marketplace STLD: $357.37 Anthem — Anthem IN Medicaid: $249.91 Anthem — NODE Anthem MCR ADV: $116.56 Anthem IN Healthsync — Anthem IN Healthsync: $366.32
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 76830 US-TRANSVAGINAL	$1,552.08	$853.64	$519.95 – $1,458.96
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — Aetna NAP: $1,342.55 Cigna All — Cigna All: $1,288.23 Community Health Alliance — Community Health Alliance: $1,396.87 Coventry First Health — Coventry First Health: $1,342.55 Encore — Encore: $1,350.31 Encore — Encore Combined PPO: $1,008.85 Lutheran Network — Lutheran Preferred Choice: $1,365.83 MedPartners — Lutheran Preferred CHS Employees: $519.95 MultiPlan Inc — MultiPlan Complementary: $1,319.27 MultiPlan Inc — MultiPlan Primary: $1,396.87
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Left WWO CAD	$524.63	$141.65	$70.61 – $493.15
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates Aetna — Aetna ALL: $428.62 Aetna — Aetna NAP: $453.80 Aetna — NODE Aetna MCR ADV: $78.46 Alpha Baking — Alpha Baking: $236.08 Anthem — Anthem IN HIP: $79.74 Anthem — Anthem IN HMO PPO TRAD: $79.74 Anthem — Anthem IN Marketplace STLD: $79.74 Anthem — Anthem IN Medicaid: $255.68 Anthem — NODE Anthem MCR ADV: $78.46 Anthem IN Healthsync — Anthem IN Healthsync: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Right WWO CAD	$524.63	$141.65	$70.61 – $493.15
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates Aetna — Aetna ALL: $428.62 Aetna — Aetna NAP: $453.80 Aetna — NODE Aetna MCR ADV: $78.46 Alpha Baking — Alpha Baking: $236.08 Anthem — Anthem IN HIP: $79.74 Anthem — Anthem IN HMO PPO TRAD: $79.74 Anthem — Anthem IN Marketplace STLD: $79.74 Anthem — Anthem IN Medicaid: $255.68 Anthem — NODE Anthem MCR ADV: $78.46 Anthem IN Healthsync — Anthem IN Healthsync: $79.74
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77065 BR-DIG MAMMO UNILAT	$524.63	$141.65	$70.61 – $493.15
Diagnostic mammogram, one breast: 10 of 64 insurance plan rates Aetna — Aetna ALL: $428.62 Aetna — Aetna NAP: $453.80 Aetna — NODE Aetna MCR ADV: $78.46 Alpha Baking — Alpha Baking: $236.08 Anthem — Anthem IN HIP: $79.74 Anthem — Anthem IN HMO PPO TRAD: $79.74 Anthem — Anthem IN Marketplace STLD: $79.74 Anthem — Anthem IN Medicaid: $255.68 Anthem — NODE Anthem MCR ADV: $78.46 Anthem IN Healthsync — Anthem IN Healthsync: $79.74
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral WWO CAD	$666.41	$179.93	$90.50 – $626.43
Diagnostic mammogram, both breasts: 10 of 64 insurance plan rates Aetna — Aetna ALL: $544.46 Aetna — Aetna NAP: $576.44 Aetna — NODE Aetna MCR ADV: $100.55 Alpha Baking — Alpha Baking: $299.88 Anthem — Anthem IN HIP: $102.19 Anthem — Anthem IN HMO PPO TRAD: $102.19 Anthem — Anthem IN Marketplace STLD: $102.19 Anthem — Anthem IN Medicaid: $327.17 Anthem — NODE Anthem MCR ADV: $100.55 Anthem IN Healthsync — Anthem IN Healthsync: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77066 BR-DIG MAMMO BILAT	$666.41	$179.93	$90.50 – $626.43
Diagnostic mammogram, both breasts: 10 of 64 insurance plan rates Aetna — Aetna ALL: $544.46 Aetna — Aetna NAP: $576.44 Aetna — NODE Aetna MCR ADV: $100.55 Alpha Baking — Alpha Baking: $299.88 Anthem — Anthem IN HIP: $102.19 Anthem — Anthem IN HMO PPO TRAD: $102.19 Anthem — Anthem IN Marketplace STLD: $102.19 Anthem — Anthem IN Medicaid: $327.17 Anthem — NODE Anthem MCR ADV: $100.55 Anthem IN Healthsync — Anthem IN Healthsync: $102.19
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG Mammo Diagnostic Bilateral WWO CAD	$666.41	$366.53	$223.25 – $626.43
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Aetna NAP: $576.44 Cigna All — Cigna All: $553.12 Community Health Alliance — Community Health Alliance: $599.77 Coventry First Health — Coventry First Health: $576.44 Encore — Encore: $579.78 Encore — Encore Combined PPO: $433.17 Lutheran Network — Lutheran Preferred Choice: $586.44 MedPartners — Lutheran Preferred CHS Employees: $223.25 MultiPlan Inc — MultiPlan Complementary: $566.45 MultiPlan Inc — MultiPlan Primary: $599.77
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Screen Bilateral WWO CAD	$511.51	$138.11	$74.42 – $480.82
Screening mammogram, both breasts: 10 of 64 insurance plan rates Aetna — Aetna ALL: $417.90 Aetna — Aetna NAP: $442.46 Aetna — NODE Aetna MCR ADV: $82.69 Alpha Baking — Alpha Baking: $230.18 Anthem — Anthem IN HIP: $84.38 Anthem — Anthem IN HMO PPO TRAD: $84.38 Anthem — Anthem IN Marketplace STLD: $84.38 Anthem — Anthem IN Medicaid: $270.19 Anthem — NODE Anthem MCR ADV: $82.69 Anthem IN Healthsync — Anthem IN Healthsync: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Screen Left WWO CAD	$511.51	$138.11	$74.42 – $480.82
Screening mammogram, both breasts: 10 of 64 insurance plan rates Aetna — Aetna ALL: $417.90 Aetna — Aetna NAP: $442.46 Aetna — NODE Aetna MCR ADV: $82.69 Alpha Baking — Alpha Baking: $230.18 Anthem — Anthem IN HIP: $84.38 Anthem — Anthem IN HMO PPO TRAD: $84.38 Anthem — Anthem IN Marketplace STLD: $84.38 Anthem — Anthem IN Medicaid: $270.19 Anthem — NODE Anthem MCR ADV: $82.69 Anthem IN Healthsync — Anthem IN Healthsync: $84.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Screen Right WWO CAD	$511.51	$138.11	$74.42 – $480.82
Screening mammogram, both breasts: 10 of 64 insurance plan rates Aetna — Aetna ALL: $417.90 Aetna — Aetna NAP: $442.46 Aetna — NODE Aetna MCR ADV: $82.69 Alpha Baking — Alpha Baking: $230.18 Anthem — Anthem IN HIP: $84.38 Anthem — Anthem IN HMO PPO TRAD: $84.38 Anthem — Anthem IN Marketplace STLD: $84.38 Anthem — Anthem IN Medicaid: $270.19 Anthem — NODE Anthem MCR ADV: $82.69 Anthem IN Healthsync — Anthem IN Healthsync: $84.38

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Units	$247	$66.69	$24.70 – $232.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates Aetna — Aetna ALL: $201.80 Aetna — Aetna NAP: $213.66 Aetna — NODE Aetna MCR ADV: $27.44 Alpha Baking — Alpha Baking: $111.15 Anthem — Anthem IN HIP: $27.89 Anthem — Anthem IN HMO PPO TRAD: $27.89 Anthem — Anthem IN Marketplace STLD: $27.89 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $27.44 Anthem IN Healthsync — Anthem IN Healthsync: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Units	$247	$66.69	$24.70 – $232.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates Aetna — Aetna ALL: $201.80 Aetna — Aetna NAP: $213.66 Aetna — NODE Aetna MCR ADV: $27.44 Alpha Baking — Alpha Baking: $111.15 Anthem — Anthem IN HIP: $27.89 Anthem — Anthem IN HMO PPO TRAD: $27.89 Anthem — Anthem IN Marketplace STLD: $27.89 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $27.44 Anthem IN Healthsync — Anthem IN Healthsync: $27.89
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges	$247	$66.69	$24.70 – $232.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 63 insurance plan rates Aetna — Aetna ALL: $201.80 Aetna — Aetna NAP: $213.66 Aetna — NODE Aetna MCR ADV: $27.44 Alpha Baking — Alpha Baking: $111.15 Anthem — Anthem IN HIP: $27.89 Anthem — Anthem IN HMO PPO TRAD: $27.89 Anthem — Anthem IN Marketplace STLD: $27.89 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $27.44 Anthem IN Healthsync — Anthem IN Healthsync: $27.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- LOW COMP - REDOC 181	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Assistant Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (low complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- MOD COMP - REDOC 181	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Assistant Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (moderate complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL- HGH COMP - REDOC 181	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Assistant Unit - Yes	$647.43	$174.81	$83.82 – $608.58
Physical therapy evaluation (high complexity): 10 of 63 insurance plan rates Aetna — Aetna ALL: $528.95 Aetna — Aetna NAP: $560.03 Aetna — NODE Aetna MCR ADV: $93.13 Alpha Baking — Alpha Baking: $291.34 Anthem — Anthem IN HIP: $94.64 Anthem — Anthem IN HMO PPO TRAD: $94.64 Anthem — Anthem IN Marketplace STLD: $94.64 Anthem — Anthem IN Medicaid: $186.46 Anthem — NODE Anthem MCR ADV: $93.13 Anthem IN Healthsync — Anthem IN Healthsync: $94.64

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	$71,664.88	$19,349.52	$135.46 – $67,364.99
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates Aetna — Aetna ALL: $58,550.21 Aetna — Aetna NAP: $61,990.12 Aetna — NODE Aetna MCR ADV: $18,632.87 Alpha Baking — Alpha Baking: $32,249.20 Anthem — Anthem IN Medicaid: $1,905.42 CareSource — Caresource HHW IN Medicaid: $1,905.42 CareSource — Caresource IN HIP: $1,905.42 CareSource — CareSource Medicaid: $1,465.71 Cigna All — Cigna All: $59,481.85 Community Health Alliance — Community Health Alliance: $64,498.39
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	$45,873.04	$12,385.72	$474.14 – $43,120.66
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 63 insurance plan rates Aetna — Aetna ALL: $37,478.27 Aetna — Aetna NAP: $39,680.18 Aetna — NODE Aetna MCR ADV: $3,648.28 Alpha Baking — Alpha Baking: $20,642.87 Anthem — Anthem IN HIP: $3,707.60 Anthem — Anthem IN HMO PPO TRAD: $13,629.92 Anthem — Anthem IN Marketplace STLD: $10,903.79 Anthem — Anthem IN Medicaid: $2,273.62 Anthem — NODE Anthem MCR ADV: $3,648.28 Anthem IN Healthsync — Anthem IN Healthsync: $11,176.69
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$16,077.93	$4,341.04	$103.93 – $15,113.25
Upper GI endoscopy (diagnostic): 10 of 63 insurance plan rates Aetna — Aetna ALL: $13,135.67 Aetna — Aetna NAP: $13,907.41 Aetna — NODE Aetna MCR ADV: $1,011.29 Alpha Baking — Alpha Baking: $7,235.07 Anthem — Anthem IN HIP: $1,027.73 Anthem — Anthem IN HMO PPO TRAD: $3,938.48 Anthem — Anthem IN Marketplace STLD: $3,150.75 Anthem — Anthem IN Medicaid: $2,273.62 Anthem — NODE Anthem MCR ADV: $1,011.29 Anthem IN Healthsync — Anthem IN Healthsync: $3,229.60
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	$20,402.02	$5,508.55	$116.27 – $19,177.90
Upper GI endoscopy with biopsy: 10 of 63 insurance plan rates Aetna — Aetna ALL: $16,668.45 Aetna — Aetna NAP: $17,647.75 Aetna — NODE Aetna MCR ADV: $1,011.29 Alpha Baking — Alpha Baking: $9,180.91 Anthem — Anthem IN HIP: $1,027.73 Anthem — Anthem IN HMO PPO TRAD: $3,938.48 Anthem — Anthem IN Marketplace STLD: $3,150.75 Anthem — Anthem IN Medicaid: $2,273.62 Anthem — NODE Anthem MCR ADV: $1,011.29 Anthem IN Healthsync — Anthem IN Healthsync: $3,229.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$14,796.43	$3,995.04	$154.36 – $13,908.64
Colonoscopy (diagnostic): 10 of 63 insurance plan rates Aetna — Aetna ALL: $12,088.68 Aetna — Aetna NAP: $12,798.91 Aetna — NODE Aetna MCR ADV: $1,036.90 Alpha Baking — Alpha Baking: $6,658.39 Anthem — Anthem IN HIP: $1,053.76 Anthem — Anthem IN HMO PPO TRAD: $3,829.89 Anthem — Anthem IN Marketplace STLD: $3,063.87 Anthem — Anthem IN Medicaid: $2,273.62 Anthem — NODE Anthem MCR ADV: $1,036.90 Anthem IN Healthsync — Anthem IN Healthsync: $3,140.56
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$18,028.21	$4,867.62	$167 – $16,946.52
Colonoscopy with biopsy: 10 of 63 insurance plan rates Aetna — Aetna ALL: $14,729.05 Aetna — Aetna NAP: $15,594.40 Aetna — NODE Aetna MCR ADV: $1,334.25 Alpha Baking — Alpha Baking: $8,112.69 Anthem — Anthem IN HIP: $1,355.95 Anthem — Anthem IN HMO PPO TRAD: $4,953.07 Anthem — Anthem IN Marketplace STLD: $3,962.40 Anthem — Anthem IN Medicaid: $3,121.64 Anthem — NODE Anthem MCR ADV: $1,334.25 Anthem IN Healthsync — Anthem IN Healthsync: $4,061.58
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	$18,141.59	$4,898.23	$210.50 – $17,053.09
Colonoscopy with removal of polyps (snare): 10 of 63 insurance plan rates Aetna — Aetna ALL: $14,821.68 Aetna — Aetna NAP: $15,692.48 Aetna — NODE Aetna MCR ADV: $1,334.25 Alpha Baking — Alpha Baking: $8,163.72 Anthem — Anthem IN HIP: $1,355.95 Anthem — Anthem IN HMO PPO TRAD: $4,953.07 Anthem — Anthem IN Marketplace STLD: $3,962.40 Anthem — Anthem IN Medicaid: $3,121.64 Anthem — NODE Anthem MCR ADV: $1,334.25 Anthem IN Healthsync — Anthem IN Healthsync: $4,061.58
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$14,611.29	$3,945.05	$154.52 – $13,734.61
Screening colonoscopy (not high risk): 10 of 51 insurance plan rates Aetna — Aetna ALL: $11,937.42 Aetna — Aetna NAP: $12,638.77 Aetna — NODE Aetna MCR ADV: $1,032.68 Alpha Baking — Alpha Baking: $6,575.08 Anthem — Anthem IN HIP: $1,053.76 Anthem — Anthem IN HMO PPO TRAD: $3,829.89 Anthem — Anthem IN Marketplace STLD: $3,063.87 Anthem — NODE Anthem MCR ADV: $1,032.68 Anthem IN Healthsync — Anthem IN Healthsync: $3,140.56 Anthem IN Work Comp — Anthem IN Work Comp: $1,686.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$35,952.82	$9,707.26	$389.54 – $33,795.65
Carpal tunnel release: 10 of 63 insurance plan rates Aetna — Aetna ALL: $29,373.45 Aetna — Aetna NAP: $31,099.19 Aetna — NODE Aetna MCR ADV: $2,177.29 Alpha Baking — Alpha Baking: $16,178.77 Anthem — Anthem IN HIP: $2,212.69 Anthem — Anthem IN HMO PPO TRAD: $8,203.19 Anthem — Anthem IN Marketplace STLD: $6,562.46 Anthem — Anthem IN Medicaid: $1,728.79 Anthem — NODE Anthem MCR ADV: $2,177.29 Anthem IN Healthsync — Anthem IN Healthsync: $6,726.71
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS	$25,059.02	$6,765.94	$438.36 – $23,555.48
Cataract removal with lens implant: 10 of 63 insurance plan rates Aetna — Aetna ALL: $20,473.22 Aetna — Aetna NAP: $21,676.05 Aetna — NODE Aetna MCR ADV: $2,573.22 Alpha Baking — Alpha Baking: $11,276.56 Anthem — Anthem IN HIP: $2,615.06 Anthem — Anthem IN HMO PPO TRAD: $9,580.86 Anthem — Anthem IN Marketplace STLD: $7,664.58 Anthem — Anthem IN Medicaid: $4,315.74 Anthem — NODE Anthem MCR ADV: $2,573.22 Anthem IN Healthsync — Anthem IN Healthsync: $7,856.42

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,070.26 – $298,020.12
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 48 insurance plan rates Aetna — NODE Aetna MCR ADV: $97,387.96 Anthem — Anthem IN HIP: $99,340.04 Anthem — Anthem IN HMO PPO TRAD: $144,384.35 Anthem — Anthem IN Marketplace STLD: $115,505.52 Anthem — NODE Anthem MCR ADV: $97,387.96 Anthem IN Healthsync — Anthem IN Healthsync: $118,391.45 Anthem IN Work Comp — Anthem IN Work Comp: $158,944.06 Encore — Encore Work Comp IN: $178,812.07 Encore KBA EPO — Encore KBA EPO: $238,416.10 Encore KBA PPO — Encore KBA PPO: $298,020.12
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$1,070.26 – $84,810.96
Spinal fusion (not neck), without major complications: 10 of 48 insurance plan rates Aetna — NODE Aetna MCR ADV: $27,739.63 Anthem — Anthem IN HIP: $28,270.32 Anthem — Anthem IN HMO PPO TRAD: $79,728.89 Anthem — Anthem IN Marketplace STLD: $79,728.89 Anthem — NODE Anthem MCR ADV: $27,739.63 Anthem IN Healthsync — Anthem IN Healthsync: $79,728.89 Anthem IN Work Comp — Anthem IN Work Comp: $45,232.51 Encore — Encore Work Comp IN: $50,886.58 Encore KBA EPO — Encore KBA EPO: $67,848.77 Encore KBA PPO — Encore KBA PPO: $84,810.96
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,070.26 – $45,661.86
Hip or knee replacement (major joint of the leg), without major complications: 10 of 48 insurance plan rates Aetna — NODE Aetna MCR ADV: $14,950.93 Anthem — Anthem IN HIP: $15,220.62 Anthem — Anthem IN HMO PPO TRAD: $27,601.38 Anthem — Anthem IN Marketplace STLD: $22,774.52 Anthem — NODE Anthem MCR ADV: $14,950.93 Anthem IN Healthsync — Anthem IN Healthsync: $23,343.55 Anthem IN Work Comp — Anthem IN Work Comp: $24,352.99 Encore — Encore Work Comp IN: $27,397.12 Encore KBA EPO — Encore KBA EPO: $36,529.49 Encore KBA PPO — Encore KBA PPO: $45,661.86
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,070.26 – $57,263.91
Neck (cervical) spinal fusion, without complications: 10 of 48 insurance plan rates Aetna — NODE Aetna MCR ADV: $18,740.93 Anthem — Anthem IN HIP: $19,087.97 Anthem — Anthem IN HMO PPO TRAD: $34,258.62 Anthem — Anthem IN Marketplace STLD: $28,824.43 Anthem — NODE Anthem MCR ADV: $18,740.93 Anthem IN Healthsync — Anthem IN Healthsync: $29,544.61 Anthem IN Work Comp — Anthem IN Work Comp: $30,540.75 Encore — Encore Work Comp IN: $34,358.35 Encore KBA EPO — Encore KBA EPO: $45,811.13 Encore KBA PPO — Encore KBA PPO: $57,263.91
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,070.26 – $30,079.14
Uterus and ovary surgery (not for cancer), without complications: 10 of 48 insurance plan rates Aetna — NODE Aetna MCR ADV: $9,860.57 Anthem — Anthem IN HIP: $10,026.38 Anthem — Anthem IN HMO PPO TRAD: $18,311.49 Anthem — Anthem IN Marketplace STLD: $14,648.94 Anthem — NODE Anthem MCR ADV: $9,860.57 Anthem IN Healthsync — Anthem IN Healthsync: $15,014.95 Anthem IN Work Comp — Anthem IN Work Comp: $16,042.21 Encore — Encore Work Comp IN: $18,047.48 Encore KBA EPO — Encore KBA EPO: $24,063.31 Encore KBA PPO — Encore KBA PPO: $30,079.14

Source: Northwest Health - Starke’s standard charges file (nwhealthstarke.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	102 E Culver Rd, Knox, IN 46534
County	Starke County
State	Indiana
Phone	(574) 772‑6231
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150102
Name in Medicare records	NORTHWEST HEALTH - STARKE
Profile level	Medicare data + hospital website
Official website	nwhealthstarke.com
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 Health - Starke — nwhealthstarke.com
Emergency Services | Northwest Health - Starke | Knox, IN — nwhealthstarke.com
Surgical Services | Northwest Health - Starke | Knox, IN — nwhealthstarke.com
About Us | Northwest Health - Starke | Knox, IN — nwhealthstarke.com
Heart Care | Northwest Health - Starke | Knox, IN — nwhealthstarke.com
Awards and Accreditations | Northwest Health - Starke | Knox, IN — nwhealthstarke.com
Patients & Visitors | Northwest Health - Starke | Knox, IN — nwhealthstarke.com

Northwest Health - Starke

Summary

Profile from official sources

At a glance