Does Novant Health Huntersville Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Novant Health Huntersville Medical Center. In a medical emergency, call 911.

Where is Novant Health Huntersville Medical Center?

10030 Gilead Road, Huntersville, NC 28078, in Mecklenburg County, North Carolina.

What is the phone number of Novant Health Huntersville Medical Center?

(704) 316-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Novant Health Huntersville Medical Center?

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

Novant Health Huntersville Medical Center

Quick answers

Does Novant Health Huntersville Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Novant Health Huntersville Medical Center. In a medical emergency, call 911.
Where is Novant Health Huntersville Medical Center?: 10030 Gilead Road, Huntersville, NC 28078, in Mecklenburg County, North Carolina.
What is the phone number of Novant Health Huntersville Medical Center?: (704) 316-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Novant Health Huntersville Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7]

Programs and centers^{[4][5][8][11]}

Family Medicine Residency (primary training site)
Children's emergency services center
Hip and Knee Joint Replacement Certification (Joint Commission)
Rectal Cancer Program (ACS accredited)
Emergency services for adults and children
Maternity and labor and delivery
Level III neonatal intensive care unit (NICU)
Primary stroke center

Emergency care (hospital website)^{[4][5][7][10][11]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary stroke center certified by The Joint Commission

Visiting and practical information

Visiting	Visiting hours vary by patient need or unit; confirm with the care team^[4]
Parking	Directions, a campus map and parking information are linked from the hospital site^[5]
Interpreters and languages	Free sign language and oral interpreters, TTYs and more are available through interpreter services^[6]

Recognition^[4][8][11]

Chest Pain Center Accreditation (American College of Cardiology)
Hip and Knee Joint Replacement Certification (The Joint Commission)
Rectal Cancer Program Accreditation (American College of Surgeons)
Baby Friendly Designation (WHO and UNICEF)
Primary Stroke Center certification (The Joint Commission)

Doctors and clinicians (757)

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

Main specialties

And 733 more: the button below opens the full list.

Other emergency rooms nearby

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

Atrium Health University City9.5 mi · Charlotte, NC · Acute Care Hospital
Duke Health Lake Norman Hospital12 mi · Mooresville, NC · Acute Care Hospital
Novant Health Presbyterian Medical Center13 mi · Charlotte, NC · Acute Care Hospital
Carolinas Medical Center/Behav Health14 mi · Charlotte, NC · Acute Care Hospital
Carolinas Medical Center-Northeast15 mi · Concord, NC · Acute Care Hospital

Other hospitals nearby

Carolinas Rehabilitation14 mi · Charlotte, NC · Inpatient Rehabilitation 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

Huntersville Health & Rehabilitation Center0.2 mi · Huntersville, NC · 3 of 5 stars
Lakeside Health & Rehab Center1.0 mi · Huntersville, NC · 3 of 5 stars
Ignite Medical Resort Huntersville1.6 mi · Huntersville, NC · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice and Palliative Care of Cabarrus County13 mi · Kannapolis, NC · 5 of 5 stars
Novant Health Hospice and Palliative Care a Department of Novant Health13 mi · Charlotte, NC · 3 of 5 stars
Carolina Caring19 mi · Gastonia, NC · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Centerwell Home Health5.9 mi · Charlotte, NC
Suncrest Home Health5.9 mi · Charlotte, NC
Well Care Home Health of the Piedmont5.9 mi · Charlotte, NC

All home health agencies in the state →

Dialysis facilities

DaVita Huntersville Dialysis0.0 mi · Huntersville, NC · 5 of 5 stars
DaVita North Charlotte Dialysis Center5.9 mi · Charlotte, NC · 3 of 5 stars
FMC BMA of Beatties Ford Inc6.7 mi · Charlotte, NC · 2 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.

Carolina Endoscopy Center-Huntersville0.0 mi · Huntersville, NC
Huntersville Surgery Center0.0 mi · Huntersville, NC
Novant Health Huntersville Outpatient Surgery0.0 mi · Huntersville, NC

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

Charlotte Community Health Clinic7.8 mi · Charlotte, NC · Community health center
Kintegra at Turning Point Middle8.5 mi · Charlotte, NC · Community health center
Kintegra at Pinewood Elementary9.1 mi · Mount Holly, NC · Community health center

Clinics and urgent care

Carolina Medicorp Enterprises, LLC0.0 mi · Huntersville, NC · Urgent care center
Pinnacle Physicians Network, PA6.7 mi · Charlotte, NC · Urgent care center
Novant Medical Group. Inc.9.1 mi · Charlotte, NC · Urgent care center

Pharmacies

CHS Pharmacy Services, Inc.0.0 mi · Huntersville, NC · Community/retail pharmacy
Harris Teeter, LLC0.0 mi · Huntersville, NC · Community/retail pharmacy
Harris Teeter, LLC0.0 mi · Huntersville, NC · Community/retail pharmacy

Assisted living nearby

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

Arbor Ridge at Huntersville0.0 mi · Huntersville, NC
Cadence Huntersville0.0 mi · Huntersville, NC
Ranson Ridge Assisted Living & Memory Care0.0 mi · Huntersville, NC
Preston House5.9 mi · Charlotte, NC

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	54%National average: 60%
Completed surveys	369Response rate: 17%

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)	1.065No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.309No different from the national benchmark
Surgical site infections after colon surgery	0.589No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.526No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.172Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	9.7%
Deaths within 30 days: heart failure patients	11.4%
Deaths within 30 days: pneumonia patients	14.7%
Deaths within 30 days: COPD patients	6.6%
Deaths within 30 days: stroke patients	12.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	4.9%

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	13.9%
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	15.7%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	6.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	204 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	80%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 North Carolina Best hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Novant Health Huntersville Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	Not listed in the file
Office consultation with a specialist (moderate): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3	$1,726	$863	$213.16 – $1,674.22
Emergency room visit (moderate): 10 of 54 insurance plan rates Aetna — ACA: $1,380.80 Aetna — Commercial: $906.15 Aetna — First Health: $1,294.50 Aetna — Medicare: $271.90 Aetna — Non-Par Products of APCN: $1,380.80 Aetna — Rental Network Products: $1,294.50 Aetna — Whole Health Non-Multitier: $1,380.80 AmeriHealth — Medicaid: $217.47 AMPS — All Plans: $949.30 Atlantic Corporation DBA Atlantic Packaging — All Plans: $793.96
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 W/PROC	$1,726	$863	$213.16 – $1,674.22
Emergency room visit (moderate): 10 of 54 insurance plan rates Aetna — ACA: $1,380.80 Aetna — Commercial: $906.15 Aetna — First Health: $1,294.50 Aetna — Medicare: $271.90 Aetna — Non-Par Products of APCN: $1,380.80 Aetna — Rental Network Products: $1,294.50 Aetna — Whole Health Non-Multitier: $1,380.80 AmeriHealth — Medicaid: $217.47 AMPS — All Plans: $949.30 Atlantic Corporation DBA Atlantic Packaging — All Plans: $793.96
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	Not listed in the file
Emergency room visit (moderate): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4	$2,455	$1,227.50	$303.19 – $2,381.35
Emergency room visit (moderately high): 10 of 54 insurance plan rates Aetna — ACA: $1,964 Aetna — Commercial: $1,288.87 Aetna — First Health: $1,841.25 Aetna — Medicare: $415.62 Aetna — Non-Par Products of APCN: $1,964 Aetna — Rental Network Products: $1,841.25 Aetna — Whole Health Non-Multitier: $1,964 AmeriHealth — Medicaid: $309.33 AMPS — All Plans: $1,350.25 Atlantic Corporation DBA Atlantic Packaging — All Plans: $1,129.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 W/PROC	$2,455	$1,227.50	$303.19 – $2,381.35
Emergency room visit (moderately high): 10 of 54 insurance plan rates Aetna — ACA: $1,964 Aetna — Commercial: $1,288.87 Aetna — First Health: $1,841.25 Aetna — Medicare: $415.62 Aetna — Non-Par Products of APCN: $1,964 Aetna — Rental Network Products: $1,841.25 Aetna — Whole Health Non-Multitier: $1,964 AmeriHealth — Medicaid: $309.33 AMPS — All Plans: $1,350.25 Atlantic Corporation DBA Atlantic Packaging — All Plans: $1,129.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	Not listed in the file
Emergency room visit (moderately high): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5	$3,453	$1,726.50	$426.44 – $3,349.41
Emergency room visit (high): 10 of 54 insurance plan rates Aetna — ACA: $2,762.40 Aetna — Commercial: $1,812.82 Aetna — First Health: $2,589.75 Aetna — Medicare: $593.18 Aetna — Non-Par Products of APCN: $2,762.40 Aetna — Rental Network Products: $2,589.75 Aetna — Whole Health Non-Multitier: $2,762.40 AmeriHealth — Medicaid: $435.07 AMPS — All Plans: $1,899.15 Atlantic Corporation DBA Atlantic Packaging — All Plans: $1,588.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 W/PROC	$3,453	$1,726.50	$426.44 – $3,349.41
Emergency room visit (high): 10 of 54 insurance plan rates Aetna — ACA: $2,762.40 Aetna — Commercial: $1,812.82 Aetna — First Health: $2,589.75 Aetna — Medicare: $593.18 Aetna — Non-Par Products of APCN: $2,762.40 Aetna — Rental Network Products: $2,589.75 Aetna — Whole Health Non-Multitier: $2,762.40 AmeriHealth — Medicaid: $435.07 AMPS — All Plans: $1,899.15 Atlantic Corporation DBA Atlantic Packaging — All Plans: $1,588.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	Not listed in the file
Emergency room visit (high): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$131	$65.50	$8.46 – $127.07
Basic metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — ACA: $104.80 Aetna — Commercial: $68.77 Aetna — First Health: $98.25 Aetna — Medicare: $8.67 Aetna — Non-Par Products of APCN: $104.80 Aetna — Rental Network Products: $98.25 Aetna — Whole Health Non-Multitier: $104.80 AmeriHealth — Medicaid: $16.50 AMPS — All Plans: $72.05 Atlantic Corporation DBA Atlantic Packaging — All Plans: $60.26
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	Not listed in the file
Basic metabolic panel (blood test): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$157	$78.50	$10.56 – $152.29
Comprehensive metabolic panel (blood test): 10 of 54 insurance plan rates Aetna — ACA: $125.60 Aetna — Commercial: $82.42 Aetna — First Health: $117.75 Aetna — Medicare: $10.82 Aetna — Non-Par Products of APCN: $125.60 Aetna — Rental Network Products: $117.75 Aetna — Whole Health Non-Multitier: $125.60 AmeriHealth — Medicaid: $19.78 AMPS — All Plans: $86.35 Atlantic Corporation DBA Atlantic Packaging — All Plans: $72.22
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	Not listed in the file
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL	$646	$323	$47.81 – $626.62
Obstetric blood test panel: 10 of 54 insurance plan rates Aetna — ACA: $516.80 Aetna — Commercial: $339.15 Aetna — First Health: $484.50 Aetna — Medicare: $49.01 Aetna — Non-Par Products of APCN: $516.80 Aetna — Rental Network Products: $484.50 Aetna — Whole Health Non-Multitier: $516.80 AmeriHealth — Medicaid: $81.39 AMPS — All Plans: $355.30 Atlantic Corporation DBA Atlantic Packaging — All Plans: $297.16
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	$977	$488.50	$47.81 – $947.69
Obstetric blood test panel: 10 of 54 insurance plan rates Aetna — ACA: $781.60 Aetna — Commercial: $512.92 Aetna — First Health: $732.75 Aetna — Medicare: $49.01 Aetna — Non-Par Products of APCN: $781.60 Aetna — Rental Network Products: $732.75 Aetna — Whole Health Non-Multitier: $781.60 AmeriHealth — Medicaid: $123.10 AMPS — All Plans: $537.35 Atlantic Corporation DBA Atlantic Packaging — All Plans: $449.42
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$200	$100	$13.39 – $194
Cholesterol panel (lipid panel): 10 of 54 insurance plan rates Aetna — ACA: $160 Aetna — Commercial: $105 Aetna — First Health: $150 Aetna — Medicare: $13.72 Aetna — Non-Par Products of APCN: $160 Aetna — Rental Network Products: $150 Aetna — Whole Health Non-Multitier: $160 AmeriHealth — Medicaid: $25.20 AMPS — All Plans: $110 Atlantic Corporation DBA Atlantic Packaging — All Plans: $92
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$132	$66	$8.68 – $128.04
Kidney function panel: 10 of 54 insurance plan rates Aetna — ACA: $105.60 Aetna — Commercial: $69.30 Aetna — First Health: $99 Aetna — Medicare: $8.90 Aetna — Non-Par Products of APCN: $105.60 Aetna — Rental Network Products: $99 Aetna — Whole Health Non-Multitier: $105.60 AmeriHealth — Medicaid: $16.63 AMPS — All Plans: $72.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $60.72
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$131	$65.50	$8.17 – $127.07
Liver function panel: 10 of 54 insurance plan rates Aetna — ACA: $104.80 Aetna — Commercial: $68.77 Aetna — First Health: $98.25 Aetna — Medicare: $8.37 Aetna — Non-Par Products of APCN: $104.80 Aetna — Rental Network Products: $98.25 Aetna — Whole Health Non-Multitier: $104.80 AmeriHealth — Medicaid: $16.50 AMPS — All Plans: $72.05 Atlantic Corporation DBA Atlantic Packaging — All Plans: $60.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/ MICRO	$51	$25.50	$3.17 – $49.47
Urine test (automated, with microscope): 10 of 54 insurance plan rates Aetna — ACA: $40.80 Aetna — Commercial: $26.77 Aetna — First Health: $38.25 Aetna — Medicare: $3.25 Aetna — Non-Par Products of APCN: $40.80 Aetna — Rental Network Products: $38.25 Aetna — Whole Health Non-Multitier: $40.80 AmeriHealth — Medicaid: $6.42 AMPS — All Plans: $28.05 Atlantic Corporation DBA Atlantic Packaging — All Plans: $23.46
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	Not listed in the file
Urine test (automated, with microscope): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC UR DIPSTK N-AUT W/O MIC	$52	$26	$3.48 – $50.44
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — ACA: $41.60 Aetna — Commercial: $27.30 Aetna — First Health: $39 Aetna — Medicare: $3.57 Aetna — Non-Par Products of APCN: $41.60 Aetna — Rental Network Products: $39 Aetna — Whole Health Non-Multitier: $41.60 AmeriHealth — Medicaid: $6.55 AMPS — All Plans: $28.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $23.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REDUCING SUBSTANCE URINE	$63	$31.50	$3.48 – $61.11
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — ACA: $50.40 Aetna — Commercial: $33.07 Aetna — First Health: $47.25 Aetna — Medicare: $3.57 Aetna — Non-Par Products of APCN: $50.40 Aetna — Rental Network Products: $47.25 Aetna — Whole Health Non-Multitier: $50.40 AmeriHealth — Medicaid: $7.93 AMPS — All Plans: $34.65 Atlantic Corporation DBA Atlantic Packaging — All Plans: $28.98
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE SINGLE COMPONENT	$52	$26	$3.48 – $50.44
Urine test (manual, without microscope): 10 of 54 insurance plan rates Aetna — ACA: $41.60 Aetna — Commercial: $27.30 Aetna — First Health: $39 Aetna — Medicare: $3.57 Aetna — Non-Par Products of APCN: $41.60 Aetna — Rental Network Products: $39 Aetna — Whole Health Non-Multitier: $41.60 AmeriHealth — Medicaid: $6.55 AMPS — All Plans: $28.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $23.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICROSCOP	$43	$21.50	$2.25 – $41.71
Urine test (automated, without microscope): 10 of 54 insurance plan rates Aetna — ACA: $34.40 Aetna — Commercial: $22.57 Aetna — First Health: $32.25 Aetna — Medicare: $2.31 Aetna — Non-Par Products of APCN: $34.40 Aetna — Rental Network Products: $32.25 Aetna — Whole Health Non-Multitier: $34.40 AmeriHealth — Medicaid: $5.41 AMPS — All Plans: $23.65 Atlantic Corporation DBA Atlantic Packaging — All Plans: $19.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	Not listed in the file
Urine test (automated, without microscope): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPEC AG TOTAL	$272	$136	$18.39 – $263.84
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — ACA: $217.60 Aetna — Commercial: $142.80 Aetna — First Health: $204 Aetna — Medicare: $18.85 Aetna — Non-Par Products of APCN: $217.60 Aetna — Rental Network Products: $204 Aetna — Whole Health Non-Multitier: $217.60 AmeriHealth — Medicaid: $34.27 AMPS — All Plans: $149.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $125.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA ULTRASENSITIVE	$272	$136	$18.39 – $263.84
PSA (prostate specific antigen) blood test: 10 of 54 insurance plan rates Aetna — ACA: $217.60 Aetna — Commercial: $142.80 Aetna — First Health: $204 Aetna — Medicare: $18.85 Aetna — Non-Par Products of APCN: $217.60 Aetna — Rental Network Products: $204 Aetna — Whole Health Non-Multitier: $217.60 AmeriHealth — Medicaid: $34.27 AMPS — All Plans: $149.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $125.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	Not listed in the file
PSA (prostate specific antigen) blood test: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$240	$120	$16.80 – $232.80
Thyroid stimulating hormone (TSH) test: 10 of 54 insurance plan rates Aetna — ACA: $192 Aetna — Commercial: $126 Aetna — First Health: $180 Aetna — Medicare: $17.22 Aetna — Non-Par Products of APCN: $192 Aetna — Rental Network Products: $180 Aetna — Whole Health Non-Multitier: $192 AmeriHealth — Medicaid: $30.24 AMPS — All Plans: $132 Atlantic Corporation DBA Atlantic Packaging — All Plans: $110.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ AUTO DIFFERENTIAL	$120	$60	$7.77 – $116.40
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — ACA: $96 Aetna — Commercial: $63 Aetna — First Health: $90 Aetna — Medicare: $7.96 Aetna — Non-Par Products of APCN: $96 Aetna — Rental Network Products: $90 Aetna — Whole Health Non-Multitier: $96 AmeriHealth — Medicaid: $15.12 AMPS — All Plans: $66 Atlantic Corporation DBA Atlantic Packaging — All Plans: $55.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ CONFIRMATORY DIFF	$120	$60	$7.77 – $116.40
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — ACA: $96 Aetna — Commercial: $63 Aetna — First Health: $90 Aetna — Medicare: $7.96 Aetna — Non-Par Products of APCN: $96 Aetna — Rental Network Products: $90 Aetna — Whole Health Non-Multitier: $96 AmeriHealth — Medicaid: $15.12 AMPS — All Plans: $66 Atlantic Corporation DBA Atlantic Packaging — All Plans: $55.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$229	$114.50	$7.77 – $222.13
Complete blood count (CBC) with differential: 10 of 54 insurance plan rates Aetna — ACA: $183.20 Aetna — Commercial: $120.22 Aetna — First Health: $171.75 Aetna — Medicare: $7.96 Aetna — Non-Par Products of APCN: $183.20 Aetna — Rental Network Products: $171.75 Aetna — Whole Health Non-Multitier: $183.20 AmeriHealth — Medicaid: $28.85 AMPS — All Plans: $125.95 Atlantic Corporation DBA Atlantic Packaging — All Plans: $105.34
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFFERENTIAL	$97	$48.50	$6.47 – $94.09
Complete blood count (CBC), automated: 10 of 54 insurance plan rates Aetna — ACA: $77.60 Aetna — Commercial: $50.92 Aetna — First Health: $72.75 Aetna — Medicare: $6.63 Aetna — Non-Par Products of APCN: $77.60 Aetna — Rental Network Products: $72.75 Aetna — Whole Health Non-Multitier: $77.60 AmeriHealth — Medicaid: $12.22 AMPS — All Plans: $53.35 Atlantic Corporation DBA Atlantic Packaging — All Plans: $44.62
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	Not listed in the file
Complete blood count (CBC), automated: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$64	$32	$4.29 – $62.08
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — ACA: $51.20 Aetna — Commercial: $33.60 Aetna — First Health: $48 Aetna — Medicare: $4.40 Aetna — Non-Par Products of APCN: $51.20 Aetna — Rental Network Products: $48 Aetna — Whole Health Non-Multitier: $51.20 AmeriHealth — Medicaid: $8.06 AMPS — All Plans: $35.20 Atlantic Corporation DBA Atlantic Packaging — All Plans: $29.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME FINGERSTICK	$80	$40	$4.29 – $77.60
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — ACA: $64 Aetna — Commercial: $42 Aetna — First Health: $60 Aetna — Medicare: $4.40 Aetna — Non-Par Products of APCN: $64 Aetna — Rental Network Products: $60 Aetna — Whole Health Non-Multitier: $64 AmeriHealth — Medicaid: $10.08 AMPS — All Plans: $44 Atlantic Corporation DBA Atlantic Packaging — All Plans: $36.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME INR	$80	$40	$4.29 – $77.60
Blood clotting time test (prothrombin time, PT): 10 of 54 insurance plan rates Aetna — ACA: $64 Aetna — Commercial: $42 Aetna — First Health: $60 Aetna — Medicare: $4.40 Aetna — Non-Par Products of APCN: $64 Aetna — Rental Network Products: $60 Aetna — Whole Health Non-Multitier: $64 AmeriHealth — Medicaid: $10.08 AMPS — All Plans: $44 Atlantic Corporation DBA Atlantic Packaging — All Plans: $36.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THOMBOPLASTIN TIME	$94	$47	$6.01 – $91.18
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — ACA: $75.20 Aetna — Commercial: $49.35 Aetna — First Health: $70.50 Aetna — Medicare: $6.16 Aetna — Non-Par Products of APCN: $75.20 Aetna — Rental Network Products: $70.50 Aetna — Whole Health Non-Multitier: $75.20 AmeriHealth — Medicaid: $11.84 AMPS — All Plans: $51.70 Atlantic Corporation DBA Atlantic Packaging — All Plans: $43.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT INCUBATED 1:1 1HR	$152	$76	$6.01 – $147.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — ACA: $121.60 Aetna — Commercial: $79.80 Aetna — First Health: $114 Aetna — Medicare: $6.16 Aetna — Non-Par Products of APCN: $121.60 Aetna — Rental Network Products: $114 Aetna — Whole Health Non-Multitier: $121.60 AmeriHealth — Medicaid: $19.15 AMPS — All Plans: $83.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $69.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT INCUBATED 1:1NP IMMED	$152	$76	$6.01 – $147.44
Blood clotting test (partial thromboplastin time, PTT): 10 of 54 insurance plan rates Aetna — ACA: $121.60 Aetna — Commercial: $79.80 Aetna — First Health: $114 Aetna — Medicare: $6.16 Aetna — Non-Par Products of APCN: $121.60 Aetna — Rental Network Products: $114 Aetna — Whole Health Non-Multitier: $121.60 AmeriHealth — Medicaid: $19.15 AMPS — All Plans: $83.60 Atlantic Corporation DBA Atlantic Packaging — All Plans: $69.92

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD BRAIN ORBITS WO CONTRST	$2,148	$1,074	$101.59 – $2,083.56
CT scan of the head or brain, without contrast: 10 of 54 insurance plan rates Aetna — ACA: $1,718.40 Aetna — Commercial: $1,127.70 Aetna — First Health: $1,611 Aetna — Medicare: $104.13 Aetna — Non-Par Products of APCN: $1,718.40 Aetna — Rental Network Products: $1,611 Aetna — Whole Health Non-Multitier: $1,718.40 AmeriHealth — Medicaid: $270.64 AMPS — All Plans: $1,181.40 Atlantic Corporation DBA Atlantic Packaging — All Plans: $988.08
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	Not listed in the file
CT scan of the head or brain, without contrast: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$339.02 – $729.56
MRI of the brain, before and after contrast: 10 of 54 insurance plan rates Aetna — Medicare: $347.50 BCBSFL — Advantage65: $628.23 BCBSFL — BlueCare: $628.23 BCBSFL — BlueChoice: $729.56 BCBSFL — BlueMedicare HMO: $628.23 BCBSFL — BlueMedicare PPO: $628.23 BCBSFL — BlueOptions: $709.30 BCBSFL — BlueSelect: $628.23 BCBSFL — CoverFL: $709.30 BCBSFL — Essential Network: $729.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM CHEST 2 VIEWS	$465	$232.50	$57.42 – $451.05
Chest X-ray, 2 views: 10 of 54 insurance plan rates Aetna — ACA: $372 Aetna — Commercial: $244.12 Aetna — First Health: $348.75 Aetna — Medicare: $86.68 Aetna — Non-Par Products of APCN: $372 Aetna — Rental Network Products: $348.75 Aetna — Whole Health Non-Multitier: $372 AmeriHealth — Medicaid: $58.59 AMPS — All Plans: $255.75 Atlantic Corporation DBA Atlantic Packaging — All Plans: $213.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	Not listed in the file
Chest X-ray, 2 views: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4 VIEWS MIN	$595	$297.50	$46.41 – $577.15
X-ray of the lower spine, at least 4 views: 10 of 54 insurance plan rates Aetna — ACA: $476 Aetna — Commercial: $312.37 Aetna — First Health: $446.25 Aetna — Medicare: $104.13 Aetna — Non-Par Products of APCN: $476 Aetna — Rental Network Products: $446.25 Aetna — Whole Health Non-Multitier: $476 AmeriHealth — Medicaid: $74.97 AMPS — All Plans: $327.25 Atlantic Corporation DBA Atlantic Packaging — All Plans: $273.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$231.86 – $463.72
MRI of the lower back (lumbar spine), without contrast: 10 of 54 insurance plan rates Aetna — Medicare: $237.66 BCBSFL — Advantage65: $399.05 BCBSFL — BlueCare: $399.05 BCBSFL — BlueChoice: $463.41 BCBSFL — BlueMedicare HMO: $399.05 BCBSFL — BlueMedicare PPO: $399.05 BCBSFL — BlueOptions: $450.54 BCBSFL — BlueSelect: $399.05 BCBSFL — CoverFL: $450.54 BCBSFL — Essential Network: $463.41
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,874	$1,437	$170.45 – $2,787.78
CT scan of the pelvis, with contrast: 10 of 54 insurance plan rates Aetna — ACA: $2,299.20 Aetna — Commercial: $1,508.85 Aetna — First Health: $2,155.50 Aetna — Medicare: $174.71 Aetna — Non-Par Products of APCN: $2,299.20 Aetna — Rental Network Products: $2,155.50 Aetna — Whole Health Non-Multitier: $2,299.20 AmeriHealth — Medicaid: $362.12 AMPS — All Plans: $1,580.70 Atlantic Corporation DBA Atlantic Packaging — All Plans: $1,322.04
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	Not listed in the file
CT scan of the pelvis, with contrast: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$231.86 – $486.17
MRI of a leg joint (such as the knee), without contrast: 10 of 54 insurance plan rates Aetna — Medicare: $237.66 BCBSFL — Advantage65: $418.64 BCBSFL — BlueCare: $418.64 BCBSFL — BlueChoice: $486.17 BCBSFL — BlueMedicare HMO: $418.64 BCBSFL — BlueMedicare PPO: $418.64 BCBSFL — BlueOptions: $472.66 BCBSFL — BlueSelect: $418.64 BCBSFL — CoverFL: $472.66 BCBSFL — Essential Network: $486.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$5,640	$2,820	$289.88 – $5,470.80
CT scan of the abdomen and pelvis, with contrast: 10 of 54 insurance plan rates Aetna — ACA: $4,512 Aetna — Commercial: $2,961 Aetna — First Health: $4,230 Aetna — Medicare: $347.50 Aetna — Non-Par Products of APCN: $4,512 Aetna — Rental Network Products: $4,230 Aetna — Whole Health Non-Multitier: $4,512 AmeriHealth — Medicaid: $710.64 AMPS — All Plans: $3,102 Atlantic Corporation DBA Atlantic Packaging — All Plans: $2,594.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST	Not listed in the file	Not listed in the file	Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPL	$1,322	$661	$101.59 – $1,282.34
Ultrasound of the abdomen, complete: 10 of 54 insurance plan rates Aetna — ACA: $1,057.60 Aetna — Commercial: $694.05 Aetna — First Health: $991.50 Aetna — Medicare: $104.13 Aetna — Non-Par Products of APCN: $1,057.60 Aetna — Rental Network Products: $991.50 Aetna — Whole Health Non-Multitier: $1,057.60 AmeriHealth — Medicaid: $166.57 AMPS — All Plans: $727.10 Atlantic Corporation DBA Atlantic Packaging — All Plans: $608.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB TRANSABD >=14WKS	$791	$395.50	$97.68 – $767.27
Pregnancy ultrasound (after the first trimester): 10 of 54 insurance plan rates Aetna — ACA: $632.80 Aetna — Commercial: $415.27 Aetna — First Health: $593.25 Aetna — Medicare: $104.13 Aetna — Non-Par Products of APCN: $632.80 Aetna — Rental Network Products: $593.25 Aetna — Whole Health Non-Multitier: $632.80 AmeriHealth — Medicaid: $99.66 AMPS — All Plans: $435.05 Atlantic Corporation DBA Atlantic Packaging — All Plans: $363.86
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-PREG	$1,028	$514	$101.44 – $997.16
Transvaginal ultrasound: 10 of 54 insurance plan rates Aetna — ACA: $822.40 Aetna — Commercial: $539.70 Aetna — First Health: $771 Aetna — Medicare: $104.13 Aetna — Non-Par Products of APCN: $822.40 Aetna — Rental Network Products: $771 Aetna — Whole Health Non-Multitier: $822.40 AmeriHealth — Medicaid: $129.52 AMPS — All Plans: $565.40 Atlantic Corporation DBA Atlantic Packaging — All Plans: $472.88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	Not listed in the file
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	Not listed in the file
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	Not listed in the file
Screening mammogram, both breasts: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)

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) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$18.02 – $20.93
Electrocardiogram (ECG/EKG) with reading: 10 of 47 insurance plan rates BCBSFL — Advantage65: $18.02 BCBSFL — BlueCare: $18.02 BCBSFL — BlueChoice: $20.93 BCBSFL — BlueMedicare HMO: $18.02 BCBSFL — BlueMedicare PPO: $18.02 BCBSFL — BlueOptions: $20.35 BCBSFL — BlueSelect: $18.02 BCBSFL — CoverFL: $20.35 BCBSFL — Essential Network: $20.93 BCBSFL — FEP: $20.93
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,150.38 – $6,300.76
Left heart catheterization (diagnostic): 10 of 54 insurance plan rates Aetna — Medicare: $3,229.14 Blue Cross NC — Blue Medicare: $3,150.38 Cigna — HealthSpring: $3,244.89 Humana — Medicare: $3,150.38 Liberty Health — Medicare HMO: $3,307.90 NC Department of Public Safety — Offenders Not Medicaid eligible: $6,300.76 Pace of the Southern Piedmont — All Payer: $3,150.38 United Healthcare — Medicare: $3,150.38 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,579.41 – $15,158.82
Heart rhythm study (electrophysiology evaluation): 10 of 54 insurance plan rates Aetna — Medicare: $7,768.90 Blue Cross NC — Blue Medicare: $7,579.41 Cigna — HealthSpring: $7,806.79 Humana — Medicare: $7,579.41 Liberty Health — Medicare HMO: $7,958.38 NC Department of Public Safety — Offenders Not Medicaid eligible: $15,158.82 Pace of the Southern Piedmont — All Payer: $7,579.41 United Healthcare — Medicare: $7,579.41 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$25,399.77 – $50,799.54
Heart rhythm study with ablation for atrial fibrillation: 10 of 54 insurance plan rates Aetna — Medicare: $26,034.76 Blue Cross NC — Blue Medicare: $25,399.77 Cigna — HealthSpring: $26,161.76 Humana — Medicare: $25,399.77 Liberty Health — Medicare HMO: $26,669.76 NC Department of Public Safety — Offenders Not Medicaid eligible: $50,799.54 Pace of the Southern Piedmont — All Payer: $25,399.77 United Healthcare — Medicare: $25,399.77 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$834.49 – $1,668.98
Sleep study (overnight, in a sleep lab): 10 of 54 insurance plan rates Aetna — Medicare: $855.35 Blue Cross NC — Blue Medicare: $834.49 Cigna — HealthSpring: $859.52 Humana — Medicare: $834.49 Liberty Health — Medicare HMO: $876.21 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,668.98 Pace of the Southern Piedmont — All Payer: $834.49 United Healthcare — Medicare: $834.49 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT THERAPEUTIC EXERCISE/15MIN	$133	$66.50	$16.42 – $129.01
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates Aetna — ACA: $106.40 Aetna — Commercial: $69.82 Aetna — First Health: $99.75 Aetna — Medicare: $66.50 Aetna — Non-Par Products of APCN: $106.40 Aetna — Rental Network Products: $99.75 Aetna — Whole Health Non-Multitier: $106.40 AmeriHealth — Medicaid: $16.75 AMPS — All Plans: $73.15 Atlantic Corporation DBA Atlantic Packaging — All Plans: $61.18
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THERAPEUTIC EXERCISE/15MIN	$133	$66.50	$16.42 – $129.01
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates Aetna — ACA: $106.40 Aetna — Commercial: $69.82 Aetna — First Health: $99.75 Aetna — Medicare: $66.50 Aetna — Non-Par Products of APCN: $106.40 Aetna — Rental Network Products: $99.75 Aetna — Whole Health Non-Multitier: $106.40 AmeriHealth — Medicaid: $16.75 AMPS — All Plans: $73.15 Atlantic Corporation DBA Atlantic Packaging — All Plans: $61.18
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Cigna — Commercial: 51.5% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$300	$150	$37.05 – $291
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates Aetna — ACA: $240 Aetna — Commercial: $157.50 Aetna — First Health: $225 Aetna — Medicare: $150 Aetna — Non-Par Products of APCN: $240 Aetna — Rental Network Products: $225 Aetna — Whole Health Non-Multitier: $240 AmeriHealth — Medicaid: $37.80 AMPS — All Plans: $165 Atlantic Corporation DBA Atlantic Packaging — All Plans: $138
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$300	$150	$37.05 – $291
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates Aetna — ACA: $240 Aetna — Commercial: $157.50 Aetna — First Health: $225 Aetna — Medicare: $150 Aetna — Non-Par Products of APCN: $240 Aetna — Rental Network Products: $225 Aetna — Whole Health Non-Multitier: $240 AmeriHealth — Medicaid: $37.80 AMPS — All Plans: $165 Atlantic Corporation DBA Atlantic Packaging — All Plans: $138
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$300	$150	$37.05 – $291
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates Aetna — ACA: $240 Aetna — Commercial: $157.50 Aetna — First Health: $225 Aetna — Medicare: $150 Aetna — Non-Par Products of APCN: $240 Aetna — Rental Network Products: $225 Aetna — Whole Health Non-Multitier: $240 AmeriHealth — Medicaid: $37.80 AMPS — All Plans: $165 Atlantic Corporation DBA Atlantic Packaging — All Plans: $138
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$172.48 – $344.96
Psychotherapy, 30 minutes: 10 of 54 insurance plan rates Aetna — Medicare: $176.79 Blue Cross NC — Blue Medicare: $172.48 Cigna — HealthSpring: $177.65 Humana — Medicare: $172.48 Liberty Health — Medicare HMO: $181.10 NC Department of Public Safety — Offenders Not Medicaid eligible: $344.96 Pace of the Southern Piedmont — All Payer: $172.48 United Healthcare — Medicare: $172.48 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$172.48 – $344.96
Psychotherapy, 45 minutes: 10 of 54 insurance plan rates Aetna — Medicare: $176.79 Blue Cross NC — Blue Medicare: $172.48 Cigna — HealthSpring: $177.65 Humana — Medicare: $172.48 Liberty Health — Medicare HMO: $181.10 NC Department of Public Safety — Offenders Not Medicaid eligible: $344.96 Pace of the Southern Piedmont — All Payer: $172.48 United Healthcare — Medicare: $172.48 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$172.48 – $344.96
Psychotherapy, 60 minutes: 10 of 54 insurance plan rates Aetna — Medicare: $176.79 Blue Cross NC — Blue Medicare: $172.48 Cigna — HealthSpring: $177.65 Humana — Medicare: $172.48 Liberty Health — Medicare HMO: $181.10 NC Department of Public Safety — Offenders Not Medicaid eligible: $344.96 Pace of the Southern Piedmont — All Payer: $172.48 United Healthcare — Medicare: $172.48 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$172.48 – $344.96
Family psychotherapy, without the patient: 10 of 54 insurance plan rates Aetna — Medicare: $176.79 Blue Cross NC — Blue Medicare: $172.48 Cigna — HealthSpring: $177.65 Humana — Medicare: $172.48 Liberty Health — Medicare HMO: $181.10 NC Department of Public Safety — Offenders Not Medicaid eligible: $344.96 Pace of the Southern Piedmont — All Payer: $172.48 United Healthcare — Medicare: $172.48 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$172.48 – $344.96
Family psychotherapy, with the patient: 10 of 54 insurance plan rates Aetna — Medicare: $176.79 Blue Cross NC — Blue Medicare: $172.48 Cigna — HealthSpring: $177.65 Humana — Medicare: $172.48 Liberty Health — Medicare HMO: $181.10 NC Department of Public Safety — Offenders Not Medicaid eligible: $344.96 Pace of the Southern Piedmont — All Payer: $172.48 United Healthcare — Medicare: $172.48 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$98.72 – $197.44
Group psychotherapy: 10 of 54 insurance plan rates Aetna — Medicare: $101.19 Blue Cross NC — Blue Medicare: $98.72 Cigna — HealthSpring: $101.68 Humana — Medicare: $98.72 Liberty Health — Medicare HMO: $103.66 NC Department of Public Safety — Offenders Not Medicaid eligible: $197.44 Pace of the Southern Piedmont — All Payer: $98.72 United Healthcare — Medicare: $98.72 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,804.87 – $7,609.74
Removal of breast growth (open surgery): 10 of 54 insurance plan rates Aetna — Medicare: $3,899.99 Blue Cross NC — Blue Medicare: $3,804.87 Cigna — HealthSpring: $3,919.02 Humana — Medicare: $3,804.87 Liberty Health — Medicare HMO: $3,995.11 NC Department of Public Safety — Offenders Not Medicaid eligible: $7,609.74 Pace of the Southern Piedmont — All Payer: $3,804.87 United Healthcare — Medicare: $3,804.87 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,476.14 – $24,952.28
Total hip replacement: 10 of 54 insurance plan rates Aetna — Medicare: $12,788.04 Blue Cross NC — Blue Medicare: $12,476.14 Cigna — HealthSpring: $12,850.42 Humana — Medicare: $12,476.14 Liberty Health — Medicare HMO: $13,099.95 NC Department of Public Safety — Offenders Not Medicaid eligible: $24,952.28 Pace of the Southern Piedmont — All Payer: $12,476.14 United Healthcare — Medicare: $12,476.14 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,476.14 – $24,952.28
Total knee replacement: 10 of 54 insurance plan rates Aetna — Medicare: $12,788.04 Blue Cross NC — Blue Medicare: $12,476.14 Cigna — HealthSpring: $12,850.42 Humana — Medicare: $12,476.14 Liberty Health — Medicare HMO: $13,099.95 NC Department of Public Safety — Offenders Not Medicaid eligible: $24,952.28 Pace of the Southern Piedmont — All Payer: $12,476.14 United Healthcare — Medicare: $12,476.14 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,179.60 – $6,359.20
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 54 insurance plan rates Aetna — Medicare: $3,259.09 Blue Cross NC — Blue Medicare: $3,179.60 Cigna — HealthSpring: $3,274.99 Humana — Medicare: $3,179.60 Liberty Health — Medicare HMO: $3,338.58 NC Department of Public Safety — Offenders Not Medicaid eligible: $6,359.20 Pace of the Southern Piedmont — All Payer: $3,179.60 United Healthcare — Medicare: $3,179.60 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,752.66 – $11,505.32
Removal of tonsils and adenoids (under age 12): 10 of 54 insurance plan rates Aetna — Medicare: $5,896.48 Blue Cross NC — Blue Medicare: $5,752.66 Cigna — HealthSpring: $5,925.24 Humana — Medicare: $5,752.66 Liberty Health — Medicare HMO: $6,040.29 NC Department of Public Safety — Offenders Not Medicaid eligible: $11,505.32 Pace of the Southern Piedmont — All Payer: $5,752.66 United Healthcare — Medicare: $5,752.66 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$881.37 – $1,762.74
Upper GI endoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Medicare: $903.40 Blue Cross NC — Blue Medicare: $881.37 Cigna — HealthSpring: $907.81 Humana — Medicare: $881.37 Liberty Health — Medicare HMO: $925.44 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,762.74 Pace of the Southern Piedmont — All Payer: $881.37 United Healthcare — Medicare: $881.37 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$881.37 – $1,762.74
Upper GI endoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Medicare: $903.40 Blue Cross NC — Blue Medicare: $881.37 Cigna — HealthSpring: $907.81 Humana — Medicare: $881.37 Liberty Health — Medicare HMO: $925.44 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,762.74 Pace of the Southern Piedmont — All Payer: $881.37 United Healthcare — Medicare: $881.37 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$903.70 – $1,807.40
Colonoscopy (diagnostic): 10 of 54 insurance plan rates Aetna — Medicare: $926.29 Blue Cross NC — Blue Medicare: $903.70 Cigna — HealthSpring: $930.81 Humana — Medicare: $903.70 Liberty Health — Medicare HMO: $948.89 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,807.40 Pace of the Southern Piedmont — All Payer: $903.70 United Healthcare — Medicare: $903.70 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,162.85 – $2,325.70
Colonoscopy with biopsy: 10 of 54 insurance plan rates Aetna — Medicare: $1,191.92 Blue Cross NC — Blue Medicare: $1,162.85 Cigna — HealthSpring: $1,197.74 Humana — Medicare: $1,162.85 Liberty Health — Medicare HMO: $1,220.99 NC Department of Public Safety — Offenders Not Medicaid eligible: $2,325.70 Pace of the Southern Piedmont — All Payer: $1,162.85 United Healthcare — Medicare: $1,162.85 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,162.85 – $2,325.70
Colonoscopy with removal of polyps (snare): 10 of 54 insurance plan rates Aetna — Medicare: $1,191.92 Blue Cross NC — Blue Medicare: $1,162.85 Cigna — HealthSpring: $1,197.74 Humana — Medicare: $1,162.85 Liberty Health — Medicare HMO: $1,220.99 NC Department of Public Safety — Offenders Not Medicaid eligible: $2,325.70 Pace of the Southern Piedmont — All Payer: $1,162.85 United Healthcare — Medicare: $1,162.85 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,162.85 – $2,325.70
Ultrasound of the lower bowel by endoscope: 10 of 54 insurance plan rates Aetna — Medicare: $1,191.92 Blue Cross NC — Blue Medicare: $1,162.85 Cigna — HealthSpring: $1,197.74 Humana — Medicare: $1,162.85 Liberty Health — Medicare HMO: $1,220.99 NC Department of Public Safety — Offenders Not Medicaid eligible: $2,325.70 Pace of the Southern Piedmont — All Payer: $1,162.85 United Healthcare — Medicare: $1,162.85 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$903.70 – $1,807.40
Screening colonoscopy (not high risk): 10 of 54 insurance plan rates Aetna — Medicare: $926.29 Blue Cross NC — Blue Medicare: $903.70 Cigna — HealthSpring: $930.81 Humana — Medicare: $903.70 Liberty Health — Medicare HMO: $948.89 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,807.40 Pace of the Southern Piedmont — All Payer: $903.70 United Healthcare — Medicare: $903.70 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,874.81 – $11,749.62
Gallbladder removal by laparoscope: 10 of 54 insurance plan rates Aetna — Medicare: $6,021.68 Blue Cross NC — Blue Medicare: $5,874.81 Cigna — HealthSpring: $6,051.05 Humana — Medicare: $5,874.81 Liberty Health — Medicare HMO: $6,168.55 NC Department of Public Safety — Offenders Not Medicaid eligible: $11,749.62 Pace of the Southern Piedmont — All Payer: $5,874.81 United Healthcare — Medicare: $5,874.81 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,479.30 – $6,958.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 54 insurance plan rates Aetna — Medicare: $3,566.28 Blue Cross NC — Blue Medicare: $3,479.30 Cigna — HealthSpring: $3,583.68 Humana — Medicare: $3,479.30 Liberty Health — Medicare HMO: $3,653.27 NC Department of Public Safety — Offenders Not Medicaid eligible: $6,958.60 Pace of the Southern Piedmont — All Payer: $3,479.30 United Healthcare — Medicare: $3,479.30 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$206.26 – $239.53
Prostate biopsy: 10 of 47 insurance plan rates BCBSFL — Advantage65: $206.26 BCBSFL — BlueCare: $206.26 BCBSFL — BlueChoice: $239.53 BCBSFL — BlueMedicare HMO: $206.26 BCBSFL — BlueMedicare PPO: $206.26 BCBSFL — BlueOptions: $232.88 BCBSFL — BlueSelect: $206.26 BCBSFL — CoverFL: $232.88 BCBSFL — Essential Network: $239.53 BCBSFL — FEP: $239.53
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$10,329.66 – $20,659.32
Prostate removal by laparoscope (radical prostatectomy): 10 of 54 insurance plan rates Aetna — Medicare: $10,587.90 Blue Cross NC — Blue Medicare: $10,329.66 Cigna — HealthSpring: $10,639.55 Humana — Medicare: $10,329.66 Liberty Health — Medicare HMO: $10,846.14 NC Department of Public Safety — Offenders Not Medicaid eligible: $20,659.32 Pace of the Southern Piedmont — All Payer: $10,329.66 United Healthcare — Medicare: $10,329.66 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,145.71 – $6,291.42
Hysteroscopy with biopsy of the uterus lining: 10 of 54 insurance plan rates Aetna — Medicare: $3,224.35 Blue Cross NC — Blue Medicare: $3,145.71 Cigna — HealthSpring: $3,240.08 Humana — Medicare: $3,145.71 Liberty Health — Medicare HMO: $3,303 NC Department of Public Safety — Offenders Not Medicaid eligible: $6,291.42 Pace of the Southern Piedmont — All Payer: $3,145.71 United Healthcare — Medicare: $3,145.71 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.95 – $1,371.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 54 insurance plan rates Aetna — Medicare: $703.10 Blue Cross NC — Blue Medicare: $685.95 Cigna — HealthSpring: $706.53 Humana — Medicare: $685.95 Liberty Health — Medicare HMO: $720.25 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,371.90 Pace of the Southern Piedmont — All Payer: $685.95 United Healthcare — Medicare: $685.95 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$859.50 – $1,719
Nerve root injection, lower back, with imaging guidance: 10 of 54 insurance plan rates Aetna — Medicare: $880.99 Blue Cross NC — Blue Medicare: $859.50 Cigna — HealthSpring: $885.29 Humana — Medicare: $859.50 Liberty Health — Medicare HMO: $902.48 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,719 Pace of the Southern Piedmont — All Payer: $859.50 United Healthcare — Medicare: $859.50 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,897.58 – $3,795.16
Carpal tunnel release: 10 of 54 insurance plan rates Aetna — Medicare: $1,945.02 Blue Cross NC — Blue Medicare: $1,897.58 Cigna — HealthSpring: $1,954.51 Humana — Medicare: $1,897.58 Liberty Health — Medicare HMO: $1,992.46 NC Department of Public Safety — Offenders Not Medicaid eligible: $3,795.16 Pace of the Southern Piedmont — All Payer: $1,897.58 United Healthcare — Medicare: $1,897.58 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$534.47 – $1,068.94
Laser treatment of clouding after cataract surgery: 10 of 54 insurance plan rates Aetna — Medicare: $547.83 Blue Cross NC — Blue Medicare: $534.47 Cigna — HealthSpring: $550.50 Humana — Medicare: $534.47 Liberty Health — Medicare HMO: $561.19 NC Department of Public Safety — Offenders Not Medicaid eligible: $1,068.94 Pace of the Southern Piedmont — All Payer: $534.47 United Healthcare — Medicare: $534.47 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,242.65 – $4,485.30
Cataract removal with lens implant: 10 of 54 insurance plan rates Aetna — Medicare: $2,298.72 Blue Cross NC — Blue Medicare: $2,242.65 Cigna — HealthSpring: $2,309.93 Humana — Medicare: $2,242.65 Liberty Health — Medicare HMO: $2,354.78 NC Department of Public Safety — Offenders Not Medicaid eligible: $4,485.30 Pace of the Southern Piedmont — All Payer: $2,242.65 United Healthcare — Medicare: $2,242.65 Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery, with care before and after: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 47 insurance plan rates Aetna — ACA: 80% (a percentage in the contract, not a dollar amount) Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount) Aetna — First Health: 75% (a percentage in the contract, not a dollar amount) Aetna — Medicare: 50% (a percentage in the contract, not a dollar amount) Aetna — Non-Par Products of APCN: 80% (a percentage in the contract, not a dollar amount) Aetna — Rental Network Products: 75% (a percentage in the contract, not a dollar amount) Aetna — Whole Health Non-Multitier: 80% (a percentage in the contract, not a dollar amount) AmeriHealth — Medicaid: 12.6% (a percentage in the contract, not a dollar amount) AMPS — All Plans: 55% (a percentage in the contract, not a dollar amount) Atlantic Corporation DBA Atlantic Packaging — All Plans: 46% (a percentage in the contract, not a dollar amount)

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	$79,896.91 – $208,011.68
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 54 insurance plan rates Aetna — Medicare: $81,894.33 AmeriHealth — Medicaid: $119,531.79 Blue Cross NC — Blue Home: $106,642.30 Blue Cross NC — Blue Medicare: $79,896.91 Blue Cross NC — Blue Value: $155,703.04 Blue Cross NC — Healthy Blue Medicaid: $119,531.79 Blue Cross NC — HMO: $193,278.78 Blue Cross NC — PPO: $193,278.78 Caresource North Carolina — Qualified Health Plan: $107,610.80 Carolina Complete — Medicaid: $117,188.02
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	$15,753.48 – $49,815
Hip or knee replacement (major joint of the leg), without major complications: 10 of 54 insurance plan rates Aetna — Medicare: $16,147.32 AmeriHealth — Medicaid: $20,273.30 Blue Cross NC — Blue Home: $21,026.94 Blue Cross NC — Blue Medicare: $15,753.48 Blue Cross NC — Blue Value: $30,700.37 Blue Cross NC — Healthy Blue Medicaid: $20,273.30 Blue Cross NC — HMO: $38,109.28 Blue Cross NC — PPO: $38,109.28 Caresource North Carolina — Qualified Health Plan: $21,217.90 Carolina Complete — Medicaid: $19,875.78
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	$19,900.21 – $54,475
Neck (cervical) spinal fusion, without complications: 10 of 54 insurance plan rates Aetna — Medicare: $20,436.75 AmeriHealth — Medicaid: $20,298.21 Blue Cross NC — Blue Home: $26,612.61 Blue Cross NC — Blue Medicare: $19,938.29 Blue Cross NC — Blue Value: $38,855.73 Blue Cross NC — Healthy Blue Medicaid: $20,298.21 Blue Cross NC — HMO: $48,232.76 Blue Cross NC — PPO: $48,232.76 Caresource North Carolina — Qualified Health Plan: $26,854.30 Carolina Complete — Medicaid: $19,900.21
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	$10,132.90 – $26,381
Uterus and ovary surgery (not for cancer), without complications: 10 of 54 insurance plan rates Aetna — Medicare: $10,386.22 AmeriHealth — Medicaid: $10,355.12 Blue Cross NC — Blue Home: $13,524.87 Blue Cross NC — Blue Medicare: $10,132.90 Blue Cross NC — Blue Value: $19,746.98 Blue Cross NC — Healthy Blue Medicaid: $10,355.12 Blue Cross NC — HMO: $24,512.51 Blue Cross NC — PPO: $24,512.51 Caresource North Carolina — Qualified Health Plan: $13,647.70 Carolina Complete — Medicaid: $10,152.07

Source: Novant Health Huntersville Medical Center’s standard charges file (www2.novanthealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 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	10030 Gilead Road, Huntersville, NC 28078
County	Mecklenburg County
State	North Carolina
Phone	(704) 316‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	340183
Name in Medicare records	NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Huntersville Medical Center
Official website	novanthealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

About | Huntersville Medical Center | Novant Health — novanthealth.org
Huntersville Medical Center | Novant Health — novanthealth.org
Patients | Huntersville Medical Center | Novant Health — novanthealth.org
Services | Huntersville Medical Center | Novant Health — novanthealth.org
Maternity and Labor & Delivery at Huntersville Medical Center — novanthealth.org
Emergency Medical Services & Trauma Services | Novant Health — novanthealth.org
Expert Stroke Care and Recovery Services | Novant Health — novanthealth.org