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Acute Care Hospital

Oaklawn Hospital

Marshall, Michigan · Calhoun County · Emergency services listed

Oaklawn Hospital is an acute care hospital at 200 N Madison, Marshall, MI 49068. Phone: (269) 781-4271. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Oaklawn Hospital is an acute care hospital in Marshall, Michigan. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 68 services, specialties and programs. Medicare lists 279 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(269) 781‑4271 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
77Beds (hospital website)
279Doctors and clinicians
68Services listed

Quick answers

Does Oaklawn Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Oaklawn Hospital. In a medical emergency, call 911.
Where is Oaklawn Hospital?
200 N Madison, Marshall, MI 49068, in Calhoun County, Michigan.
What is the phone number of Oaklawn Hospital?
(269) 781-4271, as listed by Medicare (CMS).
What is the Medicare star rating of Oaklawn Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Oaklawn Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Oaklawn Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0259; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][9]

Conditions treated[16]

Treatments[4][10][15][16][17]

  • Dialysis
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Diabetes Education
  • Hospice
  • Total knee replacement
  • Partial knee replacement
  • Total hip replacement
  • Robotic-assisted joint replacement (Mako)
  • Colonoscopy
  • Upper endoscopy (EGD)
  • Minimally invasive breast biopsy
  • Echocardiogram
  • Electrocardiogram (EKG)
  • Cardiac stress testing
  • Pulmonary function testing

Procedures[11]

Programs and centers[4][14][15]

  • Birth Center & Childbirth Education
  • Surgical Services
  • Birth Center
  • Prepared childbirth education classes
  • Oaklawn Cardiopulmonary diagnostic testing

Emergency care (hospital website)[4][13]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting open on all units unless a department says otherwise; building secured 9 p.m.-5:30 a.m. via the Emergency Department[6]
ParkingValet parking available[5]
Interpreters and languagesInterpreters for American Sign Language and foreign languages[5]

Recognition[15]

  • Intersocietal Accreditation Commission (IAC) accreditation for Oaklawn Cardiopulmonary services

Doctors and clinicians (279)

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

Main specialties

Doctors with a page on this site (279)

And 255 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Marshall

Hospitals in Calhoun County · Hospitals near me

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital73%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well81%National average: 80%
“Always” got help as soon as they wanted64%National average: 64%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean79%National average: 73%
Completed surveys434Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Catheter-associated urinary tract infections (CAUTI)0.931No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.786No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients12.3%
Deaths within 30 days: pneumonia patients17.1%
Deaths within 30 days: COPD patients9.1%
Serious complications (patient safety indicator PSI-90)0.88No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)17.1%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD18.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)48%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Oaklawn Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.0259Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9382Fewer readmissions than expected
Pneumonia1.0121More readmissions than expected
COPD (chronic lung disease)0.9661Fewer readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score48.88 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)73.00 out of 100
Safety (infections and sepsis care)42.50 out of 100
Efficiency and cost reduction (Medicare spending)80.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.87Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 MichiganBest hospitals in Michigan

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Oaklawn Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 77 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT VISIT LOW / MOD $245 Not listed in the file $51.97 – $196
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $73.90
  • Aetna — Better Health of Michigan: $52.19
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $117.35
  • Blue Cross — Blue Cross Complete: $52.19
  • Blue Cross — Blue Cross Network (BCN) Advantage: $71.06
  • CHAMPVA — CHAMPVA: $71.06
  • CIGNA — Commercial/National Association of Letter Carriers: $115.88
  • Cofinity — Advantage Business: $95.22
  • Cofinity — Auto: $95.22
  • Cofinity — Workers Comp: $95.22
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC Comm Office Visit Level 3 NEW (99203) $245 Not listed in the file $98 – $220.50
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $183.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $104.22
  • Blue Cross — Blue Cross Complete: $98
  • CIGNA — Commercial/National Association of Letter Carriers: $166.60
  • Cofinity — Advantage Business: $171.50
  • Cofinity — Auto: $220.50
  • Cofinity — Workers Comp: $203.35
  • HAP — HMO/PPO: $208.25
  • HAP — Medicare: $122.50
  • Healthscope — ASR Healthscope: $213.15
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC M/M Office Visit Level 3 NEW (99203) $115 Not listed in the file $46 – $103.50
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $86.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $48.92
  • Blue Cross — Blue Cross Complete: $46
  • CIGNA — Commercial/National Association of Letter Carriers: $78.20
  • Cofinity — Advantage Business: $80.50
  • Cofinity — Auto: $103.50
  • Cofinity — Workers Comp: $95.45
  • HAP — HMO/PPO: $97.75
  • HAP — Medicare: $57.50
  • Healthscope — ASR Healthscope: $100.05
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT VISIT MOD / HIGH $324 Not listed in the file $84.56 – $259.20
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $120.66
  • Aetna — Better Health of Michigan: $84.99
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $179.33
  • Blue Cross — Blue Cross Complete: $84.99
  • Blue Cross — Blue Cross Network (BCN) Advantage: $116.02
  • CHAMPVA — CHAMPVA: $116.02
  • CIGNA — Commercial/National Association of Letter Carriers: $171.91
  • Cofinity — Advantage Business: $155.47
  • Cofinity — Auto: $155.47
  • Cofinity — Workers Comp: $155.47
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC Comm Office Visit Level 4 NEW (99204) $324 Not listed in the file $129.60 – $291.60
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $243
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $137.83
  • Blue Cross — Blue Cross Complete: $129.60
  • CIGNA — Commercial/National Association of Letter Carriers: $220.32
  • Cofinity — Advantage Business: $226.80
  • Cofinity — Auto: $291.60
  • Cofinity — Workers Comp: $268.92
  • HAP — HMO/PPO: $275.40
  • HAP — Medicare: $162
  • Healthscope — ASR Healthscope: $281.88
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC M/M Office Visit Level 4 NEW (99204) $194 Not listed in the file $77.60 – $174.60
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $145.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $82.53
  • Blue Cross — Blue Cross Complete: $77.60
  • CIGNA — Commercial/National Association of Letter Carriers: $131.92
  • Cofinity — Advantage Business: $135.80
  • Cofinity — Auto: $174.60
  • Cofinity — Workers Comp: $161.02
  • HAP — HMO/PPO: $164.90
  • HAP — Medicare: $97
  • Healthscope — ASR Healthscope: $168.78
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PATIENT VISIT HIGH $383 Not listed in the file $115.02 – $306.40
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $165.51
  • Aetna — Better Health of Michigan: $115.66
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $226.59
  • Blue Cross — Blue Cross Complete: $115.66
  • Blue Cross — Blue Cross Network (BCN) Advantage: $159.14
  • CHAMPVA — CHAMPVA: $159.14
  • CIGNA — Commercial/National Association of Letter Carriers: $226.90
  • Cofinity — Advantage Business: $213.25
  • Cofinity — Auto: $213.25
  • Cofinity — Workers Comp: $213.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC Comm Office Visit Level 5 NEW (99205) $383 Not listed in the file $153.20 – $344.70
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $287.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $162.93
  • Blue Cross — Blue Cross Complete: $153.20
  • CIGNA — Commercial/National Association of Letter Carriers: $260.44
  • Cofinity — Advantage Business: $268.10
  • Cofinity — Auto: $344.70
  • Cofinity — Workers Comp: $317.89
  • HAP — HMO/PPO: $325.55
  • HAP — Medicare: $191.50
  • Healthscope — ASR Healthscope: $333.21
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC M/M Office Visit Level 5 NEW (99205) $253 Not listed in the file $101.20 – $227.70
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $189.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $107.63
  • Blue Cross — Blue Cross Complete: $101.20
  • CIGNA — Commercial/National Association of Letter Carriers: $172.04
  • Cofinity — Advantage Business: $177.10
  • Cofinity — Auto: $227.70
  • Cofinity — Workers Comp: $209.99
  • HAP — HMO/PPO: $215.05
  • HAP — Medicare: $126.50
  • Healthscope — ASR Healthscope: $220.11
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE OP ESTAB VISIT MOD $207 Not listed in the file $41.75 – $165.60
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $59.16
  • Aetna — Better Health of Michigan: $41.96
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $85.82
  • Blue Cross — Blue Cross Complete: $41.96
  • Blue Cross — Blue Cross Network (BCN) Advantage: $56.88
  • CHAMPVA — CHAMPVA: $56.88
  • CIGNA — Commercial/National Association of Letter Carriers: $93.27
  • Cofinity — Advantage Business: $76.22
  • Cofinity — Auto: $76.22
  • Cofinity — Workers Comp: $76.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC Comm Office Visit Level 3 EST (99213) $207 Not listed in the file $82.80 – $186.30
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $155.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $88.06
  • Blue Cross — Blue Cross Complete: $82.80
  • CIGNA — Commercial/National Association of Letter Carriers: $140.76
  • Cofinity — Advantage Business: $144.90
  • Cofinity — Auto: $186.30
  • Cofinity — Workers Comp: $171.81
  • HAP — HMO/PPO: $175.95
  • HAP — Medicare: $103.50
  • Healthscope — ASR Healthscope: $180.09
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC M/M Office Visit Level 3 EST (99213) $77 Not listed in the file $30.80 – $69.30
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $57.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $32.76
  • Blue Cross — Blue Cross Complete: $30.80
  • CIGNA — Commercial/National Association of Letter Carriers: $52.36
  • Cofinity — Advantage Business: $53.90
  • Cofinity — Auto: $69.30
  • Cofinity — Workers Comp: $63.91
  • HAP — HMO/PPO: $65.45
  • HAP — Medicare: $38.50
  • Healthscope — ASR Healthscope: $66.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE OP ESTAB VISIT MOD/HIGH $248 Not listed in the file $61.56 – $198.40
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $87.09
  • Aetna — Better Health of Michigan: $61.77
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $124.45
  • Blue Cross — Blue Cross Complete: $61.77
  • Blue Cross — Blue Cross Network (BCN) Advantage: $83.74
  • CHAMPVA — CHAMPVA: $83.74
  • CIGNA — Commercial/National Association of Letter Carriers: $131.89
  • Cofinity — Advantage Business: $112.21
  • Cofinity — Auto: $112.21
  • Cofinity — Workers Comp: $112.21
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC Comm Office Visit Level 4 EST (99214) $248 Not listed in the file $99.20 – $223.20
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $186
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $105.50
  • Blue Cross — Blue Cross Complete: $99.20
  • CIGNA — Commercial/National Association of Letter Carriers: $168.64
  • Cofinity — Advantage Business: $173.60
  • Cofinity — Auto: $223.20
  • Cofinity — Workers Comp: $205.84
  • HAP — HMO/PPO: $210.80
  • HAP — Medicare: $124
  • Healthscope — ASR Healthscope: $215.76
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ONC M/M Office Visit Level 4 EST (99214) $118 Not listed in the file $47.20 – $106.20
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $88.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $50.20
  • Blue Cross — Blue Cross Complete: $47.20
  • CIGNA — Commercial/National Association of Letter Carriers: $80.24
  • Cofinity — Advantage Business: $82.60
  • Cofinity — Auto: $106.20
  • Cofinity — Workers Comp: $97.94
  • HAP — HMO/PPO: $100.30
  • HAP — Medicare: $59
  • Healthscope — ASR Healthscope: $102.66
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: CONSULT MOD DESIC MOD-HIGH SEVER $540 Not listed in the file $84.99 – $432
Office consultation with a specialist (moderate to high): 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $84.99
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $212.51
  • Blue Cross — Blue Cross Complete: $84.99
  • CIGNA — Commercial/National Association of Letter Carriers: $206.46
  • Cofinity — Advantage Business: $405
  • Cofinity — Auto: $405
  • Cofinity — Workers Comp: $405
  • HAP — HMO/PPO: $405
  • HAP — Medicare: $270
  • Healthscope — ASR Healthscope: $432
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PT PREVENT MED 18 TO 39 $323 Not listed in the file $69 – $258.40
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $69
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $150.35
  • Blue Cross — Blue Cross Complete: $69
  • CIGNA — Commercial/National Association of Letter Carriers: $167.31
  • Cofinity — Advantage Business: $242.25
  • Cofinity — Auto: $242.25
  • Cofinity — Workers Comp: $242.25
  • HAP — HMO/PPO: $242.25
  • HAP — Medicare: $161.50
  • Healthscope — ASR Healthscope: $258.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 22 In the file: NEW PT PREVENT MED 18 TO 39 $323 Not listed in the file $69 – $258.40
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $69
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $150.35
  • Blue Cross — Blue Cross Complete: $69
  • CIGNA — Commercial/National Association of Letter Carriers: $167.31
  • Cofinity — Advantage Business: $242.25
  • Cofinity — Auto: $242.25
  • Cofinity — Workers Comp: $242.25
  • HAP — HMO/PPO: $242.25
  • HAP — Medicare: $161.50
  • Healthscope — ASR Healthscope: $258.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: NEW PT PREVENT MED 40 TO 64 $356 Not listed in the file $84.51 – $284.80
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $84.51
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $173.27
  • Blue Cross — Blue Cross Complete: $84.51
  • CIGNA — Commercial/National Association of Letter Carriers: $192.64
  • Cofinity — Advantage Business: $267
  • Cofinity — Auto: $267
  • Cofinity — Workers Comp: $267
  • HAP — HMO/PPO: $267
  • HAP — Medicare: $178
  • Healthscope — ASR Healthscope: $284.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 22 In the file: NEW PT PREVENT MED 40 TO 64 $356 Not listed in the file $84.51 – $284.80
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $84.51
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $173.27
  • Blue Cross — Blue Cross Complete: $84.51
  • CIGNA — Commercial/National Association of Letter Carriers: $192.64
  • Cofinity — Advantage Business: $267
  • Cofinity — Auto: $267
  • Cofinity — Workers Comp: $267
  • HAP — HMO/PPO: $267
  • HAP — Medicare: $178
  • Healthscope — ASR Healthscope: $284.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL III -EMER CARE $1,129 Not listed in the file $148.87 – $1,476
Emergency room visit (moderate): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $272.15
  • Aetna — Better Health of Michigan: $156.32
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $846.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $480.28
  • Blue Cross — Blue Cross Complete: $148.87
  • Blue Cross — Blue Cross Network (BCN) Advantage: $272.15
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $272.15
  • Centra Care - PACE — Senior Care Partners P.A.: $258.54
  • CHAMPVA — CHAMPVA: $272.15
  • CIGNA — Commercial/National Association of Letter Carriers: $767.72
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Level 3 Emer Care $1,129 Not listed in the file $148.87 – $1,476
Emergency room visit (moderate): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $272.15
  • Aetna — Better Health of Michigan: $156.32
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $846.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $480.28
  • Blue Cross — Blue Cross Complete: $148.87
  • Blue Cross — Blue Cross Network (BCN) Advantage: $272.15
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $272.15
  • Centra Care - PACE — Senior Care Partners P.A.: $258.54
  • CHAMPVA — CHAMPVA: $272.15
  • CIGNA — Commercial/National Association of Letter Carriers: $767.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT E&M MOD SEVER $454 Not listed in the file $44.94 – $125.14
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $72.30
  • Aetna — Better Health of Michigan: $44.94
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $112.38
  • Blue Cross — Blue Cross Complete: $44.94
  • Blue Cross — Blue Cross Network (BCN) Advantage: $69.52
  • CHAMPVA — CHAMPVA: $69.52
  • CIGNA — Commercial/National Association of Letter Carriers: $108.57
  • Cofinity — Advantage Business: $93.16
  • Cofinity — Auto: $93.16
  • Cofinity — Workers Comp: $93.16
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL IV - EMER CARE $1,879 Not listed in the file $227.55 – $1,931
Emergency room visit (moderately high): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $415.99
  • Aetna — Better Health of Michigan: $238.94
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,409.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $799.33
  • Blue Cross — Blue Cross Complete: $227.55
  • Blue Cross — Blue Cross Network (BCN) Advantage: $415.99
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $415.99
  • Centra Care - PACE — Senior Care Partners P.A.: $395.19
  • CHAMPVA — CHAMPVA: $415.99
  • CIGNA — Commercial/National Association of Letter Carriers: $1,277.72
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Level 4 Emer Care $1,879 Not listed in the file $227.55 – $1,931
Emergency room visit (moderately high): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $415.99
  • Aetna — Better Health of Michigan: $238.94
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,409.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $799.33
  • Blue Cross — Blue Cross Complete: $227.55
  • Blue Cross — Blue Cross Network (BCN) Advantage: $415.99
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $415.99
  • Centra Care - PACE — Senior Care Partners P.A.: $395.19
  • CHAMPVA — CHAMPVA: $415.99
  • CIGNA — Commercial/National Association of Letter Carriers: $1,277.72
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT E&M HIGH SEVER $771 Not listed in the file $76.47 – $213.19
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $123.18
  • Aetna — Better Health of Michigan: $76.68
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $191.20
  • Blue Cross — Blue Cross Complete: $76.68
  • Blue Cross — Blue Cross Network (BCN) Advantage: $118.44
  • CHAMPVA — CHAMPVA: $118.44
  • CIGNA — Commercial/National Association of Letter Carriers: $193.43
  • Cofinity — Advantage Business: $158.71
  • Cofinity — Auto: $158.71
  • Cofinity — Workers Comp: $158.71
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEVEL V - EMER CARE $3,003 Not listed in the file $324.76 – $2,702.70
Emergency room visit (high): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $593.72
  • Aetna — Better Health of Michigan: $341.03
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,252.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,277.48
  • Blue Cross — Blue Cross Complete: $324.76
  • Blue Cross — Blue Cross Network (BCN) Advantage: $593.72
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $593.72
  • Centra Care - PACE — Senior Care Partners P.A.: $564.03
  • CHAMPVA — CHAMPVA: $593.72
  • CIGNA — Commercial/National Association of Letter Carriers: $2,042.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB Level 5 Emer Care $3,003 Not listed in the file $324.76 – $2,702.70
Emergency room visit (high): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $593.72
  • Aetna — Better Health of Michigan: $341.03
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,252.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,277.48
  • Blue Cross — Blue Cross Complete: $324.76
  • Blue Cross — Blue Cross Network (BCN) Advantage: $593.72
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $593.72
  • Centra Care - PACE — Senior Care Partners P.A.: $564.03
  • CHAMPVA — CHAMPVA: $593.72
  • CIGNA — Commercial/National Association of Letter Carriers: $2,042.04
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT E&M HIGH SEVER SIGNIF THRT $1,131 Not listed in the file $110.76 – $308.75
Emergency room visit (high): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $178.39
  • Aetna — Better Health of Michigan: $111.19
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $276.95
  • Blue Cross — Blue Cross Complete: $111.19
  • Blue Cross — Blue Cross Network (BCN) Advantage: $171.53
  • CHAMPVA — CHAMPVA: $171.53
  • CIGNA — Commercial/National Association of Letter Carriers: $284.90
  • Cofinity — Advantage Business: $229.85
  • Cofinity — Auto: $229.85
  • Cofinity — Workers Comp: $229.85

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $30 Not listed in the file $4.63 – $27
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $8.46
  • Aetna — Better Health of Michigan: $4.86
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $9.31
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $12.76
  • Blue Cross — Blue Cross Complete: $4.63
  • Blue Cross — Blue Cross Network (BCN) Advantage: $8.46
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $8.46
  • Centra Care - PACE — Senior Care Partners P.A.: $8.04
  • CHAMPVA — CHAMPVA: $8.46
  • CIGNA — Commercial/National Association of Letter Carriers: $20.40
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $30 Not listed in the file $19.50 – $27
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $22.50
  • CIGNA — Commercial/National Association of Letter Carriers: $19.50
  • Cofinity — Advantage Business: $21
  • Cofinity — Auto: $27
  • Cofinity — Workers Comp: $24.90
  • HAP — HMO/PPO: $25.50
  • McLaren Health Plan — Commercial: $20.40
  • PHP Mid-Michigan — Commercial: $20.40
  • Priority Health — Commercial: $19.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $37 Not listed in the file $5.78 – $33.30
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $10.56
  • Aetna — Better Health of Michigan: $6.07
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $11.62
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $15.74
  • Blue Cross — Blue Cross Complete: $5.78
  • Blue Cross — Blue Cross Network (BCN) Advantage: $10.56
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $10.56
  • Centra Care - PACE — Senior Care Partners P.A.: $10.03
  • CHAMPVA — CHAMPVA: $10.56
  • CIGNA — Commercial/National Association of Letter Carriers: $25.16
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $37 Not listed in the file $24.05 – $33.30
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $27.75
  • CIGNA — Commercial/National Association of Letter Carriers: $24.05
  • Cofinity — Advantage Business: $25.90
  • Cofinity — Auto: $33.30
  • Cofinity — Workers Comp: $30.71
  • HAP — HMO/PPO: $31.45
  • McLaren Health Plan — Commercial: $25.16
  • PHP Mid-Michigan — Commercial: $25.16
  • Priority Health — Commercial: $24.05
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $43 Not listed in the file $7.32 – $38.70
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $13.39
  • Aetna — Better Health of Michigan: $7.69
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $14.73
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $18.29
  • Blue Cross — Blue Cross Complete: $7.32
  • Blue Cross — Blue Cross Network (BCN) Advantage: $13.39
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $13.39
  • Centra Care - PACE — Senior Care Partners P.A.: $12.72
  • CHAMPVA — CHAMPVA: $13.39
  • CIGNA — Commercial/National Association of Letter Carriers: $29.24
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel $43 Not listed in the file $27.95 – $38.70
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $32.25
  • CIGNA — Commercial/National Association of Letter Carriers: $27.95
  • Cofinity — Advantage Business: $30.10
  • Cofinity — Auto: $38.70
  • Cofinity — Workers Comp: $35.69
  • HAP — HMO/PPO: $36.55
  • McLaren Health Plan — Commercial: $29.24
  • PHP Mid-Michigan — Commercial: $29.24
  • Priority Health — Commercial: $27.95
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $14 Not listed in the file $4.47 – $14.71
Liver function panel: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $8.17
  • Aetna — Better Health of Michigan: $4.69
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $8.99
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $5.96
  • Blue Cross — Blue Cross Complete: $4.47
  • Blue Cross — Blue Cross Network (BCN) Advantage: $8.17
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $8.17
  • Centra Care - PACE — Senior Care Partners P.A.: $7.76
  • CHAMPVA — CHAMPVA: $8.17
  • CIGNA — Commercial/National Association of Letter Carriers: $9.52
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $14 Not listed in the file $9.10 – $12.60
Liver function panel: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $10.50
  • CIGNA — Commercial/National Association of Letter Carriers: $9.10
  • Cofinity — Advantage Business: $9.80
  • Cofinity — Auto: $12.60
  • Cofinity — Workers Comp: $11.62
  • HAP — HMO/PPO: $11.90
  • McLaren Health Plan — Commercial: $9.52
  • PHP Mid-Michigan — Commercial: $9.52
  • Priority Health — Commercial: $9.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Culture if Indicated $9 Not listed in the file $1.73 – $8.10
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3.17
  • Aetna — Better Health of Michigan: $1.82
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3.49
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $3.83
  • Blue Cross — Blue Cross Complete: $1.73
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3.17
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $3.17
  • Centra Care - PACE — Senior Care Partners P.A.: $3.01
  • CHAMPVA — CHAMPVA: $3.17
  • CIGNA — Commercial/National Association of Letter Carriers: $6.12
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis with Culture if Indicated $9 Not listed in the file $5.85 – $8.10
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $6.75
  • CIGNA — Commercial/National Association of Letter Carriers: $5.85
  • Cofinity — Advantage Business: $6.30
  • Cofinity — Auto: $8.10
  • Cofinity — Workers Comp: $7.47
  • HAP — HMO/PPO: $7.65
  • McLaren Health Plan — Commercial: $6.12
  • PHP Mid-Michigan — Commercial: $6.12
  • Priority Health — Commercial: $5.85
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS WO MICRO MANUAL $7 Not listed in the file $2.09 – $6.26
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3.62
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $3.48
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3.48
  • CHAMPVA — CHAMPVA: $3.48
  • CIGNA — Commercial/National Association of Letter Carriers: $3.52
  • Cofinity — Advantage Business: $4.66
  • Cofinity — Auto: $4.66
  • Cofinity — Workers Comp: $4.66
  • HAP — HMO/PPO: $4.18
  • HAP — Medicare: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Protein Urine Dipstick $80 Not listed in the file $1.23 – $72
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2.25
  • Aetna — Better Health of Michigan: $1.29
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2.48
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $34.03
  • Blue Cross — Blue Cross Complete: $1.23
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2.25
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $2.25
  • Centra Care - PACE — Senior Care Partners P.A.: $2.14
  • CHAMPVA — CHAMPVA: $2.25
  • CIGNA — Commercial/National Association of Letter Carriers: $54.40
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Protein Urine Dipstick $80 Not listed in the file $52 – $72
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $60
  • CIGNA — Commercial/National Association of Letter Carriers: $52
  • Cofinity — Advantage Business: $56
  • Cofinity — Auto: $72
  • Cofinity — Workers Comp: $66.40
  • HAP — HMO/PPO: $68
  • McLaren Health Plan — Commercial: $54.40
  • PHP Mid-Michigan — Commercial: $54.40
  • Priority Health — Commercial: $52
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: PBB URINALYSIS WO MICRO AUTO $15 Not listed in the file $1.23 – $13.50
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2.25
  • Aetna — Better Health of Michigan: $1.29
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2.48
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $6.38
  • Blue Cross — Blue Cross Complete: $1.23
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2.25
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $2.25
  • Centra Care - PACE — Senior Care Partners P.A.: $2.14
  • CHAMPVA — CHAMPVA: $2.25
  • CIGNA — Commercial/National Association of Letter Carriers: $10.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total and Free $283 Not listed in the file $10.06 – $254.70
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $18.39
  • Aetna — Better Health of Michigan: $10.56
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $20.23
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $120.39
  • Blue Cross — Blue Cross Complete: $10.06
  • Blue Cross — Blue Cross Network (BCN) Advantage: $18.39
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $18.39
  • Centra Care - PACE — Senior Care Partners P.A.: $17.47
  • CHAMPVA — CHAMPVA: $18.39
  • CIGNA — Commercial/National Association of Letter Carriers: $192.44
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostatic Specific Antigen Diagnostic $65 Not listed in the file $10.06 – $58.50
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $18.39
  • Aetna — Better Health of Michigan: $10.56
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $20.23
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $27.65
  • Blue Cross — Blue Cross Complete: $10.06
  • Blue Cross — Blue Cross Network (BCN) Advantage: $18.39
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $18.39
  • Centra Care - PACE — Senior Care Partners P.A.: $17.47
  • CHAMPVA — CHAMPVA: $18.39
  • CIGNA — Commercial/National Association of Letter Carriers: $44.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA Total and Free $283 Not listed in the file $183.95 – $254.70
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $212.25
  • CIGNA — Commercial/National Association of Letter Carriers: $183.95
  • Cofinity — Advantage Business: $198.10
  • Cofinity — Auto: $254.70
  • Cofinity — Workers Comp: $234.89
  • HAP — HMO/PPO: $240.55
  • McLaren Health Plan — Commercial: $192.44
  • PHP Mid-Michigan — Commercial: $192.44
  • Priority Health — Commercial: $183.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $58 Not listed in the file $9.19 – $52.20
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $16.80
  • Aetna — Better Health of Michigan: $9.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $18.48
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $24.67
  • Blue Cross — Blue Cross Complete: $9.19
  • Blue Cross — Blue Cross Network (BCN) Advantage: $16.80
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $16.80
  • Centra Care - PACE — Senior Care Partners P.A.: $15.96
  • CHAMPVA — CHAMPVA: $16.80
  • CIGNA — Commercial/National Association of Letter Carriers: $39.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Screen $58 Not listed in the file $9.19 – $52.20
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $16.80
  • Aetna — Better Health of Michigan: $9.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $18.48
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $24.67
  • Blue Cross — Blue Cross Complete: $9.19
  • Blue Cross — Blue Cross Network (BCN) Advantage: $16.80
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $16.80
  • Centra Care - PACE — Senior Care Partners P.A.: $15.96
  • CHAMPVA — CHAMPVA: $16.80
  • CIGNA — Commercial/National Association of Letter Carriers: $39.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $58 Not listed in the file $37.70 – $52.20
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $43.50
  • CIGNA — Commercial/National Association of Letter Carriers: $37.70
  • Cofinity — Advantage Business: $40.60
  • Cofinity — Auto: $52.20
  • Cofinity — Workers Comp: $48.14
  • HAP — HMO/PPO: $49.30
  • McLaren Health Plan — Commercial: $39.44
  • PHP Mid-Michigan — Commercial: $39.44
  • Priority Health — Commercial: $37.70
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count w/ Automated Differential $27 Not listed in the file $4.25 – $24.30
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $7.77
  • Aetna — Better Health of Michigan: $4.46
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $8.55
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $11.49
  • Blue Cross — Blue Cross Complete: $4.25
  • Blue Cross — Blue Cross Network (BCN) Advantage: $7.77
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $7.77
  • Centra Care - PACE — Senior Care Partners P.A.: $7.38
  • CHAMPVA — CHAMPVA: $7.77
  • CIGNA — Commercial/National Association of Letter Carriers: $18.36
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W/AUTO DIFF&PLATELET $22 Not listed in the file $3.26 – $13.99
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $8.08
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $7.77
  • Blue Cross — Blue Cross Network (BCN) Advantage: $7.77
  • CHAMPVA — CHAMPVA: $7.77
  • CIGNA — Commercial/National Association of Letter Carriers: $8.08
  • Cofinity — Advantage Business: $10.41
  • Cofinity — Auto: $10.41
  • Cofinity — Workers Comp: $10.41
  • HAP — HMO/PPO: $9.32
  • HAP — Medicare: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete Blood Count w/ Automated Differential $27 Not listed in the file $17.55 – $24.30
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $20.25
  • CIGNA — Commercial/National Association of Letter Carriers: $17.55
  • Cofinity — Advantage Business: $18.90
  • Cofinity — Auto: $24.30
  • Cofinity — Workers Comp: $22.41
  • HAP — HMO/PPO: $22.95
  • McLaren Health Plan — Commercial: $18.36
  • PHP Mid-Michigan — Commercial: $18.36
  • Priority Health — Commercial: $17.55
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC-without Differential $14 Not listed in the file $3.54 – $12.60
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $6.47
  • Aetna — Better Health of Michigan: $3.72
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $7.12
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $5.96
  • Blue Cross — Blue Cross Complete: $3.54
  • Blue Cross — Blue Cross Network (BCN) Advantage: $6.47
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $6.47
  • Centra Care - PACE — Senior Care Partners P.A.: $6.15
  • CHAMPVA — CHAMPVA: $6.47
  • CIGNA — Commercial/National Association of Letter Carriers: $9.52
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC-without Differential $14 Not listed in the file $9.10 – $12.60
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $10.50
  • CIGNA — Commercial/National Association of Letter Carriers: $9.10
  • Cofinity — Advantage Business: $9.80
  • Cofinity — Auto: $12.60
  • Cofinity — Workers Comp: $11.62
  • HAP — HMO/PPO: $11.90
  • McLaren Health Plan — Commercial: $9.52
  • PHP Mid-Michigan — Commercial: $9.52
  • Priority Health — Commercial: $9.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time $13 Not listed in the file $2.35 – $11.70
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $4.29
  • Aetna — Better Health of Michigan: $2.46
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $4.72
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $5.53
  • Blue Cross — Blue Cross Complete: $2.35
  • Blue Cross — Blue Cross Network (BCN) Advantage: $4.29
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $4.29
  • Centra Care - PACE — Senior Care Partners P.A.: $4.08
  • CHAMPVA — CHAMPVA: $4.29
  • CIGNA — Commercial/National Association of Letter Carriers: $8.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time (To-Sparrow) $13 Not listed in the file $2.35 – $11.70
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $4.29
  • Aetna — Better Health of Michigan: $2.46
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $4.72
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $5.53
  • Blue Cross — Blue Cross Complete: $2.35
  • Blue Cross — Blue Cross Network (BCN) Advantage: $4.29
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $4.29
  • Centra Care - PACE — Senior Care Partners P.A.: $4.08
  • CHAMPVA — CHAMPVA: $4.29
  • CIGNA — Commercial/National Association of Letter Carriers: $8.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time $13 Not listed in the file $8.45 – $11.70
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $9.75
  • CIGNA — Commercial/National Association of Letter Carriers: $8.45
  • Cofinity — Advantage Business: $9.10
  • Cofinity — Auto: $11.70
  • Cofinity — Workers Comp: $10.79
  • HAP — HMO/PPO: $11.05
  • McLaren Health Plan — Commercial: $8.84
  • PHP Mid-Michigan — Commercial: $8.84
  • Priority Health — Commercial: $8.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT - Sparrow $126 Not listed in the file $3.29 – $113.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $6.01
  • Aetna — Better Health of Michigan: $3.45
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $6.61
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $53.60
  • Blue Cross — Blue Cross Complete: $3.29
  • Blue Cross — Blue Cross Network (BCN) Advantage: $6.01
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $6.01
  • Centra Care - PACE — Senior Care Partners P.A.: $5.71
  • CHAMPVA — CHAMPVA: $6.01
  • CIGNA — Commercial/National Association of Letter Carriers: $85.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $126 Not listed in the file $3.29 – $113.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $6.01
  • Aetna — Better Health of Michigan: $3.45
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $6.61
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $53.60
  • Blue Cross — Blue Cross Complete: $3.29
  • Blue Cross — Blue Cross Network (BCN) Advantage: $6.01
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $6.01
  • Centra Care - PACE — Senior Care Partners P.A.: $5.71
  • CHAMPVA — CHAMPVA: $6.01
  • CIGNA — Commercial/National Association of Letter Carriers: $85.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT - Sparrow $126 Not listed in the file $81.90 – $113.40
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $94.50
  • CIGNA — Commercial/National Association of Letter Carriers: $81.90
  • Cofinity — Advantage Business: $88.20
  • Cofinity — Auto: $113.40
  • Cofinity — Workers Comp: $104.58
  • HAP — HMO/PPO: $107.10
  • McLaren Health Plan — Commercial: $85.68
  • PHP Mid-Michigan — Commercial: $85.68
  • Priority Health — Commercial: $81.90

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

ServiceHospital chargeCash priceInsurance 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 Stroke $2,260 Not listed in the file $57.01 – $2,034
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,695
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $961.40
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $1,536.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast $2,260 Not listed in the file $57.01 – $2,034
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,695
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $961.40
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $1,536.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head/Stroke $2,260 Not listed in the file $57.01 – $2,034
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,695
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $961.40
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $1,536.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast $4,871 Not listed in the file $190.25 – $4,383.90
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $347.81
  • Aetna — Better Health of Michigan: $199.78
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,653.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,072.12
  • Blue Cross — Blue Cross Complete: $190.25
  • Blue Cross — Blue Cross Network (BCN) Advantage: $347.81
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $347.81
  • Centra Care - PACE — Senior Care Partners P.A.: $330.42
  • CHAMPVA — CHAMPVA: $347.81
  • CIGNA — Commercial/National Association of Letter Carriers: $3,312.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Internal Auditory Canal w & wo con $4,871 Not listed in the file $190.25 – $4,383.90
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $347.81
  • Aetna — Better Health of Michigan: $199.78
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,653.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,072.12
  • Blue Cross — Blue Cross Complete: $190.25
  • Blue Cross — Blue Cross Network (BCN) Advantage: $347.81
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $347.81
  • Centra Care - PACE — Senior Care Partners P.A.: $330.42
  • CHAMPVA — CHAMPVA: $347.81
  • CIGNA — Commercial/National Association of Letter Carriers: $3,312.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Pituitary w & wo Contrast $4,871 Not listed in the file $190.25 – $4,383.90
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $347.81
  • Aetna — Better Health of Michigan: $199.78
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,653.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,072.12
  • Blue Cross — Blue Cross Complete: $190.25
  • Blue Cross — Blue Cross Network (BCN) Advantage: $347.81
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $347.81
  • Centra Care - PACE — Senior Care Partners P.A.: $330.42
  • CHAMPVA — CHAMPVA: $347.81
  • CIGNA — Commercial/National Association of Letter Carriers: $3,312.28
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS $68 Not listed in the file $28.93 – $156.17
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $86.76
  • Aetna — Better Health of Michigan: $49.83
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $51
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $28.93
  • Blue Cross — Blue Cross Complete: $47.46
  • Blue Cross — Blue Cross Network (BCN) Advantage: $86.76
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $86.76
  • Centra Care - PACE — Senior Care Partners P.A.: $82.42
  • CHAMPVA — CHAMPVA: $86.76
  • CIGNA — Commercial/National Association of Letter Carriers: $46.24
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR Chest 2 Views $500 Not listed in the file $47.46 – $450
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $86.76
  • Aetna — Better Health of Michigan: $49.83
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $375
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $212.70
  • Blue Cross — Blue Cross Complete: $47.46
  • Blue Cross — Blue Cross Network (BCN) Advantage: $86.76
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $86.76
  • Centra Care - PACE — Senior Care Partners P.A.: $82.42
  • CHAMPVA — CHAMPVA: $86.76
  • CIGNA — Commercial/National Association of Letter Carriers: $340
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR Chest Decubitus Bilateral $749 Not listed in the file $47.46 – $674.10
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $86.76
  • Aetna — Better Health of Michigan: $49.83
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $561.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $318.62
  • Blue Cross — Blue Cross Complete: $47.46
  • Blue Cross — Blue Cross Network (BCN) Advantage: $86.76
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $86.76
  • Centra Care - PACE — Senior Care Partners P.A.: $82.42
  • CHAMPVA — CHAMPVA: $86.76
  • CIGNA — Commercial/National Association of Letter Carriers: $509.32
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB SPINE LUMBOSACRAL MIN 4 VWS $172 Not listed in the file $57.01 – $187.61
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $129
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $73.17
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $116.96
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR Spine Lumbosacral Minimum 4 Views $646 Not listed in the file $57.01 – $581.40
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $484.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $274.81
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $439.28
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: SPINE LUMBOSACRAL MIN 4 VWS $221 Not listed in the file $19.71 – $176.80
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $51.72
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $83.09
  • Blue Cross — Blue Cross Network (BCN) Advantage: $49.73
  • CHAMPVA — CHAMPVA: $49.73
  • CIGNA — Commercial/National Association of Letter Carriers: $78.88
  • Cofinity — Advantage Business: $66.64
  • Cofinity — Auto: $66.64
  • Cofinity — Workers Comp: $66.64
  • HAP — HMO/PPO: $176.80
  • HAP — Medicare: $49.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast $3,487 Not listed in the file $130.12 – $3,138.30
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $237.88
  • Aetna — Better Health of Michigan: $136.64
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,615.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,483.37
  • Blue Cross — Blue Cross Complete: $130.12
  • Blue Cross — Blue Cross Network (BCN) Advantage: $237.88
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $237.88
  • Centra Care - PACE — Senior Care Partners P.A.: $225.99
  • CHAMPVA — CHAMPVA: $237.88
  • CIGNA — Commercial/National Association of Letter Carriers: $2,371.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast $3,487 Not listed in the file $2,266.55 – $3,138.30
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,615.25
  • CIGNA — Commercial/National Association of Letter Carriers: $2,266.55
  • Cofinity — Advantage Business: $2,440.90
  • Cofinity — Auto: $3,138.30
  • Cofinity — Workers Comp: $2,894.21
  • HAP — HMO/PPO: $2,963.95
  • McLaren Health Plan — Commercial: $2,371.16
  • PHP Mid-Michigan — Commercial: $2,371.16
  • Priority Health — Commercial: $2,266.55
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $3,209 Not listed in the file $95.65 – $2,888.10
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $174.87
  • Aetna — Better Health of Michigan: $100.45
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,406.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,365.11
  • Blue Cross — Blue Cross Complete: $95.65
  • Blue Cross — Blue Cross Network (BCN) Advantage: $174.87
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $174.87
  • Centra Care - PACE — Senior Care Partners P.A.: $166.13
  • CHAMPVA — CHAMPVA: $174.87
  • CIGNA — Commercial/National Association of Letter Carriers: $2,182.12
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $3,209 Not listed in the file $2,085.85 – $2,888.10
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,406.75
  • CIGNA — Commercial/National Association of Letter Carriers: $2,085.85
  • Cofinity — Advantage Business: $2,246.30
  • Cofinity — Auto: $2,888.10
  • Cofinity — Workers Comp: $2,663.47
  • HAP — HMO/PPO: $2,727.65
  • McLaren Health Plan — Commercial: $2,182.12
  • PHP Mid-Michigan — Commercial: $2,182.12
  • Priority Health — Commercial: $2,085.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI Ankle w/o Contrast Left $3,396 Not listed in the file $1,358.40 – $3,056.40
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,547
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,444.66
  • Blue Cross — Blue Cross Complete: $1,358.40
  • CIGNA — Commercial/National Association of Letter Carriers: $2,309.28
  • Cofinity — Advantage Business: $2,377.20
  • Cofinity — Auto: $3,056.40
  • Cofinity — Workers Comp: $2,818.68
  • HAP — HMO/PPO: $2,886.60
  • HAP — Medicare: $1,698
  • Healthscope — ASR Healthscope: $2,954.52
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI Ankle w/o Contrast Right $3,396 Not listed in the file $1,358.40 – $3,056.40
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,547
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,444.66
  • Blue Cross — Blue Cross Complete: $1,358.40
  • CIGNA — Commercial/National Association of Letter Carriers: $2,309.28
  • Cofinity — Advantage Business: $2,377.20
  • Cofinity — Auto: $3,056.40
  • Cofinity — Workers Comp: $2,818.68
  • HAP — HMO/PPO: $2,886.60
  • HAP — Medicare: $1,698
  • Healthscope — ASR Healthscope: $2,954.52
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI Hip w/o Contrast Bilateral $6,792 Not listed in the file $2,716.80 – $6,112.80
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $5,094
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,889.32
  • Blue Cross — Blue Cross Complete: $2,716.80
  • CIGNA — Commercial/National Association of Letter Carriers: $4,618.56
  • Cofinity — Advantage Business: $4,754.40
  • Cofinity — Auto: $6,112.80
  • Cofinity — Workers Comp: $5,637.36
  • HAP — HMO/PPO: $5,773.20
  • HAP — Medicare: $3,396
  • Healthscope — ASR Healthscope: $5,909.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w/ Contrast $4,861 Not listed in the file $190.25 – $4,374.90
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $347.81
  • Aetna — Better Health of Michigan: $199.78
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,645.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,067.87
  • Blue Cross — Blue Cross Complete: $190.25
  • Blue Cross — Blue Cross Network (BCN) Advantage: $347.81
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $347.81
  • Centra Care - PACE — Senior Care Partners P.A.: $330.42
  • CHAMPVA — CHAMPVA: $347.81
  • CIGNA — Commercial/National Association of Letter Carriers: $3,305.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen/Pelvis w/ Contrast $4,861 Not listed in the file $3,159.65 – $4,374.90
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,645.75
  • CIGNA — Commercial/National Association of Letter Carriers: $3,159.65
  • Cofinity — Advantage Business: $3,402.70
  • Cofinity — Auto: $4,374.90
  • Cofinity — Workers Comp: $4,034.63
  • HAP — HMO/PPO: $4,131.85
  • McLaren Health Plan — Commercial: $3,305.48
  • PHP Mid-Michigan — Commercial: $3,305.48
  • Priority Health — Commercial: $3,159.65
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,157 Not listed in the file $57.01 – $1,041.30
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $867.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $492.19
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $786.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Complete $1,157 Not listed in the file $752.05 – $1,041.30
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $867.75
  • CIGNA — Commercial/National Association of Letter Carriers: $752.05
  • Cofinity — Advantage Business: $809.90
  • Cofinity — Auto: $1,041.30
  • Cofinity — Workers Comp: $960.31
  • HAP — HMO/PPO: $983.45
  • McLaren Health Plan — Commercial: $786.76
  • PHP Mid-Michigan — Commercial: $786.76
  • Priority Health — Commercial: $752.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester $1,177 Not listed in the file $57.01 – $1,059.30
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $882.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $500.70
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $800.36
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester $1,177 Not listed in the file $765.05 – $1,059.30
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $882.75
  • CIGNA — Commercial/National Association of Letter Carriers: $765.05
  • Cofinity — Advantage Business: $823.90
  • Cofinity — Auto: $1,059.30
  • Cofinity — Workers Comp: $976.91
  • HAP — HMO/PPO: $1,000.45
  • McLaren Health Plan — Commercial: $800.36
  • PHP Mid-Michigan — Commercial: $800.36
  • Priority Health — Commercial: $765.05
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB ULTRASOUND TRANSVAGINAL $267 Not listed in the file $57.01 – $240.30
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $200.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $113.58
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $181.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-OB $991 Not listed in the file $57.01 – $891.90
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $743.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $421.57
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $673.88
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-OB (76830) $991 Not listed in the file $57.01 – $891.90
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $104.23
  • Aetna — Better Health of Michigan: $59.87
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $743.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $421.57
  • Blue Cross — Blue Cross Complete: $57.01
  • Blue Cross — Blue Cross Network (BCN) Advantage: $104.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $104.23
  • Centra Care - PACE — Senior Care Partners P.A.: $99.02
  • CHAMPVA — CHAMPVA: $104.23
  • CIGNA — Commercial/National Association of Letter Carriers: $673.88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Diag Limited LT w/ Tomo $591 Not listed in the file $236.40 – $531.90
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $443.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $251.41
  • Blue Cross — Blue Cross Complete: $236.40
  • CIGNA — Commercial/National Association of Letter Carriers: $401.88
  • Cofinity — Advantage Business: $413.70
  • Cofinity — Auto: $531.90
  • Cofinity — Workers Comp: $490.53
  • HAP — HMO/PPO: $502.35
  • HAP — Medicare: $295.50
  • Healthscope — ASR Healthscope: $514.17
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Diag Limited RT w/ Tomo $591 Not listed in the file $236.40 – $531.90
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $443.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $251.41
  • Blue Cross — Blue Cross Complete: $236.40
  • CIGNA — Commercial/National Association of Letter Carriers: $401.88
  • Cofinity — Advantage Business: $413.70
  • Cofinity — Auto: $531.90
  • Cofinity — Workers Comp: $490.53
  • HAP — HMO/PPO: $502.35
  • HAP — Medicare: $295.50
  • Healthscope — ASR Healthscope: $514.17
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Diagnostic LT w/ Tomo $591 Not listed in the file $236.40 – $531.90
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $443.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $251.41
  • Blue Cross — Blue Cross Complete: $236.40
  • CIGNA — Commercial/National Association of Letter Carriers: $401.88
  • Cofinity — Advantage Business: $413.70
  • Cofinity — Auto: $531.90
  • Cofinity — Workers Comp: $490.53
  • HAP — HMO/PPO: $502.35
  • HAP — Medicare: $295.50
  • Healthscope — ASR Healthscope: $514.17
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Dig Diagnostic Bilat w/ Tomo $987 Not listed in the file $394.80 – $888.30
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $740.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $419.87
  • Blue Cross — Blue Cross Complete: $394.80
  • CIGNA — Commercial/National Association of Letter Carriers: $671.16
  • Cofinity — Advantage Business: $690.90
  • Cofinity — Auto: $888.30
  • Cofinity — Workers Comp: $819.21
  • HAP — HMO/PPO: $838.95
  • HAP — Medicare: $493.50
  • Healthscope — ASR Healthscope: $858.69
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammogram Digital Diagnostic Bilat $781 Not listed in the file $312.40 – $702.90
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $585.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $332.24
  • Blue Cross — Blue Cross Complete: $312.40
  • CIGNA — Commercial/National Association of Letter Carriers: $531.08
  • Cofinity — Advantage Business: $546.70
  • Cofinity — Auto: $702.90
  • Cofinity — Workers Comp: $648.23
  • HAP — HMO/PPO: $663.85
  • HAP — Medicare: $390.50
  • Healthscope — ASR Healthscope: $679.47
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG Mammo Dig Diagnostic Bilat w/ Tomo $987 Not listed in the file $641.55 – $888.30
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $740.25
  • CIGNA — Commercial/National Association of Letter Carriers: $641.55
  • Cofinity — Advantage Business: $690.90
  • Cofinity — Auto: $888.30
  • Cofinity — Workers Comp: $819.21
  • HAP — HMO/PPO: $838.95
  • McLaren Health Plan — Commercial: $671.16
  • PHP Mid-Michigan — Commercial: $671.16
  • Priority Health — Commercial: $641.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Screen Bilat Baseline $576 Not listed in the file $230.40 – $518.40
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $432
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $245.03
  • Blue Cross — Blue Cross Complete: $230.40
  • CIGNA — Commercial/National Association of Letter Carriers: $391.68
  • Cofinity — Advantage Business: $403.20
  • Cofinity — Auto: $518.40
  • Cofinity — Workers Comp: $478.08
  • HAP — HMO/PPO: $489.60
  • HAP — Medicare: $288
  • Healthscope — ASR Healthscope: $501.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Dig Scrn Bilat Baseline w/ Tomo $782 Not listed in the file $312.80 – $703.80
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $586.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $332.66
  • Blue Cross — Blue Cross Complete: $312.80
  • CIGNA — Commercial/National Association of Letter Carriers: $531.76
  • Cofinity — Advantage Business: $547.40
  • Cofinity — Auto: $703.80
  • Cofinity — Workers Comp: $649.06
  • HAP — HMO/PPO: $664.70
  • HAP — Medicare: $391
  • Healthscope — ASR Healthscope: $680.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Screening Bilat w/ Tomo $782 Not listed in the file $312.80 – $703.80
Screening mammogram, both breasts: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $586.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $332.66
  • Blue Cross — Blue Cross Complete: $312.80
  • CIGNA — Commercial/National Association of Letter Carriers: $531.76
  • Cofinity — Advantage Business: $547.40
  • Cofinity — Auto: $703.80
  • Cofinity — Workers Comp: $649.06
  • HAP — HMO/PPO: $664.70
  • HAP — Medicare: $391
  • Healthscope — ASR Healthscope: $680.34

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ECG MIN 12 LEAD W INTERP AND RPT $134 Not listed in the file $13.72 – $26.41
Electrocardiogram (ECG/EKG) with reading: 10 of 22 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $15.26
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $18.06
  • Blue Cross — Blue Cross Network (BCN) Advantage: $14.67
  • CHAMPVA — CHAMPVA: $14.67
  • CIGNA — Commercial/National Association of Letter Carriers: $20.33
  • Cofinity — Advantage Business: $19.66
  • Cofinity — Auto: $19.66
  • Cofinity — Workers Comp: $19.66
  • HAP — HMO/PPO: $19.80
  • HAP — Medicare: $14.67
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Night Plysmography Exam with $4,317 Not listed in the file $468.30 – $3,885.30
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $856.13
  • Aetna — Better Health of Michigan: $491.76
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,237.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,836.45
  • Blue Cross — Blue Cross Complete: $468.30
  • Blue Cross — Blue Cross Network (BCN) Advantage: $856.13
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $856.13
  • Centra Care - PACE — Senior Care Partners P.A.: $813.32
  • CHAMPVA — CHAMPVA: $856.13
  • CIGNA — Commercial/National Association of Letter Carriers: $2,935.56
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOMNOGR W 4PL PARA $1,577 Not listed in the file $577.18 – $1,123.29
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $649.01
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $786.24
  • Blue Cross — Blue Cross Network (BCN) Advantage: $624.05
  • CHAMPVA — CHAMPVA: $624.05
  • CIGNA — Commercial/National Association of Letter Carriers: $815.19
  • Cofinity — Advantage Business: $836.23
  • Cofinity — Auto: $836.23
  • Cofinity — Workers Comp: $836.23
  • HAP — HMO/PPO: $842.47
  • HAP — Medicare: $624.05
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Night Plysmography Exam with $4,317 Not listed in the file $2,806.05 – $3,885.30
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $3,237.75
  • CIGNA — Commercial/National Association of Letter Carriers: $2,806.05
  • Cofinity — Advantage Business: $3,021.90
  • Cofinity — Auto: $3,885.30
  • Cofinity — Workers Comp: $3,583.11
  • HAP — HMO/PPO: $3,669.45
  • McLaren Health Plan — Commercial: $2,935.56
  • PHP Mid-Michigan — Commercial: $2,935.56
  • Priority Health — Commercial: $2,806.05

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Occupational Therapy - Theraputic Exercise 15 Min $167 Not listed in the file $66.80 – $150.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $125.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $71.04
  • Blue Cross — Blue Cross Complete: $66.80
  • CIGNA — Commercial/National Association of Letter Carriers: $113.56
  • Cofinity — Advantage Business: $116.90
  • Cofinity — Auto: $150.30
  • Cofinity — Workers Comp: $138.61
  • HAP — HMO/PPO: $141.95
  • HAP — Medicare: $83.50
  • Healthscope — ASR Healthscope: $145.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Back Exercise 15 Minutes $167 Not listed in the file $66.80 – $150.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $125.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $71.04
  • Blue Cross — Blue Cross Complete: $66.80
  • CIGNA — Commercial/National Association of Letter Carriers: $113.56
  • Cofinity — Advantage Business: $116.90
  • Cofinity — Auto: $150.30
  • Cofinity — Workers Comp: $138.61
  • HAP — HMO/PPO: $141.95
  • HAP — Medicare: $83.50
  • Healthscope — ASR Healthscope: $145.29
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Constant Passive Mot 15 Min $167 Not listed in the file $66.80 – $150.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $125.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $71.04
  • Blue Cross — Blue Cross Complete: $66.80
  • CIGNA — Commercial/National Association of Letter Carriers: $113.56
  • Cofinity — Advantage Business: $116.90
  • Cofinity — Auto: $150.30
  • Cofinity — Workers Comp: $138.61
  • HAP — HMO/PPO: $141.95
  • HAP — Medicare: $83.50
  • Healthscope — ASR Healthscope: $145.29
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Low Complex 20 Min $280 Not listed in the file $112 – $252
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $210
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $119.11
  • Blue Cross — Blue Cross Complete: $112
  • CIGNA — Commercial/National Association of Letter Carriers: $190.40
  • Cofinity — Advantage Business: $196
  • Cofinity — Auto: $252
  • Cofinity — Workers Comp: $232.40
  • HAP — HMO/PPO: $238
  • HAP — Medicare: $140
  • Healthscope — ASR Healthscope: $243.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval Low Complex 20 Min $280 Not listed in the file $182 – $252
Physical therapy evaluation (low complexity): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $210
  • CIGNA — Commercial/National Association of Letter Carriers: $182
  • Cofinity — Advantage Business: $196
  • Cofinity — Auto: $252
  • Cofinity — Workers Comp: $232.40
  • HAP — HMO/PPO: $238
  • McLaren Health Plan — Commercial: $190.40
  • PHP Mid-Michigan — Commercial: $190.40
  • Priority Health — Commercial: $182
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval Mod Complex 30 Min $304 Not listed in the file $121.60 – $273.60
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $228
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $129.32
  • Blue Cross — Blue Cross Complete: $121.60
  • CIGNA — Commercial/National Association of Letter Carriers: $206.72
  • Cofinity — Advantage Business: $212.80
  • Cofinity — Auto: $273.60
  • Cofinity — Workers Comp: $252.32
  • HAP — HMO/PPO: $258.40
  • HAP — Medicare: $152
  • Healthscope — ASR Healthscope: $264.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval Mod Complex 30 Min $304 Not listed in the file $197.60 – $273.60
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $228
  • CIGNA — Commercial/National Association of Letter Carriers: $197.60
  • Cofinity — Advantage Business: $212.80
  • Cofinity — Auto: $273.60
  • Cofinity — Workers Comp: $252.32
  • HAP — HMO/PPO: $258.40
  • McLaren Health Plan — Commercial: $206.72
  • PHP Mid-Michigan — Commercial: $206.72
  • Priority Health — Commercial: $197.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval High Complex 45 Min $328 Not listed in the file $131.20 – $295.20
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $246
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $139.53
  • Blue Cross — Blue Cross Complete: $131.20
  • CIGNA — Commercial/National Association of Letter Carriers: $223.04
  • Cofinity — Advantage Business: $229.60
  • Cofinity — Auto: $295.20
  • Cofinity — Workers Comp: $272.24
  • HAP — HMO/PPO: $278.80
  • HAP — Medicare: $164
  • Healthscope — ASR Healthscope: $285.36
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval High Complex 45 Min $328 Not listed in the file $213.20 – $295.20
Physical therapy evaluation (high complexity): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $246
  • CIGNA — Commercial/National Association of Letter Carriers: $213.20
  • Cofinity — Advantage Business: $229.60
  • Cofinity — Auto: $295.20
  • Cofinity — Workers Comp: $272.24
  • HAP — HMO/PPO: $278.80
  • McLaren Health Plan — Commercial: $223.04
  • PHP Mid-Michigan — Commercial: $223.04
  • Priority Health — Commercial: $213.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB PSYCHOTHER W PT AND/OR FAMILY 30 MIN $186 Not listed in the file $79.12 – $318.53
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $176.96
  • Aetna — Better Health of Michigan: $101.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $79.12
  • Blue Cross — Blue Cross Complete: $96.80
  • Blue Cross — Blue Cross Network (BCN) Advantage: $176.96
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $176.96
  • Centra Care - PACE — Senior Care Partners P.A.: $168.11
  • CHAMPVA — CHAMPVA: $176.96
  • CIGNA — Commercial/National Association of Letter Carriers: $126.48
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHER W PT &/OR FAMILY 30 MIN $313 Not listed in the file $43.67 – $250.40
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $71.91
  • Aetna — Better Health of Michigan: $46.37
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $86.10
  • Blue Cross — Blue Cross Complete: $46.37
  • Blue Cross — Blue Cross Network (BCN) Advantage: $69.14
  • CHAMPVA — CHAMPVA: $69.14
  • CIGNA — Commercial/National Association of Letter Carriers: $85.56
  • Cofinity — Advantage Business: $92.65
  • Cofinity — Auto: $92.65
  • Cofinity — Workers Comp: $92.65
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB PSYCHOTHER W PT AND/OR FAMILY 30 MIN $186 Not listed in the file $120.90 – $167.40
Psychotherapy, 30 minutes: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • CIGNA — Commercial/National Association of Letter Carriers: $120.90
  • Cofinity — Advantage Business: $130.20
  • Cofinity — Auto: $167.40
  • Cofinity — Workers Comp: $154.38
  • HAP — HMO/PPO: $158.10
  • McLaren Health Plan — Commercial: $126.48
  • PHP Mid-Michigan — Commercial: $126.48
  • Priority Health — Commercial: $120.90
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB PSYCHOTHER W PT AND/OR FAMILY 45 MIN $186 Not listed in the file $79.12 – $318.53
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $176.96
  • Aetna — Better Health of Michigan: $101.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $79.12
  • Blue Cross — Blue Cross Complete: $96.80
  • Blue Cross — Blue Cross Network (BCN) Advantage: $176.96
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $176.96
  • Centra Care - PACE — Senior Care Partners P.A.: $168.11
  • CHAMPVA — CHAMPVA: $176.96
  • CIGNA — Commercial/National Association of Letter Carriers: $126.48
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHER W PT &/OR FAMILY 45 MIN $355 Not listed in the file $57.72 – $284
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $95.10
  • Aetna — Better Health of Michigan: $61.15
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $113.82
  • Blue Cross — Blue Cross Complete: $61.15
  • Blue Cross — Blue Cross Network (BCN) Advantage: $91.44
  • CHAMPVA — CHAMPVA: $91.44
  • CIGNA — Commercial/National Association of Letter Carriers: $114.08
  • Cofinity — Advantage Business: $122.53
  • Cofinity — Auto: $122.53
  • Cofinity — Workers Comp: $122.53
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB PSYCHOTHER W PT AND/OR FAMILY 45 MIN $186 Not listed in the file $120.90 – $167.40
Psychotherapy, 45 minutes: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • CIGNA — Commercial/National Association of Letter Carriers: $120.90
  • Cofinity — Advantage Business: $130.20
  • Cofinity — Auto: $167.40
  • Cofinity — Workers Comp: $154.38
  • HAP — HMO/PPO: $158.10
  • McLaren Health Plan — Commercial: $126.48
  • PHP Mid-Michigan — Commercial: $126.48
  • Priority Health — Commercial: $120.90
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB PSYCH 60 MIN W PT AND/OR FAM MMBR $186 Not listed in the file $79.12 – $318.53
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $176.96
  • Aetna — Better Health of Michigan: $101.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $79.12
  • Blue Cross — Blue Cross Complete: $96.80
  • Blue Cross — Blue Cross Network (BCN) Advantage: $176.96
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $176.96
  • Centra Care - PACE — Senior Care Partners P.A.: $168.11
  • CHAMPVA — CHAMPVA: $176.96
  • CIGNA — Commercial/National Association of Letter Carriers: $126.48
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCH 60 MIN W PT &OR FAM MMBR $440 Not listed in the file $85.20 – $352
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $140.02
  • Aetna — Better Health of Michigan: $90.56
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $168
  • Blue Cross — Blue Cross Complete: $90.56
  • Blue Cross — Blue Cross Network (BCN) Advantage: $134.63
  • CHAMPVA — CHAMPVA: $134.63
  • CIGNA — Commercial/National Association of Letter Carriers: $161.36
  • Cofinity — Advantage Business: $180.40
  • Cofinity — Auto: $180.40
  • Cofinity — Workers Comp: $180.40
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB PSYCH 60 MIN W PT AND/OR FAM MMBR $186 Not listed in the file $120.90 – $167.40
Psychotherapy, 60 minutes: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • CIGNA — Commercial/National Association of Letter Carriers: $120.90
  • Cofinity — Advantage Business: $130.20
  • Cofinity — Auto: $167.40
  • Cofinity — Workers Comp: $154.38
  • HAP — HMO/PPO: $158.10
  • McLaren Health Plan — Commercial: $126.48
  • PHP Mid-Michigan — Commercial: $126.48
  • Priority Health — Commercial: $120.90
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB FAMILY PSYCHTHPY WO PT $186 Not listed in the file $79.12 – $318.53
Family psychotherapy, without the patient: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $176.96
  • Aetna — Better Health of Michigan: $101.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $79.12
  • Blue Cross — Blue Cross Complete: $96.80
  • Blue Cross — Blue Cross Network (BCN) Advantage: $176.96
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $176.96
  • Centra Care - PACE — Senior Care Partners P.A.: $168.11
  • CHAMPVA — CHAMPVA: $176.96
  • CIGNA — Commercial/National Association of Letter Carriers: $126.48
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHTHPY WO PT $390 Not listed in the file $96.90 – $312
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $102.70
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $155.52
  • Blue Cross — Blue Cross Complete: $156
  • Blue Cross — Blue Cross Network (BCN) Advantage: $98.75
  • CHAMPVA — CHAMPVA: $98.75
  • CIGNA — Commercial/National Association of Letter Carriers: $112.09
  • Cofinity — Advantage Business: $132.32
  • Cofinity — Auto: $132.32
  • Cofinity — Workers Comp: $132.32
  • HAP — HMO/PPO: $133.31
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB FAMILY PSYCHTHPY WO PT $186 Not listed in the file $120.90 – $167.40
Family psychotherapy, without the patient: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • CIGNA — Commercial/National Association of Letter Carriers: $120.90
  • Cofinity — Advantage Business: $130.20
  • Cofinity — Auto: $167.40
  • Cofinity — Workers Comp: $154.38
  • HAP — HMO/PPO: $158.10
  • McLaren Health Plan — Commercial: $126.48
  • PHP Mid-Michigan — Commercial: $126.48
  • Priority Health — Commercial: $120.90
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB FAMILY PSYCHTHPY W PT $186 Not listed in the file $79.12 – $318.53
Family psychotherapy, with the patient: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $176.96
  • Aetna — Better Health of Michigan: $101.65
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $79.12
  • Blue Cross — Blue Cross Complete: $96.80
  • Blue Cross — Blue Cross Network (BCN) Advantage: $176.96
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $176.96
  • Centra Care - PACE — Senior Care Partners P.A.: $168.11
  • CHAMPVA — CHAMPVA: $176.96
  • CIGNA — Commercial/National Association of Letter Carriers: $126.48
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHTHPY W PT $399 Not listed in the file $64.97 – $319.20
Family psychotherapy, with the patient: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $106.48
  • Aetna — Better Health of Michigan: $68.96
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $128.10
  • Blue Cross — Blue Cross Complete: $68.96
  • Blue Cross — Blue Cross Network (BCN) Advantage: $102.38
  • CHAMPVA — CHAMPVA: $102.38
  • CIGNA — Commercial/National Association of Letter Carriers: $138.27
  • Cofinity — Advantage Business: $137.19
  • Cofinity — Auto: $137.19
  • Cofinity — Workers Comp: $137.19
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB FAMILY PSYCHTHPY W PT $186 Not listed in the file $120.90 – $167.40
Family psychotherapy, with the patient: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $139.50
  • CIGNA — Commercial/National Association of Letter Carriers: $120.90
  • Cofinity — Advantage Business: $130.20
  • Cofinity — Auto: $167.40
  • Cofinity — Workers Comp: $154.38
  • HAP — HMO/PPO: $158.10
  • McLaren Health Plan — Commercial: $126.48
  • PHP Mid-Michigan — Commercial: $126.48
  • Priority Health — Commercial: $120.90
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSY THERAPY $158 Not listed in the file $15.54 – $43.70
Group psychotherapy: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $25.25
  • Aetna — Better Health of Michigan: $16.35
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $30.24
  • Blue Cross — Blue Cross Complete: $16.35
  • Blue Cross — Blue Cross Network (BCN) Advantage: $24.28
  • CHAMPVA — CHAMPVA: $24.28
  • CIGNA — Commercial/National Association of Letter Carriers: $33.48
  • Cofinity — Advantage Business: $32.54
  • Cofinity — Auto: $32.54
  • Cofinity — Workers Comp: $32.54

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB OPEN EXCIS ABBRNT BRST TISSUE 1 OR MORE LESS $2,023 Not listed in the file $860.58 – $7,026.32
Removal of breast growth (open surgery): 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3,903.51
  • Aetna — Better Health of Michigan: $2,242.18
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,517.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $860.58
  • Blue Cross — Blue Cross Complete: $2,135.22
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3,903.51
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $3,903.51
  • Centra Care - PACE — Senior Care Partners P.A.: $3,708.33
  • CHAMPVA — CHAMPVA: $3,903.51
  • CIGNA — Commercial/National Association of Letter Carriers: $1,375.64
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: OPN EXCIS ABBRNT BRST TISS 1 OR MORE LES $3,029 Not listed in the file $269.66 – $2,423.20
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $415.55
  • Aetna — Better Health of Michigan: $271.79
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $674.27
  • Blue Cross — Blue Cross Complete: $271.79
  • Blue Cross — Blue Cross Network (BCN) Advantage: $399.57
  • CHAMPVA — CHAMPVA: $399.57
  • CIGNA — Commercial/National Association of Letter Carriers: $641.63
  • Cofinity — Advantage Business: $535.42
  • Cofinity — Auto: $535.42
  • Cofinity — Workers Comp: $535.42
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB OPEN EXCIS ABBRNT BRST TISSUE 1 OR MORE LESS $2,023 Not listed in the file $1,314.95 – $1,820.70
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,517.25
  • CIGNA — Commercial/National Association of Letter Carriers: $1,314.95
  • Cofinity — Advantage Business: $1,416.10
  • Cofinity — Auto: $1,820.70
  • Cofinity — Workers Comp: $1,679.09
  • HAP — HMO/PPO: $1,719.55
  • McLaren Health Plan — Commercial: $1,375.64
  • PHP Mid-Michigan — Commercial: $1,375.64
  • Priority Health — Commercial: $1,314.95
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT $4,604 Not listed in the file $822.82 – $11,468.63
Total hip replacement: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $1,191.50
  • Aetna — Better Health of Michigan: $829.21
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,260.24
  • Blue Cross — Blue Cross Complete: $829.21
  • Blue Cross — Blue Cross Network (BCN) Advantage: $1,145.67
  • CHAMPVA — CHAMPVA: $1,145.67
  • CIGNA — Commercial/National Association of Letter Carriers: $11,468.63
  • Cofinity — Advantage Business: $1,535.20
  • Cofinity — Auto: $1,535.20
  • Cofinity — Workers Comp: $1,535.20
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT Not listed in the file Not listed in the file $7,001.38 – $23,039.28
Total hip replacement: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $12,799.60
  • Aetna — Better Health of Michigan: $7,352.09
  • Blue Cross — Blue Cross Complete: $7,001.38
  • Blue Cross — Blue Cross Network (BCN) Advantage: $12,799.60
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $12,799.60
  • Centra Care - PACE — Senior Care Partners P.A.: $12,159.62
  • CHAMPVA — CHAMPVA: $12,799.60
  • HAP — Medicare: $12,799.60
  • McLaren Health Plan — Medicaid/MiChild: $7,001.38
  • McLaren Health Plan — Medicare: $12,799.60
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT $1,151 Not listed in the file $575.50 – $11,468.63
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $829.21
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,260.24
  • Blue Cross — Blue Cross Complete: $829.21
  • CIGNA — Commercial/National Association of Letter Carriers: $11,468.63
  • Cofinity — Advantage Business: $863.25
  • Cofinity — Auto: $863.25
  • Cofinity — Workers Comp: $863.25
  • HAP — HMO/PPO: $863.25
  • HAP — Medicare: $575.50
  • Healthscope — ASR Healthscope: $920.80
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRPLSTY TOTAL KNEE $4,602 Not listed in the file $821.54 – $11,280.57
Total knee replacement: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $1,188.74
  • Aetna — Better Health of Michigan: $828.14
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,256.73
  • Blue Cross — Blue Cross Complete: $828.14
  • Blue Cross — Blue Cross Network (BCN) Advantage: $1,143.02
  • CHAMPVA — CHAMPVA: $1,143.02
  • CIGNA — Commercial/National Association of Letter Carriers: $11,280.57
  • Cofinity — Advantage Business: $1,531.65
  • Cofinity — Auto: $1,531.65
  • Cofinity — Workers Comp: $1,531.65
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY) Not listed in the file Not listed in the file $7,001.38 – $23,039.28
Total knee replacement: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $12,799.60
  • Aetna — Better Health of Michigan: $7,352.09
  • Blue Cross — Blue Cross Complete: $7,001.38
  • Blue Cross — Blue Cross Network (BCN) Advantage: $12,799.60
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $12,799.60
  • Centra Care - PACE — Senior Care Partners P.A.: $12,159.62
  • CHAMPVA — CHAMPVA: $12,799.60
  • HAP — Medicare: $12,799.60
  • McLaren Health Plan — Medicaid/MiChild: $7,001.38
  • McLaren Health Plan — Medicare: $12,799.60
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: ARTHRPLSTY TOTAL KNEE $9,203 Not listed in the file $821.54 – $11,280.57
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $828.14
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $2,256.73
  • Blue Cross — Blue Cross Complete: $828.14
  • CIGNA — Commercial/National Association of Letter Carriers: $11,280.57
  • Cofinity — Advantage Business: $6,902.25
  • Cofinity — Auto: $6,902.25
  • Cofinity — Workers Comp: $6,902.25
  • HAP — HMO/PPO: $6,902.25
  • HAP — Medicare: $4,601.50
  • Healthscope — ASR Healthscope: $7,362.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHLDR ARTHRSCPY DECMPRSN SUBACRMIAL SPC $601 Not listed in the file $108.63 – $480.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $153.39
  • Aetna — Better Health of Michigan: $109.70
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $214.20
  • Blue Cross — Blue Cross Complete: $109.70
  • Blue Cross — Blue Cross Network (BCN) Advantage: $147.49
  • CHAMPVA — CHAMPVA: $147.49
  • CIGNA — Commercial/National Association of Letter Carriers: $260.94
  • Cofinity — Advantage Business: $197.64
  • Cofinity — Auto: $197.64
  • Cofinity — Workers Comp: $197.64
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: SHLDR ARTHRSCPY DECMPRSN SUBACRMIAL SPC $601 Not listed in the file $108.63 – $480.80
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $109.70
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $214.20
  • Blue Cross — Blue Cross Complete: $109.70
  • CIGNA — Commercial/National Association of Letter Carriers: $260.94
  • Cofinity — Advantage Business: $450.75
  • Cofinity — Auto: $450.75
  • Cofinity — Workers Comp: $450.75
  • HAP — HMO/PPO: $450.75
  • HAP — Medicare: $300.50
  • Healthscope — ASR Healthscope: $480.80
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: SHLDR ARTHRSCPY DECMPRSN SUBACRMIAL SPC $151 Not listed in the file $75.50 – $260.94
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $109.70
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $214.20
  • Blue Cross — Blue Cross Complete: $109.70
  • CIGNA — Commercial/National Association of Letter Carriers: $260.94
  • Cofinity — Advantage Business: $113.25
  • Cofinity — Auto: $113.25
  • Cofinity — Workers Comp: $113.25
  • HAP — HMO/PPO: $113.25
  • HAP — Medicare: $75.50
  • Healthscope — ASR Healthscope: $120.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRSCPY MENISCTMY MED OR LAT $1,832 Not listed in the file $351.45 – $2,248.62
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $520.88
  • Aetna — Better Health of Michigan: $354.43
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $965.42
  • Blue Cross — Blue Cross Complete: $354.43
  • Blue Cross — Blue Cross Network (BCN) Advantage: $500.85
  • CHAMPVA — CHAMPVA: $500.85
  • CIGNA — Commercial/National Association of Letter Carriers: $2,248.62
  • Cofinity — Advantage Business: $671.14
  • Cofinity — Auto: $671.14
  • Cofinity — Workers Comp: $671.14
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA Not listed in the file Not listed in the file $1,784.34 – $5,871.67
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3,262.04
  • Aetna — Better Health of Michigan: $1,873.72
  • Blue Cross — Blue Cross Complete: $1,784.34
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3,262.04
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $3,262.04
  • Centra Care - PACE — Senior Care Partners P.A.: $3,098.94
  • CHAMPVA — CHAMPVA: $3,262.04
  • HAP — Medicare: $3,262.04
  • McLaren Health Plan — Medicaid/MiChild: $1,784.34
  • McLaren Health Plan — Medicare: $3,262.04
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: ARTHRSCPY MENISCTMY MED OR LAT $458 Not listed in the file $229 – $2,248.62
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $354.43
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $965.42
  • Blue Cross — Blue Cross Complete: $354.43
  • CIGNA — Commercial/National Association of Letter Carriers: $2,248.62
  • Cofinity — Advantage Business: $343.50
  • Cofinity — Auto: $343.50
  • Cofinity — Workers Comp: $343.50
  • HAP — HMO/PPO: $343.50
  • HAP — Medicare: $229
  • Healthscope — ASR Healthscope: $366.40
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS $1,010 Not listed in the file $188.51 – $3,064.32
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $264.54
  • Aetna — Better Health of Michigan: $189.36
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $471.35
  • Blue Cross — Blue Cross Complete: $189.36
  • Blue Cross — Blue Cross Network (BCN) Advantage: $254.37
  • CHAMPVA — CHAMPVA: $254.37
  • CIGNA — Commercial/National Association of Letter Carriers: $3,064.32
  • Cofinity — Advantage Business: $340.86
  • Cofinity — Auto: $340.86
  • Cofinity — Workers Comp: $340.86
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 Not listed in the file Not listed in the file $3,228.29 – $10,623.26
Removal of tonsils and adenoids (under age 12): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $5,901.81
  • Aetna — Better Health of Michigan: $3,390
  • Blue Cross — Blue Cross Complete: $3,228.29
  • Blue Cross — Blue Cross Network (BCN) Advantage: $5,901.81
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $5,901.81
  • Centra Care - PACE — Senior Care Partners P.A.: $5,606.72
  • CHAMPVA — CHAMPVA: $5,901.81
  • HAP — Medicare: $5,901.81
  • McLaren Health Plan — Medicaid/MiChild: $3,228.29
  • McLaren Health Plan — Medicare: $5,901.81
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: UPPER GI ENDO DIAG BRUSH WASH $439 Not listed in the file $77.32 – $509.18
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $112.94
  • Aetna — Better Health of Michigan: $77.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $193.33
  • Blue Cross — Blue Cross Complete: $77.75
  • Blue Cross — Blue Cross Network (BCN) Advantage: $108.60
  • CHAMPVA — CHAMPVA: $108.60
  • CIGNA — Commercial/National Association of Letter Carriers: $509.18
  • Cofinity — Advantage Business: $145.52
  • Cofinity — Auto: $145.52
  • Cofinity — Workers Comp: $145.52
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP Not listed in the file Not listed in the file $494.61 – $1,627.60
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $904.22
  • Aetna — Better Health of Michigan: $519.38
  • Blue Cross — Blue Cross Complete: $494.61
  • Blue Cross — Blue Cross Network (BCN) Advantage: $904.22
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $904.22
  • Centra Care - PACE — Senior Care Partners P.A.: $859.01
  • CHAMPVA — CHAMPVA: $904.22
  • HAP — Medicare: $904.22
  • McLaren Health Plan — Medicaid/MiChild: $494.61
  • McLaren Health Plan — Medicare: $904.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: UPPER GI ENDO DIAG BRUSH WASH $439 Not listed in the file $77.32 – $509.18
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $77.75
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $459.63
  • Blue Cross — Blue Cross Complete: $77.75
  • CIGNA — Commercial/National Association of Letter Carriers: $509.18
  • Cofinity — Advantage Business: $329.25
  • Cofinity — Auto: $329.25
  • Cofinity — Workers Comp: $329.25
  • HAP — HMO/PPO: $329.25
  • HAP — Medicare: $219.50
  • Healthscope — ASR Healthscope: $351.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: ENDOSC ESOPH, STOM & DUOD OR JEJNM W BX $496 Not listed in the file $87.33 – $866.76
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $126.41
  • Aetna — Better Health of Michigan: $87.33
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $218.37
  • Blue Cross — Blue Cross Complete: $87.33
  • Blue Cross — Blue Cross Network (BCN) Advantage: $121.55
  • CHAMPVA — CHAMPVA: $121.55
  • CIGNA — Commercial/National Association of Letter Carriers: $866.76
  • Cofinity — Advantage Business: $162.88
  • Cofinity — Auto: $162.88
  • Cofinity — Workers Comp: $162.88
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $494.61 – $1,627.60
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $904.22
  • Aetna — Better Health of Michigan: $519.38
  • Blue Cross — Blue Cross Complete: $494.61
  • Blue Cross — Blue Cross Network (BCN) Advantage: $904.22
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $904.22
  • Centra Care - PACE — Senior Care Partners P.A.: $859.01
  • CHAMPVA — CHAMPVA: $904.22
  • HAP — Medicare: $904.22
  • McLaren Health Plan — Medicaid/MiChild: $494.61
  • McLaren Health Plan — Medicare: $904.22
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee · modifier XS In the file: ENDOSC ESOPH, STOM & DUOD OR JEJNM W BX $496 Not listed in the file $87.33 – $866.76
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $87.33
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $600.77
  • Blue Cross — Blue Cross Complete: $87.33
  • CIGNA — Commercial/National Association of Letter Carriers: $866.76
  • Cofinity — Advantage Business: $372
  • Cofinity — Auto: $372
  • Cofinity — Workers Comp: $372
  • HAP — HMO/PPO: $372
  • HAP — Medicare: $248
  • Healthscope — ASR Healthscope: $396.80
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLNSCPY FLEX SPLEN DIAG $661 Not listed in the file $58.15 – $799.14
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $169.04
  • Aetna — Better Health of Michigan: $116.72
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $290.27
  • Blue Cross — Blue Cross Complete: $116.72
  • Blue Cross — Blue Cross Network (BCN) Advantage: $162.54
  • CHAMPVA — CHAMPVA: $162.54
  • CIGNA — Commercial/National Association of Letter Carriers: $799.14
  • Cofinity — Advantage Business: $217.80
  • Cofinity — Auto: $217.80
  • Cofinity — Workers Comp: $217.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) Not listed in the file Not listed in the file $507.14 – $1,668.83
Colonoscopy (diagnostic): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $927.13
  • Aetna — Better Health of Michigan: $532.54
  • Blue Cross — Blue Cross Complete: $507.14
  • Blue Cross — Blue Cross Network (BCN) Advantage: $927.13
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $927.13
  • Centra Care - PACE — Senior Care Partners P.A.: $880.77
  • CHAMPVA — CHAMPVA: $927.13
  • HAP — Medicare: $927.13
  • McLaren Health Plan — Medicaid/MiChild: $507.14
  • McLaren Health Plan — Medicare: $927.13
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: COLNSCPY FLEX SPLEN DIAG $661 Not listed in the file $58.15 – $799.14
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $84.72
  • Aetna — Better Health of Michigan: $58.58
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $542.72
  • Blue Cross — Blue Cross Complete: $58.58
  • Blue Cross — Blue Cross Network (BCN) Advantage: $81.46
  • CHAMPVA — CHAMPVA: $81.46
  • CIGNA — Commercial/National Association of Letter Carriers: $799.14
  • Cofinity — Advantage Business: $109.16
  • Cofinity — Auto: $109.16
  • Cofinity — Workers Comp: $109.16
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLNSCPY FLEX SPLEN BX $716 Not listed in the file $126.10 – $966.72
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $182.36
  • Aetna — Better Health of Michigan: $126.95
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $315.30
  • Blue Cross — Blue Cross Complete: $126.95
  • Blue Cross — Blue Cross Network (BCN) Advantage: $175.35
  • CHAMPVA — CHAMPVA: $175.35
  • CIGNA — Commercial/National Association of Letter Carriers: $966.72
  • Cofinity — Advantage Business: $234.97
  • Cofinity — Auto: $234.97
  • Cofinity — Workers Comp: $234.97
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $652.57 – $2,147.40
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $1,193
  • Aetna — Better Health of Michigan: $685.26
  • Blue Cross — Blue Cross Complete: $652.57
  • Blue Cross — Blue Cross Network (BCN) Advantage: $1,193
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $1,193
  • Centra Care - PACE — Senior Care Partners P.A.: $1,133.35
  • CHAMPVA — CHAMPVA: $1,193
  • HAP — Medicare: $1,193
  • McLaren Health Plan — Medicaid/MiChild: $652.57
  • McLaren Health Plan — Medicare: $1,193
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee · modifier 51 In the file: COLNSCPY FLEX SPLEN BX $716 Not listed in the file $126.10 – $966.72
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $126.95
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $691.85
  • Blue Cross — Blue Cross Complete: $126.95
  • CIGNA — Commercial/National Association of Letter Carriers: $966.72
  • Cofinity — Advantage Business: $537
  • Cofinity — Auto: $537
  • Cofinity — Workers Comp: $537
  • HAP — HMO/PPO: $537
  • HAP — Medicare: $358
  • Healthscope — ASR Healthscope: $572.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY LESN REMOV SNARE $908 Not listed in the file $159.54 – $1,000.22
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $229.48
  • Aetna — Better Health of Michigan: $159.96
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $398.92
  • Blue Cross — Blue Cross Complete: $159.96
  • Blue Cross — Blue Cross Network (BCN) Advantage: $220.65
  • CHAMPVA — CHAMPVA: $220.65
  • CIGNA — Commercial/National Association of Letter Carriers: $1,000.22
  • Cofinity — Advantage Business: $295.67
  • Cofinity — Auto: $295.67
  • Cofinity — Workers Comp: $295.67
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE Not listed in the file Not listed in the file $652.57 – $2,147.40
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $1,193
  • Aetna — Better Health of Michigan: $685.26
  • Blue Cross — Blue Cross Complete: $652.57
  • Blue Cross — Blue Cross Network (BCN) Advantage: $1,193
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $1,193
  • Centra Care - PACE — Senior Care Partners P.A.: $1,133.35
  • CHAMPVA — CHAMPVA: $1,193
  • HAP — Medicare: $1,193
  • McLaren Health Plan — Medicaid/MiChild: $652.57
  • McLaren Health Plan — Medicare: $1,193
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: COLONOSCOPY LESN REMOV SNARE $908 Not listed in the file $159.54 – $1,000.22
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $159.96
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $724.34
  • Blue Cross — Blue Cross Complete: $159.96
  • CIGNA — Commercial/National Association of Letter Carriers: $1,000.22
  • Cofinity — Advantage Business: $681
  • Cofinity — Auto: $681
  • Cofinity — Workers Comp: $681
  • HAP — HMO/PPO: $681
  • HAP — Medicare: $454
  • Healthscope — ASR Healthscope: $726.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $661 Not listed in the file $58.36 – $799.14
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $169.44
  • Aetna — Better Health of Michigan: $116.94
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $290.80
  • Blue Cross — Blue Cross Complete: $116.94
  • Blue Cross — Blue Cross Network (BCN) Advantage: $162.92
  • CHAMPVA — CHAMPVA: $162.92
  • CIGNA — Commercial/National Association of Letter Carriers: $799.14
  • Cofinity — Advantage Business: $218.31
  • Cofinity — Auto: $218.31
  • Cofinity — Workers Comp: $218.31
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK Not listed in the file Not listed in the file $507.14 – $1,668.83
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $927.13
  • Aetna — Better Health of Michigan: $532.54
  • Blue Cross — Blue Cross Complete: $507.14
  • Blue Cross — Blue Cross Network (BCN) Advantage: $927.13
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $927.13
  • Centra Care - PACE — Senior Care Partners P.A.: $880.77
  • CHAMPVA — CHAMPVA: $927.13
  • HAP — Medicare: $927.13
  • McLaren Health Plan — Medicaid/MiChild: $507.14
  • McLaren Health Plan — Medicare: $927.13
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $661 Not listed in the file $58.36 – $799.14
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $84.72
  • Aetna — Better Health of Michigan: $58.58
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $543.25
  • Blue Cross — Blue Cross Complete: $58.58
  • Blue Cross — Blue Cross Network (BCN) Advantage: $81.46
  • CHAMPVA — CHAMPVA: $81.46
  • CIGNA — Commercial/National Association of Letter Carriers: $799.14
  • Cofinity — Advantage Business: $109.16
  • Cofinity — Auto: $109.16
  • Cofinity — Workers Comp: $109.16
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $2,310 Not listed in the file $424.30 – $3,660.24
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $650.94
  • Aetna — Better Health of Michigan: $427.28
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,060.94
  • Blue Cross — Blue Cross Complete: $427.28
  • Blue Cross — Blue Cross Network (BCN) Advantage: $625.90
  • CHAMPVA — CHAMPVA: $625.90
  • CIGNA — Commercial/National Association of Letter Carriers: $3,660.24
  • Cofinity — Advantage Business: $838.71
  • Cofinity — Auto: $838.71
  • Cofinity — Workers Comp: $838.71
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,296.83 – $10,848.82
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $6,027.12
  • Aetna — Better Health of Michigan: $3,461.98
  • Blue Cross — Blue Cross Complete: $3,296.83
  • Blue Cross — Blue Cross Network (BCN) Advantage: $6,027.12
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $6,027.12
  • Centra Care - PACE — Senior Care Partners P.A.: $5,725.76
  • CHAMPVA — CHAMPVA: $6,027.12
  • HAP — Medicare: $6,027.12
  • McLaren Health Plan — Medicaid/MiChild: $3,296.83
  • McLaren Health Plan — Medicare: $6,027.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: RPR INIT ING HERNIA >5YRS $1,825 Not listed in the file $336.97 – $2,589.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $521.22
  • Aetna — Better Health of Michigan: $339.52
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $842.57
  • Blue Cross — Blue Cross Complete: $339.52
  • Blue Cross — Blue Cross Network (BCN) Advantage: $501.17
  • CHAMPVA — CHAMPVA: $501.17
  • CIGNA — Commercial/National Association of Letter Carriers: $2,589.50
  • Cofinity — Advantage Business: $671.57
  • Cofinity — Auto: $671.57
  • Cofinity — Workers Comp: $671.57
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE Not listed in the file Not listed in the file $1,952.52 – $6,425.10
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3,569.50
  • Aetna — Better Health of Michigan: $2,050.32
  • Blue Cross — Blue Cross Complete: $1,952.52
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3,569.50
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $3,569.50
  • Centra Care - PACE — Senior Care Partners P.A.: $3,391.03
  • CHAMPVA — CHAMPVA: $3,569.50
  • HAP — Medicare: $3,569.50
  • McLaren Health Plan — Medicaid/MiChild: $1,952.52
  • McLaren Health Plan — Medicare: $3,569.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: RPR INIT ING HERNIA >5YRS $3,650 Not listed in the file $336.97 – $2,920
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $339.52
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $842.57
  • Blue Cross — Blue Cross Complete: $339.52
  • CIGNA — Commercial/National Association of Letter Carriers: $2,589.50
  • Cofinity — Advantage Business: $2,737.50
  • Cofinity — Auto: $2,737.50
  • Cofinity — Workers Comp: $2,737.50
  • HAP — HMO/PPO: $2,737.50
  • HAP — Medicare: $1,825
  • Healthscope — ASR Healthscope: $2,920
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED Not listed in the file Not listed in the file $5,796.82 – $19,075.45
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $10,597.47
  • Aetna — Better Health of Michigan: $6,087.19
  • Blue Cross — Blue Cross Complete: $5,796.82
  • Blue Cross — Blue Cross Network (BCN) Advantage: $10,597.47
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $10,597.47
  • Centra Care - PACE — Senior Care Partners P.A.: $10,067.60
  • CHAMPVA — CHAMPVA: $10,597.47
  • HAP — Medicare: $10,597.47
  • McLaren Health Plan — Medicaid/MiChild: $5,796.82
  • McLaren Health Plan — Medicare: $10,597.47
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB HYSTEROSCOPY SURGICAL W SAMP $3,410 Not listed in the file $1,450.61 – $5,809.09
Hysteroscopy with biopsy of the uterus lining: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $3,227.27
  • Aetna — Better Health of Michigan: $1,853.74
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,557.50
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $1,450.61
  • Blue Cross — Blue Cross Complete: $1,765.32
  • Blue Cross — Blue Cross Network (BCN) Advantage: $3,227.27
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $3,227.27
  • Centra Care - PACE — Senior Care Partners P.A.: $3,065.91
  • CHAMPVA — CHAMPVA: $3,227.27
  • CIGNA — Commercial/National Association of Letter Carriers: $2,318.80
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY SURGICAL W SAMP $4,046 Not listed in the file $147.40 – $1,917.37
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $211.80
  • Aetna — Better Health of Michigan: $147.82
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $368.56
  • Blue Cross — Blue Cross Complete: $147.82
  • Blue Cross — Blue Cross Network (BCN) Advantage: $203.65
  • CHAMPVA — CHAMPVA: $203.65
  • CIGNA — Commercial/National Association of Letter Carriers: $1,917.37
  • Cofinity — Advantage Business: $272.89
  • Cofinity — Auto: $272.89
  • Cofinity — Workers Comp: $272.89
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB HYSTEROSCOPY SURGICAL W SAMP $3,410 Not listed in the file $2,216.50 – $3,069
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $2,557.50
  • CIGNA — Commercial/National Association of Letter Carriers: $2,216.50
  • Cofinity — Advantage Business: $2,387
  • Cofinity — Auto: $3,069
  • Cofinity — Workers Comp: $2,830.30
  • HAP — HMO/PPO: $2,898.50
  • McLaren Health Plan — Commercial: $2,318.80
  • PHP Mid-Michigan — Commercial: $2,318.80
  • Priority Health — Commercial: $2,216.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: LUMBAR/SACRAL EPIDURAL (W/ GUIDANCE) $790 Not listed in the file $63.05 – $438.26
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $91.27
  • Aetna — Better Health of Michigan: $63.26
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $157.65
  • Blue Cross — Blue Cross Complete: $63.26
  • Blue Cross — Blue Cross Network (BCN) Advantage: $87.76
  • CHAMPVA — CHAMPVA: $87.76
  • CIGNA — Commercial/National Association of Letter Carriers: $438.26
  • Cofinity — Advantage Business: $117.60
  • Cofinity — Auto: $117.60
  • Cofinity — Workers Comp: $117.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: LUMBAR/SACRAL EPIDURAL (W/ GUIDANCE) $1,580 Not listed in the file $63.05 – $1,264
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — Better Health of Michigan: $63.26
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $413.30
  • Blue Cross — Blue Cross Complete: $63.26
  • CIGNA — Commercial/National Association of Letter Carriers: $438.26
  • Cofinity — Advantage Business: $1,185
  • Cofinity — Auto: $1,185
  • Cofinity — Workers Comp: $1,185
  • HAP — HMO/PPO: $1,185
  • HAP — Medicare: $790
  • Healthscope — ASR Healthscope: $1,264
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: Caudal/Lumbar/Scral Block with imaging guidance $2,051 Not listed in the file $820.40 – $1,845.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $1,538.25
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $872.50
  • Blue Cross — Blue Cross Complete: $820.40
  • CIGNA — Commercial/National Association of Letter Carriers: $1,394.68
  • Cofinity — Advantage Business: $1,435.70
  • Cofinity — Auto: $1,845.90
  • Cofinity — Workers Comp: $1,702.33
  • HAP — HMO/PPO: $1,743.35
  • HAP — Medicare: $1,025.50
  • Healthscope — ASR Healthscope: $1,784.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PBB FORAMEN EPIDURAL INJ LUMBAR/SAC $1,008 Not listed in the file $428.80 – $1,587.20
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $881.78
  • Aetna — Better Health of Michigan: $506.49
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $756
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $428.80
  • Blue Cross — Blue Cross Complete: $482.33
  • Blue Cross — Blue Cross Network (BCN) Advantage: $881.78
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $881.78
  • Centra Care - PACE — Senior Care Partners P.A.: $837.69
  • CHAMPVA — CHAMPVA: $881.78
  • CIGNA — Commercial/National Association of Letter Carriers: $685.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: FORAMEN EPIDURAL INJ. LUMBAR/SAC $346 Not listed in the file $70.72 – $416.74
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $101.38
  • Aetna — Better Health of Michigan: $70.93
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $176.82
  • Blue Cross — Blue Cross Complete: $70.93
  • Blue Cross — Blue Cross Network (BCN) Advantage: $97.48
  • CHAMPVA — CHAMPVA: $97.48
  • CIGNA — Commercial/National Association of Letter Carriers: $416.74
  • Cofinity — Advantage Business: $130.62
  • Cofinity — Auto: $130.62
  • Cofinity — Workers Comp: $130.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PBB FORAMEN EPIDURAL INJ LUMBAR/SAC $1,008 Not listed in the file $655.20 – $907.20
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans
  • Aetna — Mailhandlers Benefit Plan/Michigan Preferred/PPO: $756
  • CIGNA — Commercial/National Association of Letter Carriers: $655.20
  • Cofinity — Advantage Business: $705.60
  • Cofinity — Auto: $907.20
  • Cofinity — Workers Comp: $836.64
  • HAP — HMO/PPO: $856.80
  • McLaren Health Plan — Commercial: $685.44
  • PHP Mid-Michigan — Commercial: $685.44
  • Priority Health — Commercial: $655.20
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY $1,297 Not listed in the file $284.78 – $1,601.34
Carpal tunnel release: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $423.91
  • Aetna — Better Health of Michigan: $287.34
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $712.09
  • Blue Cross — Blue Cross Complete: $287.34
  • Blue Cross — Blue Cross Network (BCN) Advantage: $407.61
  • CHAMPVA — CHAMPVA: $407.61
  • CIGNA — Commercial/National Association of Letter Carriers: $1,601.34
  • Cofinity — Advantage Business: $546.20
  • Cofinity — Auto: $546.20
  • Cofinity — Workers Comp: $546.20
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL Not listed in the file Not listed in the file $1,064.89 – $3,504.20
Carpal tunnel release: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $1,946.78
  • Aetna — Better Health of Michigan: $1,118.23
  • Blue Cross — Blue Cross Complete: $1,064.89
  • Blue Cross — Blue Cross Network (BCN) Advantage: $1,946.78
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $1,946.78
  • Centra Care - PACE — Senior Care Partners P.A.: $1,849.44
  • CHAMPVA — CHAMPVA: $1,946.78
  • HAP — Medicare: $1,946.78
  • McLaren Health Plan — Medicaid/MiChild: $1,064.89
  • McLaren Health Plan — Medicare: $1,946.78
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA Not listed in the file Not listed in the file $1,258.54 – $4,141.44
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2,300.80
  • Aetna — Better Health of Michigan: $1,321.58
  • Blue Cross — Blue Cross Complete: $1,258.54
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2,300.80
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $2,300.80
  • Centra Care - PACE — Senior Care Partners P.A.: $2,185.76
  • CHAMPVA — CHAMPVA: $2,300.80
  • HAP — Medicare: $2,300.80
  • McLaren Health Plan — Medicaid/MiChild: $1,258.54
  • McLaren Health Plan — Medicare: $2,300.80

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: ROUTINE OBSTETRIC CARE $6,044 Not listed in the file $2,205.38 – $3,969.68
Vaginal delivery, with care before and after: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2,293.60
  • Aetna — Better Health of Michigan: $2,220.73
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $3,504.67
  • Blue Cross — Blue Cross Complete: $2,220.73
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2,205.38
  • CHAMPVA — CHAMPVA: $2,205.38
  • CIGNA — Commercial/National Association of Letter Carriers: $3,393.98
  • Cofinity — Advantage Business: $2,955.21
  • Cofinity — Auto: $2,955.21
  • Cofinity — Workers Comp: $2,955.21
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: RTINE C SECTN W ANTE/PST PRTM $6,709 Not listed in the file $2,471.23 – $4,448.21
Cesarean delivery (C-section), with care before and after: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2,570.08
  • Aetna — Better Health of Michigan: $2,475.76
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $3,504.67
  • Blue Cross — Blue Cross Complete: $2,475.76
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2,471.23
  • CHAMPVA — CHAMPVA: $2,471.23
  • CIGNA — Commercial/National Association of Letter Carriers: $3,755.20
  • Cofinity — Advantage Business: $3,311.45
  • Cofinity — Auto: $3,311.45
  • Cofinity — Workers Comp: $3,311.45
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: ROUTINE OBSTETRC & ANTEPRTM VBAC $6,362 Not listed in the file $2,330.18 – $4,194.32
Vaginal delivery after a previous C-section, with care before and after: 10 of 29 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $2,423.39
  • Aetna — Better Health of Michigan: $2,335.79
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $3,679.92
  • Blue Cross — Blue Cross Complete: $2,335.79
  • Blue Cross — Blue Cross Network (BCN) Advantage: $2,330.18
  • CHAMPVA — CHAMPVA: $2,330.18
  • CIGNA — Commercial/National Association of Letter Carriers: $3,555
  • Cofinity — Advantage Business: $3,122.44
  • Cofinity — Auto: $3,122.44
  • Cofinity — Workers Comp: $3,122.44

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $47,935.72 – $189,678.71
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $73,270.52
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $189,678.71
  • Blue Cross — Blue Cross Network (BCN) Advantage: $73,270.52
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $73,270.52
  • Centra Care - PACE — Senior Care Partners P.A.: $69,606.99
  • CHAMPVA — CHAMPVA: $73,270.52
  • HAP — Medicare: $73,270.52
  • McLaren Health Plan — Medicare: $73,270.52
  • Meridian Health Plan — Ambetter: $131,886.94
  • Meridian Health Plan — Complete (Medicare / Medicaid): $73,270.52
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 $9,451.61 – $37,399.44
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $15,330.23
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $37,399.44
  • Blue Cross — Blue Cross Network (BCN) Advantage: $15,330.23
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $15,330.23
  • Centra Care - PACE — Senior Care Partners P.A.: $14,563.72
  • CHAMPVA — CHAMPVA: $15,330.23
  • HAP — Medicare: $15,330.23
  • McLaren Health Plan — Medicare: $15,330.23
  • Meridian Health Plan — Ambetter: $27,594.41
  • Meridian Health Plan — Complete (Medicare / Medicaid): $15,330.23
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 $11,962.37 – $47,334.37
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $19,110.35
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $47,334.37
  • Blue Cross — Blue Cross Network (BCN) Advantage: $19,110.35
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $19,110.35
  • Centra Care - PACE — Senior Care Partners P.A.: $18,154.83
  • CHAMPVA — CHAMPVA: $19,110.35
  • HAP — Medicare: $19,110.35
  • McLaren Health Plan — Medicare: $19,110.35
  • Meridian Health Plan — Ambetter: $34,398.63
  • Meridian Health Plan — Complete (Medicare / Medicaid): $19,110.35
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 $6,079.43 – $24,055.93
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates
  • Aetna — Aetna Better Health Premier Plan MI Health Link/Medicare: $10,253.20
  • Blue Cross — Blue Choice/Blue Cross/Blue Cross Federal/Blue Cross Messa/B: $24,055.93
  • Blue Cross — Blue Cross Network (BCN) Advantage: $10,253.20
  • Blue Cross — Highmark Blue Cross/Highmark Freedom Blue Advantage/Medicare: $10,253.20
  • Centra Care - PACE — Senior Care Partners P.A.: $9,740.54
  • CHAMPVA — CHAMPVA: $10,253.20
  • HAP — Medicare: $10,253.20
  • McLaren Health Plan — Medicare: $10,253.20
  • Meridian Health Plan — Ambetter: $18,455.76
  • Meridian Health Plan — Complete (Medicare / Medicaid): $10,253.20

Source: Oaklawn Hospital’s standard charges file (oaklawnhospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 27, 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 typeAcute Care Hospital
Address200 N Madison, Marshall, MI 49068
CountyCalhoun County
StateMichigan
Phone(269) 781‑4271
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number230217
Name in Medicare recordsOAKLAWN HOSPITAL
Profile levelMedicare data + hospital website
Official websiteoaklawnhospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Services - Oaklawn Hospital — oaklawnhospital.org
  2. Oaklawn Hospital — providers.oaklawnhospital.org
  3. Visitor Guidelines - Oaklawn Hospital — oaklawnhospital.org
  4. Surgical Services - Oaklawn Hospital — oaklawnhospital.org
  5. Mako System - Oaklawn Hospital — oaklawnhospital.org
  6. Advanced Robotic Surgery with da Vinci 5 - Oaklawn Hospital — oaklawnhospital.org
  7. Emergency Medicine in Marshall & Albion, MI | Oaklawn Hospital — oaklawnhospital.org
  8. Birth Center & Childbirth Education | Oaklawn Hospital — oaklawnhospital.org
  9. Cardiopulmonary - Oaklawn Hospital — oaklawnhospital.org
  10. Marshall Area General Surgery Services | Oaklawn Hospital — oaklawnhospital.org
  11. Orthopedic Specialists in Greater Marshall & Battle Creek Area | Oaklawn — oaklawnhospital.org