Does Ochsner Choctaw General have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ochsner Choctaw General. In a medical emergency, call 911.

Where is Ochsner Choctaw General?

401 Vanity Fair Lane, PO Box 618, Butler, AL 36904, in Choctaw County, Alabama.

What is the phone number of Ochsner Choctaw General?

(205) 459-9100, as listed by Medicare (CMS).

What is the Medicare star rating of Ochsner Choctaw General?

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

Ochsner Choctaw General — Phone, Address & ER

Quick answers

Does Ochsner Choctaw General have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ochsner Choctaw General. In a medical emergency, call 911.
Where is Ochsner Choctaw General?: 401 Vanity Fair Lane, PO Box 618, Butler, AL 36904, in Choctaw County, Alabama.
What is the phone number of Ochsner Choctaw General?: (205) 459-9100, as listed by Medicare (CMS).
What is the Medicare star rating of Ochsner Choctaw General?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Emergency care
Rehabilitation
Respiratory therapy
Wound care
Senior care
Hyperbarics and wound care
Infusion services
Nutrition
Outpatient diagnostics
Physical therapy
Radiology and diagnostic imaging
Speech and language pathology

Conditions treated^[4]

Diabetic foot ulcers
Venous ulcers
Pressure ulcers
Non-healing surgical wounds
Arterial/ischemic ulcers
Radiation-related wounds (cystitis, proctitis, external wound)
Traumatic wounds
Infected wounds
Crush injuries
Compromised flaps or grafts

Treatments^[4]

Outpatient infusion
Swing bed program
Wound care
Respiratory therapy
Physical, occupational and speech therapy
Dietary consultations

Procedures^[4]

Outpatient MRI
Outpatient ultrasound
Laboratory services

Programs and centers^[4]

Senior care program (mood-related challenges, age 55+)

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Free parking is available^[4]
Interpreters and languages	Free professional interpreter services 24/7 in all languages (Ochsner-wide wording on this page)^[4]

Doctors and clinicians (46)

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

Main specialties

And 22 more: the button below opens the full list.

Other emergency rooms nearby

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

Ochsner Watkins Hospital21 mi · Quitman, MS · Critical Access Hospital
Hill Hospital of Sumter County27 mi · York, AL · Acute Care Hospital
Whitfield Regional Hospital31 mi · Demopolis, AL · Acute Care Hospital
Anderson Regional Medical Center South Campus32 mi · Meridian, MS · Acute Care Hospital
Ochsner Rush Hospital32 mi · Meridian, MS · Acute Care Hospital

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

Other hospitals near Butler

Alliance Health Center23 mi · Meridian, MS · Acute Care Hospital
Regency Hospital of Meridian32 mi · Meridian, MS · Long-Term Acute Care Hospital

Hospitals in Choctaw 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

Timberland Health and Wellness Center3.3 mi · Butler, AL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice Care Group, LLC21 mi · Quitman, MS
Harpers Hospice Care Inc23 mi · Meridian, MS

All hospice providers in the state →

Home health agencies

Centerwell Home Health0.0 mi · Butler, AL · 4.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

FKC Meridian Home23 mi · Meridian, MS · 1 of 5 stars
Lauderdale County Dialysis23 mi · Meridian, MS · 1 of 5 stars
RCG Meridian23 mi · Meridian, MS · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Meridian Orthopaedic Surgery Center, LLC23 mi · Meridian, MS
Meridian Surgery Center23 mi · Meridian, MS
Plastic Surgery Center of Meridian23 mi · Meridian, MS

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

Physicians Care of Butler2.6 mi · Butler, AL · Community health center
Gilbertown Medical/Dental Center16 mi · Gilbertown, AL · Community health center
Physicians Care of Sweet Water23 mi · Sweet Water, AL · Community health center

Clinics and urgent care

Ochsner Health Center - Butler0.0 mi · Butler, AL · Rural health clinic
Ochsner Health Center - Gilbertown16 mi · Gilbertown, AL · Rural health clinic
Ochsner Health Center-Quitman21 mi · Quitman, MS · Rural health clinic

Pharmacies

MR Discount Drugs of Butler0.0 mi · Butler, AL · Pharmacy

About the Medicare star rating

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

Medicare quality data

What Ochsner Choctaw General 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.

Rated the hospital 9 or 10 out of 10	76%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	87%National average: 80%
“Always” got help as soon as they wanted	66%National average: 64%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	82%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	39Response rate: 27%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)	16.2%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	111 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Alabama Best hospitals in Alabama

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as Ochsner Choctaw General 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 81 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$276	$209.76	$67.85 – $224.88
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $179.40 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $124.20 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $207 COR VEL — ALL PAYOR: $224.88 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $124.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $108.78 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $125.44 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $67.85 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $124.20 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $67.85
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$276	$209.76	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier EP25 In the file: PR OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$190.82	$145.02	$63.49 – $185.04
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $103.61 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $63.49 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $160.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $104.33 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $105.38 COR VEL — ALL PAYOR: $131.80 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $160.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $81.95 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $160.90 MOLINA HEALTHCARE OF MISSISSIPPI � MEDICARE ADVANTAGE PRODUC — ALL PAYOR: $162.51
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$414	$314.64	$110.43 – $337.33
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $269.10 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $186.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $310.50 COR VEL — ALL PAYOR: $337.33 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $186.30 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $163.17 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $188.16 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $110.43 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $186.30 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $110.43
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$414	$314.64	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 25 In the file: PR OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$195.82	$148.82	$95.68 – $241.10
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $155.57 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $95.68 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $160.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $148.32 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $161.86 COR VEL — ALL PAYOR: $159.06 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $160.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $123.61 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $160.90 MOLINA HEALTHCARE OF MISSISSIPPI � MEDICARE ADVANTAGE PRODUC — ALL PAYOR: $162.51
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$454	$345.04	$150.03 – $369.92
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $295.10 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $204.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $340.50 COR VEL — ALL PAYOR: $369.92 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $204.30 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $178.94 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $206.34 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $150.03 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $204.30 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $150.03
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$454	$345.04	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$256	$194.56	$54.64 – $208.59
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $166.40 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $115.20 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $192 COR VEL — ALL PAYOR: $208.59 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $115.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $100.90 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $116.35 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $54.64 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $115.20 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $54.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$256	$194.56	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: PR OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$180.82	$137.42	$51.91 – $185.04
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $84.02 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $51.91 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $160.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $56.34 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $68.61 COR VEL — ALL PAYOR: $81.81 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $160.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $66.84 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $160.90 MOLINA HEALTHCARE OF MISSISSIPPI � MEDICARE ADVANTAGE PRODUC — ALL PAYOR: $162.51
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$185.82	$141.22	$69.35 – $141.17
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $93.12 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $69.35 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $88.23 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $88.70 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $104.15 COR VEL — ALL PAYOR: $106.79 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $88.23 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $72.82 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $79.84 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $88.23
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$299	$227.24	$80.59 – $243.63
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $194.35 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $134.55 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $224.25 COR VEL — ALL PAYOR: $243.63 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $134.55 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $117.85 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $135.90 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $80.59 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $134.55 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $80.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$299	$227.24	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PR PREVENTIVE VISIT,NEW,18-39	$190.82	$145.02	$69.03 – $136.98
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $107.59 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $69.03 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $85.61 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $85.40 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $124.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $85.61 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $70.38 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $77.40 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $85.61 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $77.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PR PREVENTIVE VISIT,NEW,40-64	$195.82	$148.82	$84.10 – $165.98
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $130.46 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $84.10 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $103.74 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $104.95 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $145.76 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $103.74 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $85.33 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $93.76 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $103.74 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $93.76
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL III	$850	$646	$211.40 – $759
Emergency room visit (moderate): 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $552.50 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $382.50 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $382.50 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $637.50 COR VEL — ALL PAYOR: $692.58 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $382.50 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $335.02 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $386.32 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $211.40 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $382.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPT VISIT,LEVEL III	$154	$117.04	$53.80 – $119.36
Emergency room visit (moderate): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $69.17 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $67 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $64.57 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $69.39 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $115.50 COR VEL — ALL PAYOR: $119.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $64.57 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $53.80 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $64.57 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $64.57
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL III	$850	$646	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL IV	$1,200	$912	$328.16 – $977.76
Emergency room visit (moderately high): 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $780 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $540 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $540 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $900 COR VEL — ALL PAYOR: $977.76 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $540 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $472.97 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $545.40 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $328.16 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $540
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPT VISIT,LEVEL IV	$232	$176.32	$91.60 – $176.08
Emergency room visit (moderately high): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $117.06 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $116.65 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $110.05 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $108.42 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $174 COR VEL — ALL PAYOR: $146.38 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $110.05 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $91.60 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $110.05 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $110.05
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL IV	$1,200	$912	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL V	$1,500	$1,140	$475.89 – $1,438
Emergency room visit (high): 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $975 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $675 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $675 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,125 COR VEL — ALL PAYOR: $1,222.20 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $675 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $591.21 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $681.75 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $475.89 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $675
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: PR EMERGENCY DEPT VISIT,LEVEL V	$339	$257.64	$132.81 – $257.83
Emergency room visit (high): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $170.03 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $171.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $159.59 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $195.64 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $254.25 COR VEL — ALL PAYOR: $218.43 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $159.59 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $132.81 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $159.59 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $159.59
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL V	$1,500	$1,140	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$27	$20.52	$7.61 – $25.57
Basic metabolic panel (blood test): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $17.55 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $12.15 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $14.85 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $20.25 COR VEL — ALL PAYOR: $22 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $12.15 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $10.64 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $12.27 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $7.61
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: PR BASIC METABOLIC PANEL CALCIUM TOTAL	$46	$34.96	$3.55 – $32.20
Basic metabolic panel (blood test): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $15.48 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.63 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $8.46 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $15.81 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $27 COR VEL — ALL PAYOR: $11.31 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $8.46 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $6.44 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $8.46 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$27	$20.52	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$33	$25.08	$9.50 – $26.89
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $21.45 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $14.85 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $18.15 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $24.75 COR VEL — ALL PAYOR: $26.89 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $14.85 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $13.01 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $15 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $9.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: PR METABOLIC PANEL,COMPREHENSIVE	$33	$25.08	$4.44 – $38
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.32 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $10.78 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $10.56 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $19.42 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $38 COR VEL — ALL PAYOR: $14.13 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $10.56 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $8.04 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $10.56 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$33	$25.08	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL	$117	$88.92	$25.57 – $95.33
Obstetric blood test panel: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $76.05 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $52.65 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $64.35 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $87.75 COR VEL — ALL PAYOR: $95.33 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $52.65 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $46.11 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $53.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $43.03
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: PR OBSTETRIC PANEL	$147	$111.72	$20.08 – $124.95
Obstetric blood test panel: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $87.49 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $44.67 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $47.81 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $74.97 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $82 COR VEL — ALL PAYOR: $39.08 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $47.81 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $65.90 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $47.81 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL	$117	$88.92	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PROFILE	$35	$26.60	$12.05 – $28.52
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $22.75 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $15.75 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $19.25 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $26.25 COR VEL — ALL PAYOR: $28.52 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $15.75 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $13.79 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $15.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $12.05
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: PR LIPID PANEL	$84	$63.84	$5.62 – $58.80
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $24.50 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.60 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $13.39 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $29.81 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $50 COR VEL — ALL PAYOR: $16.37 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $13.39 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $10.19 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $13.39 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PROFILE	$35	$26.60	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$268	$203.68	$7.81 – $218.37
Kidney function panel: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $174.20 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $120.60 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $147.40 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $201 COR VEL — ALL PAYOR: $218.37 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $120.60 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $105.63 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $121.81 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $7.81
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: PR RENAL FUNCTION PANEL	$51	$38.76	$3.65 – $35.70
Kidney function panel: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $15.88 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.87 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $8.68 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $16.26 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $30 COR VEL — ALL PAYOR: $11.61 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $8.68 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $6.61 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $8.68 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL	$268	$203.68	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$29	$22.04	$7.35 – $25.57
Liver function panel: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $18.85 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $25.57 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $13.05 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $15.95 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $21.75 COR VEL — ALL PAYOR: $23.63 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $13.05 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $11.43 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $13.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $7.35
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: PR HEPATIC FUNCTION PANEL	$44	$33.44	$3.43 – $45
Liver function panel: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $14.95 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.33 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $8.17 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $15.36 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $45 COR VEL — ALL PAYOR: $10.94 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $8.17 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $6.22 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $8.17 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$29	$22.04	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: PR URINALYSIS, AUTO, W/SCOPE	$23.50	$17.86	$2.85 – $19.15
Urine test (automated, with microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $15.28 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $10.57 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $12.93 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $17.62 COR VEL — ALL PAYOR: $19.15 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $10.57 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $9.26 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $10.68 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2.85
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO W/MICRO	$58.43	$44.41	$2.85 – $47.61
Urine test (automated, with microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $37.98 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $26.29 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $32.14 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $43.82 COR VEL — ALL PAYOR: $47.61 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $26.29 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $23.03 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $26.56 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2.85
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS, AUTO W/MICRO	$58.43	$44.41	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PR URINALYSIS NONAUTO W/O SCOPE	$39.69	$30.16	$3.13 – $32.34
Urine test (manual, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.80 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $17.86 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $21.83 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $29.77 COR VEL — ALL PAYOR: $32.34 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $17.86 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $15.64 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $18.04 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.13
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC KETONE,URINE	$46	$34.96	$3.13 – $37.48
Urine test (manual, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $29.90 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $20.70 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $25.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $34.50 COR VEL — ALL PAYOR: $37.48 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $20.70 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $18.13 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $20.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.13
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC PROTEIN,UA	$46	$34.96	$3.13 – $37.48
Urine test (manual, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $29.90 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $20.70 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $25.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $34.50 COR VEL — ALL PAYOR: $37.48 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $20.70 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $18.13 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $20.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINE W/O MICRO, AUTO	$7	$5.32	$2.03 – $8.46
Urine test (automated, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4.55 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $3.15 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $3.85 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $5.25 COR VEL — ALL PAYOR: $5.70 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $3.15 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $2.76 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $3.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PR URINALYSIS, AUTO, W/O SCOPE	$16.50	$12.54	$2.03 – $13.44
Urine test (automated, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $10.72 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $7.42 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $9.07 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $12.38 COR VEL — ALL PAYOR: $13.44 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $7.42 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $6.50 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $7.50 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC POC UA DIPSTICK	$37.80	$28.73	$2.03 – $30.80
Urine test (automated, without microscope): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $24.57 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $8.46 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $17.01 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $20.79 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $28.35 COR VEL — ALL PAYOR: $30.80 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $17.01 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $14.90 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $17.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PR PROSTATE SPECIFIC ANTIGEN,TOTAL	$100	$76	$16.55 – $81.48
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $65 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $37.35 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $45 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $55 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $75 COR VEL — ALL PAYOR: $81.48 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $45 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $39.41 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $45.45 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $16.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, DIAGNOSTIC	$219	$166.44	$16.55 – $178.44
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $142.35 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $37.35 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $98.55 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $120.45 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $164.25 COR VEL — ALL PAYOR: $178.44 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $98.55 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $86.32 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $99.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $16.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, TOTAL	$219	$166.44	$16.55 – $178.44
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $142.35 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $37.35 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $98.55 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $120.45 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $164.25 COR VEL — ALL PAYOR: $178.44 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $98.55 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $86.32 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $99.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $16.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: PR ASSAY THYROID STIM HORMONE	$51	$38.76	$15.12 – $41.55
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $33.15 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $38.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $22.95 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $28.05 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $38.25 COR VEL — ALL PAYOR: $41.55 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $22.95 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $20.10 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $23.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $15.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH	$51	$38.76	$15.12 – $41.55
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $33.15 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $38.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $22.95 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $28.05 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $38.25 COR VEL — ALL PAYOR: $41.55 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $22.95 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $20.10 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $23.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $15.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH - SENSITIVE, SERUM - RL	$63	$47.88	$15.12 – $51.33
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $40.95 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $38.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $28.35 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $34.65 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $47.25 COR VEL — ALL PAYOR: $51.33 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $28.35 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $24.83 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $28.63 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $15.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$22	$16.72	$6.99 – $17.93
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $14.30 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $17.29 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $9.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $12.10 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $16.50 COR VEL — ALL PAYOR: $17.93 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $9.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $8.67 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $10 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $6.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: *HC CBC WITH ONLY AUTOMATED DIFF	$68	$51.68	$6.99 – $55.41
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $44.20 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $17.29 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $30.60 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $37.40 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $51 COR VEL — ALL PAYOR: $55.41 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $30.60 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $26.80 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $30.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $6.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: PR COMPLETE CBC & AUTO DIFF WBC	$22	$16.72	$3.26 – $29
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $14.22 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $7.94 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $7.77 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $14.45 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $29 COR VEL — ALL PAYOR: $12.79 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $7.77 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $5.92 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $7.77 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC CBC WITHOUT DIFF	$95	$72.20	$5.82 – $77.41
Complete blood count (CBC), automated: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $61.75 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $17.29 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $42.75 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $52.25 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $71.25 COR VEL — ALL PAYOR: $77.41 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $42.75 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $37.44 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $43.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $5.82
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: PR COMPLETE CBC	$37	$28.12	$2.72 – $27
Complete blood count (CBC), automated: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $11.84 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $4.73 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $6.47 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $12.19 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $27 COR VEL — ALL PAYOR: $7.62 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $6.47 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $4.93 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $6.47 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC CBC WITHOUT DIFF	$95	$72.20	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME - RL	$10	$7.60	$3.86 – $11.41
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $6.50 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.41 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $4.50 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $5.50 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $7.50 COR VEL — ALL PAYOR: $8.15 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $4.50 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $3.94 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $4.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: CHG PROTHROMBIN TIME	$25	$19	$3.86 – $20.37
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $16.25 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.41 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $11.25 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $13.75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $18.75 COR VEL — ALL PAYOR: $20.37 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $11.25 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $9.85 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $11.36 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$71	$53.96	$3.86 – $57.85
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $46.15 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.41 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $31.95 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $39.05 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $53.25 COR VEL — ALL PAYOR: $57.85 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $31.95 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $27.98 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $32.27 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $3.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LUPUS PTT - RL	$15	$11.40	$5.41 – $12.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $9.75 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.41 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $6.75 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $8.25 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $11.25 COR VEL — ALL PAYOR: $12.22 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $6.75 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $5.91 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $6.82 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $5.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$101	$76.76	$5.41 – $82.29
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $65.65 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $11.41 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $45.45 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $55.55 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $75.75 COR VEL — ALL PAYOR: $82.29 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $45.45 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $39.81 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $45.90 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $5.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PR THROMBOPLAS TIME PARTIAL	$20	$15.20	$2.52 – $26
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $11 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $6.13 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $6.01 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $11.29 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $26 COR VEL — ALL PAYOR: $9.87 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $6.01 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $4.58 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $6.01 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD W/O CONTRAST	$1,390	$1,056.40	$81.46 – $1,132.57
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $903.50 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $972.83 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $625.50 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $500 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,042.50 COR VEL — ALL PAYOR: $1,132.57 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $625.50 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $547.86 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $631.75 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD W/O CONTRAST	$1,390	$1,056.40	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26AQ In the file: PR CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL	$190	$144.40	$30.26 – $185.74
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $84.82 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $64.24 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $160.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $66.43 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $76 COR VEL — ALL PAYOR: $185.74 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $160.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $30.26 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $160.90 MOLINA HEALTHCARE OF MISSISSIPPI � MEDICARE ADVANTAGE PRODUC — ALL PAYOR: $162.51
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CONTRAST	$3,264	$2,480.64	$284.93 – $2,659.51
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,121.60 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $1,373.70 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $1,468.80 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $700 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $2,448 COR VEL — ALL PAYOR: $2,659.51 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $1,468.80 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $1,286.48 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,483.49 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $284.93
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CONTRAST	$3,264	$2,480.64	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: PR XRAY, CHEST, 2 VIEWS	$49	$37.24	$19.31 – $176.24
Chest X-ray, 2 views: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $31.85 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $176.24 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $22.05 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $26.95 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $36.75 COR VEL — ALL PAYOR: $39.93 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $22.05 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $19.31 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $22.27 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $67.32
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XRAY, CHEST, 2 VIEWS	$250	$190	$67.32 – $203.70
Chest X-ray, 2 views: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $162.50 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $176.24 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $112.50 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $137.50 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $187.50 COR VEL — ALL PAYOR: $203.70 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $112.50 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $98.54 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $113.62 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $67.32
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XRAY, CHEST, 2 VIEWS	$250	$190	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: PR X-RAY LUMBAR SPINE 4 VW	$65	$49.40	$36.38 – $190.65
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $76.63 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $56.58 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $44.76 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $79.61 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $87 COR VEL — ALL PAYOR: $190.65 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $44.76 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $36.38 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $48.86 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$442	$335.92	$81.46 – $360.14
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $287.30 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $176.24 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $198.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $243.10 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $331.50 COR VEL — ALL PAYOR: $360.14 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $198.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $174.21 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $200.89 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$442	$335.92	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,101	$1,596.76	$181.55 – $1,711.89
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,365.65 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $783.89 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $945.45 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $700 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,575.75 COR VEL — ALL PAYOR: $1,711.89 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $945.45 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $828.09 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $954.90 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $181.55
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,101	$1,596.76	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST	$1,941	$1,475.16	$136.13 – $1,581.53
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,261.65 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $972.83 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $873.45 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $500 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,455.75 COR VEL — ALL PAYOR: $1,581.53 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $873.45 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $765.03 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $882.18 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $136.13
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST	$1,941	$1,475.16	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: PR MRI LOWER EXTREM JT, W/O CONTRAST	$280	$212.80	$146.93 – $1,354.49
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $497.21 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $175.93 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $178.86 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $798.97 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $834 COR VEL — ALL PAYOR: $1,103.60 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $178.86 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $146.93 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $509.95 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $181.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOW EXT JT W/O CONTR	$1,606	$1,220.56	$181.55 – $1,308.57
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,043.90 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $783.89 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $722.70 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $700 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,204.50 COR VEL — ALL PAYOR: $1,308.57 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $722.70 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $632.99 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $729.93 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $181.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LOW EXT JT W/O CONTR	$1,606	$1,220.56	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,355	$1,789.80	$284.93 – $1,918.85
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,530.75 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $972.83 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $1,059.75 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $500 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,766.25 COR VEL — ALL PAYOR: $1,918.85 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $1,059.75 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $928.20 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,070.35 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $284.93
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,355	$1,789.80	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: PR US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE	$110	$83.60	$77 – $347.21
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $178.68 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $114.61 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $100.12 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $197.59 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $178 COR VEL — ALL PAYOR: $270.28 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $100.12 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $82.24 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $74.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$631	$479.56	$81.46 – $516.95
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $410.15 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $516.95 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $283.95 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $347.05 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $473.25 COR VEL — ALL PAYOR: $514.14 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $283.95 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $248.70 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $286.79 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$631	$479.56	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: PR US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$122	$92.72	$85.40 – $373.05
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $205.62 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $109.50 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $116.62 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $214.47 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $205 COR VEL — ALL PAYOR: $225.24 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $116.62 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $96.11 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $74.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$524	$398.24	$81.46 – $426.96
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $340.60 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $312.93 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $235.80 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $288.20 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $393 COR VEL — ALL PAYOR: $426.96 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $235.80 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $206.53 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $238.16 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$524	$398.24	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: PR ECHOGRAPHY,TRANSVAGINAL	$113	$85.88	$79.10 – $304.52
Transvaginal ultrasound: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $181.47 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $94.90 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $101.67 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $169.84 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $190 COR VEL — ALL PAYOR: $247.78 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $101.67 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $83.83 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $78.17 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON OB	$444	$337.44	$81.46 – $361.77
Transvaginal ultrasound: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $288.60 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $340.53 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $199.80 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $244.20 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $333 COR VEL — ALL PAYOR: $361.77 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $199.80 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $175 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $201.80 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.46
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL NON OB	$444	$337.44	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$346	$262.96	$65.76 – $281.92
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $224.90 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $155.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $155.70 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $190.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $259.50 COR VEL — ALL PAYOR: $281.92 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $155.70 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $136.37 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $157.26 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $65.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: PR MAMMO, CAD, DIAGNOSTIC, UNILAT	$90	$68.40	$63 – $213.89
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $189.87 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $116.07 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $108.83 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $213.89 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $67.50 COR VEL — ALL PAYOR: $163.63 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $108.83 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $88.39 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $108.83 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $108.83
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$346	$262.96	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$384	$291.84	$84.31 – $312.88
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $249.60 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $155.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $172.80 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $211.20 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $288 COR VEL — ALL PAYOR: $312.88 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $172.80 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $151.35 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $174.53 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $84.31
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: PR MAMMO, CAD, DIAGNOSTIC, BILAT	$140	$106.40	$98 – $271.11
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $239.68 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $115.36 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $137.19 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $271.11 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $105 COR VEL — ALL PAYOR: $197.67 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $137.19 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $111.78 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $137.19 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $137.19
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$384	$291.84	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$355	$269.80	$69.53 – $289.25
Screening mammogram, both breasts: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $230.75 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $155.82 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $77.77 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $195.25 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $266.25 COR VEL — ALL PAYOR: $289.25 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $77.77 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $139.92 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $78.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $69.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: PR MAMMO, CAD, SCREENING, BILAT	$90	$68.40	$63 – $218.39
Screening mammogram, both breasts: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $192.82 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $104.39 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $110.96 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $218.39 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $67.50 COR VEL — ALL PAYOR: $187.19 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $110.96 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $90.01 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $110.96 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $110.96
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$355	$269.80	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: PR ELECTROCARDIOGRAM, COMPLETE	$93	$70.68	$10.38 – $185.04
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $27.01 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $23.69 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $160.90 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $28.18 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $42 COR VEL — ALL PAYOR: $105.81 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $160.90 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $10.38 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $160.90 MOLINA HEALTHCARE OF MISSISSIPPI � MEDICARE ADVANTAGE PRODUC — ALL PAYOR: $162.51
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,414.30 – $7,247.09
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $7,247.09 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,414.30 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $2,414.30 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,535.02 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $5,550 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $5,550 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$5,533.25 – $19,077.77
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $19,077.77 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $5,533.25 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $5,533.25 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $5,809.91 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $6,292 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $6,292 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	Not listed in the file	Not listed in the file	$15,119 – $50,312.03
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $50,312.03 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $17,596.92 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $17,596.92 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $18,476.77 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $15,119 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $15,119 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: PR POLYSOMNOGRAPHY, 4 OR MORE	$510	$387.60	$357 – $1,514.25
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $884.57 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $547.50 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $537.04 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $984.09 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,307 COR VEL — ALL PAYOR: $1,446.45 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $537.04 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $434.05 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,590.75 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $774.65

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EX EA 15MIN	$154.35	$117.31	$24.03 – $125.76
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $100.33 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $118.84 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $69.46 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $115.76 COR VEL — ALL PAYOR: $125.76 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $69.46 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $60.84 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $70.15 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $24.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EX EA 15MIN	$154.35	$117.31	$24.03 – $125.76
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $100.33 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $118.84 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $69.46 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $115.76 COR VEL — ALL PAYOR: $125.76 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $69.46 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $60.84 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $70.15 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $24.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PR THERAPEUTIC EXERCISES	$48	$36.48	$21.05 – $59.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $37.38 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $21.05 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $26.83 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $35.24 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $37 COR VEL — ALL PAYOR: $59.66 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $26.83 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $21.71 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $26.83 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $26.83
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$301.32	$229	$75 – $736.80
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $195.86 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $736.80 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $135.59 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $225.99 COR VEL — ALL PAYOR: $245.52 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $135.59 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $118.76 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $136.95 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $82.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$301.32	$229	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$301.32	$229	$75 – $736.80
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $195.86 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $736.80 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $135.59 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $225.99 COR VEL — ALL PAYOR: $245.52 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $135.59 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $118.76 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $136.95 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $82.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$301.32	$229	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$301.32	$229	$75 – $736.80
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $195.86 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $736.80 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $135.59 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $225.99 COR VEL — ALL PAYOR: $245.52 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $135.59 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $118.76 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $136.95 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $82.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$301.32	$229	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT, 30 MIN	$125	$95	$49.27 – $373.09
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $81.25 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $373.09 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $56.25 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $93.75 COR VEL — ALL PAYOR: $101.85 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $56.25 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $49.27 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $56.81 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W/ PATIENT 30 MINUTES	$113	$85.88	$44.54 – $373.09
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $73.45 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $373.09 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $50.85 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $62.15 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $84.75 COR VEL — ALL PAYOR: $92.07 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $50.85 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $44.54 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $51.36 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC IOP-BMU PSYTX W/PATIENT, 30 MIN	$376	$285.76	$118.13 – $373.09
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $244.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $373.09 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $169.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $206.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $282 COR VEL — ALL PAYOR: $306.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $169.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $148.20 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $170.89 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$173	$131.48	$68.19 – $449.99
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $112.45 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $77.85 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $95.15 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $129.75 COR VEL — ALL PAYOR: $140.96 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $77.85 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $68.19 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $78.63 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC IOP-BMU PSYTX W/PATIENT, 45 MIN	$376	$285.76	$118.13 – $449.99
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $244.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $169.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $206.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $282 COR VEL — ALL PAYOR: $306.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $169.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $148.20 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $170.89 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC IOP-ABU PSYTX W/PATIENT, 45 MIN	$376	$285.76	$118.13 – $449.99
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $244.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $169.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $206.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $282 COR VEL — ALL PAYOR: $306.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $169.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $148.20 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $170.89 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PR PSYCHOTHERAPY W/PATIENT, 60 MIN	$250	$190	$98.54 – $449.99
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $162.50 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $112.50 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $169.81 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $187.50 COR VEL — ALL PAYOR: $203.70 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $112.50 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $98.54 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $113.62 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC IOP-BMU PSYTX W/PATIENT, 60 MIN	$207	$157.32	$81.59 – $449.99
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $134.55 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $93.15 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $113.85 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $155.25 COR VEL — ALL PAYOR: $168.66 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $93.15 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $81.59 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $94.08 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC IOP-ABU PSYTX W/PATIENT, 60 MIN	$207	$157.32	$81.59 – $449.99
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $134.55 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $449.99 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $93.15 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $113.85 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $155.25 COR VEL — ALL PAYOR: $168.66 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $93.15 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $81.59 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $94.08 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/O PT, 50 MIN	$185	$140.60	$72.92 – $464.52
Family psychotherapy, without the patient: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $120.25 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $464.52 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $83.25 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $101.75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $138.75 COR VEL — ALL PAYOR: $150.74 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $83.25 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $72.92 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $84.08 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC FAMILY PSYCHOTHERAPY, W/O PATIENT, 50 MIN	$121	$91.96	$47.69 – $464.52
Family psychotherapy, without the patient: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $78.65 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $464.52 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $54.45 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $66.55 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $90.75 COR VEL — ALL PAYOR: $98.59 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $54.45 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $47.69 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $54.99 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC IOP-BMU FAMILY PSYTX W/O PATIENT, 50 MIN	$376	$285.76	$118.13 – $464.52
Family psychotherapy, without the patient: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $244.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $464.52 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $169.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $206.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $282 COR VEL — ALL PAYOR: $306.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $169.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $148.20 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $170.89 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: PR FAMILY PSYCHOTHERAPY W/ PT, 50 MIN	$220	$167.20	$76.36 – $234.59
Family psychotherapy, with the patient: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $174.07 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $76.36 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $100.15 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $134.46 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $123.20 COR VEL — ALL PAYOR: $216.85 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $100.15 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $79.38 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $90.29 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $100.15
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$145	$110.20	$57.15 – $464.52
Family psychotherapy, with the patient: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $94.25 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $464.52 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $65.25 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $79.75 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $108.75 COR VEL — ALL PAYOR: $118.15 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $65.25 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $57.15 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $65.90 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC IOP-BMU FAMILY PSYTX W/ PATIENT, 50 MIN	$186	$141.36	$73.31 – $464.52
Family psychotherapy, with the patient: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $120.90 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $464.52 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $83.70 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $102.30 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $139.50 COR VEL — ALL PAYOR: $151.55 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $83.70 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $73.31 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $84.54 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $118.13
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: PR GROUP PSYCHOTHERAPY	$67	$50.92	$18.74 – $97.78
Group psychotherapy: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $49.44 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $29.20 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $23.65 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $37.62 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $55 COR VEL — ALL PAYOR: $97.78 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $23.65 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $18.74 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $21.36 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $23.65
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC IOP-BMU GROUP PSYCHOTHERAPY	$236	$179.36	$66.04 – $658.98
Group psychotherapy: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $153.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $658.98 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $106.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $129.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $177 COR VEL — ALL PAYOR: $192.29 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $106.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $93.02 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $107.26 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $66.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC IOP-ABU GROUP PSYCHOTHERAPY	$236	$179.36	$66.04 – $658.98
Group psychotherapy: 10 of 27 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $153.40 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $658.98 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $106.20 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $129.80 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $177 COR VEL — ALL PAYOR: $192.29 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $106.20 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $93.02 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $107.26 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $66.04

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: PR EXCISE BREAST CYST	$1,202	$913.52	$307.28 – $1,539.92
Removal of breast growth (open surgery): 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $776.06 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $312.44 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $369.87 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $592.84 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $712 COR VEL — ALL PAYOR: $1,089.72 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $369.87 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $307.28 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $338.43 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $369.87
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$9,751.22 – $28,700.45
Total hip replacement: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $28,700.45 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $9,751.22 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $9,751.22 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $10,238.78 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $10,189 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $10,189 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$9,751.22 – $28,700.45
Total knee replacement: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $28,700.45 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $9,751.22 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $9,751.22 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $10,238.78 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $10,189 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $10,189 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	Not listed in the file	Not listed in the file	$217 – $6,881.91
Shoulder arthroscopy: shaving of shoulder bone: 10 of 26 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $6,881.91 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $217 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $217 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount) COR VEL — ALL PAYOR: 81.48% (a percentage in the contract, not a dollar amount) HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) HUMANA � MILITARY TRI-CARE — ALL PAYOR: 39.41% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,398.21 – $6,881.91
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $6,881.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,398.21 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $2,398.21 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,518.12 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $4,736 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $4,736 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$3,047 – $6,150.45
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $6,150.45 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $4,338.89 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $4,338.89 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $4,555.83 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $3,047 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $3,047 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$2,189.10	$1,663.72	$671.62 – $2,944.61
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,422.91 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,944.61 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $985.10 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,204.01 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,641.83 COR VEL — ALL PAYOR: $1,783.68 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $985.10 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $862.82 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $994.95 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $671.62
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$2,189.10	$1,663.72	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,278.50	$1,731.66	$671.62 – $2,944.61
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,481.03 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,944.61 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $1,025.33 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,253.17 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,708.88 COR VEL — ALL PAYOR: $1,856.52 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $1,025.33 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $898.05 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,035.58 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $671.62
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,278.50	$1,731.66	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$1,864.50	$1,417.02	$677.16 – $2,988.76
Colonoscopy (diagnostic): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,211.92 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,988.76 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $839.02 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,025.47 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,398.38 COR VEL — ALL PAYOR: $1,519.19 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $839.02 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $734.88 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $847.42 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $677.16
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$1,864.50	$1,417.02	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$1,938.20	$1,473.03	$763.93 – $2,988.76
Colonoscopy with biopsy: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,259.83 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,988.76 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $872.19 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,066.01 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,453.65 COR VEL — ALL PAYOR: $1,579.25 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $872.19 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $763.93 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $880.91 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $874.33
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$1,938.20	$1,473.03	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$2,614.30	$1,986.87	$874.33 – $2,988.76
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,699.30 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,988.76 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $1,176.43 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,437.87 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,960.72 COR VEL — ALL PAYOR: $2,130.13 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $1,176.43 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $1,030.41 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,188.20 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $874.33
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$2,614.30	$1,986.87	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$874.33 – $2,988.76
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,988.76 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $874.33 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $874.33 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $918.05 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $1,182 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,182 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$1,864.65	$1,417.13	$677.16 – $2,988.76
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,212.02 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $2,988.76 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $839.09 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,025.56 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,398.49 COR VEL — ALL PAYOR: $1,519.32 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $839.09 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $734.94 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $847.48 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $677.16
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$1,864.65	$1,417.13	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: PR LAP,CHOLECYSTECTOMY	$2,635	$2,002.60	$487.32 – $2,503.44
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,871.26 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $943.16 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $583.32 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $1,105.86 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,534 COR VEL — ALL PAYOR: $2,119.85 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $583.32 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $487.32 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $583.32 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $583.32
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,563.30 – $10,782.79
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $10,782.79 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,563.30 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $2,563.30 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $2,691.47 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $4,736 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $4,736 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PR BIOPSY OF PROSTATE,NEEDLE/PUNCH	$481	$365.56	$95.63 – $860.60
Prostate biopsy: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $334.54 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $95.63 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $116.34 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $224.32 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $370 COR VEL — ALL PAYOR: $529.25 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $116.34 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $96.74 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $1,781.07 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $105.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$7,626.71 – $13,216.15
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $13,216.15 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $7,626.71 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $7,626.71 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $8,008.05 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $10,189 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $10,189 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: PR HYSTEROSCOPY,W/ENDO BX	$3,093.98	$2,351.42	$171.86 – $2,165.79
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $477.35 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $354.05 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $206 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $438.34 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $710 COR VEL — ALL PAYOR: $912.47 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $206 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $171.86 MAGNOLIA HEALTH PLAN � AMBETTER — ALL PAYOR: $2,605.78 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $188.36
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: PR INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$544	$413.44	$73.85 – $539.57
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $292.69 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $167.37 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $89.49 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $190.66 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $408 COR VEL — ALL PAYOR: $539.57 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $89.49 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $73.85 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $81.01 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $89.49
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: PR EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$730	$554.80	$82.41 – $882
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $326.32 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $127.02 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $100.13 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $170.71 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $651 COR VEL — ALL PAYOR: $480.75 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $100.13 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $82.41 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $90.39 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $100.13
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: PR EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$1,460	$1,109.60	$123.61 – $1,323
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $489.48 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $190.53 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $150.19 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $256.06 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $976.50 COR VEL — ALL PAYOR: $721.12 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $150.19 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $123.61 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $135.59 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $150.19
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$1,816	$1,380.16	$320.67 – $1,828
Carpal tunnel release: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,249.63 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $531.44 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $390.84 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $700 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $1,828 COR VEL — ALL PAYOR: $1,787.36 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $390.84 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $320.67 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $353.59 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $390.84
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: PR DISCISSION,2ND CATARACT,LASER	$761	$578.36	$215.09 – $1,137.38
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates AETNA HEALTH INC. PPO/POS — ALL PAYOR: $743.67 BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $215.09 CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: $271.84 CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: $421.71 CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: $658 COR VEL — ALL PAYOR: $1,137.38 HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $271.84 HUMANA � MILITARY TRI-CARE — ALL PAYOR: $223.70 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $243.31 MAGNOLIA HEALTH PLAN � WELLCARE BY ALL WELL OF MISSISSIPPI — ALL PAYOR: $271.84
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT SURG W/IOL 1 STAGE	Not listed in the file	Not listed in the file	$1,726.59 – $5,307.14
Cataract removal with lens implant: 10 of 29 insurance plan rates BLUE CROSS AND BLUE SHIELD OF ALABAMA — ALL PAYOR: $5,307.14 MAGNOLIA HEALTH PLAN � MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $1,726.59 MOLINA HEALTHCARE OF MISSISSIPPI � MANAGED MEDICAID — ALL PAYOR: $1,726.59 TRUECARE� MISSISSIPPI MANAGED MEDICAID — ALL PAYOR: $1,812.92 UNITED HEALTHCARE - COMMERCIAL EXCHANGE PLAN — ALL PAYOR: $3,047 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $3,047 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 65% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � CIGNA HEALTHSPRING � MEDICARE ADVANTAGE P — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE � COMMERCIAL — ALL PAYOR: 55% (a percentage in the contract, not a dollar amount) CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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	Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount) PRIME HEALTH SERVICES PPO — ALL PAYOR: 80% (a percentage in the contract, not a dollar amount) SELECT ADMINISTRATIVE SERVICES NETWORK — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans PRIME HEALTH SERVICES PPO — ALL PAYOR: 80% (a percentage in the contract, not a dollar amount) SELECT ADMINISTRATIVE SERVICES NETWORK — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans PRIME HEALTH SERVICES PPO — ALL PAYOR: 80% (a percentage in the contract, not a dollar amount) SELECT ADMINISTRATIVE SERVICES NETWORK — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans CLARITEV D/B/A MULTIPLAN/PHCS/AMERICAN LIFE CARE — ALL PAYOR: 75% (a percentage in the contract, not a dollar amount) PRIME HEALTH SERVICES PPO — ALL PAYOR: 80% (a percentage in the contract, not a dollar amount) SELECT ADMINISTRATIVE SERVICES NETWORK — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)

Source: Ochsner Choctaw General’s standard charges file (ochsner-craft.s3.amazonaws.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved October 31, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	401 Vanity Fair Lane, PO Box 618, Butler, AL 36904
County	Choctaw County
State	Alabama
Phone	(205) 459‑9100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	011304
Name in Medicare records	OCHSNER CHOCTAW GENERAL
Profile level	Medicare data + hospital website
Official website	ochsner.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Ochsner Choctaw General — ochsner.org

Ochsner Choctaw General

Summary

Profile from official sources

At a glance