Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Overlook Medical Center

Summit, New Jersey · Union County · Emergency services listed

Overlook Medical Center is an acute care hospital at 99 Beauvoir Avenue, Summit, NJ 07901. Phone: (908) 522-2000. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

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

Summary

Overlook Medical Center is an acute care hospital in Summit, New Jersey. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 11 services, specialties and programs. Medicare lists 1,494 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Compare
Exterior of Overlook Medical Center
Photo: Ekem, CC BY-SA 3.0, via Wikimedia Commons · source · license

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
11Services listed

Quick answers

Does Overlook Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Overlook Medical Center. In a medical emergency, call 911.
Where is Overlook Medical Center?
99 Beauvoir Avenue, Summit, NJ 07901, in Union County, New Jersey.
What is the phone number of Overlook Medical Center?
(908) 522-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Overlook Medical Center?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Overlook Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Overlook Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.4445; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Treatments[4]

  • Bariatric treatments

Programs and centers[4]

  • Atlantic Neuroscience Institute
  • Hersh Children's Center

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingPatient-centered visitation 24/7; hours may vary by department, call ahead[4]
ParkingPaid self-parking in West Garage (hospital/ED) and East Garage (Medical Arts Centers); valet 7 a.m.-7 p.m[4]
Interpreters and languagesLanguage interpretation phones at all hospitals; ASL interpreters by video; live ASL on request[5]

Recognition[4][6][7][8][9]

  • Castle Connolly Top Hospital, national Gold Standard Hospital 2026
  • U.S. News & World Report Best Hospital, top three in New Jersey 2026
  • Healthgrades 2026 Neurosciences Excellence Award
  • Healthgrades 2026 Cranial Neurosurgery Excellence Award
  • American College of Surgeons Commission on Cancer, three-year approval with commendation
  • U.S. News & World Report high performing in heart attack care (2025-2026)

Doctors and clinicians (1,494)

1,494 doctors and other clinicians list Overlook Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,494)

And 1,470 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Summit

All hospitals in Summit · Hospitals in Union County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted52%National average: 64%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean74%National average: 73%
Completed surveys3,341Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.855No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.298Better than the national benchmark
Surgical site infections after colon surgery0.658No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.919No different from the national benchmark
MRSA bloodstream infections0.565No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections1.224No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients10.1%
Deaths within 30 days: heart failure patients10.2%
Deaths within 30 days: pneumonia patients14.1%
Deaths within 30 days: COPD patients6.1%
Deaths within 30 days: stroke patients8.3%
Serious complications (patient safety indicator PSI-90)0.75No different from the national rate
Complications after hip or knee replacement3.9%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.5%
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure19.9%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPD21.5%
Readmitted within 30 days: hip or knee replacement5.4%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)188 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)63%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.4445Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack0.9888Fewer readmissions than expected
Heart failure0.8397Fewer readmissions than expected
Pneumonia0.8873Fewer readmissions than expected
COPD (chronic lung disease)0.9449Fewer readmissions than expected
Hip or knee replacement0.8326Fewer readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score24.67 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)40.00 out of 100
Person and community engagement (patient survey)22.00 out of 100
Safety (infections and sepsis care)36.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.04Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Overlook Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 78 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: E&M New Patient Level 3 $726 $96.77 $69.26 – $12,000
New patient office visit (about 30–44 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $435.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $435.60
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $435.60
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $86.57
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $435.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $150.28
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: E&M New Patient Level 3 $755 $96.77 $69.26 – $12,000
New patient office visit (about 30–44 minutes): 10 of 205 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $86.57
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $209.34
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $149.53
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $149.53
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Bh E&M New Patient Level 3 $813 $96.77 $68.74 – $813
New patient office visit (about 30–44 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $487.80
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $487.80
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $487.80
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $86.57
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $487.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: E&M New Patient Level 4 $925 $157.63 $89.40 – $925
New patient office visit (about 45–59 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $555
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $555
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $555
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $141.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $555
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $191.48
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Bh E&M New Patient Level 4 $1,087 $157.63 $79.31 – $1,087
New patient office visit (about 45–59 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $652.20
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $652.20
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $652.20
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $141.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $652.20
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: E&M New Patient Level 4 $939.27 $157.63 $89.40 – $12,000
New patient office visit (about 45–59 minutes): 10 of 205 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $141.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $209.34
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $149.53
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $149.53
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New Patient $1,679 $214.60 $149.53 – $12,000
New patient office visit (about 60–74 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $1,007.40
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $1,007.40
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,007.40
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $192.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $1,007.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $347.55
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Bh E&M New Patient Level 5 $1,355 $214.60 $79.31 – $1,355
New patient office visit (about 60–74 minutes): 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $813
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $813
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $813
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $192.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $813
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Patient $4,001.87 $747.72 $153.67 – $12,000
New patient office visit (about 60–74 minutes): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $463.58
  • AETNA [5002] — OMC AETNA HTC: $649.02
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $192.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $463.58
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $463.58
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $649.02
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $463.58
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $463.58
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $463.58
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $463.58
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: E&M Est Patient Level 3 $747.48 $77.82 $30 – $12,000
Established patient office visit (about 20–29 minutes): 10 of 206 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $69.69
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $209.34
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $149.53
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $149.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Check/Rem Picc/Mid/Peg/Cath/DRN/Trach/Fistula Smp $1,014 $77.82 $59.60 – $1,014
Established patient office visit (about 20–29 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $608.40
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $608.40
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $608.40
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $69.69
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $608.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $209.90
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Bh Med Mgmt OP Est 15 Min $447 $77.82 $30 – $447
Established patient office visit (about 20–29 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $268.20
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $268.20
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $268.20
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $69.69
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $268.20
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Bh Med Mgmt OP Est 25 Min $487 $114.53 $40 – $487
Established patient office visit (about 30–39 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $292.20
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $292.20
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $292.20
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $102.55
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $292.20
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Bh Med Mgmt OP Est 25 Min $929.09 $114.53 $40 – $12,000
Established patient office visit (about 30–39 minutes): 10 of 206 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $102.55
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $209.34
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $149.53
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $149.53
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $149.53
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Bh E&M Est Patient Level 4 $487 $114.53 $40 – $487
Established patient office visit (about 30–39 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $292.20
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $292.20
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $292.20
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $102.55
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $292.20
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Consultation Visits $250 $250 $43.13 – $250
Office consultation with a specialist (moderate): 10 of 145 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $150
  • AETNA [5002] — OMC AETNA: $150
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $150
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $150
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $51.75
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $187.50
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $150
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $183.15
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $149.25
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $113.03
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev Med E&M New 18-39 Yr $1,639 $188.11 $28.42 – $157.60
Preventive checkup, new patient, age 18–39: 10 of 206 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $28.42
  • AETNA [5002] — OMC AETNA HTC: $39.78
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $28.42
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $39.78
  • AMERIHEALTH CARITAS VIP CARE [5313] — OMC AMERIHEALTH CARITAS: $28.70
  • AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] — OMC AMERIHEALTH CARITAS: $28.70
  • ANTHEM BCBSNY MEDICARE [5312] — OMC HORIZON BRAVEN: $28.42
  • ANTHEM BCBSNY MEDICARE IP SPLITS [5476] — OMC HORIZON BRAVEN: $28.42
  • ANTHEM MEDICARE PFFS [5052] — OMC HORIZON BRAVEN: $28.42
  • ANTHEM MEDICARE PFFS IP SPLITS [5474] — OMC HORIZON BRAVEN: $28.42
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: Prev Med E&M New 18-39 Yr $435 $85.70 $48.13 – $435
Preventive checkup, new patient, age 18–39: 10 of 162 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $261
  • AETNA [5002] — OMC AETNA: $261
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $261
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $75.69
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $75.69
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $261
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $90.05
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $75.69
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $75.69
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $80.91
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED E&M Level 3 $2,401.28 $369.47 $115.55 – $2,489
Emergency room visit (moderate): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $321.28
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $449.79
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $321.28
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $321.28
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $321.28
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $449.79
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED E&M Level 3 $1,716 $369.47 $115.55 – $2,489
Emergency room visit (moderate): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $321.28
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $449.79
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $321.28
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $321.28
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $321.28
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $355.21
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4 W/Crisis Mhp $3,139 $568.20 $194.93 – $3,139
Emergency room visit (moderately high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $494.09
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $691.72
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $494.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $494.09
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $494.09
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $649.77
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ED E&M Level 4 $2,039 $568.20 $194.93 – $2,489
Emergency room visit (moderately high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $494.09
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $691.72
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $494.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $494.09
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $494.09
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $422.07
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED E&M Level 4 $5,945.79 $991.24 $194.93 – $2,489
Emergency room visit (moderately high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $494.09
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $691.72
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $494.09
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $494.09
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $494.09
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $691.72
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5 $3,265 $818.10 $282.76 – $3,265
Emergency room visit (high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $711.39
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $995.95
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $711.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $711.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $711.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $675.86
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED E&M Level 5 $7,351.36 $1,737.43 $282.76 – $2,489
Emergency room visit (high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $711.39
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $995.95
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $711.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $711.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $711.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $995.95
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED E&M Level 5 W/Crisis Mhpmd $4,340 $818.10 $282.76 – $4,340
Emergency room visit (high): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $2,445
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $711.39
  • AETNA [5002] — OMC AETNA: $2,445
  • AETNA [5002] — OMC AETNA HTC: $995.95
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,907
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $711.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $711.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $711.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $2,445
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $898.38

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel Total Ca $159 $9.73 $4.48 – $159
Basic metabolic panel (blood test): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $16.38
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8.46
  • AETNA [5002] — OMC AETNA: $16.38
  • AETNA [5002] — OMC AETNA HTC: $11.84
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $12.77
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8.46
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8.46
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8.46
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $16.38
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $8.12
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel Total Ca $11,453.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,757.39 $6.77 – $2,120.68
Basic metabolic panel (blood test): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $16.38
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,514.77
  • AETNA [5002] — OMC AETNA: $16.38
  • AETNA [5002] — OMC AETNA HTC: $2,120.68
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $12.77
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,514.77
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,514.77
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,514.77
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $16.38
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $8.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel $1,640 $89.23 $5.60 – $46.37
Comprehensive metabolic panel (blood test): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $18.50
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $10.56
  • AETNA [5002] — OMC AETNA: $18.50
  • AETNA [5002] — OMC AETNA HTC: $14.78
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $14.43
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $10.56
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $10.56
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $10.56
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $18.50
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $10.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel $375 $12.14 $5.60 – $375
Comprehensive metabolic panel (blood test): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $18.50
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $10.56
  • AETNA [5002] — OMC AETNA: $18.50
  • AETNA [5002] — OMC AETNA HTC: $14.78
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $14.43
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $10.56
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $10.56
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $10.56
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $18.50
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $10.14
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel $1,508 $83.99 $7.10 – $48.30
Cholesterol panel (lipid panel): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $25.93
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $13.39
  • AETNA [5002] — OMC AETNA: $25.93
  • AETNA [5002] — OMC AETNA HTC: $18.75
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $20.22
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $13.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $13.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $13.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $25.93
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $12.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel $208 $15.40 $7.10 – $208
Cholesterol panel (lipid panel): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $25.93
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $13.39
  • AETNA [5002] — OMC AETNA: $25.93
  • AETNA [5002] — OMC AETNA HTC: $18.75
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $20.22
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $13.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $13.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $13.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $25.93
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $12.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $208 $9.98 $4.60 – $208
Kidney function panel: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $16.80
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8.68
  • AETNA [5002] — OMC AETNA: $16.80
  • AETNA [5002] — OMC AETNA HTC: $12.15
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $13.10
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8.68
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8.68
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8.68
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $16.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $8.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel $825 $54.11 $4.60 – $19.18
Kidney function panel: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $16.80
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8.68
  • AETNA [5002] — OMC AETNA: $16.80
  • AETNA [5002] — OMC AETNA HTC: $12.15
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $13.10
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8.68
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8.68
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8.68
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $16.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $8.33
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel $186 $9.40 $4.33 – $186
Liver function panel: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $15.80
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8.17
  • AETNA [5002] — OMC AETNA: $15.80
  • AETNA [5002] — OMC AETNA HTC: $11.44
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $12.32
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8.17
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8.17
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8.17
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $15.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $7.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel $2,695 $632.25 $4.33 – $22.54
Liver function panel: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $15.80
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8.17
  • AETNA [5002] — OMC AETNA: $15.80
  • AETNA [5002] — OMC AETNA HTC: $11.44
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $12.32
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8.17
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8.17
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8.17
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $15.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $7.85
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis Auto W Micro $4,186.86 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $450.68 $2.54 – $342.25
Urine test (automated, with microscope): 10 of 207 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $6.13
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $244.47
  • AETNA [5002] — OMC AETNA: $6.13
  • AETNA [5002] — OMC AETNA HTC: $342.25
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $4.78
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $244.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $244.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $244.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $6.13
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $3.05
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Auto W Micro $193 $3.65 $2.54 – $193
Urine test (automated, with microscope): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $6.13
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3.17
  • AETNA [5002] — OMC AETNA: $6.13
  • AETNA [5002] — OMC AETNA HTC: $4.44
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $4.78
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3.17
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3.17
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3.17
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $6.13
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $3.05
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis Non Auto WO Micro $3,147 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $611.55 $2.78 – $7.69
Urine test (manual, without microscope): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $4.95
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3.48
  • AETNA [5002] — OMC AETNA: $4.95
  • AETNA [5002] — OMC AETNA HTC: $4.87
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $3.86
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3.48
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3.48
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3.48
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $4.95
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $3.34
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis Non Auto WO Micro $63 $4 $2.78 – $63
Urine test (manual, without microscope): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $4.95
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3.48
  • AETNA [5002] — OMC AETNA: $4.95
  • AETNA [5002] — OMC AETNA HTC: $4.87
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $3.86
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3.48
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3.48
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3.48
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $4.95
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $3.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis Auto WO Micro $1,810 $95.19 $1.19 – $4.97
Urine test (automated, without microscope): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $4.35
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2.25
  • AETNA [5002] — OMC AETNA: $4.35
  • AETNA [5002] — OMC AETNA HTC: $3.15
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $3.39
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2.25
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2.25
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2.25
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $4.35
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $2.16
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Auto WO Micro $113 $2.59 $1.19 – $113
Urine test (automated, without microscope): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $4.35
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2.25
  • AETNA [5002] — OMC AETNA: $4.35
  • AETNA [5002] — OMC AETNA HTC: $3.15
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $3.39
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2.25
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2.25
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2.25
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $4.35
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $2.16
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen Psa Total $454 $21.15 $9.75 – $454
PSA (prostate specific antigen) blood test: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $35.58
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $18.39
  • AETNA [5002] — OMC AETNA: $35.58
  • AETNA [5002] — OMC AETNA HTC: $25.75
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $27.75
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $18.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $18.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $18.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $35.58
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $17.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Specific Antigen Psa Total $1,227 $82.44 $9.75 – $78.89
PSA (prostate specific antigen) blood test: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $35.58
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $18.39
  • AETNA [5002] — OMC AETNA: $35.58
  • AETNA [5002] — OMC AETNA HTC: $25.75
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $27.75
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $18.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $18.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $18.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $35.58
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $17.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone Tsh $1,754 $94.66 $8.90 – $96.49
Thyroid stimulating hormone (TSH) test: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $32.50
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $68.92
  • AETNA [5002] — OMC AETNA: $32.50
  • AETNA [5002] — OMC AETNA HTC: $96.49
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $25.35
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $68.92
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $68.92
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $68.92
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $32.50
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $16.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone Tsh $317 $19.32 $8.90 – $317
Thyroid stimulating hormone (TSH) test: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $32.50
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $16.80
  • AETNA [5002] — OMC AETNA: $32.50
  • AETNA [5002] — OMC AETNA HTC: $23.52
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $25.35
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $16.80
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $16.80
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $16.80
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $32.50
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $16.13
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc Cmplt W Plt W Auto Wbc Diff $148 $8.94 $4.12 – $148
Complete blood count (CBC) with differential: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $15.05
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $7.77
  • AETNA [5002] — OMC AETNA: $15.05
  • AETNA [5002] — OMC AETNA HTC: $10.88
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $11.74
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $7.77
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $7.77
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $7.77
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $15.05
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $30.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt W Auto Wbc Diff $1,816 $137.02 $4.12 – $17.17
Complete blood count (CBC) with differential: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $15.05
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $7.77
  • AETNA [5002] — OMC AETNA: $15.05
  • AETNA [5002] — OMC AETNA HTC: $10.88
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $11.74
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $7.77
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $7.77
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $7.77
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $15.05
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $10.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Cbc Cmplt W Plt WO Diff $2,808 $306.95 $5.18 – $209.34
Complete blood count (CBC), automated: 10 of 207 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $12.53
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $149.53
  • AETNA [5002] — OMC AETNA: $12.53
  • AETNA [5002] — OMC AETNA HTC: $209.34
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $9.77
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $149.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $149.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $12.53
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $6.22
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc Cmplt W Plt WO Diff $108 $7.44 $3.43 – $108
Complete blood count (CBC), automated: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $12.53
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $6.47
  • AETNA [5002] — OMC AETNA: $12.53
  • AETNA [5002] — OMC AETNA HTC: $9.06
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $9.77
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $6.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $6.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $12.53
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $6.22
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothombin Time $4,867 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $141.90 $3.43 – $1,235
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $7.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $7.60
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $5.93
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $7.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time Alupp $22 $4.93 $2.27 – $22
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $7.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $4.29
  • AETNA [5002] — OMC AETNA: $7.60
  • AETNA [5002] — OMC AETNA HTC: $6.01
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $5.93
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $4.29
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $4.29
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $4.29
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $7.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $4.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothombin Time $101 $4.93 $2.27 – $101
Blood clotting time test (prothrombin time, PT): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $7.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $4.29
  • AETNA [5002] — OMC AETNA: $7.60
  • AETNA [5002] — OMC AETNA HTC: $6.01
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $5.93
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $4.29
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $4.29
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $4.29
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $7.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $4.12
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt Alupp $22 $6.91 $3.19 – $22
Blood clotting test (partial thromboplastin time, PTT): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $11.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $6.01
  • AETNA [5002] — OMC AETNA: $11.60
  • AETNA [5002] — OMC AETNA HTC: $8.41
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $9.05
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6.01
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $6.01
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $6.01
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $11.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin Time Partial Ptt $149 $6.91 $3.19 – $149
Blood clotting test (partial thromboplastin time, PTT): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $11.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $6.01
  • AETNA [5002] — OMC AETNA: $11.60
  • AETNA [5002] — OMC AETNA HTC: $8.41
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $9.05
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6.01
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $6.01
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $6.01
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $11.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $5.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin Time Partial Ptt $10,818.49 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $2,162 $4.81 – $12,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,880
  • AETNA [5002] — OMC AETNA HTC: $2,632
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,880
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,880
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,880
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $5.77
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $2,632
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,880
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,880
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,880

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head WO $2,328 $141.90 $123.39 – $2,328
CT scan of the head or brain, without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $374.05
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $374.05
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $291.76
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $374.05
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $481.90
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head WO $2,328 $141.90 $123.39 – $1,235
CT scan of the head or brain, without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $374.05
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $374.05
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $291.76
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $374.05
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $172.74
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W&WO $7,086.80 $476.54 $354 – $2,103.77
MRI of the brain, before and after contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $414.39
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $580.14
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $414.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $414.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $414.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $580.14
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain W&WO $6,311 $476.54 $354 – $6,311
MRI of the brain, before and after contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $414.39
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $580.14
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $414.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $414.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $414.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $1,306.38
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Xr Chest 2 Vw $534 $117.49 $21.42 – $534
Chest X-ray, 2 views: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $40.56
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $102.17
  • AETNA [5002] — OMC AETNA: $40.56
  • AETNA [5002] — OMC AETNA HTC: $143.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $31.63
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $102.17
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $102.17
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $102.17
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $40.56
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $110.54
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest 2 Vw $534 $117.49 $21.42 – $209.44
Chest X-ray, 2 views: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $40.56
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $102.17
  • AETNA [5002] — OMC AETNA: $40.56
  • AETNA [5002] — OMC AETNA HTC: $143.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $31.63
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $102.17
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $102.17
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $102.17
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $40.56
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $143.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Spine Lumbosacr 4+ Vw $1,436 $141.90 $41.13 – $299.09
X-ray of the lower spine, at least 4 views: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $80.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $80.60
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $62.87
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $80.60
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $172.74
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Xr Spine Lumbosacr 4+ Vw $902 $141.90 $41.13 – $902
X-ray of the lower spine, at least 4 views: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $80.60
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $80.60
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $62.87
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $80.60
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $186.71
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Spine Lumb WO $4,390 $322.54 $228 – $1,852
MRI of the lower back (lumbar spine), without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $280.47
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $392.66
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $280.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $280.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $280.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $392.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumb WO $4,390 $322.54 $228 – $4,390
MRI of the lower back (lumbar spine), without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $280.47
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $392.66
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $280.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $280.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $280.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $908.73
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W $3,351.02 $237.54 $184 – $1,235
CT scan of the pelvis, with contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $567.77
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $206.56
  • AETNA [5002] — OMC AETNA: $567.77
  • AETNA [5002] — OMC AETNA HTC: $289.18
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $442.86
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $206.56
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $206.56
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $206.56
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $567.77
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $289.18
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis W $3,195 $237.54 $184 – $3,195
CT scan of the pelvis, with contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $567.77
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $206.56
  • AETNA [5002] — OMC AETNA: $567.77
  • AETNA [5002] — OMC AETNA HTC: $289.18
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $442.86
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $206.56
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $206.56
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $206.56
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $567.77
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $661.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Joint Lwr Extrm WO $4,390 $322.54 $228 – $1,852
MRI of a leg joint (such as the knee), without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $280.47
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $392.66
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $280.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $280.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $280.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $392.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI Joint Lwr Extrm WO $4,390 $322.54 $228 – $4,390
MRI of a leg joint (such as the knee), without contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $687.37
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $280.47
  • AETNA [5002] — OMC AETNA: $687.37
  • AETNA [5002] — OMC AETNA HTC: $392.66
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $536.15
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $280.47
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $280.47
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $280.47
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $687.37
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $908.73
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abd & Pelvis W $4,187 $476.54 $184 – $4,187
CT scan of the abdomen and pelvis, with contrast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $530.44
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $414.39
  • AETNA [5002] — OMC AETNA: $530.44
  • AETNA [5002] — OMC AETNA HTC: $580.14
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $413.75
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $414.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $414.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $414.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $530.44
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $866.71
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd & Pelvis W $7,538.02 $580.61 $184 – $1,235
CT scan of the abdomen and pelvis, with contrast: 10 of 136 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $530.44
  • AETNA [5002] — OMC AETNA: $530.44
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $413.75
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $530.44
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $530.44
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $218
  • APWU HEALTHCARE [5053] — UNITED TERTIARY: $601.74
  • BANNER HEALTH NETWORK [5510] — OMC AETNA: $530.44
  • BOON-CHAPMAN [5441] — OMC AETNA: $530.44
  • CARISK WORKER'S COMP [5501] — OMC CARISK IMAGING: $184
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abdomen Cmplt $1,108 $141.90 $112.69 – $379.59
Ultrasound of the abdomen, complete: 10 of 199 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $202.18
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $202.18
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $157.70
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $202.18
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $172.74
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Cmplt $1,108 $141.90 $112.69 – $1,108
Ultrasound of the abdomen, complete: 10 of 199 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $202.18
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $202.18
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $157.70
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $202.18
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $229.36
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US Uterus OB 14+ Wks Sng Fetus $663 $141.90 $103.91 – $379.59
Pregnancy ultrasound (after the first trimester): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $204.41
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $204.41
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $159.44
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $204.41
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $172.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Uterus OB 14+ Wks Sng Fetus $663 $141.90 $103.91 – $663
Pregnancy ultrasound (after the first trimester): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $204.41
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $204.41
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $159.44
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $204.41
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $137.24
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non OB $2,216 $283.80 $100.72 – $379.59
Transvaginal ultrasound: 10 of 199 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $180.65
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $180.65
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $140.90
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $180.65
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $172.74
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal Non OB $1,108 $141.90 $100.72 – $1,108
Transvaginal ultrasound: 10 of 199 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $180.65
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $123.39
  • AETNA [5002] — OMC AETNA: $180.65
  • AETNA [5002] — OMC AETNA HTC: $172.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $140.90
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $123.39
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $123.39
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $123.39
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $180.65
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $229.36
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Uni $1,775.36 $244.99 $62.71 – $281.90
Diagnostic mammogram, one breast: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $237.34
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $99.61
  • AETNA [5002] — OMC AETNA: $237.34
  • AETNA [5002] — OMC AETNA HTC: $139.45
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $185.12
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $99.61
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $99.61
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $99.61
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $237.34
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $139.45
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Mammogram Dx Dig Uni $894 $108.17 $62.71 – $894
Diagnostic mammogram, one breast: 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $237.34
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $99.61
  • AETNA [5002] — OMC AETNA: $237.34
  • AETNA [5002] — OMC AETNA HTC: $139.45
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $185.12
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $99.61
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $99.61
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $99.61
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $237.34
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $185.06
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammogram Dx Dig Bil $2,645 $299.02 $78.60 – $361.43
Diagnostic mammogram, both breasts: 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $303.63
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $126.91
  • AETNA [5002] — OMC AETNA: $303.63
  • AETNA [5002] — OMC AETNA HTC: $177.67
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $236.83
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $126.91
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $126.91
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $126.91
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $303.63
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $177.67
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Mammogram Dx Dig Bil $1,044 $137.79 $78.60 – $1,044
Diagnostic mammogram, both breasts: 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $303.63
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $126.91
  • AETNA [5002] — OMC AETNA: $303.63
  • AETNA [5002] — OMC AETNA HTC: $177.67
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $236.83
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $126.91
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $126.91
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $126.91
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $303.63
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $216.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Uni $779 $113.95 $57.81 – $779
Screening mammogram, both breasts: 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $250.78
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $104.97
  • AETNA [5002] — OMC AETNA: $250.78
  • AETNA [5002] — OMC AETNA HTC: $146.96
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $195.61
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $104.97
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $104.97
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $104.97
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $250.78
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $161.25
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Mammogram Scrn Dig Bil $1,044 $113.95 $57.81 – $1,044
Screening mammogram, both breasts: 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $250.78
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $104.97
  • AETNA [5002] — OMC AETNA: $250.78
  • AETNA [5002] — OMC AETNA HTC: $146.96
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $195.61
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $104.97
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $104.97
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $104.97
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $250.78
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $216.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammogram Scrn Dig Bil $1,322 $143.57 $57.81 – $298.05
Screening mammogram, both breasts: 10 of 205 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $250.78
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $104.97
  • AETNA [5002] — OMC AETNA: $250.78
  • AETNA [5002] — OMC AETNA HTC: $146.96
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $195.61
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $104.97
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $104.97
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $104.97
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $250.78
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $146.96

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Lhc W Vntrgrphy $24,720 $4,291.87 $1,678.32 – $24,720
Left heart catheterization (diagnostic): 10 of 176 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $22,063
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3,732.06
  • AETNA [5002] — OMC AETNA: $22,063
  • AETNA [5002] — OMC AETNA HTC: $5,224.89
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $17,209
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3,732.06
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3,732.06
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3,732.06
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $22,063
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $5,117.04
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Lhc W Vntrgrphy $112,769.40 $23,960.87 $1,678.32 – $29,169.76
Left heart catheterization (diagnostic): 10 of 175 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $22,063
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $20,835.54
  • AETNA [5002] — OMC AETNA: $22,063
  • AETNA [5002] — OMC AETNA HTC: $29,169.76
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $17,209
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $20,835.54
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $20,835.54
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $20,835.54
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $22,063
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $29,169.76
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Ep Eval Cmp WO Induct Ra/Rv Record $76,091.81 $10,125.32 $1,535.17 – $12,326.47
Heart rhythm study (electrophysiology evaluation): 10 of 174 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8,804.62
  • AETNA [5002] — OMC AETNA HTC: $12,326.47
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8,804.62
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8,804.62
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8,804.62
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $12,326.47
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $8,804.62
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $8,804.62
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $8,804.62
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $8,804.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Ep Eval Cmp W Ablation Afib < 3 Hr $225,263.83 $32,735.12 $1,817.25 – $39,851.45
Heart rhythm study with ablation for atrial fibrillation: 10 of 173 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $28,465.32
  • AETNA [5002] — OMC AETNA HTC: $39,851.45
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $28,465.32
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $28,465.32
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $28,465.32
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $39,851.45
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $28,465.32
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $28,465.32
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $28,465.32
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $28,465.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6+ Yrs 4+ Paramtrs $8,907 $1,357.57 $1,086.36 – $8,907
Sleep study (overnight, in a sleep lab): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $1,894.26
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,126.11
  • AETNA [5002] — OMC AETNA: $1,894.26
  • AETNA [5002] — OMC AETNA HTC: $1,652.70
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,477.52
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,180.50
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,126.11
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,126.11
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $1,894.26
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $1,843.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6+ Yrs 4+ Paramtrs $9,070 $1,357.57 $472.20 – $5,532.66
Sleep study (overnight, in a sleep lab): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $1,894.26
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,180.50
  • AETNA [5002] — OMC AETNA: $1,894.26
  • AETNA [5002] — OMC AETNA HTC: $1,652.70
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $1,477.52
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,180.50
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,180.50
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,180.50
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $1,894.26
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,652.70

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Tx Proc 1+ Tx Exercises 15 Min $2,220 $298.07 $25.70 – $154
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $32.12
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $44.97
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $32.12
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $32.12
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $32.12
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $44.97
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Tx Proc 1+ Tx Exercises 15 Min $222 $35.54 $25.70 – $222
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $32.12
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $44.97
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $32.12
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $32.12
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $32.12
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $45.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Eval Phys Therapy Low Complx $748 $120.93 $64 – $748
Physical therapy evaluation (low complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $154.84
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Low Complx $2,080 $313.29 $64 – $169.78
Physical therapy evaluation (low complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $153.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Eval Phys Therapy Mod Complex $1,841 $245.37 $64 – $169.78
Physical therapy evaluation (moderate complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $153.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Eval Phys Therapy Mod Complex $953 $120.93 $64 – $953
Physical therapy evaluation (moderate complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $197.27
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Eval Phys Therapy High Complex $2,718 $338.37 $64 – $169.78
Physical therapy evaluation (high complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $153.03
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Eval Phys Therapy High Complex $1,164 $120.93 $64 – $1,164
Physical therapy evaluation (high complexity): 10 of 206 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $145
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $109.31
  • AETNA [5002] — OMC AETNA: $145
  • AETNA [5002] — OMC AETNA HTC: $153.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $113
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $109.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $109.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $109.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $145
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $240.95
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: Psytx Pt 16-37 Min $413 $214.39 $35 – $413
Psychotherapy, 30 minutes: 10 of 148 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $247.80
  • AETNA [5002] — OMC AETNA: $247.80
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $247.80
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $247.80
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $309.75
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $247.80
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $68
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $246.56
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx Pt 16-37 Min $413 $214.39 $35 – $391
Psychotherapy, 30 minutes: 10 of 148 insurance plan rates
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $68
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391
  • AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — OMC AMERIHEALTH MEDICARE: $391
  • AMERIHEALTH MEDIGAP [5049] — OMC AMERIHEALTH MEDICARE: $391
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $79.31
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $35
  • CENTIVO [5405] — OMC CIGNA PPO: $68
  • CIGNA [5012] — OMC CIGNA OAP: $68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx Pt 38-52 Min $522 $214.39 $52.85 – $391
Psychotherapy, 45 minutes: 10 of 148 insurance plan rates
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $63.42
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $90
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391
  • AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — OMC AMERIHEALTH MEDICARE: $391
  • AMERIHEALTH MEDIGAP [5049] — OMC AMERIHEALTH MEDICARE: $391
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $52.85
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72
  • CENTIVO [5405] — OMC CIGNA PPO: $90
  • CIGNA [5012] — OMC CIGNA OAP: $90
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psytx Pt 38-52 Min $522 $214.39 $72 – $522
Psychotherapy, 45 minutes: 10 of 148 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $313.20
  • AETNA [5002] — OMC AETNA: $313.20
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $313.20
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $313.20
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $391.50
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $313.20
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $90
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $311.63
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: Psytx Pt 53+ Min $734 $214.39 $72 – $734
Psychotherapy, 60 minutes: 10 of 148 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $440.40
  • AETNA [5002] — OMC AETNA: $440.40
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $440.40
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $440.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $95.17
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $550.50
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $440.40
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $133
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $438.20
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx Pt 53+ Min $734 $214.39 $52.85 – $391
Psychotherapy, 60 minutes: 10 of 148 insurance plan rates
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $63.42
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $133
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $391
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $391
  • AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — OMC AMERIHEALTH MEDICARE: $391
  • AMERIHEALTH MEDIGAP [5049] — OMC AMERIHEALTH MEDICARE: $391
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $52.85
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72
  • CENTIVO [5405] — OMC CIGNA PPO: $133
  • CIGNA [5012] — OMC CIGNA OAP: $133
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Psytx Family WO Pt 50 Min $684 $214.39 $27.50 – $154.27
Family psychotherapy, without the patient: 10 of 146 insurance plan rates
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $97
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $102.22
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $102.22
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $27.50
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72
  • CENTIVO [5405] — OMC CIGNA PPO: $97
  • CIGNA [5012] — OMC CIGNA OAP: $97
  • CIGNA [5012] — OMC CIGNA PPO: $97
  • CIGNA BEHAVIORAL HEALTH PPO [5323] — OMC CIGNA PPO: $97
  • CIGNA GREAT WEST [5305] — OMC CIGNA OAP: $97
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: Psytx Family WO Pt 50 Min $684 $214.39 $72 – $684
Family psychotherapy, without the patient: 10 of 146 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $410.40
  • AETNA [5002] — OMC AETNA: $410.40
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $410.40
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $410.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $141.59
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $513
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $410.40
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $97
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $408.35
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $102.22
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: Psytx Family W Pt 50 Min $684 $214.39 $72 – $684
Family psychotherapy, with the patient: 10 of 146 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $410.40
  • AETNA [5002] — OMC AETNA: $410.40
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $410.40
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $410.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $141.59
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $513
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $410.40
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $102
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $408.35
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $106.76
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Psytx Family W Pt 50 Min $684 $214.39 $30 – $160.28
Family psychotherapy, with the patient: 10 of 146 insurance plan rates
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $102
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $106.76
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $106.76
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $30
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $72
  • CENTIVO [5405] — OMC CIGNA PPO: $102
  • CIGNA [5012] — OMC CIGNA OAP: $102
  • CIGNA [5012] — OMC CIGNA PPO: $102
  • CIGNA BEHAVIORAL HEALTH PPO [5323] — OMC CIGNA PPO: $102
  • CIGNA GREAT WEST [5305] — OMC CIGNA OAP: $102
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: Psytx Group $599 $123.43 $24 – $599
Group psychotherapy: 10 of 148 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $359.40
  • AETNA [5002] — OMC AETNA: $359.40
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $359.40
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $359.40
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $33
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $449.25
  • ALLIED BENEFIT SYSTEMS [5046] — OMC AETNA: $359.40
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $24
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $357.60
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $202
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Psytx Group $1,797 $370.29 $26 – $606
Group psychotherapy: 10 of 148 insurance plan rates
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $33
  • ALLIED BENEFIT SYSTEMS [5046] — OMC CIGNA PPO: $72
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $202
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $202
  • AMERIHEALTH ADMINISTRATORS SUPPLEMENTAL [5512] — OMC AMERIHEALTH MEDICARE: $606
  • AMERIHEALTH MEDIGAP [5049] — OMC AMERIHEALTH MEDICARE: $606
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $27.50
  • CARELON BEHAVIORAL HEALTH [5508] — AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH: $26
  • CENTIVO [5405] — OMC CIGNA PPO: $72
  • CIGNA [5012] — OMC CIGNA OAP: $72

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $18,111.50 $5,110.47 $849.19 – $12,000
Removal of breast growth (open surgery): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $4,443.19
  • AETNA [5002] — OMC AETNA HTC: $6,220.47
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $4,443.19
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $4,443.19
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $4,443.19
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $6,220.47
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $4,443.19
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $4,443.19
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $4,443.19
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $4,443.19
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $64,537.71 $17,414.23 $2,588.97 – $22,063
Total hip replacement: 10 of 164 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $22,063
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $14,929.63
  • AETNA [5002] — OMC AETNA: $22,063
  • AETNA [5002] — OMC AETNA HTC: $20,901.48
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $17,209
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $14,929.63
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $14,929.63
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $14,929.63
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $22,063
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $20,901.48
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $67,380.63 $17,639.77 $2,586.14 – $22,063
Total knee replacement: 10 of 164 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $22,063
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $14,929.63
  • AETNA [5002] — OMC AETNA: $22,063
  • AETNA [5002] — OMC AETNA HTC: $20,901.48
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $17,209
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $14,929.63
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $14,929.63
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $14,929.63
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $22,063
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $20,901.48
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $55,233.30 $9,760.71 $342.90 – $13,154.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $8,289.01
  • AETNA [5002] — OMC AETNA HTC: $11,604.62
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $8,289.01
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $8,289.01
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $8,289.01
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $11,604.62
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $8,289.01
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $8,289.01
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $8,289.01
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $8,289.01
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $20,035.06 $4,330.30 $1,113.94 – $12,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3,764.79
  • AETNA [5002] — OMC AETNA HTC: $5,270.70
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3,764.79
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3,764.79
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3,764.79
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $5,270.70
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $3,764.79
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $3,764.79
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $3,764.79
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $3,764.79
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy & Adenoidectomy <Age 12 $18,681.08 $7,893.67 $592.93 – $12,000
Removal of tonsils and adenoids (under age 12): 10 of 187 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $6,864.06
  • AETNA [5002] — OMC AETNA HTC: $9,609.68
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6,864.06
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $6,864.06
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $6,864.06
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $9,609.68
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $6,864.06
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $6,864.06
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $6,864.06
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $6,864.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic $51,854.98 $2,563.09 $244.15 – $12,000
Upper GI endoscopy (diagnostic): 10 of 157 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,087.87
  • AETNA [5002] — OMC AETNA HTC: $1,523.02
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,087.87
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,087.87
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,087.87
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,523.02
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,087.87
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,087.87
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,087.87
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,087.87
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Egd Dx Brush Wash $3,861 $3,861 $244.15 – $12,000
Upper GI endoscopy (diagnostic): 10 of 97 insurance plan rates
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $799.23
  • AIG WORKERS COMPENSATION [5045] — QUAL-LYNX WC STANDARD: $2,895.75
  • ALLSTATE [5047] — OMC HORIZON CASUALTY PIP: $2,411.81
  • AMERIHEALTH [5008] — OMC AMERIHEALTH LOCAL VALUE NETWORK: $5,253
  • AMERIHEALTH [5008] — OMC AMERIHEALTH REGIONAL PREFERRED NETWORK: $6,049
  • AMTRUST NORTH AMERICA INC [5521] — QUAL-LYNX WC STANDARD: $2,895.75
  • ANTHEM BCBSNY HMO PPO POS [5310] — OMC Empire BCBSNY HMO PPO: $3,088.80
  • ANTHEM BCBSNY INDEMNITY [5311] — OMC Empire BCBSNY Indemn: $3,281.85
  • ANTHEM BCBSNY MEDICAID [5511] — OMC MEDICAID: $666.02
  • BERKSHIRE HATHAWAY GUARD INSURANCE COMPANY [5529] — QUAL-LYNX WC STANDARD: $2,895.75
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Transoral Biopsy Single/Multiple $13,369.66 $1,251.05 $274.57 – $12,000
Upper GI endoscopy with biopsy: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,087.87
  • AETNA [5002] — OMC AETNA HTC: $1,523.02
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,087.87
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,087.87
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,087.87
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,523.02
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,087.87
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,087.87
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,087.87
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,087.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $8,998.80 $1,216.56 $365.80 – $12,000
Colonoscopy (diagnostic): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,057.88
  • AETNA [5002] — OMC AETNA HTC: $1,481.03
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,057.88
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,057.88
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,057.88
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,481.03
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,057.88
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,057.88
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,057.88
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,057.88
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple $12,668.59 $1,573.33 $397.12 – $12,000
Colonoscopy with biopsy: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,368.11
  • AETNA [5002] — OMC AETNA HTC: $1,915.35
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,368.11
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,368.11
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,368.11
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,915.35
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,368.11
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,368.11
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $12,623.94 $2,359.99 $504.17 – $12,000
Colonoscopy with removal of polyps (snare): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,368.11
  • AETNA [5002] — OMC AETNA HTC: $1,915.35
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,368.11
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,368.11
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,368.11
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,915.35
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,368.11
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,368.11
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $16,379.03 $2,359.99 $510.67 – $12,000
Ultrasound of the lower bowel by endoscope: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,368.11
  • AETNA [5002] — OMC AETNA HTC: $1,915.35
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,368.11
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,368.11
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,368.11
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,915.35
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,368.11
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,368.11
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,368.11
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind $9,141.18 $1,216.56 $318.62 – $12,000
Screening colonoscopy (not high risk): 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,057.88
  • AETNA [5002] — OMC AETNA HTC: $1,481.03
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,057.88
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,057.88
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,057.88
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,481.03
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,057.88
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,057.88
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,057.88
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,057.88
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy Surg Cholecystectomy $25,790.93 $7,785.18 $1,335.08 – $12,000
Gallbladder removal by laparoscope: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $6,769.72
  • AETNA [5002] — OMC AETNA HTC: $9,477.61
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $6,769.72
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $6,769.72
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $6,769.72
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $9,477.61
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $6,769.72
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $6,769.72
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $6,769.72
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $6,769.72
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $18,591.71 $4,709.06 $1,062.52 – $12,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $4,094.84
  • AETNA [5002] — OMC AETNA HTC: $5,732.77
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $4,094.84
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $4,094.84
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $4,094.84
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $5,732.77
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $4,094.84
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $4,094.84
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $4,094.84
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $4,094.84
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Bx Prostate Ndl/Punch Sng/Mult $8,678 $2,733.47 $253.88 – $12,000
Prostate biopsy: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2,376.93
  • AETNA [5002] — OMC AETNA HTC: $3,327.70
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2,376.93
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2,376.93
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2,376.93
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $1,796.35
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $3,327.70
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $2,376.93
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $2,376.93
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $2,376.93
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Bx Prostate Ndl/Punch Sng/Mult $21,912.51 $2,733.47 $253.88 – $12,000
Prostate biopsy: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2,376.93
  • AETNA [5002] — OMC AETNA HTC: $3,327.70
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2,376.93
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2,376.93
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2,376.93
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $3,327.70
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $2,376.93
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $2,376.93
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $2,376.93
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $2,376.93
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing $73,216.38 $13,893.10 $2,833.03 – $16,912.49
Prostate removal by laparoscope (radical prostatectomy): 10 of 174 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $12,080.35
  • AETNA [5002] — OMC AETNA HTC: $16,912.49
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $12,080.35
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $12,080.35
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $12,080.35
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $16,912.49
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $12,080.35
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $12,080.35
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $12,080.35
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $12,080.35
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy W Bx/Polypectomy W/WO D&C $19,889.71 $4,243.46 $457.56 – $12,000
Hysteroscopy with biopsy of the uterus lining: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $3,689.27
  • AETNA [5002] — OMC AETNA HTC: $5,164.98
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $3,689.27
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $3,689.27
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $3,689.27
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $5,164.98
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $3,689.27
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $3,689.27
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $3,689.27
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $3,689.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img $3,117 $924.08 $197.11 – $12,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $803.54
  • AETNA [5002] — OMC AETNA HTC: $1,124.96
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $803.54
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $803.54
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $803.54
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $645.22
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,124.96
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $803.54
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $803.54
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $803.54
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Inj(S) Dx/Tx Epi/Subar Lumb/Scr W Img $3,861.33 $935.12 $197.11 – $12,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $803.54
  • AETNA [5002] — OMC AETNA HTC: $1,124.96
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $803.54
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $803.54
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $803.54
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,124.96
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $803.54
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $803.54
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $803.54
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $803.54
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx $2,725 $1,187.97 $222.24 – $12,000
Nerve root injection, lower back, with imaging guidance: 10 of 177 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,033.02
  • AETNA [5002] — OMC AETNA HTC: $1,446.23
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,033.02
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,033.02
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,033.02
  • AETNA BETTER HEALTH [5005] — OMC AETNA BETTER HEALTH: $564.08
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,446.23
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,033.02
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,033.02
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,033.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj(S) Anes/Ster Tf Epid Lumb/Sacr Sng W Flx/CT Gdx $5,597.71 $1,187.97 $222.24 – $12,000
Nerve root injection, lower back, with imaging guidance: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $1,033.02
  • AETNA [5002] — OMC AETNA HTC: $1,446.23
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $1,033.02
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $1,033.02
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $1,033.02
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $1,446.23
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $1,033.02
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $1,033.02
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $1,033.02
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $1,033.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $9,070.73 $2,605.71 $904.81 – $12,000
Carpal tunnel release: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2,265.84
  • AETNA [5002] — OMC AETNA HTC: $3,172.17
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2,265.84
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2,265.84
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2,265.84
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $3,172.17
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $2,265.84
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $2,265.84
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $2,265.84
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $2,265.84
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp $17,384 $3,043.33 $1,095.33 – $12,000
Cataract removal with lens implant: 10 of 158 insurance plan rates
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $2,646.38
  • AETNA [5002] — OMC AETNA HTC: $3,704.93
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $2,646.38
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $2,646.38
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $2,646.38
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $3,704.93
  • AETNA MCARE SUPPLEMENTAL [5041] — OMC AETNA MEDICARE: $2,646.38
  • AETNA MEDICARE [5003] — OMC AETNA MEDICARE: $2,646.38
  • AETNA MEDICARE [5003] — OMC AETNA NNJ PRIME: $2,646.38
  • AETNA MEDICARE IP SPLITS [5470] — OMC AETNA MEDICARE: $2,646.38

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $474,498.87 $115,370.73 $7,532 – $263,196.45
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 169 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $245,245.01
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $83,679.31
  • AETNA [5002] — OMC AETNA: $245,245.01
  • AETNA [5002] — OMC AETNA HTC: $117,151.03
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $191,292.87
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $83,679.31
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $83,679.31
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $83,679.31
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $245,245.01
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $117,151.03
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 $89,621.79 $22,517.29 $7,532 – $49,739
Hip or knee replacement (major joint of the leg), without major complications: 10 of 169 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $48,355.59
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $16,358.57
  • AETNA [5002] — OMC AETNA: $48,355.59
  • AETNA [5002] — OMC AETNA HTC: $22,902
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $37,717.71
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $16,358.57
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $16,358.57
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $16,358.57
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $48,355.59
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $22,902
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $110,308.22 $29,446.93 $7,532 – $65,680.74
Neck (cervical) spinal fusion, without complications: 10 of 169 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $61,200.95
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $21,366.97
  • AETNA [5002] — OMC AETNA: $61,200.95
  • AETNA [5002] — OMC AETNA HTC: $29,913.76
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $47,737.18
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $21,366.97
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $21,366.97
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $21,366.97
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $61,200.95
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $29,913.76
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 $48,252.94 $14,927.60 $7,532 – $33,379.79
Uterus and ovary surgery (not for cancer), without complications: 10 of 169 insurance plan rates
  • 1199 SEIU BENEFIT AND PENSION [5037] — OMC AETNA: $31,103.11
  • AARP MEDICARE COMP [5039] — OMC UNITED MEDICARE: $10,855.53
  • AETNA [5002] — OMC AETNA: $31,103.11
  • AETNA [5002] — OMC AETNA HTC: $15,197.74
  • AETNA [5002] — OMC AETNA WHOLE HEALTH: $24,260.65
  • AETNA AHS EMPLOYEE [5306] — OMC AETNA AHS EMPLOYEE: $10,855.53
  • AETNA ASSURE PREMIER PLUS [5422] — OMC AETNA MEDICARE: $10,855.53
  • AETNA ASSURE PREMIER PLUS IP SPLITS [5466] — OMC AETNA MEDICARE: $10,855.53
  • AETNA BEHAVIORAL HEALTH [5321] — OMC AETNA: $31,103.11
  • AETNA CENTRASTATE EMPLOYEE [5425] — OMC AETNA HTC: $15,197.74

Source: Overlook Medical Center’s standard charges file (atlantichealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address99 Beauvoir Avenue, Summit, NJ 07901
CountyUnion County
StateNew Jersey
Phone(908) 522‑2000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number310051
Name in Medicare recordsOVERLOOK MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websiteatlantichealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Overlook Medical Center | Atlantic Health System — atlantichealth.org
  2. Patient Resources | Atlantic Health — atlantichealth.org
  3. Awards & Accreditations — atlantichealth.org
  4. Heart Care Awards — atlantichealth.org
  5. Neuroscience Awards — atlantichealth.org
  6. Cancer Care Awards — atlantichealth.org