Where is PAM Rehabilitation Hospital of Dayton LLC?

2310 Crosspointe Drive, Miamisburg, OH 45342, in Montgomery County, Ohio.

What is the phone number of PAM Rehabilitation Hospital of Dayton LLC?

(937) 617-0566, as listed by Medicare (CMS).

PAM Rehabilitation Hospital of Dayton LLC

Quick answers

Where is PAM Rehabilitation Hospital of Dayton LLC?: 2310 Crosspointe Drive, Miamisburg, OH 45342, in Montgomery County, Ohio.
What is the phone number of PAM Rehabilitation Hospital of Dayton LLC?: (937) 617-0566, as listed by Medicare (CMS).

Conditions treated^[4][5]

Brain injury
Cardiopulmonary conditions
Guillain-Barre syndrome
Neurological disorders
Parkinson's disease
Respiratory failure
Spinal cord injury
Stroke
Chronic pain
Fibromyalgia
Lymphedema
Movement disorders
Renal conditions
Rheumatoid arthritis
Amputation care
Orthopedic conditions
Infection
Oncology
Joint replacement (hip, knee, shoulder, other)
Complex medical conditions

Treatments^[4]

Physical therapy
Occupational therapy
Speech therapy
Wound care
Antibiotic therapy
Renal and bedside dialysis

Programs and centers^[4][5]

Spasticity management
Hand therapy
Balance and vestibular therapy
Outpatient services

Visiting and practical information

Visiting	Visiting hours 8 a.m. to 8 p.m^[4]
Parking	Free parking^[4]

Nearest emergency rooms

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

Kettering Health Miamisburg1.8 mi · Miamisburg, OH · Acute Care Hospital
Kettering Health Main Campus5.2 mi · Kettering, OH · Acute Care Hospital
Dayton VA Medical Center7.8 mi · Dayton, OH · Federal/VA Acute Care Hospital
Miami Valley Hospital8.0 mi · Dayton, OH · Acute Care Hospital
Kettering Health Dayton9.4 mi · Dayton, OH · Acute Care Hospital

Other hospitals nearby

PAM Health Specialty Hospital of Miamisburg0.0 mi · Miamisburg, OH · Long-Term Acute Care Hospital
Haven Behavioral Hospital of Dayton7.0 mi · Dayton, OH · Psychiatric Hospital
Kindred Hospitals-Dayton8.0 mi · Dayton, OH · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Sycamore Trails Post Acute0.3 mi · Miamisburg, OH · 4 of 5 stars
Sycamorespring of Miamisburg0.5 mi · Miamisburg, OH · 5 of 5 stars
Wood Glen Alzheimer's Community1.0 mi · Dayton, OH · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Capital Health Hospice1.8 mi · Miamisburg, OH
Compassus - Western Ohio4.1 mi · Dayton, OH
Caretenders Hospice4.4 mi · Moraine, OH

All hospice providers in the state →

Home health agencies

Americare Home Health Agency1.8 mi · Miamisburg, OH · 2 of 5 stars
Capital Health Home Care1.8 mi · Miamisburg, OH · 3 of 5 stars
Hope Home Care LLC1.8 mi · Miamisburg, OH · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Miamisburg Dialysis1.8 mi · Miamisburg, OH · 4 of 5 stars
FMC - Dayton Regional Dialysis-South, Inc4.1 mi · Dayton, OH · 3 of 5 stars
Fresenius Kidney Care Centerville Home4.1 mi · Dayton, OH · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Vertrae Surgery Center LLC1.8 mi · Miamisburg, OH
DCR Surgery Center, LLC4.1 mi · Dayton, OH
Digestive Endoscopy Center4.1 mi · Dayton, OH

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

Community Health Centers of Greater Dayton - Alex Central Health Center0.4 mi · Miamisburg, OH · Community health center
Laveta Bauer Primary School1.4 mi · Dayton, OH · Community health center
Mound Elementary School1.8 mi · Miamisburg, OH · Community health center

Clinics and urgent care

Dayton Children's Hospital1.8 mi · Miamisburg, OH · Urgent care center
Carlisle Clinic LLC7.8 mi · Carlisle, OH · Urgent care center
Wellness Urgent Care LLC7.8 mi · Carlisle, OH · Urgent care center

Pharmacies

Dayton Childrens Hospital1.8 mi · Miamisburg, OH · Community/retail pharmacy
Health Springs RX LLC1.8 mi · Miamisburg, OH · Community/retail pharmacy
Kettering Medical Center1.8 mi · Miamisburg, OH · Community/retail pharmacy

Assisted living nearby

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

Gigi's Place on Spring Valley1.8 mi · Miamisburg, OH
Stoney Ridge Senior Living1.8 mi · Miamisburg, OH
Sycamore Glen Retirement Community1.8 mi · Miamisburg, OH
The Auberge at River Oaks1.8 mi · Miamisburg, OH

ER wait times and Medicare ratings nearby

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

ER wait times in Ohio Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as PAM Rehabilitation Hospital of Dayton LLC lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,087.21	$1,087.21	$49.76 – $869.77
Emergency room visit (moderate): 10 of 36 insurance plan rates Aetna — Commercial/Medical Rental: $49.76 Aetna — Medicare Advantage: $266.72 America's Choice Provider Network — Commercial: $761.05 AmeriHealth Caritas Ohio — D-SNP: $266.72 AmeriHealth Caritas Ohio — Managed Medicaid: $217.44 Anthem Blue Cross Blue Shield — Managed Medicaid: $250.06 Anthem Blue Cross Blue Shield — Medicare Advantage: $266.72 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $250.06 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $266.72
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 3	$1,087.21	$1,087.21	$271.80 – $869.77
Emergency room visit (moderate): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $761.05 AmeriHealth Caritas Ohio — D-SNP: $326.16 AmeriHealth Caritas Ohio — Managed Medicaid: $271.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $304.42 Buckeye Community Health Plan — Managed Medicaid: $304.42 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $304.42 Humana — Managed Medicaid: $304.42 Molina — Managed Medicaid: $304.42 MultiPlan/PHCS — Commercial: $869.77 Provider Network of America — PPO: $815.41
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 4	$1,708.99	$1,708.99	$84.56 – $1,367.19
Emergency room visit (moderately high): 10 of 36 insurance plan rates Aetna — Commercial/Medical Rental: $84.56 Aetna — Medicare Advantage: $407.70 America's Choice Provider Network — Commercial: $1,196.29 AmeriHealth Caritas Ohio — D-SNP: $407.70 AmeriHealth Caritas Ohio — Managed Medicaid: $341.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $393.07 Anthem Blue Cross Blue Shield — Medicare Advantage: $407.70 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $393.07 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $407.70
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 4	$1,708.99	$1,708.99	$427.25 – $1,367.19
Emergency room visit (moderately high): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $1,196.29 AmeriHealth Caritas Ohio — D-SNP: $512.70 AmeriHealth Caritas Ohio — Managed Medicaid: $427.25 Anthem Blue Cross Blue Shield — Managed Medicaid: $478.52 Buckeye Community Health Plan — Managed Medicaid: $478.52 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $478.52 Humana — Managed Medicaid: $478.52 Molina — Managed Medicaid: $478.52 MultiPlan/PHCS — Commercial: $1,367.19 Provider Network of America — PPO: $1,281.74
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,453.04	$2,453.04	$123.06 – $1,962.43
Emergency room visit (high): 10 of 36 insurance plan rates Aetna — Commercial/Medical Rental: $123.06 Aetna — Medicare Advantage: $581.89 America's Choice Provider Network — Commercial: $1,717.13 AmeriHealth Caritas Ohio — D-SNP: $581.89 AmeriHealth Caritas Ohio — Managed Medicaid: $490.61 Anthem Blue Cross Blue Shield — Managed Medicaid: $564.20 Anthem Blue Cross Blue Shield — Medicare Advantage: $581.89 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $564.20 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $581.89
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED Visit Level 5	$2,453.04	$2,453.04	$613.26 – $1,962.43
Emergency room visit (high): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $1,717.13 AmeriHealth Caritas Ohio — D-SNP: $735.91 AmeriHealth Caritas Ohio — Managed Medicaid: $613.26 Anthem Blue Cross Blue Shield — Managed Medicaid: $686.85 Buckeye Community Health Plan — Managed Medicaid: $686.85 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $686.85 Humana — Managed Medicaid: $686.85 Molina — Managed Medicaid: $686.85 MultiPlan/PHCS — Commercial: $1,962.43 Provider Network of America — PPO: $1,839.78

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BMP with Total Calcium	$84.60	$84.60	$5.50 – $67.68
Basic metabolic panel (blood test): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $5.50 Aetna — Medicare Advantage: $8.46 America's Choice Provider Network — Commercial: $59.22 AmeriHealth Caritas Ohio — D-SNP: $8.46 AmeriHealth Caritas Ohio — Managed Medicaid: $16.92 Anthem Blue Cross Blue Shield — Managed Medicaid: $19.46 Anthem Blue Cross Blue Shield — Medicare Advantage: $8.46 Buckeye Community Health Plan — Managed Medicaid: $19.46 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $8.46 CareSource — Kentucky Exchange: $9.31
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BMP with Total Calcium	$84.60	$84.60	$21.15 – $67.68
Basic metabolic panel (blood test): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $59.22 AmeriHealth Caritas Ohio — D-SNP: $25.38 AmeriHealth Caritas Ohio — Managed Medicaid: $21.15 Anthem Blue Cross Blue Shield — Managed Medicaid: $23.69 Buckeye Community Health Plan — Managed Medicaid: $23.69 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $23.69 Humana — Managed Medicaid: $23.69 Molina — Managed Medicaid: $23.69 MultiPlan/PHCS — Commercial: $67.68 Provider Network of America — PPO: $63.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$105.60	$105.60	$6.86 – $84.48
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $6.86 Aetna — Medicare Advantage: $10.56 America's Choice Provider Network — Commercial: $73.92 AmeriHealth Caritas Ohio — D-SNP: $10.56 AmeriHealth Caritas Ohio — Managed Medicaid: $21.12 Anthem Blue Cross Blue Shield — Managed Medicaid: $24.29 Anthem Blue Cross Blue Shield — Medicare Advantage: $10.56 Buckeye Community Health Plan — Managed Medicaid: $24.29 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $10.56 CareSource — Kentucky Exchange: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehen Metabolic Panel CMP	$105.60	$105.60	$26.40 – $84.48
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $73.92 AmeriHealth Caritas Ohio — D-SNP: $31.68 AmeriHealth Caritas Ohio — Managed Medicaid: $26.40 Anthem Blue Cross Blue Shield — Managed Medicaid: $29.57 Buckeye Community Health Plan — Managed Medicaid: $29.57 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $29.57 Humana — Managed Medicaid: $29.57 Molina — Managed Medicaid: $29.57 MultiPlan/PHCS — Commercial: $84.48 Provider Network of America — PPO: $79.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel	$61.59	$61.59	$8.70 – $49.27
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $8.70 Aetna — Medicare Advantage: $13.39 America's Choice Provider Network — Commercial: $43.11 AmeriHealth Caritas Ohio — D-SNP: $13.39 AmeriHealth Caritas Ohio — Managed Medicaid: $12.32 Anthem Blue Cross Blue Shield — Managed Medicaid: $14.17 Anthem Blue Cross Blue Shield — Medicare Advantage: $13.39 Buckeye Community Health Plan — Managed Medicaid: $14.17 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $13.39 CareSource — Kentucky Exchange: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel	$61.59	$61.59	$15.40 – $49.27
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $43.11 AmeriHealth Caritas Ohio — D-SNP: $18.48 AmeriHealth Caritas Ohio — Managed Medicaid: $15.40 Anthem Blue Cross Blue Shield — Managed Medicaid: $17.25 Buckeye Community Health Plan — Managed Medicaid: $17.25 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $17.25 Humana — Managed Medicaid: $17.25 Molina — Managed Medicaid: $17.25 MultiPlan/PHCS — Commercial: $49.27 Provider Network of America — PPO: $46.19
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$86.80	$86.80	$5.64 – $69.44
Kidney function panel: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $5.64 Aetna — Medicare Advantage: $8.68 America's Choice Provider Network — Commercial: $60.76 AmeriHealth Caritas Ohio — D-SNP: $8.68 AmeriHealth Caritas Ohio — Managed Medicaid: $17.36 Anthem Blue Cross Blue Shield — Managed Medicaid: $19.96 Anthem Blue Cross Blue Shield — Medicare Advantage: $8.68 Buckeye Community Health Plan — Managed Medicaid: $19.96 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $8.68 CareSource — Kentucky Exchange: $9.55
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel	$86.80	$86.80	$21.70 – $69.44
Kidney function panel: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $60.76 AmeriHealth Caritas Ohio — D-SNP: $26.04 AmeriHealth Caritas Ohio — Managed Medicaid: $21.70 Anthem Blue Cross Blue Shield — Managed Medicaid: $24.30 Buckeye Community Health Plan — Managed Medicaid: $24.30 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $24.30 Humana — Managed Medicaid: $24.30 Molina — Managed Medicaid: $24.30 MultiPlan/PHCS — Commercial: $69.44 Provider Network of America — PPO: $65.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$81.70	$81.70	$5.31 – $65.36
Liver function panel: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $5.31 Aetna — Medicare Advantage: $8.17 America's Choice Provider Network — Commercial: $57.19 AmeriHealth Caritas Ohio — D-SNP: $8.17 AmeriHealth Caritas Ohio — Managed Medicaid: $16.34 Anthem Blue Cross Blue Shield — Managed Medicaid: $18.79 Anthem Blue Cross Blue Shield — Medicare Advantage: $8.17 Buckeye Community Health Plan — Managed Medicaid: $18.79 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $8.17 CareSource — Kentucky Exchange: $8.99
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$81.70	$81.70	$20.43 – $65.36
Liver function panel: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $57.19 AmeriHealth Caritas Ohio — D-SNP: $24.51 AmeriHealth Caritas Ohio — Managed Medicaid: $20.43 Anthem Blue Cross Blue Shield — Managed Medicaid: $22.88 Buckeye Community Health Plan — Managed Medicaid: $22.88 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $22.88 Humana — Managed Medicaid: $22.88 Molina — Managed Medicaid: $22.88 MultiPlan/PHCS — Commercial: $65.36 Provider Network of America — PPO: $61.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$31.70	$31.70	$2.06 – $25.36
Urine test (automated, with microscope): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $2.06 Aetna — Medicare Advantage: $3.17 America's Choice Provider Network — Commercial: $22.19 AmeriHealth Caritas Ohio — D-SNP: $3.17 AmeriHealth Caritas Ohio — Managed Medicaid: $6.34 Anthem Blue Cross Blue Shield — Managed Medicaid: $7.29 Anthem Blue Cross Blue Shield — Medicare Advantage: $3.17 Buckeye Community Health Plan — Managed Medicaid: $7.29 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $3.17 CareSource — Kentucky Exchange: $3.49
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Auto W/Scope UA	$31.70	$31.70	$7.93 – $25.36
Urine test (automated, with microscope): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $22.19 AmeriHealth Caritas Ohio — D-SNP: $9.51 AmeriHealth Caritas Ohio — Managed Medicaid: $7.93 Anthem Blue Cross Blue Shield — Managed Medicaid: $8.88 Buckeye Community Health Plan — Managed Medicaid: $8.88 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $8.88 Humana — Managed Medicaid: $8.88 Molina — Managed Medicaid: $8.88 MultiPlan/PHCS — Commercial: $25.36 Provider Network of America — PPO: $23.78
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Non-Auto W/O Scope	$34.80	$34.80	$2.26 – $27.84
Urine test (manual, without microscope): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $2.26 Aetna — Medicare Advantage: $3.48 America's Choice Provider Network — Commercial: $24.36 AmeriHealth Caritas Ohio — D-SNP: $3.48 AmeriHealth Caritas Ohio — Managed Medicaid: $6.96 Anthem Blue Cross Blue Shield — Managed Medicaid: $8 Anthem Blue Cross Blue Shield — Medicare Advantage: $3.48 Buckeye Community Health Plan — Managed Medicaid: $8 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $3.48 CareSource — Kentucky Exchange: $3.83
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Non-Auto W/O Scope	$34.80	$34.80	$8.70 – $27.84
Urine test (manual, without microscope): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $24.36 AmeriHealth Caritas Ohio — D-SNP: $10.44 AmeriHealth Caritas Ohio — Managed Medicaid: $8.70 Anthem Blue Cross Blue Shield — Managed Medicaid: $9.74 Buckeye Community Health Plan — Managed Medicaid: $9.74 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $9.74 Humana — Managed Medicaid: $9.74 Molina — Managed Medicaid: $9.74 MultiPlan/PHCS — Commercial: $27.84 Provider Network of America — PPO: $26.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA Reflex to Microscopic	$22.50	$22.50	$1.46 – $18
Urine test (automated, without microscope): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $1.46 Aetna — Medicare Advantage: $2.25 America's Choice Provider Network — Commercial: $15.75 AmeriHealth Caritas Ohio — D-SNP: $2.25 AmeriHealth Caritas Ohio — Managed Medicaid: $4.50 Anthem Blue Cross Blue Shield — Managed Medicaid: $5.18 Anthem Blue Cross Blue Shield — Medicare Advantage: $2.25 Buckeye Community Health Plan — Managed Medicaid: $5.18 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $2.25 CareSource — Kentucky Exchange: $2.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urine Ketones	$22.50	$22.50	$1.46 – $18
Urine test (automated, without microscope): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $1.46 Aetna — Medicare Advantage: $2.25 America's Choice Provider Network — Commercial: $15.75 AmeriHealth Caritas Ohio — D-SNP: $2.25 AmeriHealth Caritas Ohio — Managed Medicaid: $4.50 Anthem Blue Cross Blue Shield — Managed Medicaid: $5.18 Anthem Blue Cross Blue Shield — Medicare Advantage: $2.25 Buckeye Community Health Plan — Managed Medicaid: $5.18 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $2.25 CareSource — Kentucky Exchange: $2.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Auto W/O Scope UA	$22.50	$22.50	$1.46 – $18
Urine test (automated, without microscope): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $1.46 Aetna — Medicare Advantage: $2.25 America's Choice Provider Network — Commercial: $15.75 AmeriHealth Caritas Ohio — D-SNP: $2.25 AmeriHealth Caritas Ohio — Managed Medicaid: $4.50 Anthem Blue Cross Blue Shield — Managed Medicaid: $5.18 Anthem Blue Cross Blue Shield — Medicare Advantage: $2.25 Buckeye Community Health Plan — Managed Medicaid: $5.18 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $2.25 CareSource — Kentucky Exchange: $2.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Total	$183.90	$183.90	$11.95 – $147.12
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $11.95 Aetna — Medicare Advantage: $18.39 America's Choice Provider Network — Commercial: $128.73 AmeriHealth Caritas Ohio — D-SNP: $18.39 AmeriHealth Caritas Ohio — Managed Medicaid: $36.78 Anthem Blue Cross Blue Shield — Managed Medicaid: $42.30 Anthem Blue Cross Blue Shield — Medicare Advantage: $18.39 Buckeye Community Health Plan — Managed Medicaid: $42.30 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $18.39 CareSource — Kentucky Exchange: $20.23
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA Total	$183.90	$183.90	$45.98 – $147.12
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $128.73 AmeriHealth Caritas Ohio — D-SNP: $55.17 AmeriHealth Caritas Ohio — Managed Medicaid: $45.98 Anthem Blue Cross Blue Shield — Managed Medicaid: $51.49 Buckeye Community Health Plan — Managed Medicaid: $51.49 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $51.49 Humana — Managed Medicaid: $51.49 Molina — Managed Medicaid: $51.49 MultiPlan/PHCS — Commercial: $147.12 Provider Network of America — PPO: $137.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$168	$168	$10.92 – $134.40
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $10.92 Aetna — Medicare Advantage: $16.80 America's Choice Provider Network — Commercial: $117.60 AmeriHealth Caritas Ohio — D-SNP: $16.80 AmeriHealth Caritas Ohio — Managed Medicaid: $33.60 Anthem Blue Cross Blue Shield — Managed Medicaid: $38.64 Anthem Blue Cross Blue Shield — Medicare Advantage: $16.80 Buckeye Community Health Plan — Managed Medicaid: $38.64 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $16.80 CareSource — Kentucky Exchange: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stim Hormone	$168	$168	$42 – $134.40
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $117.60 AmeriHealth Caritas Ohio — D-SNP: $50.40 AmeriHealth Caritas Ohio — Managed Medicaid: $42 Anthem Blue Cross Blue Shield — Managed Medicaid: $47.04 Buckeye Community Health Plan — Managed Medicaid: $47.04 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $47.04 Humana — Managed Medicaid: $47.04 Molina — Managed Medicaid: $47.04 MultiPlan/PHCS — Commercial: $134.40 Provider Network of America — PPO: $126
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$77.70	$77.70	$5.05 – $62.16
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $5.05 Aetna — Medicare Advantage: $7.77 America's Choice Provider Network — Commercial: $54.39 AmeriHealth Caritas Ohio — D-SNP: $7.77 AmeriHealth Caritas Ohio — Managed Medicaid: $15.54 Anthem Blue Cross Blue Shield — Managed Medicaid: $17.87 Anthem Blue Cross Blue Shield — Medicare Advantage: $7.77 Buckeye Community Health Plan — Managed Medicaid: $17.87 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $7.77 CareSource — Kentucky Exchange: $8.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete CBC W/Auto Diff	$77.70	$77.70	$19.43 – $62.16
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $54.39 AmeriHealth Caritas Ohio — D-SNP: $23.31 AmeriHealth Caritas Ohio — Managed Medicaid: $19.43 Anthem Blue Cross Blue Shield — Managed Medicaid: $21.76 Buckeye Community Health Plan — Managed Medicaid: $21.76 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $21.76 Humana — Managed Medicaid: $21.76 Molina — Managed Medicaid: $21.76 MultiPlan/PHCS — Commercial: $62.16 Provider Network of America — PPO: $58.28
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/o differential	$64.70	$64.70	$4.21 – $51.76
Complete blood count (CBC), automated: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $4.21 Aetna — Medicare Advantage: $6.47 America's Choice Provider Network — Commercial: $45.29 AmeriHealth Caritas Ohio — D-SNP: $6.47 AmeriHealth Caritas Ohio — Managed Medicaid: $12.94 Anthem Blue Cross Blue Shield — Managed Medicaid: $14.88 Anthem Blue Cross Blue Shield — Medicare Advantage: $6.47 Buckeye Community Health Plan — Managed Medicaid: $14.88 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $6.47 CareSource — Kentucky Exchange: $7.12
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/o differential	$64.70	$64.70	$16.18 – $51.76
Complete blood count (CBC), automated: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $45.29 AmeriHealth Caritas Ohio — D-SNP: $19.41 AmeriHealth Caritas Ohio — Managed Medicaid: $16.18 Anthem Blue Cross Blue Shield — Managed Medicaid: $18.12 Buckeye Community Health Plan — Managed Medicaid: $18.12 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $18.12 Humana — Managed Medicaid: $18.12 Molina — Managed Medicaid: $18.12 MultiPlan/PHCS — Commercial: $51.76 Provider Network of America — PPO: $48.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$42.90	$42.90	$2.79 – $34.32
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $2.79 Aetna — Medicare Advantage: $4.29 America's Choice Provider Network — Commercial: $30.03 AmeriHealth Caritas Ohio — D-SNP: $4.29 AmeriHealth Caritas Ohio — Managed Medicaid: $8.58 Anthem Blue Cross Blue Shield — Managed Medicaid: $9.87 Anthem Blue Cross Blue Shield — Medicare Advantage: $4.29 Buckeye Community Health Plan — Managed Medicaid: $9.87 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $4.29 CareSource — Kentucky Exchange: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time PT/INR	$42.90	$42.90	$10.73 – $34.32
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $30.03 AmeriHealth Caritas Ohio — D-SNP: $12.87 AmeriHealth Caritas Ohio — Managed Medicaid: $10.73 Anthem Blue Cross Blue Shield — Managed Medicaid: $12.01 Buckeye Community Health Plan — Managed Medicaid: $12.01 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $12.01 Humana — Managed Medicaid: $12.01 Molina — Managed Medicaid: $12.01 MultiPlan/PHCS — Commercial: $34.32 Provider Network of America — PPO: $32.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$60.10	$60.10	$3.91 – $48.08
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $3.91 Aetna — Medicare Advantage: $6.01 America's Choice Provider Network — Commercial: $42.07 AmeriHealth Caritas Ohio — D-SNP: $6.01 AmeriHealth Caritas Ohio — Managed Medicaid: $12.02 Anthem Blue Cross Blue Shield — Managed Medicaid: $13.82 Anthem Blue Cross Blue Shield — Medicare Advantage: $6.01 Buckeye Community Health Plan — Managed Medicaid: $13.82 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $6.01 CareSource — Kentucky Exchange: $6.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT Thromboplastin Time Partia	$60.10	$60.10	$15.03 – $48.08
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $42.07 AmeriHealth Caritas Ohio — D-SNP: $18.03 AmeriHealth Caritas Ohio — Managed Medicaid: $15.03 Anthem Blue Cross Blue Shield — Managed Medicaid: $16.83 Buckeye Community Health Plan — Managed Medicaid: $16.83 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $16.83 Humana — Managed Medicaid: $16.83 Molina — Managed Medicaid: $16.83 MultiPlan/PHCS — Commercial: $48.08 Provider Network of America — PPO: $45.08

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head/Brain W/O Dye	$511.47	$511.47	$92.81 – $409.18
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $92.81 Aetna — Medicare Advantage: $102.15 America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $102.15 AmeriHealth Caritas Ohio — Managed Medicaid: $102.29 Anthem Blue Cross Blue Shield — Managed Medicaid: $117.64 Anthem Blue Cross Blue Shield — Medicare Advantage: $102.15 Buckeye Community Health Plan — Managed Medicaid: $117.64 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $102.15 CareSource — Kentucky Exchange: $112.37
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head/Brain W/O Dye	$511.47	$511.47	$127.87 – $409.18
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $153.44 AmeriHealth Caritas Ohio — Managed Medicaid: $127.87 Anthem Blue Cross Blue Shield — Managed Medicaid: $143.21 Buckeye Community Health Plan — Managed Medicaid: $143.21 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $143.21 Humana — Managed Medicaid: $143.21 Molina — Managed Medicaid: $143.21 MultiPlan/PHCS — Commercial: $409.18 Provider Network of America — PPO: $383.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain Stem W/O & W/Dye	$1,730.01	$1,730.01	$330.66 – $1,384.01
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $343.20 Aetna — Medicare Advantage: $340.88 America's Choice Provider Network — Commercial: $1,211.01 AmeriHealth Caritas Ohio — D-SNP: $340.88 AmeriHealth Caritas Ohio — Managed Medicaid: $346 Anthem Blue Cross Blue Shield — Managed Medicaid: $397.90 Anthem Blue Cross Blue Shield — Medicare Advantage: $340.88 Buckeye Community Health Plan — Managed Medicaid: $397.90 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $340.88 CareSource — Kentucky Exchange: $374.97
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain Stem W/O & W/Dye	$1,730.01	$1,730.01	$432.50 – $1,384.01
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $1,211.01 AmeriHealth Caritas Ohio — D-SNP: $519 AmeriHealth Caritas Ohio — Managed Medicaid: $432.50 Anthem Blue Cross Blue Shield — Managed Medicaid: $484.40 Buckeye Community Health Plan — Managed Medicaid: $484.40 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $484.40 Humana — Managed Medicaid: $484.40 Molina — Managed Medicaid: $484.40 MultiPlan/PHCS — Commercial: $1,384.01 Provider Network of America — PPO: $1,297.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$380.01	$380.01	$18.42 – $304.01
Chest X-ray, 2 views: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $18.42 Aetna — Medicare Advantage: $85.03 America's Choice Provider Network — Commercial: $266.01 AmeriHealth Caritas Ohio — D-SNP: $85.03 AmeriHealth Caritas Ohio — Managed Medicaid: $76 Anthem Blue Cross Blue Shield — Managed Medicaid: $87.40 Anthem Blue Cross Blue Shield — Medicare Advantage: $85.03 Buckeye Community Health Plan — Managed Medicaid: $87.40 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $85.03 CareSource — Kentucky Exchange: $93.53
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD Chest 2 Views	$380.01	$380.01	$95 – $304.01
Chest X-ray, 2 views: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $266.01 AmeriHealth Caritas Ohio — D-SNP: $114 AmeriHealth Caritas Ohio — Managed Medicaid: $95 Anthem Blue Cross Blue Shield — Managed Medicaid: $106.40 Buckeye Community Health Plan — Managed Medicaid: $106.40 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $106.40 Humana — Managed Medicaid: $106.40 Molina — Managed Medicaid: $106.40 MultiPlan/PHCS — Commercial: $304.01 Provider Network of America — PPO: $285.01
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD Exam L-2 Spine 4/>vws	$511.47	$511.47	$30.59 – $409.18
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $30.59 Aetna — Medicare Advantage: $102.15 America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $102.15 AmeriHealth Caritas Ohio — Managed Medicaid: $102.29 Anthem Blue Cross Blue Shield — Managed Medicaid: $117.64 Anthem Blue Cross Blue Shield — Medicare Advantage: $102.15 Buckeye Community Health Plan — Managed Medicaid: $117.64 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $102.15 CareSource — Kentucky Exchange: $112.37
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD Exam L-2 Spine 4/>vws	$511.47	$511.47	$127.87 – $409.18
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $153.44 AmeriHealth Caritas Ohio — Managed Medicaid: $127.87 Anthem Blue Cross Blue Shield — Managed Medicaid: $143.21 Buckeye Community Health Plan — Managed Medicaid: $143.21 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $143.21 Humana — Managed Medicaid: $143.21 Molina — Managed Medicaid: $143.21 MultiPlan/PHCS — Commercial: $409.18 Provider Network of America — PPO: $383.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Dye	$1,081	$1,081	$197.03 – $864.80
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $197.03 Aetna — Medicare Advantage: $233.14 America's Choice Provider Network — Commercial: $756.70 AmeriHealth Caritas Ohio — D-SNP: $233.14 AmeriHealth Caritas Ohio — Managed Medicaid: $216.20 Anthem Blue Cross Blue Shield — Managed Medicaid: $248.63 Anthem Blue Cross Blue Shield — Medicare Advantage: $233.14 Buckeye Community Health Plan — Managed Medicaid: $248.63 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $233.14 CareSource — Kentucky Exchange: $256.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Dye	$1,081	$1,081	$270.25 – $864.80
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $756.70 AmeriHealth Caritas Ohio — D-SNP: $324.30 AmeriHealth Caritas Ohio — Managed Medicaid: $270.25 Anthem Blue Cross Blue Shield — Managed Medicaid: $302.68 Buckeye Community Health Plan — Managed Medicaid: $302.68 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $302.68 Humana — Managed Medicaid: $302.68 Molina — Managed Medicaid: $302.68 MultiPlan/PHCS — Commercial: $864.80 Provider Network of America — PPO: $810.75
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$839.18	$839.18	$166.24 – $671.34
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $223.33 Aetna — Medicare Advantage: $171.38 America's Choice Provider Network — Commercial: $587.43 AmeriHealth Caritas Ohio — D-SNP: $171.38 AmeriHealth Caritas Ohio — Managed Medicaid: $167.84 Anthem Blue Cross Blue Shield — Managed Medicaid: $193.01 Anthem Blue Cross Blue Shield — Medicare Advantage: $171.38 Buckeye Community Health Plan — Managed Medicaid: $193.01 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $171.38 CareSource — Kentucky Exchange: $188.52
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis W/Dye	$839.18	$839.18	$209.80 – $671.34
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $587.43 AmeriHealth Caritas Ohio — D-SNP: $251.75 AmeriHealth Caritas Ohio — Managed Medicaid: $209.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $234.97 Buckeye Community Health Plan — Managed Medicaid: $234.97 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $234.97 Humana — Managed Medicaid: $234.97 Molina — Managed Medicaid: $234.97 MultiPlan/PHCS — Commercial: $671.34 Provider Network of America — PPO: $629.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Jnt of Lwr Extre W/O Dye	$1,081	$1,081	$216.20 – $864.80
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $221.80 Aetna — Medicare Advantage: $233.14 America's Choice Provider Network — Commercial: $756.70 AmeriHealth Caritas Ohio — D-SNP: $233.14 AmeriHealth Caritas Ohio — Managed Medicaid: $216.20 Anthem Blue Cross Blue Shield — Managed Medicaid: $248.63 Anthem Blue Cross Blue Shield — Medicare Advantage: $233.14 Buckeye Community Health Plan — Managed Medicaid: $248.63 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $233.14 CareSource — Kentucky Exchange: $256.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Jnt of Lwr Extre W/O Dye	$1,081	$1,081	$270.25 – $864.80
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $756.70 AmeriHealth Caritas Ohio — D-SNP: $324.30 AmeriHealth Caritas Ohio — Managed Medicaid: $270.25 Anthem Blue Cross Blue Shield — Managed Medicaid: $302.68 Buckeye Community Health Plan — Managed Medicaid: $302.68 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $302.68 Humana — Managed Medicaid: $302.68 Molina — Managed Medicaid: $302.68 MultiPlan/PHCS — Commercial: $864.80 Provider Network of America — PPO: $810.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis w/Contrast	$1,730.01	$1,730.01	$311.78 – $1,384.01
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $311.78 Aetna — Medicare Advantage: $340.88 America's Choice Provider Network — Commercial: $1,211.01 AmeriHealth Caritas Ohio — D-SNP: $340.88 AmeriHealth Caritas Ohio — Managed Medicaid: $346 Anthem Blue Cross Blue Shield — Managed Medicaid: $397.90 Anthem Blue Cross Blue Shield — Medicare Advantage: $340.88 Buckeye Community Health Plan — Managed Medicaid: $397.90 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $340.88 CareSource — Kentucky Exchange: $374.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen & Pelvis w/Contrast	$1,730.01	$1,730.01	$432.50 – $1,384.01
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $1,211.01 AmeriHealth Caritas Ohio — D-SNP: $519 AmeriHealth Caritas Ohio — Managed Medicaid: $432.50 Anthem Blue Cross Blue Shield — Managed Medicaid: $484.40 Buckeye Community Health Plan — Managed Medicaid: $484.40 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $484.40 Humana — Managed Medicaid: $484.40 Molina — Managed Medicaid: $484.40 MultiPlan/PHCS — Commercial: $1,384.01 Provider Network of America — PPO: $1,297.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$511.47	$511.47	$67.10 – $409.18
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $67.10 Aetna — Medicare Advantage: $102.15 America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $102.15 AmeriHealth Caritas Ohio — Managed Medicaid: $102.29 Anthem Blue Cross Blue Shield — Managed Medicaid: $117.64 Anthem Blue Cross Blue Shield — Medicare Advantage: $102.15 Buckeye Community Health Plan — Managed Medicaid: $117.64 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $102.15 CareSource — Kentucky Exchange: $112.37
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Exam Abdom Complete	$511.47	$511.47	$127.87 – $409.18
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $153.44 AmeriHealth Caritas Ohio — Managed Medicaid: $127.87 Anthem Blue Cross Blue Shield — Managed Medicaid: $143.21 Buckeye Community Health Plan — Managed Medicaid: $143.21 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $143.21 Humana — Managed Medicaid: $143.21 Molina — Managed Medicaid: $143.21 MultiPlan/PHCS — Commercial: $409.18 Provider Network of America — PPO: $383.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$511.47	$511.47	$73.46 – $409.18
Transvaginal ultrasound: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $73.46 Aetna — Medicare Advantage: $102.15 America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $102.15 AmeriHealth Caritas Ohio — Managed Medicaid: $102.29 Anthem Blue Cross Blue Shield — Managed Medicaid: $117.64 Anthem Blue Cross Blue Shield — Medicare Advantage: $102.15 Buckeye Community Health Plan — Managed Medicaid: $117.64 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $102.15 CareSource — Kentucky Exchange: $112.37
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Transvaginal Non-Ob	$511.47	$511.47	$127.87 – $409.18
Transvaginal ultrasound: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $358.03 AmeriHealth Caritas Ohio — D-SNP: $153.44 AmeriHealth Caritas Ohio — Managed Medicaid: $127.87 Anthem Blue Cross Blue Shield — Managed Medicaid: $143.21 Buckeye Community Health Plan — Managed Medicaid: $143.21 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $143.21 Humana — Managed Medicaid: $143.21 Molina — Managed Medicaid: $143.21 MultiPlan/PHCS — Commercial: $409.18 Provider Network of America — PPO: $383.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$609.69	$609.69	$76.51 – $487.75
Screening mammogram, both breasts: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $76.51 Aetna — Medicare Advantage: $117.58 America's Choice Provider Network — Commercial: $426.78 AmeriHealth Caritas Ohio — D-SNP: $117.58 AmeriHealth Caritas Ohio — Managed Medicaid: $121.94 Anthem Blue Cross Blue Shield — Managed Medicaid: $140.23 Anthem Blue Cross Blue Shield — Medicare Advantage: $117.58 Buckeye Community Health Plan — Managed Medicaid: $140.23 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $117.58 CareSource — Kentucky Exchange: $129.34
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Screening Mammo Bilat	$609.69	$609.69	$152.42 – $487.75
Screening mammogram, both breasts: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $426.78 AmeriHealth Caritas Ohio — D-SNP: $182.91 AmeriHealth Caritas Ohio — Managed Medicaid: $152.42 Anthem Blue Cross Blue Shield — Managed Medicaid: $170.71 Buckeye Community Health Plan — Managed Medicaid: $170.71 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $170.71 Humana — Managed Medicaid: $170.71 Molina — Managed Medicaid: $170.71 MultiPlan/PHCS — Commercial: $487.75 Provider Network of America — PPO: $457.27

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ther procedure exercise 15 min	$138.49	$138.49	$18.84 – $175
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $18.84 Aetna — Medicare Advantage: $27.87 America's Choice Provider Network — Commercial: $96.94 AmeriHealth Caritas Ohio — D-SNP: $27.87 AmeriHealth Caritas Ohio — Managed Medicaid: $27.70 Anthem Blue Cross Blue Shield — Managed Medicaid: $31.85 Anthem Blue Cross Blue Shield — Medicare Advantage: $27.87 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $31.85 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $27.87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic proc/exer 15 min	$138.49	$138.49	$18.84 – $175
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $18.84 Aetna — Medicare Advantage: $27.87 America's Choice Provider Network — Commercial: $96.94 AmeriHealth Caritas Ohio — D-SNP: $27.87 AmeriHealth Caritas Ohio — Managed Medicaid: $27.70 Anthem Blue Cross Blue Shield — Managed Medicaid: $31.85 Anthem Blue Cross Blue Shield — Medicare Advantage: $27.87 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $31.85 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $27.87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ther procedure exercise 15 min	$138.49	$138.49	$34.62 – $110.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $96.94 AmeriHealth Caritas Ohio — D-SNP: $41.55 AmeriHealth Caritas Ohio — Managed Medicaid: $34.62 Anthem Blue Cross Blue Shield — Managed Medicaid: $38.78 Buckeye Community Health Plan — Managed Medicaid: $38.78 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $38.78 Humana — Managed Medicaid: $38.78 Molina — Managed Medicaid: $38.78 MultiPlan/PHCS — Commercial: $110.79 Provider Network of America — PPO: $103.87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval - Low Complexity	$471.20	$471.20	$63.41 – $376.96
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $63.41 Aetna — Medicare Advantage: $93.86 America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $93.86 AmeriHealth Caritas Ohio — Managed Medicaid: $94.24 Anthem Blue Cross Blue Shield — Managed Medicaid: $108.38 Anthem Blue Cross Blue Shield — Medicare Advantage: $93.86 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $108.38 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $93.86
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity	$471.20	$471.20	$63.41 – $376.96
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $63.41 Aetna — Medicare Advantage: $93.86 America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $93.86 AmeriHealth Caritas Ohio — Managed Medicaid: $94.24 Anthem Blue Cross Blue Shield — Managed Medicaid: $108.38 Anthem Blue Cross Blue Shield — Medicare Advantage: $93.86 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $108.38 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $93.86
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval - Low Complexity	$471.20	$471.20	$117.80 – $376.96
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $141.36 AmeriHealth Caritas Ohio — Managed Medicaid: $117.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $131.94 Buckeye Community Health Plan — Managed Medicaid: $131.94 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $131.94 Humana — Managed Medicaid: $131.94 Molina — Managed Medicaid: $131.94 MultiPlan/PHCS — Commercial: $376.96 Provider Network of America — PPO: $353.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval -Moderate Complexity	$471.20	$471.20	$63.41 – $376.96
Physical therapy evaluation (moderate complexity): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $63.41 Aetna — Medicare Advantage: $93.86 America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $93.86 AmeriHealth Caritas Ohio — Managed Medicaid: $94.24 Anthem Blue Cross Blue Shield — Managed Medicaid: $108.38 Anthem Blue Cross Blue Shield — Medicare Advantage: $93.86 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $108.38 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $93.86
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval -Moderate Complexity	$471.20	$471.20	$117.80 – $376.96
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $141.36 AmeriHealth Caritas Ohio — Managed Medicaid: $117.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $131.94 Buckeye Community Health Plan — Managed Medicaid: $131.94 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $131.94 Humana — Managed Medicaid: $131.94 Molina — Managed Medicaid: $131.94 MultiPlan/PHCS — Commercial: $376.96 Provider Network of America — PPO: $353.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Eval- High Complexity	$471.20	$471.20	$63.41 – $376.96
Physical therapy evaluation (high complexity): 10 of 40 insurance plan rates Aetna — Commercial/Medical Rental: $63.41 Aetna — Medicare Advantage: $93.86 America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $93.86 AmeriHealth Caritas Ohio — Managed Medicaid: $94.24 Anthem Blue Cross Blue Shield — Managed Medicaid: $108.38 Anthem Blue Cross Blue Shield — Medicare Advantage: $93.86 Anthem Blue Cross Blue Shield — Traditional/PPO/HMO/HIC/Exchange: $140 Buckeye Community Health Plan — Managed Medicaid: $108.38 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $93.86
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Eval- High Complexity	$471.20	$471.20	$117.80 – $376.96
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $329.84 AmeriHealth Caritas Ohio — D-SNP: $141.36 AmeriHealth Caritas Ohio — Managed Medicaid: $117.80 Anthem Blue Cross Blue Shield — Managed Medicaid: $131.94 Buckeye Community Health Plan — Managed Medicaid: $131.94 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $131.94 Humana — Managed Medicaid: $131.94 Molina — Managed Medicaid: $131.94 MultiPlan/PHCS — Commercial: $376.96 Provider Network of America — PPO: $353.40

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Diagnostic Brush Wash	$3,801.39	$3,801.39	$117.82 – $3,041.11
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $117.82 Aetna — Medicare Advantage: $886.21 America's Choice Provider Network — Commercial: $2,660.97 AmeriHealth Caritas Ohio — D-SNP: $886.21 AmeriHealth Caritas Ohio — Managed Medicaid: $760.28 Anthem Blue Cross Blue Shield — Managed Medicaid: $874.32 Anthem Blue Cross Blue Shield — Medicare Advantage: $886.21 Buckeye Community Health Plan — Managed Medicaid: $874.32 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $886.21 CareSource — Kentucky Exchange: $974.83
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Diagnostic Brush Wash	$3,801.39	$3,801.39	$950.35 – $3,041.11
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $2,660.97 AmeriHealth Caritas Ohio — D-SNP: $1,140.42 AmeriHealth Caritas Ohio — Managed Medicaid: $950.35 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,064.39 Buckeye Community Health Plan — Managed Medicaid: $1,064.39 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $1,064.39 Humana — Managed Medicaid: $1,064.39 Molina — Managed Medicaid: $1,064.39 MultiPlan/PHCS — Commercial: $3,041.11 Provider Network of America — PPO: $2,851.04
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$3,801.39	$3,801.39	$133 – $3,041.11
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $133 Aetna — Medicare Advantage: $886.21 America's Choice Provider Network — Commercial: $2,660.97 AmeriHealth Caritas Ohio — D-SNP: $886.21 AmeriHealth Caritas Ohio — Managed Medicaid: $760.28 Anthem Blue Cross Blue Shield — Managed Medicaid: $874.32 Anthem Blue Cross Blue Shield — Medicare Advantage: $886.21 Buckeye Community Health Plan — Managed Medicaid: $874.32 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $886.21 CareSource — Kentucky Exchange: $974.83
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Biopsy Single/Multi	$3,801.39	$3,801.39	$950.35 – $3,041.11
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $2,660.97 AmeriHealth Caritas Ohio — D-SNP: $1,140.42 AmeriHealth Caritas Ohio — Managed Medicaid: $950.35 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,064.39 Buckeye Community Health Plan — Managed Medicaid: $1,064.39 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $1,064.39 Humana — Managed Medicaid: $1,064.39 Molina — Managed Medicaid: $1,064.39 MultiPlan/PHCS — Commercial: $3,041.11 Provider Network of America — PPO: $2,851.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$3,728.21	$3,728.21	$177.96 – $2,982.57
Colonoscopy (diagnostic): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $177.96 Aetna — Medicare Advantage: $908.66 America's Choice Provider Network — Commercial: $2,609.75 AmeriHealth Caritas Ohio — D-SNP: $908.66 AmeriHealth Caritas Ohio — Managed Medicaid: $745.64 Anthem Blue Cross Blue Shield — Managed Medicaid: $857.49 Anthem Blue Cross Blue Shield — Medicare Advantage: $908.66 Buckeye Community Health Plan — Managed Medicaid: $857.49 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $908.66 CareSource — Kentucky Exchange: $999.52
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Terminated	$3,728.21	$3,728.21	$177.96 – $2,982.57
Colonoscopy (diagnostic): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $177.96 Aetna — Medicare Advantage: $908.66 America's Choice Provider Network — Commercial: $2,609.75 AmeriHealth Caritas Ohio — D-SNP: $908.66 AmeriHealth Caritas Ohio — Managed Medicaid: $745.64 Anthem Blue Cross Blue Shield — Managed Medicaid: $857.49 Anthem Blue Cross Blue Shield — Medicare Advantage: $908.66 Buckeye Community Health Plan — Managed Medicaid: $857.49 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $908.66 CareSource — Kentucky Exchange: $999.52
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy Terminated	$3,728.21	$3,728.21	$932.05 – $2,982.57
Colonoscopy (diagnostic): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $2,609.75 AmeriHealth Caritas Ohio — D-SNP: $1,118.46 AmeriHealth Caritas Ohio — Managed Medicaid: $932.05 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,043.90 Buckeye Community Health Plan — Managed Medicaid: $1,043.90 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $1,043.90 Humana — Managed Medicaid: $1,043.90 Molina — Managed Medicaid: $1,043.90 MultiPlan/PHCS — Commercial: $2,982.57 Provider Network of America — PPO: $2,796.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and Biopsy	$4,871.68	$4,871.68	$193.14 – $3,897.34
Colonoscopy with biopsy: 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $193.14 Aetna — Medicare Advantage: $1,169.23 America's Choice Provider Network — Commercial: $3,410.18 AmeriHealth Caritas Ohio — D-SNP: $1,169.23 AmeriHealth Caritas Ohio — Managed Medicaid: $974.34 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,120.49 Anthem Blue Cross Blue Shield — Medicare Advantage: $1,169.23 Buckeye Community Health Plan — Managed Medicaid: $1,120.49 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $1,169.23 CareSource — Kentucky Exchange: $1,286.16
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy and Biopsy	$4,871.68	$4,871.68	$1,217.92 – $3,897.34
Colonoscopy with biopsy: 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $3,410.18 AmeriHealth Caritas Ohio — D-SNP: $1,461.50 AmeriHealth Caritas Ohio — Managed Medicaid: $1,217.92 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,364.07 Buckeye Community Health Plan — Managed Medicaid: $1,364.07 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $1,364.07 Humana — Managed Medicaid: $1,364.07 Molina — Managed Medicaid: $1,364.07 MultiPlan/PHCS — Commercial: $3,897.34 Provider Network of America — PPO: $3,653.76
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Lesion Removal	$4,871.68	$4,871.68	$244.36 – $3,897.34
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates Aetna — Commercial/Medical Rental: $244.36 Aetna — Medicare Advantage: $1,169.23 America's Choice Provider Network — Commercial: $3,410.18 AmeriHealth Caritas Ohio — D-SNP: $1,169.23 AmeriHealth Caritas Ohio — Managed Medicaid: $974.34 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,120.49 Anthem Blue Cross Blue Shield — Medicare Advantage: $1,169.23 Buckeye Community Health Plan — Managed Medicaid: $1,120.49 Buckeye Community Health Plan — Medicare Advantage/Marketplace: $1,169.23 CareSource — Kentucky Exchange: $1,286.16
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W/Lesion Removal	$4,871.68	$4,871.68	$1,217.92 – $3,897.34
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates America's Choice Provider Network — Commercial: $3,410.18 AmeriHealth Caritas Ohio — D-SNP: $1,461.50 AmeriHealth Caritas Ohio — Managed Medicaid: $1,217.92 Anthem Blue Cross Blue Shield — Managed Medicaid: $1,364.07 Buckeye Community Health Plan — Managed Medicaid: $1,364.07 CareSource — MyCare Ohio DSNP/Managed Medicaid MCO: $1,364.07 Humana — Managed Medicaid: $1,364.07 Molina — Managed Medicaid: $1,364.07 MultiPlan/PHCS — Commercial: $3,897.34 Provider Network of America — PPO: $3,653.76

Source: PAM Rehabilitation Hospital of Dayton LLC’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 6, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Inpatient Rehabilitation Hospital
Address	2310 Crosspointe Drive, Miamisburg, OH 45342
County	Montgomery County
State	Ohio
Phone	(937) 617‑0566
Ownership	Proprietary
CMS Certification Number	363046
Name in Medicare records	PAM REHABILITATION HOSPITAL OF DAYTON LLC
Profile level	Medicare data + hospital website
Name on the hospital’s website	PAM Health Rehabilitation Hospital of Miamisburg
Official website	pamhealth.com
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

PAM Health Rehabilitation Hospital of Miamisburg — pamhealth.com
Rehabilitation Hospital of Miamisburg, OH | PAM Health — pamhealth.com

PAM Rehabilitation Hospital of Dayton LLC

Summary

Profile from official sources

At a glance

Quick answers

Conditions treated^[4][5]

Treatments^[4]

Programs and centers^[4][5]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

PAM Rehabilitation Hospital of Dayton LLC

Summary

Profile from official sources

At a glance

Quick answers

Conditions treated[4][5]

Treatments[4]

Programs and centers[4][5]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Conditions treated^[4][5]

Treatments^[4]

Programs and centers^[4][5]