Does Peconic Bay Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Peconic Bay Medical Center. In a medical emergency, call 911.

Where is Peconic Bay Medical Center?

1 Heros Way, Riverhead, NY 11901, in Suffolk County, New York.

What is the phone number of Peconic Bay Medical Center?

(631) 548-6000, as listed by Medicare (CMS).

What is the Medicare star rating of Peconic Bay Medical Center?

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

Peconic Bay Medical Center — Riverhead, NY

Quick answers

Does Peconic Bay Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Peconic Bay Medical Center. In a medical emergency, call 911.
Where is Peconic Bay Medical Center?: 1 Heros Way, Riverhead, NY 11901, in Suffolk County, New York.
What is the phone number of Peconic Bay Medical Center?: (631) 548-6000, as listed by Medicare (CMS).
What is the Medicare star rating of Peconic Bay Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6]

Orthopedics
Cardiology
Women's and newborn care
Palliative care

Conditions treated^[5][7]

Stroke

Procedures^[4][5]

Robotic surgery (da Vinci)
Interventional cardiac catheterization

Programs and centers^[5][7]

Stroke support group
Parkinson's support group
Cancer support group
Colon and rectal surgery program

Emergency care (hospital website)^[5]

Trauma designation	Level III
Stroke designation	New York state-designated stroke center

Visiting and practical information

Interpreters and languages	The Your Visit page lists interpretation services; details were not shown^[8]

Recognition^[4]

Center of Excellence for robotic surgery

Doctors and clinicians (472)

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

Main specialties

And 448 more: the button below opens the full list.

Other emergency rooms nearby

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

Long Island Community Hospital20 mi · Patchogue, NY · Acute Care Hospital
St Charles Hospital22 mi · Port Jefferson, NY · Acute Care Hospital
John T Mather Memorial Hospital of Port Jefferson22 mi · Port Jefferson, NY · Acute Care Hospital
Suny/Stony Brook University Hospital25 mi · Stony Brook, NY · Acute Care Hospital
West Haven VA Medical Center29 mi · West Haven, CT · Federal/VA Acute Care Hospital

Other hospitals nearby

The Connecticut Hospice Inc.25 mi · Branford, CT · 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

Acadia Center for Nursing and Rehabilitation1.9 mi · Riverhead, NY · 5 of 5 stars
Westhampton Care Center7.2 mi · Westhampton, NY · 5 of 5 stars
Oasis Rehabilitation and Nursing, LLC11 mi · Center Moriches, NY · 5 of 5 stars

All nursing homes in the state →

Hospice providers

East End Hospice, Inc7.1 mi · Westhampton Beach, NY · 5 of 5 stars
NYU Langone Hospital - Suffolk Hospice21 mi · Patchogue, NY

All hospice providers in the state →

Home health agencies

Peconic Bay Homehealth Services0.0 mi · Riverhead, NY · 3 of 5 stars
Tender Loving Care, An Amedisys Company19 mi · Medford, NY

All home health agencies in the state →

Dialysis facilities

Atlantic DMS - East End Harrison Ave0.0 mi · Riverhead, NY · 3 of 5 stars
DaVita Peconic Bay Dialysis0.0 mi · Riverhead, NY · 3 of 5 stars
Stony Brook Southampton Hospital Regional Dialysis Center8.1 mi · Hampton Bays, NY · 4 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.

North Forks Surgery Center, LLC15 mi · Southold, NY
Suffolk Surgery Center LLC15 mi · Shirley, NY
Advanced Surgery Center of Long Island21 mi · Port Jefferson Stati, NY

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

LISH at Riverhead0.3 mi · Riverhead, NY · Community health center
Sun River Health Riverhead1.5 mi · Riverhead, NY · Community health center
LISH at Manorville10 mi · Manorville, NY · Community health center

Clinics and urgent care

City Medical of Upper East Side, PLLC0.0 mi · Riverhead, NY · Urgent care center
City Medical of Upper East Side, PLLC11 mi · Cutchogue, NY · Urgent care center
City Medical of Upper East Side, PLLC15 mi · Shirley, NY · Urgent care center

Pharmacies

Costco Wholesale Corporation0.0 mi · Riverhead, NY · Community/retail pharmacy
Las Americas Farmacia Latina Inc0.0 mi · Riverhead, NY · Community/retail pharmacy
Martin Drugs of Riverhead, Inc0.0 mi · Riverhead, NY · Pharmacy

Assisted living nearby

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

The Villa at Westhampton7.1 mi · Westhampton, NY
South Bay Adult Home12 mi · Center Moriches, NY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	69%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	46%National average: 60%
Completed surveys	447Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.52No different from the national benchmark
Surgical site infections after colon surgery	1.107No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.353No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.074Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.8%
Deaths within 30 days: heart failure patients	12.8%
Deaths within 30 days: pneumonia patients	14.1%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	9.5%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.02No different from the national rate
Complications after hip or knee replacement	2.3%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14%
Readmitted within 30 days: heart failure	23.8%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	18.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	4.7%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	218 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)	79%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Peconic Bay Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30-44 min	Not listed in the file	$367.64	$163.88 – $735.29
New patient office visit (about 30–44 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $505.14 Aetna — Aetna Meritain PPO: $505.14 Aetna — Aetna PPO: $505.14 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $588.23 Cigna — Cigna PPO: $588.23 Emblem — Connecticare HMO: $514.70 Emblem — Connecticare PPO: $514.70 Emblem — Emblem - Essential 1&2: $163.88
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45-59 min	Not listed in the file	$454.12	$163.88 – $908.24
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $623.96 Aetna — Aetna Meritain PPO: $623.96 Aetna — Aetna PPO: $623.96 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $726.59 Cigna — Cigna PPO: $726.59 Emblem — Connecticare HMO: $635.77 Emblem — Connecticare PPO: $635.77 Emblem — Emblem - Essential 1&2: $163.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o/p new hi 60-74 min	Not listed in the file	$543.38	$163.88 – $1,086.76
New patient office visit (about 60–74 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $746.60 Aetna — Aetna Meritain PPO: $746.60 Aetna — Aetna PPO: $746.60 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $869.41 Cigna — Cigna PPO: $869.41 Emblem — Connecticare HMO: $760.73 Emblem — Connecticare PPO: $760.73 Emblem — Emblem - Essential 1&2: $163.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20-29 min	Not listed in the file	$270	$162 – $540
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $370.98 Aetna — Aetna Meritain PPO: $370.98 Aetna — Aetna PPO: $370.98 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $432 Cigna — Cigna PPO: $432 Emblem — Connecticare HMO: $378 Emblem — Connecticare PPO: $378 Emblem — Emblem - Essential 1&2: $163.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30-39 min	Not listed in the file	$354.12	$163.88 – $708.24
Established patient office visit (about 30–39 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $486.56 Aetna — Aetna Meritain PPO: $486.56 Aetna — Aetna PPO: $486.56 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $566.59 Cigna — Cigna PPO: $566.59 Emblem — Connecticare HMO: $495.77 Emblem — Connecticare PPO: $495.77 Emblem — Emblem - Essential 1&2: $163.88
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est low 30	Not listed in the file	$437.18	$163.88 – $874.35
Office consultation with a specialist (moderate): 10 of 54 insurance plan rates Aetna — Aetna HMO: $600.68 Aetna — Aetna Meritain PPO: $600.68 Aetna — Aetna PPO: $600.68 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $699.48 Cigna — Cigna PPO: $699.48 Emblem — Connecticare HMO: $612.04 Emblem — Connecticare PPO: $612.04 Emblem — Emblem - Essential 1&2: $163.88
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est mod 40	Not listed in the file	$526.41	$163.88 – $1,052.82
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates Aetna — Aetna HMO: $723.29 Aetna — Aetna Meritain PPO: $723.29 Aetna — Aetna PPO: $723.29 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $842.26 Cigna — Cigna PPO: $842.26 Emblem — Connecticare HMO: $736.97 Emblem — Connecticare PPO: $736.97 Emblem — Emblem - Essential 1&2: $163.88
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18-39	Not listed in the file	$294.97	$163.88 – $589.94
Preventive checkup, new patient, age 18–39: 10 of 54 insurance plan rates Aetna — Aetna HMO: $405.29 Aetna — Aetna Meritain PPO: $405.29 Aetna — Aetna PPO: $405.29 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $391 Cigna — Cigna PPO: $391 Emblem — Connecticare HMO: $412.96 Emblem — Connecticare PPO: $412.96 Emblem — Emblem - Essential 1&2: $163.88
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40-64	Not listed in the file	$294.97	$163.88 – $589.94
Preventive checkup, new patient, age 40–64: 10 of 54 insurance plan rates Aetna — Aetna HMO: $405.29 Aetna — Aetna Meritain PPO: $405.29 Aetna — Aetna PPO: $405.29 Affinity — Affinity Health Plan - CHP: $168.80 Affinity — Affinity Health Plan - MCD: $168.80 Cigna — Cigna HMO: $391 Cigna — Cigna PPO: $391 Emblem — Connecticare HMO: $412.96 Emblem — Connecticare PPO: $412.96 Emblem — Emblem - Essential 1&2: $163.88
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT E/M 3	Not listed in the file	$3,674.80	$210.94 – $3,708
Emergency room visit (moderate): 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,390 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $2,533 Aetna — Aetna PPO: $2,533 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $1,908 Cigna — Cigna PPO: $1,908 Emblem — Connecticare HMO: $1,709
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT E/M 4	Not listed in the file	$3,674.80	$210.94 – $3,708
Emergency room visit (moderately high): 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,390 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $2,533 Aetna — Aetna PPO: $2,533 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $1,908 Cigna — Cigna PPO: $1,908 Emblem — Connecticare HMO: $1,709
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT E/M 5	Not listed in the file	$7,351.79	$210.94 – $7,418
Emergency room visit (high): 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,390 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $2,533 Aetna — Aetna PPO: $2,533 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $1,908 Cigna — Cigna PPO: $1,908 Emblem — Connecticare HMO: $3,263

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca	Not listed in the file	$20.78	$8.29 – $168.41
Basic metabolic panel (blood test): 10 of 72 insurance plan rates Aetna — Aetna HMO: $31.30 Aetna — Aetna Medicare: $8.46 Aetna — Aetna Meritain PPO: $31.30 Aetna — Aetna PPO: $31.30 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $16.50 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $19.46 Cigna — Cigna PPO: $19.46 Emblem — Connecticare HMO: $35.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel	Not listed in the file	$25.93	$10.35 – $321.47
Comprehensive metabolic panel (blood test): 10 of 72 insurance plan rates Aetna — Aetna HMO: $46.82 Aetna — Aetna Medicare: $10.56 Aetna — Aetna Meritain PPO: $46.82 Aetna — Aetna PPO: $46.82 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $20.59 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $24.32 Cigna — Cigna PPO: $24.32 Emblem — Connecticare HMO: $44.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel	Not listed in the file	$117.41	$31.86 – $200.32
Obstetric blood test panel: 10 of 67 insurance plan rates Aetna — Aetna Medicare: $47.81 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $93.23 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $111.07 Cigna — Cigna PPO: $111.07 Emblem — Connecticare HMO: $200.32 Emblem — Connecticare PPO: $200.32 Emblem — Emblem - Essential 1&2: $31.86 Emblem — Emblem - Essential 3&4: $31.86
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel	Not listed in the file	$32.88	$13.12 – $200.35
Cholesterol panel (lipid panel): 10 of 72 insurance plan rates Aetna — Aetna HMO: $65.64 Aetna — Aetna Medicare: $13.39 Aetna — Aetna Meritain PPO: $65.63 Aetna — Aetna PPO: $65.64 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $26.11 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $30.82 Cigna — Cigna PPO: $30.82 Emblem — Connecticare HMO: $56.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel	Not listed in the file	$21.32	$8.51 – $92.94
Kidney function panel: 10 of 72 insurance plan rates Aetna — Aetna HMO: $39.26 Aetna — Aetna Medicare: $8.68 Aetna — Aetna Meritain PPO: $39.26 Aetna — Aetna PPO: $39.26 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $16.93 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $20.27 Cigna — Cigna PPO: $20.27 Emblem — Connecticare HMO: $36.37
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel	Not listed in the file	$20.06	$8.01 – $163.59
Liver function panel: 10 of 72 insurance plan rates Aetna — Aetna HMO: $31.30 Aetna — Aetna Medicare: $8.17 Aetna — Aetna Meritain PPO: $31.30 Aetna — Aetna PPO: $31.30 Affinity — Affinity Health Plan - CHP: $32.82 Affinity — Affinity Health Plan - Essential 1&2: $15.93 Affinity — Affinity Health Plan - MCD: $32.82 Cigna — Cigna HMO: $18.66 Cigna — Cigna PPO: $18.66 Emblem — Connecticare HMO: $34.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope	Not listed in the file	$7.78	$3.11 – $94.94
Urine test (automated, with microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $15.53 Aetna — Aetna Medicare: $3.17 Aetna — Aetna Meritain PPO: $15.53 Aetna — Aetna PPO: $15.53 Affinity — Affinity Health Plan - CHP: $13.39 Affinity — Affinity Health Plan - Essential 1&2: $6.18 Affinity — Affinity Health Plan - MCD: $13.39 Cigna — Cigna HMO: $7.30 Cigna — Cigna PPO: $7.30 Emblem — Connecticare HMO: $13.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope	Not listed in the file	$8.55	$3.41 – $36.94
Urine test (manual, without microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $12.53 Aetna — Aetna Medicare: $3.48 Aetna — Aetna Meritain PPO: $12.53 Aetna — Aetna PPO: $12.53 Affinity — Affinity Health Plan - CHP: $13.39 Affinity — Affinity Health Plan - Essential 1&2: $6.79 Affinity — Affinity Health Plan - MCD: $13.39 Cigna — Cigna HMO: $8.11 Cigna — Cigna PPO: $8.11 Emblem — Connecticare HMO: $14.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope	Not listed in the file	$5.53	$2.21 – $66.65
Urine test (automated, without microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $11.01 Aetna — Aetna Medicare: $2.25 Aetna — Aetna Meritain PPO: $11.01 Aetna — Aetna PPO: $11.01 Affinity — Affinity Health Plan - CHP: $13.39 Affinity — Affinity Health Plan - Essential 1&2: $4.39 Affinity — Affinity Health Plan - MCD: $13.39 Cigna — Cigna HMO: $4.86 Cigna — Cigna PPO: $4.86 Emblem — Connecticare HMO: $9.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total	Not listed in the file	$45.16	$13.26 – $220.59
PSA (prostate specific antigen) blood test: 10 of 72 insurance plan rates Aetna — Aetna HMO: $90.07 Aetna — Aetna Medicare: $18.39 Aetna — Aetna Meritain PPO: $90.07 Aetna — Aetna PPO: $90.07 Affinity — Affinity Health Plan - CHP: $13.66 Affinity — Affinity Health Plan - Essential 1&2: $35.86 Affinity — Affinity Health Plan - MCD: $13.66 Cigna — Cigna HMO: $42.98 Cigna — Cigna PPO: $42.98 Emblem — Connecticare HMO: $77.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone	Not listed in the file	$41.26	$16.46 – $222.82
Thyroid stimulating hormone (TSH) test: 10 of 72 insurance plan rates Aetna — Aetna HMO: $82.28 Aetna — Aetna Medicare: $16.80 Aetna — Aetna Meritain PPO: $82.28 Aetna — Aetna PPO: $82.28 Affinity — Affinity Health Plan - CHP: $32.07 Affinity — Affinity Health Plan - Essential 1&2: $32.76 Affinity — Affinity Health Plan - MCD: $32.07 Cigna — Cigna HMO: $38.91 Cigna — Cigna PPO: $38.91 Emblem — Connecticare HMO: $70.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc	Not listed in the file	$19.08	$7.61 – $123.24
Complete blood count (CBC) with differential: 10 of 72 insurance plan rates Aetna — Aetna HMO: $38.10 Aetna — Aetna Medicare: $7.77 Aetna — Aetna Meritain PPO: $38.10 Aetna — Aetna PPO: $38.10 Affinity — Affinity Health Plan - CHP: $14.05 Affinity — Affinity Health Plan - Essential 1&2: $15.15 Affinity — Affinity Health Plan - MCD: $14.05 Cigna — Cigna HMO: $17.84 Cigna — Cigna PPO: $17.84 Emblem — Connecticare HMO: $32.56
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated	Not listed in the file	$15.89	$6.34 – $80.35
Complete blood count (CBC), automated: 10 of 72 insurance plan rates Aetna — Aetna HMO: $28.49 Aetna — Aetna Medicare: $6.47 Aetna — Aetna Meritain PPO: $28.49 Aetna — Aetna PPO: $28.49 Affinity — Affinity Health Plan - CHP: $14.05 Affinity — Affinity Health Plan - Essential 1&2: $12.62 Affinity — Affinity Health Plan - MCD: $14.05 Cigna — Cigna HMO: $15.41 Cigna — Cigna PPO: $15.41 Emblem — Connecticare HMO: $27.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time	Not listed in the file	$10.54	$4.20 – $83.65
Blood clotting time test (prothrombin time, PT): 10 of 72 insurance plan rates Aetna — Aetna HMO: $19.22 Aetna — Aetna Medicare: $4.29 Aetna — Aetna Meritain PPO: $19.22 Aetna — Aetna PPO: $19.22 Affinity — Affinity Health Plan - CHP: $16.90 Affinity — Affinity Health Plan - Essential 1&2: $8.37 Affinity — Affinity Health Plan - MCD: $16.90 Cigna — Cigna HMO: $9.73 Cigna — Cigna PPO: $9.73 Emblem — Connecticare HMO: $17.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial	Not listed in the file	$14.76	$5.89 – $102.29
Blood clotting test (partial thromboplastin time, PTT): 10 of 72 insurance plan rates Aetna — Aetna HMO: $29.41 Aetna — Aetna Medicare: $6.01 Aetna — Aetna Meritain PPO: $29.42 Aetna — Aetna PPO: $29.41 Affinity — Affinity Health Plan - CHP: $16.90 Affinity — Affinity Health Plan - Essential 1&2: $11.72 Affinity — Affinity Health Plan - MCD: $16.90 Cigna — Cigna HMO: $13.78 Cigna — Cigna PPO: $13.78 Emblem — Connecticare HMO: $25.18

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head/brain w/o dye	Not listed in the file	$271.79	$122.28 – $1,713.47
CT scan of the head or brain, without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $325.87 Aetna — Aetna Medicare: $124.78 Aetna — Aetna Meritain PPO: $325.87 Aetna — Aetna PPO: $325.87 Affinity — Affinity Health Plan - CHP: $395.49 Affinity — Affinity Health Plan - Essential 1&2: $243.32 Affinity — Affinity Health Plan - MCD: $395.49 Cigna — Cigna HMO: $228.53 Cigna — Cigna PPO: $228.53 Emblem — Connecticare HMO: $347.43
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye	Not listed in the file	$888.42	$427.75 – $7,149.29
MRI of the brain, before and after contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,048.87 Aetna — Aetna Medicare: $436.48 Aetna — Aetna Meritain PPO: $1,048.87 Aetna — Aetna PPO: $1,048.87 Affinity — Affinity Health Plan - CHP: $730.43 Affinity — Affinity Health Plan - Essential 1&2: $851.14 Affinity — Affinity Health Plan - MCD: $730.43 Cigna — Cigna HMO: $766.45 Cigna — Cigna PPO: $766.45 Emblem — Connecticare HMO: $1,109.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views	Not listed in the file	$91.20	$37.44 – $704.12
Chest X-ray, 2 views: 10 of 72 insurance plan rates Aetna — Aetna HMO: $110.08 Aetna — Aetna Medicare: $103.13 Aetna — Aetna Meritain PPO: $110.08 Aetna — Aetna PPO: $110.08 Affinity — Affinity Health Plan - CHP: $38.56 Affinity — Affinity Health Plan - Essential 1&2: $201.11 Affinity — Affinity Health Plan - MCD: $38.56 Cigna — Cigna HMO: $72.78 Cigna — Cigna PPO: $72.78 Emblem — Connecticare HMO: $118.16
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	$152.28	$37.44 – $830.12
X-ray of the lower spine, at least 4 views: 10 of 72 insurance plan rates Aetna — Aetna HMO: $183.03 Aetna — Aetna Medicare: $124.78 Aetna — Aetna Meritain PPO: $183.03 Aetna — Aetna PPO: $183.03 Affinity — Affinity Health Plan - CHP: $38.56 Affinity — Affinity Health Plan - Essential 1&2: $243.32 Affinity — Affinity Health Plan - MCD: $38.56 Cigna — Cigna HMO: $119.70 Cigna — Cigna PPO: $119.70 Emblem — Connecticare HMO: $200.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye	Not listed in the file	$509.81	$272.55 – $4,018.06
MRI of the lower back (lumbar spine), without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $602.08 Aetna — Aetna Medicare: $278.11 Aetna — Aetna Meritain PPO: $602.08 Aetna — Aetna PPO: $602.08 Affinity — Affinity Health Plan - CHP: $484.30 Affinity — Affinity Health Plan - Essential 1&2: $542.31 Affinity — Affinity Health Plan - MCD: $484.30 Cigna — Cigna HMO: $439.78 Cigna — Cigna PPO: $439.78 Emblem — Connecticare HMO: $639.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye	Not listed in the file	$686.25	$204.36 – $2,124.12
CT scan of the pelvis, with contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $864.44 Aetna — Aetna Medicare: $208.53 Aetna — Aetna Meritain PPO: $864.44 Aetna — Aetna PPO: $864.44 Affinity — Affinity Health Plan - CHP: $395.49 Affinity — Affinity Health Plan - Essential 1&2: $406.64 Affinity — Affinity Health Plan - MCD: $395.49 Cigna — Cigna HMO: $603 Cigna — Cigna PPO: $603 Emblem — Connecticare HMO: $909.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	$574.79	$272.55 – $3,387
MRI of a leg joint (such as the knee), without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $684.37 Aetna — Aetna Medicare: $278.11 Aetna — Aetna Meritain PPO: $684.37 Aetna — Aetna PPO: $684.37 Affinity — Affinity Health Plan - CHP: $484.30 Affinity — Affinity Health Plan - Essential 1&2: $542.31 Affinity — Affinity Health Plan - MCD: $484.30 Cigna — Cigna HMO: $496.53 Cigna — Cigna PPO: $496.53 Emblem — Connecticare HMO: $728.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelv w/contrast	Not listed in the file	$920.37	$383.97 – $5,000.29
CT scan of the abdomen and pelvis, with contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,080.24 Aetna — Aetna Medicare: $436.48 Aetna — Aetna Meritain PPO: $1,080.24 Aetna — Aetna PPO: $1,080.24 Affinity — Affinity Health Plan - CHP: $395.49 Affinity — Affinity Health Plan - Essential 1&2: $851.14 Affinity — Affinity Health Plan - MCD: $395.49 Cigna — Cigna HMO: $765.38 Cigna — Cigna PPO: $765.38 Emblem — Connecticare HMO: $1,138.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete	Not listed in the file	$312.06	$122.28 – $1,551.06
Ultrasound of the abdomen, complete: 10 of 72 insurance plan rates Aetna — Aetna HMO: $369.34 Aetna — Aetna Medicare: $124.78 Aetna — Aetna Meritain PPO: $369.34 Aetna — Aetna PPO: $369.34 Affinity — Affinity Health Plan - CHP: $710.04 Affinity — Affinity Health Plan - Essential 1&2: $243.32 Affinity — Affinity Health Plan - MCD: $710.04 Cigna — Cigna HMO: $260.53 Cigna — Cigna PPO: $260.53 Emblem — Connecticare HMO: $396.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus	Not listed in the file	$345.86	$122.28 – $812.06
Pregnancy ultrasound (after the first trimester): 10 of 72 insurance plan rates Aetna — Aetna HMO: $417.31 Aetna — Aetna Medicare: $124.78 Aetna — Aetna Meritain PPO: $417.31 Aetna — Aetna PPO: $417.31 Affinity — Affinity Health Plan - CHP: $141.45 Affinity — Affinity Health Plan - Essential 1&2: $243.32 Affinity — Affinity Health Plan - MCD: $141.45 Cigna — Cigna HMO: $289.35 Cigna — Cigna PPO: $289.35 Emblem — Connecticare HMO: $448.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob	Not listed in the file	$343.25	$122.28 – $1,467.06
Transvaginal ultrasound: 10 of 72 insurance plan rates Aetna — Aetna HMO: $408.17 Aetna — Aetna Medicare: $124.78 Aetna — Aetna Meritain PPO: $408.17 Aetna — Aetna PPO: $408.17 Affinity — Affinity Health Plan - CHP: $163.69 Affinity — Affinity Health Plan - Essential 1&2: $243.32 Affinity — Affinity Health Plan - MCD: $163.69 Cigna — Cigna HMO: $285.08 Cigna — Cigna PPO: $285.08 Emblem — Connecticare HMO: $438.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni	Not listed in the file	$341.96	$132.03 – $757.40
Diagnostic mammogram, one breast: 10 of 55 insurance plan rates Aetna — Aetna HMO: $408.17 Aetna — Aetna Meritain PPO: $408.17 Aetna — Aetna PPO: $408.17 Affinity — Affinity Health Plan - CHP: $135.99 Affinity — Affinity Health Plan - MCD: $135.99 Cigna — Cigna HMO: $280.80 Cigna — Cigna PPO: $280.80 Emblem — Connecticare HMO: $439.49 Emblem — Connecticare PPO: $439.49 Emblem — Emblem - Essential 1&2: $132.03
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi	Not listed in the file	$435.49	$132.03 – $969.47
Diagnostic mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna HMO: $519.94 Aetna — Aetna Meritain PPO: $519.94 Aetna — Aetna PPO: $519.94 Affinity — Affinity Health Plan - CHP: $135.99 Affinity — Affinity Health Plan - MCD: $135.99 Cigna — Cigna HMO: $358.68 Cigna — Cigna PPO: $358.68 Emblem — Connecticare HMO: $564.35 Emblem — Connecticare PPO: $564.35 Emblem — Emblem - Essential 1&2: $132.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad	Not listed in the file	$360.13	$132.03 – $888.93
Screening mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna HMO: $431.45 Aetna — Aetna Meritain PPO: $431.45 Aetna — Aetna PPO: $431.45 Affinity — Affinity Health Plan - CHP: $135.99 Affinity — Affinity Health Plan - MCD: $135.99 Cigna — Cigna HMO: $296.80 Cigna — Cigna PPO: $296.80 Emblem — Connecticare HMO: $464.59 Emblem — Connecticare PPO: $464.59 Emblem — Emblem - Essential 1&2: $132.03

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram complete	Not listed in the file	$54.52	$40.85 – $101.68
Electrocardiogram (ECG/EKG) with reading: 10 of 30 insurance plan rates Affinity — Affinity Health Plan - CHP: $46.55 Affinity — Affinity Health Plan - MCD: $46.55 Emblem — Emblem - Essential 1&2: $45.19 Emblem — Emblem - Essential 3&4: $47.45 Emblem — HIP Medicaid: $47.45 Empire — Empire - Exchange Small Group (Narrow Network): $45.82 Empire — Empire Blue Access Large Group: $44.76 Empire — Empire Blue Access Small Group: $44.76 Empire — Empire Connection: $40.85 Empire — Empire HMO: $49.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	$4,595	$2,181.82 – $18,493
Left heart catheterization (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $9,679 Aetna — Aetna Medicare: $3,698.35 Aetna — Aetna Meritain PPO: $9,679 Aetna — Aetna PPO: $9,679 Affinity — Affinity Health Plan - CHP: $2,247.27 Affinity — Affinity Health Plan - Essential 1&2: $7,211.79 Affinity — Affinity Health Plan - MCD: $2,247.27 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $15,537
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Tx atrial fib pulm vein isol	Not listed in the file	$96,634	$1,173.88 – $101,083.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 72 insurance plan rates Aetna — Aetna HMO: $7,880 Aetna — Aetna Medicare: $26,955.89 Aetna — Aetna Meritain PPO: $7,880 Aetna — Aetna PPO: $7,880 Affinity — Affinity Health Plan - CHP: $1,209.09 Affinity — Affinity Health Plan - Essential 1&2: $52,563.99 Affinity — Affinity Health Plan - MCD: $1,209.09 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $14,031
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param	Not listed in the file	$3,890.77	$923.71 – $11,614.76
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,405.27 Aetna — Aetna Medicare: $1,186.65 Aetna — Aetna Meritain PPO: $2,405.27 Aetna — Aetna PPO: $2,405.27 Affinity — Affinity Health Plan - CHP: $951.43 Affinity — Affinity Health Plan - Essential 1&2: $2,313.97 Affinity — Affinity Health Plan - MCD: $951.43 Cigna — Cigna HMO: $9,291.81 Cigna — Cigna PPO: $9,291.81 Emblem — Connecticare HMO: $5,320

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises	Not listed in the file	$107.71	$76.76 – $435
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $105.44 Aetna — Aetna Meritain PPO: $105.44 Aetna — Aetna PPO: $105.44 Affinity — Affinity Health Plan - CHP: $79.06 Affinity — Affinity Health Plan - MCD: $79.06 Cigna — Cigna HMO: $293 Cigna — Cigna PPO: $293 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $76.76
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min	Not listed in the file	$366.61	$134.78 – $435
Physical therapy evaluation (low complexity): 10 of 54 insurance plan rates Aetna — Aetna HMO: $249.83 Aetna — Aetna Meritain PPO: $249.83 Aetna — Aetna PPO: $249.83 Affinity — Affinity Health Plan - CHP: $138.82 Affinity — Affinity Health Plan - MCD: $138.82 Cigna — Cigna HMO: $293 Cigna — Cigna PPO: $293 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $134.78
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min	Not listed in the file	$366.61	$134.78 – $455.59
Physical therapy evaluation (moderate complexity): 10 of 54 insurance plan rates Aetna — Aetna HMO: $312.99 Aetna — Aetna Meritain PPO: $312.99 Aetna — Aetna PPO: $312.99 Affinity — Affinity Health Plan - CHP: $138.82 Affinity — Affinity Health Plan - MCD: $138.82 Cigna — Cigna HMO: $293 Cigna — Cigna PPO: $293 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $134.78
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes	Not listed in the file	$276.43	$122.53 – $552.86
Psychotherapy, 30 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $379.81 Aetna — Aetna Medicare: $180.96 Aetna — Aetna Meritain PPO: $379.81 Aetna — Aetna PPO: $379.81 Affinity — Affinity Health Plan - CHP: $126.20 Affinity — Affinity Health Plan - Essential 1&2: $352.86 Affinity — Affinity Health Plan - MCD: $126.20 Cigna — Cigna HMO: $442.29 Cigna — Cigna PPO: $442.29 Emblem — Connecticare HMO: $387
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes	Not listed in the file	$346.50	$163.37 – $693
Psychotherapy, 45 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $476.09 Aetna — Aetna Medicare: $180.96 Aetna — Aetna Meritain PPO: $476.09 Aetna — Aetna PPO: $476.09 Affinity — Affinity Health Plan - CHP: $168.27 Affinity — Affinity Health Plan - Essential 1&2: $352.86 Affinity — Affinity Health Plan - MCD: $168.27 Cigna — Cigna HMO: $554.40 Cigna — Cigna PPO: $554.40 Emblem — Connecticare HMO: $485.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes	Not listed in the file	$407.69	$163.37 – $815.38
Psychotherapy, 60 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $560.17 Aetna — Aetna Medicare: $180.96 Aetna — Aetna Meritain PPO: $560.17 Aetna — Aetna PPO: $560.17 Affinity — Affinity Health Plan - CHP: $168.27 Affinity — Affinity Health Plan - Essential 1&2: $352.86 Affinity — Affinity Health Plan - MCD: $168.27 Cigna — Cigna HMO: $652.30 Cigna — Cigna PPO: $652.30 Emblem — Connecticare HMO: $570.77
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min	Not listed in the file	$310.25	$122.53 – $620.50
Family psychotherapy, without the patient: 10 of 72 insurance plan rates Aetna — Aetna HMO: $426.28 Aetna — Aetna Medicare: $180.96 Aetna — Aetna Meritain PPO: $426.28 Aetna — Aetna PPO: $426.28 Affinity — Affinity Health Plan - CHP: $126.20 Affinity — Affinity Health Plan - Essential 1&2: $352.86 Affinity — Affinity Health Plan - MCD: $126.20 Cigna — Cigna HMO: $496.40 Cigna — Cigna PPO: $496.40 Emblem — Connecticare HMO: $434.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min	Not listed in the file	$365.50	$122.53 – $731
Family psychotherapy, with the patient: 10 of 72 insurance plan rates Aetna — Aetna HMO: $502.20 Aetna — Aetna Medicare: $180.96 Aetna — Aetna Meritain PPO: $502.20 Aetna — Aetna PPO: $502.20 Affinity — Affinity Health Plan - CHP: $126.20 Affinity — Affinity Health Plan - Essential 1&2: $352.86 Affinity — Affinity Health Plan - MCD: $126.20 Cigna — Cigna HMO: $584.80 Cigna — Cigna PPO: $584.80 Emblem — Connecticare HMO: $511.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	Not listed in the file	$194.50	$63.31 – $424
Group psychotherapy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $267.24 Aetna — Aetna Medicare: $101.17 Aetna — Aetna Meritain PPO: $267.24 Aetna — Aetna PPO: $267.24 Affinity — Affinity Health Plan - CHP: $65.21 Affinity — Affinity Health Plan - Essential 1&2: $197.28 Affinity — Affinity Health Plan - MCD: $65.21 Cigna — Cigna HMO: $311.20 Cigna — Cigna PPO: $311.20 Emblem — Connecticare HMO: $272.30

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	Not listed in the file	$4,595	$1,919.19 – $8,436.07
Removal of breast growth (open surgery): 10 of 72 insurance plan rates Aetna — Aetna HMO: $5,672 Aetna — Aetna Medicare: $4,326.19 Aetna — Aetna Meritain PPO: $5,672 Aetna — Aetna PPO: $5,672 Affinity — Affinity Health Plan - CHP: $1,976.76 Affinity — Affinity Health Plan - Essential 1&2: $8,436.07 Affinity — Affinity Health Plan - MCD: $1,976.76 Cigna — Cigna HMO: $5,350 Cigna — Cigna PPO: $5,350 Emblem — Connecticare HMO: $5,904
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	$75,894	$3,280 – $75,894
Total hip replacement: 10 of 72 insurance plan rates Aetna — Aetna HMO: $7,409 Aetna — Aetna Medicare: $14,937.43 Aetna — Aetna Meritain PPO: $7,409 Aetna — Aetna PPO: $7,409 Affinity — Affinity Health Plan - CHP: $4,250.59 Affinity — Affinity Health Plan - Essential 1&2: $29,128 Affinity — Affinity Health Plan - MCD: $4,250.59 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $54,612
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	$75,894	$3,280 – $75,894
Total knee replacement: 10 of 72 insurance plan rates Aetna — Aetna HMO: $7,409 Aetna — Aetna Medicare: $14,937.43 Aetna — Aetna Meritain PPO: $7,409 Aetna — Aetna PPO: $7,409 Affinity — Affinity Health Plan - CHP: $4,250.59 Affinity — Affinity Health Plan - Essential 1&2: $29,128 Affinity — Affinity Health Plan - MCD: $4,250.59 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $54,612
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	Not listed in the file	$4,595	$1,422 – $13,151.21
Shoulder arthroscopy: shaving of shoulder bone: 10 of 55 insurance plan rates Aetna — Aetna HMO: $5,672 Aetna — Aetna Meritain PPO: $5,672 Aetna — Aetna PPO: $5,672 Affinity — Affinity Health Plan - CHP: $2,275.54 Affinity — Affinity Health Plan - MCD: $2,275.54 Cigna — Cigna HMO: $5,350 Cigna — Cigna PPO: $5,350 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,209.27
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery	Not listed in the file	$4,595	$2,209.27 – $18,644
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,299 Aetna — Aetna Medicare: $3,673.70 Aetna — Aetna Meritain PPO: $6,299 Aetna — Aetna PPO: $6,299 Affinity — Affinity Health Plan - CHP: $2,275.54 Affinity — Affinity Health Plan - Essential 1&2: $7,163.71 Affinity — Affinity Health Plan - MCD: $2,275.54 Cigna — Cigna HMO: $4,708 Cigna — Cigna PPO: $4,708 Emblem — Connecticare HMO: $18,644
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	Not listed in the file	$22,972	$1,771.79 – $22,972
Removal of tonsils and adenoids (under age 12): 10 of 72 insurance plan rates Aetna — Aetna HMO: $5,672 Aetna — Aetna Medicare: $6,646.55 Aetna — Aetna Meritain PPO: $5,672 Aetna — Aetna PPO: $5,672 Affinity — Affinity Health Plan - CHP: $1,824.94 Affinity — Affinity Health Plan - Essential 1&2: $12,960.77 Affinity — Affinity Health Plan - MCD: $1,824.94 Cigna — Cigna HMO: $5,350 Cigna — Cigna PPO: $5,350 Emblem — Connecticare HMO: $5,904
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	Not listed in the file	$3,675	$1,008.25 – $5,263
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $3,660 Aetna — Aetna Medicare: $1,028.83 Aetna — Aetna Meritain PPO: $3,660 Aetna — Aetna PPO: $3,660 Affinity — Affinity Health Plan - CHP: $1,071.69 Affinity — Affinity Health Plan - Essential 1&2: $2,006.21 Affinity — Affinity Health Plan - MCD: $1,071.69 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	Not listed in the file	$3,675	$1,008.25 – $5,263
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,028.83 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,071.69 Affinity — Affinity Health Plan - Essential 1&2: $2,006.21 Affinity — Affinity Health Plan - MCD: $1,071.69 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	$3,675	$1,004.06 – $5,263
Colonoscopy (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,037.31 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,022.75 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	$3,675	$1,004.06 – $5,263
Colonoscopy with biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,339.34 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,611.71 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	Not listed in the file	$3,675	$1,004.06 – $8,370
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,339.34 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,611.71 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us	Not listed in the file	$4,595	$1,004.06 – $7,123.82
Ultrasound of the lower bowel by endoscope: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,339.34 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,611.71 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	$3,675	$1,004.06 – $5,263
Screening colonoscopy (not high risk): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $1,037.31 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,022.75 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $3,108
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	$30,820	$3,210.56 – $37,910
Gallbladder removal by laparoscope: 10 of 72 insurance plan rates Aetna — Aetna HMO: $17,836 Aetna — Aetna Medicare: $6,548.73 Aetna — Aetna Meritain PPO: $17,836 Aetna — Aetna PPO: $17,836 Affinity — Affinity Health Plan - CHP: $3,306.87 Affinity — Affinity Health Plan - Essential 1&2: $12,770.02 Affinity — Affinity Health Plan - MCD: $3,306.87 Cigna — Cigna HMO: $9,076 Cigna — Cigna PPO: $9,076 Emblem — Connecticare HMO: $31,850
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	$4,595	$2,507.96 – $12,426
Groin (inguinal) hernia repair, age 5 or older: 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,299 Aetna — Aetna Medicare: $3,926.60 Aetna — Aetna Meritain PPO: $6,299 Aetna — Aetna PPO: $6,299 Affinity — Affinity Health Plan - CHP: $2,583.20 Affinity — Affinity Health Plan - Essential 1&2: $7,656.87 Affinity — Affinity Health Plan - MCD: $2,583.20 Cigna — Cigna HMO: $4,708 Cigna — Cigna PPO: $4,708 Emblem — Connecticare HMO: $12,426
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	Not listed in the file	$4,595	$2,265.48 – $8,141.92
Prostate biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $2,311.71 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $2,473.98 Affinity — Affinity Health Plan - Essential 1&2: $4,507.84 Affinity — Affinity Health Plan - MCD: $2,473.98 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $5,904
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad	Not listed in the file	$13,784	$3,208.25 – $22,781.86
Prostate removal by laparoscope (radical prostatectomy): 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,940 Aetna — Aetna Medicare: $11,683 Aetna — Aetna Meritain PPO: $6,940 Aetna — Aetna PPO: $6,940 Affinity — Affinity Health Plan - CHP: $3,304.50 Affinity — Affinity Health Plan - Essential 1&2: $22,781.86 Affinity — Affinity Health Plan - MCD: $3,304.50 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $5,904
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	Not listed in the file	$27,369	$1,719.21 – $27,369
Hysteroscopy with biopsy of the uterus lining: 10 of 72 insurance plan rates Aetna — Aetna HMO: $5,672 Aetna — Aetna Medicare: $3,548.31 Aetna — Aetna Meritain PPO: $5,672 Aetna — Aetna PPO: $5,672 Affinity — Affinity Health Plan - CHP: $1,770.78 Affinity — Affinity Health Plan - Essential 1&2: $6,919.21 Affinity — Affinity Health Plan - MCD: $1,770.78 Cigna — Cigna HMO: $5,350 Cigna — Cigna PPO: $5,350 Emblem — Connecticare HMO: $22,916
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac	Not listed in the file	$4,595	$751.98 – $5,904
Spinal injection, lower back (epidural), with imaging guidance: 10 of 72 insurance plan rates Aetna — Aetna HMO: $3,660 Aetna — Aetna Medicare: $784.88 Aetna — Aetna Meritain PPO: $3,660 Aetna — Aetna PPO: $3,660 Affinity — Affinity Health Plan - CHP: $774.54 Affinity — Affinity Health Plan - Essential 1&2: $1,530.52 Affinity — Affinity Health Plan - MCD: $774.54 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $5,904
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	$4,595	$751.98 – $5,904
Nerve root injection, lower back, with imaging guidance: 10 of 72 insurance plan rates Aetna — Aetna HMO: $3,660 Aetna — Aetna Medicare: $1,034.50 Aetna — Aetna Meritain PPO: $3,660 Aetna — Aetna PPO: $3,660 Affinity — Affinity Health Plan - CHP: $774.54 Affinity — Affinity Health Plan - Essential 1&2: $2,017.27 Affinity — Affinity Health Plan - MCD: $774.54 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $5,904
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	$4,595	$1,639.27 – $9,456.30
Carpal tunnel release: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $2,191.37 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $1,688.45 Affinity — Affinity Health Plan - Essential 1&2: $4,273.17 Affinity — Affinity Health Plan - MCD: $1,688.45 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $5,904
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery	Not listed in the file	$4,595	$646.53 – $5,904
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,657 Aetna — Aetna Medicare: $659.72 Aetna — Aetna Meritain PPO: $4,657 Aetna — Aetna PPO: $4,657 Affinity — Affinity Health Plan - CHP: $2,024.17 Affinity — Affinity Health Plan - Essential 1&2: $1,286.46 Affinity — Affinity Health Plan - MCD: $2,024.17 Cigna — Cigna HMO: $3,330 Cigna — Cigna PPO: $3,330 Emblem — Connecticare HMO: $5,904
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	$4,595	$2,455.59 – $9,246
Cataract removal with lens implant: 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,940 Aetna — Aetna Medicare: $2,644.88 Aetna — Aetna Meritain PPO: $6,940 Aetna — Aetna PPO: $6,940 Affinity — Affinity Health Plan - CHP: $2,529.26 Affinity — Affinity Health Plan - Essential 1&2: $5,157.52 Affinity — Affinity Health Plan - MCD: $2,529.26 Cigna — Cigna HMO: $8,210 Cigna — Cigna PPO: $8,210 Emblem — Connecticare HMO: $8,545

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care	Not listed in the file	$4,595	$1,422 – $6,460
Vaginal delivery, with care before and after: 10 of 54 insurance plan rates Aetna — Aetna HMO: $6,460 Aetna — Aetna Meritain PPO: $6,460 Aetna — Aetna PPO: $6,460 Affinity — Affinity Health Plan - CHP: $2,483.19 Affinity — Affinity Health Plan - MCD: $2,483.19 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,410.87
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery	Not listed in the file	$4,595	$1,422 – $6,460
Cesarean delivery (C-section), with care before and after: 10 of 30 insurance plan rates Aetna — Aetna HMO: $6,460 Aetna — Aetna Meritain PPO: $6,460 Aetna — Aetna PPO: $6,460 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Exchange: $4,520 Emblem — GHI HMO: $5,547 Emblem — GHI Insured PPO: $5,904
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery	Not listed in the file	$4,595	$1,422 – $6,460
Vaginal delivery after a previous C-section, with care before and after: 10 of 54 insurance plan rates Aetna — Aetna HMO: $6,460 Aetna — Aetna Meritain PPO: $6,460 Aetna — Aetna PPO: $6,460 Affinity — Affinity Health Plan - CHP: $2,483.19 Affinity — Affinity Health Plan - MCD: $2,483.19 Cigna — Cigna HMO: $3,280 Cigna — Cigna PPO: $3,280 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,410.87

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$350,238	$89,790.21 – $409,168
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 46 insurance plan rates Aetna — Aetna HMO: $340,993 Aetna — Aetna Medicare: $95,741.99 Aetna — Aetna Meritain PPO: $409,168 Aetna — Aetna PPO: $409,168 Cigna — Cigna HMO: $271,688 Cigna — Cigna PPO: $271,688 Emblem — Connecticare HMO: $331,380 Emblem — Connecticare PPO: $331,380 Emblem — Emblem - Exchange: $277,681 Emblem — GHI HMO: $340,887
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$75,894	$17,604.08 – $94,247
Hip or knee replacement (major joint of the leg), without major complications: 10 of 46 insurance plan rates Aetna — Aetna HMO: $94,247 Aetna — Aetna Medicare: $18,771.53 Aetna — Aetna Meritain PPO: $94,247 Aetna — Aetna PPO: $94,247 Cigna — Cigna HMO: $53,079 Cigna — Cigna PPO: $53,079 Emblem — Connecticare HMO: $64,741 Emblem — Connecticare PPO: $64,741 Emblem — Emblem - Exchange: $54,250 Emblem — GHI HMO: $66,598
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$75,573	$22,083.64 – $100,368
Neck (cervical) spinal fusion, without complications: 10 of 46 insurance plan rates Aetna — Aetna HMO: $83,645 Aetna — Aetna Medicare: $23,547.99 Aetna — Aetna Meritain PPO: $100,368 Aetna — Aetna PPO: $100,368 Cigna — Cigna HMO: $66,645 Cigna — Cigna PPO: $66,645 Emblem — Connecticare HMO: $81,287 Emblem — Connecticare PPO: $81,287 Emblem — Emblem - Exchange: $68,115 Emblem — GHI HMO: $83,619
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$27,369	$11,219.84 – $50,820
Uterus and ovary surgery (not for cancer), without complications: 10 of 46 insurance plan rates Aetna — Aetna HMO: $42,352 Aetna — Aetna Medicare: $11,964.16 Aetna — Aetna Meritain PPO: $50,820 Aetna — Aetna PPO: $50,820 Cigna — Cigna HMO: $33,745 Cigna — Cigna PPO: $33,745 Emblem — Connecticare HMO: $41,159 Emblem — Connecticare PPO: $41,159 Emblem — Emblem - Exchange: $34,489 Emblem — GHI HMO: $42,339

Source: Peconic Bay Medical Center’s standard charges file (northwell.edu, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1 Heros Way, Riverhead, NY 11901
County	Suffolk County
State	New York
Phone	(631) 548‑6000
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	330107
Name in Medicare records	PECONIC BAY MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	pbmc.northwell.edu
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Peconic Bay Medical Center - Riverhead, New York — pbmc.northwell.edu
About us - Peconic Bay Medical Center — pbmc.northwell.edu
Contact us - Peconic Bay Medical Center — pbmc.northwell.edu
Patient information - Peconic Bay Medical Center - Riverhead, New York — pbmc.northwell.edu
Your visit - Peconic Bay Medical Center - Riverhead, New York — pbmc.northwell.edu

Peconic Bay Medical Center

Summary

Profile from official sources

At a glance