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Acute Care Hospital

Peterson Regional Medical Center

Kerrville, Texas · Kerr County · Emergency services listed

Summary

Peterson Regional Medical Center is an acute care hospital in Kerrville, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 53 services, specialties and programs. Medicare lists 481 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(830) 896‑4200 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
124Beds (hospital website)
481Doctors and clinicians
53Services listed

Quick answers

Does Peterson Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Peterson Regional Medical Center. In a medical emergency, call 911.
Where is Peterson Regional Medical Center?
551 Hill Country Drive, Kerrville, TX 78028, in Kerr County, Texas.
What is the phone number of Peterson Regional Medical Center?
(830) 896-4200, as listed by Medicare (CMS).
What is the Medicare star rating of Peterson Regional Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

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

Conditions treated[5][6]

Treatments[5][6]

Procedures[6]

Programs and centers[4][7]

  • Acute Rehab Unit
  • The Baby Place
  • ICU
  • SANE program for sexual assault
  • Sleep Lab
  • Intensive care unit (ICU)

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center certification from DNV (news item on ED page, dated July 31, 2026)

Visiting and practical information

ParkingLot in front of ED entrance; additional visitor parking near the main entrance[8]
Interpreters and languagesLimited English proficiency interpreter services are available[10]
Patient portalhttps://www.petersonhealth.com/peterson-patient-portals/

Recognition[5][9][10]

  • Primary Stroke Center certification (DNV) 2026
  • DNV Accredited Healthcare Organization

Doctors and clinicians (481)

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

Main specialties

Doctors with a page on this site (481)

And 457 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Peterson Regional 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1080%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home91%National average: 86%
Room and bathroom “always” clean80%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys779Response rate: 23%

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)0.468No different from the national benchmark
Surgical site infections after colon surgery0.687No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.784No different from 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 patients11.1%
Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients15.4%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients17.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.59Worse than the national rate
Complications after hip or knee replacementToo few cases to report

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 attack14%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia15.9%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)162 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)71%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 TexasBest hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Peterson Regional 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 3-99203 $350 $227.50 $77.48 – $367.50
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $280
  • Aetna — Medicare Advantage: $116.34
  • Ambetter/Superior Health — Commercial/Exchange: $136.87
  • Blue Cross Blue Shield — Blue Essential: $77.48
  • Blue Cross Blue Shield — Indemnity/Traditional: $77.48
  • Blue Cross Blue Shield — Medicare Advantage: $77.48
  • Blue Cross Blue Shield — POS/PPO: $77.48
  • Devoted Health — Medicare Advantage: $123.18
  • Humana ChoiceCare — Medicare Advantage: $114.05
  • Humana ChoiceCare — PPO: $332.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 3-99203 $350 $227.50 $227.50 – $332.50
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $280
  • Blue Cross Blue Shield — Blue Essential: $322
  • Blue Cross Blue Shield — Indemnity/Traditional: $322
  • Blue Cross Blue Shield — Medicare Advantage: $322
  • Blue Cross Blue Shield — POS/PPO: $322
  • Devoted Health — Medicare Advantage: $227.50
  • Humana ChoiceCare — PPO: $332.50
  • United Healthcare — Commercial: $332.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 4-99204 $450 $292.50 $111.38 – $472.50
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $360
  • Aetna — Medicare Advantage: $175.82
  • Ambetter/Superior Health — Commercial/Exchange: $206.85
  • Blue Cross Blue Shield — Blue Essential: $131.18
  • Blue Cross Blue Shield — Indemnity/Traditional: $131.18
  • Blue Cross Blue Shield — Medicare Advantage: $131.18
  • Blue Cross Blue Shield — POS/PPO: $131.18
  • Devoted Health — Medicare Advantage: $186.16
  • Humana ChoiceCare — Medicare Advantage: $172.37
  • Humana ChoiceCare — PPO: $427.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 4-99204 $450 $292.50 $292.50 – $427.50
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $360
  • Blue Cross Blue Shield — Blue Essential: $414
  • Blue Cross Blue Shield — Indemnity/Traditional: $414
  • Blue Cross Blue Shield — Medicare Advantage: $414
  • Blue Cross Blue Shield — POS/PPO: $414
  • Devoted Health — Medicare Advantage: $292.50
  • Humana ChoiceCare — PPO: $427.50
  • United Healthcare — Commercial: $427.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 5 99205 $550 $357.50 $115.93 – $577.50
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $440
  • Aetna — Medicare Advantage: $234.75
  • Ambetter/Superior Health — Commercial/Exchange: $276.17
  • Blue Cross Blue Shield — Blue Essential: $171.19
  • Blue Cross Blue Shield — Indemnity/Traditional: $171.19
  • Blue Cross Blue Shield — Medicare Advantage: $171.19
  • Blue Cross Blue Shield — POS/PPO: $171.19
  • Devoted Health — Medicare Advantage: $248.56
  • Humana ChoiceCare — Medicare Advantage: $230.14
  • Humana ChoiceCare — PPO: $522.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT/LEVEL 5 99205 $550 $357.50 $357.50 – $522.50
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $440
  • Blue Cross Blue Shield — Blue Essential: $506
  • Blue Cross Blue Shield — Indemnity/Traditional: $506
  • Blue Cross Blue Shield — Medicare Advantage: $506
  • Blue Cross Blue Shield — POS/PPO: $506
  • Devoted Health — Medicare Advantage: $357.50
  • Humana ChoiceCare — PPO: $522.50
  • United Healthcare — Commercial: $522.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB TRIAGE LEVEL III 99213 $400 $260 $51.90 – $420
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $320
  • Aetna — Medicare Advantage: $94.26
  • Ambetter/Superior Health — Commercial/Exchange: $110.90
  • Blue Cross Blue Shield — Blue Essential: $51.90
  • Blue Cross Blue Shield — Indemnity/Traditional: $51.90
  • Blue Cross Blue Shield — Medicare Advantage: $51.90
  • Blue Cross Blue Shield — POS/PPO: $51.90
  • Devoted Health — Medicare Advantage: $99.81
  • Humana ChoiceCare — Medicare Advantage: $92.41
  • Humana ChoiceCare — PPO: $380
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED LEVEL 3-99213 $380 $247 $51.90 – $399
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $304
  • Aetna — Medicare Advantage: $94.26
  • Ambetter/Superior Health — Commercial/Exchange: $110.90
  • Blue Cross Blue Shield — Blue Essential: $51.90
  • Blue Cross Blue Shield — Indemnity/Traditional: $51.90
  • Blue Cross Blue Shield — Medicare Advantage: $51.90
  • Blue Cross Blue Shield — POS/PPO: $51.90
  • Devoted Health — Medicare Advantage: $99.81
  • Humana ChoiceCare — Medicare Advantage: $92.41
  • Humana ChoiceCare — PPO: $361
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB TRIAGE LEVEL III 99213 $400 $260 $260 – $380
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $320
  • Blue Cross Blue Shield — Blue Essential: $368
  • Blue Cross Blue Shield — Indemnity/Traditional: $368
  • Blue Cross Blue Shield — Medicare Advantage: $368
  • Blue Cross Blue Shield — POS/PPO: $368
  • Devoted Health — Medicare Advantage: $260
  • Humana ChoiceCare — PPO: $380
  • United Healthcare — Commercial: $380
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB TRIAGE LEVEL IV 99214 $450 $292.50 $80.01 – $472.50
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $360
  • Aetna — Medicare Advantage: $134.38
  • Ambetter/Superior Health — Commercial/Exchange: $158.10
  • Blue Cross Blue Shield — Blue Essential: $80.01
  • Blue Cross Blue Shield — Indemnity/Traditional: $80.01
  • Blue Cross Blue Shield — Medicare Advantage: $80.01
  • Blue Cross Blue Shield — POS/PPO: $80.01
  • Devoted Health — Medicare Advantage: $142.29
  • Humana ChoiceCare — Medicare Advantage: $131.75
  • Humana ChoiceCare — PPO: $427.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED LEVEL 4-99214 $425 $276.25 $80.01 – $446.25
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $340
  • Aetna — Medicare Advantage: $134.38
  • Ambetter/Superior Health — Commercial/Exchange: $158.10
  • Blue Cross Blue Shield — Blue Essential: $80.01
  • Blue Cross Blue Shield — Indemnity/Traditional: $80.01
  • Blue Cross Blue Shield — Medicare Advantage: $80.01
  • Blue Cross Blue Shield — POS/PPO: $80.01
  • Devoted Health — Medicare Advantage: $142.29
  • Humana ChoiceCare — Medicare Advantage: $131.75
  • Humana ChoiceCare — PPO: $403.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB TRIAGE LEVEL IV 99214 $450 $292.50 $292.50 – $427.50
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna — Commercial: $360
  • Blue Cross Blue Shield — Blue Essential: $414
  • Blue Cross Blue Shield — Indemnity/Traditional: $414
  • Blue Cross Blue Shield — Medicare Advantage: $414
  • Blue Cross Blue Shield — POS/PPO: $414
  • Devoted Health — Medicare Advantage: $292.50
  • Humana ChoiceCare — PPO: $427.50
  • United Healthcare — Commercial: $427.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $97.31 – $131.66
Office consultation with a specialist (moderate): rates for 8 insurance plans
  • Aetna — Medicare Advantage: $111.91
  • Ambetter/Superior Health — Commercial/Exchange: $131.66
  • Blue Cross Blue Shield — Blue Essential: $97.31
  • Blue Cross Blue Shield — Indemnity/Traditional: $97.31
  • Blue Cross Blue Shield — Medicare Advantage: $97.31
  • Blue Cross Blue Shield — POS/PPO: $97.31
  • Devoted Health — Medicare Advantage: $118.50
  • Humana ChoiceCare — Medicare Advantage: $109.72
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $156.41 – $188.52
Office consultation with a specialist (moderate to high): rates for 8 insurance plans
  • Aetna — Medicare Advantage: $160.24
  • Ambetter/Superior Health — Commercial/Exchange: $188.52
  • Blue Cross Blue Shield — Blue Essential: $156.41
  • Blue Cross Blue Shield — Indemnity/Traditional: $156.41
  • Blue Cross Blue Shield — Medicare Advantage: $156.41
  • Blue Cross Blue Shield — POS/PPO: $156.41
  • Devoted Health — Medicare Advantage: $169.67
  • Humana ChoiceCare — Medicare Advantage: $157.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $99.47 – $156.99
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $133.44
  • Ambetter/Superior Health — Commercial/Exchange: $156.99
  • Blue Cross Blue Shield — Blue Essential: $99.47
  • Blue Cross Blue Shield — Indemnity/Traditional: $99.47
  • Blue Cross Blue Shield — Medicare Advantage: $99.47
  • Blue Cross Blue Shield — POS/PPO: $99.47
  • Devoted Health — Medicare Advantage: $141.29
  • Humana ChoiceCare — Medicare Advantage: $130.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PCC/EVAL NEW PT 40-64 99386 $384 $249.60 $95.04 – $403.20
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates
  • Aetna — Commercial: $307.20
  • Aetna — Medicare Advantage: $154.48
  • Ambetter/Superior Health — Commercial/Exchange: $181.74
  • Blue Cross Blue Shield — Blue Essential: $121.09
  • Blue Cross Blue Shield — Indemnity/Traditional: $121.09
  • Blue Cross Blue Shield — Medicare Advantage: $121.09
  • Blue Cross Blue Shield — POS/PPO: $121.09
  • Devoted Health — Medicare Advantage: $163.56
  • Humana ChoiceCare — Medicare Advantage: $151.45
  • Humana ChoiceCare — PPO: $364.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PCC/EVAL NEW PT 40-64 99386 $384 $249.60 $249.60 – $364.80
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
  • Aetna — Commercial: $307.20
  • Blue Cross Blue Shield — Blue Essential: $353.28
  • Blue Cross Blue Shield — Indemnity/Traditional: $353.28
  • Blue Cross Blue Shield — Medicare Advantage: $353.28
  • Blue Cross Blue Shield — POS/PPO: $353.28
  • Devoted Health — Medicare Advantage: $249.60
  • Humana ChoiceCare — PPO: $364.80
  • United Healthcare — Commercial: $364.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL III VISIT $1,620 $1,053 $223.34 – $1,701
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,296
  • Aetna — Medicare Advantage: $279.71
  • Ambetter/Superior Health — Commercial/Exchange: $329.07
  • Blue Cross Blue Shield — Blue Essential: $223.34
  • Blue Cross Blue Shield — Indemnity/Traditional: $223.34
  • Blue Cross Blue Shield — Medicare Advantage: $223.34
  • Blue Cross Blue Shield — POS/PPO: $223.34
  • Devoted Health — Medicare Advantage: $296.16
  • Humana ChoiceCare — Medicare Advantage: $274.22
  • Humana ChoiceCare — PPO: $1,539
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL III VISIT $1,620 $1,053 $1,053 – $1,539
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna — Commercial: $1,296
  • Blue Cross Blue Shield — Blue Essential: $1,490.40
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,490.40
  • Blue Cross Blue Shield — Medicare Advantage: $1,490.40
  • Blue Cross Blue Shield — POS/PPO: $1,490.40
  • Devoted Health — Medicare Advantage: $1,053
  • Humana ChoiceCare — PPO: $1,539
  • United Healthcare — Commercial: $1,539
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL IV VISIT $2,000 $1,300 $351.79 – $2,100
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna — Commercial: $1,600
  • Aetna — Medicare Advantage: $427.55
  • Ambetter/Superior Health — Commercial/Exchange: $503
  • Blue Cross Blue Shield — Blue Essential: $351.79
  • Blue Cross Blue Shield — Indemnity/Traditional: $351.79
  • Blue Cross Blue Shield — Medicare Advantage: $351.79
  • Blue Cross Blue Shield — POS/PPO: $351.79
  • Devoted Health — Medicare Advantage: $452.70
  • Humana ChoiceCare — Medicare Advantage: $419.16
  • Humana ChoiceCare — PPO: $1,900
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL IV VISIT $2,000 $1,300 $1,300 – $1,900
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — Commercial: $1,600
  • Blue Cross Blue Shield — Blue Essential: $1,840
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,840
  • Blue Cross Blue Shield — Medicare Advantage: $1,840
  • Blue Cross Blue Shield — POS/PPO: $1,840
  • Devoted Health — Medicare Advantage: $1,300
  • Humana ChoiceCare — PPO: $1,900
  • United Healthcare — Commercial: $1,900
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL V VISIT $3,500 $2,275 $504.51 – $3,675
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna — Commercial: $2,800
  • Aetna — Medicare Advantage: $610.21
  • Ambetter/Superior Health — Commercial/Exchange: $717.89
  • Blue Cross Blue Shield — Blue Essential: $504.51
  • Blue Cross Blue Shield — Indemnity/Traditional: $504.51
  • Blue Cross Blue Shield — Medicare Advantage: $504.51
  • Blue Cross Blue Shield — POS/PPO: $504.51
  • Devoted Health — Medicare Advantage: $646.10
  • Humana ChoiceCare — Medicare Advantage: $598.24
  • Humana ChoiceCare — PPO: $3,325
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL V VISIT $3,500 $2,275 $2,275 – $3,325
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — Commercial: $2,800
  • Blue Cross Blue Shield — Blue Essential: $3,220
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,220
  • Blue Cross Blue Shield — Medicare Advantage: $3,220
  • Blue Cross Blue Shield — POS/PPO: $3,220
  • Devoted Health — Medicare Advantage: $2,275
  • Humana ChoiceCare — PPO: $3,325
  • United Healthcare — Commercial: $3,325

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $390 $253.50 $8.46 – $409.50
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Commercial: $312
  • Aetna — Medicare Advantage: $8.63
  • Ambetter/Superior Health — Commercial/Exchange: $10.15
  • Blue Cross Blue Shield — Blue Essential: $8.46
  • Blue Cross Blue Shield — Indemnity/Traditional: $8.46
  • Blue Cross Blue Shield — Medicare Advantage: $8.46
  • Blue Cross Blue Shield — POS/PPO: $8.46
  • Devoted Health — Medicare Advantage: $9.14
  • Humana ChoiceCare — Medicare Advantage: $8.46
  • Humana ChoiceCare — PPO: $370.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $390 $253.50 $253.50 – $370.50
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — Commercial: $312
  • Blue Cross Blue Shield — Blue Essential: $358.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $358.80
  • Blue Cross Blue Shield — Medicare Advantage: $358.80
  • Blue Cross Blue Shield — POS/PPO: $358.80
  • Devoted Health — Medicare Advantage: $253.50
  • Humana ChoiceCare — PPO: $370.50
  • United Healthcare — Commercial: $370.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE PANEL $575 $373.75 $10.56 – $603.75
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — Commercial: $460
  • Aetna — Medicare Advantage: $10.77
  • Ambetter/Superior Health — Commercial/Exchange: $12.67
  • Blue Cross Blue Shield — Blue Essential: $10.56
  • Blue Cross Blue Shield — Indemnity/Traditional: $10.56
  • Blue Cross Blue Shield — Medicare Advantage: $10.56
  • Blue Cross Blue Shield — POS/PPO: $10.56
  • Devoted Health — Medicare Advantage: $11.40
  • Humana ChoiceCare — Medicare Advantage: $10.56
  • Humana ChoiceCare — PPO: $546.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE PANEL $575 $373.75 $373.75 – $546.25
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — Commercial: $460
  • Blue Cross Blue Shield — Blue Essential: $529
  • Blue Cross Blue Shield — Indemnity/Traditional: $529
  • Blue Cross Blue Shield — Medicare Advantage: $529
  • Blue Cross Blue Shield — POS/PPO: $529
  • Devoted Health — Medicare Advantage: $373.75
  • Humana ChoiceCare — PPO: $546.25
  • United Healthcare — Commercial: $546.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $57.37
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $48.77
  • Ambetter/Superior Health — Commercial/Exchange: $57.37
  • Blue Cross Blue Shield — Blue Essential: $47.81
  • Blue Cross Blue Shield — Indemnity/Traditional: $47.81
  • Blue Cross Blue Shield — Medicare Advantage: $47.81
  • Blue Cross Blue Shield — POS/PPO: $47.81
  • Devoted Health — Medicare Advantage: $51.63
  • Humana ChoiceCare — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $400 $260 $13.39 – $420
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — Commercial: $320
  • Aetna — Medicare Advantage: $13.66
  • Ambetter/Superior Health — Commercial/Exchange: $16.07
  • Blue Cross Blue Shield — Blue Essential: $13.39
  • Blue Cross Blue Shield — Indemnity/Traditional: $13.39
  • Blue Cross Blue Shield — Medicare Advantage: $13.39
  • Blue Cross Blue Shield — POS/PPO: $13.39
  • Devoted Health — Medicare Advantage: $14.46
  • Humana ChoiceCare — Medicare Advantage: $13.39
  • Humana ChoiceCare — PPO: $380
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $400 $260 $260 – $380
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna — Commercial: $320
  • Blue Cross Blue Shield — Blue Essential: $368
  • Blue Cross Blue Shield — Indemnity/Traditional: $368
  • Blue Cross Blue Shield — Medicare Advantage: $368
  • Blue Cross Blue Shield — POS/PPO: $368
  • Devoted Health — Medicare Advantage: $260
  • Humana ChoiceCare — PPO: $380
  • United Healthcare — Commercial: $380
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $365 $237.25 $8.68 – $383.25
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — Commercial: $292
  • Aetna — Medicare Advantage: $8.85
  • Ambetter/Superior Health — Commercial/Exchange: $10.42
  • Blue Cross Blue Shield — Blue Essential: $8.68
  • Blue Cross Blue Shield — Indemnity/Traditional: $8.68
  • Blue Cross Blue Shield — Medicare Advantage: $8.68
  • Blue Cross Blue Shield — POS/PPO: $8.68
  • Devoted Health — Medicare Advantage: $9.37
  • Humana ChoiceCare — Medicare Advantage: $8.68
  • Humana ChoiceCare — PPO: $346.75
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $365 $237.25 $237.25 – $346.75
Kidney function panel: rates for 8 insurance plans
  • Aetna — Commercial: $292
  • Blue Cross Blue Shield — Blue Essential: $335.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $335.80
  • Blue Cross Blue Shield — Medicare Advantage: $335.80
  • Blue Cross Blue Shield — POS/PPO: $335.80
  • Devoted Health — Medicare Advantage: $237.25
  • Humana ChoiceCare — PPO: $346.75
  • United Healthcare — Commercial: $346.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $225 $146.25 $8.17 – $236.25
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — Commercial: $180
  • Aetna — Medicare Advantage: $8.33
  • Ambetter/Superior Health — Commercial/Exchange: $9.80
  • Blue Cross Blue Shield — Blue Essential: $8.17
  • Blue Cross Blue Shield — Indemnity/Traditional: $8.17
  • Blue Cross Blue Shield — Medicare Advantage: $8.17
  • Blue Cross Blue Shield — POS/PPO: $8.17
  • Devoted Health — Medicare Advantage: $8.82
  • Humana ChoiceCare — Medicare Advantage: $8.17
  • Humana ChoiceCare — PPO: $213.75
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $225 $146.25 $146.25 – $213.75
Liver function panel: rates for 8 insurance plans
  • Aetna — Commercial: $180
  • Blue Cross Blue Shield — Blue Essential: $207
  • Blue Cross Blue Shield — Indemnity/Traditional: $207
  • Blue Cross Blue Shield — Medicare Advantage: $207
  • Blue Cross Blue Shield — POS/PPO: $207
  • Devoted Health — Medicare Advantage: $146.25
  • Humana ChoiceCare — PPO: $213.75
  • United Healthcare — Commercial: $213.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE $184 $119.60 $3.17 – $193.20
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — Commercial: $147.20
  • Aetna — Medicare Advantage: $3.23
  • Ambetter/Superior Health — Commercial/Exchange: $3.80
  • Blue Cross Blue Shield — Blue Essential: $3.17
  • Blue Cross Blue Shield — Indemnity/Traditional: $3.17
  • Blue Cross Blue Shield — Medicare Advantage: $3.17
  • Blue Cross Blue Shield — POS/PPO: $3.17
  • Devoted Health — Medicare Advantage: $3.42
  • Humana ChoiceCare — Medicare Advantage: $3.17
  • Humana ChoiceCare — PPO: $174.80
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE $184 $119.60 $119.60 – $174.80
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna — Commercial: $147.20
  • Blue Cross Blue Shield — Blue Essential: $169.28
  • Blue Cross Blue Shield — Indemnity/Traditional: $169.28
  • Blue Cross Blue Shield — Medicare Advantage: $169.28
  • Blue Cross Blue Shield — POS/PPO: $169.28
  • Devoted Health — Medicare Advantage: $119.60
  • Humana ChoiceCare — PPO: $174.80
  • United Healthcare — Commercial: $174.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $3.48 – $4.18
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna — Medicare Advantage: $3.55
  • Ambetter/Superior Health — Commercial/Exchange: $4.18
  • Blue Cross Blue Shield — Blue Essential: $3.48
  • Blue Cross Blue Shield — Indemnity/Traditional: $3.48
  • Blue Cross Blue Shield — Medicare Advantage: $3.48
  • Blue Cross Blue Shield — POS/PPO: $3.48
  • Devoted Health — Medicare Advantage: $3.76
  • Humana ChoiceCare — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS/DIPSTICK ANY NUMBER $56 $36.40 $2.25 – $58.80
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — Commercial: $44.80
  • Aetna — Medicare Advantage: $2.30
  • Ambetter/Superior Health — Commercial/Exchange: $2.70
  • Blue Cross Blue Shield — Blue Essential: $2.25
  • Blue Cross Blue Shield — Indemnity/Traditional: $2.25
  • Blue Cross Blue Shield — Medicare Advantage: $2.25
  • Blue Cross Blue Shield — POS/PPO: $2.25
  • Devoted Health — Medicare Advantage: $2.43
  • Humana ChoiceCare — Medicare Advantage: $2.25
  • Humana ChoiceCare — PPO: $53.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS/DIPSTICK ANY NUMBER $56 $36.40 $36.40 – $53.20
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna — Commercial: $44.80
  • Blue Cross Blue Shield — Blue Essential: $51.52
  • Blue Cross Blue Shield — Indemnity/Traditional: $51.52
  • Blue Cross Blue Shield — Medicare Advantage: $51.52
  • Blue Cross Blue Shield — POS/PPO: $51.52
  • Devoted Health — Medicare Advantage: $36.40
  • Humana ChoiceCare — PPO: $53.20
  • United Healthcare — Commercial: $53.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN/PSA $315 $204.75 $18.39 – $330.75
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — Commercial: $252
  • Aetna — Medicare Advantage: $18.76
  • Ambetter/Superior Health — Commercial/Exchange: $22.07
  • Blue Cross Blue Shield — Blue Essential: $18.39
  • Blue Cross Blue Shield — Indemnity/Traditional: $18.39
  • Blue Cross Blue Shield — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — POS/PPO: $18.39
  • Devoted Health — Medicare Advantage: $19.86
  • Humana ChoiceCare — Medicare Advantage: $18.39
  • Humana ChoiceCare — PPO: $299.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA SCREENING $315 $204.75 $18.39 – $330.75
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — Commercial: $252
  • Aetna — Medicare Advantage: $18.76
  • Ambetter/Superior Health — Commercial/Exchange: $22.07
  • Blue Cross Blue Shield — Blue Essential: $18.39
  • Blue Cross Blue Shield — Indemnity/Traditional: $18.39
  • Blue Cross Blue Shield — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — POS/PPO: $18.39
  • Devoted Health — Medicare Advantage: $19.86
  • Humana ChoiceCare — Medicare Advantage: $18.39
  • Humana ChoiceCare — PPO: $299.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN/PSA $315 $204.75 $204.75 – $299.25
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna — Commercial: $252
  • Blue Cross Blue Shield — Blue Essential: $289.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $289.80
  • Blue Cross Blue Shield — Medicare Advantage: $289.80
  • Blue Cross Blue Shield — POS/PPO: $289.80
  • Devoted Health — Medicare Advantage: $204.75
  • Humana ChoiceCare — PPO: $299.25
  • United Healthcare — Commercial: $299.25
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION $330 $214.50 $16.80 – $346.50
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — Commercial: $264
  • Aetna — Medicare Advantage: $17.14
  • Ambetter/Superior Health — Commercial/Exchange: $20.16
  • Blue Cross Blue Shield — Blue Essential: $16.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $16.80
  • Blue Cross Blue Shield — Medicare Advantage: $16.80
  • Blue Cross Blue Shield — POS/PPO: $16.80
  • Devoted Health — Medicare Advantage: $18.14
  • Humana ChoiceCare — Medicare Advantage: $16.80
  • Humana ChoiceCare — PPO: $313.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION $330 $214.50 $214.50 – $313.50
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna — Commercial: $264
  • Blue Cross Blue Shield — Blue Essential: $303.60
  • Blue Cross Blue Shield — Indemnity/Traditional: $303.60
  • Blue Cross Blue Shield — Medicare Advantage: $303.60
  • Blue Cross Blue Shield — POS/PPO: $303.60
  • Devoted Health — Medicare Advantage: $214.50
  • Humana ChoiceCare — PPO: $313.50
  • United Healthcare — Commercial: $313.50
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTOMATED DIFF 85025 $240 $156 $7.77 – $252
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — Commercial: $192
  • Aetna — Medicare Advantage: $7.93
  • Ambetter/Superior Health — Commercial/Exchange: $9.32
  • Blue Cross Blue Shield — Blue Essential: $7.77
  • Blue Cross Blue Shield — Indemnity/Traditional: $7.77
  • Blue Cross Blue Shield — Medicare Advantage: $7.77
  • Blue Cross Blue Shield — POS/PPO: $7.77
  • Devoted Health — Medicare Advantage: $8.39
  • Humana ChoiceCare — Medicare Advantage: $7.77
  • Humana ChoiceCare — PPO: $228
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTOMATED DIFF 85025 $240 $156 $156 – $228
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna — Commercial: $192
  • Blue Cross Blue Shield — Blue Essential: $220.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $220.80
  • Blue Cross Blue Shield — Medicare Advantage: $220.80
  • Blue Cross Blue Shield — POS/PPO: $220.80
  • Devoted Health — Medicare Advantage: $156
  • Humana ChoiceCare — PPO: $228
  • United Healthcare — Commercial: $228
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC 85027 $215 $139.75 $6.47 – $225.75
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — Commercial: $172
  • Aetna — Medicare Advantage: $6.60
  • Ambetter/Superior Health — Commercial/Exchange: $7.76
  • Blue Cross Blue Shield — Blue Essential: $6.47
  • Blue Cross Blue Shield — Indemnity/Traditional: $6.47
  • Blue Cross Blue Shield — Medicare Advantage: $6.47
  • Blue Cross Blue Shield — POS/PPO: $6.47
  • Devoted Health — Medicare Advantage: $6.99
  • Humana ChoiceCare — Medicare Advantage: $6.47
  • Humana ChoiceCare — PPO: $204.25
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC 85027 $215 $139.75 $139.75 – $204.25
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna — Commercial: $172
  • Blue Cross Blue Shield — Blue Essential: $197.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $197.80
  • Blue Cross Blue Shield — Medicare Advantage: $197.80
  • Blue Cross Blue Shield — POS/PPO: $197.80
  • Devoted Health — Medicare Advantage: $139.75
  • Humana ChoiceCare — PPO: $204.25
  • United Healthcare — Commercial: $204.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/INR $120 $78 $4.29 – $126
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — Commercial: $96
  • Aetna — Medicare Advantage: $4.38
  • Ambetter/Superior Health — Commercial/Exchange: $5.15
  • Blue Cross Blue Shield — Blue Essential: $4.29
  • Blue Cross Blue Shield — Indemnity/Traditional: $4.29
  • Blue Cross Blue Shield — Medicare Advantage: $4.29
  • Blue Cross Blue Shield — POS/PPO: $4.29
  • Devoted Health — Medicare Advantage: $4.63
  • Humana ChoiceCare — Medicare Advantage: $4.29
  • Humana ChoiceCare — PPO: $114
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/INR $120 $78 $78 – $114
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna — Commercial: $96
  • Blue Cross Blue Shield — Blue Essential: $110.40
  • Blue Cross Blue Shield — Indemnity/Traditional: $110.40
  • Blue Cross Blue Shield — Medicare Advantage: $110.40
  • Blue Cross Blue Shield — POS/PPO: $110.40
  • Devoted Health — Medicare Advantage: $78
  • Humana ChoiceCare — PPO: $114
  • United Healthcare — Commercial: $114
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMO TIME $150 $97.50 $6.01 – $157.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — Commercial: $120
  • Aetna — Medicare Advantage: $6.13
  • Ambetter/Superior Health — Commercial/Exchange: $7.21
  • Blue Cross Blue Shield — Blue Essential: $6.01
  • Blue Cross Blue Shield — Indemnity/Traditional: $6.01
  • Blue Cross Blue Shield — Medicare Advantage: $6.01
  • Blue Cross Blue Shield — POS/PPO: $6.01
  • Devoted Health — Medicare Advantage: $6.49
  • Humana ChoiceCare — Medicare Advantage: $6.01
  • Humana ChoiceCare — PPO: $142.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMO TIME $150 $97.50 $97.50 – $142.50
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna — Commercial: $120
  • Blue Cross Blue Shield — Blue Essential: $138
  • Blue Cross Blue Shield — Indemnity/Traditional: $138
  • Blue Cross Blue Shield — Medicare Advantage: $138
  • Blue Cross Blue Shield — POS/PPO: $138
  • Devoted Health — Medicare Advantage: $97.50
  • Humana ChoiceCare — PPO: $142.50
  • United Healthcare — Commercial: $142.50

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN W/O CONTRAST $4,180 $2,717 $105.02 – $3,971
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,344
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $112.08
  • Blue Cross Blue Shield — Indemnity/Traditional: $112.08
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $112.08
  • Blue Cross Blue Shield — POS/PPO: $112.08
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Brain Stroke Protocol $4,180 $2,717 $105.02 – $3,971
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,344
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $112.08
  • Blue Cross Blue Shield — Indemnity/Traditional: $112.08
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $112.08
  • Blue Cross Blue Shield — POS/PPO: $112.08
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O CONTRAST $4,180 $2,717 $2,717 – $3,971
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna — Commercial: $3,344
  • Blue Cross Blue Shield — Blue Essential: $3,845.60
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,845.60
  • Blue Cross Blue Shield — Medicare Advantage: $3,845.60
  • Blue Cross Blue Shield — POS/PPO: $3,845.60
  • Devoted Health — Medicare Advantage: $2,717
  • Humana ChoiceCare — PPO: $3,971
  • United Healthcare — Commercial: $3,971
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PITUITARY/IAC W/WO CONT $6,500 $4,225 $350.46 – $6,175
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $5,200
  • Aetna — Medicare Advantage: $357.47
  • Ambetter/Superior Health — Commercial/Exchange: $420.56
  • Blue Cross Blue Shield — Blue Essential: $381.85
  • Blue Cross Blue Shield — Indemnity/Traditional: $381.85
  • Blue Cross Blue Shield — Managed Medicaid: $533.85
  • Blue Cross Blue Shield — Medicare Advantage: $381.85
  • Blue Cross Blue Shield — POS/PPO: $381.85
  • Devoted Health — Medicare Advantage: $378.50
  • Humana ChoiceCare — Medicare Advantage: $350.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO CONTRAST $6,500 $4,225 $350.46 – $6,175
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $5,200
  • Aetna — Medicare Advantage: $357.47
  • Ambetter/Superior Health — Commercial/Exchange: $420.56
  • Blue Cross Blue Shield — Blue Essential: $381.85
  • Blue Cross Blue Shield — Indemnity/Traditional: $381.85
  • Blue Cross Blue Shield — Managed Medicaid: $533.85
  • Blue Cross Blue Shield — Medicare Advantage: $381.85
  • Blue Cross Blue Shield — POS/PPO: $381.85
  • Devoted Health — Medicare Advantage: $378.50
  • Humana ChoiceCare — Medicare Advantage: $350.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN/SELLA W/WO CONTRAST $6,500 $4,225 $350.46 – $6,175
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $5,200
  • Aetna — Medicare Advantage: $357.47
  • Ambetter/Superior Health — Commercial/Exchange: $420.56
  • Blue Cross Blue Shield — Blue Essential: $381.85
  • Blue Cross Blue Shield — Indemnity/Traditional: $381.85
  • Blue Cross Blue Shield — Managed Medicaid: $533.85
  • Blue Cross Blue Shield — Medicare Advantage: $381.85
  • Blue Cross Blue Shield — POS/PPO: $381.85
  • Devoted Health — Medicare Advantage: $378.50
  • Humana ChoiceCare — Medicare Advantage: $350.46
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST X-RAY (2 VIEWS) $750 $487.50 $79.81 – $712.50
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare Advantage: $89.17
  • Ambetter/Superior Health — Commercial/Exchange: $104.91
  • Blue Cross Blue Shield — Blue Essential: $79.81
  • Blue Cross Blue Shield — Indemnity/Traditional: $79.81
  • Blue Cross Blue Shield — Managed Medicaid: $125.89
  • Blue Cross Blue Shield — Medicare Advantage: $79.81
  • Blue Cross Blue Shield — POS/PPO: $79.81
  • Devoted Health — Medicare Advantage: $94.42
  • Humana ChoiceCare — Medicare Advantage: $87.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST INSPIRATION/EXPIRATION $750 $487.50 $79.81 – $712.50
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare Advantage: $89.17
  • Ambetter/Superior Health — Commercial/Exchange: $104.91
  • Blue Cross Blue Shield — Blue Essential: $79.81
  • Blue Cross Blue Shield — Indemnity/Traditional: $79.81
  • Blue Cross Blue Shield — Managed Medicaid: $125.89
  • Blue Cross Blue Shield — Medicare Advantage: $79.81
  • Blue Cross Blue Shield — POS/PPO: $79.81
  • Devoted Health — Medicare Advantage: $94.42
  • Humana ChoiceCare — Medicare Advantage: $87.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST BILAT DECUBS $750 $487.50 $79.81 – $712.50
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $600
  • Aetna — Medicare Advantage: $89.17
  • Ambetter/Superior Health — Commercial/Exchange: $104.91
  • Blue Cross Blue Shield — Blue Essential: $79.81
  • Blue Cross Blue Shield — Indemnity/Traditional: $79.81
  • Blue Cross Blue Shield — Managed Medicaid: $125.89
  • Blue Cross Blue Shield — Medicare Advantage: $79.81
  • Blue Cross Blue Shield — POS/PPO: $79.81
  • Devoted Health — Medicare Advantage: $94.42
  • Humana ChoiceCare — Medicare Advantage: $87.42
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE COMPLETE SERIES $1,010 $656.50 $105.02 – $959.50
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $808
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $112.08
  • Blue Cross Blue Shield — Indemnity/Traditional: $112.08
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $112.08
  • Blue Cross Blue Shield — POS/PPO: $112.08
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE 4 VIEW $1,010 $656.50 $105.02 – $959.50
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • Aetna — Commercial: $808
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $112.08
  • Blue Cross Blue Shield — Indemnity/Traditional: $112.08
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $112.08
  • Blue Cross Blue Shield — POS/PPO: $112.08
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR SPINE COMPLETE SERIES $1,010 $656.50 $656.50 – $959.50
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna — Commercial: $808
  • Blue Cross Blue Shield — Blue Essential: $929.20
  • Blue Cross Blue Shield — Indemnity/Traditional: $929.20
  • Blue Cross Blue Shield — Medicare Advantage: $929.20
  • Blue Cross Blue Shield — POS/PPO: $929.20
  • Devoted Health — Medicare Advantage: $656.50
  • Humana ChoiceCare — PPO: $959.50
  • United Healthcare — Commercial: $959.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L-SPINE W/O CONTRAST $5,150 $3,347.50 $233.04 – $4,892.50
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $4,120
  • Aetna — Medicare Advantage: $244.48
  • Ambetter/Superior Health — Commercial/Exchange: $287.63
  • Blue Cross Blue Shield — Blue Essential: $233.04
  • Blue Cross Blue Shield — Indemnity/Traditional: $233.04
  • Blue Cross Blue Shield — Managed Medicaid: $338.38
  • Blue Cross Blue Shield — Medicare Advantage: $233.04
  • Blue Cross Blue Shield — POS/PPO: $233.04
  • Devoted Health — Medicare Advantage: $258.86
  • Humana ChoiceCare — Medicare Advantage: $239.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L-SPINE, LIMITED $2,600 $1,690 $233.04 – $2,470
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,080
  • Aetna — Medicare Advantage: $244.48
  • Ambetter/Superior Health — Commercial/Exchange: $287.63
  • Blue Cross Blue Shield — Blue Essential: $233.04
  • Blue Cross Blue Shield — Indemnity/Traditional: $233.04
  • Blue Cross Blue Shield — Managed Medicaid: $338.38
  • Blue Cross Blue Shield — Medicare Advantage: $233.04
  • Blue Cross Blue Shield — POS/PPO: $233.04
  • Devoted Health — Medicare Advantage: $258.86
  • Humana ChoiceCare — Medicare Advantage: $239.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L-SPINE W/O CONTRAST $5,150 $3,347.50 $3,347.50 – $4,892.50
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna — Commercial: $4,120
  • Blue Cross Blue Shield — Blue Essential: $4,738
  • Blue Cross Blue Shield — Indemnity/Traditional: $4,738
  • Blue Cross Blue Shield — Medicare Advantage: $4,738
  • Blue Cross Blue Shield — POS/PPO: $4,738
  • Devoted Health — Medicare Advantage: $3,347.50
  • Humana ChoiceCare — PPO: $4,892.50
  • United Healthcare — Commercial: $4,892.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $4,455 $2,895.75 $176.20 – $4,232.25
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,564
  • Aetna — Medicare Advantage: $179.72
  • Ambetter/Superior Health — Commercial/Exchange: $211.44
  • Blue Cross Blue Shield — Blue Essential: $182.22
  • Blue Cross Blue Shield — Indemnity/Traditional: $182.22
  • Blue Cross Blue Shield — Managed Medicaid: $261.31
  • Blue Cross Blue Shield — Medicare Advantage: $182.22
  • Blue Cross Blue Shield — POS/PPO: $182.22
  • Devoted Health — Medicare Advantage: $190.30
  • Humana ChoiceCare — Medicare Advantage: $176.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $4,455 $2,895.75 $2,895.75 – $4,232.25
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna — Commercial: $3,564
  • Blue Cross Blue Shield — Blue Essential: $4,098.60
  • Blue Cross Blue Shield — Indemnity/Traditional: $4,098.60
  • Blue Cross Blue Shield — Medicare Advantage: $4,098.60
  • Blue Cross Blue Shield — POS/PPO: $4,098.60
  • Devoted Health — Medicare Advantage: $2,895.75
  • Humana ChoiceCare — PPO: $4,232.25
  • United Healthcare — Commercial: $4,232.25
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JOINT W/O CONT $4,635 $3,012.75 $233.04 – $4,403.25
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,708
  • Aetna — Medicare Advantage: $244.48
  • Ambetter/Superior Health — Commercial/Exchange: $287.63
  • Blue Cross Blue Shield — Blue Essential: $233.04
  • Blue Cross Blue Shield — Indemnity/Traditional: $233.04
  • Blue Cross Blue Shield — Managed Medicaid: $338.38
  • Blue Cross Blue Shield — Medicare Advantage: $233.04
  • Blue Cross Blue Shield — POS/PPO: $233.04
  • Devoted Health — Medicare Advantage: $258.86
  • Humana ChoiceCare — Medicare Advantage: $239.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP W/O CONT-LEFT $4,635 $3,012.75 $233.04 – $4,403.25
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,708
  • Aetna — Medicare Advantage: $244.48
  • Ambetter/Superior Health — Commercial/Exchange: $287.63
  • Blue Cross Blue Shield — Blue Essential: $233.04
  • Blue Cross Blue Shield — Indemnity/Traditional: $233.04
  • Blue Cross Blue Shield — Managed Medicaid: $338.38
  • Blue Cross Blue Shield — Medicare Advantage: $233.04
  • Blue Cross Blue Shield — POS/PPO: $233.04
  • Devoted Health — Medicare Advantage: $258.86
  • Humana ChoiceCare — Medicare Advantage: $239.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HIP W/O CONT-RIGHT $4,635 $3,012.75 $233.04 – $4,403.25
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $3,708
  • Aetna — Medicare Advantage: $244.48
  • Ambetter/Superior Health — Commercial/Exchange: $287.63
  • Blue Cross Blue Shield — Blue Essential: $233.04
  • Blue Cross Blue Shield — Indemnity/Traditional: $233.04
  • Blue Cross Blue Shield — Managed Medicaid: $338.38
  • Blue Cross Blue Shield — Medicare Advantage: $233.04
  • Blue Cross Blue Shield — POS/PPO: $233.04
  • Devoted Health — Medicare Advantage: $258.86
  • Humana ChoiceCare — Medicare Advantage: $239.69
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/CONT $7,300 $4,745 $350.46 – $6,935
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $5,840
  • Aetna — Medicare Advantage: $357.47
  • Ambetter/Superior Health — Commercial/Exchange: $420.56
  • Blue Cross Blue Shield — Blue Essential: $381.85
  • Blue Cross Blue Shield — Indemnity/Traditional: $381.85
  • Blue Cross Blue Shield — Managed Medicaid: $533.85
  • Blue Cross Blue Shield — Medicare Advantage: $381.85
  • Blue Cross Blue Shield — POS/PPO: $381.85
  • Devoted Health — Medicare Advantage: $378.50
  • Humana ChoiceCare — Medicare Advantage: $350.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SM BOWEL/ENTEROGRAPHY $7,300 $4,745 $350.46 – $6,935
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • Aetna — Commercial: $5,840
  • Aetna — Medicare Advantage: $357.47
  • Ambetter/Superior Health — Commercial/Exchange: $420.56
  • Blue Cross Blue Shield — Blue Essential: $381.85
  • Blue Cross Blue Shield — Indemnity/Traditional: $381.85
  • Blue Cross Blue Shield — Managed Medicaid: $533.85
  • Blue Cross Blue Shield — Medicare Advantage: $381.85
  • Blue Cross Blue Shield — POS/PPO: $381.85
  • Devoted Health — Medicare Advantage: $378.50
  • Humana ChoiceCare — Medicare Advantage: $350.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN/PELVIS W/CONT $7,300 $4,745 $4,745 – $6,935
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna — Commercial: $5,840
  • Blue Cross Blue Shield — Blue Essential: $6,716
  • Blue Cross Blue Shield — Indemnity/Traditional: $6,716
  • Blue Cross Blue Shield — Medicare Advantage: $6,716
  • Blue Cross Blue Shield — POS/PPO: $6,716
  • Devoted Health — Medicare Advantage: $4,745
  • Humana ChoiceCare — PPO: $6,935
  • United Healthcare — Commercial: $6,935
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ECHOGRAM ABDOMEN 76700 $1,855 $1,205.75 $105.02 – $1,762.25
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • Aetna — Commercial: $1,484
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $112.08
  • Blue Cross Blue Shield — Indemnity/Traditional: $112.08
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $112.08
  • Blue Cross Blue Shield — POS/PPO: $112.08
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ECHOGRAM ABDOMEN 76700 $1,855 $1,205.75 $1,205.75 – $1,762.25
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Commercial: $1,484
  • Blue Cross Blue Shield — Blue Essential: $1,706.60
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,706.60
  • Blue Cross Blue Shield — Medicare Advantage: $1,706.60
  • Blue Cross Blue Shield — POS/PPO: $1,706.60
  • Devoted Health — Medicare Advantage: $1,205.75
  • Humana ChoiceCare — PPO: $1,762.25
  • United Healthcare — Commercial: $1,762.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB SONO EVAL ECHO $1,340 $871 $91.54 – $1,273
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • Aetna — Commercial: $1,072
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $91.54
  • Blue Cross Blue Shield — Indemnity/Traditional: $91.54
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $91.54
  • Blue Cross Blue Shield — POS/PPO: $91.54
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB SONO EVAL ECHO $1,340 $871 $871 – $1,273
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna — Commercial: $1,072
  • Blue Cross Blue Shield — Blue Essential: $1,232.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,232.80
  • Blue Cross Blue Shield — Medicare Advantage: $1,232.80
  • Blue Cross Blue Shield — POS/PPO: $1,232.80
  • Devoted Health — Medicare Advantage: $871
  • Humana ChoiceCare — PPO: $1,273
  • United Healthcare — Commercial: $1,273
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,165 $757.25 $88.30 – $1,106.75
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Aetna — Commercial: $932
  • Aetna — Medicare Advantage: $107.12
  • Ambetter/Superior Health — Commercial/Exchange: $126.03
  • Blue Cross Blue Shield — Blue Essential: $88.30
  • Blue Cross Blue Shield — Indemnity/Traditional: $88.30
  • Blue Cross Blue Shield — Managed Medicaid: $154.87
  • Blue Cross Blue Shield — Medicare Advantage: $88.30
  • Blue Cross Blue Shield — POS/PPO: $88.30
  • Devoted Health — Medicare Advantage: $113.42
  • Humana ChoiceCare — Medicare Advantage: $105.02
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $1,165 $757.25 $757.25 – $1,106.75
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna — Commercial: $932
  • Blue Cross Blue Shield — Blue Essential: $1,071.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,071.80
  • Blue Cross Blue Shield — Medicare Advantage: $1,071.80
  • Blue Cross Blue Shield — POS/PPO: $1,071.80
  • Devoted Health — Medicare Advantage: $757.25
  • Humana ChoiceCare — PPO: $1,106.75
  • United Healthcare — Commercial: $1,106.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC UNILAT $850 $552.50 $94.06 – $892.50
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • Aetna — Commercial: $680
  • Aetna — Medicare Advantage: $121.23
  • Ambetter/Superior Health — Commercial/Exchange: $142.62
  • Blue Cross Blue Shield — Blue Essential: $94.06
  • Blue Cross Blue Shield — Indemnity/Traditional: $94.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.06
  • Blue Cross Blue Shield — POS/PPO: $94.06
  • Devoted Health — Medicare Advantage: $128.36
  • Humana ChoiceCare — Medicare Advantage: $118.85
  • Humana ChoiceCare — PPO: $807.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC UNILAT $850 $552.50 $552.50 – $807.50
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna — Commercial: $680
  • Blue Cross Blue Shield — Blue Essential: $782
  • Blue Cross Blue Shield — Indemnity/Traditional: $782
  • Blue Cross Blue Shield — Medicare Advantage: $782
  • Blue Cross Blue Shield — POS/PPO: $782
  • Devoted Health — Medicare Advantage: $552.50
  • Humana ChoiceCare — PPO: $807.50
  • United Healthcare — Commercial: $807.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC BILAT $850 $552.50 $120.37 – $892.50
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Commercial: $680
  • Aetna — Medicare Advantage: $153.53
  • Ambetter/Superior Health — Commercial/Exchange: $180.63
  • Blue Cross Blue Shield — Blue Essential: $120.37
  • Blue Cross Blue Shield — Indemnity/Traditional: $120.37
  • Blue Cross Blue Shield — Medicare Advantage: $120.37
  • Blue Cross Blue Shield — POS/PPO: $120.37
  • Devoted Health — Medicare Advantage: $162.57
  • Humana ChoiceCare — Medicare Advantage: $150.52
  • Humana ChoiceCare — PPO: $807.50
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG DIGITAL DIAGNOSTIC BILAT $850 $552.50 $552.50 – $807.50
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna — Commercial: $680
  • Blue Cross Blue Shield — Blue Essential: $782
  • Blue Cross Blue Shield — Indemnity/Traditional: $782
  • Blue Cross Blue Shield — Medicare Advantage: $782
  • Blue Cross Blue Shield — POS/PPO: $782
  • Devoted Health — Medicare Advantage: $552.50
  • Humana ChoiceCare — PPO: $807.50
  • United Healthcare — Commercial: $807.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG DIGITAL SCREEN BILAT/UNILAT $690 $448.50 $99.47 – $724.50
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • Aetna — Commercial: $552
  • Aetna — Medicare Advantage: $123.42
  • Ambetter/Superior Health — Commercial/Exchange: $145.20
  • Blue Cross Blue Shield — Blue Essential: $99.47
  • Blue Cross Blue Shield — Indemnity/Traditional: $99.47
  • Blue Cross Blue Shield — Medicare Advantage: $99.47
  • Blue Cross Blue Shield — POS/PPO: $99.47
  • Devoted Health — Medicare Advantage: $130.68
  • Humana ChoiceCare — Medicare Advantage: $121
  • Humana ChoiceCare — PPO: $655.50
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MG DIGITAL SCREEN BILAT/UNILAT $690 $448.50 $448.50 – $655.50
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna — Commercial: $552
  • Blue Cross Blue Shield — Blue Essential: $634.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $634.80
  • Blue Cross Blue Shield — Medicare Advantage: $634.80
  • Blue Cross Blue Shield — POS/PPO: $634.80
  • Devoted Health — Medicare Advantage: $448.50
  • Humana ChoiceCare — PPO: $655.50
  • United Healthcare — Commercial: $655.50

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $14.84 – $17.81
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $15.14
  • Ambetter/Superior Health — Commercial/Exchange: $17.81
  • Blue Cross Blue Shield — Blue Essential: $17.30
  • Blue Cross Blue Shield — Indemnity/Traditional: $17.30
  • Blue Cross Blue Shield — Medicare Advantage: $17.30
  • Blue Cross Blue Shield — POS/PPO: $17.30
  • Devoted Health — Medicare Advantage: $16.03
  • Humana ChoiceCare — Medicare Advantage: $14.84
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $13,900 $9,035 $598.24 – $14,595
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • Aetna — Commercial: $11,120
  • Aetna — Medicare Advantage: $3,321.84
  • Ambetter/Superior Health — Commercial/Exchange: $3,908.05
  • Blue Cross Blue Shield — Blue Essential: $10,000
  • Blue Cross Blue Shield — Indemnity/Traditional: $10,000
  • Blue Cross Blue Shield — Medicare Advantage: $9,500
  • Blue Cross Blue Shield — POS/PPO: $10,000
  • Devoted Health — Medicare Advantage: $3,517.24
  • Humana ChoiceCare — Medicare Advantage: $3,256.70
  • Humana ChoiceCare — PPO: $13,205
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $13,900 $9,035 $9,035 – $13,205
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • Aetna — Commercial: $11,120
  • Blue Cross Blue Shield — Blue Essential: $12,788
  • Blue Cross Blue Shield — Indemnity/Traditional: $12,788
  • Blue Cross Blue Shield — Medicare Advantage: $12,788
  • Blue Cross Blue Shield — POS/PPO: $12,788
  • Devoted Health — Medicare Advantage: $9,035
  • Humana ChoiceCare — PPO: $13,205
  • United Healthcare — Commercial: $13,205
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $768.95 – $9,402.25
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Aetna — Medicare Advantage: $7,991.91
  • Ambetter/Superior Health — Commercial/Exchange: $9,402.25
  • Blue Cross Blue Shield — Blue Essential: $5,885.71
  • Blue Cross Blue Shield — Indemnity/Traditional: $5,885.71
  • Blue Cross Blue Shield — Medicare Advantage: $5,885.71
  • Blue Cross Blue Shield — POS/PPO: $5,885.71
  • Devoted Health — Medicare Advantage: $8,462.02
  • Humana ChoiceCare — Medicare Advantage: $7,835.21
  • United Healthcare — STAR+PLUS: $768.95
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $891.04 – $31,508.36
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
  • Aetna — Medicare Advantage: $26,782.10
  • Ambetter/Superior Health — Commercial/Exchange: $31,508.36
  • Blue Cross Blue Shield — Blue Essential: $20,435.27
  • Blue Cross Blue Shield — Indemnity/Traditional: $20,435.27
  • Blue Cross Blue Shield — Medicare Advantage: $20,435.27
  • Blue Cross Blue Shield — POS/PPO: $20,435.27
  • Devoted Health — Medicare Advantage: $28,357.52
  • Humana ChoiceCare — Medicare Advantage: $26,256.97
  • United Healthcare — STAR+PLUS: $891.04
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $8,550 $5,557.50 $500.94 – $8,977.50
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Aetna — Commercial: $6,840
  • Aetna — Medicare Advantage: $879.91
  • Ambetter/Superior Health — Commercial/Exchange: $1,035.18
  • Blue Cross Blue Shield — Blue Essential: $500.94
  • Blue Cross Blue Shield — Indemnity/Traditional: $500.94
  • Blue Cross Blue Shield — Medicare Advantage: $500.94
  • Blue Cross Blue Shield — POS/PPO: $500.94
  • Devoted Health — Medicare Advantage: $931.67
  • Humana ChoiceCare — Medicare Advantage: $862.65
  • Humana ChoiceCare — PPO: $8,122.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $8,550 $5,557.50 $5,557.50 – $8,122.50
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Commercial: $6,840
  • Blue Cross Blue Shield — Blue Essential: $7,866
  • Blue Cross Blue Shield — Indemnity/Traditional: $7,866
  • Blue Cross Blue Shield — Medicare Advantage: $7,866
  • Blue Cross Blue Shield — POS/PPO: $7,866
  • Devoted Health — Medicare Advantage: $5,557.50
  • Humana ChoiceCare — PPO: $8,122.50
  • United Healthcare — Commercial: $8,122.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE 15 MIN $205 $133.25 $28.33 – $215.25
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $164
  • Aetna — Medicare Advantage: $28.89
  • Ambetter/Superior Health — Commercial/Exchange: $33.99
  • Blue Cross Blue Shield — Blue Essential: $31.35
  • Blue Cross Blue Shield — Indemnity/Traditional: $31.35
  • Blue Cross Blue Shield — Medicare Advantage: $31.35
  • Blue Cross Blue Shield — POS/PPO: $31.35
  • Devoted Health — Medicare Advantage: $30.59
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Humana ChoiceCare — PPO: $194.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAP/THERAPEUTIC EXERCISE 15 MI $205 $133.25 $28.33 – $215.25
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $164
  • Aetna — Medicare Advantage: $28.89
  • Ambetter/Superior Health — Commercial/Exchange: $33.99
  • Blue Cross Blue Shield — Blue Essential: $31.35
  • Blue Cross Blue Shield — Indemnity/Traditional: $31.35
  • Blue Cross Blue Shield — Medicare Advantage: $31.35
  • Blue Cross Blue Shield — POS/PPO: $31.35
  • Devoted Health — Medicare Advantage: $30.59
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Humana ChoiceCare — PPO: $194.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAP/OT THERAPEUTIC EXER 15MIN $205 $133.25 $28.33 – $215.25
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial: $164
  • Aetna — Medicare Advantage: $28.89
  • Ambetter/Superior Health — Commercial/Exchange: $33.99
  • Blue Cross Blue Shield — Blue Essential: $31.35
  • Blue Cross Blue Shield — Indemnity/Traditional: $31.35
  • Blue Cross Blue Shield — Medicare Advantage: $31.35
  • Blue Cross Blue Shield — POS/PPO: $31.35
  • Devoted Health — Medicare Advantage: $30.59
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Humana ChoiceCare — PPO: $194.75
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY $330 $214.50 $81.68 – $346.50
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $264
  • Aetna — Medicare Advantage: $97.39
  • Ambetter/Superior Health — Commercial/Exchange: $114.58
  • Blue Cross Blue Shield — Blue Essential: $86.49
  • Blue Cross Blue Shield — Indemnity/Traditional: $86.49
  • Blue Cross Blue Shield — Medicare Advantage: $86.49
  • Blue Cross Blue Shield — POS/PPO: $86.49
  • Devoted Health — Medicare Advantage: $103.12
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Humana ChoiceCare — PPO: $313.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAP PT EVAL LOW COMPLEXITY $330 $214.50 $81.68 – $346.50
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $264
  • Aetna — Medicare Advantage: $97.39
  • Ambetter/Superior Health — Commercial/Exchange: $114.58
  • Blue Cross Blue Shield — Blue Essential: $86.49
  • Blue Cross Blue Shield — Indemnity/Traditional: $86.49
  • Blue Cross Blue Shield — Medicare Advantage: $86.49
  • Blue Cross Blue Shield — POS/PPO: $86.49
  • Devoted Health — Medicare Advantage: $103.12
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Humana ChoiceCare — PPO: $313.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY $330 $214.50 $214.50 – $313.50
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna — Commercial: $264
  • Blue Cross Blue Shield — Blue Essential: $303.60
  • Blue Cross Blue Shield — Indemnity/Traditional: $303.60
  • Blue Cross Blue Shield — Medicare Advantage: $303.60
  • Blue Cross Blue Shield — POS/PPO: $303.60
  • Devoted Health — Medicare Advantage: $214.50
  • Humana ChoiceCare — PPO: $313.50
  • United Healthcare — Commercial: $313.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY $360 $234 $86.49 – $378
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $288
  • Aetna — Medicare Advantage: $97.39
  • Ambetter/Superior Health — Commercial/Exchange: $114.58
  • Blue Cross Blue Shield — Blue Essential: $86.49
  • Blue Cross Blue Shield — Indemnity/Traditional: $86.49
  • Blue Cross Blue Shield — Medicare Advantage: $86.49
  • Blue Cross Blue Shield — POS/PPO: $86.49
  • Devoted Health — Medicare Advantage: $103.12
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Humana ChoiceCare — PPO: $342
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAP PT EVAL MOD COMPLEXITY $360 $234 $86.49 – $378
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $288
  • Aetna — Medicare Advantage: $97.39
  • Ambetter/Superior Health — Commercial/Exchange: $114.58
  • Blue Cross Blue Shield — Blue Essential: $86.49
  • Blue Cross Blue Shield — Indemnity/Traditional: $86.49
  • Blue Cross Blue Shield — Medicare Advantage: $86.49
  • Blue Cross Blue Shield — POS/PPO: $86.49
  • Devoted Health — Medicare Advantage: $103.12
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Humana ChoiceCare — PPO: $342
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY $360 $234 $234 – $342
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna — Commercial: $288
  • Blue Cross Blue Shield — Blue Essential: $331.20
  • Blue Cross Blue Shield — Indemnity/Traditional: $331.20
  • Blue Cross Blue Shield — Medicare Advantage: $331.20
  • Blue Cross Blue Shield — POS/PPO: $331.20
  • Devoted Health — Medicare Advantage: $234
  • Humana ChoiceCare — PPO: $342
  • United Healthcare — Commercial: $342
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY $475 $308.75 $86.49 – $498.75
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial: $380
  • Aetna — Medicare Advantage: $97.39
  • Ambetter/Superior Health — Commercial/Exchange: $114.58
  • Blue Cross Blue Shield — Blue Essential: $86.49
  • Blue Cross Blue Shield — Indemnity/Traditional: $86.49
  • Blue Cross Blue Shield — Medicare Advantage: $86.49
  • Blue Cross Blue Shield — POS/PPO: $86.49
  • Devoted Health — Medicare Advantage: $103.12
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Humana ChoiceCare — PPO: $451.25
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY $475 $308.75 $308.75 – $451.25
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna — Commercial: $380
  • Blue Cross Blue Shield — Blue Essential: $437
  • Blue Cross Blue Shield — Indemnity/Traditional: $437
  • Blue Cross Blue Shield — Medicare Advantage: $437
  • Blue Cross Blue Shield — POS/PPO: $437
  • Devoted Health — Medicare Advantage: $308.75
  • Humana ChoiceCare — PPO: $451.25
  • United Healthcare — Commercial: $451.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $178.30 – $213.97
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.87
  • Ambetter/Superior Health — Commercial/Exchange: $213.97
  • Devoted Health — Medicare Advantage: $192.57
  • Humana ChoiceCare — Medicare Advantage: $178.30
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $178.30 – $213.97
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.87
  • Ambetter/Superior Health — Commercial/Exchange: $213.97
  • Devoted Health — Medicare Advantage: $192.57
  • Humana ChoiceCare — Medicare Advantage: $178.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $178.30 – $213.97
Psychotherapy, 60 minutes: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.87
  • Ambetter/Superior Health — Commercial/Exchange: $213.97
  • Devoted Health — Medicare Advantage: $192.57
  • Humana ChoiceCare — Medicare Advantage: $178.30
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $178.30 – $213.97
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.87
  • Ambetter/Superior Health — Commercial/Exchange: $213.97
  • Devoted Health — Medicare Advantage: $192.57
  • Humana ChoiceCare — Medicare Advantage: $178.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $178.30 – $213.97
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $181.87
  • Ambetter/Superior Health — Commercial/Exchange: $213.97
  • Devoted Health — Medicare Advantage: $192.57
  • Humana ChoiceCare — Medicare Advantage: $178.30
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $102.05 – $122.46
Group psychotherapy: rates for 4 insurance plans
  • Aetna — Medicare Advantage: $104.09
  • Ambetter/Superior Health — Commercial/Exchange: $122.46
  • Devoted Health — Medicare Advantage: $110.22
  • Humana ChoiceCare — Medicare Advantage: $102.05

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $425.44 – $4,719.93
Removal of breast growth (open surgery): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $4,011.94
  • Ambetter/Superior Health — Commercial/Exchange: $4,719.93
  • Blue Cross Blue Shield — Blue Essential: $2,236
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,236
  • Blue Cross Blue Shield — Managed Medicaid: $1,108.21
  • Blue Cross Blue Shield — Medicare Advantage: $2,128
  • Blue Cross Blue Shield — POS/PPO: $2,236
  • Devoted Health — Medicare Advantage: $4,247.94
  • Humana ChoiceCare — Medicare Advantage: $3,933.28
  • Superior HealthPlan — CHIP: $1,108.21
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $829.28 – $15,476.62
Total hip replacement: rates for 9 insurance plans
  • Aetna — Medicare Advantage: $13,155.13
  • Ambetter/Superior Health — Commercial/Exchange: $15,476.62
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $13,928.96
  • Humana ChoiceCare — Medicare Advantage: $12,897.19
  • United Healthcare — STAR+PLUS: $829.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $829.28 – $15,476.62
Total knee replacement: rates for 9 insurance plans
  • Aetna — Medicare Advantage: $13,155.13
  • Ambetter/Superior Health — Commercial/Exchange: $15,476.62
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $13,928.96
  • Humana ChoiceCare — Medicare Advantage: $12,897.19
  • United Healthcare — STAR+PLUS: $829.28
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $144.20 – $2,236
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $147.09
  • Ambetter/Superior Health — Commercial/Exchange: $173.04
  • Blue Cross Blue Shield — Blue Essential: $2,236
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,236
  • Blue Cross Blue Shield — Medicare Advantage: $2,128
  • Blue Cross Blue Shield — POS/PPO: $2,236
  • Devoted Health — Medicare Advantage: $155.74
  • Humana ChoiceCare — Medicare Advantage: $144.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $524.04 – $3,944.29
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $3,352.65
  • Ambetter/Superior Health — Commercial/Exchange: $3,944.29
  • Blue Cross Blue Shield — Blue Essential: $2,926
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,926
  • Blue Cross Blue Shield — Managed Medicaid: $1,251.51
  • Blue Cross Blue Shield — Medicare Advantage: $2,785
  • Blue Cross Blue Shield — POS/PPO: $2,926
  • Devoted Health — Medicare Advantage: $3,549.86
  • Humana ChoiceCare — Medicare Advantage: $3,286.91
  • Superior HealthPlan — CHIP: $1,251.51
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $425.44 – $7,136.17
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $6,065.74
  • Ambetter/Superior Health — Commercial/Exchange: $7,136.17
  • Blue Cross Blue Shield — Blue Essential: $2,236
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,236
  • Blue Cross Blue Shield — Managed Medicaid: $2,247.35
  • Blue Cross Blue Shield — Medicare Advantage: $2,128
  • Blue Cross Blue Shield — POS/PPO: $2,236
  • Devoted Health — Medicare Advantage: $6,422.55
  • Humana ChoiceCare — Medicare Advantage: $5,946.81
  • Superior HealthPlan — CHIP: $2,247.35
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $351.70 – $1,457
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $929.34
  • Ambetter/Superior Health — Commercial/Exchange: $1,093.34
  • Blue Cross Blue Shield — Blue Essential: $1,457
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,457
  • Blue Cross Blue Shield — Managed Medicaid: $385.19
  • Blue Cross Blue Shield — Medicare Advantage: $1,386
  • Blue Cross Blue Shield — POS/PPO: $1,457
  • Devoted Health — Medicare Advantage: $984.01
  • Humana ChoiceCare — Medicare Advantage: $911.12
  • Superior HealthPlan — CHIP: $385.19
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $351.70 – $1,954
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $929.34
  • Ambetter/Superior Health — Commercial/Exchange: $1,093.34
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $385.19
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $984.01
  • Humana ChoiceCare — Medicare Advantage: $911.12
  • Superior HealthPlan — CHIP: $385.19
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $344.93 – $1,954
Colonoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $952.88
  • Ambetter/Superior Health — Commercial/Exchange: $1,121.03
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $377.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $1,008.93
  • Humana ChoiceCare — Medicare Advantage: $934.20
  • Superior HealthPlan — CHIP: $377.78
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $370.97 – $1,954
Colonoscopy with biopsy: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,226.14
  • Ambetter/Superior Health — Commercial/Exchange: $1,442.51
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $493.65
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $1,298.26
  • Humana ChoiceCare — Medicare Advantage: $1,202.09
  • Superior HealthPlan — CHIP: $493.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $370.97 – $1,954
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,226.14
  • Ambetter/Superior Health — Commercial/Exchange: $1,442.51
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $493.65
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $1,298.26
  • Humana ChoiceCare — Medicare Advantage: $1,202.09
  • Superior HealthPlan — CHIP: $493.65
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $370.97 – $1,954
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,226.14
  • Ambetter/Superior Health — Commercial/Exchange: $1,442.51
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $493.65
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $1,298.26
  • Humana ChoiceCare — Medicare Advantage: $1,202.09
  • Superior HealthPlan — CHIP: $493.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $277.04 – $1,954
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $952.88
  • Ambetter/Superior Health — Commercial/Exchange: $1,121.03
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $377.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $1,008.93
  • Humana ChoiceCare — Medicare Advantage: $934.20
  • Superior HealthPlan — CHIP: $377.78
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $768.95 – $7,287.69
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $6,194.54
  • Ambetter/Superior Health — Commercial/Exchange: $7,287.69
  • Blue Cross Blue Shield — Blue Essential: $1,662
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,662
  • Blue Cross Blue Shield — Managed Medicaid: $2,172.18
  • Blue Cross Blue Shield — Medicare Advantage: $1,582
  • Blue Cross Blue Shield — POS/PPO: $1,662
  • Devoted Health — Medicare Advantage: $6,558.92
  • Humana ChoiceCare — Medicare Advantage: $6,073.08
  • Superior HealthPlan — CHIP: $2,172.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $524.04 – $4,316.06
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $3,668.65
  • Ambetter/Superior Health — Commercial/Exchange: $4,316.06
  • Blue Cross Blue Shield — Blue Essential: $2,926
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,926
  • Blue Cross Blue Shield — Managed Medicaid: $1,324.27
  • Blue Cross Blue Shield — Medicare Advantage: $2,785
  • Blue Cross Blue Shield — POS/PPO: $2,926
  • Devoted Health — Medicare Advantage: $3,884.45
  • Humana ChoiceCare — Medicare Advantage: $3,596.72
  • Superior HealthPlan — CHIP: $1,324.27
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $370.97 – $1,954
Prostate biopsy: rates for 8 insurance plans
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $750.72
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Superior HealthPlan — CHIP: $750.72
  • Superior HealthPlan — STAR/STAR+PLUS: $685.44
  • United Healthcare — STAR+PLUS: $370.97
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $829.28 – $12,813.93
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans
  • Aetna — Medicare Advantage: $10,891.84
  • Ambetter/Superior Health — Commercial/Exchange: $12,813.93
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $11,532.53
  • Humana ChoiceCare — Medicare Advantage: $10,678.27
  • United Healthcare — STAR+PLUS: $829.28
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $425.44 – $3,902.25
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $3,316.91
  • Ambetter/Superior Health — Commercial/Exchange: $3,902.25
  • Blue Cross Blue Shield — Blue Essential: $2,236
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,236
  • Blue Cross Blue Shield — Managed Medicaid: $1,223.05
  • Blue Cross Blue Shield — Medicare Advantage: $2,128
  • Blue Cross Blue Shield — POS/PPO: $2,236
  • Devoted Health — Medicare Advantage: $3,512.03
  • Humana ChoiceCare — Medicare Advantage: $3,251.88
  • Superior HealthPlan — CHIP: $1,223.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR L/S W IM GUID $3,240 $2,106 $276 – $3,300
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,592
  • Aetna — Medicare Advantage: $723.28
  • Ambetter/Superior Health — Commercial/Exchange: $850.92
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Managed Medicaid: $302.29
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $765.83
  • Humana ChoiceCare — Medicare Advantage: $709.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAM L/S W IM GUID-BIL $3,240 $2,106 $276 – $3,300
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,592
  • Aetna — Medicare Advantage: $723.28
  • Ambetter/Superior Health — Commercial/Exchange: $850.92
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Managed Medicaid: $302.29
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $765.83
  • Humana ChoiceCare — Medicare Advantage: $709.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR L/S W IM GUID $3,240 $2,106 $2,106 – $3,078
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • Aetna — Commercial: $2,592
  • Blue Cross Blue Shield — Blue Essential: $2,980.80
  • Blue Cross Blue Shield — Indemnity/Traditional: $2,980.80
  • Blue Cross Blue Shield — Medicare Advantage: $2,980.80
  • Blue Cross Blue Shield — POS/PPO: $2,980.80
  • Devoted Health — Medicare Advantage: $2,106
  • Humana ChoiceCare — PPO: $3,078
  • United Healthcare — Commercial: $3,078
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TFRM EPI LUMBAR/SACRAL 1 LVL $3,350 $2,177.50 $277.04 – $3,182.50
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,680
  • Aetna — Medicare Advantage: $906.27
  • Ambetter/Superior Health — Commercial/Exchange: $1,066.20
  • Blue Cross Blue Shield — Blue Essential: $1,457
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,457
  • Blue Cross Blue Shield — Managed Medicaid: $391.89
  • Blue Cross Blue Shield — Medicare Advantage: $1,386
  • Blue Cross Blue Shield — POS/PPO: $1,457
  • Devoted Health — Medicare Advantage: $959.58
  • Humana ChoiceCare — Medicare Advantage: $888.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S $3,350 $2,177.50 $277.04 – $3,182.50
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,680
  • Aetna — Medicare Advantage: $906.27
  • Ambetter/Superior Health — Commercial/Exchange: $1,066.20
  • Blue Cross Blue Shield — Blue Essential: $1,457
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,457
  • Blue Cross Blue Shield — Managed Medicaid: $391.89
  • Blue Cross Blue Shield — Medicare Advantage: $1,386
  • Blue Cross Blue Shield — POS/PPO: $1,457
  • Devoted Health — Medicare Advantage: $959.58
  • Humana ChoiceCare — Medicare Advantage: $888.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S-BIL $3,350 $2,177.50 $277.04 – $3,182.50
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
  • Aetna — Commercial: $2,680
  • Aetna — Medicare Advantage: $906.27
  • Ambetter/Superior Health — Commercial/Exchange: $1,066.20
  • Blue Cross Blue Shield — Blue Essential: $1,457
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,457
  • Blue Cross Blue Shield — Managed Medicaid: $391.89
  • Blue Cross Blue Shield — Medicare Advantage: $1,386
  • Blue Cross Blue Shield — POS/PPO: $1,457
  • Devoted Health — Medicare Advantage: $959.58
  • Humana ChoiceCare — Medicare Advantage: $888.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $425.44 – $2,353.95
Carpal tunnel release: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,000.86
  • Ambetter/Superior Health — Commercial/Exchange: $2,353.95
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $758.93
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $2,118.55
  • Humana ChoiceCare — Medicare Advantage: $1,961.62
  • Superior HealthPlan — CHIP: $758.93
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $218.75 – $1,954
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $563.55
  • Ambetter/Superior Health — Commercial/Exchange: $663
  • Blue Cross Blue Shield — Blue Essential: $1,954
  • Blue Cross Blue Shield — Indemnity/Traditional: $1,954
  • Blue Cross Blue Shield — Managed Medicaid: $239.58
  • Blue Cross Blue Shield — Medicare Advantage: $1,860
  • Blue Cross Blue Shield — POS/PPO: $1,954
  • Devoted Health — Medicare Advantage: $596.70
  • Humana ChoiceCare — Medicare Advantage: $552.50
  • Superior HealthPlan — CHIP: $239.58
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $425.44 – $4,298
Cataract removal with lens implant: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,364.71
  • Ambetter/Superior Health — Commercial/Exchange: $2,782.01
  • Blue Cross Blue Shield — Blue Essential: $4,298
  • Blue Cross Blue Shield — Indemnity/Traditional: $4,298
  • Blue Cross Blue Shield — Managed Medicaid: $977.43
  • Blue Cross Blue Shield — Medicare Advantage: $4,091
  • Blue Cross Blue Shield — POS/PPO: $4,298
  • Devoted Health — Medicare Advantage: $2,503.81
  • Humana ChoiceCare — Medicare Advantage: $2,318.34
  • Superior HealthPlan — CHIP: $977.43

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,148.37 – $3,300
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,191.34
  • Ambetter/Superior Health — Commercial/Exchange: $2,578.05
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $2,320.24
  • Humana ChoiceCare — Medicare Advantage: $2,148.37
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,397.15 – $3,300
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,445.09
  • Ambetter/Superior Health — Commercial/Exchange: $2,876.58
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $2,588.92
  • Humana ChoiceCare — Medicare Advantage: $2,397.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,258.68 – $3,300
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $2,303.85
  • Ambetter/Superior Health — Commercial/Exchange: $2,710.41
  • Blue Cross Blue Shield — Blue Essential: $3,300
  • Blue Cross Blue Shield — Indemnity/Traditional: $3,300
  • Blue Cross Blue Shield — Medicare Advantage: $3,141
  • Blue Cross Blue Shield — POS/PPO: $3,300
  • Devoted Health — Medicare Advantage: $2,439.37
  • Humana ChoiceCare — Medicare Advantage: $2,258.68

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $51,412.16 – $91,645.45
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $77,898.63
  • Ambetter/Superior Health — Commercial/Exchange: $91,645.45
  • Blue Cross Blue Shield — Blue Essential: $56,070.22
  • Blue Cross Blue Shield — Indemnity/Traditional: $56,070.22
  • Blue Cross Blue Shield — Medicare Advantage: $51,412.16
  • Blue Cross Blue Shield — POS/PPO: $56,070.22
  • Devoted Health — Medicare Advantage: $82,480.91
  • Humana ChoiceCare — Medicare Advantage: $76,371.21
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $21,267.49 – $23,194.37
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • Blue Cross Blue Shield — Blue Essential: $23,194.37
  • Blue Cross Blue Shield — Indemnity/Traditional: $23,194.37
  • Blue Cross Blue Shield — Medicare Advantage: $21,267.49
  • Blue Cross Blue Shield — POS/PPO: $23,194.37
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $11,019.71 – $19,239
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $16,353.15
  • Ambetter/Superior Health — Commercial/Exchange: $19,239
  • Blue Cross Blue Shield — Blue Essential: $12,018.12
  • Blue Cross Blue Shield — Indemnity/Traditional: $12,018.12
  • Blue Cross Blue Shield — Medicare Advantage: $11,019.71
  • Blue Cross Blue Shield — POS/PPO: $12,018.12
  • Devoted Health — Medicare Advantage: $17,315.10
  • Humana ChoiceCare — Medicare Advantage: $16,032.50
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $12,257.04 – $23,753.84
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $20,190.77
  • Ambetter/Superior Health — Commercial/Exchange: $23,753.84
  • Blue Cross Blue Shield — Blue Essential: $13,367.55
  • Blue Cross Blue Shield — Indemnity/Traditional: $13,367.55
  • Blue Cross Blue Shield — Medicare Advantage: $12,257.04
  • Blue Cross Blue Shield — POS/PPO: $13,367.55
  • Devoted Health — Medicare Advantage: $21,378.46
  • Humana ChoiceCare — Medicare Advantage: $19,794.87
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $5,420.03 – $13,175.16
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans
  • Aetna — Medicare Advantage: $11,198.89
  • Ambetter/Superior Health — Commercial/Exchange: $13,175.16
  • Blue Cross Blue Shield — Blue Essential: $5,911.09
  • Blue Cross Blue Shield — Indemnity/Traditional: $5,911.09
  • Blue Cross Blue Shield — Medicare Advantage: $5,420.03
  • Blue Cross Blue Shield — POS/PPO: $5,911.09
  • Devoted Health — Medicare Advantage: $11,857.64
  • Humana ChoiceCare — Medicare Advantage: $10,979.30

Source: Peterson Regional Medical Center’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 17, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address551 Hill Country Drive, Kerrville, TX 78028
CountyKerr County
StateTexas
Phone(830) 896‑4200
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450007
Name in Medicare recordsPETERSON REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitepetersonhealth.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Peterson Regional Medical Center — petersonhealth.com
  2. Emergency Care — petersonhealth.com
  3. Heart and Vascular — petersonhealth.com
  4. "SANE" Program for Sexual Assault | Peterson Health — petersonhealth.com
  5. Emergency Department - Patient Information | Peterson Health — petersonhealth.com
  6. Quality Measures | Peterson Health — petersonhealth.com
  7. Patient Rights | Peterson Health — petersonhealth.com