Does Phelps Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Phelps Hospital. In a medical emergency, call 911.

Where is Phelps Hospital?

701 North Broadway, Sleepy Hollow, NY 10591, in Westchester County, New York.

What is the phone number of Phelps Hospital?

(914) 366-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Phelps Hospital?

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

Phelps Hospital — Sleepy Hollow, NY

Quick answers

Does Phelps Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Phelps Hospital. In a medical emergency, call 911.
Where is Phelps Hospital?: 701 North Broadway, Sleepy Hollow, NY 10591, in Westchester County, New York.
What is the phone number of Phelps Hospital?: (914) 366-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Phelps Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][7][11]}

Conditions treated^[4][9]

Procedures^[5]

Minimally invasive procedures using biplane angiography

Programs and centers^[4][6][9]

Caregiver Program
Diabetes education center
Lung cancer screening center
Cardiac rehabilitation
Bereavement program
Baby-Friendly hospital

Emergency care (hospital website)^[4][5][11]

Emergency room	Yes
Stroke designation	Certified stroke center (Joint Commission and American Heart Association)

Visiting and practical information

Visiting	Inpatient visits allowed 24 hours with two visitors at a time; after 8pm and before 6am enter via the ER entrance. Unit-specific rules apply^[11]
Interpreters and languages	Free interpreting services are provided; tell your nurse if you need an interpreter^[10]

Recognition^[4][5]

Joint Commission Gold Seal of Approval
Magnet designation (ANCC)
Commission on Cancer accreditation
Certified stroke center (Joint Commission/AHA)
IAC cardiovascular diagnostic lab accreditation
AACVPR cardiac rehabilitation certification
AASM sleep center accreditation
Age-Friendly Health Systems designation
Undersea & Hyperbaric Medical Society accreditation
U.S. News Best Hospitals maternity care recognition 2026

Doctors and clinicians (720)

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

Main specialties

And 696 more: the button below opens the full list.

Other emergency rooms nearby

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

Westchester Medical Center3.2 mi · Valhalla, NY · Acute Care Hospital
Nyack Hospital3.4 mi · Nyack, NY · Acute Care Hospital
White Plains Hospital Center7.0 mi · White Plains, NY · Acute Care Hospital
Rockland Children's Psychiatric Center7.0 mi · Orangeburg, NY · Psychiatric Hospital
Rockland Psych Ctr7.2 mi · Orangeburg, NY · Psychiatric Hospital

Other hospitals nearby

Blythedale Children's Hospital4.3 mi · Valhalla, NY · Children's Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Tarrytown Hall Care Center1.6 mi · Tarrytown, NY · 3 of 5 stars
Kendal on Hudson1.8 mi · Sleepy Hollow, NY · 5 of 5 stars
Briarcliff Manor Center for Rehab and Nursing Care2.1 mi · Briarcliff Manor, NY · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Westchester6.3 mi · White Plains, NY · 4 of 5 stars
Jansen Hospice and Palliative Care6.3 mi · White Plains, NY · 3 of 5 stars
United Hospice7.8 mi · New City, NY · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Archcare at Home4.3 mi · Valhalla, NY · 3 of 5 stars
Lawrence Home Care of Westchester6.3 mi · White Plains, NY · 3 of 5 stars
A & T Certified Home Care, LLC7.8 mi · New City, NY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Hudson Valley Dialysis Center1.6 mi · Tarrytown, NY · 4 of 5 stars
DaVita Tarrytown Home Training1.6 mi · Tarrytown, NY
DIALYSIS CLINIC INC, Hawthorne3.1 mi · Hawthorne, NY · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

New York Endoscopy Center6.3 mi · White Plains, NY
Advanced Surgery Center8.2 mi · Pearl River, NY
The Ambulatory Surgery Center of Westchester9.8 mi · Mount Kisco, NY

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Open Door Family Medical @ Sleepy Hollow1.2 mi · Sleepy Hollow, NY · Community health center
Morse School Sleepy Hollow Art 311.2 mi · Sleepy Hollow, NY · Community health center
Open Door Sleepy Hollow Art 311.3 mi · Sleepy Hollow, NY · Community health center

Clinics and urgent care

Ashraf Medical Group PLLC2.8 mi · Briarcliff Manor, NY · Urgent care center
City Medical of Upper East Side, PLLC6.0 mi · Hartsdale, NY · Urgent care center
City Medical of Upper East Side PLLC6.3 mi · White Plains, NY · Urgent care center

Pharmacies

Phelps Memorial Hospital Association1.6 mi · Sleepy Hollow, NY · Community/retail pharmacy
Sleepy Hollow Pharmacy Inc1.6 mi · Sleepy Hollow, NY · Community/retail pharmacy
Walgreen Co1.6 mi · Tarrytown, NY · Pharmacy

Assisted living nearby

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

Brightview Tarrytown1.6 mi · Tarrytown, NY
Kendal on Hudson1.6 mi · Sleepy Hollow, NY
Artis Senior Living of Briarcliff Manor2.8 mi · Briarcliff Manor, NY
Atria Briarcliff Manor2.8 mi · Briarcliff Manor, NY

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	70%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	576Response 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)	0Better than the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.052Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	10.2%
Deaths within 30 days: pneumonia patients	16.6%
Deaths within 30 days: COPD patients	7.6%
Deaths within 30 days: stroke patients	11.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.08No different from the national rate
Complications after hip or knee replacement	Too 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 attack	Too few cases to report
Readmitted within 30 days: heart failure	18.9%
Readmitted within 30 days: pneumonia	16.2%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too 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)	202 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	63%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30-44 min	Not listed in the file	$367.64	$177.40 – $536.76
New patient office visit (about 30–44 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $441.17 Aetna — Aetna Meritain PPO: $441.17 Aetna — Aetna PPO: $441.17 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $500 Cigna — Cigna PPO: $500 Emblem — Connecticare HMO: $514.70 Emblem — Connecticare PPO: $514.70 Emblem — Emblem - Essential 1&2: $177.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45-59 min	Not listed in the file	$454.12	$177.40 – $663.02
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $544.94 Aetna — Aetna Meritain PPO: $544.94 Aetna — Aetna PPO: $544.94 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $617.60 Cigna — Cigna PPO: $617.60 Emblem — Connecticare HMO: $635.77 Emblem — Connecticare PPO: $635.77 Emblem — Emblem - Essential 1&2: $177.40
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o/p new hi 60-74 min	Not listed in the file	$543.38	$177.40 – $793.33
New patient office visit (about 60–74 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $652.06 Aetna — Aetna Meritain PPO: $652.06 Aetna — Aetna PPO: $652.06 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $739 Cigna — Cigna PPO: $739 Emblem — Connecticare HMO: $760.73 Emblem — Connecticare PPO: $760.73 Emblem — Emblem - Essential 1&2: $177.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20-29 min	Not listed in the file	$270	$162 – $399.16
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $324 Aetna — Aetna Meritain PPO: $324 Aetna — Aetna PPO: $324 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $367.20 Cigna — Cigna PPO: $367.20 Emblem — Connecticare HMO: $378 Emblem — Connecticare PPO: $378 Emblem — Emblem - Essential 1&2: $177.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30-39 min	Not listed in the file	$354.12	$177.40 – $517.02
Established patient office visit (about 30–39 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $424.94 Aetna — Aetna Meritain PPO: $424.94 Aetna — Aetna PPO: $424.94 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $481.60 Cigna — Cigna PPO: $481.60 Emblem — Connecticare HMO: $495.77 Emblem — Connecticare PPO: $495.77 Emblem — Emblem - Essential 1&2: $177.40
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est low 30	Not listed in the file	$437.18	$177.40 – $638.28
Office consultation with a specialist (moderate): 10 of 54 insurance plan rates Aetna — Aetna HMO: $524.61 Aetna — Aetna Meritain PPO: $524.61 Aetna — Aetna PPO: $524.61 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $594.56 Cigna — Cigna PPO: $594.56 Emblem — Connecticare HMO: $612.04 Emblem — Connecticare PPO: $612.04 Emblem — Emblem - Essential 1&2: $177.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est mod 40	Not listed in the file	$526.41	$177.40 – $768.56
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates Aetna — Aetna HMO: $631.69 Aetna — Aetna Meritain PPO: $631.69 Aetna — Aetna PPO: $631.69 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $715.92 Cigna — Cigna PPO: $715.92 Emblem — Connecticare HMO: $736.97 Emblem — Connecticare PPO: $736.97 Emblem — Emblem - Essential 1&2: $177.40
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18-39	Not listed in the file	$294.97	$176.98 – $430.66
Preventive checkup, new patient, age 18–39: 10 of 54 insurance plan rates Aetna — Aetna HMO: $353.96 Aetna — Aetna Meritain PPO: $353.96 Aetna — Aetna PPO: $353.96 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $401.16 Cigna — Cigna PPO: $401.16 Emblem — Connecticare HMO: $412.96 Emblem — Connecticare PPO: $412.96 Emblem — Emblem - Essential 1&2: $177.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40-64	Not listed in the file	$294.97	$176.98 – $430.66
Preventive checkup, new patient, age 40–64: 10 of 54 insurance plan rates Aetna — Aetna HMO: $353.96 Aetna — Aetna Meritain PPO: $353.96 Aetna — Aetna PPO: $353.96 Affinity — Affinity Health Plan - CHP: $182.73 Affinity — Affinity Health Plan - MCD: $182.73 Cigna — Cigna HMO: $401.16 Cigna — Cigna PPO: $401.16 Emblem — Connecticare HMO: $412.96 Emblem — Connecticare PPO: $412.96 Emblem — Emblem - Essential 1&2: $177.40
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT E/M 3	Not listed in the file	$3,674.80	$210.94 – $4,596
Emergency room visit (moderate): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,596 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $4,596 Aetna — Aetna PPO: $4,596 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $3,595 Cigna — Cigna PPO: $3,595 Emblem — Connecticare HMO: $1,709
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT E/M 4	Not listed in the file	$3,674.80	$210.94 – $4,596
Emergency room visit (moderately high): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,596 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $4,596 Aetna — Aetna PPO: $4,596 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $3,595 Cigna — Cigna PPO: $3,595 Emblem — Connecticare HMO: $1,709
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT E/M 5	Not listed in the file	$7,351.79	$210.94 – $7,418
Emergency room visit (high): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,596 Aetna — Aetna Medicare: $210.94 Aetna — Aetna Meritain PPO: $4,596 Aetna — Aetna PPO: $4,596 Affinity — Affinity Health Plan - CHP: $210.94 Affinity — Affinity Health Plan - Essential 1&2: $210.94 Affinity — Affinity Health Plan - MCD: $210.94 Cigna — Cigna HMO: $3,595 Cigna — Cigna PPO: $3,595 Emblem — Connecticare HMO: $3,263

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca	Not listed in the file	$20.78	$8.29 – $116.20
Basic metabolic panel (blood test): 10 of 72 insurance plan rates Aetna — Aetna HMO: $17.51 Aetna — Aetna Medicare: $8.46 Aetna — Aetna Meritain PPO: $17.51 Aetna — Aetna PPO: $17.51 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $15.65 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $19.46 Cigna — Cigna PPO: $19.46 Emblem — Connecticare HMO: $35.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel	Not listed in the file	$25.93	$10.35 – $221.81
Comprehensive metabolic panel (blood test): 10 of 72 insurance plan rates Aetna — Aetna HMO: $21.86 Aetna — Aetna Medicare: $10.56 Aetna — Aetna Meritain PPO: $21.86 Aetna — Aetna PPO: $21.86 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $19.54 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $24.32 Cigna — Cigna PPO: $24.32 Emblem — Connecticare HMO: $44.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel	Not listed in the file	$117.41	$45.38 – $200.32
Obstetric blood test panel: 10 of 71 insurance plan rates Aetna — Aetna HMO: $98.97 Aetna — Aetna Medicare: $47.81 Aetna — Aetna Meritain PPO: $98.97 Aetna — Aetna PPO: $98.97 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $88.45 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $111.07 Cigna — Cigna PPO: $111.07 Emblem — Connecticare HMO: $200.32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel	Not listed in the file	$32.88	$13.12 – $138.24
Cholesterol panel (lipid panel): 10 of 72 insurance plan rates Aetna — Aetna HMO: $27.72 Aetna — Aetna Medicare: $13.39 Aetna — Aetna Meritain PPO: $27.72 Aetna — Aetna PPO: $27.72 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $24.77 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $30.82 Cigna — Cigna PPO: $30.82 Emblem — Connecticare HMO: $56.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel	Not listed in the file	$21.32	$8.51 – $102.11
Kidney function panel: 10 of 72 insurance plan rates Aetna — Aetna HMO: $17.97 Aetna — Aetna Medicare: $8.68 Aetna — Aetna Meritain PPO: $17.97 Aetna — Aetna PPO: $17.97 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $16.06 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $20.27 Cigna — Cigna PPO: $20.27 Emblem — Connecticare HMO: $36.37
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel	Not listed in the file	$20.06	$8.01 – $112.88
Liver function panel: 10 of 72 insurance plan rates Aetna — Aetna HMO: $16.91 Aetna — Aetna Medicare: $8.17 Aetna — Aetna Meritain PPO: $16.91 Aetna — Aetna PPO: $16.91 Affinity — Affinity Health Plan - CHP: $46.74 Affinity — Affinity Health Plan - Essential 1&2: $15.11 Affinity — Affinity Health Plan - MCD: $46.74 Cigna — Cigna HMO: $18.66 Cigna — Cigna PPO: $18.66 Emblem — Connecticare HMO: $34.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope	Not listed in the file	$7.78	$3.11 – $65.51
Urine test (automated, with microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $6.56 Aetna — Aetna Medicare: $3.17 Aetna — Aetna Meritain PPO: $6.56 Aetna — Aetna PPO: $6.56 Affinity — Affinity Health Plan - CHP: $27.32 Affinity — Affinity Health Plan - Essential 1&2: $5.86 Affinity — Affinity Health Plan - MCD: $27.32 Cigna — Cigna HMO: $7.30 Cigna — Cigna PPO: $7.30 Emblem — Connecticare HMO: $13.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope	Not listed in the file	$8.55	$3.41 – $59.67
Urine test (manual, without microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $7.20 Aetna — Aetna Medicare: $3.48 Aetna — Aetna Meritain PPO: $7.20 Aetna — Aetna PPO: $7.20 Affinity — Affinity Health Plan - CHP: $27.32 Affinity — Affinity Health Plan - Essential 1&2: $6.44 Affinity — Affinity Health Plan - MCD: $27.32 Cigna — Cigna HMO: $8.11 Cigna — Cigna PPO: $8.11 Emblem — Connecticare HMO: $14.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope	Not listed in the file	$5.53	$2.21 – $59.67
Urine test (automated, without microscope): 10 of 72 insurance plan rates Aetna — Aetna HMO: $4.66 Aetna — Aetna Medicare: $2.25 Aetna — Aetna Meritain PPO: $4.66 Aetna — Aetna PPO: $4.66 Affinity — Affinity Health Plan - CHP: $27.32 Affinity — Affinity Health Plan - Essential 1&2: $4.16 Affinity — Affinity Health Plan - MCD: $27.32 Cigna — Cigna HMO: $4.86 Cigna — Cigna PPO: $4.86 Emblem — Connecticare HMO: $9.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total	Not listed in the file	$45.16	$18.02 – $152.21
PSA (prostate specific antigen) blood test: 10 of 72 insurance plan rates Aetna — Aetna HMO: $38.07 Aetna — Aetna Medicare: $18.39 Aetna — Aetna Meritain PPO: $38.07 Aetna — Aetna PPO: $38.07 Affinity — Affinity Health Plan - CHP: $27.59 Affinity — Affinity Health Plan - Essential 1&2: $34.02 Affinity — Affinity Health Plan - MCD: $27.59 Cigna — Cigna HMO: $42.98 Cigna — Cigna PPO: $42.98 Emblem — Connecticare HMO: $77.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone	Not listed in the file	$41.26	$16.46 – $153.75
Thyroid stimulating hormone (TSH) test: 10 of 72 insurance plan rates Aetna — Aetna HMO: $34.78 Aetna — Aetna Medicare: $16.80 Aetna — Aetna Meritain PPO: $34.78 Aetna — Aetna PPO: $34.78 Affinity — Affinity Health Plan - CHP: $45.99 Affinity — Affinity Health Plan - Essential 1&2: $31.08 Affinity — Affinity Health Plan - MCD: $45.99 Cigna — Cigna HMO: $38.91 Cigna — Cigna PPO: $38.91 Emblem — Connecticare HMO: $70.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc	Not listed in the file	$19.08	$7.61 – $85.04
Complete blood count (CBC) with differential: 10 of 72 insurance plan rates Aetna — Aetna HMO: $16.08 Aetna — Aetna Medicare: $7.77 Aetna — Aetna Meritain PPO: $16.08 Aetna — Aetna PPO: $16.08 Affinity — Affinity Health Plan - CHP: $27.98 Affinity — Affinity Health Plan - Essential 1&2: $14.37 Affinity — Affinity Health Plan - MCD: $27.98 Cigna — Cigna HMO: $17.84 Cigna — Cigna PPO: $17.84 Emblem — Connecticare HMO: $32.56
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated	Not listed in the file	$15.89	$6.34 – $61.12
Complete blood count (CBC), automated: 10 of 72 insurance plan rates Aetna — Aetna HMO: $13.39 Aetna — Aetna Medicare: $6.47 Aetna — Aetna Meritain PPO: $13.39 Aetna — Aetna PPO: $13.39 Affinity — Affinity Health Plan - CHP: $27.98 Affinity — Affinity Health Plan - Essential 1&2: $11.97 Affinity — Affinity Health Plan - MCD: $27.98 Cigna — Cigna HMO: $15.41 Cigna — Cigna PPO: $15.41 Emblem — Connecticare HMO: $27.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time	Not listed in the file	$10.54	$4.20 – $67.34
Blood clotting time test (prothrombin time, PT): 10 of 72 insurance plan rates Aetna — Aetna HMO: $8.88 Aetna — Aetna Medicare: $4.29 Aetna — Aetna Meritain PPO: $8.88 Aetna — Aetna PPO: $8.88 Affinity — Affinity Health Plan - CHP: $30.83 Affinity — Affinity Health Plan - Essential 1&2: $7.94 Affinity — Affinity Health Plan - MCD: $30.83 Cigna — Cigna HMO: $9.73 Cigna — Cigna PPO: $9.73 Emblem — Connecticare HMO: $17.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial	Not listed in the file	$14.76	$5.89 – $70.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 72 insurance plan rates Aetna — Aetna HMO: $12.44 Aetna — Aetna Medicare: $6.01 Aetna — Aetna Meritain PPO: $12.44 Aetna — Aetna PPO: $12.44 Affinity — Affinity Health Plan - CHP: $30.83 Affinity — Affinity Health Plan - Essential 1&2: $11.12 Affinity — Affinity Health Plan - MCD: $30.83 Cigna — Cigna HMO: $13.78 Cigna — Cigna PPO: $13.78 Emblem — Connecticare HMO: $25.18

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head/brain w/o dye	Not listed in the file	$271.79	$124.59 – $1,250.83
CT scan of the head or brain, without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,028.08 Aetna — Aetna Medicare: $127.14 Aetna — Aetna Meritain PPO: $1,028.08 Aetna — Aetna PPO: $1,028.08 Affinity — Affinity Health Plan - CHP: $409.41 Affinity — Affinity Health Plan - Essential 1&2: $235.20 Affinity — Affinity Health Plan - MCD: $409.41 Cigna — Cigna HMO: $228.53 Cigna — Cigna PPO: $228.53 Emblem — Connecticare HMO: $347.43
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye	Not listed in the file	$888.42	$435.83 – $5,218.98
MRI of the brain, before and after contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,289.57 Aetna — Aetna Medicare: $444.72 Aetna — Aetna Meritain PPO: $4,289.57 Aetna — Aetna PPO: $4,289.57 Affinity — Affinity Health Plan - CHP: $744.36 Affinity — Affinity Health Plan - Essential 1&2: $822.74 Affinity — Affinity Health Plan - MCD: $744.36 Cigna — Cigna HMO: $766.45 Cigna — Cigna PPO: $766.45 Emblem — Connecticare HMO: $1,109.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views	Not listed in the file	$91.20	$50.96 – $514.01
Chest X-ray, 2 views: 10 of 72 insurance plan rates Aetna — Aetna HMO: $422.47 Aetna — Aetna Medicare: $105.08 Aetna — Aetna Meritain PPO: $422.47 Aetna — Aetna PPO: $422.47 Affinity — Affinity Health Plan - CHP: $52.49 Affinity — Affinity Health Plan - Essential 1&2: $194.40 Affinity — Affinity Health Plan - MCD: $52.49 Cigna — Cigna HMO: $72.78 Cigna — Cigna PPO: $72.78 Emblem — Connecticare HMO: $118.16
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	$152.28	$50.96 – $605.99
X-ray of the lower spine, at least 4 views: 10 of 72 insurance plan rates Aetna — Aetna HMO: $498.07 Aetna — Aetna Medicare: $127.14 Aetna — Aetna Meritain PPO: $498.07 Aetna — Aetna PPO: $498.07 Affinity — Affinity Health Plan - CHP: $52.49 Affinity — Affinity Health Plan - Essential 1&2: $235.20 Affinity — Affinity Health Plan - MCD: $52.49 Cigna — Cigna HMO: $119.70 Cigna — Cigna PPO: $119.70 Emblem — Connecticare HMO: $200.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye	Not listed in the file	$509.81	$277.70 – $2,933.18
MRI of the lower back (lumbar spine), without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,410.84 Aetna — Aetna Medicare: $283.36 Aetna — Aetna Meritain PPO: $2,410.84 Aetna — Aetna PPO: $2,410.84 Affinity — Affinity Health Plan - CHP: $498.22 Affinity — Affinity Health Plan - Essential 1&2: $524.22 Affinity — Affinity Health Plan - MCD: $498.22 Cigna — Cigna HMO: $439.78 Cigna — Cigna PPO: $439.78 Emblem — Connecticare HMO: $639.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye	Not listed in the file	$686.25	$208.22 – $1,550.61
CT scan of the pelvis, with contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,274.47 Aetna — Aetna Medicare: $212.47 Aetna — Aetna Meritain PPO: $1,274.47 Aetna — Aetna PPO: $1,274.47 Affinity — Affinity Health Plan - CHP: $409.41 Affinity — Affinity Health Plan - Essential 1&2: $393.07 Affinity — Affinity Health Plan - MCD: $409.41 Cigna — Cigna HMO: $603 Cigna — Cigna PPO: $603 Emblem — Connecticare HMO: $909.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	$574.79	$277.70 – $2,472.51
MRI of a leg joint (such as the knee), without contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $2,032.20 Aetna — Aetna Medicare: $283.36 Aetna — Aetna Meritain PPO: $2,032.20 Aetna — Aetna PPO: $2,032.20 Affinity — Affinity Health Plan - CHP: $498.22 Affinity — Affinity Health Plan - Essential 1&2: $524.22 Affinity — Affinity Health Plan - MCD: $498.22 Cigna — Cigna HMO: $496.53 Cigna — Cigna PPO: $496.53 Emblem — Connecticare HMO: $728.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelv w/contrast	Not listed in the file	$920.37	$397.49 – $3,650.21
CT scan of the abdomen and pelvis, with contrast: 10 of 72 insurance plan rates Aetna — Aetna HMO: $3,000.17 Aetna — Aetna Medicare: $444.72 Aetna — Aetna Meritain PPO: $3,000.17 Aetna — Aetna PPO: $3,000.17 Affinity — Affinity Health Plan - CHP: $409.41 Affinity — Affinity Health Plan - Essential 1&2: $822.74 Affinity — Affinity Health Plan - MCD: $409.41 Cigna — Cigna HMO: $765.38 Cigna — Cigna PPO: $765.38 Emblem — Connecticare HMO: $1,138.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete	Not listed in the file	$312.06	$124.59 – $1,581.48
Ultrasound of the abdomen, complete: 10 of 72 insurance plan rates Aetna — Aetna HMO: $864.04 Aetna — Aetna Medicare: $127.14 Aetna — Aetna Meritain PPO: $864.04 Aetna — Aetna PPO: $864.04 Affinity — Affinity Health Plan - CHP: $723.97 Affinity — Affinity Health Plan - Essential 1&2: $235.20 Affinity — Affinity Health Plan - MCD: $723.97 Cigna — Cigna HMO: $260.53 Cigna — Cigna PPO: $260.53 Emblem — Connecticare HMO: $396.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus	Not listed in the file	$345.86	$124.59 – $592.80
Pregnancy ultrasound (after the first trimester): 10 of 72 insurance plan rates Aetna — Aetna HMO: $487.24 Aetna — Aetna Medicare: $127.14 Aetna — Aetna Meritain PPO: $487.24 Aetna — Aetna PPO: $487.24 Affinity — Affinity Health Plan - CHP: $155.38 Affinity — Affinity Health Plan - Essential 1&2: $235.20 Affinity — Affinity Health Plan - MCD: $155.38 Cigna — Cigna HMO: $289.35 Cigna — Cigna PPO: $289.35 Emblem — Connecticare HMO: $448.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob	Not listed in the file	$343.25	$124.59 – $1,070.95
Transvaginal ultrasound: 10 of 72 insurance plan rates Aetna — Aetna HMO: $880.24 Aetna — Aetna Medicare: $127.14 Aetna — Aetna Meritain PPO: $880.24 Aetna — Aetna PPO: $880.24 Affinity — Affinity Health Plan - CHP: $177.62 Affinity — Affinity Health Plan - Essential 1&2: $235.20 Affinity — Affinity Health Plan - MCD: $177.62 Cigna — Cigna HMO: $285.08 Cigna — Cigna PPO: $285.08 Emblem — Connecticare HMO: $438.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni	Not listed in the file	$341.96	$145.55 – $552.90
Diagnostic mammogram, one breast: 10 of 55 insurance plan rates Aetna — Aetna HMO: $454.44 Aetna — Aetna Meritain PPO: $454.44 Aetna — Aetna PPO: $454.44 Affinity — Affinity Health Plan - CHP: $149.92 Affinity — Affinity Health Plan - MCD: $149.92 Cigna — Cigna HMO: $280.80 Cigna — Cigna PPO: $280.80 Emblem — Connecticare HMO: $439.49 Emblem — Connecticare PPO: $439.49 Emblem — Emblem - Essential 1&2: $145.55
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi	Not listed in the file	$435.49	$145.55 – $707.71
Diagnostic mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna HMO: $581.68 Aetna — Aetna Meritain PPO: $581.68 Aetna — Aetna PPO: $581.68 Affinity — Affinity Health Plan - CHP: $149.92 Affinity — Affinity Health Plan - MCD: $149.92 Cigna — Cigna HMO: $358.68 Cigna — Cigna PPO: $358.68 Emblem — Connecticare HMO: $564.35 Emblem — Connecticare PPO: $564.35 Emblem — Emblem - Essential 1&2: $145.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad	Not listed in the file	$360.13	$145.55 – $648.92
Screening mammogram, both breasts: 10 of 55 insurance plan rates Aetna — Aetna HMO: $533.36 Aetna — Aetna Meritain PPO: $533.36 Aetna — Aetna PPO: $533.36 Affinity — Affinity Health Plan - CHP: $149.92 Affinity — Affinity Health Plan - MCD: $149.92 Cigna — Cigna HMO: $296.80 Cigna — Cigna PPO: $296.80 Emblem — Connecticare HMO: $464.59 Emblem — Connecticare PPO: $464.59 Emblem — Emblem - Essential 1&2: $145.55

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram complete	Not listed in the file	$54.52	$40.85 – $132.10
Electrocardiogram (ECG/EKG) with reading: 10 of 30 insurance plan rates Affinity — Affinity Health Plan - CHP: $60.47 Affinity — Affinity Health Plan - MCD: $60.47 Emblem — Emblem - Essential 1&2: $58.71 Emblem — Emblem - Essential 3&4: $61.65 Emblem — HIP Medicaid: $61.65 Empire — Empire - Exchange Small Group (Narrow Network): $45.82 Empire — Empire Blue Access Large Group: $44.76 Empire — Empire Blue Access Small Group: $44.76 Empire — Empire Connection: $40.85 Empire — Empire HMO: $49.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	$4,595	$2,181.82 – $23,965
Left heart catheterization (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $5,678.39 Aetna — Aetna Medicare: $3,768.21 Aetna — Aetna Meritain PPO: $5,678.39 Aetna — Aetna PPO: $5,678.39 Affinity — Affinity Health Plan - CHP: $2,247.27 Affinity — Affinity Health Plan - Essential 1&2: $6,971.19 Affinity — Affinity Health Plan - MCD: $2,247.27 Cigna — Cigna HMO: $23,965 Cigna — Cigna PPO: $23,965 Emblem — Connecticare HMO: $15,537
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Tx atrial fib pulm vein isol	Not listed in the file	$96,634	$1,173.88 – $96,634
Heart rhythm study with ablation for atrial fibrillation: 10 of 72 insurance plan rates Aetna — Aetna HMO: $58,628.53 Aetna — Aetna Medicare: $27,465.05 Aetna — Aetna Meritain PPO: $58,628.53 Aetna — Aetna PPO: $58,628.53 Affinity — Affinity Health Plan - CHP: $1,209.09 Affinity — Affinity Health Plan - Essential 1&2: $50,810.34 Affinity — Affinity Health Plan - MCD: $1,209.09 Cigna — Cigna HMO: $23,965 Cigna — Cigna PPO: $23,965 Emblem — Connecticare HMO: $14,031
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param	Not listed in the file	$3,890.77	$937.23 – $8,478.77
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,968.86 Aetna — Aetna Medicare: $1,209.06 Aetna — Aetna Meritain PPO: $6,968.86 Aetna — Aetna PPO: $6,968.86 Affinity — Affinity Health Plan - CHP: $965.35 Affinity — Affinity Health Plan - Essential 1&2: $2,357.67 Affinity — Affinity Health Plan - MCD: $965.35 Cigna — Cigna HMO: $7,898.04 Cigna — Cigna PPO: $7,898.04 Emblem — Connecticare HMO: $5,320

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises	Not listed in the file	$107.71	$80.71 – $435
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 54 insurance plan rates Aetna — Aetna HMO: $158.75 Aetna — Aetna Meritain PPO: $158.75 Aetna — Aetna PPO: $158.75 Affinity — Affinity Health Plan - CHP: $92.99 Affinity — Affinity Health Plan - MCD: $92.99 Cigna — Cigna HMO: $179.92 Cigna — Cigna PPO: $179.92 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $90.28
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min	Not listed in the file	$366.61	$145.46 – $435
Physical therapy evaluation (low complexity): 10 of 54 insurance plan rates Aetna — Aetna HMO: $218.19 Aetna — Aetna Meritain PPO: $218.19 Aetna — Aetna PPO: $218.19 Affinity — Affinity Health Plan - CHP: $152.75 Affinity — Affinity Health Plan - MCD: $152.75 Cigna — Cigna HMO: $247.28 Cigna — Cigna PPO: $247.28 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $148.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min	Not listed in the file	$366.61	$148.30 – $435
Physical therapy evaluation (moderate complexity): 10 of 54 insurance plan rates Aetna — Aetna HMO: $273.35 Aetna — Aetna Meritain PPO: $273.35 Aetna — Aetna PPO: $273.35 Affinity — Affinity Health Plan - CHP: $152.75 Affinity — Affinity Health Plan - MCD: $152.75 Cigna — Cigna HMO: $309.80 Cigna — Cigna PPO: $309.80 Emblem — Connecticare HMO: $381 Emblem — Connecticare PPO: $381 Emblem — Emblem - Essential 1&2: $148.30
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes	Not listed in the file	$490.05	$74.74 – $490.05
Psychotherapy, 30 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $331.72 Aetna — Aetna Medicare: $184.37 Aetna — Aetna Meritain PPO: $331.72 Aetna — Aetna PPO: $331.72 Affinity — Affinity Health Plan - CHP: $179.59 Affinity — Affinity Health Plan - Essential 1&2: $359.53 Affinity — Affinity Health Plan - MCD: $179.59 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $126.49
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes	Not listed in the file	$490.05	$113.55 – $505.89
Psychotherapy, 45 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $415.80 Aetna — Aetna Medicare: $184.37 Aetna — Aetna Meritain PPO: $415.80 Aetna — Aetna PPO: $415.80 Affinity — Affinity Health Plan - CHP: $224.05 Affinity — Affinity Health Plan - Essential 1&2: $359.53 Affinity — Affinity Health Plan - MCD: $224.05 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $150.93
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes	Not listed in the file	$490.05	$113.55 – $595.23
Psychotherapy, 60 minutes: 10 of 72 insurance plan rates Aetna — Aetna HMO: $489.23 Aetna — Aetna Medicare: $184.37 Aetna — Aetna Meritain PPO: $489.23 Aetna — Aetna PPO: $489.23 Affinity — Affinity Health Plan - CHP: $224.05 Affinity — Affinity Health Plan - Essential 1&2: $359.53 Affinity — Affinity Health Plan - MCD: $224.05 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $173.93
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min	Not listed in the file	$490.05	$113.55 – $490.05
Family psychotherapy, without the patient: 10 of 72 insurance plan rates Aetna — Aetna HMO: $372.30 Aetna — Aetna Medicare: $184.37 Aetna — Aetna Meritain PPO: $372.30 Aetna — Aetna PPO: $372.30 Affinity — Affinity Health Plan - CHP: $179.59 Affinity — Affinity Health Plan - Essential 1&2: $359.53 Affinity — Affinity Health Plan - MCD: $179.59 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $126.49
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min	Not listed in the file	$490.05	$113.55 – $533.63
Family psychotherapy, with the patient: 10 of 72 insurance plan rates Aetna — Aetna HMO: $438.60 Aetna — Aetna Medicare: $184.37 Aetna — Aetna Meritain PPO: $438.60 Aetna — Aetna PPO: $438.60 Affinity — Affinity Health Plan - CHP: $179.59 Affinity — Affinity Health Plan - Essential 1&2: $359.53 Affinity — Affinity Health Plan - MCD: $179.59 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $126.49
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	Not listed in the file	$490.05	$60.37 – $490.05
Group psychotherapy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $233.40 Aetna — Aetna Medicare: $103.08 Aetna — Aetna Meritain PPO: $233.40 Aetna — Aetna PPO: $233.40 Affinity — Affinity Health Plan - CHP: $115.13 Affinity — Affinity Health Plan - Essential 1&2: $201.01 Affinity — Affinity Health Plan - MCD: $115.13 Cigna — Cigna HMO: $247 Cigna — Cigna PPO: $247 Emblem — Connecticare HMO: $76.18

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion	Not listed in the file	$4,595	$1,919.19 – $10,511
Removal of breast growth (open surgery): 10 of 72 insurance plan rates Aetna — Aetna HMO: $3,774.89 Aetna — Aetna Medicare: $4,407.90 Aetna — Aetna Meritain PPO: $3,774.89 Aetna — Aetna PPO: $3,774.89 Affinity — Affinity Health Plan - CHP: $1,976.76 Affinity — Affinity Health Plan - Essential 1&2: $8,154.62 Affinity — Affinity Health Plan - MCD: $1,976.76 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	$75,894	$4,126.79 – $75,894
Total hip replacement: 10 of 72 insurance plan rates Aetna — Aetna HMO: $19,509.83 Aetna — Aetna Medicare: $15,219.58 Aetna — Aetna Meritain PPO: $19,509.83 Aetna — Aetna PPO: $19,509.83 Affinity — Affinity Health Plan - CHP: $4,250.59 Affinity — Affinity Health Plan - Essential 1&2: $28,156.22 Affinity — Affinity Health Plan - MCD: $4,250.59 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $54,612
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	$75,894	$4,126.79 – $75,894
Total knee replacement: 10 of 72 insurance plan rates Aetna — Aetna HMO: $18,481.60 Aetna — Aetna Medicare: $15,219.58 Aetna — Aetna Meritain PPO: $18,481.60 Aetna — Aetna PPO: $18,481.60 Affinity — Affinity Health Plan - CHP: $4,250.59 Affinity — Affinity Health Plan - Essential 1&2: $28,156.22 Affinity — Affinity Health Plan - MCD: $4,250.59 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $54,612
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	Not listed in the file	$4,595	$2,209.27 – $17,610.12
Shoulder arthroscopy: shaving of shoulder bone: 10 of 55 insurance plan rates Aetna — Aetna HMO: $13,991.60 Aetna — Aetna Meritain PPO: $13,991.60 Aetna — Aetna PPO: $13,991.60 Affinity — Affinity Health Plan - CHP: $2,275.54 Affinity — Affinity Health Plan - MCD: $2,275.54 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,209.27
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery	Not listed in the file	$4,595	$2,209.27 – $18,644
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates Aetna — Aetna HMO: $9,571.01 Aetna — Aetna Medicare: $3,743.09 Aetna — Aetna Meritain PPO: $9,571.01 Aetna — Aetna PPO: $9,571.01 Affinity — Affinity Health Plan - CHP: $2,275.54 Affinity — Affinity Health Plan - Essential 1&2: $6,924.71 Affinity — Affinity Health Plan - MCD: $2,275.54 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $18,644
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	Not listed in the file	$22,972	$1,771.79 – $22,972
Removal of tonsils and adenoids (under age 12): 10 of 72 insurance plan rates Aetna — Aetna HMO: $8,611.55 Aetna — Aetna Medicare: $6,772.09 Aetna — Aetna Meritain PPO: $8,611.55 Aetna — Aetna PPO: $8,611.55 Affinity — Affinity Health Plan - CHP: $1,824.94 Affinity — Affinity Health Plan - Essential 1&2: $12,528.37 Affinity — Affinity Health Plan - MCD: $1,824.94 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	Not listed in the file	$3,675	$1,027.30 – $9,139
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,613.77 Aetna — Aetna Medicare: $1,048.26 Aetna — Aetna Meritain PPO: $1,613.77 Aetna — Aetna PPO: $1,613.77 Affinity — Affinity Health Plan - CHP: $1,071.69 Affinity — Affinity Health Plan - Essential 1&2: $1,939.28 Affinity — Affinity Health Plan - MCD: $1,071.69 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $3,108
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	Not listed in the file	$3,675	$1,027.30 – $9,139
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,879.81 Aetna — Aetna Medicare: $1,048.26 Aetna — Aetna Meritain PPO: $1,879.81 Aetna — Aetna PPO: $1,879.81 Affinity — Affinity Health Plan - CHP: $1,071.69 Affinity — Affinity Health Plan - Essential 1&2: $1,939.28 Affinity — Affinity Health Plan - MCD: $1,071.69 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $3,108
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	$3,675	$1,004.06 – $9,139
Colonoscopy (diagnostic): 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,597.83 Aetna — Aetna Medicare: $1,056.90 Aetna — Aetna Meritain PPO: $1,597.83 Aetna — Aetna PPO: $1,597.83 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $1,955.27 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $2,695 Cigna — Cigna PPO: $2,695 Emblem — Connecticare HMO: $3,108
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	$3,675	$1,004.06 – $9,139
Colonoscopy with biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,709.32 Aetna — Aetna Medicare: $1,364.64 Aetna — Aetna Meritain PPO: $6,709.32 Aetna — Aetna PPO: $6,709.32 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,524.58 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $2,695 Cigna — Cigna PPO: $2,695 Emblem — Connecticare HMO: $3,108
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	Not listed in the file	$3,675	$1,004.06 – $9,139
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates Aetna — Aetna HMO: $6,622.94 Aetna — Aetna Medicare: $1,364.64 Aetna — Aetna Meritain PPO: $6,622.94 Aetna — Aetna PPO: $6,622.94 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,524.58 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $2,695 Cigna — Cigna PPO: $2,695 Emblem — Connecticare HMO: $3,108
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us	Not listed in the file	$4,595	$1,004.06 – $9,139
Ultrasound of the lower bowel by endoscope: 10 of 72 insurance plan rates Aetna — Aetna HMO: $4,131.82 Aetna — Aetna Medicare: $1,364.64 Aetna — Aetna Meritain PPO: $4,131.82 Aetna — Aetna PPO: $4,131.82 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $2,524.58 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $3,108
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind	Not listed in the file	$3,675	$1,004.06 – $9,073.29
Screening colonoscopy (not high risk): 10 of 72 insurance plan rates Aetna — Aetna HMO: $7,208.91 Aetna — Aetna Medicare: $1,056.90 Aetna — Aetna Meritain PPO: $7,208.91 Aetna — Aetna PPO: $7,208.91 Affinity — Affinity Health Plan - CHP: $1,034.18 Affinity — Affinity Health Plan - Essential 1&2: $1,955.27 Affinity — Affinity Health Plan - MCD: $1,034.18 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $3,108
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	$30,820	$3,210.56 – $37,910
Gallbladder removal by laparoscope: 10 of 72 insurance plan rates Aetna — Aetna HMO: $16,634.16 Aetna — Aetna Medicare: $6,672.42 Aetna — Aetna Meritain PPO: $16,634.16 Aetna — Aetna PPO: $16,634.16 Affinity — Affinity Health Plan - CHP: $3,306.87 Affinity — Affinity Health Plan - Essential 1&2: $12,343.99 Affinity — Affinity Health Plan - MCD: $3,306.87 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $31,850
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	$4,595	$2,507.96 – $18,857.40
Groin (inguinal) hernia repair, age 5 or older: 10 of 72 insurance plan rates Aetna — Aetna HMO: $14,982.59 Aetna — Aetna Medicare: $4,000.77 Aetna — Aetna Meritain PPO: $14,982.59 Aetna — Aetna PPO: $14,982.59 Affinity — Affinity Health Plan - CHP: $2,583.20 Affinity — Affinity Health Plan - Essential 1&2: $7,401.42 Affinity — Affinity Health Plan - MCD: $2,583.20 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $12,426
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	Not listed in the file	$4,595	$2,308.27 – $12,511.21
Prostate biopsy: 10 of 72 insurance plan rates Aetna — Aetna HMO: $9,940.42 Aetna — Aetna Medicare: $2,355.38 Aetna — Aetna Meritain PPO: $9,940.42 Aetna — Aetna PPO: $9,940.42 Affinity — Affinity Health Plan - CHP: $2,473.98 Affinity — Affinity Health Plan - Essential 1&2: $4,357.45 Affinity — Affinity Health Plan - MCD: $2,473.98 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad	Not listed in the file	$13,784	$3,208.25 – $22,500
Prostate removal by laparoscope (radical prostatectomy): 10 of 72 insurance plan rates Aetna — Aetna HMO: $15,143.75 Aetna — Aetna Medicare: $11,903.68 Aetna — Aetna Meritain PPO: $15,143.75 Aetna — Aetna PPO: $15,143.75 Affinity — Affinity Health Plan - CHP: $3,304.50 Affinity — Affinity Health Plan - Essential 1&2: $22,021.80 Affinity — Affinity Health Plan - MCD: $3,304.50 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	Not listed in the file	$27,369	$1,719.21 – $27,369
Hysteroscopy with biopsy of the uterus lining: 10 of 72 insurance plan rates Aetna — Aetna HMO: $14,739.20 Aetna — Aetna Medicare: $3,615.33 Aetna — Aetna Meritain PPO: $14,739.20 Aetna — Aetna PPO: $14,739.20 Affinity — Affinity Health Plan - CHP: $1,770.78 Affinity — Affinity Health Plan - Essential 1&2: $6,688.37 Affinity — Affinity Health Plan - MCD: $1,770.78 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $22,916
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac	Not listed in the file	$4,595	$751.98 – $7,490
Spinal injection, lower back (epidural), with imaging guidance: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,584.63 Aetna — Aetna Medicare: $799.71 Aetna — Aetna Meritain PPO: $1,584.63 Aetna — Aetna PPO: $1,584.63 Affinity — Affinity Health Plan - CHP: $774.54 Affinity — Affinity Health Plan - Essential 1&2: $1,479.46 Affinity — Affinity Health Plan - MCD: $774.54 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	$4,595	$751.98 – $7,490
Nerve root injection, lower back, with imaging guidance: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,747.15 Aetna — Aetna Medicare: $1,054.04 Aetna — Aetna Meritain PPO: $1,747.15 Aetna — Aetna PPO: $1,747.15 Affinity — Affinity Health Plan - CHP: $774.54 Affinity — Affinity Health Plan - Essential 1&2: $1,949.97 Affinity — Affinity Health Plan - MCD: $774.54 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	$4,595	$1,639.27 – $14,593.56
Carpal tunnel release: 10 of 72 insurance plan rates Aetna — Aetna HMO: $11,594.88 Aetna — Aetna Medicare: $2,232.76 Aetna — Aetna Meritain PPO: $11,594.88 Aetna — Aetna PPO: $11,594.88 Affinity — Affinity Health Plan - CHP: $1,688.45 Affinity — Affinity Health Plan - Essential 1&2: $4,130.60 Affinity — Affinity Health Plan - MCD: $1,688.45 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery	Not listed in the file	$4,595	$658.74 – $7,490
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates Aetna — Aetna HMO: $1,509.33 Aetna — Aetna Medicare: $672.18 Aetna — Aetna Meritain PPO: $1,509.33 Aetna — Aetna PPO: $1,509.33 Affinity — Affinity Health Plan - CHP: $2,024.17 Affinity — Affinity Health Plan - Essential 1&2: $1,243.54 Affinity — Affinity Health Plan - MCD: $2,024.17 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	$4,595	$2,455.59 – $10,511
Cataract removal with lens implant: 10 of 72 insurance plan rates Aetna — Aetna HMO: $7,558.02 Aetna — Aetna Medicare: $2,694.84 Aetna — Aetna Meritain PPO: $7,558.02 Aetna — Aetna PPO: $7,558.02 Affinity — Affinity Health Plan - CHP: $2,529.26 Affinity — Affinity Health Plan - Essential 1&2: $4,985.45 Affinity — Affinity Health Plan - MCD: $2,529.26 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $8,545

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care	Not listed in the file	$4,595	$2,410.87 – $7,490
Vaginal delivery, with care before and after: 10 of 48 insurance plan rates Affinity — Affinity Health Plan - CHP: $2,483.19 Affinity — Affinity Health Plan - MCD: $2,483.19 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,410.87 Emblem — Emblem - Essential 3&4: $2,410.87 Emblem — Emblem - Exchange: $4,520 Emblem — GHI HMO: $5,547
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery	Not listed in the file	$4,595	$2,752 – $7,490
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Exchange: $4,520 Emblem — GHI HMO: $5,547 Emblem — GHI Insured PPO: $5,904 Emblem — GHI Net Access PPO: $5,904 Emblem — HIP HMO: $5,547 Emblem — HIP PPO: $5,904
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery	Not listed in the file	$4,595	$2,410.87 – $7,490
Vaginal delivery after a previous C-section, with care before and after: 10 of 48 insurance plan rates Affinity — Affinity Health Plan - CHP: $2,483.19 Affinity — Affinity Health Plan - MCD: $2,483.19 Cigna — Cigna HMO: $7,490 Cigna — Cigna PPO: $7,490 Emblem — Connecticare HMO: $5,904 Emblem — Connecticare PPO: $5,904 Emblem — Emblem - Essential 1&2: $2,410.87 Emblem — Emblem - Essential 3&4: $2,410.87 Emblem — Emblem - Exchange: $4,520 Emblem — GHI HMO: $5,547

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$350,238	$89,269.88 – $350,238
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 47 insurance plan rates Aetna — Aetna HMO: $331,573 Aetna — Aetna Medicare: $95,365.39 Aetna — Aetna Meritain PPO: $331,573 Aetna — Aetna PPO: $331,573 Cigna — Cigna HMO: $314,327 Cigna — Cigna PPO: $314,327 Emblem — Connecticare HMO: $331,380 Emblem — Connecticare PPO: $331,380 Emblem — Emblem - Exchange: $277,681 Emblem — GHI HMO: $340,887
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$75,894	$17,599.50 – $75,894
Hip or knee replacement (major joint of the leg), without major complications: 10 of 47 insurance plan rates Aetna — Aetna HMO: $64,778 Aetna — Aetna Medicare: $18,802.34 Aetna — Aetna Meritain PPO: $64,778 Aetna — Aetna PPO: $64,778 Cigna — Cigna HMO: $61,409 Cigna — Cigna PPO: $61,409 Emblem — Connecticare HMO: $64,741 Emblem — Connecticare PPO: $64,741 Emblem — Emblem - Exchange: $54,250 Emblem — GHI HMO: $66,598
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$75,573	$22,047.06 – $83,619
Neck (cervical) spinal fusion, without complications: 10 of 47 insurance plan rates Aetna — Aetna HMO: $81,334 Aetna — Aetna Medicare: $23,553.52 Aetna — Aetna Meritain PPO: $81,334 Aetna — Aetna PPO: $81,334 Cigna — Cigna HMO: $77,104 Cigna — Cigna PPO: $77,104 Emblem — Connecticare HMO: $81,287 Emblem — Connecticare PPO: $81,287 Emblem — Emblem - Exchange: $68,115 Emblem — GHI HMO: $83,619
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$27,369	$11,260.87 – $42,339
Uterus and ovary surgery (not for cancer), without complications: 10 of 47 insurance plan rates Aetna — Aetna HMO: $41,183 Aetna — Aetna Medicare: $12,031 Aetna — Aetna Meritain PPO: $41,183 Aetna — Aetna PPO: $41,183 Cigna — Cigna HMO: $39,040 Cigna — Cigna PPO: $39,040 Emblem — Connecticare HMO: $41,159 Emblem — Connecticare PPO: $41,159 Emblem — Emblem - Exchange: $34,489 Emblem — GHI HMO: $42,339

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

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

Hospital information

Hospital type	Acute Care Hospital
Address	701 North Broadway, Sleepy Hollow, NY 10591
County	Westchester County
State	New York
Phone	(914) 366‑3000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	330261
Name in Medicare records	PHELPS HOSPITAL
Profile level	Medicare data + hospital website
Official website	phelps.northwell.edu
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

About us - Phelps Hospital | Northwell Health — phelps.northwell.edu
Quality & safety – Phelps Hospital – Sleepy Hollow, NY | Northwell Health — phelps.northwell.edu
Your visit - Phelps Hospital | Northwell Health — phelps.northwell.edu
Preparing for surgery - Phelps Hospital | Northwell Health — phelps.northwell.edu
During your stay - Phelps Hospital | Northwell Health — phelps.northwell.edu
Caregivers Center – Phelps Hospital – Sleepy Hollow, NY | Northwell Health — phelps.northwell.edu
Patient information - Phelps Hospital | Northwell Health — phelps.northwell.edu
Hospital information - Phelps Hospital | Northwell Health — phelps.northwell.edu

Phelps Hospital

Summary

Profile from official sources

At a glance