Does Pinckneyville Community Hospital have an emergency room?

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

Where is Pinckneyville Community Hospital?

5383 State Route 154, Pinckneyville, IL 62274, in Perry County, Illinois.

What is the phone number of Pinckneyville Community Hospital?

(618) 357-2187, as listed by Medicare (CMS).

What is the Medicare star rating of Pinckneyville Community Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Pinckneyville Community Hospital

Quick answers

Does Pinckneyville Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pinckneyville Community Hospital. In a medical emergency, call 911.
Where is Pinckneyville Community Hospital?: 5383 State Route 154, Pinckneyville, IL 62274, in Perry County, Illinois.
What is the phone number of Pinckneyville Community Hospital?: (618) 357-2187, as listed by Medicare (CMS).
What is the Medicare star rating of Pinckneyville Community Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Behavioral Health
Cancer Care and Infusion Clinic
Cardiology
Emergency Department
Eye Surgery
Family Practice
Gastroenterology
General Surgery
Imaging
Internal Medicine
Nephrology
Oncology
Orthopedic
Pediatrics
Podiatry
Respiratory Therapy
Sleep Medicine Clinic
Sports Medicine
Therapy Services
Urology
Wound Care

Programs and centers^{[5][6][7][9][10]}

Congestive Heart Failure Clinic
COPD Clinic
Healthy Bones Program
Senior Life Solutions
Swing Bed
Medical chaperone program
Interpreter and translating services
Fitness center (Wellness Center)

Emergency care (hospital website)^[4][5][8]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (82)

82 doctors and other clinicians list Pinckneyville Community 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 58 more: the button below opens the full list.

Other emergency rooms nearby

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

Marshall Browning Hospital10 mi · Du Quoin, IL · Critical Access Hospital
Sparta Community Hospital16 mi · Sparta, IL · Critical Access Hospital
Washington County Hospital17 mi · Nashville, IL · Critical Access Hospital
St Joseph Memorial Hospital22 mi · Murphysboro, IL · Critical Access Hospital
Memorial Hospital25 mi · Chester, IL · Critical Access Hospital

Other hospitals nearby

Franklin Hospital27 mi · Benton, IL · Critical Access 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

Pinckneyville Nursing and Rehab1.4 mi · Pinckneyville, IL · 2 of 5 stars
Duquoin Nursing and Rehab11 mi · Du Quoin, IL · 3 of 5 stars
Fairview Rehab & Healthcare11 mi · Du Quoin, IL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Maple Creek Hospice Inc17 mi · Sparta, IL

All hospice providers in the state →

Home health agencies

Perry County Health Department0.0 mi · Pinckneyville, IL
At Home Health Care17 mi · Sparta, IL
Ability Home Health and Rehab LLC21 mi · Christopher, IL

All home health agencies in the state →

Dialysis facilities

FMC - Duquoin9.8 mi · Du Quoin, IL · 1 of 5 stars
FMC - Randolph County24 mi · Chester, IL · 1 of 5 stars

All dialysis facilities 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

CRHPC Comprehensive Behavioral Health Center11 mi · Du Quoin, IL · Community health center
Rea Clinic - Du Quoin12 mi · Du Quoin, IL · Community health center
Christopher Greater Area Rural Health Planning Corporation & Rea Clinic19 mi · Christopher, IL · Community health center

Clinics and urgent care

Family Medical Center0.0 mi · Pinckneyville, IL · Rural health clinic
Marshall Browning Hospital Physicians Clinic9.8 mi · Du Quoin, IL · Rural health clinic
MBH East Medical Clinic9.8 mi · Du Quoin, IL · Rural health clinic

Pharmacies

Clinic Pharmacy0.0 mi · Pinckneyville, IL · Pharmacy
Stotlar Drug Company Inc0.0 mi · Pinckneyville, IL · Community/retail pharmacy
Town & Country Pharmacies, Inc.9.8 mi · Du Quoin, IL · Community/retail pharmacy

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 Pinckneyville Community 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	88%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	91%National average: 80%
Staff “always” explained medicines before giving them	72%National average: 62%
Were given information about recovery at home	93%National average: 86%
Room and bathroom “always” clean	89%National average: 74%
Area around the room “always” quiet at night	75%National average: 60%
Completed surveys	66Response rate: 37%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	12.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	49 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)	40%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 Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 63 common services exactly as Pinckneyville Community 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: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$900	$900	$333 – $810
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $71.40 AETNA MCR ADV — AETNA MCR ADV: $339.66 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $810 BCBS MCAID — BCBS MCAID: $71.40 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $648 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $71.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $742.50 HEALTHLINK HMO — HEALTHLINK HMO: $706.50 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $742.50 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $742.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 95 In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$226	$226	$71.40 – $203.40
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $71.40 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $75.37 BCBS MCAID — BCBS MCAID: $71.40 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $86.12 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $71.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $88.06 HEALTHLINK HMO — HEALTHLINK HMO: $75.27 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $80.65 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $82.62 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $71.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$1,509	$1,509	$558.33 – $1,358.10
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $92.80 AETNA MCR ADV — AETNA MCR ADV: $569.50 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,358.10 BCBS MCAID — BCBS MCAID: $92.80 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,086.48 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $92.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,244.93 HEALTHLINK HMO — HEALTHLINK HMO: $1,184.57 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,244.93 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,244.93
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 95 In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$577	$577	$92.80 – $519.30
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $92.80 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $128.48 BCBS MCAID — BCBS MCAID: $92.80 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $138.01 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $92.80 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $143.40 HEALTHLINK HMO — HEALTHLINK HMO: $127.24 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $136.33 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $132.40 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $92.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$1,962	$1,962	$725.94 – $1,765.80
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $33.95 AETNA MCR ADV — AETNA MCR ADV: $740.46 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,765.80 BCBS MCAID — BCBS MCAID: $33.95 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,412.64 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $33.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,618.65 HEALTHLINK HMO — HEALTHLINK HMO: $1,540.17 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,618.65 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,618.65
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 95 In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$750	$750	$33.95 – $675
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $33.95 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $164.74 BCBS MCAID — BCBS MCAID: $33.95 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $187.27 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $33.95 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $197.23 HEALTHLINK HMO — HEALTHLINK HMO: $166 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $177.86 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $179.67 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $33.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$587	$587	$217.19 – $528.30
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $87.10 AETNA MCR ADV — AETNA MCR ADV: $221.53 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $528.30 BCBS MCAID — BCBS MCAID: $87.10 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $422.64 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $87.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $484.28 HEALTHLINK HMO — HEALTHLINK HMO: $460.80 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $484.28 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $484.28
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 95 In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$229	$229	$49.57 – $206.10
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $87.10 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $49.57 BCBS MCAID — BCBS MCAID: $87.10 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $68.16 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $87.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $69.82 HEALTHLINK HMO — HEALTHLINK HMO: $50.23 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $53.81 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $65.40 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $87.10
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$899	$899	$332.63 – $809.10
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $11.33 AETNA MCR ADV — AETNA MCR ADV: $339.28 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $809.10 BCBS MCAID — BCBS MCAID: $11.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $647.28 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $11.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $741.68 HEALTHLINK HMO — HEALTHLINK HMO: $705.72 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $741.68 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $741.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 95 In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$349	$349	$11.33 – $314.10
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $11.33 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $76.28 BCBS MCAID — BCBS MCAID: $11.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $100.57 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $11.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $102.92 HEALTHLINK HMO — HEALTHLINK HMO: $77.37 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $82.90 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $96.49 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $11.33
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$314	$314	$226.08 – $299.93
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $299.93 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $282.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $226.08 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $259.05 HEALTHLINK HMO — HEALTHLINK HMO: $246.49 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $259.05 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $259.05 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $294.05 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $282.60 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $257.48
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$367	$367	$264.24 – $330.30
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $299.93 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $330.30 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $264.24 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $302.78 HEALTHLINK HMO — HEALTHLINK HMO: $288.10 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $302.78 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $302.78 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $294.05 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $330.30 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $300.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$294	$294	$60.52 – $264.60
Emergency room visit (moderate): 10 of 18 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $85.87 AETNA MCR ADV — AETNA MCR ADV: $73.87 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $60.52 BCBS MCAID — BCBS MCAID: $85.87 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $93.26 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $85.87 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $86.90 HEALTHLINK HMO — HEALTHLINK HMO: $182.28 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $182.28 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $85.87
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$577	$577	$213.49 – $519.30
Emergency room visit (moderate): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $217.76 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $519.30 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $415.44 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $476.03 HEALTHLINK HMO — HEALTHLINK HMO: $452.95 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $476.03 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $476.03 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $213.49 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $519.30 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $473.14
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with low level of medical decision making	$577	$577	$213.49 – $519.30
Emergency room visit (moderate): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $217.76 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $519.30 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $415.44 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $476.03 HEALTHLINK HMO — HEALTHLINK HMO: $452.95 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $476.03 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $476.03 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $213.49 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $519.30 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $473.14
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$543	$543	$116.27 – $488.70
Emergency room visit (moderately high): 10 of 18 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $125.23 AETNA MCR ADV — AETNA MCR ADV: $125.98 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $116.27 BCBS MCAID — BCBS MCAID: $125.23 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $156.41 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $125.23 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $148.21 HEALTHLINK HMO — HEALTHLINK HMO: $336.66 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $336.66 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $125.23
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$916	$916	$338.92 – $824.40
Emergency room visit (moderately high): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $345.70 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $824.40 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $659.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $755.70 HEALTHLINK HMO — HEALTHLINK HMO: $719.06 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $755.70 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $755.70 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $338.92 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $824.40 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $751.12
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with moderate level of medical decision making	$916	$916	$338.92 – $824.40
Emergency room visit (moderately high): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $345.70 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $824.40 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $659.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $755.70 HEALTHLINK HMO — HEALTHLINK HMO: $719.06 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $755.70 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $755.70 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $338.92 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $824.40 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $751.12
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,291	$1,291	$477.67 – $1,161.90
Emergency room visit (high): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $487.22 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,161.90 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $929.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,065.08 HEALTHLINK HMO — HEALTHLINK HMO: $1,013.44 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,065.08 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,065.08 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $477.67 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,161.90 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $1,058.62
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: Emergency department visit with high level of medical decision making	$789	$789	$169.94 – $789
Emergency room visit (high): 10 of 18 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $789 AETNA MCR ADV — AETNA MCR ADV: $182.05 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $169.94 BCBS MCAID — BCBS MCAID: $789 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $228.11 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $789 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $214.18 HEALTHLINK HMO — HEALTHLINK HMO: $489.18 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $489.18 MOLINA MEDICAID - ALL PLANS — MOLINA MEDICAID - ALL PLANS: $789
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: Emergency department visit with high level of medical decision making	$1,291	$1,291	$477.67 – $1,161.90
Emergency room visit (high): 10 of 16 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $487.22 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,161.90 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $929.52 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,065.08 HEALTHLINK HMO — HEALTHLINK HMO: $1,013.44 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,065.08 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,065.08 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $477.67 MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,161.90 PHCS - ALL OTHER PLANS — PHCS - ALL OTHER PLANS: $1,058.62

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: Blood test, basic group of blood chemicals (Calcium, total)	$248	$248	$39.98 – $223.20
Basic metabolic panel (blood test): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $39.98 AETNA MCR ADV — AETNA MCR ADV: $93.60 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $223.20 BCBS MCAID — BCBS MCAID: $39.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $178.56 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $39.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $204.60 HEALTHLINK HMO — HEALTHLINK HMO: $194.68 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $204.60 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $204.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$341	$341	$39.98 – $306.90
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $39.98 AETNA MCR ADV — AETNA MCR ADV: $128.69 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $306.90 BCBS MCAID — BCBS MCAID: $39.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $245.52 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $39.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $281.33 HEALTHLINK HMO — HEALTHLINK HMO: $267.69 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $281.33 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $281.33
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$297	$297	$39.98 – $267.30
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $39.98 AETNA MCR ADV — AETNA MCR ADV: $112.09 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $267.30 BCBS MCAID — BCBS MCAID: $39.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $213.84 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $39.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $245.03 HEALTHLINK HMO — HEALTHLINK HMO: $233.15 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $245.03 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $245.03
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$233	$233	$39.98 – $209.70
Kidney function panel: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $39.98 AETNA MCR ADV — AETNA MCR ADV: $87.93 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $209.70 BCBS MCAID — BCBS MCAID: $39.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $167.76 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $39.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $192.23 HEALTHLINK HMO — HEALTHLINK HMO: $182.91 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $192.23 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $192.23
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$307	$307	$39.98 – $276.30
Liver function panel: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $39.98 AETNA MCR ADV — AETNA MCR ADV: $115.86 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $276.30 BCBS MCAID — BCBS MCAID: $39.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $221.04 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $39.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $253.28 HEALTHLINK HMO — HEALTHLINK HMO: $241 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $253.28 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $253.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$141	$141	$13.33 – $126.90
Urine test (automated, with microscope): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $13.33 AETNA MCR ADV — AETNA MCR ADV: $53.21 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $126.90 BCBS MCAID — BCBS MCAID: $13.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $101.52 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $13.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $116.33 HEALTHLINK HMO — HEALTHLINK HMO: $110.69 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $116.33 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $116.33
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$33	$33	$12.21 – $29.70
Urine test (manual, without microscope): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $13.33 AETNA MCR ADV — AETNA MCR ADV: $12.45 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $29.70 BCBS MCAID — BCBS MCAID: $13.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $23.76 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $13.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $27.23 HEALTHLINK HMO — HEALTHLINK HMO: $25.91 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $27.23 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $27.23
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$81	$81	$13.33 – $72.90
Urine test (automated, without microscope): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $13.33 AETNA MCR ADV — AETNA MCR ADV: $30.57 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $72.90 BCBS MCAID — BCBS MCAID: $13.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $58.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $13.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $66.83 HEALTHLINK HMO — HEALTHLINK HMO: $63.59 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $66.83 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $66.83
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$187	$187	$52.91 – $168.30
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $52.91 AETNA MCR ADV — AETNA MCR ADV: $70.57 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $168.30 BCBS MCAID — BCBS MCAID: $52.91 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $134.64 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $52.91 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $154.28 HEALTHLINK HMO — HEALTHLINK HMO: $146.80 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $154.28 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $154.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$290	$290	$58.40 – $261
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $58.40 AETNA MCR ADV — AETNA MCR ADV: $109.45 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $261 BCBS MCAID — BCBS MCAID: $58.40 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $208.80 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $58.40 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $239.25 HEALTHLINK HMO — HEALTHLINK HMO: $227.65 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $239.25 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $239.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$184	$184	$26.26 – $165.60
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $26.26 AETNA MCR ADV — AETNA MCR ADV: $69.44 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $165.60 BCBS MCAID — BCBS MCAID: $26.26 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $132.48 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $26.26 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $151.80 HEALTHLINK HMO — HEALTHLINK HMO: $144.44 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $151.80 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $151.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$81	$81	$26.26 – $72.90
Complete blood count (CBC), automated: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $26.26 AETNA MCR ADV — AETNA MCR ADV: $30.57 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $72.90 BCBS MCAID — BCBS MCAID: $26.26 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $58.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $26.26 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $66.83 HEALTHLINK HMO — HEALTHLINK HMO: $63.59 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $66.83 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $66.83
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$111	$111	$19.60 – $99.90
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $19.60 AETNA MCR ADV — AETNA MCR ADV: $41.89 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $99.90 BCBS MCAID — BCBS MCAID: $19.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $79.92 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $19.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $91.58 HEALTHLINK HMO — HEALTHLINK HMO: $87.14 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $91.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $91.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$492	$492	$19.60 – $442.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $19.60 AETNA MCR ADV — AETNA MCR ADV: $185.68 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $442.80 BCBS MCAID — BCBS MCAID: $19.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $354.24 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $19.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $405.90 HEALTHLINK HMO — HEALTHLINK HMO: $386.22 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $405.90 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $405.90

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) · modifier TC In the file: CT scan head or brain without contrast	$2,678	$2,678	$990.86 – $2,410.20
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,659.18 AETNA MCR ADV — AETNA MCR ADV: $1,010.68 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $2,410.20 BCBS MCAID — BCBS MCAID: $1,659.18 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,928.16 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,659.18 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,209.35 HEALTHLINK HMO — HEALTHLINK HMO: $2,102.23 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,209.35 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,209.35
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan head or brain without contrast	$250	$250	$39.48 – $232.67
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $232.67 AETNA MCR ADV — AETNA MCR ADV: $40.27 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $48.40 BCBS MCAID — BCBS MCAID: $232.67 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $93.44 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $232.67 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $47.38 HEALTHLINK HMO — HEALTHLINK HMO: $155 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $155 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $40.12
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of brain before and after contrast	$4,469	$4,469	$1,653.53 – $4,022.10
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $2,222.03 AETNA MCR ADV — AETNA MCR ADV: $1,686.60 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $4,022.10 BCBS MCAID — BCBS MCAID: $2,222.03 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $3,217.68 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $2,222.03 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,686.93 HEALTHLINK HMO — HEALTHLINK HMO: $3,508.17 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,686.93 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,686.93
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 59 In the file: MRI scan of brain before and after contrast	$1,190.50	$1,190.50	$440.49 – $2,222.03
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $2,222.03 AETNA MCR ADV — AETNA MCR ADV: $449.29 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,071.45 BCBS MCAID — BCBS MCAID: $2,222.03 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $857.16 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $2,222.03 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $982.16 HEALTHLINK HMO — HEALTHLINK HMO: $934.54 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $982.16 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $982.16
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of brain before and after contrast	$740	$740	$105.36 – $666
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $296.60 AETNA MCR ADV — AETNA MCR ADV: $107.47 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $128.76 BCBS MCAID — BCBS MCAID: $296.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $214.45 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $296.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $126.43 HEALTHLINK HMO — HEALTHLINK HMO: $458.80 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $458.80 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $108.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of chest, 2 views	$391	$391	$144.67 – $351.90
Chest X-ray, 2 views: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $306.51 AETNA MCR ADV — AETNA MCR ADV: $147.56 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $351.90 BCBS MCAID — BCBS MCAID: $306.51 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $281.52 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $306.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $322.58 HEALTHLINK HMO — HEALTHLINK HMO: $306.94 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $322.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $322.58
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of chest, 2 views	$80	$80	$9.98 – $72
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $40.23 AETNA MCR ADV — AETNA MCR ADV: $10.18 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $11.59 BCBS MCAID — BCBS MCAID: $40.23 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $24.13 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $40.23 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11.98 HEALTHLINK HMO — HEALTHLINK HMO: $49.60 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $49.60 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $10.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of lower and sacral spine, minimum of 4 views	$579	$579	$214.23 – $521.10
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $306.51 AETNA MCR ADV — AETNA MCR ADV: $218.51 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $521.10 BCBS MCAID — BCBS MCAID: $306.51 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $416.88 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $306.51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $477.68 HEALTHLINK HMO — HEALTHLINK HMO: $454.52 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $477.68 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $477.68
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of lower and sacral spine, minimum of 4 views	$120	$120	$12.34 – $296.60
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $296.60 AETNA MCR ADV — AETNA MCR ADV: $13.01 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $16.68 BCBS MCAID — BCBS MCAID: $296.60 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $26.46 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $296.60 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $15.30 HEALTHLINK HMO — HEALTHLINK HMO: $74.40 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $74.40 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $12.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of lower spinal canal without contrast	$4,020	$4,020	$1,316.99 – $3,618
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,316.99 AETNA MCR ADV — AETNA MCR ADV: $1,517.15 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,618 BCBS MCAID — BCBS MCAID: $1,316.99 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,894.40 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,316.99 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,316.50 HEALTHLINK HMO — HEALTHLINK HMO: $3,155.70 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,316.50 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,316.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal without contrast	$450	$450	$68.44 – $405
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $70.57 AETNA MCR ADV — AETNA MCR ADV: $69.81 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $81.62 BCBS MCAID — BCBS MCAID: $70.57 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $146.39 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $70.57 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $82.13 HEALTHLINK HMO — HEALTHLINK HMO: $279 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $279 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $70.32
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of pelvis with contrast	$3,895	$3,895	$1,441.15 – $3,505.50
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,659.18 AETNA MCR ADV — AETNA MCR ADV: $1,469.97 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,505.50 BCBS MCAID — BCBS MCAID: $1,659.18 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,804.40 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,659.18 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,213.38 HEALTHLINK HMO — HEALTHLINK HMO: $3,057.58 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,213.38 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,213.38
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast	$520	$520	$42.04 – $468
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $42.04 AETNA MCR ADV — AETNA MCR ADV: $54.67 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $66.77 BCBS MCAID — BCBS MCAID: $42.04 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $127.85 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $42.04 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $64.32 HEALTHLINK HMO — HEALTHLINK HMO: $322.40 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $322.40 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $54.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast	$3,431	$3,431	$1,269.47 – $3,087.90
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,316.99 AETNA MCR ADV — AETNA MCR ADV: $1,294.86 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,087.90 BCBS MCAID — BCBS MCAID: $1,316.99 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,470.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,316.99 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,830.58 HEALTHLINK HMO — HEALTHLINK HMO: $2,693.34 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,830.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,830.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast	$3,431	$3,431	$1,269.47 – $3,087.90
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,316.99 AETNA MCR ADV — AETNA MCR ADV: $1,294.86 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,087.90 BCBS MCAID — BCBS MCAID: $1,316.99 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,470.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,316.99 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,830.58 HEALTHLINK HMO — HEALTHLINK HMO: $2,693.34 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,830.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,830.58
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint without contrast	$470	$470	$60.98 – $423
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $60.98 AETNA MCR ADV — AETNA MCR ADV: $63.94 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $75.53 BCBS MCAID — BCBS MCAID: $60.98 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $133.74 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $60.98 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $75.23 HEALTHLINK HMO — HEALTHLINK HMO: $291.40 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $291.40 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $64.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of abdomen and pelvis with contrast	$5,160	$5,160	$1,659.18 – $4,644
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,659.18 AETNA MCR ADV — AETNA MCR ADV: $1,947.38 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $4,644 BCBS MCAID — BCBS MCAID: $1,659.18 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $3,715.20 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,659.18 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,257 HEALTHLINK HMO — HEALTHLINK HMO: $4,050.60 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $4,257 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $4,257
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast	$700	$700	$84.07 – $630
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $164.96 AETNA MCR ADV — AETNA MCR ADV: $85.75 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $104.26 BCBS MCAID — BCBS MCAID: $164.96 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $201.26 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $164.96 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100.88 HEALTHLINK HMO — HEALTHLINK HMO: $434 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $434 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $86.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Complete ultrasound scan of abdomen	$1,338	$1,338	$495.06 – $1,204.20
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $919.15 AETNA MCR ADV — AETNA MCR ADV: $504.96 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,204.20 BCBS MCAID — BCBS MCAID: $919.15 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $963.36 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $919.15 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,103.85 HEALTHLINK HMO — HEALTHLINK HMO: $1,050.33 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,103.85 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,103.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Complete ultrasound scan of abdomen	$270	$270	$37.32 – $243
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $71.90 AETNA MCR ADV — AETNA MCR ADV: $38.07 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $41.28 BCBS MCAID — BCBS MCAID: $71.90 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $88.84 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $71.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $44.78 HEALTHLINK HMO — HEALTHLINK HMO: $167.40 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $167.40 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $38.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$1,417	$1,417	$524.29 – $1,275.30
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $549.53 AETNA MCR ADV — AETNA MCR ADV: $534.78 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $1,275.30 BCBS MCAID — BCBS MCAID: $549.53 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $1,020.24 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $549.53 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,169.03 HEALTHLINK HMO — HEALTHLINK HMO: $1,112.35 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $1,169.03 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $1,169.03
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$310	$310	$46.90 – $279
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $64.44 AETNA MCR ADV — AETNA MCR ADV: $47.84 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $50.64 BCBS MCAID — BCBS MCAID: $64.44 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $109.53 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $64.44 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $56.28 HEALTHLINK HMO — HEALTHLINK HMO: $192.20 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $192.20 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $47.03
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$1,099	$1,099	$406.63 – $989.10
Transvaginal ultrasound: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $596.57 AETNA MCR ADV — AETNA MCR ADV: $414.76 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $989.10 BCBS MCAID — BCBS MCAID: $596.57 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $791.28 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $596.57 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $906.68 HEALTHLINK HMO — HEALTHLINK HMO: $862.72 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $906.68 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $906.68
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$270	$270	$32.40 – $243
Transvaginal ultrasound: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $51 AETNA MCR ADV — AETNA MCR ADV: $33.05 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $35.45 BCBS MCAID — BCBS MCAID: $51 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $77.22 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $51 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $38.88 HEALTHLINK HMO — HEALTHLINK HMO: $167.40 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $167.40 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $33.16
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of 1 breast	$428	$428	$158.36 – $385.20
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $260.65 AETNA MCR ADV — AETNA MCR ADV: $161.53 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $385.20 BCBS MCAID — BCBS MCAID: $260.65 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $308.16 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $260.65 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $353.10 HEALTHLINK HMO — HEALTHLINK HMO: $335.98 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $353.10 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $353.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of 1 breast	$290	$290	$6.57 – $261
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $6.57 AETNA MCR ADV — AETNA MCR ADV: $38.60 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $42.17 BCBS MCAID — BCBS MCAID: $6.57 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $88.84 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $6.57 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $45.41 HEALTHLINK HMO — HEALTHLINK HMO: $179.80 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $179.80 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $38.15
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of both breasts	$637	$637	$235.69 – $573.30
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $260.65 AETNA MCR ADV — AETNA MCR ADV: $240.40 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $573.30 BCBS MCAID — BCBS MCAID: $260.65 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $458.64 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $260.65 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $525.53 HEALTHLINK HMO — HEALTHLINK HMO: $500.05 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $525.53 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $525.53
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of both breasts	$360	$360	$46.54 – $360
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $360 AETNA MCR ADV — AETNA MCR ADV: $47.47 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $52.37 BCBS MCAID — BCBS MCAID: $360 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $108.88 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $360 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $55.85 HEALTHLINK HMO — HEALTHLINK HMO: $223.20 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $223.20 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $46.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography	$590	$590	$218.30 – $531
Screening mammogram, both breasts: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $260.65 AETNA MCR ADV — AETNA MCR ADV: $222.67 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $531 BCBS MCAID — BCBS MCAID: $260.65 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $424.80 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $260.65 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $486.75 HEALTHLINK HMO — HEALTHLINK HMO: $463.15 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $486.75 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $486.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: Screening mammography	$590	$590	$218.30 – $531
Screening mammogram, both breasts: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $260.65 AETNA MCR ADV — AETNA MCR ADV: $222.67 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $531 BCBS MCAID — BCBS MCAID: $260.65 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $424.80 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $260.65 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $486.75 HEALTHLINK HMO — HEALTHLINK HMO: $463.15 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $486.75 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $486.75
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Screening mammography	$300	$300	$35.04 – $300
Screening mammogram, both breasts: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $300 AETNA MCR ADV — AETNA MCR ADV: $35.74 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $39.78 BCBS MCAID — BCBS MCAID: $300 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $84.18 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $300 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $42.05 HEALTHLINK HMO — HEALTHLINK HMO: $186 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $186 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $36.15

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$5,817	$5,817	$2,152.29 – $5,235.30
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $4,314.33 AETNA MCR ADV — AETNA MCR ADV: $2,195.34 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $5,235.30 BCBS MCAID — BCBS MCAID: $4,314.33 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $4,188.24 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $4,314.33 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,799.03 HEALTHLINK HMO — HEALTHLINK HMO: $4,566.35 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $4,799.03 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $4,799.03
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 26 In the file: Sleep study in sleep lab (6 years or older)	$412	$412	$89.78 – $370.80
Sleep study (overnight, in a sleep lab): 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $89.78 AETNA MCR ADV — AETNA MCR ADV: $121.02 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $162.91 BCBS MCAID — BCBS MCAID: $89.78 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $267.71 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $89.78 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $142.38 HEALTHLINK HMO — HEALTHLINK HMO: $255.44 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $255.44 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $115.95

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) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$219	$219	$81.03 – $197.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $196.76 AETNA MCR ADV — AETNA MCR ADV: $82.65 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $197.10 BCBS MCAID — BCBS MCAID: $196.76 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $157.68 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $196.76 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $180.68 HEALTHLINK HMO — HEALTHLINK HMO: $171.92 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $180.68 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $180.68
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$199	$199	$73.63 – $196.76
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $196.76 AETNA MCR ADV — AETNA MCR ADV: $75.10 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $179.10 BCBS MCAID — BCBS MCAID: $196.76 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $143.28 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $196.76 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $164.18 HEALTHLINK HMO — HEALTHLINK HMO: $156.22 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $164.18 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $164.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes	$333	$333	$123.21 – $1,034.39
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,034.39 AETNA MCR ADV — AETNA MCR ADV: $125.67 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $299.70 BCBS MCAID — BCBS MCAID: $1,034.39 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $239.76 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,034.39 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $274.73 HEALTHLINK HMO — HEALTHLINK HMO: $261.41 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $274.73 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $274.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes	$439	$439	$162.43 – $1,034.39
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,034.39 AETNA MCR ADV — AETNA MCR ADV: $165.68 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $395.10 BCBS MCAID — BCBS MCAID: $1,034.39 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $316.08 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,034.39 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $362.18 HEALTHLINK HMO — HEALTHLINK HMO: $344.62 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $362.18 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $362.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes	$483	$483	$178.71 – $1,034.39
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,034.39 AETNA MCR ADV — AETNA MCR ADV: $182.28 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $434.70 BCBS MCAID — BCBS MCAID: $1,034.39 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $347.76 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,034.39 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $398.48 HEALTHLINK HMO — HEALTHLINK HMO: $379.16 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $398.48 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $398.48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$363	$363	$134.31 – $705.92
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $705.92 AETNA MCR ADV — AETNA MCR ADV: $137 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $326.70 BCBS MCAID — BCBS MCAID: $705.92 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $261.36 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $705.92 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $299.48 HEALTHLINK HMO — HEALTHLINK HMO: $284.96 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $299.48 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $299.48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 25 In the file: Psychotherapy, 30 minutes	$198.25	$198.25	$73.35 – $705.92
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $705.92 AETNA MCR ADV — AETNA MCR ADV: $74.82 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $178.43 BCBS MCAID — BCBS MCAID: $705.92 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $142.74 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $705.92 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $163.56 HEALTHLINK HMO — HEALTHLINK HMO: $155.63 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $163.56 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $163.56
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 95 In the file: Psychotherapy, 30 minutes	$198.25	$198.25	$73.35 – $705.92
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $705.92 AETNA MCR ADV — AETNA MCR ADV: $74.82 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $178.43 BCBS MCAID — BCBS MCAID: $705.92 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $142.74 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $705.92 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $163.56 HEALTHLINK HMO — HEALTHLINK HMO: $155.63 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $163.56 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $163.56
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$294	$294	$108.78 – $843.50
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $843.50 AETNA MCR ADV — AETNA MCR ADV: $110.96 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $264.60 BCBS MCAID — BCBS MCAID: $843.50 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $211.68 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $843.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $242.55 HEALTHLINK HMO — HEALTHLINK HMO: $230.79 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $242.55 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $242.55
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · modifier 95 In the file: Psychotherapy, 45 minutes	$294	$294	$108.78 – $843.50
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $843.50 AETNA MCR ADV — AETNA MCR ADV: $110.96 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $264.60 BCBS MCAID — BCBS MCAID: $843.50 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $211.68 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $843.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $242.55 HEALTHLINK HMO — HEALTHLINK HMO: $230.79 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $242.55 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $242.55
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$431	$431	$159.47 – $843.50
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $843.50 AETNA MCR ADV — AETNA MCR ADV: $162.66 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $387.90 BCBS MCAID — BCBS MCAID: $843.50 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $310.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $843.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $355.58 HEALTHLINK HMO — HEALTHLINK HMO: $338.34 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $355.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $355.58
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier 95 In the file: Psychotherapy, 1 hour	$431	$431	$159.47 – $843.50
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $843.50 AETNA MCR ADV — AETNA MCR ADV: $162.66 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $387.90 BCBS MCAID — BCBS MCAID: $843.50 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $310.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $843.50 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $355.58 HEALTHLINK HMO — HEALTHLINK HMO: $338.34 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $355.58 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $355.58
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$276.75	$276.75	$102.40 – $919.93
Family psychotherapy, without the patient: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $919.93 AETNA MCR ADV — AETNA MCR ADV: $104.45 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $249.08 BCBS MCAID — BCBS MCAID: $919.93 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $199.26 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $919.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $228.32 HEALTHLINK HMO — HEALTHLINK HMO: $217.25 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $228.32 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $228.32
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier 95 In the file: Family psychotherapy without patient, 50 minutes	$276.75	$276.75	$102.40 – $919.93
Family psychotherapy, without the patient: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $919.93 AETNA MCR ADV — AETNA MCR ADV: $104.45 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $249.08 BCBS MCAID — BCBS MCAID: $919.93 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $199.26 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $919.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $228.32 HEALTHLINK HMO — HEALTHLINK HMO: $217.25 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $228.32 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $228.32
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$300	$300	$111 – $919.93
Family psychotherapy, with the patient: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $919.93 AETNA MCR ADV — AETNA MCR ADV: $113.22 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $270 BCBS MCAID — BCBS MCAID: $919.93 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $216 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $919.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $247.50 HEALTHLINK HMO — HEALTHLINK HMO: $235.50 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $247.50 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $247.50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier 95 In the file: Family psychotherapy with patient, 50 minutes	$281.75	$281.75	$104.25 – $919.93
Family psychotherapy, with the patient: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $919.93 AETNA MCR ADV — AETNA MCR ADV: $106.33 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $253.58 BCBS MCAID — BCBS MCAID: $919.93 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $202.86 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $919.93 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $232.44 HEALTHLINK HMO — HEALTHLINK HMO: $221.17 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $232.44 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $232.44
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$302	$302	$111.74 – $1,285.64
Group psychotherapy: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,285.64 AETNA MCR ADV — AETNA MCR ADV: $113.97 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $271.80 BCBS MCAID — BCBS MCAID: $1,285.64 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $217.44 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,285.64 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $249.15 HEALTHLINK HMO — HEALTHLINK HMO: $237.07 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $249.15 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $249.15
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 95 In the file: Group psychotherapy	$302	$302	$111.74 – $1,285.64
Group psychotherapy: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $1,285.64 AETNA MCR ADV — AETNA MCR ADV: $113.97 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $271.80 BCBS MCAID — BCBS MCAID: $1,285.64 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $217.44 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $1,285.64 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $249.15 HEALTHLINK HMO — HEALTHLINK HMO: $237.07 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $249.15 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $249.15

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$13,555	$13,555	$5,015.35 – $12,199.50
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $10,833.05 AETNA MCR ADV — AETNA MCR ADV: $5,115.66 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $12,199.50 BCBS MCAID — BCBS MCAID: $10,833.05 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $9,759.60 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $10,833.05 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $11,182.88 HEALTHLINK HMO — HEALTHLINK HMO: $10,640.68 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $11,182.88 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $11,182.88
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$3,105	$3,105	$1,148.85 – $5,264.05
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,264.05 AETNA MCR ADV — AETNA MCR ADV: $1,171.83 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $2,794.50 BCBS MCAID — BCBS MCAID: $5,264.05 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,235.60 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,264.05 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,561.63 HEALTHLINK HMO — HEALTHLINK HMO: $2,437.43 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,561.63 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,561.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$4,025	$4,025	$1,489.25 – $5,264.05
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,264.05 AETNA MCR ADV — AETNA MCR ADV: $1,519.04 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,622.50 BCBS MCAID — BCBS MCAID: $5,264.05 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,898 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,264.05 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,320.63 HEALTHLINK HMO — HEALTHLINK HMO: $3,159.63 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,320.63 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,320.63
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$3,065	$3,065	$1,134.05 – $5,378.89
Colonoscopy (diagnostic): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,378.89 AETNA MCR ADV — AETNA MCR ADV: $1,156.73 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $2,758.50 BCBS MCAID — BCBS MCAID: $5,378.89 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,206.80 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,378.89 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,528.63 HEALTHLINK HMO — HEALTHLINK HMO: $2,406.03 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,528.63 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,528.63
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$4,410	$4,410	$1,631.70 – $5,378.89
Colonoscopy with biopsy: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,378.89 AETNA MCR ADV — AETNA MCR ADV: $1,664.33 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,969 BCBS MCAID — BCBS MCAID: $5,378.89 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $3,175.20 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,378.89 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,638.25 HEALTHLINK HMO — HEALTHLINK HMO: $3,461.85 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,638.25 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,638.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$4,410	$4,410	$1,631.70 – $5,378.89
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,378.89 AETNA MCR ADV — AETNA MCR ADV: $1,664.33 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,969 BCBS MCAID — BCBS MCAID: $5,378.89 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $3,175.20 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,378.89 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,638.25 HEALTHLINK HMO — HEALTHLINK HMO: $3,461.85 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,638.25 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,638.25
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$2,787	$2,787	$1,031.19 – $5,378.89
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $5,378.89 AETNA MCR ADV — AETNA MCR ADV: $1,051.81 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $2,508.30 BCBS MCAID — BCBS MCAID: $5,378.89 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $2,006.64 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $5,378.89 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,299.28 HEALTHLINK HMO — HEALTHLINK HMO: $2,187.80 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $2,299.28 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $2,299.28
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$16,756	$16,756	$6,199.72 – $18,740.10
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $18,740.10 AETNA MCR ADV — AETNA MCR ADV: $6,323.71 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $15,080.40 BCBS MCAID — BCBS MCAID: $18,740.10 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $12,064.32 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $18,740.10 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $13,823.70 HEALTHLINK HMO — HEALTHLINK HMO: $13,153.46 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $13,823.70 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $13,823.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$11,823	$11,823	$4,374.51 – $19,232.79
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $19,232.79 AETNA MCR ADV — AETNA MCR ADV: $4,462 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $10,640.70 BCBS MCAID — BCBS MCAID: $19,232.79 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $8,512.56 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $19,232.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $9,753.98 HEALTHLINK HMO — HEALTHLINK HMO: $9,281.06 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $9,753.98 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $9,753.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Repair of groin hernia (5 years or older)	$22,678	$22,678	$8,390.86 – $20,410.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $19,232.79 AETNA MCR ADV — AETNA MCR ADV: $8,558.68 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $20,410.20 BCBS MCAID — BCBS MCAID: $19,232.79 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $16,328.16 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $19,232.79 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18,709.35 HEALTHLINK HMO — HEALTHLINK HMO: $17,802.23 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $18,709.35 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $18,709.35
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$11,242	$11,242	$4,159.54 – $12,685.46
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $12,685.46 AETNA MCR ADV — AETNA MCR ADV: $4,242.73 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $10,117.80 BCBS MCAID — BCBS MCAID: $12,685.46 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $8,094.24 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $12,685.46 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $9,274.65 HEALTHLINK HMO — HEALTHLINK HMO: $8,824.97 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $9,274.65 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $9,274.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$451	$451	$90.23 – $881
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $881 AETNA MCR ADV — AETNA MCR ADV: $92.03 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $114.54 BCBS MCAID — BCBS MCAID: $881 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $479.86 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $881 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $108.28 HEALTHLINK HMO — HEALTHLINK HMO: $113.10 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $118.15 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $97.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$502	$502	$20.88 – $451.80
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $20.88 AETNA MCR ADV — AETNA MCR ADV: $101.94 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $122.09 BCBS MCAID — BCBS MCAID: $20.88 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $445.25 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $20.88 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $119.93 HEALTHLINK HMO — HEALTHLINK HMO: $126.29 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $131.93 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $108.98
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	$502	$502	$20.88 – $451.80
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $20.88 AETNA MCR ADV — AETNA MCR ADV: $101.94 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $122.09 BCBS MCAID — BCBS MCAID: $20.88 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $445.25 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $20.88 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $119.93 HEALTHLINK HMO — HEALTHLINK HMO: $126.29 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $131.93 HUMANA CHOICECARE MCR - ALL PLANS — HUMANA CHOICECARE MCR - ALL PLANS: $108.98
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$6,292	$6,292	$2,328.04 – $7,348.90
Carpal tunnel release: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $7,348.90 AETNA MCR ADV — AETNA MCR ADV: $2,374.60 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $5,662.80 BCBS MCAID — BCBS MCAID: $7,348.90 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $4,530.24 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $7,348.90 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,190.90 HEALTHLINK HMO — HEALTHLINK HMO: $4,939.22 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $5,190.90 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $5,190.90
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens	$4,427	$4,427	$1,637.99 – $9,315.76
Cataract removal with lens implant: 10 of 20 insurance plan rates AETNA BETTER HEALTH — AETNA BETTER HEALTH: $9,315.76 AETNA MCR ADV — AETNA MCR ADV: $1,670.75 AETNA PPO - ALL OTHER PLANS — AETNA PPO - ALL OTHER PLANS: $3,984.30 BCBS MCAID — BCBS MCAID: $9,315.76 BCBS PPO - ALL OTHER PLANS — BCBS PPO - ALL OTHER PLANS: $3,187.44 CENTENE MCAID - ALL PLANS — CENTENE MCAID - ALL PLANS: $9,315.76 CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,652.28 HEALTHLINK HMO — HEALTHLINK HMO: $3,475.20 HEALTHLINK PPO - ALL OTHER PLANS — HEALTHLINK PPO - ALL OTHER PLANS: $3,652.28 HEALTHLINK WORK COMP — HEALTHLINK WORK COMP: $3,652.28

Source: Pinckneyville Community Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 8, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	5383 State Route 154, Pinckneyville, IL 62274
County	Perry County
State	Illinois
Phone	(618) 357‑2187
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	141307
Name in Medicare records	PINCKNEYVILLE COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	pvillehosp.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Pinckneyville Community Hospital — pvillehosp.org
Services — pvillehosp.org
Interpreter and Translating Service | Pinckneyville Community Hospital — pvillehosp.org
Medical Chaperone Program — pvillehosp.org
The Cafeteria | Pinckneyville Community Hospital — pvillehosp.org
Freedom Of Information Act | Pinckneyville Community Hospital — pvillehosp.org
Fitness Center | Pinckneyville Community Hospital — pvillehosp.org

Pinckneyville Community Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[5]

Programs and centers^{[5][6][7][9][10]}

Emergency care (hospital website)^[4][5][8]

Doctors and clinicians (82)

Main specialties

Doctors with a page on this site (82)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Pinckneyville Community Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[5]

Programs and centers[5][6][7][9][10]

Emergency care (hospital website)[4][5][8]

Doctors and clinicians (82)

Main specialties

Doctors with a page on this site (82)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[5]

Programs and centers^{[5][6][7][9][10]}

Emergency care (hospital website)^[4][5][8]