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Acute Care Hospital

Plainview Hospital

Plainview, New York · Nassau County · Emergency services listed

Summary

Plainview Hospital is an acute care hospital in Plainview, New York. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 38 services, specialties and programs. Medicare lists 450 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(516) 719‑3000 Directions Website Medicare profile
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Exterior of Plainview Hospital
Photo: Sullynyflhi, CC BY-SA 3.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
219Beds (hospital website)
450Doctors and clinicians
38Services listed

Quick answers

Does Plainview Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Plainview Hospital. In a medical emergency, call 911.
Where is Plainview Hospital?
888 Old Country Road, Plainview, NY 11803, in Nassau County, New York.
What is the phone number of Plainview Hospital?
(516) 719-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Plainview Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][7][12][13]

Conditions treated[7][13]

Treatments[4][7][12][13]

Procedures[4][5][7][13]

Programs and centers[4][5][7][12]

  • Family Practice Residency training site
  • Orthopedic residency training site
  • Don Monti Cancer Center
  • Center of Excellence in minimally invasive gynecology

Emergency care (hospital website)[4][7][12]

Emergency roomYes
Open 24/7Yes
Stroke designationNew York State Department of Health Primary Stroke Center

Visiting and practical information

VisitingInpatient visiting hours are 9am to 9pm daily; support persons welcome 24 hours per patient preference. ED allows one visitor at a time[9]
Interpreters and languagesLanguage and communication access services available, including interpretation and sign language; call (516) 881-7004[10][11]

Recognition[4][12][13]

  • IAC accreditation for adult echocardiography
  • ACR-accredited facility
  • UHMS accreditation for hyperbaric oxygen therapy
  • U.S. News & World Report Best Hospitals, diabetes & endocrinology 2026
  • NICHE senior-friendly designation
  • Commission on Cancer accreditation

Doctors and clinicians (450)

450 doctors and other clinicians list Plainview 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

Doctors with a page on this site (450)

And 426 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital68%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night46%National average: 60%
Completed surveys770Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0Better than the national benchmark
Surgical site infections after colon surgery0.56No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.45No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.046Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients10%
Deaths within 30 days: heart failure patients9.9%
Deaths within 30 days: pneumonia patients12.9%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients12.1%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.93No different from the national rate
Complications after hip or knee replacement3.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.9%
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia16.1%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)245 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)58%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New YorkBest hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Plainview 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office o/p new low 30-44 min Not listed in the file $367.64 $163.88 – $735.29
New patient office visit (about 30–44 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $336.10
  • Aetna — Aetna Meritain PPO: $336.10
  • Aetna — Aetna PPO: $336.10
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $367.64
  • Cigna — Cigna PPO: $514.70
  • Emblem — Connecticare HMO: $514.70
  • Emblem — Connecticare PPO: $514.70
  • Emblem — Emblem - Essential 1&2: $163.88
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office o/p new mod 45-59 min Not listed in the file $454.12 $163.88 – $908.24
New patient office visit (about 45–59 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $415.16
  • Aetna — Aetna Meritain PPO: $415.16
  • Aetna — Aetna PPO: $415.16
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $454.12
  • Cigna — Cigna PPO: $635.77
  • Emblem — Connecticare HMO: $635.77
  • Emblem — Connecticare PPO: $635.77
  • Emblem — Emblem - Essential 1&2: $163.88
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office o/p new hi 60-74 min Not listed in the file $543.38 $163.88 – $1,086.76
New patient office visit (about 60–74 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $496.76
  • Aetna — Aetna Meritain PPO: $496.76
  • Aetna — Aetna PPO: $496.76
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $543.38
  • Cigna — Cigna PPO: $760.73
  • Emblem — Connecticare HMO: $760.73
  • Emblem — Connecticare PPO: $760.73
  • Emblem — Emblem - Essential 1&2: $163.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office o/p est low 20-29 min Not listed in the file $270 $162 – $540
Established patient office visit (about 20–29 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $246.83
  • Aetna — Aetna Meritain PPO: $246.83
  • Aetna — Aetna PPO: $246.83
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $270
  • Cigna — Cigna PPO: $378
  • Emblem — Connecticare HMO: $378
  • Emblem — Connecticare PPO: $378
  • Emblem — Emblem - Essential 1&2: $163.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office o/p est mod 30-39 min Not listed in the file $354.12 $163.88 – $708.24
Established patient office visit (about 30–39 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $323.74
  • Aetna — Aetna Meritain PPO: $323.74
  • Aetna — Aetna PPO: $323.74
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $354.12
  • Cigna — Cigna PPO: $495.77
  • Emblem — Connecticare HMO: $495.77
  • Emblem — Connecticare PPO: $495.77
  • Emblem — Emblem - Essential 1&2: $163.88
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est low 30 Not listed in the file $437.18 $163.88 – $874.35
Office consultation with a specialist (moderate): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $399.67
  • Aetna — Aetna Meritain PPO: $399.67
  • Aetna — Aetna PPO: $399.67
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $437.18
  • Cigna — Cigna PPO: $612.04
  • Emblem — Connecticare HMO: $612.04
  • Emblem — Connecticare PPO: $612.04
  • Emblem — Emblem - Essential 1&2: $163.88
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Off/op cnsltj new/est mod 40 Not listed in the file $526.41 $163.88 – $1,052.82
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $481.24
  • Aetna — Aetna Meritain PPO: $481.24
  • Aetna — Aetna PPO: $481.24
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $526.41
  • Cigna — Cigna PPO: $736.97
  • Emblem — Connecticare HMO: $736.97
  • Emblem — Connecticare PPO: $736.97
  • Emblem — Emblem - Essential 1&2: $163.88
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev visit new age 18-39 Not listed in the file $294.97 $134 – $589.94
Preventive checkup, new patient, age 18–39: 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $269.66
  • Aetna — Aetna Meritain PPO: $269.66
  • Aetna — Aetna PPO: $269.66
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $294.97
  • Cigna — Cigna PPO: $412.96
  • Emblem — Connecticare HMO: $412.96
  • Emblem — Connecticare PPO: $412.96
  • Emblem — Emblem - Essential 1&2: $163.88
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev visit new age 40-64 Not listed in the file $294.97 $157 – $589.94
Preventive checkup, new patient, age 40–64: 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $269.66
  • Aetna — Aetna Meritain PPO: $269.66
  • Aetna — Aetna PPO: $269.66
  • Affinity — Affinity Health Plan - CHP: $168.80
  • Affinity — Affinity Health Plan - MCD: $168.80
  • Cigna — Cigna HMO: $294.97
  • Cigna — Cigna PPO: $412.96
  • Emblem — Connecticare HMO: $412.96
  • Emblem — Connecticare PPO: $412.96
  • Emblem — Emblem - Essential 1&2: $163.88
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT E/M 3 Not listed in the file $3,674.80 $165 – $3,708
Emergency room visit (moderate): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $2,602
  • Aetna — Aetna Medicare: $210.94
  • Aetna — Aetna Meritain PPO: $2,602
  • Aetna — Aetna PPO: $2,602
  • Affinity — Affinity Health Plan - CHP: $210.94
  • Affinity — Affinity Health Plan - Essential 1&2: $210.94
  • Affinity — Affinity Health Plan - MCD: $210.94
  • Cigna — Cigna HMO: $2,375
  • Cigna — Cigna PPO: $1,953
  • Emblem — Connecticare HMO: $1,709
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT E/M 4 Not listed in the file $3,674.80 $165 – $3,708
Emergency room visit (moderately high): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $2,602
  • Aetna — Aetna Medicare: $210.94
  • Aetna — Aetna Meritain PPO: $2,602
  • Aetna — Aetna PPO: $2,602
  • Affinity — Affinity Health Plan - CHP: $210.94
  • Affinity — Affinity Health Plan - Essential 1&2: $210.94
  • Affinity — Affinity Health Plan - MCD: $210.94
  • Cigna — Cigna HMO: $2,375
  • Cigna — Cigna PPO: $1,953
  • Emblem — Connecticare HMO: $1,709
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT E/M 5 Not listed in the file $7,351.79 $165 – $7,418
Emergency room visit (high): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $2,602
  • Aetna — Aetna Medicare: $210.94
  • Aetna — Aetna Meritain PPO: $2,602
  • Aetna — Aetna PPO: $2,602
  • Affinity — Affinity Health Plan - CHP: $210.94
  • Affinity — Affinity Health Plan - Essential 1&2: $210.94
  • Affinity — Affinity Health Plan - MCD: $210.94
  • Cigna — Cigna HMO: $4,750
  • Cigna — Cigna PPO: $1,953
  • Emblem — Connecticare HMO: $3,263

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Metabolic panel total ca Not listed in the file $20.78 $8.29 – $168.41
Basic metabolic panel (blood test): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $17.34
  • Aetna — Aetna Medicare: $8.46
  • Aetna — Aetna Meritain PPO: $17.34
  • Aetna — Aetna PPO: $17.34
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $16.50
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $19.46
  • Cigna — Cigna PPO: $117.89
  • Emblem — Connecticare HMO: $35.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehen metabolic panel Not listed in the file $25.93 $10.35 – $321.47
Comprehensive metabolic panel (blood test): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $21.65
  • Aetna — Aetna Medicare: $10.56
  • Aetna — Aetna Meritain PPO: $21.65
  • Aetna — Aetna PPO: $21.65
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $20.59
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $24.32
  • Cigna — Cigna PPO: $225.03
  • Emblem — Connecticare HMO: $44.25
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel Not listed in the file $117.41 $31.86 – $207.50
Obstetric blood test panel: 10 of 70 insurance plan rates
  • Aetna — Aetna HMO: $98.01
  • Aetna — Aetna Medicare: $47.81
  • Aetna — Aetna Meritain PPO: $98.01
  • Aetna — Aetna PPO: $98.01
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $93.23
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $111.07
  • Emblem — Connecticare HMO: $200.32
  • Emblem — Connecticare PPO: $200.32
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel Not listed in the file $32.88 $13.12 – $200.35
Cholesterol panel (lipid panel): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $27.45
  • Aetna — Aetna Medicare: $13.39
  • Aetna — Aetna Meritain PPO: $27.45
  • Aetna — Aetna PPO: $27.45
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $26.11
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $30.82
  • Cigna — Cigna PPO: $140.24
  • Emblem — Connecticare HMO: $56.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel Not listed in the file $21.32 $8.51 – $92.94
Kidney function panel: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $17.79
  • Aetna — Aetna Medicare: $8.68
  • Aetna — Aetna Meritain PPO: $17.79
  • Aetna — Aetna PPO: $17.79
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $16.93
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $20.27
  • Cigna — Cigna PPO: $65.06
  • Emblem — Connecticare HMO: $36.37
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel Not listed in the file $20.06 $8.01 – $163.59
Liver function panel: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $16.75
  • Aetna — Aetna Medicare: $8.17
  • Aetna — Aetna Meritain PPO: $16.75
  • Aetna — Aetna PPO: $16.75
  • Affinity — Affinity Health Plan - CHP: $32.82
  • Affinity — Affinity Health Plan - Essential 1&2: $15.93
  • Affinity — Affinity Health Plan - MCD: $32.82
  • Cigna — Cigna HMO: $18.66
  • Cigna — Cigna PPO: $114.51
  • Emblem — Connecticare HMO: $34.23
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis auto w/scope Not listed in the file $7.78 $3.11 – $94.94
Urine test (automated, with microscope): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6.50
  • Aetna — Aetna Medicare: $3.17
  • Aetna — Aetna Meritain PPO: $6.50
  • Aetna — Aetna PPO: $6.50
  • Affinity — Affinity Health Plan - CHP: $13.39
  • Affinity — Affinity Health Plan - Essential 1&2: $6.18
  • Affinity — Affinity Health Plan - MCD: $13.39
  • Cigna — Cigna HMO: $7.30
  • Cigna — Cigna PPO: $66.46
  • Emblem — Connecticare HMO: $13.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis nonauto w/o scope Not listed in the file $8.55 $3.41 – $36.94
Urine test (manual, without microscope): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $7.13
  • Aetna — Aetna Medicare: $3.48
  • Aetna — Aetna Meritain PPO: $7.13
  • Aetna — Aetna PPO: $7.13
  • Affinity — Affinity Health Plan - CHP: $13.39
  • Affinity — Affinity Health Plan - Essential 1&2: $6.79
  • Affinity — Affinity Health Plan - MCD: $13.39
  • Cigna — Cigna HMO: $8.11
  • Cigna — Cigna PPO: $25.86
  • Emblem — Connecticare HMO: $14.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis auto w/o scope Not listed in the file $5.53 $2.21 – $66.65
Urine test (automated, without microscope): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $4.61
  • Aetna — Aetna Medicare: $2.25
  • Aetna — Aetna Meritain PPO: $4.61
  • Aetna — Aetna PPO: $4.61
  • Affinity — Affinity Health Plan - CHP: $13.39
  • Affinity — Affinity Health Plan - Essential 1&2: $4.39
  • Affinity — Affinity Health Plan - MCD: $13.39
  • Cigna — Cigna HMO: $4.86
  • Cigna — Cigna PPO: $46.66
  • Emblem — Connecticare HMO: $9.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Assay of psa total Not listed in the file $45.16 $13.26 – $220.59
PSA (prostate specific antigen) blood test: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $37.70
  • Aetna — Aetna Medicare: $18.39
  • Aetna — Aetna Meritain PPO: $37.70
  • Aetna — Aetna PPO: $37.70
  • Affinity — Affinity Health Plan - CHP: $13.66
  • Affinity — Affinity Health Plan - Essential 1&2: $35.86
  • Affinity — Affinity Health Plan - MCD: $13.66
  • Cigna — Cigna HMO: $42.98
  • Cigna — Cigna PPO: $154.41
  • Emblem — Connecticare HMO: $77.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Assay thyroid stim hormone Not listed in the file $41.26 $16.46 – $222.82
Thyroid stimulating hormone (TSH) test: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $34.44
  • Aetna — Aetna Medicare: $16.80
  • Aetna — Aetna Meritain PPO: $34.44
  • Aetna — Aetna PPO: $34.44
  • Affinity — Affinity Health Plan - CHP: $32.07
  • Affinity — Affinity Health Plan - Essential 1&2: $32.76
  • Affinity — Affinity Health Plan - MCD: $32.07
  • Cigna — Cigna HMO: $38.91
  • Cigna — Cigna PPO: $155.97
  • Emblem — Connecticare HMO: $70.39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete cbc w/auto diff wbc Not listed in the file $19.08 $7.61 – $123.24
Complete blood count (CBC) with differential: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $15.93
  • Aetna — Aetna Medicare: $7.77
  • Aetna — Aetna Meritain PPO: $15.93
  • Aetna — Aetna PPO: $15.93
  • Affinity — Affinity Health Plan - CHP: $14.05
  • Affinity — Affinity Health Plan - Essential 1&2: $15.15
  • Affinity — Affinity Health Plan - MCD: $14.05
  • Cigna — Cigna HMO: $17.84
  • Cigna — Cigna PPO: $86.27
  • Emblem — Connecticare HMO: $32.56
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete cbc automated Not listed in the file $15.89 $6.34 – $80.35
Complete blood count (CBC), automated: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $13.26
  • Aetna — Aetna Medicare: $6.47
  • Aetna — Aetna Meritain PPO: $13.26
  • Aetna — Aetna PPO: $13.26
  • Affinity — Affinity Health Plan - CHP: $14.05
  • Affinity — Affinity Health Plan - Essential 1&2: $12.62
  • Affinity — Affinity Health Plan - MCD: $14.05
  • Cigna — Cigna HMO: $15.41
  • Cigna — Cigna PPO: $56.24
  • Emblem — Connecticare HMO: $27.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time Not listed in the file $10.54 $4.20 – $83.65
Blood clotting time test (prothrombin time, PT): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $8.79
  • Aetna — Aetna Medicare: $4.29
  • Aetna — Aetna Meritain PPO: $8.79
  • Aetna — Aetna PPO: $8.79
  • Affinity — Affinity Health Plan - CHP: $16.90
  • Affinity — Affinity Health Plan - Essential 1&2: $8.37
  • Affinity — Affinity Health Plan - MCD: $16.90
  • Cigna — Cigna HMO: $9.73
  • Cigna — Cigna PPO: $58.55
  • Emblem — Connecticare HMO: $17.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time partial Not listed in the file $14.76 $5.89 – $102.29
Blood clotting test (partial thromboplastin time, PTT): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $12.32
  • Aetna — Aetna Medicare: $6.01
  • Aetna — Aetna Meritain PPO: $12.32
  • Aetna — Aetna PPO: $12.32
  • Affinity — Affinity Health Plan - CHP: $16.90
  • Affinity — Affinity Health Plan - Essential 1&2: $11.72
  • Affinity — Affinity Health Plan - MCD: $16.90
  • Cigna — Cigna HMO: $13.78
  • Cigna — Cigna PPO: $71.60
  • Emblem — Connecticare HMO: $25.18

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head/brain w/o dye Not listed in the file $271.79 $123.37 – $2,207
CT scan of the head or brain, without contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $169.99
  • Aetna — Aetna Medicare: $125.89
  • Aetna — Aetna Meritain PPO: $169.99
  • Aetna — Aetna PPO: $169.99
  • Affinity — Affinity Health Plan - CHP: $395.49
  • Affinity — Affinity Health Plan - Essential 1&2: $245.48
  • Affinity — Affinity Health Plan - MCD: $395.49
  • Cigna — Cigna HMO: $228.53
  • Cigna — Cigna PPO: $2,207
  • Emblem — Connecticare HMO: $347.43
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file $888.42 $431.56 – $7,149.29
MRI of the brain, before and after contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $542.74
  • Aetna — Aetna Medicare: $440.36
  • Aetna — Aetna Meritain PPO: $542.74
  • Aetna — Aetna PPO: $542.74
  • Affinity — Affinity Health Plan - CHP: $730.43
  • Affinity — Affinity Health Plan - Essential 1&2: $858.71
  • Affinity — Affinity Health Plan - MCD: $730.43
  • Cigna — Cigna HMO: $766.45
  • Cigna — Cigna PPO: $2,942
  • Emblem — Connecticare HMO: $1,109.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file $91.20 $24 – $704.12
Chest X-ray, 2 views: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $57.81
  • Aetna — Aetna Medicare: $104.05
  • Aetna — Aetna Meritain PPO: $57.81
  • Aetna — Aetna PPO: $57.81
  • Affinity — Affinity Health Plan - CHP: $38.56
  • Affinity — Affinity Health Plan - Essential 1&2: $202.90
  • Affinity — Affinity Health Plan - MCD: $38.56
  • Cigna — Cigna HMO: $72.78
  • Cigna — Cigna PPO: $492.88
  • Emblem — Connecticare HMO: $118.16
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file $152.28 $37.44 – $830.12
X-ray of the lower spine, at least 4 views: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $97.93
  • Aetna — Aetna Medicare: $125.89
  • Aetna — Aetna Meritain PPO: $97.93
  • Aetna — Aetna PPO: $97.93
  • Affinity — Affinity Health Plan - CHP: $38.56
  • Affinity — Affinity Health Plan - Essential 1&2: $245.48
  • Affinity — Affinity Health Plan - MCD: $38.56
  • Cigna — Cigna HMO: $119.70
  • Cigna — Cigna PPO: $581.08
  • Emblem — Connecticare HMO: $200.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file $509.81 $274.97 – $4,018.06
MRI of the lower back (lumbar spine), without contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $312.95
  • Aetna — Aetna Medicare: $280.58
  • Aetna — Aetna Meritain PPO: $312.95
  • Aetna — Aetna PPO: $312.95
  • Affinity — Affinity Health Plan - CHP: $484.30
  • Affinity — Affinity Health Plan - Essential 1&2: $547.14
  • Affinity — Affinity Health Plan - MCD: $484.30
  • Cigna — Cigna HMO: $439.78
  • Cigna — Cigna PPO: $2,942
  • Emblem — Connecticare HMO: $639.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file $686.25 $206.18 – $2,207
CT scan of the pelvis, with contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $444.81
  • Aetna — Aetna Medicare: $210.39
  • Aetna — Aetna Meritain PPO: $444.81
  • Aetna — Aetna PPO: $444.81
  • Affinity — Affinity Health Plan - CHP: $395.49
  • Affinity — Affinity Health Plan - Essential 1&2: $410.25
  • Affinity — Affinity Health Plan - MCD: $395.49
  • Cigna — Cigna HMO: $603
  • Cigna — Cigna PPO: $2,207
  • Emblem — Connecticare HMO: $909.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file $574.79 $274.97 – $3,387
MRI of a leg joint (such as the knee), without contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $356.35
  • Aetna — Aetna Medicare: $280.58
  • Aetna — Aetna Meritain PPO: $356.35
  • Aetna — Aetna PPO: $356.35
  • Affinity — Affinity Health Plan - CHP: $484.30
  • Affinity — Affinity Health Plan - Essential 1&2: $547.14
  • Affinity — Affinity Health Plan - MCD: $484.30
  • Cigna — Cigna HMO: $496.53
  • Cigna — Cigna PPO: $2,942
  • Emblem — Connecticare HMO: $728.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelv w/contrast Not listed in the file $920.37 $318 – $5,000.29
CT scan of the abdomen and pelvis, with contrast: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $556.99
  • Aetna — Aetna Medicare: $440.36
  • Aetna — Aetna Meritain PPO: $556.99
  • Aetna — Aetna PPO: $556.99
  • Affinity — Affinity Health Plan - CHP: $395.49
  • Affinity — Affinity Health Plan - Essential 1&2: $858.71
  • Affinity — Affinity Health Plan - MCD: $395.49
  • Cigna — Cigna HMO: $765.38
  • Cigna — Cigna PPO: $2,207
  • Emblem — Connecticare HMO: $1,138.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file $312.06 $101 – $1,551.06
Ultrasound of the abdomen, complete: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $194.22
  • Aetna — Aetna Medicare: $125.89
  • Aetna — Aetna Meritain PPO: $194.22
  • Aetna — Aetna PPO: $194.22
  • Affinity — Affinity Health Plan - CHP: $710.04
  • Affinity — Affinity Health Plan - Essential 1&2: $245.48
  • Affinity — Affinity Health Plan - MCD: $710.04
  • Cigna — Cigna HMO: $260.53
  • Cigna — Cigna PPO: $1,008.04
  • Emblem — Connecticare HMO: $396.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >= 14 wks sngl fetus Not listed in the file $345.86 $108 – $812.06
Pregnancy ultrasound (after the first trimester): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $219.62
  • Aetna — Aetna Medicare: $125.89
  • Aetna — Aetna Meritain PPO: $219.62
  • Aetna — Aetna PPO: $219.62
  • Affinity — Affinity Health Plan - CHP: $141.45
  • Affinity — Affinity Health Plan - Essential 1&2: $245.48
  • Affinity — Affinity Health Plan - MCD: $141.45
  • Cigna — Cigna HMO: $289.35
  • Cigna — Cigna PPO: $568.44
  • Emblem — Connecticare HMO: $448.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file $343.25 $78 – $1,467.06
Transvaginal ultrasound: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $214.70
  • Aetna — Aetna Medicare: $125.89
  • Aetna — Aetna Meritain PPO: $214.70
  • Aetna — Aetna PPO: $214.70
  • Affinity — Affinity Health Plan - CHP: $163.69
  • Affinity — Affinity Health Plan - Essential 1&2: $245.48
  • Affinity — Affinity Health Plan - MCD: $163.69
  • Cigna — Cigna HMO: $285.08
  • Cigna — Cigna PPO: $1,026.94
  • Emblem — Connecticare HMO: $438.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Dx mammo incl cad uni Not listed in the file $341.96 $112 – $757.40
Diagnostic mammogram, one breast: 10 of 55 insurance plan rates
  • Aetna — Aetna HMO: $215.02
  • Aetna — Aetna Meritain PPO: $215.02
  • Aetna — Aetna PPO: $215.02
  • Affinity — Affinity Health Plan - CHP: $135.99
  • Affinity — Affinity Health Plan - MCD: $135.99
  • Cigna — Cigna HMO: $280.80
  • Cigna — Cigna PPO: $530.18
  • Emblem — Connecticare HMO: $439.49
  • Emblem — Connecticare PPO: $439.49
  • Emblem — Emblem - Essential 1&2: $132.03
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Dx mammo incl cad bi Not listed in the file $435.49 $132.03 – $969.47
Diagnostic mammogram, both breasts: 10 of 55 insurance plan rates
  • Aetna — Aetna HMO: $276.11
  • Aetna — Aetna Meritain PPO: $276.11
  • Aetna — Aetna PPO: $276.11
  • Affinity — Affinity Health Plan - CHP: $135.99
  • Affinity — Affinity Health Plan - MCD: $135.99
  • Cigna — Cigna HMO: $358.68
  • Cigna — Cigna PPO: $678.63
  • Emblem — Connecticare HMO: $564.35
  • Emblem — Connecticare PPO: $564.35
  • Emblem — Emblem - Essential 1&2: $132.03
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Scr mammo bi incl cad Not listed in the file $360.13 $118 – $888.93
Screening mammogram, both breasts: 10 of 55 insurance plan rates
  • Aetna — Aetna HMO: $227.30
  • Aetna — Aetna Meritain PPO: $227.30
  • Aetna — Aetna PPO: $227.30
  • Affinity — Affinity Health Plan - CHP: $135.99
  • Affinity — Affinity Health Plan - MCD: $135.99
  • Cigna — Cigna HMO: $296.80
  • Cigna — Cigna PPO: $622.25
  • Emblem — Connecticare HMO: $464.59
  • Emblem — Connecticare PPO: $464.59
  • Emblem — Emblem - Essential 1&2: $132.03

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram complete Not listed in the file $54.52 $32 – $101.68
Electrocardiogram (ECG/EKG) with reading: 10 of 33 insurance plan rates
  • Affinity — Affinity Health Plan - CHP: $46.55
  • Affinity — Affinity Health Plan - MCD: $46.55
  • Emblem — Emblem - Essential 1&2: $45.19
  • Emblem — Emblem - Essential 3&4: $47.45
  • Emblem — HIP Medicaid: $47.45
  • Empire — Empire - Exchange Small Group (Narrow Network): $45.82
  • Empire — Empire Blue Access Large Group: $44.76
  • Empire — Empire Blue Access Small Group: $44.76
  • Empire — Empire Connection: $40.85
  • Empire — Empire HMO: $49.73
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy Not listed in the file $4,595 $2,181.82 – $39,107
Left heart catheterization (diagnostic): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $39,107
  • Aetna — Aetna Medicare: $3,731.26
  • Aetna — Aetna Meritain PPO: $39,107
  • Aetna — Aetna PPO: $39,107
  • Affinity — Affinity Health Plan - CHP: $2,247.27
  • Affinity — Affinity Health Plan - Essential 1&2: $7,275.97
  • Affinity — Affinity Health Plan - MCD: $2,247.27
  • Cigna — Cigna HMO: $38,678
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $15,537
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Tx atrial fib pulm vein isol Not listed in the file $96,634 $1,173.88 – $101,083.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $39,107
  • Aetna — Aetna Medicare: $27,195.76
  • Aetna — Aetna Meritain PPO: $39,107
  • Aetna — Aetna PPO: $39,107
  • Affinity — Affinity Health Plan - CHP: $1,209.09
  • Affinity — Affinity Health Plan - Essential 1&2: $53,031.73
  • Affinity — Affinity Health Plan - MCD: $1,209.09
  • Cigna — Cigna HMO: $46,075
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $14,031
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param Not listed in the file $3,890.77 $772 – $11,614.76
Sleep study (overnight, in a sleep lab): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $5,309.11
  • Aetna — Aetna Medicare: $1,197.21
  • Aetna — Aetna Meritain PPO: $5,309.11
  • Aetna — Aetna PPO: $5,309.11
  • Affinity — Affinity Health Plan - CHP: $951.43
  • Affinity — Affinity Health Plan - Essential 1&2: $2,334.56
  • Affinity — Affinity Health Plan - MCD: $951.43
  • Cigna — Cigna HMO: $5,807.38
  • Cigna — Cigna PPO: $8,130.33
  • Emblem — Connecticare HMO: $5,320

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic exercises Not listed in the file $107.71 $50 – $435
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $342
  • Aetna — Aetna Meritain PPO: $342
  • Aetna — Aetna PPO: $342
  • Affinity — Affinity Health Plan - CHP: $79.06
  • Affinity — Affinity Health Plan - MCD: $79.06
  • Cigna — Cigna HMO: $132.29
  • Cigna — Cigna PPO: $185.21
  • Emblem — Connecticare HMO: $381
  • Emblem — Connecticare PPO: $381
  • Emblem — Emblem - Essential 1&2: $76.76
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt eval low complex 20 min Not listed in the file $366.61 $93 – $495.89
Physical therapy evaluation (low complexity): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $342
  • Aetna — Aetna Meritain PPO: $342
  • Aetna — Aetna PPO: $342
  • Affinity — Affinity Health Plan - CHP: $138.82
  • Affinity — Affinity Health Plan - MCD: $138.82
  • Cigna — Cigna HMO: $181.82
  • Cigna — Cigna PPO: $254.55
  • Emblem — Connecticare HMO: $381
  • Emblem — Connecticare PPO: $381
  • Emblem — Emblem - Essential 1&2: $134.78
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt eval mod complex 30 min Not listed in the file $366.61 $93 – $495.89
Physical therapy evaluation (moderate complexity): 10 of 54 insurance plan rates
  • Aetna — Aetna HMO: $342
  • Aetna — Aetna Meritain PPO: $342
  • Aetna — Aetna PPO: $342
  • Affinity — Affinity Health Plan - CHP: $138.82
  • Affinity — Affinity Health Plan - MCD: $138.82
  • Cigna — Cigna HMO: $227.79
  • Cigna — Cigna PPO: $318.91
  • Emblem — Connecticare HMO: $381
  • Emblem — Connecticare PPO: $381
  • Emblem — Emblem - Essential 1&2: $134.78
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psytx w pt 30 minutes Not listed in the file $276.43 $71 – $552.86
Psychotherapy, 30 minutes: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $252.71
  • Aetna — Aetna Medicare: $182.57
  • Aetna — Aetna Meritain PPO: $252.71
  • Aetna — Aetna PPO: $252.71
  • Affinity — Affinity Health Plan - CHP: $126.20
  • Affinity — Affinity Health Plan - Essential 1&2: $356
  • Affinity — Affinity Health Plan - MCD: $126.20
  • Cigna — Cigna HMO: $276.43
  • Cigna — Cigna PPO: $387
  • Emblem — Connecticare HMO: $387
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psytx w pt 45 minutes Not listed in the file $346.50 $100 – $693
Psychotherapy, 45 minutes: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $316.77
  • Aetna — Aetna Medicare: $182.57
  • Aetna — Aetna Meritain PPO: $316.77
  • Aetna — Aetna PPO: $316.77
  • Affinity — Affinity Health Plan - CHP: $168.27
  • Affinity — Affinity Health Plan - Essential 1&2: $356
  • Affinity — Affinity Health Plan - MCD: $168.27
  • Cigna — Cigna HMO: $346.50
  • Cigna — Cigna PPO: $485.10
  • Emblem — Connecticare HMO: $485.10
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psytx w pt 60 minutes Not listed in the file $407.69 $127 – $815.38
Psychotherapy, 60 minutes: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $372.71
  • Aetna — Aetna Medicare: $182.57
  • Aetna — Aetna Meritain PPO: $372.71
  • Aetna — Aetna PPO: $372.71
  • Affinity — Affinity Health Plan - CHP: $168.27
  • Affinity — Affinity Health Plan - Essential 1&2: $356
  • Affinity — Affinity Health Plan - MCD: $168.27
  • Cigna — Cigna HMO: $407.69
  • Cigna — Cigna PPO: $570.77
  • Emblem — Connecticare HMO: $570.77
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min Not listed in the file $310.25 $75 – $620.50
Family psychotherapy, without the patient: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $283.63
  • Aetna — Aetna Medicare: $182.57
  • Aetna — Aetna Meritain PPO: $283.63
  • Aetna — Aetna PPO: $283.63
  • Affinity — Affinity Health Plan - CHP: $126.20
  • Affinity — Affinity Health Plan - Essential 1&2: $356
  • Affinity — Affinity Health Plan - MCD: $126.20
  • Cigna — Cigna HMO: $310.25
  • Cigna — Cigna PPO: $434.35
  • Emblem — Connecticare HMO: $434.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min Not listed in the file $365.50 $75 – $731
Family psychotherapy, with the patient: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $334.14
  • Aetna — Aetna Medicare: $182.57
  • Aetna — Aetna Meritain PPO: $334.14
  • Aetna — Aetna PPO: $334.14
  • Affinity — Affinity Health Plan - CHP: $126.20
  • Affinity — Affinity Health Plan - Essential 1&2: $356
  • Affinity — Affinity Health Plan - MCD: $126.20
  • Cigna — Cigna HMO: $365.50
  • Cigna — Cigna PPO: $511.70
  • Emblem — Connecticare HMO: $511.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file $194.50 $35 – $389
Group psychotherapy: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $177.81
  • Aetna — Aetna Medicare: $102.07
  • Aetna — Aetna Meritain PPO: $177.81
  • Aetna — Aetna PPO: $177.81
  • Affinity — Affinity Health Plan - CHP: $65.21
  • Affinity — Affinity Health Plan - Essential 1&2: $199.03
  • Affinity — Affinity Health Plan - MCD: $65.21
  • Cigna — Cigna HMO: $194.50
  • Cigna — Cigna PPO: $272.30
  • Emblem — Connecticare HMO: $272.30

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion Not listed in the file $4,595 $1,919.19 – $8,853
Removal of breast growth (open surgery): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $4,364.69
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,976.76
  • Affinity — Affinity Health Plan - Essential 1&2: $8,511.14
  • Affinity — Affinity Health Plan - MCD: $1,976.76
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file $75,894 $4,126.79 – $75,894
Total hip replacement: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $67,742
  • Aetna — Aetna Medicare: $15,070.36
  • Aetna — Aetna Meritain PPO: $67,742
  • Aetna — Aetna PPO: $67,742
  • Affinity — Affinity Health Plan - CHP: $4,250.59
  • Affinity — Affinity Health Plan - Essential 1&2: $29,387.19
  • Affinity — Affinity Health Plan - MCD: $4,250.59
  • Cigna — Cigna HMO: $47,703
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $54,612
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file $75,894 $4,126.79 – $75,894
Total knee replacement: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $67,742
  • Aetna — Aetna Medicare: $15,070.36
  • Aetna — Aetna Meritain PPO: $67,742
  • Aetna — Aetna PPO: $67,742
  • Affinity — Affinity Health Plan - CHP: $4,250.59
  • Affinity — Affinity Health Plan - Essential 1&2: $29,387.19
  • Affinity — Affinity Health Plan - MCD: $4,250.59
  • Cigna — Cigna HMO: $47,703
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $54,612
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression Not listed in the file $4,595 $1,343 – $14,036.36
Shoulder arthroscopy: shaving of shoulder bone: 10 of 55 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,275.54
  • Affinity — Affinity Health Plan - MCD: $2,275.54
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
  • Emblem — Connecticare PPO: $5,904
  • Emblem — Emblem - Essential 1&2: $2,209.27
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery Not listed in the file $4,595 $2,209.27 – $18,644
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $3,706.39
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,275.54
  • Affinity — Affinity Health Plan - Essential 1&2: $7,227.46
  • Affinity — Affinity Health Plan - MCD: $2,275.54
  • Cigna — Cigna HMO: $14,929
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $18,644
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file $22,972 $1,771.79 – $22,972
Removal of tonsils and adenoids (under age 12): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $6,705.70
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,824.94
  • Affinity — Affinity Health Plan - Essential 1&2: $13,076.11
  • Affinity — Affinity Health Plan - MCD: $1,824.94
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file $3,675 $1,017.22 – $8,853
Upper GI endoscopy (diagnostic): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $3,128
  • Aetna — Aetna Medicare: $1,037.98
  • Aetna — Aetna Meritain PPO: $3,128
  • Aetna — Aetna PPO: $3,128
  • Affinity — Affinity Health Plan - CHP: $1,071.69
  • Affinity — Affinity Health Plan - Essential 1&2: $2,024.07
  • Affinity — Affinity Health Plan - MCD: $1,071.69
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file $3,675 $1,017.22 – $8,853
Upper GI endoscopy with biopsy: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $3,128
  • Aetna — Aetna Medicare: $1,037.98
  • Aetna — Aetna Meritain PPO: $3,128
  • Aetna — Aetna PPO: $3,128
  • Affinity — Affinity Health Plan - CHP: $1,071.69
  • Affinity — Affinity Health Plan - Essential 1&2: $2,024.07
  • Affinity — Affinity Health Plan - MCD: $1,071.69
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file $3,675 $1,004.06 – $8,853
Colonoscopy (diagnostic): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $3,128
  • Aetna — Aetna Medicare: $1,046.54
  • Aetna — Aetna Meritain PPO: $3,128
  • Aetna — Aetna PPO: $3,128
  • Affinity — Affinity Health Plan - CHP: $1,034.18
  • Affinity — Affinity Health Plan - Essential 1&2: $2,040.75
  • Affinity — Affinity Health Plan - MCD: $1,034.18
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file $3,675 $1,004.06 – $8,853
Colonoscopy with biopsy: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $1,351.26
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,034.18
  • Affinity — Affinity Health Plan - Essential 1&2: $2,634.95
  • Affinity — Affinity Health Plan - MCD: $1,034.18
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file $3,675 $1,004.06 – $8,853
Colonoscopy with removal of polyps (snare): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $8,601
  • Aetna — Aetna Medicare: $1,351.26
  • Aetna — Aetna Meritain PPO: $8,601
  • Aetna — Aetna PPO: $8,601
  • Affinity — Affinity Health Plan - CHP: $1,034.18
  • Affinity — Affinity Health Plan - Essential 1&2: $2,634.95
  • Affinity — Affinity Health Plan - MCD: $1,034.18
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us Not listed in the file $4,595 $1,004.06 – $8,853
Ultrasound of the lower bowel by endoscope: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $1,351.26
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,034.18
  • Affinity — Affinity Health Plan - Essential 1&2: $2,634.95
  • Affinity — Affinity Health Plan - MCD: $1,034.18
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind Not listed in the file $3,675 $1,004.06 – $8,853
Screening colonoscopy (not high risk): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $1,046.54
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,034.18
  • Affinity — Affinity Health Plan - Essential 1&2: $2,040.75
  • Affinity — Affinity Health Plan - MCD: $1,034.18
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $3,108
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file $30,820 $3,210.56 – $37,910
Gallbladder removal by laparoscope: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $23,537
  • Aetna — Aetna Medicare: $6,607
  • Aetna — Aetna Meritain PPO: $23,537
  • Aetna — Aetna PPO: $23,537
  • Affinity — Affinity Health Plan - CHP: $3,306.87
  • Affinity — Affinity Health Plan - Essential 1&2: $12,883.66
  • Affinity — Affinity Health Plan - MCD: $3,306.87
  • Cigna — Cigna HMO: $27,821
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $31,850
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file $4,595 $2,507.96 – $12,426
Groin (inguinal) hernia repair, age 5 or older: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $3,961.54
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,583.20
  • Affinity — Affinity Health Plan - Essential 1&2: $7,725.01
  • Affinity — Affinity Health Plan - MCD: $2,583.20
  • Cigna — Cigna HMO: $7,464
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $12,426
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate Not listed in the file $4,595 $2,285.64 – $9,650
Prostate biopsy: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $3,128
  • Aetna — Aetna Medicare: $2,332.29
  • Aetna — Aetna Meritain PPO: $3,128
  • Aetna — Aetna PPO: $3,128
  • Affinity — Affinity Health Plan - CHP: $2,473.98
  • Affinity — Affinity Health Plan - Essential 1&2: $4,547.96
  • Affinity — Affinity Health Plan - MCD: $2,473.98
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file $13,784 $3,208.25 – $64,658
Prostate removal by laparoscope (radical prostatectomy): 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $11,786.97
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $3,304.50
  • Affinity — Affinity Health Plan - Essential 1&2: $22,984.58
  • Affinity — Affinity Health Plan - MCD: $3,304.50
  • Cigna — Cigna HMO: $13,054.95
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file $27,369 $1,719.21 – $27,369
Hysteroscopy with biopsy of the uterus lining: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $8,601
  • Aetna — Aetna Medicare: $3,579.89
  • Aetna — Aetna Meritain PPO: $8,601
  • Aetna — Aetna PPO: $8,601
  • Affinity — Affinity Health Plan - CHP: $1,770.78
  • Affinity — Affinity Health Plan - Essential 1&2: $6,980.78
  • Affinity — Affinity Health Plan - MCD: $1,770.78
  • Cigna — Cigna HMO: $20,018
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $22,916
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file $4,595 $751.98 – $8,853
Spinal injection, lower back (epidural), with imaging guidance: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $791.87
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $774.54
  • Affinity — Affinity Health Plan - Essential 1&2: $1,544.14
  • Affinity — Affinity Health Plan - MCD: $774.54
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file $4,595 $751.98 – $8,853
Nerve root injection, lower back, with imaging guidance: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $1,043.70
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $774.54
  • Affinity — Affinity Health Plan - Essential 1&2: $2,035.22
  • Affinity — Affinity Health Plan - MCD: $774.54
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file $4,595 $1,639.27 – $11,618.75
Carpal tunnel release: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $2,210.87
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $1,688.45
  • Affinity — Affinity Health Plan - Essential 1&2: $4,311.19
  • Affinity — Affinity Health Plan - MCD: $1,688.45
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file $4,595 $652.28 – $8,853
Laser treatment of clouding after cataract surgery: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $665.59
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,024.17
  • Affinity — Affinity Health Plan - Essential 1&2: $1,297.91
  • Affinity — Affinity Health Plan - MCD: $2,024.17
  • Cigna — Cigna HMO: $3,732
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file $4,595 $2,455.59 – $10,815.74
Cataract removal with lens implant: 10 of 72 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Medicare: $2,668.42
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,529.26
  • Affinity — Affinity Health Plan - Essential 1&2: $5,203.41
  • Affinity — Affinity Health Plan - MCD: $2,529.26
  • Cigna — Cigna HMO: $7,464
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $8,545

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetrical care Not listed in the file $4,595 $1,343 – $8,853
Vaginal delivery, with care before and after: 10 of 52 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,483.19
  • Affinity — Affinity Health Plan - MCD: $2,483.19
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
  • Emblem — Connecticare PPO: $5,904
  • Emblem — Emblem - Essential 1&2: $2,410.87
  • Emblem — Emblem - Essential 3&4: $2,410.87
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery Not listed in the file $4,595 $1,343 – $8,853
Cesarean delivery (C-section), with care before and after: 10 of 28 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
  • Emblem — Connecticare PPO: $5,904
  • Emblem — Emblem - Exchange: $4,520
  • Emblem — GHI HMO: $5,547
  • Emblem — GHI Insured PPO: $5,904
  • Emblem — GHI Net Access PPO: $5,904
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery Not listed in the file $4,595 $1,343 – $8,853
Vaginal delivery after a previous C-section, with care before and after: 10 of 52 insurance plan rates
  • Aetna — Aetna HMO: $6,568
  • Aetna — Aetna Meritain PPO: $6,568
  • Aetna — Aetna PPO: $6,568
  • Affinity — Affinity Health Plan - CHP: $2,483.19
  • Affinity — Affinity Health Plan - MCD: $2,483.19
  • Cigna — Cigna PPO: $6,202
  • Emblem — Connecticare HMO: $5,904
  • Emblem — Connecticare PPO: $5,904
  • Emblem — Emblem - Essential 1&2: $2,410.87
  • Emblem — Emblem - Essential 3&4: $2,410.87

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $350,238 $89,622.99 – $350,238
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 46 insurance plan rates
  • Aetna — Aetna HMO: $264,112
  • Aetna — Aetna Medicare: $95,529.01
  • Aetna — Aetna Meritain PPO: $264,112
  • Aetna — Aetna PPO: $264,112
  • Cigna — Cigna HMO: $201,602
  • Cigna — Cigna PPO: $293,229
  • Emblem — Connecticare HMO: $331,380
  • Emblem — Connecticare PPO: $331,380
  • Emblem — Emblem - Exchange: $277,681
  • Emblem — GHI HMO: $340,887
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $75,894 $17,509.32 – $75,894
Hip or knee replacement (major joint of the leg), without major complications: 10 of 46 insurance plan rates
  • Aetna — Aetna HMO: $67,742
  • Aetna — Aetna Medicare: $18,663.16
  • Aetna — Aetna Meritain PPO: $67,742
  • Aetna — Aetna PPO: $67,742
  • Cigna — Cigna HMO: $39,386
  • Cigna — Cigna PPO: $57,287
  • Emblem — Connecticare HMO: $64,741
  • Emblem — Connecticare PPO: $64,741
  • Emblem — Emblem - Exchange: $54,250
  • Emblem — GHI HMO: $66,598
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $75,573 $21,984.38 – $83,619
Neck (cervical) spinal fusion, without complications: 10 of 46 insurance plan rates
  • Aetna — Aetna HMO: $64,786
  • Aetna — Aetna Medicare: $23,433.12
  • Aetna — Aetna Meritain PPO: $64,786
  • Aetna — Aetna PPO: $64,786
  • Cigna — Cigna HMO: $49,453
  • Cigna — Cigna PPO: $71,929
  • Emblem — Connecticare HMO: $81,287
  • Emblem — Connecticare PPO: $81,287
  • Emblem — Emblem - Exchange: $68,115
  • Emblem — GHI HMO: $83,619
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $27,369 $11,131.49 – $42,339
Uterus and ovary surgery (not for cancer), without complications: 10 of 46 insurance plan rates
  • Aetna — Aetna HMO: $32,804
  • Aetna — Aetna Medicare: $11,865.04
  • Aetna — Aetna Meritain PPO: $32,804
  • Aetna — Aetna PPO: $32,804
  • Cigna — Cigna HMO: $25,040
  • Cigna — Cigna PPO: $36,420
  • Emblem — Connecticare HMO: $41,159
  • Emblem — Connecticare PPO: $41,159
  • Emblem — Emblem - Exchange: $34,489
  • Emblem — GHI HMO: $42,339

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

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

Hospital information

Hospital typeAcute Care Hospital
Address888 Old Country Road, Plainview, NY 11803
CountyNassau County
StateNew York
Phone(516) 719‑3000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
CMS Certification Number330331
Name in Medicare recordsPLAINVIEW HOSPITAL
Profile levelMedicare data + hospital website
Official websiteplainview.northwell.edu
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Plainview Hospital - Plainview, New York | Northwell Health — plainview.northwell.edu
  2. Surgical specialties - Plainview Hospital - Plainview, New York | Northwell Health — plainview.northwell.edu
  3. Find care - Plainview Hospital | Northwell Health — plainview.northwell.edu
  4. Emergency Department - Plainview Hospital - Plainview, New York | Northwell Health — plainview.northwell.edu
  5. Hospital information - Plainview Hospital | Northwell Health — plainview.northwell.edu
  6. Patient information - Plainview Hospital | Northwell Health — plainview.northwell.edu
  7. Language & Communication Access Services | Northwell Health — northwell.edu
  8. About us - Plainview Hospital | Northwell Health — plainview.northwell.edu
  9. Cardiology Catheterization Lab/Interventional cardiology - Plainview Hospital - Plainview, New York | Northwell Health — plainview.northwell.edu