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Acute Care Hospital

Pomerene Hospital

Millersburg, Ohio · Holmes County · Emergency services listed

Summary

Pomerene Hospital is an acute care hospital in Millersburg, Ohio. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 78 services, specialties and programs. Medicare lists 98 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(330) 674‑1015 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
98Doctors and clinicians
78Services listed

Quick answers

Does Pomerene Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Pomerene Hospital. In a medical emergency, call 911.
Where is Pomerene Hospital?
981 Wooster Road, Millersburg, OH 44654, in Holmes County, Ohio.
What is the phone number of Pomerene Hospital?
(330) 674-1015, as listed by Medicare (CMS).
What is the Medicare star rating of Pomerene Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7][8][9][11][14][18]

Conditions treated[4][5][7][9][14][16][17][18][20]

Treatments[4][12][17][18]

  • Therapy services
  • Nutrition services
  • Massage therapy
  • Vestibular rehabilitation
  • Diabetes self-management training
  • PCR testing
  • Anatomic pathology

Procedures[4][7][8][9][11][12][13][14]

Programs and centers[4][5][6][7][8][12][14][15][17][19]

  • Diabetes program
  • Chronic care management
  • Extended Care Unit
  • 24-hour emergency department
  • Amish Services
  • Direct Access Colonoscopy Program
  • Pomerene Kinetics medical fitness center
  • Mobile Health Services
  • Outpatient services
  • Free Pomerene Transportation for surgery package patients
  • Direct Access lab testing

Emergency care (hospital website)[5][14]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingOpen visitation policy; families may visit any time based on patient preference and consent[4]
Interpreters and languagesAmish Advocate and Nurse Navigator speak Pennsylvania Dutch; no general interpreter service stated[15]
Patient portalhttps://www.pomerenehospital.org/patient-portal

Recognition[17][20]

  • Get With The Guidelines-Stroke Silver Plus (American Heart Association) 2026
  • Get With The Guidelines-Rural Stroke Silver (American Heart Association) 2026
  • Mission: Lifeline Systems of Care Regional Award (American Heart Association) 2026
  • Coronary Artery Disease STEMI Referring Gold Plus (American Heart Association Get With The Guidelines) 2026
  • Rural Coronary Artery Disease STEMI Gold (American Heart Association Get With The Guidelines) 2026
  • Diabetes education program accredited by the Association of Diabetes Care and Education Specialists

Doctors and clinicians (98)

98 doctors and other clinicians list Pomerene 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 (98)

And 74 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 Pomerene 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night57%National average: 60%
Completed surveys344Response rate: 40%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients13%
Deaths within 30 days: pneumonia patients17%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia15.2%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)178 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)60%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 OhioBest hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as Pomerene 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 · Inpatient or outpatient In the file: NEW PATIENT LEVEL 3 DR ZAHKA $103 $82.40 $67.71 – $100.94
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates
  • Aetna — Default: $67.71
  • Aetna Medicare Advantage — Default: $110.25
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $64.28
  • AultCare — Default: $89.61
  • AultCare MA — Default: $110.25
  • Blue Cross Blue Shield of OH Anthem — Default: $86
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $110.25
  • Buckeye Ohio Medicaid MCE — Default: $61.22
  • CareSource OH MCE — Default: $61.22
  • Cigna — Default: $91.16
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: CK/PK PM OFFICE VISIT NEW - LEVEL 3 $424 $339.20 $67.71 – $394.32
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $67.71
  • AultCare — Default: $368.88
  • Blue Cross Blue Shield of OH Anthem — Default: $354.04
  • Cigna — Default: $375.24
  • Medical Mutual of Ohio — Default: $373.12
  • Medicare B OH J15 — Default: $110.25
  • SummaCare Health Plan — Default: $394.32
  • United Healthcare — Default: $373.12
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: PM OFFICE VISIT NEW - LEVEL 3 $259 $207.20 $67.71 – $240.87
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $67.71
  • AultCare — Default: $225.33
  • Blue Cross Blue Shield of OH Anthem — Default: $216.26
  • Cigna — Default: $229.22
  • Medical Mutual of Ohio — Default: $227.92
  • Medicare B OH J15 — Default: $110.25
  • SummaCare Health Plan — Default: $240.87
  • United Healthcare — Default: $227.92
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT LEVEL 4 DR ZAHKA $167 $133.60 $113.03 – $163.66
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates
  • Aetna — Default: $113.03
  • Aetna Medicare Advantage — Default: $166.84
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $98.03
  • AultCare — Default: $145.29
  • AultCare MA — Default: $166.84
  • Blue Cross Blue Shield of OH Anthem — Default: $139.44
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $166.84
  • Buckeye Ohio Medicaid MCE — Default: $93.36
  • CareSource OH MCE — Default: $93.36
  • Cigna — Default: $147.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: CF/PK PM OFFICE VISIT NEW - LEVEL 4 $626 $500.80 $113.03 – $582.18
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $113.03
  • AultCare — Default: $544.62
  • Blue Cross Blue Shield of OH Anthem — Default: $522.71
  • Cigna — Default: $554.01
  • Medical Mutual of Ohio — Default: $550.88
  • Medicare B OH J15 — Default: $166.84
  • SummaCare Health Plan — Default: $582.18
  • United Healthcare — Default: $550.88
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PM OFFICE VISIT NEW - LEVEL 4 $406 $324.80 $113.03 – $377.58
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $113.03
  • AultCare — Default: $353.22
  • Blue Cross Blue Shield of OH Anthem — Default: $339.01
  • Cigna — Default: $359.31
  • Medical Mutual of Ohio — Default: $357.28
  • Medicare B OH J15 — Default: $166.84
  • SummaCare Health Plan — Default: $377.58
  • United Healthcare — Default: $357.28
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT LEVEL V DR ZAHKA $216 $172.80 $146.96 – $211.68
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates
  • Aetna — Default: $146.96
  • Aetna Medicare Advantage — Default: $222.97
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $123.18
  • AultCare — Default: $187.92
  • AultCare MA — Default: $222.97
  • Blue Cross Blue Shield of OH Anthem — Default: $180.36
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $222.97
  • Buckeye Ohio Medicaid MCE — Default: $117.31
  • CareSource OH MCE — Default: $117.31
  • Cigna — Default: $191.16
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: CF/PK PM OFFICE VISIT NEW - LEVEL 5 $759 $607.20 $146.96 – $705.87
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $146.96
  • AultCare — Default: $660.33
  • Blue Cross Blue Shield of OH Anthem — Default: $633.76
  • Cigna — Default: $671.72
  • Medical Mutual of Ohio — Default: $667.92
  • Medicare B OH J15 — Default: $222.97
  • SummaCare Health Plan — Default: $705.87
  • United Healthcare — Default: $667.92
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: PM OFFICE VISIT NEW - LEVEL 5 $539 $431.20 $146.96 – $501.27
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $146.96
  • AultCare — Default: $468.93
  • Blue Cross Blue Shield of OH Anthem — Default: $450.06
  • Cigna — Default: $477.02
  • Medical Mutual of Ohio — Default: $474.32
  • Medicare B OH J15 — Default: $222.97
  • SummaCare Health Plan — Default: $501.27
  • United Healthcare — Default: $474.32
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: CONSULT LEVEL 3 DR ZAHKA $266 $212.80 $44.21 – $266
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates
  • Aetna — Default: $44.21
  • Aetna Medicare Advantage — Default: $89.15
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $48.54
  • AultCare — Default: $231.42
  • AultCare MA — Default: $89.15
  • Blue Cross Blue Shield of OH Anthem — Default: $222.11
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $89.15
  • Buckeye Ohio Medicaid MCE — Default: $46.23
  • CareSource OH MCE — Default: $46.23
  • Cigna — Default: $196.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST PATIENT LEVEL 3 DR ZAHKA $127 $101.60 $44.21 – $196.23
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates
  • Aetna — Default: $44.21
  • Aetna Medicare Advantage — Default: $89.15
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $48.54
  • AultCare — Default: $110.49
  • AultCare MA — Default: $89.15
  • Blue Cross Blue Shield of OH Anthem — Default: $106.04
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $89.15
  • Buckeye Ohio Medicaid MCE — Default: $46.23
  • CareSource OH MCE — Default: $46.23
  • Cigna — Default: $196.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 95 In the file: TELEVISIT SYNCH AUDIO-VIDEO EST LOW 20,Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunicati $122 $97.60 $44.21 – $196.23
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates
  • Aetna — Default: $44.21
  • Aetna Medicare Advantage — Default: $89.15
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $48.54
  • AultCare — Default: $106.14
  • AultCare MA — Default: $89.15
  • Blue Cross Blue Shield of OH Anthem — Default: $101.87
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $89.15
  • Buckeye Ohio Medicaid MCE — Default: $46.23
  • CareSource OH MCE — Default: $46.23
  • Cigna — Default: $196.23
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: CONSULT LEVEL 4 DR ZAHKA $394 $315.20 $68.48 – $394
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates
  • Aetna — Default: $68.48
  • Aetna Medicare Advantage — Default: $127.23
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $73.62
  • AultCare — Default: $342.78
  • AultCare MA — Default: $127.23
  • Blue Cross Blue Shield of OH Anthem — Default: $328.99
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $127.23
  • Buckeye Ohio Medicaid MCE — Default: $70.11
  • CareSource OH MCE — Default: $70.11
  • Cigna — Default: $278.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST PATIENT LEVEL 4 DR ZAHKA $188 $150.40 $68.48 – $278.04
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates
  • Aetna — Default: $68.48
  • Aetna Medicare Advantage — Default: $127.23
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $73.62
  • AultCare — Default: $163.56
  • AultCare MA — Default: $127.23
  • Blue Cross Blue Shield of OH Anthem — Default: $156.98
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $127.23
  • Buckeye Ohio Medicaid MCE — Default: $70.11
  • CareSource OH MCE — Default: $70.11
  • Cigna — Default: $278.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: CF/PK PM OFFICE VISIT ESTAB - LEVEL 4 $493 $394.40 $68.48 – $458.49
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: $68.48
  • AultCare — Default: $428.91
  • Blue Cross Blue Shield of OH Anthem — Default: $411.66
  • Cigna — Default: $436.30
  • Medical Mutual of Ohio — Default: $433.84
  • Medicare B OH J15 — Default: $127.23
  • SummaCare Health Plan — Default: $458.49
  • United Healthcare — Default: $433.84
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EVAL & TREATMENT INTERMEDIATE CARE $242 $193.60 $37.68 – $253.09
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna — Default: $212.96
  • Aetna Medicare Advantage — Default: $67.34
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $39.56
  • AultCare — Default: $210.54
  • AultCare MA — Default: $67.34
  • Blue Cross Blue Shield of OH Anthem — Default: $202.07
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $67.34
  • Buckeye Ohio Medicaid MCE — Default: $37.68
  • CareSource OH MCE — Default: $37.68
  • Cigna — Default: $160.92
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED LEVEL 3 INTERMEDIATE $616 $492.80 $67.34 – $572.88
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • Aetna — Default: $542.08
  • Aetna Medicare Advantage — Default: $258.16
  • AultCare — Default: $535.92
  • AultCare MA — Default: $253.09
  • Blue Cross Blue Shield of OH Anthem — Default: $514.36
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $253.09
  • Cigna — Default: $545.16
  • Humana Advantage Care Plans Med Advantage — Default: $253.09
  • Medical Mutual of Ohio — Default: $542.08
  • Medical Mutual of Ohio MCR Adv — Default: $253.09
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: EVAL & TREATMENT INTERMED MODIFIER 25,Separate and significant E/M service $242 $193.60 $37.68 – $253.09
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna — Default: $212.96
  • Aetna Medicare Advantage — Default: $67.34
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $39.56
  • AultCare — Default: $210.54
  • AultCare MA — Default: $67.34
  • Blue Cross Blue Shield of OH Anthem — Default: $202.07
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $67.34
  • Buckeye Ohio Medicaid MCE — Default: $37.68
  • CareSource OH MCE — Default: $37.68
  • Cigna — Default: $160.92
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EVAL & TREATMENT EXTENDED CARE $404 $323.20 $62.91 – $404
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna — Default: $355.52
  • Aetna Medicare Advantage — Default: $114.69
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $66.06
  • AultCare — Default: $351.48
  • AultCare MA — Default: $114.69
  • Blue Cross Blue Shield of OH Anthem — Default: $337.34
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $114.69
  • Buckeye Ohio Medicaid MCE — Default: $62.91
  • CareSource OH MCE — Default: $62.91
  • Cigna — Default: $270.44
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4 EXTENDED $743 $594.40 $114.69 – $690.99
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • Aetna — Default: $653.84
  • Aetna Medicare Advantage — Default: $394.61
  • AultCare — Default: $646.41
  • AultCare MA — Default: $386.86
  • Blue Cross Blue Shield of OH Anthem — Default: $620.40
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $386.86
  • Cigna — Default: $657.56
  • Humana Advantage Care Plans Med Advantage — Default: $386.86
  • Medical Mutual of Ohio — Default: $653.84
  • Medical Mutual of Ohio MCR Adv — Default: $386.86
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: EVAL & TREATMENT EXTENDED CARE MOD 25,Separate and significant E/M service $404 $323.20 $62.91 – $404
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna — Default: $355.52
  • Aetna Medicare Advantage — Default: $114.69
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $66.06
  • AultCare — Default: $351.48
  • AultCare MA — Default: $114.69
  • Blue Cross Blue Shield of OH Anthem — Default: $337.34
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $114.69
  • Buckeye Ohio Medicaid MCE — Default: $62.91
  • CareSource OH MCE — Default: $62.91
  • Cigna — Default: $270.44
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EVAL & TREATMENT HIGH $591 $472.80 $94.23 – $591
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna — Default: $520.08
  • Aetna Medicare Advantage — Default: $166.20
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $98.94
  • AultCare — Default: $514.17
  • AultCare MA — Default: $166.20
  • Blue Cross Blue Shield of OH Anthem — Default: $493.48
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $166.20
  • Buckeye Ohio Medicaid MCE — Default: $94.23
  • CareSource OH MCE — Default: $94.23
  • Cigna — Default: $393.96
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED LEVEL 5 COMPREHENSIVE $1,121 $896.80 $166.20 – $1,042.53
Emergency room visit (high): 10 of 28 insurance plan rates
  • Aetna — Default: $986.48
  • Aetna Medicare Advantage — Default: $563.20
  • AultCare — Default: $975.27
  • AultCare MA — Default: $552.15
  • Blue Cross Blue Shield of OH Anthem — Default: $936.04
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $552.15
  • Cigna — Default: $992.08
  • Humana Advantage Care Plans Med Advantage — Default: $552.15
  • Medical Mutual of Ohio — Default: $986.48
  • Medical Mutual of Ohio MCR Adv — Default: $552.15
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: EVAL & TREATMENT HIGH MODIFIER 25,Separate and significant E/M service $591 $472.80 $94.23 – $591
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna — Default: $520.08
  • Aetna Medicare Advantage — Default: $166.20
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $98.94
  • AultCare — Default: $514.17
  • AultCare MA — Default: $166.20
  • Blue Cross Blue Shield of OH Anthem — Default: $493.48
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $166.20
  • Buckeye Ohio Medicaid MCE — Default: $94.23
  • CareSource OH MCE — Default: $94.23
  • Cigna — Default: $393.96

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP with eGFR $70 $56 $8.29 – $65.10
Basic metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $61.60
  • Aetna Medicare Advantage — Default: $8.46
  • AultCare — Default: $60.90
  • AultCare MA — Default: $8.29
  • Blue Cross Blue Shield of OH Anthem — Default: $58.45
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.29
  • Cigna — Default: $61.95
  • Humana Advantage Care Plans Med Advantage — Default: $8.29
  • Medical Mutual of Ohio — Default: $61.60
  • Medical Mutual of Ohio MCR Adv — Default: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP with eGFR DAILY $70 $56 $8.29 – $65.10
Basic metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $61.60
  • Aetna Medicare Advantage — Default: $8.46
  • AultCare — Default: $60.90
  • AultCare MA — Default: $8.29
  • Blue Cross Blue Shield of OH Anthem — Default: $58.45
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.29
  • Cigna — Default: $61.95
  • Humana Advantage Care Plans Med Advantage — Default: $8.29
  • Medical Mutual of Ohio — Default: $61.60
  • Medical Mutual of Ohio MCR Adv — Default: $8.29
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP with eGFR Q4H $70 $56 $8.29 – $65.10
Basic metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $61.60
  • Aetna Medicare Advantage — Default: $8.46
  • AultCare — Default: $60.90
  • AultCare MA — Default: $8.29
  • Blue Cross Blue Shield of OH Anthem — Default: $58.45
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.29
  • Cigna — Default: $61.95
  • Humana Advantage Care Plans Med Advantage — Default: $8.29
  • Medical Mutual of Ohio — Default: $61.60
  • Medical Mutual of Ohio MCR Adv — Default: $8.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CHEMISTRY PROFILE COMMUNITY OUTREACH $11 $8.80 $9.18 – $10.56
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $9.68
  • Aetna Medicare Advantage — Default: $10.55
  • AultCare — Default: $9.57
  • AultCare MA — Default: $10.35
  • Blue Cross Blue Shield of OH Anthem — Default: $9.18
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $10.35
  • Cigna — Default: $9.74
  • Humana Advantage Care Plans Med Advantage — Default: $10.35
  • Medical Mutual of Ohio — Default: $9.68
  • Medical Mutual of Ohio MCR Adv — Default: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP with eGFR $141 $112.80 $10.35 – $131.13
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $124.08
  • Aetna Medicare Advantage — Default: $10.55
  • AultCare — Default: $122.67
  • AultCare MA — Default: $10.35
  • Blue Cross Blue Shield of OH Anthem — Default: $117.74
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $10.35
  • Cigna — Default: $124.78
  • Humana Advantage Care Plans Med Advantage — Default: $10.35
  • Medical Mutual of Ohio — Default: $124.08
  • Medical Mutual of Ohio MCR Adv — Default: $10.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: CMP with eGFR - DAILY $141 $112.80 $10.35 – $131.13
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna — Default: $124.08
  • Aetna Medicare Advantage — Default: $10.55
  • AultCare — Default: $122.67
  • AultCare MA — Default: $10.35
  • Blue Cross Blue Shield of OH Anthem — Default: $117.74
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $10.35
  • Cigna — Default: $124.78
  • Humana Advantage Care Plans Med Advantage — Default: $10.35
  • Medical Mutual of Ohio — Default: $124.08
  • Medical Mutual of Ohio MCR Adv — Default: $10.35
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OB PANEL $110 $88 $46.85 – $102.30
Obstetric blood test panel: 10 of 28 insurance plan rates
  • Aetna — Default: $96.80
  • Aetna Medicare Advantage — Default: $47.79
  • AultCare — Default: $95.70
  • AultCare MA — Default: $46.85
  • Blue Cross Blue Shield of OH Anthem — Default: $91.85
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $46.85
  • Cigna — Default: $97.35
  • Humana Advantage Care Plans Med Advantage — Default: $46.85
  • Medical Mutual of Ohio — Default: $96.80
  • Medical Mutual of Ohio MCR Adv — Default: $46.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL, BASIC [CCL] $111 $88.80 $13.12 – $103.23
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • Aetna — Default: $97.68
  • Aetna Medicare Advantage — Default: $13.39
  • AultCare — Default: $96.57
  • AultCare MA — Default: $13.12
  • Blue Cross Blue Shield of OH Anthem — Default: $92.68
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $13.12
  • Cigna — Default: $98.24
  • Humana Advantage Care Plans Med Advantage — Default: $13.12
  • Medical Mutual of Ohio — Default: $97.68
  • Medical Mutual of Ohio MCR Adv — Default: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE $111 $88.80 $13.12 – $103.23
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • Aetna — Default: $97.68
  • Aetna Medicare Advantage — Default: $13.39
  • AultCare — Default: $96.57
  • AultCare MA — Default: $13.12
  • Blue Cross Blue Shield of OH Anthem — Default: $92.68
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $13.12
  • Cigna — Default: $98.24
  • Humana Advantage Care Plans Med Advantage — Default: $13.12
  • Medical Mutual of Ohio — Default: $97.68
  • Medical Mutual of Ohio MCR Adv — Default: $13.12
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: NMR LIPOPROFILE [CCL] $111 $88.80 $13.12 – $103.23
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • Aetna — Default: $97.68
  • Aetna Medicare Advantage — Default: $13.39
  • AultCare — Default: $96.57
  • AultCare MA — Default: $13.12
  • Blue Cross Blue Shield of OH Anthem — Default: $92.68
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $13.12
  • Cigna — Default: $98.24
  • Humana Advantage Care Plans Med Advantage — Default: $13.12
  • Medical Mutual of Ohio — Default: $97.68
  • Medical Mutual of Ohio MCR Adv — Default: $13.12
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $77 $61.60 $8.51 – $71.61
Kidney function panel: 10 of 28 insurance plan rates
  • Aetna — Default: $67.76
  • Aetna Medicare Advantage — Default: $8.67
  • AultCare — Default: $66.99
  • AultCare MA — Default: $8.51
  • Blue Cross Blue Shield of OH Anthem — Default: $64.30
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.51
  • Cigna — Default: $68.14
  • Humana Advantage Care Plans Med Advantage — Default: $8.51
  • Medical Mutual of Ohio — Default: $67.76
  • Medical Mutual of Ohio MCR Adv — Default: $8.51
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL [CCL] $79 $63.20 $8.51 – $73.47
Kidney function panel: 10 of 28 insurance plan rates
  • Aetna — Default: $69.52
  • Aetna Medicare Advantage — Default: $8.67
  • AultCare — Default: $68.73
  • AultCare MA — Default: $8.51
  • Blue Cross Blue Shield of OH Anthem — Default: $65.96
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.51
  • Cigna — Default: $69.92
  • Humana Advantage Care Plans Med Advantage — Default: $8.51
  • Medical Mutual of Ohio — Default: $69.52
  • Medical Mutual of Ohio MCR Adv — Default: $8.51
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL WITH eGFR $79 $63.20 $8.51 – $73.47
Kidney function panel: 10 of 28 insurance plan rates
  • Aetna — Default: $69.52
  • Aetna Medicare Advantage — Default: $8.67
  • AultCare — Default: $68.73
  • AultCare MA — Default: $8.51
  • Blue Cross Blue Shield of OH Anthem — Default: $65.96
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.51
  • Cigna — Default: $69.92
  • Humana Advantage Care Plans Med Advantage — Default: $8.51
  • Medical Mutual of Ohio — Default: $69.52
  • Medical Mutual of Ohio MCR Adv — Default: $8.51
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $88 $70.40 $8.01 – $81.84
Liver function panel: 10 of 28 insurance plan rates
  • Aetna — Default: $77.44
  • Aetna Medicare Advantage — Default: $8.16
  • AultCare — Default: $76.56
  • AultCare MA — Default: $8.01
  • Blue Cross Blue Shield of OH Anthem — Default: $73.48
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.01
  • Cigna — Default: $77.88
  • Humana Advantage Care Plans Med Advantage — Default: $8.01
  • Medical Mutual of Ohio — Default: $77.44
  • Medical Mutual of Ohio MCR Adv — Default: $8.01
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER FUNCTION/COMMUNITY OUTREACH ONLY $45 $36 $8.01 – $41.85
Liver function panel: 10 of 28 insurance plan rates
  • Aetna — Default: $39.60
  • Aetna Medicare Advantage — Default: $8.16
  • AultCare — Default: $39.15
  • AultCare MA — Default: $8.01
  • Blue Cross Blue Shield of OH Anthem — Default: $37.58
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $8.01
  • Cigna — Default: $39.82
  • Humana Advantage Care Plans Med Advantage — Default: $8.01
  • Medical Mutual of Ohio — Default: $39.60
  • Medical Mutual of Ohio MCR Adv — Default: $8.01
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS $40 $32 $3.11 – $37.20
Urine test (automated, with microscope): 10 of 28 insurance plan rates
  • Aetna — Default: $35.20
  • Aetna Medicare Advantage — Default: $3.17
  • AultCare — Default: $34.80
  • AultCare MA — Default: $3.11
  • Blue Cross Blue Shield of OH Anthem — Default: $33.40
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3.11
  • Cigna — Default: $35.40
  • Humana Advantage Care Plans Med Advantage — Default: $3.11
  • Medical Mutual of Ohio — Default: $35.20
  • Medical Mutual of Ohio MCR Adv — Default: $3.11
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH MICROSCOPY $40 $32 $3.11 – $37.20
Urine test (automated, with microscope): 10 of 28 insurance plan rates
  • Aetna — Default: $35.20
  • Aetna Medicare Advantage — Default: $3.17
  • AultCare — Default: $34.80
  • AultCare MA — Default: $3.11
  • Blue Cross Blue Shield of OH Anthem — Default: $33.40
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3.11
  • Cigna — Default: $35.40
  • Humana Advantage Care Plans Med Advantage — Default: $3.11
  • Medical Mutual of Ohio — Default: $35.20
  • Medical Mutual of Ohio MCR Adv — Default: $3.11
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: KETONE URINE $23 $18.40 $3.41 – $21.39
Urine test (manual, without microscope): 10 of 28 insurance plan rates
  • Aetna — Default: $20.24
  • Aetna Medicare Advantage — Default: $3.48
  • AultCare — Default: $20.01
  • AultCare MA — Default: $3.41
  • Blue Cross Blue Shield of OH Anthem — Default: $19.20
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3.41
  • Cigna — Default: $20.36
  • Humana Advantage Care Plans Med Advantage — Default: $3.41
  • Medical Mutual of Ohio — Default: $20.24
  • Medical Mutual of Ohio MCR Adv — Default: $3.41
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: SPEC GRAVITY $23 $18.40 $3.41 – $21.39
Urine test (manual, without microscope): 10 of 28 insurance plan rates
  • Aetna — Default: $20.24
  • Aetna Medicare Advantage — Default: $3.48
  • AultCare — Default: $20.01
  • AultCare MA — Default: $3.41
  • Blue Cross Blue Shield of OH Anthem — Default: $19.20
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3.41
  • Cigna — Default: $20.36
  • Humana Advantage Care Plans Med Advantage — Default: $3.41
  • Medical Mutual of Ohio — Default: $20.24
  • Medical Mutual of Ohio MCR Adv — Default: $3.41
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS WITHOUT MICROSCOPY $25 $20 $2.20 – $23.25
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • Aetna — Default: $22
  • Aetna Medicare Advantage — Default: $2.25
  • AultCare — Default: $21.75
  • AultCare MA — Default: $2.20
  • Blue Cross Blue Shield of OH Anthem — Default: $20.88
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $2.20
  • Cigna — Default: $22.12
  • Humana Advantage Care Plans Med Advantage — Default: $2.20
  • Medical Mutual of Ohio — Default: $22
  • Medical Mutual of Ohio MCR Adv — Default: $2.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA [CCL] $77 $61.60 $18.02 – $71.61
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates
  • Aetna — Default: $67.76
  • Aetna Medicare Advantage — Default: $18.38
  • AultCare — Default: $66.99
  • AultCare MA — Default: $18.02
  • Blue Cross Blue Shield of OH Anthem — Default: $64.30
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $18.02
  • Cigna — Default: $68.14
  • Humana Advantage Care Plans Med Advantage — Default: $18.02
  • Medical Mutual of Ohio — Default: $67.76
  • Medical Mutual of Ohio MCR Adv — Default: $18.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA CANCER SCREENING (G0103) $64 $51.20 $18.02 – $59.52
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates
  • Aetna — Default: $56.32
  • Aetna Medicare Advantage — Default: $18.38
  • AultCare — Default: $55.68
  • AultCare MA — Default: $18.02
  • Blue Cross Blue Shield of OH Anthem — Default: $53.44
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $18.02
  • Cigna — Default: $56.64
  • Humana Advantage Care Plans Med Advantage — Default: $18.02
  • Medical Mutual of Ohio — Default: $56.32
  • Medical Mutual of Ohio MCR Adv — Default: $18.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA SCREENING [CCL] $77 $61.60 $18.02 – $71.61
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates
  • Aetna — Default: $67.76
  • Aetna Medicare Advantage — Default: $18.38
  • AultCare — Default: $66.99
  • AultCare MA — Default: $18.02
  • Blue Cross Blue Shield of OH Anthem — Default: $64.30
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $18.02
  • Cigna — Default: $68.14
  • Humana Advantage Care Plans Med Advantage — Default: $18.02
  • Medical Mutual of Ohio — Default: $67.76
  • Medical Mutual of Ohio MCR Adv — Default: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID CASCADING REFLEX $97 $77.60 $16.46 – $90.21
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • Aetna — Default: $85.36
  • Aetna Medicare Advantage — Default: $16.80
  • AultCare — Default: $84.39
  • AultCare MA — Default: $16.46
  • Blue Cross Blue Shield of OH Anthem — Default: $81
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $16.46
  • Cigna — Default: $85.84
  • Humana Advantage Care Plans Med Advantage — Default: $16.46
  • Medical Mutual of Ohio — Default: $85.36
  • Medical Mutual of Ohio MCR Adv — Default: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH $101 $80.80 $16.46 – $93.93
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • Aetna — Default: $88.88
  • Aetna Medicare Advantage — Default: $16.80
  • AultCare — Default: $87.87
  • AultCare MA — Default: $16.46
  • Blue Cross Blue Shield of OH Anthem — Default: $84.34
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $16.46
  • Cigna — Default: $89.38
  • Humana Advantage Care Plans Med Advantage — Default: $16.46
  • Medical Mutual of Ohio — Default: $88.88
  • Medical Mutual of Ohio MCR Adv — Default: $16.46
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH [AULTMAN] $101 $80.80 $16.46 – $93.93
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • Aetna — Default: $88.88
  • Aetna Medicare Advantage — Default: $16.80
  • AultCare — Default: $87.87
  • AultCare MA — Default: $16.46
  • Blue Cross Blue Shield of OH Anthem — Default: $84.34
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $16.46
  • Cigna — Default: $89.38
  • Humana Advantage Care Plans Med Advantage — Default: $16.46
  • Medical Mutual of Ohio — Default: $88.88
  • Medical Mutual of Ohio MCR Adv — Default: $16.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC + DIFF $59 $47.20 $7.61 – $54.87
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • Aetna — Default: $51.92
  • Aetna Medicare Advantage — Default: $7.77
  • AultCare — Default: $51.33
  • AultCare MA — Default: $7.61
  • Blue Cross Blue Shield of OH Anthem — Default: $49.26
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $7.61
  • Cigna — Default: $52.22
  • Humana Advantage Care Plans Med Advantage — Default: $7.61
  • Medical Mutual of Ohio — Default: $51.92
  • Medical Mutual of Ohio MCR Adv — Default: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC + DIFF DAILY $59 $47.20 $7.61 – $54.87
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • Aetna — Default: $51.92
  • Aetna Medicare Advantage — Default: $7.77
  • AultCare — Default: $51.33
  • AultCare MA — Default: $7.61
  • Blue Cross Blue Shield of OH Anthem — Default: $49.26
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $7.61
  • Cigna — Default: $52.22
  • Humana Advantage Care Plans Med Advantage — Default: $7.61
  • Medical Mutual of Ohio — Default: $51.92
  • Medical Mutual of Ohio MCR Adv — Default: $7.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC DAILY $59 $47.20 $7.61 – $54.87
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • Aetna — Default: $51.92
  • Aetna Medicare Advantage — Default: $7.77
  • AultCare — Default: $51.33
  • AultCare MA — Default: $7.61
  • Blue Cross Blue Shield of OH Anthem — Default: $49.26
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $7.61
  • Cigna — Default: $52.22
  • Humana Advantage Care Plans Med Advantage — Default: $7.61
  • Medical Mutual of Ohio — Default: $51.92
  • Medical Mutual of Ohio MCR Adv — Default: $7.61
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC (NO DIFF) $47 $37.60 $6.34 – $43.71
Complete blood count (CBC), automated: 10 of 28 insurance plan rates
  • Aetna — Default: $41.36
  • Aetna Medicare Advantage — Default: $6.47
  • AultCare — Default: $40.89
  • AultCare MA — Default: $6.34
  • Blue Cross Blue Shield of OH Anthem — Default: $39.24
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $6.34
  • Cigna — Default: $41.60
  • Humana Advantage Care Plans Med Advantage — Default: $6.34
  • Medical Mutual of Ohio — Default: $41.36
  • Medical Mutual of Ohio MCR Adv — Default: $6.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME AND INR $30 $24 $4.20 – $27.90
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • Aetna — Default: $26.40
  • Aetna Medicare Advantage — Default: $4.29
  • AultCare — Default: $26.10
  • AultCare MA — Default: $4.20
  • Blue Cross Blue Shield of OH Anthem — Default: $25.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $4.20
  • Cigna — Default: $26.55
  • Humana Advantage Care Plans Med Advantage — Default: $4.20
  • Medical Mutual of Ohio — Default: $26.40
  • Medical Mutual of Ohio MCR Adv — Default: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME [CCL] $30 $24 $4.20 – $27.90
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • Aetna — Default: $26.40
  • Aetna Medicare Advantage — Default: $4.29
  • AultCare — Default: $26.10
  • AultCare MA — Default: $4.20
  • Blue Cross Blue Shield of OH Anthem — Default: $25.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $4.20
  • Cigna — Default: $26.55
  • Humana Advantage Care Plans Med Advantage — Default: $4.20
  • Medical Mutual of Ohio — Default: $26.40
  • Medical Mutual of Ohio MCR Adv — Default: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR DAILY PATIENT ON COUMADIN $30 $24 $4.20 – $27.90
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • Aetna — Default: $26.40
  • Aetna Medicare Advantage — Default: $4.29
  • AultCare — Default: $26.10
  • AultCare MA — Default: $4.20
  • Blue Cross Blue Shield of OH Anthem — Default: $25.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $4.20
  • Cigna — Default: $26.55
  • Humana Advantage Care Plans Med Advantage — Default: $4.20
  • Medical Mutual of Ohio — Default: $26.40
  • Medical Mutual of Ohio MCR Adv — Default: $4.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT $49 $39.20 $5.89 – $45.57
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • Aetna — Default: $43.12
  • Aetna Medicare Advantage — Default: $6.01
  • AultCare — Default: $42.63
  • AultCare MA — Default: $5.89
  • Blue Cross Blue Shield of OH Anthem — Default: $40.92
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $5.89
  • Cigna — Default: $43.36
  • Humana Advantage Care Plans Med Advantage — Default: $5.89
  • Medical Mutual of Ohio — Default: $43.12
  • Medical Mutual of Ohio MCR Adv — Default: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT - DAILY $49 $39.20 $5.89 – $45.57
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • Aetna — Default: $43.12
  • Aetna Medicare Advantage — Default: $6.01
  • AultCare — Default: $42.63
  • AultCare MA — Default: $5.89
  • Blue Cross Blue Shield of OH Anthem — Default: $40.92
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $5.89
  • Cigna — Default: $43.36
  • Humana Advantage Care Plans Med Advantage — Default: $5.89
  • Medical Mutual of Ohio — Default: $43.12
  • Medical Mutual of Ohio MCR Adv — Default: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT [CCL] $49 $39.20 $5.89 – $45.57
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • Aetna — Default: $43.12
  • Aetna Medicare Advantage — Default: $6.01
  • AultCare — Default: $42.63
  • AultCare MA — Default: $5.89
  • Blue Cross Blue Shield of OH Anthem — Default: $40.92
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $5.89
  • Cigna — Default: $43.36
  • Humana Advantage Care Plans Med Advantage — Default: $5.89
  • Medical Mutual of Ohio — Default: $43.12
  • Medical Mutual of Ohio MCR Adv — Default: $5.89

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT BRAIN W/O CONTRAST $1,125 $900 $96.93 – $1,046.25
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $990
  • Aetna Medicare Advantage — Default: $98.87
  • AultCare — Default: $978.75
  • AultCare MA — Default: $96.93
  • Blue Cross Blue Shield of OH Anthem — Default: $939.38
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $96.93
  • Cigna — Default: $995.62
  • Humana Advantage Care Plans Med Advantage — Default: $96.93
  • Medical Mutual of Ohio — Default: $990
  • Medical Mutual of Ohio MCR Adv — Default: $96.93
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MR MRI BRAIN W/WO CONTRAST $3,094 $2,475.20 $290.46 – $2,877.42
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,722.72
  • Aetna Medicare Advantage — Default: $329.93
  • AultCare — Default: $2,691.78
  • AultCare MA — Default: $323.46
  • Blue Cross Blue Shield of OH Anthem — Default: $2,583.49
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $323.46
  • Cigna — Default: $2,738.19
  • Humana Advantage Care Plans Med Advantage — Default: $323.46
  • Medical Mutual of Ohio — Default: $2,722.72
  • Medical Mutual of Ohio MCR Adv — Default: $323.46
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS $266 $212.80 $30.24 – $247.38
Chest X-ray, 2 views: 10 of 28 insurance plan rates
  • Aetna — Default: $234.08
  • Aetna Medicare Advantage — Default: $82.30
  • AultCare — Default: $231.42
  • AultCare MA — Default: $80.68
  • Blue Cross Blue Shield of OH Anthem — Default: $222.11
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $80.68
  • Cigna — Default: $235.41
  • Humana Advantage Care Plans Med Advantage — Default: $80.68
  • Medical Mutual of Ohio — Default: $234.08
  • Medical Mutual of Ohio MCR Adv — Default: $80.68
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBO SACRAL COMPLETE MIN 4 VIEWS $526 $420.80 $48.62 – $489.18
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates
  • Aetna — Default: $462.88
  • Aetna Medicare Advantage — Default: $98.87
  • AultCare — Default: $457.62
  • AultCare MA — Default: $96.93
  • Blue Cross Blue Shield of OH Anthem — Default: $439.21
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $96.93
  • Cigna — Default: $465.51
  • Humana Advantage Care Plans Med Advantage — Default: $96.93
  • Medical Mutual of Ohio — Default: $462.88
  • Medical Mutual of Ohio MCR Adv — Default: $96.93
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MR LUMBAR SP WO CONTRAST $2,300 $1,840 $175.95 – $2,139
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,024
  • Aetna Medicare Advantage — Default: $225.64
  • AultCare — Default: $2,001
  • AultCare MA — Default: $221.23
  • Blue Cross Blue Shield of OH Anthem — Default: $1,920.50
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $221.23
  • Cigna — Default: $2,035.50
  • Humana Advantage Care Plans Med Advantage — Default: $221.23
  • Medical Mutual of Ohio — Default: $2,024
  • Medical Mutual of Ohio MCR Adv — Default: $221.23
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST $1,532 $1,225.60 $162.62 – $1,424.76
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $1,348.16
  • Aetna Medicare Advantage — Default: $165.87
  • AultCare — Default: $1,332.84
  • AultCare MA — Default: $162.62
  • Blue Cross Blue Shield of OH Anthem — Default: $1,279.22
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $162.62
  • Cigna — Default: $1,355.82
  • Humana Advantage Care Plans Med Advantage — Default: $162.62
  • Medical Mutual of Ohio — Default: $1,348.16
  • Medical Mutual of Ohio MCR Adv — Default: $162.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MR ANKLE W/O LT,Left Side $2,573 $2,058.40 $186.94 – $2,392.89
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,264.24
  • Aetna Medicare Advantage — Default: $225.64
  • AultCare — Default: $2,238.51
  • AultCare MA — Default: $221.23
  • Blue Cross Blue Shield of OH Anthem — Default: $2,148.46
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $221.23
  • Cigna — Default: $2,277.10
  • Humana Advantage Care Plans Med Advantage — Default: $221.23
  • Medical Mutual of Ohio — Default: $2,264.24
  • Medical Mutual of Ohio MCR Adv — Default: $221.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MR ANKLE WO RT,Right Side $2,573 $2,058.40 $186.94 – $2,392.89
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,264.24
  • Aetna Medicare Advantage — Default: $225.64
  • AultCare — Default: $2,238.51
  • AultCare MA — Default: $221.23
  • Blue Cross Blue Shield of OH Anthem — Default: $2,148.46
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $221.23
  • Cigna — Default: $2,277.10
  • Humana Advantage Care Plans Med Advantage — Default: $221.23
  • Medical Mutual of Ohio — Default: $2,264.24
  • Medical Mutual of Ohio MCR Adv — Default: $221.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MR HIP W/O LT,Left Side $2,573 $2,058.40 $186.94 – $2,392.89
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,264.24
  • Aetna Medicare Advantage — Default: $225.64
  • AultCare — Default: $2,238.51
  • AultCare MA — Default: $221.23
  • Blue Cross Blue Shield of OH Anthem — Default: $2,148.46
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $221.23
  • Cigna — Default: $2,277.10
  • Humana Advantage Care Plans Med Advantage — Default: $221.23
  • Medical Mutual of Ohio — Default: $2,264.24
  • Medical Mutual of Ohio MCR Adv — Default: $221.23
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS W $2,483 $1,986.40 $274.12 – $2,309.19
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates
  • Aetna — Default: $2,185.04
  • Aetna Medicare Advantage — Default: $329.93
  • AultCare — Default: $2,160.21
  • AultCare MA — Default: $323.46
  • Blue Cross Blue Shield of OH Anthem — Default: $2,073.30
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $323.46
  • Cigna — Default: $2,197.46
  • Humana Advantage Care Plans Med Advantage — Default: $323.46
  • Medical Mutual of Ohio — Default: $2,185.04
  • Medical Mutual of Ohio MCR Adv — Default: $323.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD COMPLETE $800 $640 $96.93 – $744
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates
  • Aetna — Default: $704
  • Aetna Medicare Advantage — Default: $98.87
  • AultCare — Default: $696
  • AultCare MA — Default: $96.93
  • Blue Cross Blue Shield of OH Anthem — Default: $668
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $96.93
  • Cigna — Default: $708
  • Humana Advantage Care Plans Med Advantage — Default: $96.93
  • Medical Mutual of Ohio — Default: $704
  • Medical Mutual of Ohio MCR Adv — Default: $96.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB INITIAL >or= 14 WEEKS; 1st GESTAT $441 $352.80 $96.93 – $410.13
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates
  • Aetna — Default: $388.08
  • Aetna Medicare Advantage — Default: $98.87
  • AultCare — Default: $383.67
  • AultCare MA — Default: $96.93
  • Blue Cross Blue Shield of OH Anthem — Default: $368.24
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $96.93
  • Cigna — Default: $390.28
  • Humana Advantage Care Plans Med Advantage — Default: $96.93
  • Medical Mutual of Ohio — Default: $388.08
  • Medical Mutual of Ohio MCR Adv — Default: $96.93
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIC ENDO VAGINAL $585 $468 $96.93 – $544.05
Transvaginal ultrasound: 10 of 28 insurance plan rates
  • Aetna — Default: $514.80
  • Aetna Medicare Advantage — Default: $98.87
  • AultCare — Default: $508.95
  • AultCare MA — Default: $96.93
  • Blue Cross Blue Shield of OH Anthem — Default: $488.48
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $96.93
  • Cigna — Default: $517.72
  • Humana Advantage Care Plans Med Advantage — Default: $96.93
  • Medical Mutual of Ohio — Default: $514.80
  • Medical Mutual of Ohio MCR Adv — Default: $96.93
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 3D MAMM UNILAT LT DIAGNOSTIC $230 $184 $77.14 – $213.90
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates
  • Aetna — Default: $202.40
  • Aetna Medicare Advantage — Default: $78.67
  • AultCare — Default: $200.10
  • AultCare MA — Default: $77.14
  • Blue Cross Blue Shield of OH Anthem — Default: $192.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $77.14
  • Cigna — Default: $203.55
  • Humana Advantage Care Plans Med Advantage — Default: $77.14
  • Medical Mutual of Ohio — Default: $202.40
  • Medical Mutual of Ohio MCR Adv — Default: $77.14
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 3D MAMM UNILAT RT DIAGNOSTIC $230 $184 $77.14 – $213.90
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates
  • Aetna — Default: $202.40
  • Aetna Medicare Advantage — Default: $78.67
  • AultCare — Default: $200.10
  • AultCare MA — Default: $77.14
  • Blue Cross Blue Shield of OH Anthem — Default: $192.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $77.14
  • Cigna — Default: $203.55
  • Humana Advantage Care Plans Med Advantage — Default: $77.14
  • Medical Mutual of Ohio — Default: $202.40
  • Medical Mutual of Ohio MCR Adv — Default: $77.14
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMM DIGITAL DIAGNOSTIC UNILAT LT $230 $184 $77.14 – $213.90
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates
  • Aetna — Default: $202.40
  • Aetna Medicare Advantage — Default: $78.67
  • AultCare — Default: $200.10
  • AultCare MA — Default: $77.14
  • Blue Cross Blue Shield of OH Anthem — Default: $192.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $77.14
  • Cigna — Default: $203.55
  • Humana Advantage Care Plans Med Advantage — Default: $77.14
  • Medical Mutual of Ohio — Default: $202.40
  • Medical Mutual of Ohio MCR Adv — Default: $77.14
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D MAMM BILAT DIAG BCCP $261 $208.80 $98.98 – $242.73
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $229.68
  • Aetna Medicare Advantage — Default: $100.96
  • AultCare — Default: $227.07
  • AultCare MA — Default: $98.98
  • Blue Cross Blue Shield of OH Anthem — Default: $217.94
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $98.98
  • Cigna — Default: $230.98
  • Humana Advantage Care Plans Med Advantage — Default: $98.98
  • Medical Mutual of Ohio — Default: $229.68
  • Medical Mutual of Ohio MCR Adv — Default: $98.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D MAMM BILAT DIAG SPECIAL $261 $208.80 $98.98 – $242.73
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $229.68
  • Aetna Medicare Advantage — Default: $100.96
  • AultCare — Default: $227.07
  • AultCare MA — Default: $98.98
  • Blue Cross Blue Shield of OH Anthem — Default: $217.94
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $98.98
  • Cigna — Default: $230.98
  • Humana Advantage Care Plans Med Advantage — Default: $98.98
  • Medical Mutual of Ohio — Default: $229.68
  • Medical Mutual of Ohio MCR Adv — Default: $98.98
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D MAMM BILAT DIAGNOSTIC $261 $208.80 $98.98 – $242.73
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $229.68
  • Aetna Medicare Advantage — Default: $100.96
  • AultCare — Default: $227.07
  • AultCare MA — Default: $98.98
  • Blue Cross Blue Shield of OH Anthem — Default: $217.94
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $98.98
  • Cigna — Default: $230.98
  • Humana Advantage Care Plans Med Advantage — Default: $98.98
  • Medical Mutual of Ohio — Default: $229.68
  • Medical Mutual of Ohio MCR Adv — Default: $98.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMM BILAT SCREEN $279 $223.20 $81.61 – $259.47
Screening mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $245.52
  • Aetna Medicare Advantage — Default: $83.25
  • AultCare — Default: $242.73
  • AultCare MA — Default: $81.61
  • Blue Cross Blue Shield of OH Anthem — Default: $232.96
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $81.61
  • Cigna — Default: $246.92
  • Humana Advantage Care Plans Med Advantage — Default: $81.61
  • Medical Mutual of Ohio — Default: $245.52
  • Medical Mutual of Ohio MCR Adv — Default: $81.61
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMM BILAT SCREEN BCCP $279 $223.20 $81.61 – $259.47
Screening mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $245.52
  • Aetna Medicare Advantage — Default: $83.25
  • AultCare — Default: $242.73
  • AultCare MA — Default: $81.61
  • Blue Cross Blue Shield of OH Anthem — Default: $232.96
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $81.61
  • Cigna — Default: $246.92
  • Humana Advantage Care Plans Med Advantage — Default: $81.61
  • Medical Mutual of Ohio — Default: $245.52
  • Medical Mutual of Ohio MCR Adv — Default: $81.61
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMM BILAT SCREEN SPECIAL $279 $223.20 $81.61 – $259.47
Screening mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Default: $245.52
  • Aetna Medicare Advantage — Default: $83.25
  • AultCare — Default: $242.73
  • AultCare MA — Default: $81.61
  • Blue Cross Blue Shield of OH Anthem — Default: $232.96
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $81.61
  • Cigna — Default: $246.92
  • Humana Advantage Care Plans Med Advantage — Default: $81.61
  • Medical Mutual of Ohio — Default: $245.52
  • Medical Mutual of Ohio MCR Adv — Default: $81.61

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SLEEP LAB PSG DIAGNOSTIC $4,837 $3,869.60 $610.54 – $4,498.41
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates
  • Aetna — Default: $4,256.56
  • Aetna Medicare Advantage — Default: $812.11
  • AultCare — Default: $4,208.19
  • AultCare MA — Default: $796.18
  • Blue Cross Blue Shield of OH Anthem — Default: $4,038.90
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $796.18
  • Cigna — Default: $4,280.74
  • Humana Advantage Care Plans Med Advantage — Default: $796.18
  • Medical Mutual of Ohio — Default: $4,256.56
  • Medical Mutual of Ohio MCR Adv — Default: $796.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 26 In the file: SLEEP LAB PSG DIAGNOSTIC - READ,Professional Component $224 $179.20 $114.28 – $796.18
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates
  • Aetna — Default: $197.12
  • Aetna Medicare Advantage — Default: $114.28
  • AmeriHealth Caritas Ohio - Nontransportation MCE — Default: $224
  • AultCare — Default: $194.88
  • AultCare MA — Default: $114.28
  • Blue Cross Blue Shield of OH Anthem — Default: $187.04
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $114.28
  • Buckeye Ohio Medicaid MCE — Default: $224
  • CareSource OH MCE — Default: $224
  • Cigna — Default: $259.22

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: BTE ACTIVITY (0-15 MIN),Services delivered under an outpatient occupational therapy $120 $96 $27.31 – $111.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna — Default: $105.60
  • Aetna Medicare Advantage — Default: $27.86
  • AultCare — Default: $104.40
  • AultCare MA — Default: $27.31
  • Blue Cross Blue Shield of OH Anthem — Default: $100.20
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $27.31
  • Cigna — Default: $106.20
  • Humana Advantage Care Plans Med Advantage — Default: $27.31
  • Medical Mutual of Ohio — Default: $105.60
  • Medical Mutual of Ohio MCR Adv — Default: $27.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO,CO In the file: BTE ACTIVITY (0-15 MIN),Services delivered under an outpatient occupational therapy, Outpatient occupational therapy services furnished in w $120 $96 $24.52 – $111.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna — Default: $105.60
  • Aetna Medicare Advantage — Default: $24.52
  • AultCare — Default: $104.40
  • AultCare MA — Default: $27.31
  • Blue Cross Blue Shield of OH Anthem — Default: $100.20
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $27.31
  • Cigna — Default: $106.20
  • Humana Advantage Care Plans Med Advantage — Default: $27.31
  • Medical Mutual of Ohio — Default: $105.60
  • Medical Mutual of Ohio MCR Adv — Default: $27.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC EXERCISE (EACH 15 MIN) PT,Services delivered under an outpatient physical therapy $120 $96 $27.31 – $111.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna — Default: $105.60
  • Aetna Medicare Advantage — Default: $27.86
  • AultCare — Default: $104.40
  • AultCare MA — Default: $27.31
  • Blue Cross Blue Shield of OH Anthem — Default: $100.20
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $27.31
  • Cigna — Default: $106.20
  • Humana Advantage Care Plans Med Advantage — Default: $27.31
  • Medical Mutual of Ohio — Default: $105.60
  • Medical Mutual of Ohio MCR Adv — Default: $27.31
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL - LOW COMPLEXITY 20 MIN $200 $160 $91.98 – $186
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $176
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $174
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $167
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $177
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $176
  • Medical Mutual of Ohio MCR Adv — Default: $91.98
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL - LOW COMPLEXITY 20 MIN,Services delivered under an outpatient physical therapy $200 $160 $91.98 – $186
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $176
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $174
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $167
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $177
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $176
  • Medical Mutual of Ohio MCR Adv — Default: $91.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL - MODERATE COMPLEXITY 30 MIN $210 $168 $91.98 – $195.30
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $184.80
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $182.70
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $175.35
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $185.85
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $184.80
  • Medical Mutual of Ohio MCR Adv — Default: $91.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL - MODERATE COMPLEXITY 30 MIN,Services delivered under an outpatient physical therapy $210 $168 $91.98 – $195.30
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $184.80
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $182.70
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $175.35
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $185.85
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $184.80
  • Medical Mutual of Ohio MCR Adv — Default: $91.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL - COMPLEX COMPLEXITY 45 MIN $230 $184 $91.98 – $213.90
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $202.40
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $200.10
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $192.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $203.55
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $202.40
  • Medical Mutual of Ohio MCR Adv — Default: $91.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL - COMPLEX COMPLEXITY 45 MIN,Services delivered under an outpatient physical therapy $230 $184 $91.98 – $213.90
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • Aetna — Default: $202.40
  • Aetna Medicare Advantage — Default: $93.83
  • AultCare — Default: $200.10
  • AultCare MA — Default: $91.98
  • Blue Cross Blue Shield of OH Anthem — Default: $192.05
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $91.98
  • Cigna — Default: $203.55
  • Humana Advantage Care Plans Med Advantage — Default: $91.98
  • Medical Mutual of Ohio — Default: $202.40
  • Medical Mutual of Ohio MCR Adv — Default: $91.98

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXC CYST-ABERRANT BREAST TISSUE OPEN 1-GREATER THAN LESION $4,881 $3,904.80 $533.77 – $4,539.33
Removal of breast growth (open surgery): 10 of 28 insurance plan rates
  • Aetna — Default: $4,295.28
  • Aetna Medicare Advantage — Default: $3,702.82
  • AultCare — Default: $4,246.47
  • AultCare MA — Default: $3,630.21
  • Blue Cross Blue Shield of OH Anthem — Default: $4,075.64
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3,630.21
  • Cigna — Default: $4,319.68
  • Humana Advantage Care Plans Med Advantage — Default: $3,630.21
  • Medical Mutual of Ohio — Default: $4,295.28
  • Medical Mutual of Ohio MCR Adv — Default: $3,630.21
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: ARTHRP ACETBLR-PROX FEM PROSTC AGRFT-ALGRFT $37,904.87 $30,323.90 $1,106.71 – $35,251.53
Total hip replacement: 10 of 28 insurance plan rates
  • Aetna — Default: $33,356.29
  • Aetna Medicare Advantage — Default: $12,141.52
  • AultCare — Default: $32,977.24
  • AultCare MA — Default: $11,903.45
  • Blue Cross Blue Shield of OH Anthem — Default: $31,650.57
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $11,903.45
  • Cigna — Default: $33,545.81
  • Humana Advantage Care Plans Med Advantage — Default: $11,903.45
  • Medical Mutual of Ohio — Default: $33,356.29
  • Medical Mutual of Ohio MCR Adv — Default: $11,903.45
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS $31,971.95 $25,577.56 $1,104.23 – $29,733.91
Total knee replacement: 10 of 28 insurance plan rates
  • Aetna — Default: $28,135.32
  • Aetna Medicare Advantage — Default: $12,141.52
  • AultCare — Default: $27,815.60
  • AultCare MA — Default: $11,903.45
  • Blue Cross Blue Shield of OH Anthem — Default: $26,696.58
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $11,903.45
  • Cigna — Default: $28,295.18
  • Humana Advantage Care Plans Med Advantage — Default: $11,903.45
  • Medical Mutual of Ohio — Default: $28,135.32
  • Medical Mutual of Ohio MCR Adv — Default: $11,903.45
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: ARTHRP KNE CONDYLEANDPLATU MEDIALANDLAT COMPARTMENTS,Bilateral Procedure $50,558 $40,446.40 $1,656.36 – $47,018.94
Total knee replacement: 10 of 28 insurance plan rates
  • Aetna — Default: $44,491.04
  • Aetna Medicare Advantage — Default: $12,141.52
  • AultCare — Default: $43,985.46
  • AultCare MA — Default: $11,903.45
  • Blue Cross Blue Shield of OH Anthem — Default: $42,215.93
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $11,903.45
  • Cigna — Default: $44,743.83
  • Humana Advantage Care Plans Med Advantage — Default: $11,903.45
  • Medical Mutual of Ohio — Default: $44,491.04
  • Medical Mutual of Ohio MCR Adv — Default: $11,903.45
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W-CORACOACRM LIGM RLS $24,215.04 $19,372.03 $142.24 – $22,519.99
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • Aetna — Default: $21,309.24
  • AultCare — Default: $21,067.08
  • Blue Cross Blue Shield of OH Anthem — Default: $20,219.56
  • Cigna — Default: $21,430.31
  • Medical Mutual of Ohio — Default: $21,309.24
  • Medicare B OH J15 — Default: $142.24
  • SummaCare Health Plan — Default: $22,519.99
  • United Healthcare — Default: $21,309.24
  • Beech Street Corporation — Default: 90% (a percentage in the contract, not a dollar amount)
  • First Health — PPO: 90% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SURG W-MENISCECTOMY MED-LAT W-SHVG $9,213.07 $7,370.46 $485.29 – $8,568.16
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates
  • Aetna — Default: $8,107.50
  • Aetna Medicare Advantage — Default: $3,094.32
  • AultCare — Default: $8,015.37
  • AultCare MA — Default: $3,033.65
  • Blue Cross Blue Shield of OH Anthem — Default: $7,692.91
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3,033.65
  • Cigna — Default: $8,153.57
  • Humana Advantage Care Plans Med Advantage — Default: $3,033.65
  • Medical Mutual of Ohio — Default: $8,107.50
  • Medical Mutual of Ohio MCR Adv — Default: $3,033.65
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: TONSILLECTOMY AND ADENOIDECTOMY LESS THAN AGE 12 $6,162.36 $4,929.89 $246.94 – $5,730.99
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates
  • Aetna — Default: $5,422.88
  • Aetna Medicare Advantage — Default: $5,598.38
  • AultCare — Default: $5,361.25
  • AultCare MA — Default: $5,488.61
  • Blue Cross Blue Shield of OH Anthem — Default: $5,145.57
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $5,488.61
  • Cigna — Default: $5,453.69
  • Humana Advantage Care Plans Med Advantage — Default: $5,488.61
  • Medical Mutual of Ohio — Default: $5,422.88
  • Medical Mutual of Ohio MCR Adv — Default: $5,488.61
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $3,853.45 $3,082.76 $295.24 – $3,583.71
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • Aetna — Default: $3,391.04
  • Aetna Medicare Advantage — Default: $857.74
  • AultCare — Default: $3,352.50
  • AultCare MA — Default: $840.92
  • Blue Cross Blue Shield of OH Anthem — Default: $3,217.63
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $840.92
  • Cigna — Default: $3,410.30
  • Humana Advantage Care Plans Med Advantage — Default: $840.92
  • Medical Mutual of Ohio — Default: $3,391.04
  • Medical Mutual of Ohio MCR Adv — Default: $840.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD TRANSORAL BIOPSY SINGLE-MULTIPLE $3,900.46 $3,120.37 $382.24 – $3,627.43
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • Aetna — Default: $3,432.40
  • Aetna Medicare Advantage — Default: $857.74
  • AultCare — Default: $3,393.40
  • AultCare MA — Default: $840.92
  • Blue Cross Blue Shield of OH Anthem — Default: $3,256.88
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $840.92
  • Cigna — Default: $3,451.91
  • Humana Advantage Care Plans Med Advantage — Default: $840.92
  • Medical Mutual of Ohio — Default: $3,432.40
  • Medical Mutual of Ohio MCR Adv — Default: $840.92
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLX DX W-COLLJ SPEC WHEN PFRMD $3,311.29 $2,649.03 $348.64 – $3,079.50
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
  • Aetna — Default: $2,913.94
  • Aetna Medicare Advantage — Default: $879.46
  • AultCare — Default: $2,880.82
  • AultCare MA — Default: $862.21
  • Blue Cross Blue Shield of OH Anthem — Default: $2,764.93
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $862.21
  • Cigna — Default: $2,930.49
  • Humana Advantage Care Plans Med Advantage — Default: $862.21
  • Medical Mutual of Ohio — Default: $2,913.94
  • Medical Mutual of Ohio MCR Adv — Default: $862.21
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W-BIOPSY SINGLE-MULTIPLE $3,794.19 $3,035.35 $440.64 – $3,528.60
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • Aetna — Default: $3,338.89
  • Aetna Medicare Advantage — Default: $1,131.66
  • AultCare — Default: $3,300.95
  • AultCare MA — Default: $1,109.48
  • Blue Cross Blue Shield of OH Anthem — Default: $3,168.15
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $1,109.48
  • Cigna — Default: $3,357.86
  • Humana Advantage Care Plans Med Advantage — Default: $1,109.48
  • Medical Mutual of Ohio — Default: $3,338.89
  • Medical Mutual of Ohio MCR Adv — Default: $1,109.48
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLSC FLX W-RMVL OF TUMOR POLYP LESION SNARE TQ $3,819.55 $3,055.64 $461.67 – $3,552.18
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • Aetna — Default: $3,361.20
  • Aetna Medicare Advantage — Default: $1,131.66
  • AultCare — Default: $3,323.01
  • AultCare MA — Default: $1,109.48
  • Blue Cross Blue Shield of OH Anthem — Default: $3,189.32
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $1,109.48
  • Cigna — Default: $3,380.30
  • Humana Advantage Care Plans Med Advantage — Default: $1,109.48
  • Medical Mutual of Ohio — Default: $3,361.20
  • Medical Mutual of Ohio MCR Adv — Default: $1,109.48
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND $3,291.78 $2,633.42 $348.96 – $3,061.36
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • Aetna — Default: $2,896.77
  • Aetna Medicare Advantage — Default: $879.46
  • AultCare — Default: $2,863.85
  • AultCare MA — Default: $862.21
  • Blue Cross Blue Shield of OH Anthem — Default: $2,748.64
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $862.21
  • Cigna — Default: $2,913.23
  • Humana Advantage Care Plans Med Advantage — Default: $862.21
  • Medical Mutual of Ohio — Default: $2,896.77
  • Medical Mutual of Ohio MCR Adv — Default: $862.21
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY $14,082.76 $11,266.21 $602.81 – $13,096.97
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates
  • Aetna — Default: $12,392.83
  • Aetna Medicare Advantage — Default: $5,717.24
  • AultCare — Default: $12,252
  • AultCare MA — Default: $5,605.14
  • Blue Cross Blue Shield of OH Anthem — Default: $11,759.10
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $5,605.14
  • Cigna — Default: $12,463.24
  • Humana Advantage Care Plans Med Advantage — Default: $5,605.14
  • Medical Mutual of Ohio — Default: $12,392.83
  • Medical Mutual of Ohio MCR Adv — Default: $5,605.14
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: RPR 1ST INGUN HRNA AGE 5 YRS-GREATER THAN REDUCIBLE $9,964.63 $7,971.70 $483.02 – $9,267.11
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
  • Aetna — Default: $8,768.87
  • Aetna Medicare Advantage — Default: $3,385.98
  • AultCare — Default: $8,669.23
  • AultCare MA — Default: $3,319.58
  • Blue Cross Blue Shield of OH Anthem — Default: $8,320.47
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $3,319.58
  • Cigna — Default: $8,818.70
  • Humana Advantage Care Plans Med Advantage — Default: $3,319.58
  • Medical Mutual of Ohio — Default: $8,768.87
  • Medical Mutual of Ohio MCR Adv — Default: $3,319.58
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: INJECT,SINGLE,LUMBAR/SACRAL W/ IMAGING $1,214 $971.20 $250 – $1,129.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates
  • Aetna — Default: $1,068.32
  • Aetna Medicare Advantage — Default: $667.56
  • AultCare — Default: $1,056.18
  • AultCare MA — Default: $654.46
  • Blue Cross Blue Shield of OH Anthem — Default: $1,013.69
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $654.46
  • Cigna — Default: $1,074.39
  • Humana Advantage Care Plans Med Advantage — Default: $654.46
  • Medical Mutual of Ohio — Default: $1,068.32
  • Medical Mutual of Ohio MCR Adv — Default: $654.46
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX DX-THER SBST INTRLMNR LMBR-SAC W-IMG GDN $2,459.24 $1,967.39 $250 – $2,287.09
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates
  • Aetna — Default: $2,164.13
  • Aetna Medicare Advantage — Default: $667.56
  • AultCare — Default: $2,139.54
  • AultCare MA — Default: $654.46
  • Blue Cross Blue Shield of OH Anthem — Default: $2,053.47
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $654.46
  • Cigna — Default: $2,176.43
  • Humana Advantage Care Plans Med Advantage — Default: $654.46
  • Medical Mutual of Ohio — Default: $2,164.13
  • Medical Mutual of Ohio MCR Adv — Default: $654.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AAAND-STRD TFRML EPI LUMBAR-SACRAL 1 LEVEL $2,448.57 $1,958.86 $242.79 – $2,277.17
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • Aetna — Default: $2,154.74
  • Aetna Medicare Advantage — Default: $836.45
  • AultCare — Default: $2,130.26
  • AultCare MA — Default: $820.04
  • Blue Cross Blue Shield of OH Anthem — Default: $2,044.56
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $820.04
  • Cigna — Default: $2,166.98
  • Humana Advantage Care Plans Med Advantage — Default: $820.04
  • Medical Mutual of Ohio — Default: $2,154.74
  • Medical Mutual of Ohio MCR Adv — Default: $820.04
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC $1,350 $1,080 $242.79 – $1,255.50
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • Aetna — Default: $1,188
  • Aetna Medicare Advantage — Default: $836.45
  • AultCare — Default: $1,174.50
  • AultCare MA — Default: $820.04
  • Blue Cross Blue Shield of OH Anthem — Default: $1,127.25
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $820.04
  • Cigna — Default: $1,194.75
  • Humana Advantage Care Plans Med Advantage — Default: $820.04
  • Medical Mutual of Ohio — Default: $1,188
  • Medical Mutual of Ohio MCR Adv — Default: $820.04
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNEL UNILATERAL $4,002 $3,201.60 $448.73 – $3,721.86
Carpal tunnel release: 10 of 28 insurance plan rates
  • Aetna — Default: $3,521.76
  • Aetna Medicare Advantage — Default: $1,846.69
  • AultCare — Default: $3,481.74
  • AultCare MA — Default: $1,810.48
  • Blue Cross Blue Shield of OH Anthem — Default: $3,341.67
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $1,810.48
  • Cigna — Default: $3,541.77
  • Humana Advantage Care Plans Med Advantage — Default: $1,810.48
  • Medical Mutual of Ohio — Default: $3,521.76
  • Medical Mutual of Ohio MCR Adv — Default: $1,810.48
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: NEUROPLASTY AND-TRANSPOS MEDIAN NRV CARPAL TUNNEL BILATERAL,Bilateral Procedure $6,270 $5,016 $673.10 – $5,831.10
Carpal tunnel release: 10 of 28 insurance plan rates
  • Aetna — Default: $5,517.60
  • Aetna Medicare Advantage — Default: $1,846.69
  • AultCare — Default: $5,454.90
  • AultCare MA — Default: $1,810.48
  • Blue Cross Blue Shield of OH Anthem — Default: $5,235.45
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $1,810.48
  • Cigna — Default: $5,548.95
  • Humana Advantage Care Plans Med Advantage — Default: $1,810.48
  • Medical Mutual of Ohio — Default: $5,517.60
  • Medical Mutual of Ohio MCR Adv — Default: $1,810.48

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $38,757.83 $31,006.26 $13,862.37 – $36,044.78
Hip or knee replacement (major joint of the leg), without major complications: 10 of 27 insurance plan rates
  • Aetna — Default: $34,106.89
  • Aetna Medicare Advantage — Default: $14,139.63
  • AultCare — Default: $33,719.31
  • AultCare MA — Default: $13,968.48
  • Blue Cross Blue Shield of OH Anthem — Default: $32,362.79
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $13,862.37
  • Cigna — Default: $34,300.68
  • Humana Advantage Care Plans Med Advantage — Default: $13,862.37
  • Medical Mutual of Ohio — Default: $34,106.89
  • Medical Mutual of Ohio MCR Adv — Default: $13,862.37
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 $22,396 $17,916.80 $9,280.11 – $20,828.28
Uterus and ovary surgery (not for cancer), without complications: 10 of 27 insurance plan rates
  • Aetna — Default: $19,708.48
  • Aetna Medicare Advantage — Default: $9,465.71
  • AultCare — Default: $19,484.52
  • AultCare MA — Default: $9,348.36
  • Blue Cross Blue Shield of OH Anthem — Default: $18,700.66
  • Blue Cross Blue Shield of OH Anthem MCR Adv — Default: $9,280.11
  • Cigna — Default: $19,820.46
  • Humana Advantage Care Plans Med Advantage — Default: $9,280.11
  • Medical Mutual of Ohio — Default: $19,708.48
  • Medical Mutual of Ohio MCR Adv — Default: $9,280.11

Source: Pomerene Hospital’s standard charges file (irp.cdn-website.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address981 Wooster Road, Millersburg, OH 44654
CountyHolmes County
StateOhio
Phone(330) 674‑1015
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number360148
Name in Medicare recordsPOMERENE HOSPITAL
Profile levelMedicare data + hospital website
Official websitepomerenehospital.org
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 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.

  1. Pomerene Hospital — pomerenehospital.org
  2. Emergency Care — pomerenehospital.org
  3. Pomerene Hospital | Outpatient Services | Laboratory | Therpay — pomerenehospital.org
  4. Pomerene Hospital | Surgical Services — pomerenehospital.org
  5. Pomerene Hospital | Surgical Services — pomerenehospital.org
  6. Dr. Stjernholm Joins Pomerene Surgical Services Full Time — pomerenehospital.org
  7. Pomerene Hospital | Women's Health Services | Gynecology | Obstetrics — pomerenehospital.org
  8. Pomerene Hospital | Laboratory | Lab | Blood Lab — pomerenehospital.org
  9. Pomerene Hospital | Financial Services | Hospital Financial Services — pomerenehospital.org
  10. Pomerene Hospital | Services | Outpatient and Inpatient Services — pomerenehospital.org
  11. Pomerene Hospital | Amish Services | Amish Medical Care — pomerenehospital.org
  12. Pomerene Hospital | Laboratory | Lab | Blood Lab — pomerenehospital.org
  13. Pomerene Hospital | Nutritional Counseling | Medical Fitness | Diabetic Services — pomerenehospital.org
  14. Pomerene Hospital | Therapy | Physical Therapy | Occupational Therpay — pomerenehospital.org
  15. Pomerene Hospital | Mobile Health Services | Mobile Health Screenings — pomerenehospital.org
  16. Pomerene Hospital Receives Three American Heart Association Awards — pomerenehospital.org