Rooks County Health Center is a critical access hospital in Plainville, Kansas. Medicare data lists emergency services. Its official website lists 21 services, specialties and programs. Medicare lists 113 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.
What is a critical access hospital?
A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types
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.
Does Rooks County Health Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Rooks County Health Center. In a medical emergency, call 911.
Where is Rooks County Health Center?
1210 North Washington, Plainville, KS 67663, in Rooks County, Kansas.
What is the phone number of Rooks County Health Center?
(785) 688-4401, as listed by Medicare (CMS).
What is the Medicare star rating of Rooks County Health Center?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Level IV Trauma Center (Kansas Department of Health)
Emergent Stroke Ready Hospital (Kansas Initiative for Stroke Survival)
Doctors and clinicians (113)
113 doctors and other clinicians list Rooks County Health Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
And 89 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
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.
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 Rooks County Health Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Summary star rating (all survey topics)
Not reported to Medicare
Overall rating of the hospital
Not reported to Medicare
Would recommend the hospital
Not reported to Medicare
Nurses communicated well
Not reported to Medicare
Doctors communicated well
Not reported to Medicare
Staff explained medicines
Not reported to Medicare
Information about recovery at home
Not reported to Medicare
Room and bathroom kept clean
Not reported to Medicare
Quiet at night
Not reported to Medicare
Rated the hospital 9 or 10 out of 10
83%National average: 72%
Would definitely recommend the hospital
81%National average: 71%
Nurses “always” communicated well
86%National average: 80%
Doctors “always” communicated well
83%National average: 80%
Staff “always” explained medicines before giving them
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.
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
Deaths within 30 days: heart attack patients
Too few cases to report
Deaths within 30 days: heart failure patients
Too few cases to report
Deaths within 30 days: pneumonia patients
15.6%
Deaths within 30 days: COPD patients
Too few cases to report
Deaths within 30 days: stroke patients
Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
Returned to any hospital within 30 days (all patients)
Not reported to Medicare
Readmitted within 30 days: heart attack
Too few cases to report
Readmitted within 30 days: heart failure
Too few cases to report
Readmitted within 30 days: pneumonia
17.2%
Readmitted within 30 days: COPD
Too few cases to report
Readmitted within 30 days: coronary bypass surgery
Not reported to Medicare
Readmitted within 30 days: hip or knee replacement
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.
Average (median) time patients spent in the emergency room before leaving (OP-18b)
95 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)
Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Rooks County Health Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
$205
$153.75
$101 – $205
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $184.50
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $101
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $194.75
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $205
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $194.75
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $190.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
$267
$200.25
$101 – $267
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $240.30
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $101
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $253.65
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $267
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $253.65
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $248.31
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
$333
$249.75
$165 – $333
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $299.70
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $168.67
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $316.35
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $333
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $316.35
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $309.69
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$185
$138.75
$133.49 – $185
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $166.50
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $133.49
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $175.75
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $185
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $175.75
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $172.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 95 In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more
$142.75
$107.06
$67.09 – $142.75
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $128.48
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $73.80
BCBS - ALL PLANS — BCBS - ALL PLANS: $133.49
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $73.80
CELTIC MCR ADV — CELTIC MCR ADV: $67.09
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $135.61
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $142.75
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $135.61
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $132.76
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$210
$157.50
$165 – $210
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $189
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $188.57
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $199.50
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $210
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $199.50
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $195.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 95 In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
$208.50
$156.38
$98 – $208.50
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $187.65
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $107.79
BCBS - ALL PLANS — BCBS - ALL PLANS: $188.57
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $107.79
CELTIC MCR ADV — CELTIC MCR ADV: $98
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $198.08
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $208.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $198.08
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $193.91
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)
$245
$183.75
$146.07 – $245
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $220.50
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $146.07
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $232.75
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $245
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $232.75
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $227.85
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)
$275
$206.25
$165 – $275
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $247.50
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $176.08
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $261.25
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $275
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $261.25
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $255.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making
$180
$135
$40.48 – $113.38
Emergency room visit (moderate): 10 of 15 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $71.59
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $68.52
BCBS - ALL PLANS — BCBS - ALL PLANS: $113.38
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $68.52
CELTIC MCR ADV — CELTIC MCR ADV: $65.26
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $91
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $40.48
PREFERRED HLTHCARE - ALL OTHER PLANS — PREFERRED HLTHCARE - ALL OTHER PLANS: $76.35
SUNFLOWER MCAID - ALL PLANS — SUNFLOWER MCAID - ALL PLANS: $40.48
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making
$1,025
$768.75
$481.75 – $1,025
Emergency room visit (moderately high): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $922.50
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $529.93
BCBS - ALL PLANS — BCBS - ALL PLANS: $695.24
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $529.93
CELTIC MCR ADV — CELTIC MCR ADV: $481.75
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $973.75
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $1,025
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $973.75
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $953.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making
$285
$213.75
$98.48 – $190.84
Emergency room visit (moderately high): 10 of 15 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $121.71
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $116.55
BCBS - ALL PLANS — BCBS - ALL PLANS: $190.84
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $116.55
CELTIC MCR ADV — CELTIC MCR ADV: $111
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $168
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $98.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making
$320
$240
$98.48 – $280.85
Emergency room visit (high): 10 of 15 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $177.01
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $169.38
BCBS - ALL PLANS — BCBS - ALL PLANS: $280.85
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $169.38
CELTIC MCR ADV — CELTIC MCR ADV: $161.31
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $249
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $98.48
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated
$45.50
$34.13
$1.44 – $45.50
Urine test (automated, with microscope): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $40.95
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $23.52
BCBS - ALL PLANS — BCBS - ALL PLANS: $9.72
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $23.52
CELTIC MCR ADV — CELTIC MCR ADV: $21.39
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $43.23
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $45.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $43.23
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $42.32
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
$30
$22.50
$13.36 – $30
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $27
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $15.51
BCBS - ALL PLANS — BCBS - ALL PLANS: $13.36
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $15.51
CELTIC MCR ADV — CELTIC MCR ADV: $14.10
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $28.50
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $30
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $28.50
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $27.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood
$76
$57
$22.53 – $76
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $68.40
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $39.29
BCBS - ALL PLANS — BCBS - ALL PLANS: $22.53
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $39.29
CELTIC MCR ADV — CELTIC MCR ADV: $35.72
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $72.20
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $76
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $72.20
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $70.68
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast
$2,415.75
$1,811.81
$552.52 – $2,415.75
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $2,174.18
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $1,248.94
BCBS - ALL PLANS — BCBS - ALL PLANS: $552.52
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $1,248.94
CELTIC MCR ADV — CELTIC MCR ADV: $1,135.40
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $2,294.96
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $2,415.75
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $2,294.96
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $2,246.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast
$2,013.75
$1,510.31
$552.52 – $2,013.75
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,812.38
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $1,041.11
BCBS - ALL PLANS — BCBS - ALL PLANS: $552.52
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $1,041.11
CELTIC MCR ADV — CELTIC MCR ADV: $946.46
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,913.06
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $2,013.75
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,913.06
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,872.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast
$2,013.75
$1,510.31
$552.52 – $2,013.75
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,812.38
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $1,041.11
BCBS - ALL PLANS — BCBS - ALL PLANS: $552.52
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $1,041.11
CELTIC MCR ADV — CELTIC MCR ADV: $946.46
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,913.06
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $2,013.75
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,913.06
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,872.79
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus
$610.25
$457.69
$132.93 – $610.25
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $549.23
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $315.50
BCBS - ALL PLANS — BCBS - ALL PLANS: $132.93
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $315.50
CELTIC MCR ADV — CELTIC MCR ADV: $286.82
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $579.74
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $610.25
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $579.74
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $567.53
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina
$701
$525.75
$132.93 – $701
Transvaginal ultrasound: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $630.90
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $362.42
BCBS - ALL PLANS — BCBS - ALL PLANS: $132.93
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $362.42
CELTIC MCR ADV — CELTIC MCR ADV: $329.47
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $665.95
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $701
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $665.95
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $651.93
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report
$30
$22.50
$27 – $181.50
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $27
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
BCBS - ALL PLANS — BCBS - ALL PLANS: $31.48
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $28.50
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $30
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $28.50
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $27.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$103.50
$77.63
$48.65 – $103.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $93.15
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $53.51
BCBS - ALL PLANS — BCBS - ALL PLANS: $56.91
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $53.51
CELTIC MCR ADV — CELTIC MCR ADV: $48.65
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $98.33
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $103.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $98.33
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $96.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP | CQ In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$103.50
$77.63
$48.65 – $103.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $93.15
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $53.51
BCBS - ALL PLANS — BCBS - ALL PLANS: $56.91
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $53.51
CELTIC MCR ADV — CELTIC MCR ADV: $48.65
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $98.33
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $103.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $98.33
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $96.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$103.50
$77.63
$48.65 – $103.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $93.15
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $53.51
BCBS - ALL PLANS — BCBS - ALL PLANS: $56.91
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $53.51
CELTIC MCR ADV — CELTIC MCR ADV: $48.65
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $98.33
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $103.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $98.33
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $96.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes
$229.50
$172.13
$107.87 – $229.50
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $206.55
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $118.65
BCBS - ALL PLANS — BCBS - ALL PLANS: $138.69
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $118.65
CELTIC MCR ADV — CELTIC MCR ADV: $107.87
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $218.03
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $229.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $218.03
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $213.44
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes
$230.50
$172.88
$108.34 – $230.50
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $207.45
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $119.17
BCBS - ALL PLANS — BCBS - ALL PLANS: $120.60
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $119.17
CELTIC MCR ADV — CELTIC MCR ADV: $108.34
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $218.98
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $230.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $218.98
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $214.37
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes
$266.75
$200.06
$120.60 – $266.75
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $240.08
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $137.91
BCBS - ALL PLANS — BCBS - ALL PLANS: $120.60
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $137.91
CELTIC MCR ADV — CELTIC MCR ADV: $125.37
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $253.41
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $266.75
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $253.41
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $248.08
PREFERRED HLTHCARE - ALL OTHER PLANS — PREFERRED HLTHCARE - ALL OTHER PLANS: $163.40
Procedures and surgery
Service
Hospital charge
Cash price
Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple
$6,214.50
$4,660.88
$2,920.82 – $6,214.50
Removal of breast growth (open surgery): 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $5,593.05
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $3,212.90
BCBS - ALL PLANS — BCBS - ALL PLANS: $4,786.60
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $3,212.90
CELTIC MCR ADV — CELTIC MCR ADV: $2,920.82
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $5,903.78
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $6,214.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $5,903.78
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $5,779.49
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$872.50
$654.38
$209.49 – $825
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $793.29
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $219.96
BCBS - ALL PLANS — BCBS - ALL PLANS: $586.36
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $219.96
CELTIC MCR ADV — CELTIC MCR ADV: $209.49
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $825
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $420.88
PREFERRED HLTHCARE - ALL OTHER PLANS — PREFERRED HLTHCARE - ALL OTHER PLANS: $418.98
SUNFLOWER MCAID - ALL PLANS — SUNFLOWER MCAID - ALL PLANS: $420.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance
$1,656.50
$1,242.38
$778.56 – $1,656.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,490.85
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $856.41
BCBS - ALL PLANS — BCBS - ALL PLANS: $1,141.80
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $856.41
CELTIC MCR ADV — CELTIC MCR ADV: $778.56
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,573.68
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $1,656.50
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,573.68
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,540.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$1,448
$1,086
$680.56 – $1,448
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,303.20
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $748.62
BCBS - ALL PLANS — BCBS - ALL PLANS: $1,112.86
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $748.62
CELTIC MCR ADV — CELTIC MCR ADV: $680.56
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,375.60
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $1,448
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,375.60
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,346.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier RT In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$1,448
$1,086
$680.56 – $1,448
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,303.20
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $748.62
BCBS - ALL PLANS — BCBS - ALL PLANS: $1,112.86
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $748.62
CELTIC MCR ADV — CELTIC MCR ADV: $680.56
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,375.60
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $1,448
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,375.60
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,346.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier LT In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$1,448
$1,086
$680.56 – $1,448
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $1,303.20
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $748.62
BCBS - ALL PLANS — BCBS - ALL PLANS: $1,112.86
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $748.62
CELTIC MCR ADV — CELTIC MCR ADV: $680.56
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $1,375.60
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $1,448
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $1,375.60
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $1,346.64
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery
$4,800
$3,600
$165 – $4,800
Cesarean delivery (C-section), with care before and after: 10 of 16 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $4,320
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $173.25
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $181.50
CELTIC MCR ADV — CELTIC MCR ADV: $165
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $4,560
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $4,800
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $4,560
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $4,464
PREFERRED HLTHCARE - ALL OTHER PLANS — PREFERRED HLTHCARE - ALL OTHER PLANS: $4,560
Hospital stays (whole stay, MS-DRG)
Service
Hospital charge
Cash price
Insurance 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
$38,329.89
$28,747.42
$6,760 – $36,413.40
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
AETNA COVENTRY - ALL PLANS — AETNA COVENTRY - ALL PLANS: $34,496.90
AMBETTER MARKETPLACE - ALL PLANS — AMBETTER MARKETPLACE - ALL PLANS: $7,436
BCBS - ALL PLANS — BCBS - ALL PLANS: $22,152.04
CELTIC COMM - ALL OTHER PLANS — CELTIC COMM - ALL OTHER PLANS: $7,436
CELTIC MCR ADV — CELTIC MCR ADV: $6,760
HEALTH PARTNERS - ALL PLANS — HEALTH PARTNERS - ALL PLANS: $36,413.40
HEALTHY BLUE MCAID - ALL PLANS — HEALTHY BLUE MCAID - ALL PLANS: $10,420.56
MIDLANDS CHOICE - ALL PLANS — MIDLANDS CHOICE - ALL PLANS: $36,413.40
MULTIPLAN - ALL PLANS — MULTIPLAN - ALL PLANS: $35,646.80
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.