Does Rush Memorial Hospital have an emergency room?

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

Where is Rush Memorial Hospital?

1300 N Main St, Rushville, IN 46173, in Rush County, Indiana.

What is the phone number of Rush Memorial Hospital?

(765) 932-4111, as listed by Medicare (CMS).

What is the Medicare star rating of Rush Memorial Hospital?

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

Rush Memorial Hospital — Phone, Address & ER

Quick answers

Does Rush Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Rush Memorial Hospital. In a medical emergency, call 911.
Where is Rush Memorial Hospital?: 1300 N Main St, Rushville, IN 46173, in Rush County, Indiana.
What is the phone number of Rush Memorial Hospital?: (765) 932-4111, as listed by Medicare (CMS).
What is the Medicare star rating of Rush Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][7][9][10][11][12]}

Conditions treated^{[6][7][9][12]}

Sports injuries
Arthritic disorders
Rotator cuff tears
Osteoporosis
Chronic lung disease
Diabetic wounds

Treatments^[7][10]

Procedures^[6][12]

Gallbladder surgery
Hernia repair
Appendectomy
Colonoscopy
EGD
Hip and knee replacement
Shoulder arthroscopy
Knee arthroscopy
Carpal tunnel release
Tonsillectomy and adenoidectomy
Sinus surgery
Ear tubes
Tubal ligation
LEEP
MRI
CT scan
3D mammography
DEXA bone density
Ultrasound
Nuclear medicine imaging
X-ray

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting hours daily 7:00 a.m.–10:00 p.m.; visitors of any age welcome, children supervised; charge nurse may limit visits^[11]

Recognition^[8]

Certified Lean Office (Purdue Healthcare Advisors)

Doctors and clinicians (100)

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

Main specialties

And 76 more: the button below opens the full list.

Other emergency rooms nearby

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

Major Hospital19 mi · Shelbyville, IN · Acute Care Hospital
Decatur County Memorial Hospital19 mi · Greensburg, IN · Critical Access Hospital
Hancock Regional Hospital20 mi · Greenfield, IN · Acute Care Hospital
Henry County Memorial Hospital23 mi · New Castle, IN · Acute Care Hospital
Margaret Mary Community Hospital Inc25 mi · Batesville, IN · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Rushville

Richmond State Hospital31 mi · Richmond, IN · Psychiatric Hospital

Hospitals in Rush County · Hospitals near me

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

The Waters of Rushville Skilled Nursing Facility0.4 mi · Rushville, IN · 1 of 5 stars
Flatrock River Lodge0.6 mi · Rushville, IN · 4 of 5 stars
Morristown Manor14 mi · Morristown, IN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Henry County Memorial Hospital Hospice22 mi · New Castle, IN · 5 of 5 stars

All hospice providers in the state →

Home health agencies

HCMH Home Care22 mi · New Castle, IN · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Connersville15 mi · Connersville, IN · 1 of 5 stars
Fresenius Medical Care Shelby County19 mi · Shelbyville, IN · 3 of 5 stars
USRC MHP Dialysis19 mi · Shelbyville, IN · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Five Points Surgery Center LLC21 mi · Greenfield, IN
Hancock Surgery Center21 mi · Greenfield, IN

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

Meridian Health Services0.3 mi · Rushville, IN · Community health center
Meridian Health Services Corp16 mi · Connersville, IN · Community health center
Fayette County Medical Center17 mi · Connersville, IN · Community health center

Clinics and urgent care

RMH Healthcare Associates Rural Health Clinic1.6 mi · Rushville, IN · Rural health clinic
RMH Milroy Primary Care9.5 mi · Milroy, IN · Rural health clinic
Knightstown Health Care Center11 mi · Knightstown, IN · Rural health clinic

Pharmacies

Hook-Superx LLC1.6 mi · Rushville, IN · Pharmacy
Rush Memorial Hospital1.6 mi · Rushville, IN · Community/retail pharmacy
Rushville Pharmacy, Inc.1.6 mi · Rushville, IN · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

What Rush Memorial 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.

Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	89%National average: 80%
“Always” got help as soon as they wanted	70%National average: 64%
Staff “always” explained medicines before giving them	72%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	81%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	31Response rate: 22%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: pneumonia patients	18.4%
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	15.4%
Readmitted within 30 days: pneumonia	16.5%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	100 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	76%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Rush Memorial 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 →

Show the prices of 70 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$148.20	$111.15	$43.64 – $145.24
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $46.40 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $136.34 ANTHEM HMO — ANTHEM HMO: $86.85 ANTHEM MCR ADV — ANTHEM MCR ADV: $47.32 ANTHEM PATH — ANTHEM PATH: $99.29 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $69.65 ANTHEM PATH X — ANTHEM PATH X: $99.29 ANTHEM PPO — ANTHEM PPO: $99.29 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $108.56 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $73.51
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	$244.20	$183.15	$71.92 – $239.32
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $76.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $224.66 ANTHEM HMO — ANTHEM HMO: $143.10 ANTHEM MCR ADV — ANTHEM MCR ADV: $77.97 ANTHEM PATH — ANTHEM PATH: $163.61 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $114.77 ANTHEM PATH X — ANTHEM PATH X: $163.61 ANTHEM PPO — ANTHEM PPO: $163.61 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $178.88 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $121.12
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	$309.20	$231.90	$91.06 – $303.02
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $96.81 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $284.46 ANTHEM HMO — ANTHEM HMO: $181.19 ANTHEM MCR ADV — ANTHEM MCR ADV: $98.73 ANTHEM PATH — ANTHEM PATH: $207.16 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $145.32 ANTHEM PATH X — ANTHEM PATH X: $207.16 ANTHEM PPO — ANTHEM PPO: $207.16 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $226.49 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $153.36
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	$244.10	$183.08	$71.89 – $239.22
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $76.43 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $224.57 ANTHEM HMO — ANTHEM HMO: $143.04 ANTHEM MCR ADV — ANTHEM MCR ADV: $77.94 ANTHEM PATH — ANTHEM PATH: $163.55 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $114.73 ANTHEM PATH X — ANTHEM PATH X: $163.55 ANTHEM PPO — ANTHEM PPO: $163.55 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $178.80 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $121.07
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	$284.96	$213.72	$83.92 – $279.26
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $89.22 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $262.16 ANTHEM HMO — ANTHEM HMO: $166.99 ANTHEM MCR ADV — ANTHEM MCR ADV: $90.99 ANTHEM PATH — ANTHEM PATH: $190.92 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $133.93 ANTHEM PATH X — ANTHEM PATH X: $190.92 ANTHEM PPO — ANTHEM PPO: $190.92 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $208.73 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $141.34
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$210.08	$157.56	$42.02 – $150.29
Office consultation with a specialist (moderate): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $61.48 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $79.60 ANTHEM HMO — ANTHEM HMO: $113.27 ANTHEM MCR ADV — ANTHEM MCR ADV: $62.70 ANTHEM PATH — ANTHEM PATH: $113.27 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $113.27 ANTHEM PATH X — ANTHEM PATH X: $113.27 ANTHEM PPO — ANTHEM PPO: $113.27 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $113.27 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $97.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$274.72	$206.04	$54.94 – $214.57
Office consultation with a specialist (moderate to high): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $84.95 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $121.34 ANTHEM HMO — ANTHEM HMO: $169.58 ANTHEM MCR ADV — ANTHEM MCR ADV: $86.63 ANTHEM PATH — ANTHEM PATH: $169.58 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $169.58 ANTHEM PATH X — ANTHEM PATH X: $169.58 ANTHEM PPO — ANTHEM PPO: $169.58 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $169.58 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $134.57
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)	$189.48	$142.11	$55.80 – $185.69
Preventive checkup, new patient, age 18–39: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $59.33 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $174.32 ANTHEM HMO — ANTHEM HMO: $111.04 ANTHEM MCR ADV — ANTHEM MCR ADV: $60.50 ANTHEM PATH — ANTHEM PATH: $126.95 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $89.06 ANTHEM PATH X — ANTHEM PATH X: $126.95 ANTHEM PPO — ANTHEM PPO: $126.95 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $138.79 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $93.98
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)	$210.69	$158.02	$62.05 – $206.48
Preventive checkup, new patient, age 40–64: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $65.97 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $193.83 ANTHEM HMO — ANTHEM HMO: $123.46 ANTHEM MCR ADV — ANTHEM MCR ADV: $67.27 ANTHEM PATH — ANTHEM PATH: $141.16 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $99.02 ANTHEM PATH X — ANTHEM PATH X: $141.16 ANTHEM PPO — ANTHEM PPO: $141.16 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $154.33 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $104.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$1,487.25	$1,115.44	$438 – $1,457.51
Emergency room visit (moderate): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $465.66 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,368.27 ANTHEM HMO — ANTHEM HMO: $871.53 ANTHEM MCR ADV — ANTHEM MCR ADV: $474.88 ANTHEM PATH — ANTHEM PATH: $996.46 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $699.01 ANTHEM PATH X — ANTHEM PATH X: $996.46 ANTHEM PPO — ANTHEM PPO: $996.46 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,089.41 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $737.68
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$182.81	$137.11	$51.62 – $127.97
Emergency room visit (moderate): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $66.01 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $51.62 ANTHEM HMO — ANTHEM HMO: $102.81 ANTHEM MCR ADV — ANTHEM MCR ADV: $67.32 ANTHEM PATH — ANTHEM PATH: $102.81 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $102.81 ANTHEM PATH X — ANTHEM PATH X: $102.81 ANTHEM PPO — ANTHEM PPO: $102.81 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $102.81 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $88.24
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$2,244.21	$1,683.16	$660.92 – $2,199.33
Emergency room visit (moderately high): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $702.66 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,064.67 ANTHEM HMO — ANTHEM HMO: $1,315.11 ANTHEM MCR ADV — ANTHEM MCR ADV: $716.58 ANTHEM PATH — ANTHEM PATH: $1,503.62 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $1,054.78 ANTHEM PATH X — ANTHEM PATH X: $1,503.62 ANTHEM PPO — ANTHEM PPO: $1,503.62 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,643.88 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $1,113.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$272.70	$204.53	$87.24 – $250
Emergency room visit (moderately high): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $112.24 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $87.24 ANTHEM HMO — ANTHEM HMO: $250 ANTHEM MCR ADV — ANTHEM MCR ADV: $114.46 ANTHEM PATH — ANTHEM PATH: $250 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $250 ANTHEM PATH X — ANTHEM PATH X: $250 ANTHEM PPO — ANTHEM PPO: $250 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $250 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $150.03
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$2,548.02	$1,911.02	$750.39 – $2,497.06
Emergency room visit (high): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $797.79 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $2,344.18 ANTHEM HMO — ANTHEM HMO: $1,493.14 ANTHEM MCR ADV — ANTHEM MCR ADV: $813.58 ANTHEM PATH — ANTHEM PATH: $1,707.17 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $1,197.57 ANTHEM PATH X — ANTHEM PATH X: $1,707.17 ANTHEM PPO — ANTHEM PPO: $1,707.17 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,866.42 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $1,263.82
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$831	$623.25	$126.69 – $581.70
Emergency room visit (high): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $163.14 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $126.69 ANTHEM HMO — ANTHEM HMO: $252.81 ANTHEM MCR ADV — ANTHEM MCR ADV: $166.37 ANTHEM PATH — ANTHEM PATH: $252.81 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $252.81 ANTHEM PATH X — ANTHEM PATH X: $252.81 ANTHEM PPO — ANTHEM PPO: $252.81 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $252.81 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $218.05

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$44.60	$33.45	$13.13 – $43.71
Basic metabolic panel (blood test): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $13.96 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $41.03 ANTHEM HMO — ANTHEM HMO: $26.14 ANTHEM MCR ADV — ANTHEM MCR ADV: $14.24 ANTHEM PATH — ANTHEM PATH: $29.88 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $20.96 ANTHEM PATH X — ANTHEM PATH X: $29.88 ANTHEM PPO — ANTHEM PPO: $29.88 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $32.67 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $22.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$55.75	$41.81	$16.42 – $54.64
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $17.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $51.29 ANTHEM HMO — ANTHEM HMO: $32.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $17.80 ANTHEM PATH — ANTHEM PATH: $37.35 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $26.20 ANTHEM PATH X — ANTHEM PATH X: $37.35 ANTHEM PPO — ANTHEM PPO: $37.35 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $40.84 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $27.65
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$1,098.83	$824.12	$323.61 – $1,076.85
Obstetric blood test panel: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $344.04 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,010.92 ANTHEM HMO — ANTHEM HMO: $643.91 ANTHEM MCR ADV — ANTHEM MCR ADV: $350.86 ANTHEM PATH — ANTHEM PATH: $736.22 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $516.45 ANTHEM PATH X — ANTHEM PATH X: $736.22 ANTHEM PPO — ANTHEM PPO: $736.22 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $804.89 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $545.02
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$92.11	$69.08	$27.13 – $90.27
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $28.84 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $84.74 ANTHEM HMO — ANTHEM HMO: $53.98 ANTHEM MCR ADV — ANTHEM MCR ADV: $29.41 ANTHEM PATH — ANTHEM PATH: $61.71 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $43.29 ANTHEM PATH X — ANTHEM PATH X: $61.71 ANTHEM PPO — ANTHEM PPO: $61.71 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $67.47 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $45.69
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$55.75	$41.81	$16.42 – $54.64
Kidney function panel: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $17.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $51.29 ANTHEM HMO — ANTHEM HMO: $32.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $17.80 ANTHEM PATH — ANTHEM PATH: $37.35 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $26.20 ANTHEM PATH X — ANTHEM PATH X: $37.35 ANTHEM PPO — ANTHEM PPO: $37.35 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $40.84 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $27.65
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$55.75	$41.81	$16.42 – $54.64
Liver function panel: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $17.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $51.29 ANTHEM HMO — ANTHEM HMO: $32.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $17.80 ANTHEM PATH — ANTHEM PATH: $37.35 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $26.20 ANTHEM PATH X — ANTHEM PATH X: $37.35 ANTHEM PPO — ANTHEM PPO: $37.35 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $40.84 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $27.65
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$16.72	$12.54	$4.92 – $16.39
Urine test (automated, with microscope): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $5.24 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $15.38 ANTHEM HMO — ANTHEM HMO: $9.80 ANTHEM MCR ADV — ANTHEM MCR ADV: $5.34 ANTHEM PATH — ANTHEM PATH: $11.20 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $7.86 ANTHEM PATH X — ANTHEM PATH X: $11.20 ANTHEM PPO — ANTHEM PPO: $11.20 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $12.25 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $8.29
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$16.16	$12.12	$4.76 – $15.84
Urine test (manual, without microscope): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $5.06 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $14.87 ANTHEM HMO — ANTHEM HMO: $9.47 ANTHEM MCR ADV — ANTHEM MCR ADV: $5.16 ANTHEM PATH — ANTHEM PATH: $10.83 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $7.60 ANTHEM PATH X — ANTHEM PATH X: $10.83 ANTHEM PPO — ANTHEM PPO: $10.83 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $11.84 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $8.02
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$88.30	$66.23	$26 – $86.53
Urine test (automated, without microscope): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $27.65 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $81.24 ANTHEM HMO — ANTHEM HMO: $51.74 ANTHEM MCR ADV — ANTHEM MCR ADV: $28.19 ANTHEM PATH — ANTHEM PATH: $59.16 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $41.50 ANTHEM PATH X — ANTHEM PATH X: $59.16 ANTHEM PPO — ANTHEM PPO: $59.16 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $64.68 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $43.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$449.80	$337.35	$132.47 – $440.80
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $140.83 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $413.82 ANTHEM HMO — ANTHEM HMO: $263.58 ANTHEM MCR ADV — ANTHEM MCR ADV: $143.62 ANTHEM PATH — ANTHEM PATH: $301.37 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $211.41 ANTHEM PATH X — ANTHEM PATH X: $301.37 ANTHEM PPO — ANTHEM PPO: $301.37 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $329.48 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $223.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$121.16	$90.87	$35.68 – $118.74
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $37.94 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $111.47 ANTHEM HMO — ANTHEM HMO: $71 ANTHEM MCR ADV — ANTHEM MCR ADV: $38.69 ANTHEM PATH — ANTHEM PATH: $81.18 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $56.95 ANTHEM PATH X — ANTHEM PATH X: $81.18 ANTHEM PPO — ANTHEM PPO: $81.18 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $88.75 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $60.10
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	$55.75	$41.81	$16.42 – $54.64
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $17.46 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $51.29 ANTHEM HMO — ANTHEM HMO: $32.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $17.80 ANTHEM PATH — ANTHEM PATH: $37.35 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $26.20 ANTHEM PATH X — ANTHEM PATH X: $37.35 ANTHEM PPO — ANTHEM PPO: $37.35 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $40.84 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $27.65
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$27.87	$20.90	$8.21 – $27.31
Complete blood count (CBC), automated: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.73 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $25.64 ANTHEM HMO — ANTHEM HMO: $16.33 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.90 ANTHEM PATH — ANTHEM PATH: $18.67 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $13.10 ANTHEM PATH X — ANTHEM PATH X: $18.67 ANTHEM PPO — ANTHEM PPO: $18.67 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $20.41 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $13.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$27.87	$20.90	$8.21 – $27.31
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.73 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $25.64 ANTHEM HMO — ANTHEM HMO: $16.33 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.90 ANTHEM PATH — ANTHEM PATH: $18.67 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $13.10 ANTHEM PATH X — ANTHEM PATH X: $18.67 ANTHEM PPO — ANTHEM PPO: $18.67 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $20.41 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $13.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$27.87	$20.90	$8.21 – $27.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $8.73 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $25.64 ANTHEM HMO — ANTHEM HMO: $16.33 ANTHEM MCR ADV — ANTHEM MCR ADV: $8.90 ANTHEM PATH — ANTHEM PATH: $18.67 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $13.10 ANTHEM PATH X — ANTHEM PATH X: $18.67 ANTHEM PPO — ANTHEM PPO: $18.67 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $20.41 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $13.82

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$258.67	$194	$32.90 – $218.43
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $38.20 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $40.97 ANTHEM HMO — ANTHEM HMO: $218.43 ANTHEM MCR ADV — ANTHEM MCR ADV: $38.95 ANTHEM PATH — ANTHEM PATH: $218.43 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $218.43 ANTHEM PATH X — ANTHEM PATH X: $218.43 ANTHEM PPO — ANTHEM PPO: $218.43 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $218.43 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $51.06
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$472.87	$354.65	$87.91 – $592.98
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $102.06 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $110.41 ANTHEM HMO — ANTHEM HMO: $592.98 ANTHEM MCR ADV — ANTHEM MCR ADV: $104.08 ANTHEM PATH — ANTHEM PATH: $592.98 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $592.98 ANTHEM PATH X — ANTHEM PATH X: $592.98 ANTHEM PPO — ANTHEM PPO: $592.98 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $592.98 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $136.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$60.39	$45.29	$8.40 – $63
Chest X-ray, 2 views: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $9.75 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $9.68 ANTHEM HMO — ANTHEM HMO: $28.46 ANTHEM MCR ADV — ANTHEM MCR ADV: $9.94 ANTHEM PATH — ANTHEM PATH: $28.46 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $28.46 ANTHEM PATH X — ANTHEM PATH X: $28.46 ANTHEM PPO — ANTHEM PPO: $28.46 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $28.46 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $13.03
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$76.26	$57.20	$10.51 – $62.10
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $12.20 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $11.58 ANTHEM HMO — ANTHEM HMO: $62.10 ANTHEM MCR ADV — ANTHEM MCR ADV: $12.44 ANTHEM PATH — ANTHEM PATH: $62.10 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $62.10 ANTHEM PATH X — ANTHEM PATH X: $62.10 ANTHEM PPO — ANTHEM PPO: $62.10 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $62.10 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $16.31
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	$421.13	$315.85	$57.25 – $404.43
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $66.47 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $71.52 ANTHEM HMO — ANTHEM HMO: $404.43 ANTHEM MCR ADV — ANTHEM MCR ADV: $67.78 ANTHEM PATH — ANTHEM PATH: $404.43 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $404.43 ANTHEM PATH X — ANTHEM PATH X: $404.43 ANTHEM PPO — ANTHEM PPO: $404.43 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $404.43 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $88.84
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$324.79	$243.59	$44.60 – $297.01
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $51.77 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $55.90 ANTHEM HMO — ANTHEM HMO: $297.01 ANTHEM MCR ADV — ANTHEM MCR ADV: $52.80 ANTHEM PATH — ANTHEM PATH: $297.01 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $297.01 ANTHEM PATH X — ANTHEM PATH X: $297.01 ANTHEM PPO — ANTHEM PPO: $297.01 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $297.01 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $69.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$4,282.58	$3,211.94	$1,261.22 – $4,196.93
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $1,340.88 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $3,939.97 ANTHEM HMO — ANTHEM HMO: $2,734 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,367.43 ANTHEM PATH — ANTHEM PATH: $3,039 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $2,012.81 ANTHEM PATH X — ANTHEM PATH X: $3,039 ANTHEM PPO — ANTHEM PPO: $3,039 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $3,346 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $2,124.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$6,866.55	$5,149.91	$1,388 – $6,729.22
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $2,149.92 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $6,317.23 ANTHEM HMO — ANTHEM HMO: $1,927 ANTHEM MCR ADV — ANTHEM MCR ADV: $2,192.49 ANTHEM PATH — ANTHEM PATH: $2,128 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $3,227.28 ANTHEM PATH X — ANTHEM PATH X: $2,128 ANTHEM PPO — ANTHEM PPO: $2,128 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $2,345 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $3,405.81
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$244.34	$183.26	$31.34 – $171.04
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $36.38 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $35.56 ANTHEM HMO — ANTHEM HMO: $127.48 ANTHEM MCR ADV — ANTHEM MCR ADV: $37.10 ANTHEM PATH — ANTHEM PATH: $127.48 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $127.48 ANTHEM PATH X — ANTHEM PATH X: $127.48 ANTHEM PPO — ANTHEM PPO: $127.48 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $127.48 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $48.63
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	$1,848.87	$1,386.65	$544.49 – $1,811.89
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $578.88 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,700.96 ANTHEM HMO — ANTHEM HMO: $1,083.44 ANTHEM MCR ADV — ANTHEM MCR ADV: $590.34 ANTHEM PATH — ANTHEM PATH: $1,238.74 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $868.97 ANTHEM PATH X — ANTHEM PATH X: $1,238.74 ANTHEM PPO — ANTHEM PPO: $1,238.74 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,354.30 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $917.04
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$143.61	$107.71	$27.04 – $105.30
Transvaginal ultrasound: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $31.39 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $30.77 ANTHEM HMO — ANTHEM HMO: $105.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $32.01 ANTHEM PATH — ANTHEM PATH: $105.30 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $105.30 ANTHEM PATH X — ANTHEM PATH X: $105.30 ANTHEM PPO — ANTHEM PPO: $105.30 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $105.30 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $41.96
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$102.41	$76.81	$30.16 – $214
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $32.06 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $94.22 ANTHEM HMO — ANTHEM HMO: $177 ANTHEM MCR ADV — ANTHEM MCR ADV: $32.70 ANTHEM PATH — ANTHEM PATH: $193 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $48.13 ANTHEM PATH X — ANTHEM PATH X: $193 ANTHEM PPO — ANTHEM PPO: $193 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $214 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $50.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$805.34	$604.01	$177 – $789.23
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $252.15 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $740.91 ANTHEM HMO — ANTHEM HMO: $177 ANTHEM MCR ADV — ANTHEM MCR ADV: $257.15 ANTHEM PATH — ANTHEM PATH: $193 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $378.51 ANTHEM PATH X — ANTHEM PATH X: $193 ANTHEM PPO — ANTHEM PPO: $193 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $214 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $399.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$112.82	$84.62	$29.35 – $159.30
Screening mammogram, both breasts: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $34.07 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $33.64 ANTHEM HMO — ANTHEM HMO: $159.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $34.74 ANTHEM PATH — ANTHEM PATH: $159.30 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $159.30 ANTHEM PATH X — ANTHEM PATH X: $159.30 ANTHEM PPO — ANTHEM PPO: $159.30 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $159.30 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $45.54

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$251.88	$188.91	$74.18 – $246.84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $78.86 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $231.73 ANTHEM HMO — ANTHEM HMO: $147.60 ANTHEM MCR ADV — ANTHEM MCR ADV: $80.43 ANTHEM PATH — ANTHEM PATH: $168.76 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $118.38 ANTHEM PATH X — ANTHEM PATH X: $168.76 ANTHEM PPO — ANTHEM PPO: $168.76 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $184.50 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $124.93
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$499.68	$374.76	$147.16 – $489.69
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $156.45 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $459.71 ANTHEM HMO — ANTHEM HMO: $292.81 ANTHEM MCR ADV — ANTHEM MCR ADV: $159.55 ANTHEM PATH — ANTHEM PATH: $334.79 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $234.85 ANTHEM PATH X — ANTHEM PATH X: $334.79 ANTHEM PPO — ANTHEM PPO: $334.79 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $366.02 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $247.84
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$624.59	$468.44	$183.94 – $612.10
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $195.56 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $574.62 ANTHEM HMO — ANTHEM HMO: $366.01 ANTHEM MCR ADV — ANTHEM MCR ADV: $199.43 ANTHEM PATH — ANTHEM PATH: $418.48 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $293.56 ANTHEM PATH X — ANTHEM PATH X: $418.48 ANTHEM PPO — ANTHEM PPO: $418.48 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $457.51 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $309.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$749.53	$562.15	$220.74 – $734.54
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $234.68 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $689.57 ANTHEM HMO — ANTHEM HMO: $439.22 ANTHEM MCR ADV — ANTHEM MCR ADV: $239.32 ANTHEM PATH — ANTHEM PATH: $502.19 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $352.28 ANTHEM PATH X — ANTHEM PATH X: $502.19 ANTHEM PPO — ANTHEM PPO: $502.19 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $549.03 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $371.77
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$75.20	$56.40	$22.15 – $73.70
Psychotherapy, 30 minutes: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $23.55 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $69.18 ANTHEM HMO — ANTHEM HMO: $44.07 ANTHEM MCR ADV — ANTHEM MCR ADV: $24.01 ANTHEM PATH — ANTHEM PATH: $50.38 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $35.34 ANTHEM PATH X — ANTHEM PATH X: $50.38 ANTHEM PPO — ANTHEM PPO: $50.38 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $55.08 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $37.30
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$112.20	$84.15	$33.04 – $109.96
Psychotherapy, 45 minutes: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $35.13 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $103.22 ANTHEM HMO — ANTHEM HMO: $65.75 ANTHEM MCR ADV — ANTHEM MCR ADV: $35.83 ANTHEM PATH — ANTHEM PATH: $75.17 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $52.73 ANTHEM PATH X — ANTHEM PATH X: $75.17 ANTHEM PPO — ANTHEM PPO: $75.17 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $82.19 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $55.65
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$185.20	$138.90	$54.54 – $181.50
Psychotherapy, 60 minutes: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $57.99 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $170.38 ANTHEM HMO — ANTHEM HMO: $108.53 ANTHEM MCR ADV — ANTHEM MCR ADV: $59.13 ANTHEM PATH — ANTHEM PATH: $124.08 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $87.04 ANTHEM PATH X — ANTHEM PATH X: $124.08 ANTHEM PPO — ANTHEM PPO: $124.08 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $135.66 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $91.86
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$108.78	$81.59	$32.04 – $106.60
Family psychotherapy, without the patient: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $34.06 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $100.08 ANTHEM HMO — ANTHEM HMO: $63.75 ANTHEM MCR ADV — ANTHEM MCR ADV: $34.73 ANTHEM PATH — ANTHEM PATH: $72.88 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $51.13 ANTHEM PATH X — ANTHEM PATH X: $72.88 ANTHEM PPO — ANTHEM PPO: $72.88 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $79.68 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $53.95
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$113.78	$85.34	$33.51 – $111.50
Family psychotherapy, with the patient: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $35.62 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $104.68 ANTHEM HMO — ANTHEM HMO: $66.68 ANTHEM MCR ADV — ANTHEM MCR ADV: $36.33 ANTHEM PATH — ANTHEM PATH: $76.23 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $53.48 ANTHEM PATH X — ANTHEM PATH X: $76.23 ANTHEM PPO — ANTHEM PPO: $76.23 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $83.34 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $56.43
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$33.78	$25.34	$9.95 – $33.10
Group psychotherapy: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $10.58 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $31.08 ANTHEM HMO — ANTHEM HMO: $19.80 ANTHEM MCR ADV — ANTHEM MCR ADV: $10.79 ANTHEM PATH — ANTHEM PATH: $22.63 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $15.88 ANTHEM PATH X — ANTHEM PATH X: $22.63 ANTHEM PPO — ANTHEM PPO: $22.63 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $24.74 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $16.75

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	$472.54	$354.41	$139.16 – $463.09
Removal of breast growth (open surgery): 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $147.95 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $434.74 ANTHEM HMO — ANTHEM HMO: $276.91 ANTHEM MCR ADV — ANTHEM MCR ADV: $150.88 ANTHEM PATH — ANTHEM PATH: $316.60 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $222.09 ANTHEM PATH X — ANTHEM PATH X: $316.60 ANTHEM PPO — ANTHEM PPO: $316.60 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $346.14 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $234.38
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$3,500	$2,625	$925.79 – $2,450
Total hip replacement: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $1,074.77 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,186.05 ANTHEM HMO — ANTHEM HMO: $1,975 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,096.05 ANTHEM PATH — ANTHEM PATH: $1,975 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $1,975 ANTHEM PATH X — ANTHEM PATH X: $1,975 ANTHEM PPO — ANTHEM PPO: $1,975 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,975 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $1,436.58
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$4,338	$3,253.50	$924.02 – $3,036.60
Total knee replacement: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $1,072.71 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $1,184.96 ANTHEM HMO — ANTHEM HMO: $2,089.40 ANTHEM MCR ADV — ANTHEM MCR ADV: $1,093.95 ANTHEM PATH — ANTHEM PATH: $2,089.40 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $2,089.40 ANTHEM PATH X — ANTHEM PATH X: $2,089.40 ANTHEM PPO — ANTHEM PPO: $2,089.40 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $2,089.40 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $1,433.82
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$1,076	$807	$117.85 – $940.30
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $136.81 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $158.23 ANTHEM HMO — ANTHEM HMO: $940.30 ANTHEM MCR ADV — ANTHEM MCR ADV: $139.52 ANTHEM PATH — ANTHEM PATH: $940.30 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $940.30 ANTHEM PATH X — ANTHEM PATH X: $940.30 ANTHEM PPO — ANTHEM PPO: $940.30 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $940.30 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $182.87
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$1,539	$1,154.25	$412.50 – $1,077.30
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $478.88 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $505.24 ANTHEM HMO — ANTHEM HMO: $791.70 ANTHEM MCR ADV — ANTHEM MCR ADV: $488.36 ANTHEM PATH — ANTHEM PATH: $791.70 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $791.70 ANTHEM PATH X — ANTHEM PATH X: $791.70 ANTHEM PPO — ANTHEM PPO: $791.70 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $791.70 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $640.09
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$826	$619.50	$211.54 – $578.20
Removal of tonsils and adenoids (under age 12): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $245.58 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $288.16 ANTHEM HMO — ANTHEM HMO: $396.92 ANTHEM MCR ADV — ANTHEM MCR ADV: $250.44 ANTHEM PATH — ANTHEM PATH: $396.92 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $396.92 ANTHEM PATH X — ANTHEM PATH X: $396.92 ANTHEM PPO — ANTHEM PPO: $396.92 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $396.92 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $328.25
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$626.20	$469.65	$90.42 – $473.88
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $104.97 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $119.28 ANTHEM HMO — ANTHEM HMO: $332.20 ANTHEM MCR ADV — ANTHEM MCR ADV: $107.05 ANTHEM PATH — ANTHEM PATH: $332.20 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $332.20 ANTHEM PATH X — ANTHEM PATH X: $332.20 ANTHEM PPO — ANTHEM PPO: $332.20 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $332.20 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $140.31
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$726.19	$544.64	$101.15 – $612.69
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $117.43 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $134.67 ANTHEM HMO — ANTHEM HMO: $366.43 ANTHEM MCR ADV — ANTHEM MCR ADV: $119.76 ANTHEM PATH — ANTHEM PATH: $366.43 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $366.43 ANTHEM PATH X — ANTHEM PATH X: $366.43 ANTHEM PPO — ANTHEM PPO: $366.43 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $366.43 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $156.96
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$899.91	$674.93	$134.29 – $629.94
Colonoscopy (diagnostic): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $155.90 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $179.50 ANTHEM HMO — ANTHEM HMO: $519.26 ANTHEM MCR ADV — ANTHEM MCR ADV: $158.99 ANTHEM PATH — ANTHEM PATH: $519.26 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $519.26 ANTHEM PATH X — ANTHEM PATH X: $519.26 ANTHEM PPO — ANTHEM PPO: $519.26 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $519.26 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $208.39
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$989.80	$742.35	$145.29 – $711.65
Colonoscopy with biopsy: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $168.67 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $195.37 ANTHEM HMO — ANTHEM HMO: $623.48 ANTHEM MCR ADV — ANTHEM MCR ADV: $172.01 ANTHEM PATH — ANTHEM PATH: $623.48 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $623.48 ANTHEM PATH X — ANTHEM PATH X: $623.48 ANTHEM PPO — ANTHEM PPO: $623.48 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $623.48 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $225.45
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	$1,274.62	$955.97	$183.14 – $892.23
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $212.61 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $247.43 ANTHEM HMO — ANTHEM HMO: $704.10 ANTHEM MCR ADV — ANTHEM MCR ADV: $216.82 ANTHEM PATH — ANTHEM PATH: $704.10 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $704.10 ANTHEM PATH X — ANTHEM PATH X: $704.10 ANTHEM PPO — ANTHEM PPO: $704.10 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $704.10 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $284.18
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$903.95	$677.96	$154.52 – $632.77
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $156.07 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $171.11 ANTHEM HMO — ANTHEM HMO: $417.70 ANTHEM MCR ADV — ANTHEM MCR ADV: $159.16 ANTHEM PATH — ANTHEM PATH: $417.70 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $417.70 ANTHEM PATH X — ANTHEM PATH X: $417.70 ANTHEM PPO — ANTHEM PPO: $417.70 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $417.70 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $208.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$3,009.80	$2,257.35	$497.10 – $2,106.86
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $577.09 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $633.96 ANTHEM HMO — ANTHEM HMO: $892 ANTHEM MCR ADV — ANTHEM MCR ADV: $588.52 ANTHEM PATH — ANTHEM PATH: $892 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $892 ANTHEM PATH X — ANTHEM PATH X: $892 ANTHEM PPO — ANTHEM PPO: $892 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $892 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $771.36
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$1,661.45	$1,246.09	$399.91 – $1,163.02
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $464.27 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $503.88 ANTHEM HMO — ANTHEM HMO: $568.12 ANTHEM MCR ADV — ANTHEM MCR ADV: $473.46 ANTHEM PATH — ANTHEM PATH: $568.12 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $568.12 ANTHEM PATH X — ANTHEM PATH X: $568.12 ANTHEM PPO — ANTHEM PPO: $568.12 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $568.12 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $620.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$1,671	$1,253.25	$164.26 – $2,059.97
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $190.70 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $225.84 ANTHEM HMO — ANTHEM HMO: $1,934.43 ANTHEM MCR ADV — ANTHEM MCR ADV: $194.47 ANTHEM PATH — ANTHEM PATH: $1,934.43 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $1,934.43 ANTHEM PATH X — ANTHEM PATH X: $1,934.43 ANTHEM PPO — ANTHEM PPO: $1,934.43 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $1,934.43 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $254.89
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	$1,000	$750	$63 – $700
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $85.30 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $92.91 ANTHEM HMO — ANTHEM HMO: $242.50 ANTHEM MCR ADV — ANTHEM MCR ADV: $86.99 ANTHEM PATH — ANTHEM PATH: $242.50 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $242.50 ANTHEM PATH X — ANTHEM PATH X: $242.50 ANTHEM PPO — ANTHEM PPO: $242.50 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $242.50 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $114.02
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	$782.46	$586.85	$82.02 – $547.72
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $95.22 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $104.02 ANTHEM HMO — ANTHEM HMO: $261.70 ANTHEM MCR ADV — ANTHEM MCR ADV: $97.11 ANTHEM PATH — ANTHEM PATH: $261.70 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $261.70 ANTHEM PATH X — ANTHEM PATH X: $261.70 ANTHEM PPO — ANTHEM PPO: $261.70 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $261.70 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $127.28
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$1,892.74	$1,419.56	$338.90 – $1,324.92
Carpal tunnel release: 10 of 27 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $393.44 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $408.16 ANTHEM HMO — ANTHEM HMO: $490.67 ANTHEM MCR ADV — ANTHEM MCR ADV: $401.23 ANTHEM PATH — ANTHEM PATH: $490.67 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $490.67 ANTHEM PATH X — ANTHEM PATH X: $490.67 ANTHEM PPO — ANTHEM PPO: $490.67 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $490.67 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $525.88

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	$163,467.86	$122,600.89	$18,572.50 – $160,198.50
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates AETNA MCR ADV — AETNA MCR ADV: $19,745.50 AETNA-ALL OTHER PLANS — AETNA-ALL OTHER PLANS: $150,390.43 ANTHEM HMO — ANTHEM HMO: $111,746.63 ANTHEM MCR ADV — ANTHEM MCR ADV: $20,136.50 ANTHEM PATH — ANTHEM PATH: $114,950.60 ANTHEM PATH ESSENTIALS — ANTHEM PATH ESSENTIALS: $29,325 ANTHEM PATH X — ANTHEM PATH X: $114,950.60 ANTHEM PPO — ANTHEM PPO: $114,950.60 ANTHEM TRAD - ALL OTHER PLANS — ANTHEM TRAD - ALL OTHER PLANS: $127,717.44 CARESOURCE MARKETPLACE-ALL OTHER PLANS — CARESOURCE MARKETPLACE-ALL OTHER PLANS: $31,280

Source: Rush Memorial Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	1300 N Main St, Rushville, IN 46173
County	Rush County
State	Indiana
Phone	(765) 932‑4111
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	151304
Name in Medicare records	RUSH MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	rushmemorial.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Rush Memorial Hospital - Rush Memorial Hospital — rushmemorial.com
Emergency Department - Rush Memorial Hospital — rushmemorial.com
Imaging/Radiology - Rush Memorial Hospital — rushmemorial.com
Cardiopulmonary Rehabilitation - Rush Memorial Hospital — rushmemorial.com
Awards & Recognition - Rush Memorial Hospital — rushmemorial.com
Orthopedics - Rush Memorial Hospital — rushmemorial.com
Rehabilitation Services - Rush Memorial Hospital — rushmemorial.com
Inpatient Care - Rush Memorial Hospital — rushmemorial.com
Surgery - Rush Memorial Hospital — rushmemorial.com