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Acute Care Hospital

Saint Alphonsus Medical Center - Nampa

Nampa, Idaho · Canyon County · Emergency services listed

Summary

Saint Alphonsus Medical Center - Nampa is an acute care hospital in Nampa, Idaho. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 18 services, specialties and programs. Medicare lists 706 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(208) 463‑5000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
100Beds (hospital website)
706Doctors and clinicians
18Services listed

Quick answers

Does Saint Alphonsus Medical Center - Nampa have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Saint Alphonsus Medical Center - Nampa. In a medical emergency, call 911.
Where is Saint Alphonsus Medical Center - Nampa?
4300 E Flamingo Ave, Nampa, ID 83687, in Canyon County, Idaho.
What is the phone number of Saint Alphonsus Medical Center - Nampa?
(208) 463-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Alphonsus Medical Center - Nampa?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Programs and centers[4]

  • Telestroke

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III
Stroke designationLevel II Stroke Center (Primary Stroke Center)

Visiting and practical information

ParkingVisitors park in lots connected to the location they visit; Heart Center and Birkeland Maternity parking is directly in front[4]

Recognition[4]

  • Level II STEMI Referring Center (Idaho Time Sensitive Emergency System)
  • Level III Trauma Center, Idaho Time Sensitive Emergency Program
  • American College of Cardiology certification for chest pain care (onsite evaluation)

Doctors and clinicians (706)

706 doctors and other clinicians list Saint Alphonsus Medical Center - Nampa as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (706)

And 682 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1074%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night60%National average: 60%
Completed surveys756Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.815No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.203No different from the national benchmark
Surgical site infections after colon surgery1.062No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.968No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.771No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.2%
Deaths within 30 days: heart failure patients9.3%
Deaths within 30 days: pneumonia patients13.8%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients18.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.01No different from the national rate
Complications after hip or knee replacement4.5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure19.2%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD18.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.8%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)130 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)71%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in NampaBest hospitals in Idaho

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Saint Alphonsus Medical Center - Nampa 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 →

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $240 $240 $54.44 – $240
New patient office visit (about 30–44 minutes): 10 of 786 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $97.37
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $107.85
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $97.37
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $97.37
  • ALLEGIANCE — WOODGRAIN MILLWORK: $211.86
  • ALLIED BENEFIT SYSTEMS — AETNA: $164.52
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $97.37
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $97.37
  • ALLY ALIGN CARE ADV — MEDICARE: $107.85
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $112.25
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level $394 $295 $74.55 – $295
New patient office visit (about 45–59 minutes): 10 of 786 insurance plan rates
  • AETNA DOMESTIC — AETNA: $201.19
  • AETNA MEDICAID — MEDICAID: $102.54
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.70
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $108.70
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $102.54
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.70
  • ALLEGIANCE — WOODGRAIN MILLWORK: $259.29
  • ALLIED BENEFIT SYSTEMS — AETNA: $201.19
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $295
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $102.54
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $475 $475 $126.74 – $479
New patient office visit (about 60–74 minutes): 10 of 786 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $217.40
  • AETNA — AETNA: $326.76
  • AETNA DOMESTIC — AETNA: $326.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $223.93
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $193.34
  • ALLIED BENEFIT SYSTEMS — AETNA: $326.76
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $475
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $217.40
  • AMERIGROUP MEDICAID — MEDICAID: $193.34
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $193.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $245 $401 $102.24 – $394.39
New patient office visit (about 60–74 minutes): 10 of 786 insurance plan rates
  • AETNA — AETNA: $272.96
  • AETNA DOMESTIC — AETNA: $272.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $152.90
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $135.34
  • ALIGN SENIOR CARE — MEDICARE: $148.45
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $148.45
  • ALLEGIANCE — WOODGRAIN MILLWORK: $336.98
  • ALLIED BENEFIT SYSTEMS — AETNA: $272.96
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $394.39
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $148.45
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $209 $209 $49.86 – $197.99
Established patient office visit (about 20–29 minutes): 10 of 786 insurance plan rates
  • AETNA — AETNA: $134.01
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $87.92
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $79.86
  • ALIGN SENIOR CARE — MEDICARE: $87.92
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $87.92
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $79.86
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $87.92
  • ALLY ALIGN CARE ADV — MEDICARE: $87.92
  • AMERICAN HEALTH PLAN — MEDICARE: $87.92
  • AMERIGROUP MEDICAID — MEDICAID: $79.86
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $275 $275 $74.79 – $275
Established patient office visit (about 30–39 minutes): 10 of 786 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $125.24
  • AETNA DOMESTIC — AETNA: $190.03
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $125.24
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $112.52
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $112.52
  • ALIGN SENIOR CARE — MEDICARE: $125.24
  • ALLEGIANCE — WOODGRAIN MILLWORK: $212.59
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $125.24
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $112.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $125.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $101 $216 $53.89 – $211.15
Established patient office visit (about 30–39 minutes): 10 of 786 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.16
  • AETNA MEDICAID — MEDICAID: $78.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.54
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.16
  • ALIGN SENIOR CARE — MEDICARE: $79.16
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $78.76
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.16
  • AMERICAN HEALTH PLAN — MEDICARE: $79.16
  • AMERIGROUP MEDICAID — MEDICAID: $78.76
  • AMERIHEALTH MEDICARE — MEDICARE: $79.16
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $131 $85.15 $37.73 – $193.23
Preventive checkup, new patient, age 18–39: 10 of 70 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $129.26
  • AETNA — AETNA: $114.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $37.73
  • ALLEGIANCE — WOODGRAIN MILLWORK: $96.94
  • ALLIED BENEFIT SYSTEMS — AETNA: $114.89
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $117.90
  • AMERIBEN — AETNA: $114.89
  • ASR HEALTH BENEFITS — AETNA: $114.89
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $117.90
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $193.23
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $133 $86.45 $38.30 – $222.69
Preventive checkup, new patient, age 40–64: 10 of 70 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $129.26
  • AETNA — AETNA: $116.64
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $38.30
  • ALLEGIANCE — WOODGRAIN MILLWORK: $98.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $116.64
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $119.70
  • AMERIBEN — AETNA: $116.64
  • ASR HEALTH BENEFITS — AETNA: $116.64
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $119.70
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $222.69
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $158 $158 $44.30 – $153.32
Emergency room visit (moderate): 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $55.66
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $55.66
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $55.66
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $145.12
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $55.66
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $55.66
  • AMERIGROUP MEDICAID — MEDICAID: $55.66
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $55.66
  • AMISH MENNONITE — MEDICAID: $55.66
  • ANDRIE INC — WORKERS COMP: $145.21
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $148 $148 $44.30 – $148
Emergency room visit (moderate): 10 of 772 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $63.91
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $63.91
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $55.66
  • ALIGN SENIOR CARE — MEDICARE: $63.91
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $63.91
  • ALLEGIANCE — WOODGRAIN MILLWORK: $124.59
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $145.12
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $55.66
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $63.91
  • ALLY ALIGN CARE ADV — MEDICARE: $63.91
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe $1,288 $837.20 $57.33 – $2,945
Emergency room visit (moderate): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $334.88
  • AETNA — AETNA: $1,129.58
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $297.52
  • ALLEGIANCE — WOODGRAIN MILLWORK: $953.12
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,129.58
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,159.20
  • AMERIBEN — AETNA: $1,129.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $300.41
  • ASR HEALTH BENEFITS — AETNA: $1,129.58
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,159.20
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $267 $267 $75.40 – $267
Emergency room visit (moderately high): 10 of 771 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $94.78
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $108.66
  • ALIGN SENIOR CARE — MEDICARE: $108.66
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.66
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $94.78
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $94.78
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.66
  • AMERIGROUP MEDICAID — MEDICAID: $94.78
  • AMERIHEALTH MEDICARE — MEDICARE: $108.66
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $267
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $253 $253 $75.40 – $253
Emergency room visit (moderately high): 10 of 771 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.66
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $108.66
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $94.78
  • ALIGN SENIOR CARE — MEDICARE: $108.66
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $253
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $108.66
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.66
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $114.21
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $94.78
  • AMERIHEALTH MEDICARE — MEDICARE: $108.66
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Partial Trauma W/O Pre Notification Level 4 $5,945 $3,864.25 $97.62 – $5,445
Emergency room visit (moderately high): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1,545.70
  • AETNA — AETNA: $5,213.77
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $454.78
  • ALLEGIANCE — WOODGRAIN MILLWORK: $4,399.30
  • ALLIED BENEFIT SYSTEMS — AETNA: $5,213.77
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $5,350.50
  • AMERIBEN — AETNA: $5,213.77
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $459.20
  • ASR HEALTH BENEFITS — AETNA: $5,213.77
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $5,350.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $393 $393 $109.27 – $393
Emergency room visit (high): 10 of 772 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $157.94
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $157.94
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $137.38
  • ALIGN SENIOR CARE — MEDICARE: $157.94
  • ALLEGIANCE — WOODGRAIN MILLWORK: $349.94
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $137.38
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $157.94
  • AMERICAN HEALTH PLAN — MEDICARE: $157.94
  • AMERIGROUP MEDICAID — MEDICAID: $137.38
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $137.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $367 $367 $109.27 – $367
Emergency room visit (high): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $157.94
  • AETNA MEDICAID — MEDICAID: $137.38
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $157.94
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $137.38
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $157.94
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $367
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $157.94
  • ALLY ALIGN CARE ADV — MEDICARE: $157.94
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $165.99
  • AMERICAN HEALTH PLAN — MEDICARE: $157.94
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 $2,819 $1,832.35 $141.50 – $9,445
Emergency room visit (high): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $732.94
  • AETNA — AETNA: $2,472.26
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $649.08
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,086.06
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,472.26
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,537.10
  • AMERIBEN — AETNA: $2,472.26
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $655.38
  • ASR HEALTH BENEFITS — AETNA: $2,472.26
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,537.10

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) $70 $45.50 $7.31 – $63
Basic metabolic panel (blood test): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $7.31
  • AETNA — AETNA: $61.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.54
  • ALLEGIANCE — WOODGRAIN MILLWORK: $51.80
  • ALLIED BENEFIT SYSTEMS — AETNA: $61.39
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $63
  • AMERIBEN — AETNA: $61.39
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $8.62
  • ASR HEALTH BENEFITS — AETNA: $61.39
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel $69 $44.85 $9.12 – $62.10
Comprehensive metabolic panel (blood test): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $9.12
  • AETNA — AETNA: $60.51
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.66
  • ALLEGIANCE — WOODGRAIN MILLWORK: $51.06
  • ALLIED BENEFIT SYSTEMS — AETNA: $60.51
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $62.10
  • AMERIBEN — AETNA: $60.51
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $10.76
  • ASR HEALTH BENEFITS — AETNA: $60.51
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $62.10
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Obstetric Panel $154 $100.10 $41.31 – $186.48
Obstetric blood test panel: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $41.31
  • AETNA — AETNA: $135.06
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $48.26
  • ALLEGIANCE — WOODGRAIN MILLWORK: $113.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $135.06
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $138.60
  • AMERIBEN — AETNA: $135.06
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $48.73
  • ASR HEALTH BENEFITS — AETNA: $135.06
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $138.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel $50 $32.50 $11.57 – $52.20
Cholesterol panel (lipid panel): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $11.57
  • AETNA — AETNA: $43.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.52
  • ALLEGIANCE — WOODGRAIN MILLWORK: $37
  • ALLIED BENEFIT SYSTEMS — AETNA: $43.85
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $45
  • AMERIBEN — AETNA: $43.85
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $13.65
  • ASR HEALTH BENEFITS — AETNA: $43.85
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $45
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Lipid Panel $74 $48.10 $11.57 – $66.60
Cholesterol panel (lipid panel): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $11.57
  • AETNA — AETNA: $64.90
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.52
  • ALLEGIANCE — WOODGRAIN MILLWORK: $54.76
  • ALLIED BENEFIT SYSTEMS — AETNA: $64.90
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $66.60
  • AMERIBEN — AETNA: $64.90
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $13.65
  • ASR HEALTH BENEFITS — AETNA: $64.90
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $66.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Lipid Panel $173 $112.45 $11.57 – $155.70
Cholesterol panel (lipid panel): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $11.57
  • AETNA — AETNA: $151.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.52
  • ALLEGIANCE — WOODGRAIN MILLWORK: $128.02
  • ALLIED BENEFIT SYSTEMS — AETNA: $151.72
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $155.70
  • AMERIBEN — AETNA: $151.72
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $13.65
  • ASR HEALTH BENEFITS — AETNA: $151.72
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $155.70
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $100 $65 $7.50 – $90
Kidney function panel: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $7.50
  • AETNA — AETNA: $87.70
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.76
  • ALLEGIANCE — WOODGRAIN MILLWORK: $74
  • ALLIED BENEFIT SYSTEMS — AETNA: $87.70
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $90
  • AMERIBEN — AETNA: $87.70
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $8.85
  • ASR HEALTH BENEFITS — AETNA: $87.70
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $90
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $72 $46.80 $7.06 – $64.80
Liver function panel: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $7.06
  • AETNA — AETNA: $63.14
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.25
  • ALLEGIANCE — WOODGRAIN MILLWORK: $53.28
  • ALLIED BENEFIT SYSTEMS — AETNA: $63.14
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $64.80
  • AMERIBEN — AETNA: $63.14
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $8.33
  • ASR HEALTH BENEFITS — AETNA: $63.14
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $64.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated $25 $16.25 $2.74 – $22.50
Urine test (automated, with microscope): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $2.74
  • AETNA — AETNA: $21.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.20
  • ALLEGIANCE — WOODGRAIN MILLWORK: $18.50
  • ALLIED BENEFIT SYSTEMS — AETNA: $21.93
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $22.50
  • AMERIBEN — AETNA: $21.93
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3.23
  • ASR HEALTH BENEFITS — AETNA: $21.93
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $22.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated Not listed in the file $425.10 $2.74 – $158.13
Urine test (automated, with microscope): 10 of 108 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $2.74
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $145.11
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $146.52
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $4.76
  • BCBS GENERIC — BCI HMO: $18.82
  • BCN DOMESTIC — BCI HMO: $18.82
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $18.82
  • BLUE CARE NETWORK — BCI HMO: $18.82
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $18.82
  • BLUE CROSS - AL — BCI HMO: $18.82
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Nonautomated $26 $16.90 $3 – $23.40
Urine test (manual, without microscope): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $3
  • AETNA — AETNA: $22.80
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.51
  • ALLEGIANCE — WOODGRAIN MILLWORK: $19.24
  • ALLIED BENEFIT SYSTEMS — AETNA: $22.80
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $23.40
  • AMERIBEN — AETNA: $22.80
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3.55
  • ASR HEALTH BENEFITS — AETNA: $22.80
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $23.40
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated $20 $13 $1.95 – $18
Urine test (automated, without microscope): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1.95
  • AETNA — AETNA: $17.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.27
  • ALLEGIANCE — WOODGRAIN MILLWORK: $14.80
  • ALLIED BENEFIT SYSTEMS — AETNA: $17.54
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18
  • AMERIBEN — AETNA: $17.54
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $2.29
  • ASR HEALTH BENEFITS — AETNA: $17.54
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Urinalysis Without Microscopy Automated $20 $13 $1.95 – $18
Urine test (automated, without microscope): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1.95
  • AETNA — AETNA: $17.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.27
  • ALLEGIANCE — WOODGRAIN MILLWORK: $14.80
  • ALLIED BENEFIT SYSTEMS — AETNA: $17.54
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18
  • AMERIBEN — AETNA: $17.54
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $2.29
  • ASR HEALTH BENEFITS — AETNA: $17.54
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated Not listed in the file $1,436.50 $1.95 – $12,000 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 109 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1.95
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $231.83
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $234.08
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $3.38
  • BCBS GENERIC — BCI HMO: $13.33
  • BCN DOMESTIC — BCI HMO: $13.33
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $13.33
  • BLUE CARE NETWORK — BCI HMO: $13.33
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $13.33
  • BLUE CROSS - AL — BCI HMO: $13.33
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Arup Prostate Specific Antigen Total Ultrasensitive $90 $58.50 $15.89 – $81
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $15.89
  • AETNA — AETNA: $78.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.56
  • ALLEGIANCE — WOODGRAIN MILLWORK: $66.60
  • ALLIED BENEFIT SYSTEMS — AETNA: $78.93
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $81
  • AMERIBEN — AETNA: $78.93
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $18.74
  • ASR HEALTH BENEFITS — AETNA: $78.93
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $81
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total Ultrasensitive $92 $59.80 $15.89 – $82.80
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $15.89
  • AETNA — AETNA: $80.68
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.56
  • ALLEGIANCE — WOODGRAIN MILLWORK: $68.08
  • ALLIED BENEFIT SYSTEMS — AETNA: $80.68
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $82.80
  • AMERIBEN — AETNA: $80.68
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $18.74
  • ASR HEALTH BENEFITS — AETNA: $80.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $82.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total $72 $46.80 $15.89 – $75.24
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $15.89
  • AETNA — AETNA: $63.14
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.56
  • ALLEGIANCE — WOODGRAIN MILLWORK: $53.28
  • ALLIED BENEFIT SYSTEMS — AETNA: $63.14
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $64.80
  • AMERIBEN — AETNA: $63.14
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $18.74
  • ASR HEALTH BENEFITS — AETNA: $63.14
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $64.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 19537 Thyroid Stimulating Hormone Hama Treated $117 $76.05 $14.52 – $105.30
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $14.52
  • AETNA — AETNA: $102.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.96
  • ALLEGIANCE — WOODGRAIN MILLWORK: $86.58
  • ALLIED BENEFIT SYSTEMS — AETNA: $102.61
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $105.30
  • AMERIBEN — AETNA: $102.61
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $17.12
  • ASR HEALTH BENEFITS — AETNA: $102.61
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $105.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 19537 Thyroid Stimulating Hormone $117 $76.05 $14.52 – $105.30
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $14.52
  • AETNA — AETNA: $102.61
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.96
  • ALLEGIANCE — WOODGRAIN MILLWORK: $86.58
  • ALLIED BENEFIT SYSTEMS — AETNA: $102.61
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $105.30
  • AMERIBEN — AETNA: $102.61
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $17.12
  • ASR HEALTH BENEFITS — AETNA: $102.61
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $105.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone $96 $62.40 $14.52 – $99.53
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $14.52
  • AETNA — AETNA: $84.19
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.96
  • ALLEGIANCE — WOODGRAIN MILLWORK: $71.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $84.19
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $86.40
  • AMERIBEN — AETNA: $84.19
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $17.12
  • ASR HEALTH BENEFITS — AETNA: $84.19
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $86.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Cbc Automated/Differential Wbc Automated $60 $39 $6.71 – $54
Complete blood count (CBC) with differential: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $6.71
  • AETNA — AETNA: $52.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.84
  • ALLEGIANCE — WOODGRAIN MILLWORK: $44.40
  • ALLIED BENEFIT SYSTEMS — AETNA: $52.62
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $54
  • AMERIBEN — AETNA: $52.62
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $7.92
  • ASR HEALTH BENEFITS — AETNA: $52.62
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $54
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated $60 $39 $6.71 – $54
Complete blood count (CBC) with differential: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $6.71
  • AETNA — AETNA: $52.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.84
  • ALLEGIANCE — WOODGRAIN MILLWORK: $44.40
  • ALLIED BENEFIT SYSTEMS — AETNA: $52.62
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $54
  • AMERIBEN — AETNA: $52.62
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $7.92
  • ASR HEALTH BENEFITS — AETNA: $52.62
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $54
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated $50 $32.50 $5.59 – $45
Complete blood count (CBC), automated: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $5.59
  • AETNA — AETNA: $43.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.53
  • ALLEGIANCE — WOODGRAIN MILLWORK: $37
  • ALLIED BENEFIT SYSTEMS — AETNA: $43.85
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $45
  • AMERIBEN — AETNA: $43.85
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6.59
  • ASR HEALTH BENEFITS — AETNA: $43.85
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $45
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated Not listed in the file $348.40 $5.59 – $168.16
Complete blood count (CBC), automated: 10 of 108 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $5.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $64.30
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $64.92
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $9.71
  • BCBS GENERIC — BCI HMO: $43.64
  • BCN DOMESTIC — BCI HMO: $43.64
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $43.64
  • BLUE CARE NETWORK — BCI HMO: $43.64
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $43.64
  • BLUE CROSS - AL — BCI HMO: $43.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time $33 $21.45 $3.71 – $29.70
Blood clotting time test (prothrombin time, PT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $3.71
  • AETNA — AETNA: $28.94
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.33
  • ALLEGIANCE — WOODGRAIN MILLWORK: $24.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $28.94
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $29.70
  • AMERIBEN — AETNA: $28.94
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $4.37
  • ASR HEALTH BENEFITS — AETNA: $28.94
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $29.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time $33 $21.45 $3.71 – $29.70
Blood clotting time test (prothrombin time, PT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $3.71
  • AETNA — AETNA: $28.94
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.33
  • ALLEGIANCE — WOODGRAIN MILLWORK: $24.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $28.94
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $29.70
  • AMERIBEN — AETNA: $28.94
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $4.37
  • ASR HEALTH BENEFITS — AETNA: $28.94
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $29.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3514930 Prothrombin Time $54 $35.10 $3.71 – $48.60
Blood clotting time test (prothrombin time, PT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $3.71
  • AETNA — AETNA: $47.36
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.33
  • ALLEGIANCE — WOODGRAIN MILLWORK: $39.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $47.36
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $48.60
  • AMERIBEN — AETNA: $47.36
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $4.37
  • ASR HEALTH BENEFITS — AETNA: $47.36
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $48.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt) $106 $68.90 $5.19 – $95.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $5.19
  • AETNA — AETNA: $92.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.07
  • ALLEGIANCE — WOODGRAIN MILLWORK: $78.44
  • ALLIED BENEFIT SYSTEMS — AETNA: $92.96
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $95.40
  • AMERIBEN — AETNA: $92.96
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6.13
  • ASR HEALTH BENEFITS — AETNA: $92.96
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $95.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3502730 Thromboplastin Time Partial (Ptt) $127 $82.55 $5.19 – $114.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $5.19
  • AETNA — AETNA: $111.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.07
  • ALLEGIANCE — WOODGRAIN MILLWORK: $93.98
  • ALLIED BENEFIT SYSTEMS — AETNA: $111.38
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $114.30
  • AMERIBEN — AETNA: $111.38
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6.13
  • ASR HEALTH BENEFITS — AETNA: $111.38
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $114.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Thromboplastin Time Partial (Ptt) $127 $82.55 $5.19 – $114.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $5.19
  • AETNA — AETNA: $111.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.07
  • ALLEGIANCE — WOODGRAIN MILLWORK: $93.98
  • ALLIED BENEFIT SYSTEMS — AETNA: $111.38
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $114.30
  • AMERIBEN — AETNA: $111.38
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6.13
  • ASR HEALTH BENEFITS — AETNA: $111.38
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $114.30

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast $1,669 $1,084.85 $51.90 – $5,000
CT scan of the head or brain, without contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $84.03
  • AETNA — AETNA: $1,463.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,235.06
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,463.71
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,502.10
  • AMERIBEN — AETNA: $1,463.71
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASR HEALTH BENEFITS — AETNA: $1,463.71
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,502.10
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast Not listed in the file $1,084.85 $51.90 – $5,000
CT scan of the head or brain, without contrast: 10 of 109 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $84.03
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $293.30
  • BCBS GENERIC — BCI HMO: $454.37
  • BCN DOMESTIC — BCI HMO: $454.37
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $454.37
  • BLUE CARE NETWORK — BCI HMO: $454.37
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $454.37
  • BLUE CROSS - AL — BCI HMO: $454.37
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT Head/Brain W/O Contrast|TECHNICAL COMPONENT $1,669 $1,084.85 $51.90 – $5,000
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $51.90
  • CENTURION OF IDAHO — MEDICAID COUNTY: $51.90
  • ID COUNTY ADA — MEDICAID COUNTY: $51.90
  • ID COUNTY CANYON — MEDICAID COUNTY: $51.90
  • ID COUNTY CAT FUND — MEDICAID COUNTY: $51.90
  • ID COUNTY PAYETTE — MEDICAID COUNTY: $51.90
  • IDAHO DEPT HEALTH AND WELLFARE — IDAHO DEPARTMENT OF HEALTH WELFARE: $51.90
  • MAGELLAN BEHAVIORAL HEALTH MEDICAID — MAGELLAN MEDICAID: $51.90
  • MOLINA MEDICAID — MOLINA IM PLUS MEDICAID: $53.46
  • PACIFICSOURCE HEALTH PLANS — PACIFICSOURCE SMART ALLIANCE: $225.95
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast $3,858 $2,507.70 $250.29 – $3,650
MRI of the brain, before and after contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $250.29
  • AETNA — AETNA: $3,383.47
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $380.24
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,854.92
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,383.47
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,472.20
  • AMERIBEN — AETNA: $3,383.47
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $383.94
  • ASR HEALTH BENEFITS — AETNA: $3,383.47
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,472.20
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $296 $192.40 $25.95 – $498.60
Chest X-ray, 2 views: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $25.95
  • AETNA — AETNA: $259.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.85
  • ALLEGIANCE — WOODGRAIN MILLWORK: $219.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $259.59
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $266.40
  • AMERIBEN — AETNA: $259.59
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $95.77
  • ASR HEALTH BENEFITS — AETNA: $259.59
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $266.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views $184 $184 $8.09 – $183.27
X-ray of the lower spine, at least 4 views: 10 of 785 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $48.40
  • AETNA MEDICAID — MEDICAID: $40
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $48.40
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40
  • ALIGN SENIOR CARE — MEDICARE: $48.40
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $48.40
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $50.38
  • AMERICAN HEALTH PLAN — MEDICARE: $48.40
  • AMERIGROUP MEDICAID — MEDICAID: $40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views $618 $401.70 $40 – $603.30
X-ray of the lower spine, at least 4 views: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $40
  • AETNA — AETNA: $541.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $457.32
  • ALLIED BENEFIT SYSTEMS — AETNA: $541.99
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $556.20
  • AMERIBEN — AETNA: $541.99
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASR HEALTH BENEFITS — AETNA: $541.99
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $556.20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: PR Xr Lumbosacral Spine >= 4 Views|TECHNICAL COMPONENT $134 $134 $8.09 – $183.27
X-ray of the lower spine, at least 4 views: 10 of 785 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $36.59
  • AETNA MEDICAID — MEDICAID: $29.82
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $36.59
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $29.82
  • ALIGN SENIOR CARE — MEDICARE: $36.59
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $29.82
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $36.59
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $36.59
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $38.09
  • AMERICAN HEALTH PLAN — MEDICARE: $36.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast $2,361 $1,534.65 $150.37 – $3,650
MRI of the lower back (lumbar spine), without contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $150.37
  • AETNA — AETNA: $2,070.60
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $260.06
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,747.14
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,070.60
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,124.90
  • AMERIBEN — AETNA: $2,070.60
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $262.58
  • ASR HEALTH BENEFITS — AETNA: $2,070.60
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,124.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast $2,281 $1,482.65 $177.21 – $5,000
CT scan of the pelvis, with contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $177.21
  • AETNA — AETNA: $2,000.44
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $191.17
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,687.94
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,000.44
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,052.90
  • AMERIBEN — AETNA: $2,000.44
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $193.03
  • ASR HEALTH BENEFITS — AETNA: $2,000.44
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,052.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl $3,447 $2,240.55 $108.23 – $3,650
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $159.43
  • AETNA — AETNA: $3,023.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $260.06
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,550.78
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,023.02
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,102.30
  • AMERIBEN — AETNA: $3,023.02
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $262.58
  • ASR HEALTH BENEFITS — AETNA: $3,023.02
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,102.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt $2,298 $1,493.70 $108.23 – $3,650
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $159.43
  • AETNA — AETNA: $2,015.35
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $260.06
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,700.52
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,015.35
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,068.20
  • AMERIBEN — AETNA: $2,015.35
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $262.58
  • ASR HEALTH BENEFITS — AETNA: $2,015.35
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,068.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt $2,298 $1,493.70 $108.23 – $3,650
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $159.43
  • AETNA — AETNA: $2,015.35
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $260.06
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,700.52
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,015.35
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,068.20
  • AMERIBEN — AETNA: $2,015.35
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $262.58
  • ASR HEALTH BENEFITS — AETNA: $2,015.35
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,068.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast $4,328 $2,813.20 $236.39 – $5,000
CT scan of the abdomen and pelvis, with contrast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $236.39
  • AETNA — AETNA: $3,795.66
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $380.24
  • ALLEGIANCE — WOODGRAIN MILLWORK: $3,202.72
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,795.66
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,895.20
  • AMERIBEN — AETNA: $3,795.66
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $383.94
  • ASR HEALTH BENEFITS — AETNA: $3,795.66
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,895.20
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $629 $408.85 $89.14 – $603.30
Ultrasound of the abdomen, complete: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $89.14
  • AETNA — AETNA: $551.63
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $465.46
  • ALLIED BENEFIT SYSTEMS — AETNA: $551.63
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $566.10
  • AMERIBEN — AETNA: $551.63
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASR HEALTH BENEFITS — AETNA: $551.63
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $566.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $492 $319.80 $103.81 – $603.30
Pregnancy ultrasound (after the first trimester): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $103.81
  • AETNA — AETNA: $431.48
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $364.08
  • ALLIED BENEFIT SYSTEMS — AETNA: $431.48
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $442.80
  • AMERIBEN — AETNA: $431.48
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASR HEALTH BENEFITS — AETNA: $431.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $442.80
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $631 $410.15 $90.73 – $603.30
Transvaginal ultrasound: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $90.73
  • AETNA — AETNA: $553.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $466.94
  • ALLIED BENEFIT SYSTEMS — AETNA: $553.39
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $567.90
  • AMERIBEN — AETNA: $553.39
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $115.05
  • ASR HEALTH BENEFITS — AETNA: $553.39
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $567.90
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt $357 $232.05 $77.55 – $474.24
Diagnostic mammogram, one breast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $97
  • AETNA — AETNA: $313.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.87
  • ALLEGIANCE — WOODGRAIN MILLWORK: $264.18
  • ALLIED BENEFIT SYSTEMS — AETNA: $313.09
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $321.30
  • AMERIBEN — AETNA: $313.09
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $80.65
  • ASR HEALTH BENEFITS — AETNA: $313.09
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $321.30
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt $357 $232.05 $77.55 – $474.24
Diagnostic mammogram, one breast: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $97
  • AETNA — AETNA: $313.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.87
  • ALLEGIANCE — WOODGRAIN MILLWORK: $264.18
  • ALLIED BENEFIT SYSTEMS — AETNA: $313.09
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $321.30
  • AMERIBEN — AETNA: $313.09
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $80.65
  • ASR HEALTH BENEFITS — AETNA: $313.09
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $321.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral $536 $348.40 $99.38 – $607.56
Diagnostic mammogram, both breasts: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $122.36
  • AETNA — AETNA: $470.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.36
  • ALLEGIANCE — WOODGRAIN MILLWORK: $396.64
  • ALLIED BENEFIT SYSTEMS — AETNA: $470.07
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $482.40
  • AMERIBEN — AETNA: $470.07
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $103.36
  • ASR HEALTH BENEFITS — AETNA: $470.07
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $482.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral $333 $216.45 $82.07 – $501.42
Screening mammogram, both breasts: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $99.03
  • AETNA — AETNA: $292.04
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $84.53
  • ALLEGIANCE — WOODGRAIN MILLWORK: $246.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $292.04
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $299.70
  • AMERIBEN — AETNA: $292.04
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $85.35
  • ASR HEALTH BENEFITS — AETNA: $292.04
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $299.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed $316 $205.40 $82.07 – $501.42
Screening mammogram, both breasts: 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $99.03
  • AETNA — AETNA: $277.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $84.53
  • ALLEGIANCE — WOODGRAIN MILLWORK: $233.84
  • ALLIED BENEFIT SYSTEMS — AETNA: $277.13
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $284.40
  • AMERIBEN — AETNA: $277.13
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $85.35
  • ASR HEALTH BENEFITS — AETNA: $277.13
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $284.40

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report $107 $107 $9.80 – $52.09
Electrocardiogram (ECG/EKG) with reading: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $11.11
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $14
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $14
  • ALIGN SENIOR CARE — MEDICARE: $14
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $44.77
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $11.11
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $14
  • ALLY ALIGN CARE ADV — MEDICARE: $14
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $14.58
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report Not listed in the file $60 $11.11 – $50.92
Electrocardiogram (ECG/EKG) with reading: 10 of 771 insurance plan rates
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $11.11
  • ALIGN SENIOR CARE — MEDICARE: $14
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $44.77
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $11.11
  • ALLY ALIGN CARE ADV — MEDICARE: $14
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $14.72
  • AMERICAN HEALTH PLAN — MEDICARE: $14
  • AMERIGROUP MEDICAID — MEDICAID: $11.11
  • AMERIHEALTH MEDICARE — MEDICARE: $14
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram $13,617 $8,851.05 $671.41 – $30,000
Left heart catheterization (diagnostic): 10 of 152 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $3,540.42
  • AETNA — AETNA: $11,942.11
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,533.45
  • ALLEGIANCE — WOODGRAIN MILLWORK: $10,076.58
  • ALLIED BENEFIT SYSTEMS — AETNA: $11,942.11
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $12,255.30
  • AMERIBEN — AETNA: $11,942.11
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3,567.76
  • ASR HEALTH BENEFITS — AETNA: $11,942.11
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $12,255.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $4,660 $3,029 $495.18 – $4,194
Sleep study (overnight, in a sleep lab): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1,211.60
  • AETNA — AETNA: $4,086.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $935.96
  • ALLEGIANCE — WOODGRAIN MILLWORK: $3,448.40
  • ALLIED BENEFIT SYSTEMS — AETNA: $4,086.82
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $4,194
  • AMERIBEN — AETNA: $4,086.82
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $945.05
  • ASR HEALTH BENEFITS — AETNA: $4,086.82
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $4,194
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years|PROFESSIONAL COMPONENT $350 $350 $76.25 – $350
Sleep study (overnight, in a sleep lab): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $112.59
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $112.59
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $112.59
  • AMERIGROUP MEDICAID — MEDICAID: $93.48
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $93.48
  • AMISH MENNONITE — MEDICAID: $93.48
  • ANTHEM MYCARE OHIO — MEDICARE: $112.59
  • ASURIS NORTHWEST HEALTH — REGENCE BS ID PPO\PPP: $190.68
  • AURORA SPECIAL NEEDS — MEDICARE: $112.59
  • AVMED MEDICARE — MEDICARE: $112.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years|REDUCED SERVICES $4,660 $3,029 $495.18 – $4,194
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $935.96
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $945.05
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,019.97
  • BLUE SHIELD - ID (REGENCE) MEDICARE ADVANTAGE — REGENCE BS ID MEDICARE ADVANTAGE: $927.24
  • MEDIGOLD MEDICARE ADVANTAGE — MEDIGOLD MEDICARE ADVANTAGE: $908.70
  • MODA HEALTH — MODA HEALTH SELECT: $1,800.89
  • MODA HEALTH — ODS SUMMIT MEDICARE ADVANTAGE: $926.87
  • MOLINA MARKETPLACE — MOLINA MARKETPLACE: $2,188.29
  • MOLINA MEDICARE ADVANTAGE — MOLINA MEDICARE ADVANTAGE: $935.96
  • PACIFICSOURCE HEALTH PLANS MEDICARE ADVANTAGE — PACIFICSOURCE MEDICARE ADVANTAGE PPO: $955.06

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $99 $64.35 $25.20 – $300
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $25.20
  • AETNA — AETNA: $86.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.19
  • ALLEGIANCE — WOODGRAIN MILLWORK: $73.26
  • ALLIED BENEFIT SYSTEMS — AETNA: $86.82
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $89.10
  • AMERIBEN — AETNA: $86.82
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $28.47
  • ASR HEALTH BENEFITS — AETNA: $86.82
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $89.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $99 $64.35 $25.20 – $300
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $25.20
  • AETNA — AETNA: $86.82
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.19
  • ALLEGIANCE — WOODGRAIN MILLWORK: $73.26
  • ALLIED BENEFIT SYSTEMS — AETNA: $86.82
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $89.10
  • AMERIBEN — AETNA: $86.82
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $28.47
  • ASR HEALTH BENEFITS — AETNA: $86.82
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $89.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes Not listed in the file $558.35 $25.20 – $300
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 107 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $25.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.19
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $28.47
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $43.94
  • BCBS GENERIC — BCI HMO: $82.98
  • BCN DOMESTIC — BCI HMO: $82.98
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $82.98
  • BLUE CARE NETWORK — BCI HMO: $82.98
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $82.98
  • BLUE CROSS - AL — BCI HMO: $82.98
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family $265 $172.25 $68.90 – $300
Physical therapy evaluation (low complexity): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $68.90
  • AETNA — AETNA: $232.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $95.36
  • ALLEGIANCE — WOODGRAIN MILLWORK: $196.10
  • ALLIED BENEFIT SYSTEMS — AETNA: $232.41
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $238.50
  • AMERIBEN — AETNA: $232.41
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $96.28
  • ASR HEALTH BENEFITS — AETNA: $232.41
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $238.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family $289 $187.85 $75.14 – $300
Physical therapy evaluation (moderate complexity): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $75.14
  • AETNA — AETNA: $253.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $95.36
  • ALLEGIANCE — WOODGRAIN MILLWORK: $213.86
  • ALLIED BENEFIT SYSTEMS — AETNA: $253.45
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $260.10
  • AMERIBEN — AETNA: $253.45
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $96.28
  • ASR HEALTH BENEFITS — AETNA: $253.45
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $260.10
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family $314 $204.10 $81.64 – $300
Physical therapy evaluation (high complexity): 10 of 153 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $81.64
  • AETNA — AETNA: $275.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $95.36
  • ALLEGIANCE — WOODGRAIN MILLWORK: $232.36
  • ALLIED BENEFIT SYSTEMS — AETNA: $275.38
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $282.60
  • AMERIBEN — AETNA: $275.38
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $96.28
  • ASR HEALTH BENEFITS — AETNA: $275.38
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $282.60
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes $214 $214 $56.95 – $214
Psychotherapy, 30 minutes: 10 of 785 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $82.33
  • AETNA DOMESTIC — AETNA: $89.25
  • AETNA MEDICAID — MEDICAID: $66.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $84.80
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $82.33
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $66.20
  • ALIGN SENIOR CARE — MEDICARE: $82.33
  • ALLEGIANCE — WOODGRAIN MILLWORK: $130.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $66.20
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $82.33
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 30 Minutes $163 $105.95 $42.38 – $502.21
Psychotherapy, 30 minutes: 10 of 137 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $42.38
  • AETNA — AETNA: $142.95
  • ALLEGIANCE — WOODGRAIN MILLWORK: $120.62
  • ALLIED BENEFIT SYSTEMS — AETNA: $142.95
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $146.70
  • AMERIBEN — AETNA: $142.95
  • ASR HEALTH BENEFITS — AETNA: $142.95
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $146.70
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $502.21
  • BCBS GENERIC — BCI HMO: $115.73
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 45 Minutes $282 $282 $75.57 – $282
Psychotherapy, 45 minutes: 10 of 785 insurance plan rates
  • AETNA DOMESTIC — AETNA: $117.81
  • AETNA MEDICAID — MEDICAID: $87.39
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $109.10
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $87.39
  • ALIGN SENIOR CARE — MEDICARE: $109.10
  • ALLEGIANCE — WOODGRAIN MILLWORK: $173.14
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $248.31
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $87.39
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $87.39
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $109.10
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes Phd $185 $120.25 $48.10 – $502.21
Psychotherapy, 45 minutes: 10 of 137 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $48.10
  • AETNA — AETNA: $162.25
  • ALLEGIANCE — WOODGRAIN MILLWORK: $136.90
  • ALLIED BENEFIT SYSTEMS — AETNA: $162.25
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $166.50
  • AMERIBEN — AETNA: $162.25
  • ASR HEALTH BENEFITS — AETNA: $162.25
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $166.50
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $502.21
  • BCBS GENERIC — BCI HMO: $261.68
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes $185 $120.25 $48.10 – $502.21
Psychotherapy, 45 minutes: 10 of 137 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $48.10
  • AETNA — AETNA: $162.25
  • ALLEGIANCE — WOODGRAIN MILLWORK: $136.90
  • ALLIED BENEFIT SYSTEMS — AETNA: $162.25
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $166.50
  • AMERIBEN — AETNA: $162.25
  • ASR HEALTH BENEFITS — AETNA: $162.25
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $166.50
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $502.21
  • BCBS GENERIC — BCI HMO: $261.68
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes $417 $417 $110.81 – $417
Psychotherapy, 60 minutes: 10 of 785 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $160.18
  • AETNA — AETNA: $171.36
  • AETNA DOMESTIC — AETNA: $171.36
  • AETNA MEDICAID — MEDICAID: $129.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $164.99
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $129.38
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $129.38
  • ALLEGIANCE — WOODGRAIN MILLWORK: $259.76
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $129.38
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $160.18
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 60 Minutes $221 $143.65 $57.46 – $502.21
Psychotherapy, 60 minutes: 10 of 137 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $57.46
  • AETNA — AETNA: $193.82
  • ALLEGIANCE — WOODGRAIN MILLWORK: $163.54
  • ALLIED BENEFIT SYSTEMS — AETNA: $193.82
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $198.90
  • AMERIBEN — AETNA: $193.82
  • ASR HEALTH BENEFITS — AETNA: $193.82
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $198.90
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $502.21
  • BCBS GENERIC — BCI HMO: $231.87

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $1,263 $1,263 $130.04 – $391.74
Removal of breast growth (open surgery): 10 of 501 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $180.80
  • AETNA MEDICAID — MEDICAID: $139.10
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $180.80
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $139.10
  • ALIGN SENIOR CARE — MEDICARE: $180.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $139.10
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $180.80
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $139.10
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $180.80
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $188.18
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $481 $1,263 $130.04 – $368.47
Removal of breast growth (open surgery): 10 of 501 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $180.80
  • AETNA MEDICAID — MEDICAID: $139.10
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $180.80
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $139.10
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $139.10
  • ALIGN SENIOR CARE — MEDICARE: $180.80
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $180.80
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $139.10
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $180.80
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $139.10
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $1,263 $1,263 $139.10 – $546.82
Removal of breast growth (open surgery): 10 of 271 insurance plan rates
  • ALLEGIANCE — WOODGRAIN MILLWORK: $485.49
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $546.82
  • ANDRIE INC — WORKERS COMP: $527.35
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $546.82
  • ASURIS NORTHWEST HEALTH — REGENCE BS ID PPO\PPP: $343.60
  • BCBS GENERIC — BLUE CROSS: $412.35
  • BCN DOMESTIC — BLUE CROSS: $412.35
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BLUE CROSS: $412.35
  • BLUE CARE NETWORK — BLUE CROSS: $412.35
  • BLUE CROSS - AK (PREMERA) — BLUE CROSS: $412.35
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $5,868 $5,868 $370.52 – $2,934
Total hip replacement: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $494.22
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $519.15
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $494.22
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $494.22
  • ALIGN SENIOR CARE — MEDICARE: $519.15
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $494.22
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $540.34
  • AMERICAN HEALTH PLAN — MEDICARE: $519.15
  • AMERIGROUP MEDICAID — MEDICAID: $494.22
  • AMERIHEALTH MEDICARE — MEDICARE: $519.15
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,825 $2,825 $30.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,305.73
Total hip replacement: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $519.15
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $519.15
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $494.22
  • ALIGN SENIOR CARE — MEDICARE: $519.15
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $519.15
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,773.13
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,809.48
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $519.15
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $494.22
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $519.15
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) Not listed in the file $31,901.59 $7,000 – $36,597.90
Total hip replacement: 10 of 27 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,993.15
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $14,129.01
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $12,593.29
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $15,249.13
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $12,539.82
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $12,539.82
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $6,272 $6,272 $369.66 – $3,136
Total knee replacement: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $518.40
  • ALIGN SENIOR CARE — MEDICARE: $518.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $518.40
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $518.40
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $493.65
  • AMERIHEALTH MEDICARE — MEDICARE: $518.40
  • AMISH MENNONITE — MEDICAID: $493.65
  • ASURIS NORTHWEST HEALTH — REGENCE BS ID PPO\PPP: $1,367.18
  • AURORA SPECIAL NEEDS — MEDICARE: $518.40
  • BCBS GENERIC — BLUE CROSS: $1,269.13
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $2,821 $2,821 $369.66 – $2,300.43
Total knee replacement: 10 of 772 insurance plan rates
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $518.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $493.65
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $493.65
  • ALIGN SENIOR CARE — MEDICARE: $518.40
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $518.40
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,772.68
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $493.65
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $518.40
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $544.85
  • AMERICAN HEALTH PLAN — MEDICARE: $518.40
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) Not listed in the file $29,591.79 $7,000 – $36,597.90
Total knee replacement: 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,993.15
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $14,129.01
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $12,593.29
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $15,249.13
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $12,593.29
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $12,539.82
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $12,539.82
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $1,488 $1,488 $94.15 – $1,488
Shoulder arthroscopy: shaving of shoulder bone: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $132.29
  • AETNA MEDICAID — MEDICAID: $131.03
  • ALIGN SENIOR CARE — MEDICARE: $132.29
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $132.29
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $132.29
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $137.69
  • AMERIGROUP MEDICAID — MEDICAID: $131.03
  • AMERIHEALTH MEDICARE — MEDICARE: $132.29
  • ANDRIE INC — WORKERS COMP: $593.37
  • AURORA SPECIAL NEEDS — MEDICARE: $132.29
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $370 $370 $94.15 – $370
Shoulder arthroscopy: shaving of shoulder bone: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $132.29
  • AETNA MEDICAID — MEDICAID: $131.03
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $131.03
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $132.29
  • ALLEGIANCE — WOODGRAIN MILLWORK: $370
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $370
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $131.03
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $132.29
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $131.03
  • ALLY ALIGN CARE ADV — MEDICARE: $132.29
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) Not listed in the file $24,839.41 $2,500.22 – $20,684.54
Shoulder arthroscopy: shaving of shoulder bone: 10 of 100 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,908.70
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $7,985.49
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $6,397.05
  • BCBS GENERIC — BCI HMO: $4,898.87
  • BCN DOMESTIC — BCI HMO: $4,898.87
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $4,898.87
  • BLUE CARE NETWORK — BCI HMO: $4,898.87
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $4,898.87
  • BLUE CROSS - AL — BCI HMO: $4,898.87
  • BLUE CROSS - AR — BCI HMO: $4,898.87
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $2,315 $2,315 $164.44 – $1,157.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $211.49
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $231.36
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALIGN SENIOR CARE — MEDICARE: $231.36
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $231.36
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $240.80
  • AMERICAN HEALTH PLAN — MEDICARE: $231.36
  • AMERIGROUP MEDICAID — MEDICAID: $211.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $1,220 $1,220 $13.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,008.86
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $231.36
  • AETNA MEDICAID — MEDICAID: $211.49
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $231.36
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $231.36
  • ALLEGIANCE — WOODGRAIN MILLWORK: $783.45
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $719.51
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $211.49
  • ALLY ALIGN CARE ADV — MEDICARE: $231.36
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) Not listed in the file $12,987.65 $1,147.17 – $16,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,566.22
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3,600.85
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $2,892.28
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $3,886.31
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $2,892.28
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $2,892.28
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $2,892.28
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $2,892.28
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $3,084.03
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $3,084.03
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 $1,163 $1,163 $83.18 – $581.50
Removal of tonsils and adenoids (under age 12): 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $114.42
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $118.67
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $114.42
  • ALLEGIANCE — WOODGRAIN MILLWORK: $384.04
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $114.42
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $114.42
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $118.67
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $123.51
  • AMERICAN HEALTH PLAN — MEDICARE: $118.67
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $114.42
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 Not listed in the file $1,047.11 $83.18 – $523.56
Removal of tonsils and adenoids (under age 12): 10 of 772 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $118.67
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $114.42
  • ALIGN SENIOR CARE — MEDICARE: $118.67
  • ALLEGIANCE — WOODGRAIN MILLWORK: $384.04
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $345.09
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $118.67
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $114.42
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $118.67
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $124.72
  • AMERICAN HEALTH PLAN — MEDICARE: $118.67
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 Not listed in the file $9,177.71 $2,003.63 – $16,875.05
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,452.15
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6,514.79
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $5,194.27
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $7,031.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $5,194.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $5,194.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $5,194.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $5,194.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $5,579.71
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $5,579.71
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $491 $491 $35.25 – $208.68
Upper GI endoscopy (diagnostic): 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $76.55
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $50.76
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $76.55
  • ALIGN SENIOR CARE — MEDICARE: $50.76
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $50.76
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $52.83
  • AMERICAN HEALTH PLAN — MEDICARE: $50.76
  • AMERIGROUP MEDICAID — MEDICAID: $76.55
  • AMERIHEALTH MEDICARE — MEDICARE: $50.76
  • ANDRIE INC — WORKERS COMP: $143.57
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $267 $267 $35.25 – $192.15
Upper GI endoscopy (diagnostic): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $50.76
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $50.76
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $50.76
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $76.55
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $50.76
  • ALLEGIANCE — WOODGRAIN MILLWORK: $175.09
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $149.67
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $50.76
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $76.55
  • ALLY ALIGN CARE ADV — MEDICARE: $50.76
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing Not listed in the file $3,508.63 $354.18 – $7,000
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $988.54
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $998.14
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $826.39
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,077.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $863.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $863.69
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $554 $554 $39.41 – $229.07
Upper GI endoscopy with biopsy: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.79
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.79
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $98.94
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $56.79
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $169.37
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $56.79
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $98.94
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $56.79
  • ALLY ALIGN CARE ADV — MEDICARE: $56.79
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $98.94
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $301 $301 $39.41 – $227.66
Upper GI endoscopy with biopsy: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $98.94
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.79
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $98.94
  • ALIGN SENIOR CARE — MEDICARE: $56.79
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $169.37
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $98.94
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $56.79
  • ALLY ALIGN CARE ADV — MEDICARE: $56.79
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $59.69
  • AMERICAN HEALTH PLAN — MEDICARE: $56.79
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) Not listed in the file $5,410.44 $354.18 – $9,000
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $988.54
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $998.14
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $826.39
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,077.27
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $826.39
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $863.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $863.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing $739 $739 $52.51 – $286.28
Colonoscopy (diagnostic): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $75.40
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $75.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.03
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $75.40
  • ALLEGIANCE — WOODGRAIN MILLWORK: $283.95
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $225.97
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $75.40
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $91.03
  • ALLY ALIGN CARE ADV — MEDICARE: $75.40
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $91.03
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing Not listed in the file $739 $52.51 – $286.28
Colonoscopy (diagnostic): 10 of 772 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $75.40
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $75.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.03
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $91.03
  • ALIGN SENIOR CARE — MEDICARE: $75.40
  • ALLEGIANCE — WOODGRAIN MILLWORK: $283.95
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $225.97
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $91.03
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $75.40
  • ALLY ALIGN CARE ADV — MEDICARE: $75.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) Not listed in the file $3,606.75 $344.25 – $9,000
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,013.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,023.42
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $810.48
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,104.56
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $810.48
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $810.48
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $810.48
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $810.48
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $870.81
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $870.81
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple $804 $804 $56.66 – $344.93
Colonoscopy with biopsy: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $115.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $81.58
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.02
  • ALIGN SENIOR CARE — MEDICARE: $81.58
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $115.02
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $84.91
  • AMERIGROUP MEDICAID — MEDICAID: $115.02
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $115.02
  • AMERIHEALTH MEDICARE — MEDICARE: $81.58
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple Not listed in the file $804 $56.66 – $344.93
Colonoscopy with biopsy: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $115.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $81.58
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $81.58
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.02
  • ALIGN SENIOR CARE — MEDICARE: $81.58
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $115.02
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $81.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $85.74
  • AMERICAN HEALTH PLAN — MEDICARE: $81.58
  • AMERIGROUP MEDICAID — MEDICAID: $115.02
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) Not listed in the file $4,284.41 $452.55 – $9,000
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,304.24
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,316.91
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $1,059.06
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,421.31
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $1,124.36
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $1,124.36
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $1,022 $1,022 $71.25 – $409.64
Colonoscopy with removal of polyps (snare): 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $121.21
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $102.84
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $121.21
  • ALIGN SENIOR CARE — MEDICARE: $102.84
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $121.21
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $102.84
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $107.04
  • AMERICAN HEALTH PLAN — MEDICARE: $102.84
  • AMERIGROUP MEDICAID — MEDICAID: $121.21
  • AMERIHEALTH MEDICARE — MEDICARE: $102.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $551 $551 $71.25 – $409.64
Colonoscopy with removal of polyps (snare): 10 of 772 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $121.21
  • ALIGN SENIOR CARE — MEDICARE: $102.84
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $102.84
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $102.84
  • ALLY ALIGN CARE ADV — MEDICARE: $102.84
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $121.21
  • AMISH MENNONITE — MEDICAID: $121.21
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $311.95
  • ASURIS NORTHWEST HEALTH — REGENCE BS ID PPO\PPP: $265.22
  • AURORA SPECIAL NEEDS — MEDICARE: $102.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) Not listed in the file $4,480.22 $452.55 – $9,000
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,304.24
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,316.91
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $1,059.06
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $1,421.31
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $1,059.06
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $1,124.36
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $1,124.36
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient $530 $530 $52.61 – $286.28
Screening colonoscopy (not high risk): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $75.48
  • AETNA MEDICAID — MEDICAID: $91.07
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $91.07
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $75.48
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $91.07
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $75.48
  • AMERIHEALTH MEDICARE — MEDICARE: $75.48
  • AMISH MENNONITE — MEDICAID: $91.07
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $91.07
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $219.02
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient Not listed in the file $530 $52.61 – $292.62
Screening colonoscopy (not high risk): 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $75.48
  • AETNA MEDICAID — MEDICAID: $91.07
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $91.07
  • ALIGN SENIOR CARE — MEDICARE: $75.48
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $91.07
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $75.48
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $79.33
  • AMERICAN HEALTH PLAN — MEDICARE: $75.48
  • AMERIGROUP MEDICAID — MEDICAID: $91.07
  • ANDRIE INC — WORKERS COMP: $81.22
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH) Not listed in the file $3,587.67 $344.25 – $9,000
Screening colonoscopy (not high risk): 10 of 100 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,013.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,023.42
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $810.48
  • BCBS GENERIC — BCI HMO: $1,574.45
  • BCN DOMESTIC — BCI HMO: $1,574.45
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $1,574.45
  • BLUE CARE NETWORK — BCI HMO: $1,574.45
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $1,574.45
  • BLUE CROSS - AL — BCI HMO: $1,574.45
  • BLUE CROSS - AR — BCI HMO: $1,574.45
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $2,598 $2,598 $201.50 – $1,299
Gallbladder removal by laparoscope: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $251.62
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $278.64
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $251.62
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $251.62
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $290.01
  • AMERICAN HEALTH PLAN — MEDICARE: $278.64
  • AMERIGROUP MEDICAID — MEDICAID: $251.62
  • AMERIHEALTH MEDICARE — MEDICARE: $278.64
  • ANDRIE INC — WORKERS COMP: $825.44
  • ANTHEM MYCARE OHIO — MEDICARE: $278.64
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,451 $1,451 $15.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $903.59
Gallbladder removal by laparoscope: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $251.62
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $251.62
  • ALIGN SENIOR CARE — MEDICARE: $278.64
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $251.62
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $278.64
  • AMERIGROUP MEDICAID — MEDICAID: $251.62
  • AMERIHEALTH MEDICARE — MEDICARE: $278.64
  • ANDRIE INC — WORKERS COMP: $825.44
  • ANTHEM MYCARE OHIO — MEDICARE: $278.64
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $251.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) Not listed in the file $18,859.70 $1,956.81 – $17,233.36
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,589.15
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $6,653.12
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $5,167.69
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $7,180.57
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $5,167.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $5,167.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $5,167.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $5,167.69
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $5,497.59
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $5,497.59
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $2,059 $2,059 $161.99 – $2,059
Groin (inguinal) hernia repair, age 5 or older: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $200.05
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $224.11
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $200.05
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $200.05
  • ALIGN SENIOR CARE — MEDICARE: $224.11
  • ALLEGIANCE — WOODGRAIN MILLWORK: $673.99
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $200.05
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $233.26
  • AMERICAN HEALTH PLAN — MEDICARE: $224.11
  • AMERIGROUP MEDICAID — MEDICAID: $200.05
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $1,157 $1,157 $12.59 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,157
Groin (inguinal) hernia repair, age 5 or older: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $200.05
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $224.11
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $200.05
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $224.11
  • ALLEGIANCE — WOODGRAIN MILLWORK: $673.99
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $200.05
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $224.11
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $200.05
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $235.54
  • AMERIHEALTH MEDICARE — MEDICARE: $224.11
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) Not listed in the file $12,701.66 $1,228.29 – $17,305.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,902.35
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3,940.24
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $3,249.35
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $4,252.62
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $3,249.35
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $3,249.35
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $3,249.35
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $3,249.35
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $3,296.34
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $3,296.34
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst Not listed in the file $32,251.52 $3,391.89 – $30,301.37
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,585.68
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $11,698.16
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $9,096.46
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $12,625.57
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $9,096.46
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $9,096.46
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $9,096.46
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $9,096.46
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $9,807.76
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $9,807.76
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $888 $888 $65.18 – $697.43
Hysteroscopy with biopsy of the uterus lining: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $92.22
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $92.22
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $92.22
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $404.46
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $92.22
  • ALLY ALIGN CARE ADV — MEDICARE: $92.22
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $332.11
  • AMISH MENNONITE — MEDICAID: $332.11
  • ASURIS NORTHWEST HEALTH — REGENCE BS ID PPO\PPP: $188.79
  • AVMED MEDICARE — MEDICARE: $92.22
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $498 $498 $5.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $498
Hysteroscopy with biopsy of the uterus lining: 10 of 772 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $332.11
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $92.22
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $332.11
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $332.11
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $404.46
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $332.11
  • ALLY ALIGN CARE ADV — MEDICARE: $92.22
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $96.92
  • AMERICAN HEALTH PLAN — MEDICARE: $92.22
  • AMERIGROUP MEDICAID — MEDICAID: $332.11
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C Not listed in the file $12,860.25 $1,101.73 – $13,000
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,528.21
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $3,562.47
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $2,679.56
  • BLUE CROSS - ID MEDICARE ADVANTAGE — BC ID MEDICARE ADVANTAGE: $3,844.89
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD: $2,679.56
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ACCORD EXCLUSIVE: $2,679.56
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS ALL NETWORK: $2,679.56
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS IND FAM: $2,679.56
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO: $2,978.77
  • BLUE SHIELD - ID (REGENCE) — REGENCE BS PPO 2: $2,978.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance $418 $418 $28.44 – $323.03
Spinal injection, lower back (epidural), with imaging guidance: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $41.27
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $41.27
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $41.27
  • ALLEGIANCE — WOODGRAIN MILLWORK: $177.65
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $163.65
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $41.27
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $68.65
  • ALLY ALIGN CARE ADV — MEDICARE: $41.27
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $68.65
  • AMISH MENNONITE — MEDICAID: $68.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance $213 $213 $28.44 – $164.61
Spinal injection, lower back (epidural), with imaging guidance: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $41.27
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $41.27
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $68.65
  • ALLEGIANCE — WOODGRAIN MILLWORK: $90.53
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $163.65
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $41.27
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $68.65
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $41.27
  • ALLY ALIGN CARE ADV — MEDICARE: $41.27
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $68.65
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $1,862 $1,210.30 $281.67 – $7,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 80 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $484.12
  • AETNA — AETNA: $1,632.97
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $769.35
  • ALLEGIANCE — WOODGRAIN MILLWORK: $1,377.88
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,632.97
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,675.80
  • AMERIBEN — AETNA: $1,632.97
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $776.82
  • ASR HEALTH BENEFITS — AETNA: $1,632.97
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,675.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $470 $470 $25.81 – $705
Nerve root injection, lower back, with imaging guidance: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $46.05
  • AETNA MEDICAID — MEDICAID: $65.85
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $46.05
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $65.85
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $46.05
  • ALLEGIANCE — WOODGRAIN MILLWORK: $151.49
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $183.79
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $46.05
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $65.85
  • ALLY ALIGN CARE ADV — MEDICARE: $46.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl $4,046 $2,629.90 $365.95 – $7,000
Nerve root injection, lower back, with imaging guidance: 10 of 80 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $1,051.96
  • AETNA — AETNA: $3,548.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $964.01
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,994.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,548.34
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,641.40
  • AMERIBEN — AETNA: $3,548.34
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $973.37
  • ASR HEALTH BENEFITS — AETNA: $3,548.34
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,641.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level Not listed in the file $470 $25.81 – $705
Nerve root injection, lower back, with imaging guidance: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $46.05
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $46.05
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $65.85
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $46.05
  • ALLEGIANCE — WOODGRAIN MILLWORK: $151.49
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $183.79
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $46.05
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $65.85
  • ALLY ALIGN CARE ADV — MEDICARE: $46.05
  • AMERICAN HEALTH PLAN — MEDICARE: $46.05
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $1,840 $1,840 $122.01 – $1,656
Carpal tunnel release: 10 of 785 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $189.88
  • AETNA — AETNA: $624.37
  • AETNA DOMESTIC — AETNA: $624.37
  • AETNA MEDICAID — MEDICAID: $122.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $195.58
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $189.88
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $122.01
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $189.88
  • ALLEGIANCE — WOODGRAIN MILLWORK: $551.18
  • ALLIED BENEFIT SYSTEMS — AETNA: $624.37
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $2,390 $2,390 $37.48 – $2,151
Carpal tunnel release: 10 of 785 insurance plan rates
  • AETNA — AETNA: $636.24
  • AETNA DOMESTIC — AETNA: $636.24
  • AETNA MEDICAID — MEDICAID: $174.29
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $216.69
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $174.29
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $174.29
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $216.69
  • ALLEGIANCE — WOODGRAIN MILLWORK: $555.19
  • ALLIED BENEFIT SYSTEMS — AETNA: $636.24
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $692.76
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Bl $2,925 $1,901.25 $710.63 – $9,000
Carpal tunnel release: 10 of 80 insurance plan rates
  • ADA COUNTY JAIL INMATE INS — MEDICAID COUNTY: $760.50
  • AETNA — AETNA: $2,565.23
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,128.32
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,164.50
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,565.23
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,632.50
  • AMERIBEN — AETNA: $2,565.23
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $2,148.98
  • ASR HEALTH BENEFITS — AETNA: $2,565.23
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,632.50

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $4,911 $4,911 $908.68 – $2,906.71
Vaginal delivery, with care before and after: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $969.55
  • AETNA MEDICAID — MEDICAID: $908.68
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $969.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $908.68
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $969.55
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $969.55
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,019.02
  • AMERICAN HEALTH PLAN — MEDICARE: $969.55
  • AMERIGROUP MEDICAID — MEDICAID: $908.68
  • ANTHEM MYCARE OHIO — MEDICARE: $969.55
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $5,277 $5,277 $908.68 – $2,906.71
Vaginal delivery, with care before and after: 10 of 772 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $969.55
  • AETNA MEDICAID — MEDICAID: $908.68
  • ALIGN SENIOR CARE — MEDICARE: $969.55
  • ALLEGIANCE — WOODGRAIN MILLWORK: $2,043.46
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,431.10
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $908.68
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $969.55
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $908.68
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $969.55
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $1,019.02

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $40,007.27 $12,976.67 – $67,540.43
Hip or knee replacement (major joint of the leg), without major complications: 10 of 99 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,950.54
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $17,115.11
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $39,788.55
  • BCBS GENERIC — BCI HMO: $42,124.80
  • BCN DOMESTIC — BCI HMO: $42,124.80
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $42,124.80
  • BLUE CARE NETWORK — BCI HMO: $42,124.80
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $42,124.80
  • BLUE CROSS - AL — BCI HMO: $42,124.80
  • BLUE CROSS - AR — BCI HMO: $42,124.80
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $50,566.01 $16,423.85 – $52,029.39
Neck (cervical) spinal fusion, without complications: 10 of 98 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $21,024.35
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $21,228.47
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $52,029.39
  • BCBS GENERIC — BCI HMO: $48,688.48
  • BCN DOMESTIC — BCI HMO: $48,688.48
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $48,688.48
  • BLUE CARE NETWORK — BCI HMO: $48,688.48
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $48,688.48
  • BLUE CROSS - AL — BCI HMO: $48,688.48
  • BLUE CROSS - AR — BCI HMO: $48,688.48
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file $23,397.79 $8,346.81 – $35,015
Uterus and ovary surgery (not for cancer), without complications: 10 of 98 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,479.08
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — AMERICAN HEALTH MEDICARE ADVANTAGE: $11,590.53
  • ASURIS NORTHWEST HEALTH — REGENCE BS ALL NETWORK: $24,570.49
  • BCBS GENERIC — BCI HMO: $22,964
  • BCN DOMESTIC — BCI HMO: $22,964
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — BCI HMO: $22,964
  • BLUE CARE NETWORK — BCI HMO: $22,964
  • BLUE CROSS - AK (PREMERA) — BCI HMO: $22,964
  • BLUE CROSS - AL — BCI HMO: $22,964
  • BLUE CROSS - AR — BCI HMO: $22,964

Source: Saint Alphonsus Medical Center - Nampa’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address4300 E Flamingo Ave, Nampa, ID 83687
CountyCanyon County
StateIdaho
Phone(208) 463‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number130013
Name in Medicare recordsSAINT ALPHONSUS MEDICAL CENTER - NAMPA
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(208) 205‑1000[4]
Official websitesaintalphonsus.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Saint Alphonsus Medical Center - Nampa — saintalphonsus.org