Does Saint Joseph Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Saint Joseph Regional Medical Center. In a medical emergency, call 911.

Where is Saint Joseph Regional Medical Center?

5215 Holy Cross Pkwy, Mishawaka, IN 46545, in St. Joseph County, Indiana.

What is the phone number of Saint Joseph Regional Medical Center?

(574) 335-5000, as listed by Medicare (CMS).

What is the Medicare star rating of Saint Joseph Regional Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Saint Joseph Regional Medical Center

Quick answers

Does Saint Joseph Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Saint Joseph Regional Medical Center. In a medical emergency, call 911.
Where is Saint Joseph Regional Medical Center?: 5215 Holy Cross Pkwy, Mishawaka, IN 46545, in St. Joseph County, Indiana.
What is the phone number of Saint Joseph Regional Medical Center?: (574) 335-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Joseph Regional Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Emergency care (hospital website)^[5]

Emergency room	Yes

Visiting and practical information

Visiting	Immediate family may visit at any time; other guests 10 am-8 pm. After-hours visitors enter through the Emergency Department and get a badge^[5]
Parking	Main lot on the east side off Holy Cross Pkwy; ER and after-hours parking on the west side; Medical Office Building parking off Douglas Rd^[5]
Interpreters and languages	Site footer links a language assistance notice in many languages^[4]
Patient portal	MyChart

Doctors and clinicians (522)

522 doctors and other clinicians list Saint Joseph Regional Medical Center 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 (522)

Aaron C. Woodward, CNACertified Registered Nurse Anesthetist (CRNA)
Aaron Young, MDFamily Practice
Abdul M. Malik, MDPsychiatry
Abhishek K. Das, MDPhysical Medicine and Rehabilitation
Abigail C. Abbs, NPNurse Practitioner
Abigail M. Battjes, DOFamily Practice
Adam E. Perlmutter, DOUrology
Adam J. Cien, DOOrthopedic Surgery
Adelbert J. Mencias, MDHand Surgery
Ahmed A. Abdel Latief, MDCardiovascular Disease (Cardiology)
Ahmed Abdelhalim, MDInternal Medicine
Ahsraf Y. Abou El Ezz, MDAnesthesiology
Aimee Rogers, MDUrology
Aisha WhiteCertified Registered Nurse Anesthetist (CRNA)
Aj Pampalone, MDInternal Medicine
Akinyemi A. Akintayo, MDInterventional Radiology
Alexa R. Morningstar, DOFamily Practice
Alexander C. Gatzimos, MDInternal Medicine
Alexander D. Hann, PAPhysician Assistant
Alfredo H. Altamirano, PAPhysician Assistant
Allison L. HartmanNurse Practitioner
Amanda L. Dehn, NPNurse Practitioner
Amanda M. Huff, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda S. Ahmed, PAPhysician Assistant

And 498 more: the button below opens the full list.

Other emergency rooms nearby

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

Memorial Hospital of South Bend5.4 mi · South Bend, IN · Acute Care Hospital
Elkhart General Hospital9.1 mi · Elkhart, IN · Acute Care Hospital
Community Hospital of Bremen Inc16 mi · Bremen, IN · Critical Access Hospital
Goshen Hospital19 mi · Goshen, IN · Acute Care Hospital
Ascension Borgess Lee Hospital20 mi · Dowagiac, MI · Critical Access Hospital

Other hospitals nearby

Medical Behavioral Hospital - Mishawaka1.5 mi · Mishawaka, IN · Psychiatric Hospital
Unity Physicians Hospital1.7 mi · Mishawaka, IN · Acute Care Hospital
Rehabilitation Hospital of Northern Indiana, LLC1.9 mi · Mishawaka, IN · Inpatient Rehabilitation Hospital

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

Creekside Village1.5 mi · Mishawaka, IN · 4 of 5 stars
Belltower Health & Rehabilitation Center1.7 mi · Granger, IN · 5 of 5 stars
Brickyard Healthcare - Fountainview Care Center2.3 mi · Mishawaka, IN · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Caring Cove Hospice LLC0.0 mi · Mishawaka, IN
Comfort 1 Hospice, LLC0.0 mi · Mishawaka, IN
Heart to Heart Hospice of Northern Indiana LLC0.0 mi · Mishawaka, IN · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Interim Healthcare of South Bend0.0 mi · Mishawaka, IN · 3 of 5 stars
The Center for Hospice and Palliative Care Inc0.0 mi · Mishawaka, IN
Aunova Home Care LLC3.4 mi · Granger, IN

All home health agencies in the state →

Dialysis facilities

DaVita Mishawaka Dialysis0.0 mi · Mishawaka, IN · 4 of 5 stars
FMC - Nephrology - Home0.0 mi · Mishawaka, IN · 4 of 5 stars
FMC - Nephrology - Mishawaka0.0 mi · Mishawaka, IN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Azura Surgery Center Michiana Vascular0.0 mi · Mishawaka, IN
CLI Surgery Center-South Bend/Mishawaka0.0 mi · Mishawaka, IN
Michiana Surgery Center LLC0.0 mi · Mishawaka, IN

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

HealthLinc Mishawaka3.1 mi · Mishawaka, IN · Community health center
HealthLinc IUSB Medical4.3 mi · South Bend, IN · Community health center
HealthLinc IUSB Dental4.4 mi · South Bend, IN · Community health center

Clinics and urgent care

Pic Indiana PC0.0 mi · Mishawaka, IN · Urgent care center
Beacon Medical Group, Inc.3.4 mi · Granger, IN · Urgent care center
Franciscan Physician Network5.5 mi · Mishawaka, IN · Urgent care center

Pharmacies

Hometown Pharmacy Inc.0.0 mi · Mishawaka, IN · Community/retail pharmacy
Lifetime Pharmacy, LLC0.0 mi · Mishawaka, IN · Community/retail pharmacy
MSM Holdco, LLC0.0 mi · Mishawaka, IN · Community/retail pharmacy

Assisted living nearby

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

Cedarhurst of Edison Lakes0.0 mi · Mishawaka, IN
North Woods Village at Edison Lakes0.0 mi · Mishawaka, IN
Providence Home by Fir0.0 mi · Mishawaka, IN
Silver Birch of Mishawaka0.0 mi · Mishawaka, IN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	64%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	52%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	53%National average: 60%
Completed surveys	522Response rate: 20%

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)	1.015No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	2.019No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.344No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.226Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.9%
Deaths within 30 days: heart failure patients	13.7%
Deaths within 30 days: pneumonia patients	18.8%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	15.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	1.12No different from the national rate
Complications after hip or knee replacement	5.3%

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 attack	12.7%
Readmitted within 30 days: heart failure	19.5%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: coronary bypass surgery	11.8%
Readmitted within 30 days: hip or knee replacement	6.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	195 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)	70%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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Saint Joseph Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 13 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$238	$238	$54.44 – $238
New patient office visit (about 30–44 minutes): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.32 AETNA — AETNA: $144.79 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.32 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.32 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $102.28 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $153.73 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $108.32 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $102.28 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.32 AMERIBEN — ICP CLINIC ANTHEM: $142.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$246	$246	$57.90 – $246
New patient office visit (about 30–44 minutes): 10 of 757 insurance plan rates AETNA — AETNA: $144.79 AETNA MEDICAID — MEDICAID: $102.28 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.32 AETNA MEDICARE TRANSPLANT — MEDICARE: $108.32 ALIGN SENIOR CARE — MEDICARE: $108.32 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.32 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $102.28 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.32 ALLY ALIGN CARE ADV — MEDICARE: $108.32 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $108.32
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$356	$356	$84.99 – $356
New patient office visit (about 45–59 minutes): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.95 AETNA MEDICAID — MEDICAID: $122.16 ALIGN SENIOR CARE — MEDICARE: $108.95 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $122.16 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $122.16 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $108.95 AMERICAN HEALTH PLAN — MEDICARE: $108.95 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $122.16 AMERIHEALTH MEDICARE — MEDICARE: $108.95 AMISH MENNONITE — MEDICAID: $122.16
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$366	$366	$94.06 – $366
New patient office visit (about 45–59 minutes): 10 of 757 insurance plan rates AETNA — AETNA: $219.06 AETNA MEDICAID — MEDICAID: $153.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $163.88 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $163.88 ALIGN SENIOR CARE — MEDICARE: $163.88 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $231.13 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $153.78 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $163.88 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $163.88 AMERICAN HEALTH PLAN — MEDICARE: $163.88
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	$471	$471	$115.66 – $471
New patient office visit (about 60–74 minutes): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $148.81 AETNA MEDICAID — MEDICAID: $165.97 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $148.81 AETNA MEDICARE TRANSPLANT — MEDICARE: $148.81 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $165.97 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $165.97 ALIGN SENIOR CARE — MEDICARE: $148.81 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $148.81 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $165.97 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $165.97
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	$483	$483	$126.74 – $483
New patient office visit (about 60–74 minutes): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $218.30 AETNA — AETNA: $291.82 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $218.30 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $202.95 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $305.03 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $218.30 AMERIBEN — ICP CLINIC ANTHEM: $289.80 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $218.30 AMERICAN HEALTH PLAN — MEDICARE: $218.30 AMERIGROUP MEDICAID — MEDICAID: $202.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$194	$194	$8.64 – $194
Established patient office visit (about 20–29 minutes): 10 of 757 insurance plan rates AETNA MEDICAID — MEDICAID: $83.88 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $83.88 AMERIBEN — ICP CLINIC ANTHEM: $116.40 AMERICAN HEALTH PLAN — MEDICARE: $88.29 AMERIGROUP MEDICAID — MEDICAID: $83.88 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $83.88 AMERIHEALTH MEDICARE — MEDICARE: $88.29 ANDRIE INC — WORKERS COMP: $90.09 AUXIANT — SELECT HEALTH PPO-R: $126.07 AUXIANT — SELECT HEALTH PPO-S: $134.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$201	$201	$3.09 – $201
Established patient office visit (about 20–29 minutes): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $88.29 AETNA MEDICAID — MEDICAID: $83.88 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.29 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $83.88 ALIGN SENIOR CARE — MEDICARE: $88.29 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $83.88 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $88.29 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $88.29 AMERICAN HEALTH PLAN — MEDICARE: $88.29 AMERIHEALTH MEDICARE — MEDICARE: $88.29
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Low Pro 20-29 Mins (Restricted Method II CAH)	Not listed in the file	$1,620.48	$54 – $833.56
Established patient office visit (about 20–29 minutes): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $79.90 AETNA MEDICAID — MEDICAID: $116.48 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $54 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $104.69 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $104.69 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $82.65 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $118.47 BCBS GENERIC — ANTHEM BCBS: $833.56 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $54 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $833.56
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	$281	$281	$4.32 – $281
Established patient office visit (about 30–39 minutes): 10 of 757 insurance plan rates AETNA — AETNA: $168.11 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $125.76 AETNA MEDICARE TRANSPLANT — MEDICARE: $125.76 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $118.14 ALLY ALIGN CARE ADV — MEDICARE: $125.76 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $125.76 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $118.14 AMERIHEALTH MEDICARE — MEDICARE: $125.76 ANDRIE INC — WORKERS COMP: $128.33 ANTHEM MYCARE OHIO — MEDICARE: $125.76
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	$274	$274	$12.69 – $274
Established patient office visit (about 30–39 minutes): 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $106.90 AETNA — AETNA: $142.90 AETNA MEDICAID — MEDICAID: $100.42 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.90 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $106.90 AETNA MEDICARE TRANSPLANT — MEDICARE: $106.90 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $100.42 ALIGN SENIOR CARE — MEDICARE: $106.90 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $177.57 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $100.42
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Mod Pro 30-39 Mins (Restricted Method II CAH)	Not listed in the file	$5,182.45	$79.33 – $891.26
Established patient office visit (about 30–39 minutes): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $117.38 AETNA MEDICAID — MEDICAID: $130.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.33 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $153.81 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $153.81 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $121.43 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $174.04 BCBS GENERIC — ANTHEM BCBS: $891.26 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $79.33 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $891.26
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$209	$209	$104.96 – $209
Preventive checkup, new patient, age 18–39: 10 of 536 insurance plan rates AETNA — AETNA: $167.68 AETNA MEDICAID — MEDICAID: $119.32 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $119.32 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $179.34 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $119.32 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $119.32 AMERIGROUP MEDICAID — MEDICAID: $119.32 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $119.32 AMISH MENNONITE — MEDICAID: $119.32 ANDRIE INC — WORKERS COMP: $128
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$240	$240	$104.96 – $240
Preventive checkup, new patient, age 40–64: 10 of 536 insurance plan rates AETNA — AETNA: $193.57 AETNA MEDICAID — MEDICAID: $137.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $144.80 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $137.67 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $137.67 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $206.91 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $137.67 AMERIBEN — ICP CLINIC ANTHEM: $144 AMERIGROUP MEDICAID — MEDICAID: $137.67 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $137.67
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$153	$153	$44.94 – $153
Emergency room visit (moderate): 10 of 757 insurance plan rates AETNA — AETNA: $85.62 AETNA MEDICAID — MEDICAID: $64.70 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $64.05 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $64.70 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $64.70 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $97.25 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $64.70 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $64.70 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $64.05 AMERIBEN — ICP CLINIC ANTHEM: $98.04
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3	$916	$595.40	$97.50 – $3,215
Emergency room visit (moderate): 10 of 154 insurance plan rates AETNA — AETNA: $595.40 AETNA — AETNA MARKETPLACE: $447.66 AETNA MEDICAID — MEDICAID: $149.49 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $283.04 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $595.40 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $548.74 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $595.40 AMERIBEN — ICP CLINIC ANTHEM: $549.60 ASR HEALTH BENEFITS — AETNA: $595.40 AUXIANT — AUXIANT RADIOLOGY: $760.28
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$872	$566.80	$97.50 – $3,215
Emergency room visit (moderate): 10 of 154 insurance plan rates AETNA — AETNA: $566.80 AETNA — AETNA MARKETPLACE: $447.66 AETNA MEDICAID — MEDICAID: $149.49 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $283.04 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $566.80 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $548.74 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $566.80 AMERIBEN — ICP CLINIC ANTHEM: $523.20 ASR HEALTH BENEFITS — AETNA: $566.80 AUXIANT — AUXIANT RADIOLOGY: $723.76
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$259	$259	$6.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $259
Emergency room visit (moderately high): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.91 AETNA — AETNA: $145.58 AETNA MEDICAID — MEDICAID: $110.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.91 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $110.18 ALIGN SENIOR CARE — MEDICARE: $108.91 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.91 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $165.60 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $110.18 ALLY ALIGN CARE ADV — MEDICARE: $108.91
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4	$1,368	$889.20	$97.50 – $3,215
Emergency room visit (moderately high): 10 of 154 insurance plan rates AETNA — AETNA: $889.20 AETNA — AETNA MARKETPLACE: $684.28 AETNA MEDICAID — MEDICAID: $228.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $432.64 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $889.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $838.79 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $889.20 AMERIBEN — ICP CLINIC ANTHEM: $820.80 ASR HEALTH BENEFITS — AETNA: $889.20 AUXIANT — AUXIANT RADIOLOGY: $1,135.44
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$1,303	$846.95	$97.50 – $3,215
Emergency room visit (moderately high): 10 of 154 insurance plan rates AETNA — AETNA: $846.95 AETNA — AETNA MARKETPLACE: $684.28 AETNA MEDICAID — MEDICAID: $228.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $432.64 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $846.95 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $838.79 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $846.95 AMERIBEN — ICP CLINIC ANTHEM: $781.80 ASR HEALTH BENEFITS — AETNA: $846.95 AUXIANT — AUXIANT RADIOLOGY: $1,081.49
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$376	$376	$111.19 – $376
Emergency room visit (high): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $158.29 AETNA — AETNA: $211.59 AETNA MEDICAID — MEDICAID: $159.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $158.29 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $159.69 ALIGN SENIOR CARE — MEDICARE: $158.29 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $240.02 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $158.29 AMERICAN HEALTH PLAN — MEDICARE: $158.29 AMISH MENNONITE — MEDICAID: $159.69
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Critical Care 30-74 Minutes - Downgrade	$2,939	$1,910.35	$107.50 – $3,215
Emergency room visit (high): 10 of 154 insurance plan rates AETNA — AETNA: $1,910.35 AETNA — AETNA MARKETPLACE: $976.62 AETNA MEDICAID — MEDICAID: $326.12 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $617.48 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,910.35 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,197.15 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,910.35 AMERIBEN — ICP CLINIC ANTHEM: $1,763.40 ASR HEALTH BENEFITS — AETNA: $1,910.35 AUXIANT — AUXIANT RADIOLOGY: $2,439.37
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe	$1,956	$1,271.40	$107.50 – $3,215
Emergency room visit (high): 10 of 154 insurance plan rates AETNA — AETNA: $1,271.40 AETNA — AETNA MARKETPLACE: $976.62 AETNA MEDICAID — MEDICAID: $326.12 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $617.48 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,271.40 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,197.15 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,271.40 AMERIBEN — ICP CLINIC ANTHEM: $1,173.60 ASR HEALTH BENEFITS — AETNA: $1,271.40 AUXIANT — AUXIANT RADIOLOGY: $1,623.48

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Basic Metabolic Panel (Calcium Total)	$446	$289.90	$4.72 – $446
Basic metabolic panel (blood test): 10 of 154 insurance plan rates AETNA — AETNA: $217.65 AETNA — AETNA MARKETPLACE: $12.27 AETNA MEDICAID — MEDICAID: $4.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $289.90 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $16.07 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $289.90 AMERIBEN — ICP CLINIC ANTHEM: $267.60 ASR HEALTH BENEFITS — AETNA: $217.65 AUXIANT — AUXIANT RADIOLOGY: $370.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$446	$289.90	$4.72 – $446
Basic metabolic panel (blood test): 10 of 154 insurance plan rates AETNA — AETNA: $217.65 AETNA — AETNA MARKETPLACE: $12.27 AETNA MEDICAID — MEDICAID: $4.72 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $289.90 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $16.07 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $289.90 AMERIBEN — ICP CLINIC ANTHEM: $267.60 ASR HEALTH BENEFITS — AETNA: $217.65 AUXIANT — AUXIANT RADIOLOGY: $370.18
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	Not listed in the file	$2,347.77	$496.67 – $3,387.92
Basic metabolic panel (blood test): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $1,487.38 AETNA MEDICAID — MEDICAID: $496.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $940.41 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,823.24 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,823.24 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,439.40 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,063.14 BCBS GENERIC — ANTHEM BCBS: $3,387.92 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $940.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,387.92
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$240	$156	$5.89 – $240
Comprehensive metabolic panel (blood test): 10 of 154 insurance plan rates AETNA — AETNA: $117.12 AETNA — AETNA MARKETPLACE: $15.31 AETNA MEDICAID — MEDICAID: $5.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $156 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $20.06 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $156 AMERIBEN — ICP CLINIC ANTHEM: $144 ASR HEALTH BENEFITS — AETNA: $117.12 AUXIANT — AUXIANT RADIOLOGY: $199.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Comprehensive Metabolic Panel	$240	$156	$5.89 – $240
Comprehensive metabolic panel (blood test): 10 of 154 insurance plan rates AETNA — AETNA: $117.12 AETNA — AETNA MARKETPLACE: $15.31 AETNA MEDICAID — MEDICAID: $5.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $156 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $20.06 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $156 AMERIBEN — ICP CLINIC ANTHEM: $144 ASR HEALTH BENEFITS — AETNA: $117.12 AUXIANT — AUXIANT RADIOLOGY: $199.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$348	$226.20	$7.47 – $348
Cholesterol panel (lipid panel): 10 of 154 insurance plan rates AETNA — AETNA: $169.82 AETNA — AETNA MARKETPLACE: $19.42 AETNA MEDICAID — MEDICAID: $7.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $226.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $25.44 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $226.20 AMERIBEN — ICP CLINIC ANTHEM: $208.80 ASR HEALTH BENEFITS — AETNA: $169.82 AUXIANT — AUXIANT RADIOLOGY: $288.84
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Lipid Panel	$348	$226.20	$7.47 – $348
Cholesterol panel (lipid panel): 10 of 154 insurance plan rates AETNA — AETNA: $169.82 AETNA — AETNA MARKETPLACE: $19.42 AETNA MEDICAID — MEDICAID: $7.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $226.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $25.44 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $226.20 AMERIBEN — ICP CLINIC ANTHEM: $208.80 ASR HEALTH BENEFITS — AETNA: $169.82 AUXIANT — AUXIANT RADIOLOGY: $288.84
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 884247 Lipid Panel	$348	$226.20	$7.47 – $348
Cholesterol panel (lipid panel): 10 of 154 insurance plan rates AETNA — AETNA: $169.82 AETNA — AETNA MARKETPLACE: $19.42 AETNA MEDICAID — MEDICAID: $7.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $226.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $25.44 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $226.20 AMERIBEN — ICP CLINIC ANTHEM: $208.80 ASR HEALTH BENEFITS — AETNA: $169.82 AUXIANT — AUXIANT RADIOLOGY: $288.84
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$273	$177.45	$4.84 – $273
Kidney function panel: 10 of 154 insurance plan rates AETNA — AETNA: $133.22 AETNA — AETNA MARKETPLACE: $12.59 AETNA MEDICAID — MEDICAID: $4.84 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $177.45 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $16.49 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $177.45 AMERIBEN — ICP CLINIC ANTHEM: $163.80 ASR HEALTH BENEFITS — AETNA: $133.22 AUXIANT — AUXIANT RADIOLOGY: $226.59
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$435	$282.75	$4.56 – $435
Liver function panel: 10 of 154 insurance plan rates AETNA — AETNA: $212.28 AETNA — AETNA MARKETPLACE: $11.85 AETNA MEDICAID — MEDICAID: $4.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $282.75 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $15.52 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $282.75 AMERIBEN — ICP CLINIC ANTHEM: $261 ASR HEALTH BENEFITS — AETNA: $212.28 AUXIANT — AUXIANT RADIOLOGY: $361.05
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 144053 Urinalysis With Microscopy Automated	$130	$84.50	$1.77 – $130
Urine test (automated, with microscope): 10 of 154 insurance plan rates AETNA — AETNA: $63.44 AETNA — AETNA MARKETPLACE: $4.60 AETNA MEDICAID — MEDICAID: $1.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $84.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6.02 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $84.50 AMERIBEN — ICP CLINIC ANTHEM: $78 ASR HEALTH BENEFITS — AETNA: $63.44 AUXIANT — AUXIANT RADIOLOGY: $107.90
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Urinalysis With Microscopy Automated	$130	$84.50	$1.77 – $130
Urine test (automated, with microscope): 10 of 154 insurance plan rates AETNA — AETNA: $63.44 AETNA — AETNA MARKETPLACE: $4.60 AETNA MEDICAID — MEDICAID: $1.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $84.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6.02 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $84.50 AMERIBEN — ICP CLINIC ANTHEM: $78 ASR HEALTH BENEFITS — AETNA: $63.44 AUXIANT — AUXIANT RADIOLOGY: $107.90
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$130	$84.50	$1.77 – $130
Urine test (automated, with microscope): 10 of 154 insurance plan rates AETNA — AETNA: $63.44 AETNA — AETNA MARKETPLACE: $4.60 AETNA MEDICAID — MEDICAID: $1.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $84.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6.02 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $84.50 AMERIBEN — ICP CLINIC ANTHEM: $78 ASR HEALTH BENEFITS — AETNA: $63.44 AUXIANT — AUXIANT RADIOLOGY: $107.90
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Non-Automated	$7	$7	$2.05 – $7
Urine test (manual, without microscope): 10 of 757 insurance plan rates AETNA — AETNA: $3 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.41 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $3.41 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.48 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $3.48 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $4 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $3.48 AMERIBEN — ICP CLINIC ANTHEM: $4.20 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $3.48 AMERIHEALTH MEDICARE — MEDICARE: $3.41
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated	$5	$5	$1.32 – $5
Urine test (automated, without microscope): 10 of 757 insurance plan rates AETNA — AETNA: $1.94 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $2.21 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $2.25 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $2.21 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2.59 ALLY ALIGN CARE ADV — MEDICARE: $2.21 AMERIBEN — ICP CLINIC ANTHEM: $3 AMERIGROUP MEDICAID — MEDICAID: $2.25 AMERIHEALTH MEDICARE — MEDICARE: $2.21
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$83	$53.95	$1.26 – $83
Urine test (automated, without microscope): 10 of 154 insurance plan rates AETNA — AETNA: $40.50 AETNA — AETNA MARKETPLACE: $3.26 AETNA MEDICAID — MEDICAID: $1.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $53.95 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $4.28 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $53.95 AMERIBEN — ICP CLINIC ANTHEM: $49.80 ASR HEALTH BENEFITS — AETNA: $40.50 AUXIANT — AUXIANT RADIOLOGY: $68.89
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 306266 Urinalysis Without Microscopy Automated	$83	$53.95	$1.26 – $83
Urine test (automated, without microscope): 10 of 154 insurance plan rates AETNA — AETNA: $40.50 AETNA — AETNA MARKETPLACE: $3.26 AETNA MEDICAID — MEDICAID: $1.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $53.95 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $4.28 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $53.95 AMERIBEN — ICP CLINIC ANTHEM: $49.80 ASR HEALTH BENEFITS — AETNA: $40.50 AUXIANT — AUXIANT RADIOLOGY: $68.89
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Prostate Specific Antigen Total	$247	$160.55	$10.26 – $247
PSA (prostate specific antigen) blood test: 10 of 154 insurance plan rates AETNA — AETNA: $120.54 AETNA — AETNA MARKETPLACE: $26.67 AETNA MEDICAID — MEDICAID: $10.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $160.55 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $34.94 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $160.55 AMERIBEN — ICP CLINIC ANTHEM: $148.20 ASR HEALTH BENEFITS — AETNA: $120.54 AUXIANT — AUXIANT RADIOLOGY: $205.01
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$247	$160.55	$10.26 – $247
PSA (prostate specific antigen) blood test: 10 of 154 insurance plan rates AETNA — AETNA: $120.54 AETNA — AETNA MARKETPLACE: $26.67 AETNA MEDICAID — MEDICAID: $10.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $160.55 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $34.94 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $160.55 AMERIBEN — ICP CLINIC ANTHEM: $148.20 ASR HEALTH BENEFITS — AETNA: $120.54 AUXIANT — AUXIANT RADIOLOGY: $205.01
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 480947 Prostate Specific Antigen Total	$247	$160.55	$10.26 – $247
PSA (prostate specific antigen) blood test: 10 of 154 insurance plan rates AETNA — AETNA: $120.54 AETNA — AETNA MARKETPLACE: $26.67 AETNA MEDICAID — MEDICAID: $10.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $160.55 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $34.94 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $160.55 AMERIBEN — ICP CLINIC ANTHEM: $148.20 ASR HEALTH BENEFITS — AETNA: $120.54 AUXIANT — AUXIANT RADIOLOGY: $205.01
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 620 Thyroid Stimulating Hormone	$360	$234	$9.37 – $360
Thyroid stimulating hormone (TSH) test: 10 of 154 insurance plan rates AETNA — AETNA: $175.68 AETNA — AETNA MARKETPLACE: $24.36 AETNA MEDICAID — MEDICAID: $9.37 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $234 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $31.92 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $234 AMERIBEN — ICP CLINIC ANTHEM: $216 ASR HEALTH BENEFITS — AETNA: $175.68 AUXIANT — AUXIANT RADIOLOGY: $298.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Thyroid Stimulating Hormone	$360	$234	$9.37 – $360
Thyroid stimulating hormone (TSH) test: 10 of 154 insurance plan rates AETNA — AETNA: $175.68 AETNA — AETNA MARKETPLACE: $24.36 AETNA MEDICAID — MEDICAID: $9.37 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $234 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $31.92 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $234 AMERIBEN — ICP CLINIC ANTHEM: $216 ASR HEALTH BENEFITS — AETNA: $175.68 AUXIANT — AUXIANT RADIOLOGY: $298.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$360	$234	$9.37 – $360
Thyroid stimulating hormone (TSH) test: 10 of 154 insurance plan rates AETNA — AETNA: $175.68 AETNA — AETNA MARKETPLACE: $24.36 AETNA MEDICAID — MEDICAID: $9.37 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $234 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $31.92 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $234 AMERIBEN — ICP CLINIC ANTHEM: $216 ASR HEALTH BENEFITS — AETNA: $175.68 AUXIANT — AUXIANT RADIOLOGY: $298.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$174	$113.10	$4.34 – $174
Complete blood count (CBC) with differential: 10 of 154 insurance plan rates AETNA — AETNA: $84.91 AETNA — AETNA MARKETPLACE: $11.27 AETNA MEDICAID — MEDICAID: $4.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $113.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $14.76 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $113.10 AMERIBEN — ICP CLINIC ANTHEM: $104.40 ASR HEALTH BENEFITS — AETNA: $84.91 AUXIANT — AUXIANT RADIOLOGY: $144.42
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Cbc Automated/Differential Wbc Automated	$174	$113.10	$4.34 – $174
Complete blood count (CBC) with differential: 10 of 154 insurance plan rates AETNA — AETNA: $84.91 AETNA — AETNA MARKETPLACE: $11.27 AETNA MEDICAID — MEDICAID: $4.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $113.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $14.76 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $113.10 AMERIBEN — ICP CLINIC ANTHEM: $104.40 ASR HEALTH BENEFITS — AETNA: $84.91 AUXIANT — AUXIANT RADIOLOGY: $144.42
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$117	$76.05	$3.61 – $117
Complete blood count (CBC), automated: 10 of 154 insurance plan rates AETNA — AETNA: $57.10 AETNA — AETNA MARKETPLACE: $9.38 AETNA MEDICAID — MEDICAID: $3.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $76.05 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $12.29 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $76.05 AMERIBEN — ICP CLINIC ANTHEM: $70.20 ASR HEALTH BENEFITS — AETNA: $57.10 AUXIANT — AUXIANT RADIOLOGY: $97.11
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	$1,391.65	$6.47 – $1,338.93
Complete blood count (CBC), automated: 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $587.82 AETNA MEDICAID — MEDICAID: $196.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $371.65 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $720.56 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $720.56 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $568.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $815.37 BCBS GENERIC — ANTHEM BCBS: $1,338.93 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $371.65 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $1,338.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Prothrombin Time	$9	$9	$2.52 – $9
Blood clotting time test (prothrombin time, PT): 10 of 757 insurance plan rates AETNA — AETNA: $3.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $4.20 AETNA MEDICARE TRANSPLANT — MEDICARE: $4.20 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $4.29 ALIGN SENIOR CARE — MEDICARE: $4.20 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $4.29 AMERIBEN — ICP CLINIC ANTHEM: $5.40 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $4.20 AMERICAN HEALTH PLAN — MEDICARE: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$101	$65.65	$2.39 – $101
Blood clotting time test (prothrombin time, PT): 10 of 154 insurance plan rates AETNA — AETNA: $65.65 AETNA — AETNA MARKETPLACE: $6.22 AETNA MEDICAID — MEDICAID: $2.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $65.65 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $8.15 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $65.65 AMERIBEN — ICP CLINIC ANTHEM: $60.60 ASR HEALTH BENEFITS — AETNA: $65.65 AUXIANT — AUXIANT RADIOLOGY: $83.83
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 117079 Prothrombin Time	$101	$65.65	$2.39 – $101
Blood clotting time test (prothrombin time, PT): 10 of 154 insurance plan rates AETNA — AETNA: $65.65 AETNA — AETNA MARKETPLACE: $6.22 AETNA MEDICAID — MEDICAID: $2.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $65.65 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $8.15 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $65.65 AMERIBEN — ICP CLINIC ANTHEM: $60.60 ASR HEALTH BENEFITS — AETNA: $65.65 AUXIANT — AUXIANT RADIOLOGY: $83.83
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 117079 Thromboplastin Time Partial (Ptt)	$134	$87.10	$3.35 – $134
Blood clotting test (partial thromboplastin time, PTT): 10 of 154 insurance plan rates AETNA — AETNA: $87.10 AETNA — AETNA MARKETPLACE: $8.71 AETNA MEDICAID — MEDICAID: $3.35 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $87.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $11.42 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $87.10 AMERIBEN — ICP CLINIC ANTHEM: $80.40 ASR HEALTH BENEFITS — AETNA: $87.10 AUXIANT — AUXIANT RADIOLOGY: $111.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 117157 Thromboplastin Time Partial (Ptt)	$134	$87.10	$3.35 – $134
Blood clotting test (partial thromboplastin time, PTT): 10 of 154 insurance plan rates AETNA — AETNA: $87.10 AETNA — AETNA MARKETPLACE: $8.71 AETNA MEDICAID — MEDICAID: $3.35 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $87.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $11.42 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $87.10 AMERIBEN — ICP CLINIC ANTHEM: $80.40 ASR HEALTH BENEFITS — AETNA: $87.10 AUXIANT — AUXIANT RADIOLOGY: $111.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt)	$134	$87.10	$3.35 – $134
Blood clotting test (partial thromboplastin time, PTT): 10 of 154 insurance plan rates AETNA — AETNA: $87.10 AETNA — AETNA MARKETPLACE: $8.71 AETNA MEDICAID — MEDICAID: $3.35 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $87.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $11.42 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $87.10 AMERIBEN — ICP CLINIC ANTHEM: $80.40 ASR HEALTH BENEFITS — AETNA: $87.10 AUXIANT — AUXIANT RADIOLOGY: $111.22

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$2,277	$1,480.05	$57.25 – $2,277
CT scan of the head or brain, without contrast: 10 of 154 insurance plan rates AETNA — AETNA: $1,480.05 AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,480.05 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,480.05 AMERIBEN — ICP CLINIC ANTHEM: $1,366.20 ASR HEALTH BENEFITS — AETNA: $1,480.05 AUXIANT — AUXIANT RADIOLOGY: $1,889.91
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	$1,480.05	$56.64 – $1,022.78
CT scan of the head or brain, without contrast: 10 of 110 insurance plan rates AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $210.16 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $165.92 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $237.81 BCBS GENERIC — ANTHEM BCBS: $390.51 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $108.40 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $390.51
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier NC In the file: HC CT Head/Brain W/O Contrast\|NC	Not listed in the file	$5,229.74	$56.64 – $1,022.78
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HHW HCC: $1,022.78 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HIP: $1,022.78 CARESOURCE MEDICAID — CARESOURCE MEDICAID: $1,022.78 GEHA — UNITED HEALTHCARE: $878 HEALTHSCOPE — UNITED HEALTHCARE: $878 MANAGED HEALTH SERVICES - INDIANA — MANAGED HEALTH SERVICES: $1,022.78 MDWISE — MDWISE EXCEL HHW: $1,022.78 MDWISE — MDWISE EXCEL HIP: $1,022.78 STUDENT INSURANCE CMA — UNITED HEALTHCARE: $878 UNITED HEALTHCARE — UNITED HEALTHCARE: $878
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	$5,789	$3,762.85	$84.48 – $5,789
MRI of the brain, before and after contrast: 10 of 154 insurance plan rates AETNA — AETNA: $973.75 AETNA — AETNA MARKETPLACE: $284 AETNA MEDICAID — MEDICAID: $191.05 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $950 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $3,762.85 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $701.31 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $3,762.85 AMERIBEN — ICP CLINIC ANTHEM: $3,473.40 ASR HEALTH BENEFITS — AETNA: $973.75 AUXIANT — AUXIANT RADIOLOGY: $4,804.87
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI Brain W/O & W/Contrast\|TECHNICAL COMPONENT	$5,789	$3,762.85	$84.48 – $5,789
MRI of the brain, before and after contrast: 10 of 23 insurance plan rates AETNA — AETNA: $3,762.85 AETNA — AETNA MARKETPLACE: $572.12 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $361.73 ASR HEALTH BENEFITS — AETNA: $3,762.85 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HHW HCC: $756.13 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HIP: $756.13 BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $361.73 CHRISTIAN BROTHER SERVICES — AETNA: $3,762.85 EMPLOYEE BENEFIT MANAGEMENT — AETNA: $3,762.85 GEHA — UNITED HEALTHCARE: $1,056
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: HC MRI Brain W/O & W/Contrast\|PROFESSIONAL COMPONENT	$5,789	$3,762.85	$84.48 – $5,789
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $361.73 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HHW HCC: $84.48 GEHA — UNITED HEALTHCARE: $112.24 HEALTHSCOPE — UNITED HEALTHCARE: $112.24 MEDIGOLD MEDICARE ADVANTAGE — MEDIGOLD MEDICARE ADVANTAGE: $376.49 MERIDIAN COMPLETE — MERIDIAN MEDICARE ADVANTAGE: $369.11 PROVIDER PARTNERS HEALTH PLAN OF INDIANA — PROVIDER PARTNERS HEALTH PLAN OF IN: $406.02 STUDENT INSURANCE CMA — UNITED HEALTHCARE: $112.24 UNITED HEALTHCARE — UNITED HEALTHCARE: $112.24 UNITED HEALTHCARE MEDICAID — UNITED HEALTHCARE MEDICAID: $112.24
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$487	$316.55	$47.66 – $487
Chest X-ray, 2 views: 10 of 154 insurance plan rates AETNA — AETNA: $316.55 AETNA — AETNA MARKETPLACE: $142.71 AETNA MEDICAID — MEDICAID: $47.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.23 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $316.55 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $174.94 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $316.55 AMERIBEN — ICP CLINIC ANTHEM: $292.20 ASR HEALTH BENEFITS — AETNA: $316.55 AUXIANT — AUXIANT RADIOLOGY: $404.21
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views	Not listed in the file	$316.55	$47.66 – $325.07
Chest X-ray, 2 views: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $142.71 AETNA MEDICAID — MEDICAID: $47.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.23 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $174.94 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $174.94 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $138.11 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $197.96 BCBS GENERIC — ANTHEM BCBS: $325.07 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $90.23 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $325.07
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	$856	$556.40	$57.25 – $856
X-ray of the lower spine, at least 4 views: 10 of 154 insurance plan rates AETNA — AETNA: $556.40 AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $556.40 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $556.40 AMERIBEN — ICP CLINIC ANTHEM: $513.60 ASR HEALTH BENEFITS — AETNA: $556.40 AUXIANT — AUXIANT RADIOLOGY: $710.48
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	$4,655	$3,025.75	$111.68 – $4,655
MRI of the lower back (lumbar spine), without contrast: 10 of 154 insurance plan rates AETNA — AETNA: $973.75 AETNA — AETNA MARKETPLACE: $165.24 AETNA MEDICAID — MEDICAID: $130.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $950 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $3,025.75 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $479.64 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $3,025.75 AMERIBEN — ICP CLINIC ANTHEM: $2,793 ASR HEALTH BENEFITS — AETNA: $973.75 AUXIANT — AUXIANT RADIOLOGY: $3,863.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI Lumbar Spine W/O Contrast\|TECHNICAL COMPONENT	$4,655	$3,025.75	$111.68 – $4,655
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AETNA — AETNA: $3,025.75 AETNA — AETNA MARKETPLACE: $391.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $247.39 ASR HEALTH BENEFITS — AETNA: $3,025.75 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $247.39 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HHW HCC: $457.59 BLUE CROSS - IN (ANTHEM) MEDICAID ADVANTAGE — ANTHEM BCBS MEDICAID HIP: $457.59 BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — ANTHEM BCBS MEDICARE ADVANTAGE: $247.39 CHRISTIAN BROTHER SERVICES — AETNA: $3,025.75 EMPLOYEE BENEFIT MANAGEMENT — AETNA: $3,025.75
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$3,537	$2,299.05	$96.05 – $3,537
CT scan of the pelvis, with contrast: 10 of 154 insurance plan rates AETNA — AETNA: $2,299.05 AETNA — AETNA MARKETPLACE: $287.64 AETNA MEDICAID — MEDICAID: $96.05 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $181.86 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $2,299.05 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $352.59 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $2,299.05 AMERIBEN — ICP CLINIC ANTHEM: $2,122.20 ASR HEALTH BENEFITS — AETNA: $2,299.05 AUXIANT — AUXIANT RADIOLOGY: $2,935.71
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	$4,570	$2,970.50	$128.37 – $4,570
MRI of a leg joint (such as the knee), without contrast: 10 of 154 insurance plan rates AETNA — AETNA: $973.75 AETNA — AETNA MARKETPLACE: $189.94 AETNA MEDICAID — MEDICAID: $130.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $950 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $2,970.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $479.64 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $2,970.50 AMERIBEN — ICP CLINIC ANTHEM: $2,742 ASR HEALTH BENEFITS — AETNA: $973.75 AUXIANT — AUXIANT RADIOLOGY: $3,793.10
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	$4,570	$2,970.50	$128.37 – $4,570
MRI of a leg joint (such as the knee), without contrast: 10 of 154 insurance plan rates AETNA — AETNA: $973.75 AETNA — AETNA MARKETPLACE: $189.94 AETNA MEDICAID — MEDICAID: $130.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $950 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $2,970.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $479.64 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $2,970.50 AMERIBEN — ICP CLINIC ANTHEM: $2,742 ASR HEALTH BENEFITS — AETNA: $973.75 AUXIANT — AUXIANT RADIOLOGY: $3,793.10
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	$6,854	$4,455.10	$128.37 – $6,854
MRI of a leg joint (such as the knee), without contrast: 10 of 154 insurance plan rates AETNA — AETNA: $973.75 AETNA — AETNA MARKETPLACE: $189.94 AETNA MEDICAID — MEDICAID: $130.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $950 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $4,455.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $479.64 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $4,455.10 AMERIBEN — ICP CLINIC ANTHEM: $4,112.40 ASR HEALTH BENEFITS — AETNA: $973.75 AUXIANT — AUXIANT RADIOLOGY: $5,688.82
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	$6,388	$4,152.20	$191.05 – $6,388
CT scan of the abdomen and pelvis, with contrast: 10 of 154 insurance plan rates AETNA — AETNA: $4,152.20 AETNA — AETNA MARKETPLACE: $572.12 AETNA MEDICAID — MEDICAID: $191.05 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $361.73 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $4,152.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $701.31 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $4,152.20 AMERIBEN — ICP CLINIC ANTHEM: $3,832.80 ASR HEALTH BENEFITS — AETNA: $4,152.20 AUXIANT — AUXIANT RADIOLOGY: $5,302.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	Not listed in the file	$4,333.22	$191.05 – $1,303.16
CT scan of the abdomen and pelvis, with contrast: 10 of 110 insurance plan rates AETNA — AETNA MARKETPLACE: $572.12 AETNA MEDICAID — MEDICAID: $191.05 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $361.73 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $701.31 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $701.31 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $553.67 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $793.59 BCBS GENERIC — ANTHEM BCBS: $1,303.16 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $361.73 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $1,303.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$1,563	$1,015.95	$57.25 – $1,563
Ultrasound of the abdomen, complete: 10 of 154 insurance plan rates AETNA — AETNA: $1,015.95 AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,015.95 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,015.95 AMERIBEN — ICP CLINIC ANTHEM: $937.80 ASR HEALTH BENEFITS — AETNA: $1,015.95 AUXIANT — AUXIANT RADIOLOGY: $1,297.29
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	$1,145	$744.25	$57.25 – $1,145
Pregnancy ultrasound (after the first trimester): 10 of 154 insurance plan rates AETNA — AETNA: $744.25 AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $744.25 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $744.25 AMERIBEN — ICP CLINIC ANTHEM: $687 ASR HEALTH BENEFITS — AETNA: $744.25 AUXIANT — AUXIANT RADIOLOGY: $950.35
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$1,122	$729.30	$57.25 – $1,122
Transvaginal ultrasound: 10 of 154 insurance plan rates AETNA — AETNA: $729.30 AETNA — AETNA MARKETPLACE: $171.45 AETNA MEDICAID — MEDICAID: $57.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $729.30 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $210.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $729.30 AMERIBEN — ICP CLINIC ANTHEM: $673.20 ASR HEALTH BENEFITS — AETNA: $729.30 AUXIANT — AUXIANT RADIOLOGY: $931.26
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$654	$425.10	$46.54 – $654
Diagnostic mammogram, one breast: 10 of 154 insurance plan rates AETNA — AETNA: $425.10 AETNA — AETNA MARKETPLACE: $115.62 AETNA MEDICAID — MEDICAID: $46.54 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.15 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $425.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $151.51 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $425.10 AMERIBEN — ICP CLINIC ANTHEM: $392.40 ASR HEALTH BENEFITS — AETNA: $425.10 AUXIANT — AUXIANT RADIOLOGY: $542.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$654	$425.10	$46.54 – $654
Diagnostic mammogram, one breast: 10 of 154 insurance plan rates AETNA — AETNA: $425.10 AETNA — AETNA MARKETPLACE: $115.62 AETNA MEDICAID — MEDICAID: $46.54 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.15 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $425.10 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $151.51 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $425.10 AMERIBEN — ICP CLINIC ANTHEM: $392.40 ASR HEALTH BENEFITS — AETNA: $425.10 AUXIANT — AUXIANT RADIOLOGY: $542.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	Not listed in the file	$1,013.35	$46.54 – $255.68
Diagnostic mammogram, one breast: 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $115.62 AETNA MEDICAID — MEDICAID: $46.54 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.15 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $151.51 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $151.51 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $119.61 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $171.44 BCBS GENERIC — ANTHEM BCBS: $159.48 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $78.15 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $159.48
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$757	$492.05	$59.80 – $757
Diagnostic mammogram, both breasts: 10 of 154 insurance plan rates AETNA — AETNA: $492.05 AETNA — AETNA MARKETPLACE: $148.18 AETNA MEDICAID — MEDICAID: $59.80 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.15 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $492.05 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $194.16 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $492.05 AMERIBEN — ICP CLINIC ANTHEM: $454.20 ASR HEALTH BENEFITS — AETNA: $492.05 AUXIANT — AUXIANT RADIOLOGY: $628.31
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$396	$257.40	$49.23 – $396
Screening mammogram, both breasts: 10 of 154 insurance plan rates AETNA — AETNA: $257.40 AETNA — AETNA MARKETPLACE: $122.35 AETNA MEDICAID — MEDICAID: $49.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $82.69 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $257.40 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $160.32 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $257.40 AMERIBEN — ICP CLINIC ANTHEM: $237.60 ASR HEALTH BENEFITS — AETNA: $257.40 AUXIANT — AUXIANT RADIOLOGY: $328.68
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$460	$299	$49.23 – $460
Screening mammogram, both breasts: 10 of 154 insurance plan rates AETNA — AETNA: $299 AETNA — AETNA MARKETPLACE: $122.35 AETNA MEDICAID — MEDICAID: $49.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $82.69 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $299 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $160.32 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $299 AMERIBEN — ICP CLINIC ANTHEM: $276 ASR HEALTH BENEFITS — AETNA: $299 AUXIANT — AUXIANT RADIOLOGY: $381.80

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance 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	$32	$32	$9.16 – $32
Electrocardiogram (ECG/EKG) with reading: 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $14.07 AETNA — AETNA: $16.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.07 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $14.07 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $12.97 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $12.97 ALIGN SENIOR CARE — MEDICARE: $14.07 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $28.92 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $12.97 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $14.07
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	$36	$36	$11.11 – $36
Electrocardiogram (ECG/EKG) with reading: 10 of 756 insurance plan rates AETNA MEDICAID — MEDICAID: $12.97 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $12.97 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $12.97 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $12.97 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $12.97 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $14.07 AMERICAN HEALTH PLAN — MEDICARE: $14.07 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $12.97 AMERIHEALTH MEDICARE — MEDICARE: $14.07 ANDRIE INC — WORKERS COMP: $14.36
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram	$15,530	$10,094.50	$1,775.31 – $15,530
Left heart catheterization (diagnostic): 10 of 154 insurance plan rates AETNA — AETNA: $10,094.50 AETNA — AETNA MARKETPLACE: $5,316.49 AETNA MEDICAID — MEDICAID: $1,775.31 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,361.40 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $10,094.50 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6,516.99 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $10,094.50 AMERIBEN — ICP CLINIC ANTHEM: $9,318 ASR HEALTH BENEFITS — AETNA: $10,094.50 AUXIANT — AUXIANT RADIOLOGY: $12,889.90
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia	$7,888	$5,127.20	$2,050.88 – $29,134.66
Heart rhythm study (electrophysiology evaluation): 10 of 154 insurance plan rates AETNA — AETNA: $5,127.20 AETNA — AETNA MARKETPLACE: $12,790.79 AETNA MEDICAID — MEDICAID: $4,271.17 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8,087.08 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $5,127.20 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $15,679.03 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $5,127.20 AMERIBEN — ICP CLINIC ANTHEM: $4,732.80 ASR HEALTH BENEFITS — AETNA: $5,127.20 AUXIANT — AUXIANT RADIOLOGY: $6,547.04
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath	$2,382	$2,382	$295.22 – $2,382
Heart rhythm study with ablation for atrial fibrillation: 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $357.99 AETNA MEDICAID — MEDICAID: $407.87 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $357.99 AETNA MEDICARE TRANSPLANT — MEDICARE: $357.99 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $407.87 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $407.87 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $357.99 AMERICAN HEALTH PLAN — MEDICARE: $357.99 AMERIGROUP MEDICAID — MEDICAID: $407.87 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $407.87
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation	$42,735	$27,777.75	$11,111.10 – $97,634.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 154 insurance plan rates AETNA — AETNA: $27,777.75 AETNA — AETNA MARKETPLACE: $42,863.88 AETNA MEDICAID — MEDICAID: $14,313.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27,101.04 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $27,777.75 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $52,542.82 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $27,777.75 AMERIBEN — ICP CLINIC ANTHEM: $25,641 ASR HEALTH BENEFITS — AETNA: $27,777.75 AUXIANT — AUXIANT RADIOLOGY: $35,470.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath	Not listed in the file	$2,603.28	$349.77 – $2,599.36
Heart rhythm study with ablation for atrial fibrillation: 10 of 756 insurance plan rates AETNA — AETNA: $510.76 AETNA MEDICAID — MEDICAID: $407.87 AETNA MEDICARE TRANSPLANT — MEDICARE: $357.99 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $407.87 ALIGN SENIOR CARE — MEDICARE: $357.99 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $357.99 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $909.56 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $407.87 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $407.87 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $357.99
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	$5,138	$3,339.70	$944.90 – $3,559.88
Sleep study (overnight, in a sleep lab): 10 of 154 insurance plan rates AETNA — AETNA: $3,339.70 AETNA — AETNA MARKETPLACE: $1,408.26 AETNA MEDICAID — MEDICAID: $470.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $890.38 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $3,339.70 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,726.26 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $3,339.70 AMERIBEN — ICP CLINIC ANTHEM: $3,082.80 ASR HEALTH BENEFITS — AETNA: $3,339.70 AUXIANT — AUXIANT RADIOLOGY: $4,264.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years\|PROFESSIONAL COMPONENT	$270	$270	$73.91 – $270
Sleep study (overnight, in a sleep lab): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $112.88 AETNA — AETNA: $129.66 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $112.88 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $108.66 ALIGN SENIOR CARE — MEDICARE: $112.88 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $242.32 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $108.66 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $112.88 AMERIBEN — ICP CLINIC ANTHEM: $162 AMERIGROUP MEDICAID — MEDICAID: $108.66
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	$5,138	$3,339.70	$944.90 – $3,559.88
Sleep study (overnight, in a sleep lab): 10 of 98 insurance plan rates AETNA — AETNA MARKETPLACE: $1,408.26 AETNA MEDICAID — MEDICAID: $470.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $890.38 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,726.26 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,726.26 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,362.83 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $1,953.39 BCBS GENERIC — ANTHEM BCBS: $3,207.71 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $890.38 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,207.71

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC 1st Steps Pt Thera Proc >=1 Area Thera Exer Ea 15 Min Rest (Indiana)	$53	$34.45	$13.78 – $186.46
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 154 insurance plan rates AETNA — AETNA: $34.45 AETNA — AETNA MARKETPLACE: $43.45 AETNA MEDICAID — MEDICAID: $16.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.03 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $34.45 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $53.26 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $34.45 AMERIBEN — ICP CLINIC ANTHEM: $31.80 ASR HEALTH BENEFITS — AETNA: $34.45 AUXIANT — AUXIANT RADIOLOGY: $43.99
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	$181	$117.65	$16.15 – $186.46
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 154 insurance plan rates AETNA — AETNA: $117.65 AETNA — AETNA MARKETPLACE: $43.45 AETNA MEDICAID — MEDICAID: $16.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.03 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $117.65 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $53.26 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $117.65 AMERIBEN — ICP CLINIC ANTHEM: $108.60 ASR HEALTH BENEFITS — AETNA: $117.65 AUXIANT — AUXIANT RADIOLOGY: $150.23
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	$181	$117.65	$16.15 – $186.46
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 154 insurance plan rates AETNA — AETNA: $117.65 AETNA — AETNA MARKETPLACE: $43.45 AETNA MEDICAID — MEDICAID: $16.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.03 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $117.65 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $53.26 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $117.65 AMERIBEN — ICP CLINIC ANTHEM: $108.60 ASR HEALTH BENEFITS — AETNA: $117.65 AUXIANT — AUXIANT RADIOLOGY: $150.23
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$564	$366.60	$54.10 – $564
Physical therapy evaluation (low complexity): 10 of 154 insurance plan rates AETNA — AETNA: $366.60 AETNA — AETNA MARKETPLACE: $146.94 AETNA MEDICAID — MEDICAID: $54.10 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.80 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $366.60 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $180.12 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $366.60 AMERIBEN — ICP CLINIC ANTHEM: $338.40 ASR HEALTH BENEFITS — AETNA: $366.60 AUXIANT — AUXIANT RADIOLOGY: $468.12
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$564	$366.60	$54.10 – $564
Physical therapy evaluation (moderate complexity): 10 of 154 insurance plan rates AETNA — AETNA: $366.60 AETNA — AETNA MARKETPLACE: $146.94 AETNA MEDICAID — MEDICAID: $54.10 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.80 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $366.60 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $180.12 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $366.60 AMERIBEN — ICP CLINIC ANTHEM: $338.40 ASR HEALTH BENEFITS — AETNA: $366.60 AUXIANT — AUXIANT RADIOLOGY: $468.12
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$564	$366.60	$54.10 – $564
Physical therapy evaluation (high complexity): 10 of 154 insurance plan rates AETNA — AETNA: $366.60 AETNA — AETNA MARKETPLACE: $146.94 AETNA MEDICAID — MEDICAID: $54.10 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $94.80 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $366.60 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $180.12 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $366.60 AMERIBEN — ICP CLINIC ANTHEM: $338.40 ASR HEALTH BENEFITS — AETNA: $366.60 AUXIANT — AUXIANT RADIOLOGY: $468.12
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes	$172	$172	$46.98 – $172
Psychotherapy, 30 minutes: 10 of 757 insurance plan rates AETNA — AETNA: $77.12 AETNA MEDICAID — MEDICAID: $76.90 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $76.90 ALIGN SENIOR CARE — MEDICARE: $82.48 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $171.48 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $76.90 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $76.90 ALLY ALIGN CARE ADV — MEDICARE: $82.48 AMERIBEN — ICP CLINIC ANTHEM: $103.20 AMERIGROUP MEDICAID — MEDICAID: $76.90
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 45 Minutes	$227	$227	$69.33 – $227
Psychotherapy, 45 minutes: 10 of 758 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $109.30 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $101.51 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $101.51 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $101.51 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $109.30 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $101.51 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $109.30 ALLY ALIGN CARE ADV — MEDICARE: $109.30 AMERICAN HEALTH PLAN — MEDICARE: $109.30 AMISH MENNONITE — MEDICAID: $101.51
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes	$336	$336	$102.74 – $336
Psychotherapy, 60 minutes: 10 of 757 insurance plan rates AETNA — AETNA: $150.06 AETNA MEDICAID — MEDICAID: $150.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $160.47 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $150.29 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $150.29 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $335.14 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $150.29 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $150.29 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $150.29 BCBS GENERIC — ANTHEM BCBS: $159.75
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Family W/O Patient 50 Minutes	$212	$212	$73.70 – $212
Family psychotherapy, without the patient: 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $102.30 AETNA MEDICARE TRANSPLANT — MEDICARE: $102.30 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $96.75 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $96.75 ALIGN SENIOR CARE — MEDICARE: $102.30 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $102.30 ALLY ALIGN CARE ADV — MEDICARE: $102.30 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $102.30 AMERICAN HEALTH PLAN — MEDICARE: $102.30 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $96.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt	Not listed in the file	$13,383.14	$1,905.42 – $14,625.60
Removal of breast growth (open surgery): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $6,420.98 AETNA MEDICAID — MEDICAID: $2,144.13 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,059.72 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $7,870.88 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $7,870.88 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $6,213.85 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $8,906.52 BCBS GENERIC — ANTHEM BCBS: $14,625.60 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $4,059.72 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $14,625.60
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	$40,606.30	$7,030.58 – $47,957.29
Total hip replacement: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $21,054.35 AETNA MEDICAID — MEDICAID: $7,030.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,311.79 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $25,808.56 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $25,808.56 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $20,375.18 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $29,204.43 BCBS GENERIC — ANTHEM BCBS: $47,957.29 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $13,311.79 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $47,957.29
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	$40,740.44	$7,030.58 – $47,957.29
Total knee replacement: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $21,054.35 AETNA MEDICAID — MEDICAID: $7,030.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,311.79 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $25,808.56 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $25,808.56 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $20,375.18 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $29,204.43 BCBS GENERIC — ANTHEM BCBS: $47,957.29 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $13,311.79 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $47,957.29
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	$29,834.15	$3,973.57 – $27,104.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $11,899.58 AETNA MEDICAID — MEDICAID: $3,973.57 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,523.61 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $14,586.58 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $14,586.58 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $11,515.72 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $16,505.87 BCBS GENERIC — ANTHEM BCBS: $27,104.68 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $7,523.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $27,104.68
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	$18,162.66	$1,791.78 – $12,222.16
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $5,365.80 AETNA MEDICAID — MEDICAID: $1,791.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,392.57 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6,577.44 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $6,577.44 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $5,192.71 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $7,442.89 BCBS GENERIC — ANTHEM BCBS: $12,222.16 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $3,392.57 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $12,222.16
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	$698	$698	$94.68 – $698
Removal of tonsils and adenoids (under age 12): 10 of 757 insurance plan rates AETNA — AETNA: $210.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $119.15 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $119.15 AETNA MEDICARE TRANSPLANT — MEDICARE: $119.15 ALIGN SENIOR CARE — MEDICARE: $119.15 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $297.88 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $119.15 ALLY ALIGN CARE ADV — MEDICARE: $119.15 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $119.15 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $133.58
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	$850.49	$100.04 – $858.76
Removal of tonsils and adenoids (under age 12): 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $119.15 AETNA — AETNA: $210.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $119.15 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $119.15 AETNA MEDICARE TRANSPLANT — MEDICARE: $119.15 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $133.58 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $297.88 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $119.15 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $133.58 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $119.15
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	$14,338.97	$3,121.64 – $22,112.79
Removal of tonsils and adenoids (under age 12): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $9,708.02 AETNA MEDICAID — MEDICAID: $3,241.75 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,137.97 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $11,900.16 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $11,900.16 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $9,394.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $13,465.97 BCBS GENERIC — ANTHEM BCBS: $22,112.79 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $6,137.97 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $22,112.79
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	$297	$297	$3.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $297
Upper GI endoscopy (diagnostic): 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $50.93 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $50.93 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $55.16 ALIGN SENIOR CARE — MEDICARE: $50.93 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $50.93 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $50.93 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $50.93 ALLY ALIGN CARE ADV — MEDICARE: $50.93 AMERIBEN — ICP CLINIC ANTHEM: $77.95 AMERICAN HEALTH PLAN — MEDICARE: $50.93
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	Not listed in the file	$400.56	$2.72 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $403.91
Upper GI endoscopy (diagnostic): 10 of 757 insurance plan rates AETNA — AETNA: $260.24 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $147.42 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $128.08 ALIGN SENIOR CARE — MEDICARE: $147.42 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $285.61 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $128.08 ALLY ALIGN CARE ADV — MEDICARE: $147.42 AMERIBEN — ICP CLINIC ANTHEM: $121.18 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $147.42 AMERIGROUP MEDICAID — MEDICAID: $128.08
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	$5,116.73	$153.27 – $3,387.92
Upper GI endoscopy (diagnostic): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $1,487.38 AETNA MEDICAID — MEDICAID: $496.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $940.41 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,823.24 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,823.24 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,439.40 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,063.14 BCBS GENERIC — ANTHEM BCBS: $3,387.92 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $940.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,387.92
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$389	$389	$43.67 – $389
Upper GI endoscopy with biopsy: 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.97 AETNA — AETNA: $100.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.97 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $62.11 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $56.97 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $138.49 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $56.97 ALLY ALIGN CARE ADV — MEDICARE: $56.97 AMERIBEN — ICP CLINIC ANTHEM: $87.21 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $56.97
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	Not listed in the file	$444.68	$95.32 – $447.32
Upper GI endoscopy with biopsy: 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $191.09 AETNA — AETNA: $337.34 AETNA MEDICAID — MEDICAID: $165.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $191.09 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $165.59 ALIGN SENIOR CARE — MEDICARE: $191.09 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $369.27 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $165.59 AMERIBEN — ICP CLINIC ANTHEM: $133.60 AMERIGROUP MEDICAID — MEDICAID: $165.59
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	$5,328.80	$64.72 – $3,387.92
Upper GI endoscopy with biopsy: 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $1,487.38 AETNA MEDICAID — MEDICAID: $496.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $940.41 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,823.24 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,823.24 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,439.40 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,063.14 BCBS GENERIC — ANTHEM BCBS: $3,387.92 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $940.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,387.92
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	$6,285.63	$153.27 – $3,473.75
Colonoscopy (diagnostic): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $1,525.05 AETNA MEDICAID — MEDICAID: $509.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $964.23 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,869.42 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,869.42 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,475.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,115.39 BCBS GENERIC — ANTHEM BCBS: $3,473.75 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $964.23 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,473.75
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	$6,788.18	$32.36 – $4,469.89
Colonoscopy with biopsy: 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $1,962.39 AETNA MEDICAID — MEDICAID: $655.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,240.74 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $2,405.51 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $2,405.51 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,899.09 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,722.03 BCBS GENERIC — ANTHEM BCBS: $4,469.89 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $1,240.74 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $4,469.89
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	$5,987.80	$32.36 – $4,469.89
Colonoscopy with removal of polyps (snare): 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $1,962.39 AETNA MEDICAID — MEDICAID: $655.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,240.74 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $2,405.51 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $2,405.51 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,899.09 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,722.03 BCBS GENERIC — ANTHEM BCBS: $4,469.89 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $1,240.74 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $4,469.89
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	$4,423.83	$153.27 – $3,473.75
Screening colonoscopy (not high risk): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $1,525.05 AETNA MEDICAID — MEDICAID: $509.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $964.23 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,869.42 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,869.42 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,475.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,115.39 BCBS GENERIC — ANTHEM BCBS: $3,473.75 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $964.23 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,473.75
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SUR	Not listed in the file	$7,435.58	$153.27 – $3,473.75
Screening colonoscopy (not high risk): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $1,525.05 AETNA MEDICAID — MEDICAID: $509.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $964.23 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,869.42 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $1,869.42 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $1,475.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $2,115.39 BCBS GENERIC — ANTHEM BCBS: $3,473.75 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $964.23 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $3,473.75
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	$31,379.66	$3,310.59 – $22,582.32
Gallbladder removal by laparoscope: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $9,914.15 AETNA MEDICAID — MEDICAID: $3,310.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,268.30 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $12,152.83 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $12,152.83 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $9,594.34 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $13,751.89 BCBS GENERIC — ANTHEM BCBS: $22,582.32 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $6,268.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $22,582.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTE	Not listed in the file	$30,164.28	$3,310.59 – $22,582.32
Gallbladder removal by laparoscope: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $9,914.15 AETNA MEDICAID — MEDICAID: $3,310.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,268.30 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $12,152.83 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $12,152.83 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $9,594.34 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $13,751.89 BCBS GENERIC — ANTHEM BCBS: $22,582.32 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $6,268.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $22,582.32
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	$1,221	$1,221	$13.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,314
Groin (inguinal) hernia repair, age 5 or older: 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $191.38 AETNA MEDICAID — MEDICAID: $198.62 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $191.38 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $191.38 AETNA MEDICARE TRANSPLANT — MEDICARE: $191.38 ALIGN SENIOR CARE — MEDICARE: $191.38 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $191.38 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $198.62 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $191.38 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $191.38
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	Not listed in the file	$1,386.67	$10.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,071.29
Groin (inguinal) hernia repair, age 5 or older: 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $225.16 AETNA MEDICAID — MEDICAID: $233.67 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $225.16 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $225.16 AETNA MEDICARE TRANSPLANT — MEDICARE: $225.16 ALIGN SENIOR CARE — MEDICARE: $225.16 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $225.16 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $233.67 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $225.16 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $225.16
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	$16,518.63	$2,273.62 – $22,677.07
Groin (inguinal) hernia repair, age 5 or older: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $9,955.76 AETNA MEDICAID — MEDICAID: $3,324.48 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6,294.61 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $12,203.83 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $12,203.83 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $9,634.61 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $13,809.60 BCBS GENERIC — ANTHEM BCBS: $22,677.07 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $6,294.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $22,677.07
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$307	$307	$26.67 – $307
Prostate biopsy: 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $153.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $153.50 AETNA MEDICARE TRANSPLANT — MEDICARE: $153.50 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $58.67 ALIGN SENIOR CARE — MEDICARE: $153.50 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $153.50 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $153.50 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $153.50 AMERICAN HEALTH PLAN — MEDICARE: $153.50 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $58.67
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$539.53	$43.23 – $539.53
Prostate biopsy: 10 of 756 insurance plan rates AETNA — AETNA: $124.53 AETNA MEDICAID — MEDICAID: $108.62 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $108.62 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $108.62 ALIGN SENIOR CARE — MEDICARE: $269.77 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $269.77 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $108.62 ALLY ALIGN CARE ADV — MEDICARE: $269.77 AMERIBEN — ICP CLINIC ANTHEM: $161.86 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $269.77
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$17,674.96	$371.65 – $7,808.38
Prostate biopsy: 10 of 94 insurance plan rates ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $720.56 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $720.56 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $568.86 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $815.37 BCBS GENERIC — ANTHEM BCBS: $7,808.38 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $371.65 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $7,808.38 BLUE CARE NETWORK — ANTHEM BCBS: $7,808.38 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS: $7,808.38 BLUE CROSS - AL — ANTHEM BCBS: $7,808.38
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	$3,155	$3,155	$32.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,155
Prostate removal by laparoscope (radical prostatectomy): 10 of 757 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $497.07 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $497.07 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $542.21 ALIGN SENIOR CARE — MEDICARE: $497.07 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $497.07 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $1,209.13 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $542.21 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $542.21 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $497.07 AMERIBEN — ICP CLINIC ANTHEM: $760.83
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	Not listed in the file	$3,604.53	$25.94 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,580.27
Prostate removal by laparoscope (radical prostatectomy): 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $497.07 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $542.21 ALIGN SENIOR CARE — MEDICARE: $497.07 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $542.21 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $497.07 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $497.07 ALLY ALIGN CARE ADV — MEDICARE: $497.07 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $497.07 AMERICAN HEALTH PLAN — MEDICARE: $497.07 AMISH MENNONITE — MEDICAID: $542.21
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	$49,984.08	$5,821 – $39,706.42
Prostate removal by laparoscope (radical prostatectomy): 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $17,432.03 AETNA MEDICAID — MEDICAID: $5,821 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,021.54 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $21,368.30 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $21,368.30 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $16,869.71 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $24,179.91 BCBS GENERIC — ANTHEM BCBS: $39,706.42 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $11,021.54 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $39,706.42
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	$1,378	$1,378	$6.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,378
Hysteroscopy with biopsy of the uterus lining: 10 of 757 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $92.52 AETNA MEDICAID — MEDICAID: $103.73 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $92.52 AETNA MEDICARE TRANSPLANT — MEDICARE: $92.52 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $103.73 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $103.73 ALIGN SENIOR CARE — MEDICARE: $92.52 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $92.52 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $103.73 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $92.52
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	Not listed in the file	$2,846.24	$5.28 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,859.56
Hysteroscopy with biopsy of the uterus lining: 10 of 757 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $576.95 AETNA MEDICARE TRANSPLANT — MEDICARE: $576.95 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $556.75 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $576.95 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $556.75 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $576.95 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $576.95 AMERIGROUP MEDICAID — MEDICAID: $556.75 ANDRIE INC — WORKERS COMP: $588.73 ANTHEM MYCARE OHIO — MEDICARE: $576.95
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	$20,324.02	$32.36 – $12,091.87
Hysteroscopy with biopsy of the uterus lining: 10 of 106 insurance plan rates AETNA — AETNA MARKETPLACE: $5,308.61 AETNA MEDICAID — MEDICAID: $1,772.68 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,356.41 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $6,507.33 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $6,507.33 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $5,137.37 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $7,363.56 BCBS GENERIC — ANTHEM BCBS: $12,091.87 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $3,356.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $12,091.87
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	$2,107	$1,369.55	$386.55 – $2,636.74
Spinal injection, lower back (epidural), with imaging guidance: 10 of 154 insurance plan rates AETNA — AETNA: $1,369.55 AETNA — AETNA MARKETPLACE: $1,157.59 AETNA MEDICAID — MEDICAID: $386.55 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $731.89 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,369.55 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,418.98 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,369.55 AMERIBEN — ICP CLINIC ANTHEM: $1,264.20 ASR HEALTH BENEFITS — AETNA: $1,369.55 AUXIANT — AUXIANT RADIOLOGY: $1,748.81
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 Rt	$2,104	$1,367.60	$484.35 – $3,303.83
Nerve root injection, lower back, with imaging guidance: 10 of 154 insurance plan rates AETNA — AETNA: $1,367.60 AETNA — AETNA MARKETPLACE: $1,450.46 AETNA MEDICAID — MEDICAID: $484.35 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $917.07 ALLIED BENEFIT SYSTEMS — ALLIED BENEFIT SYSTEM: $1,367.60 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $1,777.98 ALLIED BENEFIT SYSTEMS — SELECT LAIDIG SYSTEMS: $1,367.60 AMERIBEN — ICP CLINIC ANTHEM: $1,262.40 ASR HEALTH BENEFITS — AETNA: $1,367.60 AUXIANT — AUXIANT RADIOLOGY: $1,746.32
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt	Not listed in the file	$11,510.39	$1,069.33 – $7,294.17
Carpal tunnel release: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $3,202.30 AETNA MEDICAID — MEDICAID: $1,069.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,024.68 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $3,925.41 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $3,925.41 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $3,099 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $4,441.91 BCBS GENERIC — ANTHEM BCBS: $7,294.17 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $2,024.68 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $7,294.17
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech	Not listed in the file	$9,667.19	$1,263.79 – $8,620.59
Cataract removal with lens implant: 10 of 105 insurance plan rates AETNA — AETNA MARKETPLACE: $3,784.64 AETNA MEDICAID — MEDICAID: $1,263.79 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,392.87 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $4,639.23 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $4,639.23 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $3,662.55 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $5,249.66 BCBS GENERIC — ANTHEM BCBS: $8,620.59 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $2,392.87 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $8,620.59

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance 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	$5,409	$5,409	$908.68 – $5,409
Vaginal delivery, with care before and after: 10 of 757 insurance plan rates AETNA — AETNA: $1,719.29 AETNA MEDICAID — MEDICAID: $1,061.45 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $973.94 AETNA MEDICARE TRANSPLANT — MEDICARE: $973.94 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,061.45 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,061.45 ALIGN SENIOR CARE — MEDICARE: $973.94 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $973.94 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2,367.03 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,061.45
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	Not listed in the file	$5,598.42	$908.68 – $5,602.48
Vaginal delivery, with care before and after: 10 of 756 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $973.94 AETNA — AETNA: $1,719.29 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,061.45 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,061.45 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2,367.03 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $973.94 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,061.45 AMISH MENNONITE — MEDICAID: $1,061.45 ANDRIE INC — WORKERS COMP: $993.81 ANTHEM MYCARE OHIO — MEDICARE: $973.94
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$5,973	$5,973	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,973
Cesarean delivery (C-section), with care before and after: 10 of 757 insurance plan rates AETNA — AETNA: $1,904.47 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,171.07 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,078.84 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2,611.47 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,171.07 AMERIBEN — ICP CLINIC ANTHEM: $1,651.28 AMERIGROUP MEDICAID — MEDICAID: $1,171.07 AMERIHEALTH MEDICARE — MEDICARE: $1,078.84 ANDRIE INC — WORKERS COMP: $1,100.85 ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $1,171.07
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	Not listed in the file	$6,147.34	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,147.98
Cesarean delivery (C-section), with care before and after: 10 of 756 insurance plan rates AETNA — AETNA: $1,904.47 AETNA MEDICAID — MEDICAID: $1,171.07 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,078.84 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,171.07 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,171.07 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,078.84 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2,611.47 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,171.07 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,171.07 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,078.84
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care\|ASSISTANT SURGEON	$937.60	$937.60	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,973
Cesarean delivery (C-section), with care before and after: 10 of 757 insurance plan rates AETNA — AETNA: $304.72 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $187.37 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $172.61 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $417.84 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $187.37 AMERIBEN — ICP CLINIC ANTHEM: $264.20 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $172.61 AMERIGROUP MEDICAID — MEDICAID: $187.37 AMERIHEALTH MEDICARE — MEDICARE: $172.61 ANDRIE INC — WORKERS COMP: $220.17
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S	$5,627	$5,627	$944.29 – $5,627
Vaginal delivery after a previous C-section, with care before and after: 10 of 757 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,015.15 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,103.33 ALIGN SENIOR CARE — MEDICARE: $1,015.15 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,103.33 AMERIBEN — ICP CLINIC ANTHEM: $1,553.79 AMERIGROUP MEDICAID — MEDICAID: $1,103.33 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $1,103.33 AMERIHEALTH MEDICARE — MEDICARE: $1,015.15 ANDRIE INC — WORKERS COMP: $1,035.86 ANTHEM MYCARE OHIO — MEDICARE: $1,015.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S	Not listed in the file	$5,912.55	$944.29 – $5,847.47
Vaginal delivery after a previous C-section, with care before and after: 10 of 756 insurance plan rates AETNA MEDICAID — MEDICAID: $1,103.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,015.15 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,015.15 AETNA MEDICARE TRANSPLANT — MEDICARE: $1,015.15 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,103.33 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,103.33 ALLIED BENEFIT SYSTEMS — SELECT HEALTH PPO-R: $2,460.42 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,103.33 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,103.33 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,015.15

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$211,551.42	$334.35 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $230,485.31
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $129,161.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76,052.39 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $147,448.51 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $147,448.51 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $116,406.72 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $166,849.63 BCBS GENERIC — ANTHEM BCBS: $197,739.74 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $76,052.39 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $197,739.74 BLUE CARE NETWORK — ANTHEM BCBS: $197,739.74
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	$48,297.05	$334.35 – $62,181.95
Hip or knee replacement (major joint of the leg), without major complications: 10 of 109 insurance plan rates AETNA — AETNA MARKETPLACE: $26,493.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,635.95 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $30,314.60 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $30,314.60 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $23,932.58 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $34,303.36 BCBS GENERIC — ANTHEM BCBS: $38,988.86 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $15,635.95 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $38,988.86 BLUE CARE NETWORK — ANTHEM BCBS: $38,988.86
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	$35,468.49	$334.35 – $78,700.19
Neck (cervical) spinal fusion, without complications: 10 of 109 insurance plan rates AETNA — AETNA MARKETPLACE: $33,191.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19,577.61 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $37,956.59 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $37,956.59 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $29,965.73 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $42,950.87 BCBS GENERIC — ANTHEM BCBS: $49,346 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $19,577.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $49,346 BLUE CARE NETWORK — ANTHEM BCBS: $49,346
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	$27,801.81	$334.35 – $39,996.45
Uterus and ovary surgery (not for cancer), without complications: 10 of 109 insurance plan rates AETNA — AETNA MARKETPLACE: $17,496.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,341.94 ALLIED BENEFIT SYSTEMS — SELECT CURTIS PRODUCT: $20,050.70 AUXIANT — SELECT AUXIANT JAMIL PACKAGING: $20,050.70 AUXIANT — SELECT AUXIANT MISHAWAKA MEDICARE ADV: $15,829.50 AUXIANT — SELECT AUXIANT PIKE LUMBER MEDICARE ADV: $22,688.95 BCBS GENERIC — ANTHEM BCBS: $25,078.27 BCBS MEDICARE ADVANTAGE GENERIC — ANTHEM BCBS HEALTHY MEDICARE ADVANTAGE: $10,341.94 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $25,078.27 BLUE CARE NETWORK — ANTHEM BCBS: $25,078.27

Source: Saint Joseph Regional Medical Center’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 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	5215 Holy Cross Pkwy, Mishawaka, IN 46545
County	St. Joseph County
State	Indiana
Phone	(574) 335‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150012
Name in Medicare records	SAINT JOSEPH REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Saint Joseph Mishawaka Medical Center
Official website	sjmed.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Saint Joseph Mishawaka Medical Center | Saint Joseph Health System — sjmed.com
Visiting Mishawaka Medical Center | SJHS — sjmed.com
About Us | Saint Joseph Health System — sjmed.com