Does Saint Thomas Hickman Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at Saint Thomas Hickman Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Saint Thomas Hickman Hospital?

135 East Swan Street, Centerville, TN 37033, in Hickman County, Tennessee.

What is the phone number of Saint Thomas Hickman Hospital?

(931) 729-4271, as listed by Medicare (CMS).

What is the Medicare star rating of Saint Thomas Hickman Hospital?

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

Saint Thomas Hickman Hospital — Phone & Address

Quick answers

Does Saint Thomas Hickman Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at Saint Thomas Hickman Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Saint Thomas Hickman Hospital?: 135 East Swan Street, Centerville, TN 37033, in Hickman County, Tennessee.
What is the phone number of Saint Thomas Hickman Hospital?: (931) 729-4271, as listed by Medicare (CMS).
What is the Medicare star rating of Saint Thomas Hickman Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4]

CT scan
Echocardiography

Programs and centers^[4]

Senior Life Solutions (outpatient mental health, adults 65+)
Outpatient rehabilitation

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (36)

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

Main specialties

Doctors with a page on this site (36)

Adam S. Reig, MDNeurosurgery
Angelia DotsonNurse Practitioner
Anthony U. Efobi, MDInternal Medicine
Bretteny L. Boyd, NPNurse Practitioner
Carson D. Strickland, MDOrthopedic Surgery
Craig Freiberg, MDAnesthesiology
Danielle SmithNurse Practitioner
David A. Heffington, CNACertified Registered Nurse Anesthetist (CRNA)
David HenleyEmergency Medicine
Dawn A. Glenn, NPNurse Practitioner
Gregory Wigger, MDPulmonary Disease
Guillermo Nava, MDCardiovascular Disease (Cardiology)
Gyongyi O. Okechuku, MDInternal Medicine
James G. Snyder, MDInternal Medicine
Janet M. Loch-Donahue, MDEmergency Medicine
Jennifer Gartman, PAPhysician Assistant
John Spooner, MDNeurosurgery
Laura D. Sanders, DOInternal Medicine
Manickam Krishnamurthy, MDEmergency Medicine
Marek Durakiewicz, MDEmergency Medicine
Mark Landis, MDFamily Practice
Matthew L. Sarb, DOOrthopedic Surgery
Matthew S. HawkinsPhysician Assistant
Melissa L. ByrdNurse Practitioner

And 12 more: the button below opens the full list.

Other emergency rooms nearby

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

Tristar Horizon Medical Center21 mi · Dickson, TN · Acute Care Hospital
Maury Regional Hospital25 mi · Columbia, TN · Acute Care Hospital
Ascension Saint Thomas Three Rivers30 mi · Waverly, TN · Critical Access Hospital
Wayne Medical Center36 mi · Waynesboro, TN · Rural Emergency Hospital
Southern Tennessee Regional Health System Lawrence37 mi · Lawrenceburg, TN · Acute Care Hospital

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

Other hospitals near Centerville

Unity Psychiatric Care-Columbia26 mi · Columbia, TN · Psychiatric Hospital
Pinewood Springs26 mi · Columbia, TN · Psychiatric Hospital

Hospitals in Hickman County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Life Care Center of Centerville0.4 mi · Centerville, TN · 4 of 5 stars
Lewis Park Post Acute15 mi · Hohenwald, TN · 1 of 5 stars
Mt Pleasant Healthcare and Rehabilitation21 mi · Mount Pleasant, TN · 4 of 5 stars

All nursing homes in the state →

Home health agencies

Saint Thomas Home Health6.0 mi · Centerville, TN · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Camp Okawehna11 mi · Lyles, TN
DCI Dickson20 mi · Dickson, TN · 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.

Dickson Surgery Center20 mi · Dickson, TN
Oral and Facial Surgery Center of Dickson, PLLC20 mi · Dickson, TN
Ramsey Way Surgery Center, LLC20 mi · Dickson, TN

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

Three Rivers Community Health Group-Hickman11 mi · Lyles, TN · Community health center
Three Rivers Community Health-Dental11 mi · Lyles, TN · Community health center
Lewis Health Center17 mi · Hohenwald, TN · Community health center

Clinics and urgent care

Ascension Saint Thomas Hickman6.0 mi · Centerville, TN · Rural health clinic
Fast Pace Health6.0 mi · Centerville, TN · Rural health clinic
Fast Pace Medical Clinic PLLC6.0 mi · Centerville, TN · Urgent care center

Pharmacies

Liberty Pharmacy, Inc6.0 mi · Centerville, TN · Community/retail pharmacy
Liberty Pharmacy, Inc6.0 mi · Centerville, TN · Community/retail pharmacy
Saint Thomas Health6.0 mi · Centerville, TN · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

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)	16.3%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	160 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Tennessee Best hospitals in Tennessee

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Saint Thomas Hickman Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 3 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.

Show the prices of 83 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$69.16 – $73.37
New patient office visit (about 30–44 minutes): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $69.16 AETNA — 3162_RHTN AETNA 20250701: $69.16
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$69.16 – $73.37
New patient office visit (about 30–44 minutes): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $73.37
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$118.41 – $124.32
New patient office visit (about 45–59 minutes): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $118.41 AETNA — 3162_RHTN AETNA 20250701: $118.41
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$118.41 – $124.32
New patient office visit (about 45–59 minutes): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $124.32
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$153.26 – $162.31
New patient office visit (about 60–74 minutes): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $153.26 AETNA — 3162_RHTN AETNA 20250701: $153.26
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$153.26 – $162.31
New patient office visit (about 60–74 minutes): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $162.31
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$46.61 – $49.51
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $46.61 AETNA — 3162_RHTN AETNA 20250701: $46.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$46.61 – $49.51
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $49.51
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$71.66 – $75.95
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $71.66 AETNA — 3162_RHTN AETNA 20250701: $71.66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$71.66 – $75.95
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $75.95
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$79.13 – $82.17
Office consultation with a specialist (moderate): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $82.17 AETNA — 3162_RHTN AETNA 20250701: $82.17
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$79.13 – $82.17
Office consultation with a specialist (moderate): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $79.13
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$127.15 – $130.94
Office consultation with a specialist (moderate to high): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $130.94 AETNA — 3162_RHTN AETNA 20250701: $130.94
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$127.15 – $130.94
Office consultation with a specialist (moderate to high): rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $127.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$56.40 – $2,453
Emergency room visit (moderate): 10 of 25 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $1,269 AETNA — 3164_THTN AETNA 20250701: $59.88 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $1,243 AMERIGROUP MCR REPLACEMENT — 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPA: $326 AMERIGROUP MCR REPLACEMENT — 2959_STTN MTTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 2025: $326 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,013 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $856 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $679 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $697 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $758
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$56.40 – $2,453
Emergency room visit (moderate): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $56.40 AETNA — 3162_RHTN AETNA 20250701: $56.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$107.34 – $4,291
Emergency room visit (moderately high): 10 of 24 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $2,500 AETNA — 3164_THTN AETNA 20250701: $113.62 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $2,380 AMERIGROUP MCR REPLACEMENT — 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPA: $326 AMERIGROUP MCR REPLACEMENT — 2959_STTN MTTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 2025: $326 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,354 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $851 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $834 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $906 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $1,105
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$107.34 – $4,291
Emergency room visit (moderately high): rates for 3 insurance plans AETNA — 3161_RPTN AETNA 20250701: $107.34 AETNA — 3162_RHTN AETNA 20250701: $107.34 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,244
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$158.13 – $4,558
Emergency room visit (high): 10 of 25 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $2,500 AETNA — 3164_THTN AETNA 20250701: $167.44 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $2,380 AMERIGROUP MCR REPLACEMENT — 2958_RPTN RHTN THTN SDTN MEDICARE ADVANTAGE AMERIGROUP OUTPA: $326 AMERIGROUP MCR REPLACEMENT — 2959_STTN MTTN MEDICARE ADVANTAGE AMERIGROUP OUTPATIENT 2025: $326 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,415 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,409 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $1,111 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $994 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $1,080
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$158.13 – $4,558
Emergency room visit (high): rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $158.13 AETNA — 3162_RHTN AETNA 20250701: $158.13

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$7.61 – $32.75
Basic metabolic panel (blood test): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $12 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $12 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $16.47 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $14.12 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $20.04 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $18.35 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $19.86 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $11.84 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $11.84 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $11.84
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$7.61 – $32.75
Basic metabolic panel (blood test): rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $16.84 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $18.35 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $22.35 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$9.50 – $40.65
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $14.97 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $14.97 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $20.58 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $17.64 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $25.05 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $22.93 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $24.81 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $14.78 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $14.78 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $14.78
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$9.50 – $40.65
Comprehensive metabolic panel (blood test): rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $21.05 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $22.93 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $27.89 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$43.03 – $185.10
Obstetric blood test panel: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $67.78 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $67.78 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $97.95 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $83.96 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $119.22 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $109.14 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $118.10 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $66.93 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $66.93 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $66.93
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$43.03 – $185.10
Obstetric blood test panel: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $100.19 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $109.14 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $126.23
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.05 – $51.92
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $18.98 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $18.98 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $31.97 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $27.41 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $38.92 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $35.63 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $38.55 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $18.75 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $18.75 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $18.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.05 – $51.92
Cholesterol panel (lipid panel): rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $32.70 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $35.63 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $35.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.81 – $33.86
Kidney function panel: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $12.30 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $12.30 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $16.47 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $14.12 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $20.04 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $18.35 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $19.86 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $12.15 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $12.15 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $12.15
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.81 – $33.86
Kidney function panel: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $16.84 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $18.35 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $22.93
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.35 – $31.60
Liver function panel: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $11.59 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $11.59 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $16.47 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $14.12 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $20.04 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $18.35 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $19.86 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $11.44 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $11.44 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $11.44
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.35 – $31.60
Liver function panel: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $16.84 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $18.35 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $21.58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.85 – $12.42
Urine test (automated, with microscope): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $4.50 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $4.50 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $7.56 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $6.48 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $9.20 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $8.42 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $9.12 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $4.44 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $4.44 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $4.44
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.85 – $12.42
Urine test (automated, with microscope): rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $7.73 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $8.42 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $8.39 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.13 – $11.28
Urine test (manual, without microscope): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $4.93 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $4.93 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $6.11 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $5.24 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $7.43 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $6.81 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $7.36 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $4.87 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $4.87 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $4.87
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.13 – $11.28
Urine test (manual, without microscope): rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $6.25 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $6.81 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $7.44
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.03 – $9.01
Urine test (automated, without microscope): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $3.19 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $3.19 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $5.36 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $4.59 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $6.52 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $5.97 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $6.46 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $3.15 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $3.15 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $3.15
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.03 – $9.01
Urine test (automated, without microscope): rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $5.48 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $5.97 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $5.92 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$16.55 – $71.10
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $26.06 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $26.06 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $43.91 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $37.64 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $53.44 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $48.93 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $52.94 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $25.75 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $25.75 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $25.75
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$16.55 – $71.10
PSA (prostate specific antigen) blood test: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $44.91 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $48.93 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $48.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.12 – $65.46
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $23.81 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $23.81 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $40.13 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $34.40 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $48.84 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $44.71 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $48.38 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $23.52 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $23.52 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $23.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.12 – $65.46
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $41.04 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $44.71 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $44.37
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$6.99 – $30.48
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $11.02 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $11.02 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18.57 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $15.92 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $22.60 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $20.69 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $22.39 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $10.88 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $10.88 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $10.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$6.99 – $30.48
Complete blood count (CBC) with differential: rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $18.99 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $20.69 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $20.51 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$5.82 – $24.85
Complete blood count (CBC), automated: 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $9.17 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $9.17 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $15.45 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $13.25 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $18.81 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $17.22 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $18.63 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $9.06 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $9.06 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $9.06
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$5.82 – $24.85
Complete blood count (CBC), automated: rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $15.81 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $17.22 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $17.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.86 – $14.69
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $6.09 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $6.09 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $9.40 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $8.06 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $11.44 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $10.47 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $11.33 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $6.01 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $6.01 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $6.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.86 – $14.69
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $9.61 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $10.47 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $10.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.41 – $23.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $8.52 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $8.52 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $14.33 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $12.29 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $17.44 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $15.97 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $17.28 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $8.41 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $8.41 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $8.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.41 – $23.70
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $14.66 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $15.97 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $15.87 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$86.77 – $562.76
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $562.76 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $551.54 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $114.71 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $86.77 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $127.94 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $131.62 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $143.38 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $155.15 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $143.38 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $272.06
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$86.77 – $562.76
CT scan of the head or brain, without contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$297.06 – $981.30
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $916.63 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $898.36 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $392.73 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $297.06 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $438.05 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $450.63 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $490.91 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $531.19 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $490.91 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $981.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$297.06 – $981.30
MRI of the brain, before and after contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$20.89 – $127.70
Chest X-ray, 2 views: 10 of 19 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $46.10 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $45.18 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $27.61 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $20.89 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $30.80 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $34.52 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $37.35 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $34.52 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $50.80 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $43.72
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$20.89 – $127.70
Chest X-ray, 2 views: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $31.68 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$35.91 – $179.33
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $76.59 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $75.06 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $47.47 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $35.91 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $52.95 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $59.34 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $64.21 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $59.34 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $86.19 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $74.17
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$35.91 – $179.33
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $54.47 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$179.77 – $559.14
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $526.26 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $515.77 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $237.66 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $179.77 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $265.09 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $272.71 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $297.08 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $321.46 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $297.08 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $559.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$179.77 – $559.14
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$188.88 – $622.36
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $562.76 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $551.54 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $249.71 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $188.88 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $278.52 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $286.53 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $312.14 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $337.75 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $312.14 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $622.36
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$188.88 – $622.36
CT scan of the pelvis, with contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$198.37 – $629.71
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $592.33 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $580.52 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $262.25 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $198.37 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $292.51 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $300.92 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $327.81 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $354.71 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $327.81 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $629.71
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$198.37 – $629.71
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$248.47 – $818.54
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $562.76 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $551.54 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $328.49 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $248.47 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $366.39 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $376.92 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $410.61 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $444.30 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $410.61 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $818.54
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$248.47 – $818.54
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$107.65 – $218.95
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $168.01 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $164.66 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $142.32 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $107.65 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $158.74 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $177.90 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $192.50 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $177.90 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $217.43 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $187.13
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$107.65 – $218.95
Ultrasound of the abdomen, complete: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $163.30 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$103.47 – $245.22
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $186.71 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $182.99 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $136.80 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $103.47 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $152.58 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $171 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $185.03 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $171 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $243.52 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $209.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$103.47 – $245.22
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $156.97 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$98.15 – $233.01
Transvaginal ultrasound: 10 of 19 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $183.95 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $180.28 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $129.76 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $98.15 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $144.73 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $162.20 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $175.51 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $162.20 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $231.40 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $199.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$98.15 – $233.01
Transvaginal ultrasound: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $148.89 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$73.27 – $249.90
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $181.16 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $177.55 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $133.32 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $100.84 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $148.70 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $166.65 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $180.32 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $166.65 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $107.45 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $107.45
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$73.27 – $249.90
Diagnostic mammogram, one breast: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $152.97 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$93.72 – $319.26
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $231.73 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $227.11 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $170.60 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $129.04 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $190.29 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $213.25 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $230.75 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $213.25 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $137.69 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $137.69
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$93.72 – $319.26
Diagnostic mammogram, both breasts: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $195.75 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$77.47 – $263.95
Screening mammogram, both breasts: 10 of 27 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $191.57 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $187.75 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $140.87 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $106.55 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $157.12 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $176.09 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $190.53 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $176.09 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $113.61 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $113.61
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$77.47 – $263.95
Screening mammogram, both breasts: rates for 2 insurance plans BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $161.64 AETNA — 3161_RPTN AETNA 20250701: 26% (a percentage in the contract, not a dollar amount)

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) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$28.46 – $35.58
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $32.64 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $30.94 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $33.42 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $30.94 AETNA — 3159_STTN AETNA 20250701: 51% (a percentage in the contract, not a dollar amount) AETNA — 3164_THTN AETNA 20250701: 50% (a percentage in the contract, not a dollar amount) AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: 51% (a percentage in the contract, not a dollar amount)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$28.46 – $35.58
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $35.58 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $35.58 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $28.46
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$5,646 – $11,857
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $5,646 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $11,611 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $11,857 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $10,461 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $10,362 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $11,545 UHC — 3171_MTTN UHC 20250715: $8,875 UHC — 3172_RPTN UHC 20250715: $10,051 UHC — 3173_RHTN UHC 20250715: $10,051 UHC — 3174_SDTN UHC 20250715: $10,051
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$5,646 – $11,857
Left heart catheterization (diagnostic): rates for 1 insurance plan BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $9,492
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$509.61 – $10,999
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans AETNA — 3161_RPTN AETNA 20250701: $10,999 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $637.01 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $637.01 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $509.61
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$509.61 – $10,999
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $584.39 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $553.92 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $598.23 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $553.92
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$51.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $14,399
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $11,139 UHC — 3171_MTTN UHC 20250715: $12,715 UHC — 3172_RPTN UHC 20250715: $14,394 UHC — 3173_RHTN UHC 20250715: $14,399 UHC — 3174_SDTN UHC 20250715: $14,399 UHC — 3175_THTN UHC 20250715: $14,399 UHC — 3176_UHC (STTN) 20250715: $12,715 UHC COMPASS/EXCHANGE — 3165_MTTN UHC EXCHANGE 20250715: $9,906 UHC COMPASS/EXCHANGE — 3166_UHC STTN EXCHANGE 20250715: $9,720 UHC COMPASS/EXCHANGE — 3167_RPTN UHC EXCHANGE 20250715: $10,278
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$51.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $14,399
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans AETNA — 3161_RPTN AETNA 20250701: $10,999 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $14,250 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $51.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$162 – $1,023.57
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $939.01 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $890.06 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $961.26 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $890.06 UHC — 3171_MTTN UHC 20250715: $206 UHC — 3172_RPTN UHC 20250715: $233 UHC — 3173_RHTN UHC 20250715: $233 UHC — 3174_SDTN UHC 20250715: $233 UHC — 3175_THTN UHC 20250715: $233 UHC — 3176_UHC (STTN) 20250715: $206
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$162 – $1,023.57
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,023.57 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $1,023.57 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $818.86 AETNA — 3161_RPTN AETNA 20250701: 52% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$25.65 – $70.06
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $64.27 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $60.92 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $65.79 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $60.92 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $38.14 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $38.14 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $38.14 CIGNA CONNECT — 2780_RHTN CIGNA CONNECT 20240701: $38.14 CIGNA CONNECT — 2784_SDTN CIGNA CONNECT 20240701: $38.14 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $41.87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$25.65 – $70.06
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $70.06 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $70.06 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $56.05
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $161.63 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $153.20 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $165.46 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $153.20 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2780_RHTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2784_SDTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $142.51
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (low complexity): rates for 3 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $140.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $161.63 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $153.20 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $165.46 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $153.20 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2780_RHTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2784_SDTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $142.51
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $140.94
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $161.63 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $153.20 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $165.46 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $153.20 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2772_MTTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2779_RPTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2780_RHTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 2784_SDTN CIGNA CONNECT 20240701: $130.33 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $142.51
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$86.39 – $176.18
Physical therapy evaluation (high complexity): rates for 3 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $176.18 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $140.94
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$48 – $68.60
Psychotherapy, 30 minutes: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $48 AETNA — 3162_RHTN AETNA 20250701: $48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$48 – $68.60
Psychotherapy, 30 minutes: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $68.60
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$80 – $106.60
Psychotherapy, 45 minutes: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $80 AETNA — 3162_RHTN AETNA 20250701: $80
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$80 – $106.60
Psychotherapy, 45 minutes: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $106.60
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$92 – $137.40
Psychotherapy, 60 minutes: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $92 AETNA — 3162_RHTN AETNA 20250701: $92
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$92 – $137.40
Psychotherapy, 60 minutes: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $137.40
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$84 – $110.51
Family psychotherapy, without the patient: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $84 AETNA — 3162_RHTN AETNA 20250701: $84
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$84 – $110.51
Family psychotherapy, without the patient: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $110.51
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$84 – $115.04
Family psychotherapy, with the patient: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $84 AETNA — 3162_RHTN AETNA 20250701: $84
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$84 – $115.04
Family psychotherapy, with the patient: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $115.04
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$46 – $60.76
Group psychotherapy: rates for 2 insurance plans AETNA — 3161_RPTN AETNA 20250701: $46 AETNA — 3162_RHTN AETNA 20250701: $46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$46 – $60.76
Group psychotherapy: rates for 1 insurance plan AETNA — 3164_THTN AETNA 20250701: $60.76

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 73 In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,468.50 – $3,099
Removal of breast growth (open surgery): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,543.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,099 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,482.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,468.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,535
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total hip replacement: 10 of 23 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $23,491 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $22,901 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $26,000 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $26,000 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $26,000 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $26,000 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $28,151 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $21,784 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $19,970 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $19,782
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total hip replacement: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: $21,555
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 73 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total hip replacement: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total knee replacement: 10 of 24 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $23,491 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $22,901 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $26,000 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $26,000 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $24,480 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $26,000 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $26,000 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $28,151 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $21,784 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $19,970
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total knee replacement: rates for 1 insurance plan AETNA — 3161_RPTN AETNA 20250701: $21,555
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 73 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,118 – $28,151
Total knee replacement: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier 73 In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,468.50 – $3,099
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,543.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,099 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,482.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,468.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,535
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 73 In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,889.50 – $3,580
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,985.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,580 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,908 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,889.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,974
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · modifier 73 In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,468.50 – $3,099
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,543.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,099 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,482.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,468.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,535
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 73 In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$954.50 – $1,467
Upper GI endoscopy (diagnostic): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,004.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $1,467 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $964 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $954.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $998.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 73 In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$1,185 – $2,984
Upper GI endoscopy with biopsy: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 73 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$1,185 – $2,984
Colonoscopy (diagnostic): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 73 In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,185 – $2,984
Colonoscopy with biopsy: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 73 In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,185 – $2,984
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · modifier 73 In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,185 – $2,984
Ultrasound of the lower bowel by endoscope: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 73 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$3,006 – $5,086
Gallbladder removal by laparoscope: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $3,160 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,086 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $3,035 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $3,006 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $3,142
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 73 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,889.50 – $3,580
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,985.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,580 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,908 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,889.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,974
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 73 In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,185 – $2,984
Prostate biopsy: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 73 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$2,118 – $5,600
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 73 In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,468.50 – $3,099
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,543.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,099 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,482.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,468.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,535
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 73 In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$954.50 – $1,467
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,004.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $1,467 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $964 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $954.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $998.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 73 In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$954.50 – $1,467
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,004.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $1,467 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $964 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $954.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $998.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$6,089
Carpal tunnel release: rates for 3 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: 73% (a percentage in the contract, not a dollar amount) CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: 73% (a percentage in the contract, not a dollar amount) CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: 76% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 73 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$6,089
Carpal tunnel release: rates for 5 insurance plans CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $6,089 CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: 36.5% (a percentage in the contract, not a dollar amount) CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: 36% (a percentage in the contract, not a dollar amount) CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: 36.7% (a percentage in the contract, not a dollar amount) CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: 38% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 73 In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$1,185 – $2,984
Laser treatment of clouding after cataract surgery: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $1,246.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $2,984 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $1,196.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $1,185 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $1,239
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · modifier 73 In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,789.50 – $3,339
Cataract removal with lens implant: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,932 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $3,339 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,816 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,789.50 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,915.50

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · modifier 73 In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,118 – $5,600
Vaginal delivery, with care before and after: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · modifier 73 In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,118 – $5,600
Cesarean delivery (C-section), with care before and after: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · modifier 73 In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,118 – $5,600
Vaginal delivery after a previous C-section, with care before and after: rates for 5 insurance plans CIGNA HMO — 3196_CIGNA HMO (DEKALB) 20250601: $2,225.50 CIGNA LOCALPLUS — 3187_STTN CIGNA LOCALPLUS 20250601: $5,600 CIGNA LOCALPLUS — 3192_RHTN CIGNA LOCALPLUS 20250601: $2,138.50 CIGNA LOCALPLUS — 3193_CIGNA LOCALPLUS (DEKALB) 20250601: $2,118 CIGNA PPO — 3199_CIGNA PPO (DEKALB) 20250601: $2,215

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$8,394.50 – $152,832.26
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $19,970 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $20,300 AMERIGROUP MCAID REPLACEMENT — 2711_MTTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $44,636.25 AMERIGROUP MCAID REPLACEMENT — 2712_RPTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $35,575.92 AMERIGROUP MCAID REPLACEMENT — 2713_RHTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $39,572.99 AMERIGROUP MCAID REPLACEMENT — 2714_SDTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $35,191.34 AMERIGROUP MCAID REPLACEMENT — 2715_THTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $36,503.85 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $123,997.91 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $114,489.11 CIGNA CONNECT — 2769_STTN CIGNA CONNECT 20240701: $91,530.53
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$8,394.50 – $152,832.26
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates AETNA — 3161_RPTN AETNA 20250701: $77,039 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,832 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,292 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $16,675 BCBS PREFERRED — 3181_BLUE CROSS BLUE SHIELD PREFERRED REGIONAL 20250701: $16,675 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $15,440 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $118,932.13 COMMUNITY PLAN — 2865_STTN MTTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMU: $45,572.61 SMART HEALTH — 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INP: $104,042.61 SMART HEALTH — 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUT: $104,042.61
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$7,610.17 – $51,663.16
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $19,970 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $20,300 AMERIGROUP MCAID REPLACEMENT — 2711_MTTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $9,652.64 AMERIGROUP MCAID REPLACEMENT — 2712_RPTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $7,693.33 AMERIGROUP MCAID REPLACEMENT — 2713_RHTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $8,557.71 AMERIGROUP MCAID REPLACEMENT — 2714_SDTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $7,610.17 AMERIGROUP MCAID REPLACEMENT — 2715_THTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $7,894 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $35,224.64 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $33,716.62 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $31,131.05
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$7,610.17 – $51,663.16
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans AETNA — 3161_RPTN AETNA 20250701: $43,688 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,292 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $16,675 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $15,440 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $25,528.88 COMMUNITY PLAN — 2865_STTN MTTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMU: $8,943.87 SMART HEALTH — 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INP: $21,079.94 SMART HEALTH — 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUT: $21,079.94 SMART HEALTH — 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101: $10,900
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,394.50 – $47,190.12
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $19,970 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $20,300 AMERIGROUP MCAID REPLACEMENT — 2711_MTTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $10,767.66 AMERIGROUP MCAID REPLACEMENT — 2712_RPTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $8,582.02 AMERIGROUP MCAID REPLACEMENT — 2713_RHTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $9,546.24 AMERIGROUP MCAID REPLACEMENT — 2714_SDTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $8,489.25 AMERIGROUP MCAID REPLACEMENT — 2715_THTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $8,805.87 BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $32,174.86 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $30,797.40 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $28,435.70
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,394.50 – $47,190.12
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans AETNA — 3161_RPTN AETNA 20250701: $34,704 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,292 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $16,675 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $15,440 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $32,440.17 COMMUNITY PLAN — 2865_STTN MTTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMU: $11,859.20 SMART HEALTH — 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INP: $25,138.50 SMART HEALTH — 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUT: $25,138.50 SMART HEALTH — 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101: $10,900
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,980.49 – $20,300
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates AETNA — 3159_STTN AETNA 20250701: $19,970 AETNA (RUTHERFORD ONLY) — 3160_MTTN AETNA 20250701: $20,300 AMERIGROUP MCAID REPLACEMENT — 2711_MTTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $5,048.81 AMERIGROUP MCAID REPLACEMENT — 2712_RPTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $4,023.99 AMERIGROUP MCAID REPLACEMENT — 2713_RHTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $4,476.10 AMERIGROUP MCAID REPLACEMENT — 2714_SDTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $3,980.49 AMERIGROUP MCAID REPLACEMENT — 2715_THTN MEDICAID REPLACEMENT WELLPOINT INPATIENT 20231001: $4,128.95 BCBS MISSIONPOINT — 2422_BLUE CROSS BLUE SHIELD MISSIONPOINT REGIONAL 20221001: $8,940.49 BCBS NETWORK E — 3149_BLUE CROSS BLUE SHIELD NETWORK E REGIONAL 20250401: $8,254.89 BCBS NETWORK L — 3150_BLUE CROSS BLUE SHIELD NETWORK L REGIONAL 20250401: $8,972.40
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,980.49 – $20,300
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans BCBS ACA EXCHANGE — 3146_MTTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,832 BCBS ACA EXCHANGE — 3147_STTN BLUE CROSS BLUE SHIELD NETWORK E 20241231: $18,292 BCBS SELECT — 3182_BLUE CROSS BLUE SHIELD SELECT REGIONAL 20250701: $15,440 CIGNA CONNECT — 3148_HKTN CIGNA CONNECT 20250101: $16,936.63 COMMUNITY PLAN — 2865_STTN MTTN MEDICAID REPLACEMENT UNITED HEALTH CARE COMMU: $5,476.07 SMART HEALTH — 2840_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH INP: $11,818.67 SMART HEALTH — 2936_MTTN, RPTN, RHTN, SDTN, THTN ASCENSION SMART HEALTH OUT: $11,818.67 SMART HEALTH — 2937_STTN ASCENSION SMART HEALTH OUTPATIENT 20250101: $10,900

Source: Saint Thomas Hickman Hospital’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	135 East Swan Street, Centerville, TN 37033
County	Hickman County
State	Tennessee
Phone	(931) 729‑4271
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	441300
Name in Medicare records	SAINT THOMAS HICKMAN HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ascension Saint Thomas Hickman
Official website	healthcare.ascension.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Ascension Saint Thomas Hickman | Ascension — healthcare.ascension.org
Ascension Saint Thomas Hickman Hospital - Emergency | Ascension — healthcare.ascension.org

Saint Thomas Hickman Hospital

Summary

Profile from official sources

At a glance