Does Samaritan Hospital of Troy, New York have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Samaritan Hospital of Troy, New York. In a medical emergency, call 911.

Where is Samaritan Hospital of Troy, New York?

2215 Burdett Avenue, Troy, NY 12180, in Rensselaer County, New York.

What is the phone number of Samaritan Hospital of Troy, New York?

(518) 427-3402, as listed by Medicare (CMS).

What is the Medicare star rating of Samaritan Hospital of Troy, New York?

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

Samaritan Hospital of Troy, New York

Quick answers

Does Samaritan Hospital of Troy, New York have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Samaritan Hospital of Troy, New York. In a medical emergency, call 911.
Where is Samaritan Hospital of Troy, New York?: 2215 Burdett Avenue, Troy, NY 12180, in Rensselaer County, New York.
What is the phone number of Samaritan Hospital of Troy, New York?: (518) 427-3402, as listed by Medicare (CMS).
What is the Medicare star rating of Samaritan Hospital of Troy, New York?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Treatments^[4]

Critical care

Procedures^[4][5]

Programs and centers^[5]

Cancer Treatment Center
Cardiac & Pulmonary Rehabilitation and Wellness Program

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

Emergency room	Yes
Stroke designation	Primary Stroke Center (NYS Department of Health; Joint Commission Certificate of Distinction)

Visiting and practical information

Parking	Free parking in the main entrance garage off Eagle Street; valet Mon-Fri 5 a.m.-5 p.m. for $5^[4]

Recognition^[5]

Joint Commission Certificate of Distinction for Advanced Certification as a Primary Stroke Center
Accredited by the Intersocietal Accreditation Commission (adult transthoracic echocardiography)
Cancer Treatment Center accredited by the American College of Radiation Oncology (ACRO)

Doctors and clinicians (1,349)

1,349 doctors and other clinicians list Samaritan Hospital of Troy, New York as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,325 more: the button below opens the full list.

Other emergency rooms nearby

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

St Peter's Hospital7.3 mi · Albany, NY · Acute Care Hospital
Albany VA Medical Center7.9 mi · Albany, NY · Federal/VA Acute Care Hospital
Albany Medical Center Hospital7.9 mi · Albany, NY · Acute Care Hospital
Ellis Hospital14 mi · Schenectady, NY · Acute Care Hospital
Saratoga Hospital25 mi · Saratoga Springs, NY · Acute Care Hospital

Other hospitals nearby

Capital District Psych Center7.9 mi · Albany, NY · Psychiatric Hospital
Sunnyview Hospital and Rehabilitation Center14 mi · Schenectady, NY · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Eddy Memorial Geriatric Center0.1 mi · Troy, NY · 4 of 5 stars
Eddy Heritage House Nursing and Rehabilitation Ctr0.5 mi · Troy, NY · 1 of 5 stars
Troy Center for Rehabilitation and Nursing2.8 mi · Troy, NY · 2 of 5 stars

All nursing homes in the state →

Hospice providers

The Community Hospice, Inc7.8 mi · Albany, NY · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Eddy Visiting Nurse & Rehab Association3.8 mi · Troy, NY · 5 of 5 stars
VNA Home Health7.0 mi · Albany, NY · 4 of 5 stars
Marquis Certified Home Care, LLC7.8 mi · Albany, NY · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DCI - Rubin Dialysis Center - Troy3.8 mi · Troy, NY · 1 of 5 stars
Fresenius Kidney Care Troy3.8 mi · Troy, NY · 2 of 5 stars
Fresenius Kidney Care Latham5.4 mi · Latham, NY · 1 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.

Albany Regional Eye Surgery Center5.4 mi · Latham, NY
New England Laser & Cosmetic Surgery Center5.4 mi · Latham, NY
Specialty Eye Surgery and Laser Center of the Capi5.4 mi · Latham, NY

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

Watervliet Health Center1.6 mi · Watervliet, NY · Community health center
Watervliet Junior-Senior High School2.3 mi · Watervliet, NY · Community health center
North Troy3.5 mi · Troy, NY · Community health center

Clinics and urgent care

Centralmed Urgent Care and Primary Care LLP7.8 mi · Colonie, NY · Urgent care center
CTP Newton Medical PC7.8 mi · Albany, NY · Urgent care center
American Current Care P.A.9.7 mi · Albany, NY · Urgent care center

Pharmacies

Walgreen Co2.3 mi · Watervliet, NY · Pharmacy
Watervliet Pharmacy Acquisition, LLC2.3 mi · Watervliet, NY · Community/retail pharmacy
Keystone Pharmacy New York LLC3.8 mi · Troy, NY · Pharmacy

Assisted living nearby

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

The Eliot at Troy, LLC3.8 mi · Troy, NY
The Pines at Heartwood3.8 mi · Troy, NY
The Terrace at the Eddy Memorial3.8 mi · Troy, NY
Peregrine Shaker4.3 mi · Albany, NY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	1 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	55%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	506Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.81No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.792No different from the national benchmark
Surgical site infections after colon surgery	0.529No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.505No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.488Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.1%
Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	13.1%
Deaths within 30 days: COPD patients	9.7%
Deaths within 30 days: stroke patients	16.1%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.94No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	22.3%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	17.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	68%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in New York Best hospitals in New York

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as Samaritan Hospital of Troy, New York 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 →

$ 20 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level	$286	$286	$57.90 – $286
New patient office visit (about 30–44 minutes): 10 of 1,609 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $286 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $286 ADAMH BOARD — PB XR 100% DEFAULT: $286 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $286 AETNA TRANSPLANT — PB XR 100% DEFAULT: $286 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $286 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $286 ALLEGEANT — PB XR 100% DEFAULT: $286 ALLEGIANCE — PB XR 100% DEFAULT: $286 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $286
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit New Low Pro 30-44 Mins (Restricted Method II CAH)	Not listed in the file	$221.71	$25.10 – $587.82
New patient office visit (about 30–44 minutes): 10 of 127 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $73.30 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $25.10 ALLEGIANCE — CIGNA: $587.82 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $587.82 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $369.05 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $87.48 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $87.48 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $369.05 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $369.05 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $369.05
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$425	$425	$94.06 – $425
New patient office visit (about 45–59 minutes): 10 of 1,609 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $425 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $425 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $425 ADVOCATE HEALTH — PB XR 100% DEFAULT: $425 AETNA DOMESTIC — AETNA: $309.09 AETNA TRANSPLANT — PB XR 100% DEFAULT: $425 AFLAC — PB XR 100% DEFAULT: $425 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $425 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $425 ALLEGIANCE — PB XR 100% DEFAULT: $425
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level	$462	$462	$115.66 – $462
New patient office visit (about 60–74 minutes): 10 of 1,609 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $462 ACCESS HEALTH — PB XR 100% DEFAULT: $462 ADMIRAL LIFE — PB XR 100% DEFAULT: $462 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $462 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $462 AETNA DOMESTIC — AETNA: $333.78 AETNA EAP — PB XR 100% DEFAULT: $462 AETNA TRANSPLANT — PB XR 100% DEFAULT: $462 AFLAC — PB XR 100% DEFAULT: $462 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $462
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level	$562	$562	$126.74 – $562
New patient office visit (about 60–74 minutes): 10 of 1,609 insurance plan rates AARP — PB XR 100% DEFAULT: $562 ACCESS HEALTH — PB XR 100% DEFAULT: $562 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $562 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $562 ADMIRAL LIFE — PB XR 100% DEFAULT: $562 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $562 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $562 ADVOCATE HEALTH — PB XR 100% DEFAULT: $562 AETNA — AETNA: $346.50 AETNA DOMESTIC — AETNA: $346.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$231	$231	$49.86 – $231
Established patient office visit (about 20–29 minutes): 10 of 1,591 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $231 ADMIRAL LIFE — PB XR 100% DEFAULT: $231 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $231 ADVOCATE HEALTH — PB XR 100% DEFAULT: $231 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $231 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $231 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $231 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $231 AMERIHEALTH CARITAS NEXT — PB XR 100% DEFAULT: $231 AMPS — PB XR 100% DEFAULT: $231
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$231	$231	$79.86 – $168.14
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates AETNA — AETNA: $168.14 AETNA DOMESTIC — AETNA: $168.14 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.82 CHAMPVA — TRICARE: $82.43 COVENTRY — AETNA: $168.14 GEHA — AETNA: $168.14 HUDSON HEADWATERS PACE — HUDSON HEADWATERS PACE: $99.21 MEDICAID - ID — MEDICAID: $79.86 MERITAIN — AETNA: $168.14 RX MEDICARE — MEDICARE: $90.02
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$231	$231	$47.61 – $142.92
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates AETNA — AETNA: $142.92 AETNA DOMESTIC — AETNA: $142.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.05 CHAMPVA — TRICARE: $70.06 COVENTRY — AETNA: $142.92 GEHA — AETNA: $142.92 HUDSON HEADWATERS PACE — HUDSON HEADWATERS PACE: $84.33 MEDICAID - ID — MEDICAID: $67.88 MERITAIN — AETNA: $142.92 RX MEDICARE — MEDICARE: $76.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$327	$327	$74.79 – $327
Established patient office visit (about 30–39 minutes): 10 of 1,609 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $327 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $327 AETNA — AETNA: $237.42 AETNA MEDICAID — PB XR 100% DEFAULT: $327 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $130.83 AMALGAMATED — PB XR 100% DEFAULT: $327 AMERICA'S TPA — PB XR 100% DEFAULT: $327 AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $327 AMISH HOSPITAL AID — PB XR 100% DEFAULT: $327 ATTLEBORO NURSING & REHAB — PB XR 100% DEFAULT: $327
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Mod Pro 30-39 Mins (Restricted Method II CAH)	Not listed in the file	$815.75	$65 – $593.64
Established patient office visit (about 30–39 minutes): 10 of 121 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $87.14 ALLEGIANCE — CIGNA: $593.64 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $593.64 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $436.08 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $210 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $210 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $436.08 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $436.08 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $436.08 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $436.08
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Consultation Office/Outpatient New/Estab Patient 30-39 Mins Sane	$533	$346.45	$61.08 – $3,614
Office consultation with a specialist (moderate): 10 of 119 insurance plan rates ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $533 ALLEGIANCE — CIGNA: $2,358 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,358 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $397.68 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $399.75 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $399.75 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $397.68 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $397.68 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $397.68 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $397.68
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Consultation Office/Outpatient New/Estab Patient 40-54 Mins Sane	$581	$377.65	$93.03 – $3,614
Office consultation with a specialist (moderate to high): 10 of 119 insurance plan rates ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $581 ALLEGIANCE — CIGNA: $2,358 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,358 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $606.63 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $435.75 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $435.75 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $606.63 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $606.63 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $606.63 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $606.63
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$331	$331	$104.96 – $331
Preventive checkup, new patient, age 18–39: 10 of 1,589 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $331 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $331 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $331 AFLAC — PB XR 100% DEFAULT: $331 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $331 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $331 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $331 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $331 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $331 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $331
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$200	$130	$50 – $727.50
Preventive checkup, new patient, age 18–39: 10 of 104 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $50 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $200 ALLEGIANCE — CIGNA: $727.50 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $727.50 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $421.90 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $421.90 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $421.90 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $421.90 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $421.90 BLUE CROSS - DC (CAREFIRST) — BLUE SHIELD OF NE NEW YORK PPO: $421.90
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years	$331	$331	$99.37 – $203.07
Preventive checkup, new patient, age 18–39: 10 of 18 insurance plan rates AETNA — AETNA: $203.07 AETNA DOMESTIC — AETNA: $203.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.80 CHAMPVA — TRICARE: $99.53 COVENTRY — AETNA: $203.07 GEHA — AETNA: $203.07 HUDSON HEADWATERS PACE — HUDSON HEADWATERS PACE: $119.72 MEDICAID - ID — MEDICAID: $109.87 MEDICAID - MI — MEDICAID: $99.37 MERITAIN — AETNA: $203.07
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$381	$381	$104.96 – $381
Preventive checkup, new patient, age 40–64: 10 of 1,589 insurance plan rates AARP — PB XR 100% DEFAULT: $381 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $381 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $381 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $381 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $381 AETNA EAP — PB XR 100% DEFAULT: $381 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $381 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $381 ALLEGIANCE — PB XR 100% DEFAULT: $381 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $381
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$200	$130	$50 – $841.96
Preventive checkup, new patient, age 40–64: 10 of 104 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $50 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $200 ALLEGIANCE — CIGNA: $841.96 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $841.96 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $511.65 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $511.65 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $511.65 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $511.65 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $511.65 BLUE CROSS - DC (CAREFIRST) — BLUE SHIELD OF NE NEW YORK PPO: $511.65
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years	$381	$381	$109.87 – $234.34
Preventive checkup, new patient, age 40–64: 10 of 18 insurance plan rates AETNA — AETNA: $234.34 AETNA DOMESTIC — AETNA: $234.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $127.89 CHAMPVA — TRICARE: $114.75 COVENTRY — AETNA: $234.34 GEHA — AETNA: $234.34 HUDSON HEADWATERS PACE — HUDSON HEADWATERS PACE: $138.18 MEDICAID - ID — MEDICAID: $109.87 MEDICAID - MI — MEDICAID: $117.10 MERITAIN — AETNA: $234.34
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$348	$348	$44.94 – $348
Emergency room visit (moderate): 10 of 1,600 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $348 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $348 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $348 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $348 AFLAC — PB XR 100% DEFAULT: $348 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $348 ALLEGEANT — PB XR 100% DEFAULT: $348 ALLEGIANCE — PB XR 100% DEFAULT: $348 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $348 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $348
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$148	$148	$44.94 – $148
Emergency room visit (moderate): 10 of 1,600 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $148 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $148 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $148 AETNA TRANSPLANT — PB XR 100% DEFAULT: $148 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $148 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $148 ALLEGIANCE — PB XR 100% DEFAULT: $148 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $148 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $148 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $148
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$1,261	$819.65	$10.61 – $3,614
Emergency room visit (moderate): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $2,624 AETNA — AETNA: $2,624 AETNA DOMESTIC — AETNA: $2,624 AETNA EAP — AETNA: $2,624 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $360.65 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $1,261 ALLEGIANCE — CIGNA: $2,358 ALLIED BENEFIT SYSTEMS — AETNA: $2,624 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,358 ASR HEALTH BENEFITS — AETNA: $2,624
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$309	$309	$76.68 – $309
Emergency room visit (moderately high): 10 of 1,602 insurance plan rates ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $309 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $309 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $309 ADAMH BOARD — PB XR 100% DEFAULT: $309 ADMIRAL LIFE — PB XR 100% DEFAULT: $309 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $309 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $309 ADVOCATE HEALTH — PB XR 100% DEFAULT: $309 AETNA MEDICAID — PB XR 100% DEFAULT: $309 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $309
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$76.68 – $253
Emergency room visit (moderately high): 10 of 1,602 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $253 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $253 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $253 ADVOCATE HEALTH — PB XR 100% DEFAULT: $253 AETNA EAP — PB XR 100% DEFAULT: $253 AETNA MEDICAID — PB XR 100% DEFAULT: $253 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $253 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $253 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $253 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $253
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$1,997	$1,298.05	$112.99 – $3,614
Emergency room visit (moderately high): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $2,624 AETNA — AETNA: $2,624 AETNA DOMESTIC — AETNA: $2,624 AETNA EAP — AETNA: $2,624 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $551.28 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $1,997 ALLEGIANCE — CIGNA: $2,358 ALLIED BENEFIT SYSTEMS — AETNA: $2,624 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,358 ASR HEALTH BENEFITS — AETNA: $2,624
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$450	$450	$111.19 – $450
Emergency room visit (high): 10 of 1,602 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $450 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $450 ADAMH BOARD — PB XR 100% DEFAULT: $450 AETNA MEDICAID — PB XR 100% DEFAULT: $450 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $450 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $450 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $450 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $450 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $450 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $450
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$367	$367	$111.19 – $367
Emergency room visit (high): 10 of 1,602 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $367 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $367 AETNA MEDICAID — PB XR 100% DEFAULT: $367 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $367 AETNA TRANSPLANT — PB XR 100% DEFAULT: $367 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $367 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $367 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $367 AMALGAMATED — PB XR 100% DEFAULT: $367 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $367
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe	$1,997	$1,298.05	$163.82 – $4,109
Emergency room visit (high): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $2,624 AETNA — AETNA: $2,624 AETNA DOMESTIC — AETNA: $2,624 AETNA EAP — AETNA: $2,624 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $786.81 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $1,997 ALLEGIANCE — CIGNA: $2,358 ALLIED BENEFIT SYSTEMS — AETNA: $2,624 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $2,358 ASR HEALTH BENEFITS — AETNA: $2,624

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$126	$81.90	$7.32 – $126
Basic metabolic panel (blood test): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $27.50 AETNA — AETNA: $27.50 AETNA DOMESTIC — AETNA: $27.50 AETNA EAP — AETNA: $27.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.95 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $7.32 ALLEGIANCE — CIGNA: $56.70 ALLIED BENEFIT SYSTEMS — AETNA: $27.50 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $56.70 ASR HEALTH BENEFITS — AETNA: $27.50
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	Not listed in the file	$228.15	$7.32 – $38.82
Basic metabolic panel (blood test): 10 of 129 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $27.50 AETNA — AETNA: $27.50 AETNA DOMESTIC — AETNA: $27.50 AETNA EAP — AETNA: $27.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.95 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $7.32 ALLIED BENEFIT SYSTEMS — AETNA: $27.50 ASR HEALTH BENEFITS — AETNA: $27.50 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $38.82 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Comprehensive Metabolic Panel	$185	$120.25	$10.10 – $185
Comprehensive metabolic panel (blood test): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $34.32 AETNA — AETNA: $34.32 AETNA DOMESTIC — AETNA: $34.32 AETNA EAP — AETNA: $34.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11.18 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $10.10 ALLEGIANCE — CIGNA: $83.25 ALLIED BENEFIT SYSTEMS — AETNA: $34.32 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $83.25 ASR HEALTH BENEFITS — AETNA: $34.32
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$185	$120.25	$10.10 – $185
Comprehensive metabolic panel (blood test): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $34.32 AETNA — AETNA: $34.32 AETNA DOMESTIC — AETNA: $34.32 AETNA EAP — AETNA: $34.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11.18 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $10.10 ALLEGIANCE — CIGNA: $83.25 ALLIED BENEFIT SYSTEMS — AETNA: $34.32 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $83.25 ASR HEALTH BENEFITS — AETNA: $34.32
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	Not listed in the file	$540.80	$10.10 – $299.15
Comprehensive metabolic panel (blood test): 10 of 106 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $34.32 AETNA — AETNA: $34.32 AETNA DOMESTIC — AETNA: $34.32 AETNA EAP — AETNA: $34.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11.18 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $10.10 ALLIED BENEFIT SYSTEMS — AETNA: $34.32 ASR HEALTH BENEFITS — AETNA: $34.32 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $48.45 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $48.45
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Lipid Panel	$119	$77.35	$6.10 – $119
Cholesterol panel (lipid panel): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $43.52 AETNA — AETNA: $43.52 AETNA DOMESTIC — AETNA: $43.52 AETNA EAP — AETNA: $43.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.17 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.10 ALLEGIANCE — CIGNA: $53.55 ALLIED BENEFIT SYSTEMS — AETNA: $43.52 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $53.55 ASR HEALTH BENEFITS — AETNA: $43.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 884247 Lipid Panel	$318	$206.70	$6.10 – $318
Cholesterol panel (lipid panel): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $43.52 AETNA — AETNA: $43.52 AETNA DOMESTIC — AETNA: $43.52 AETNA EAP — AETNA: $43.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.17 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.10 ALLEGIANCE — CIGNA: $143.10 ALLIED BENEFIT SYSTEMS — AETNA: $43.52 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $143.10 ASR HEALTH BENEFITS — AETNA: $43.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$119	$77.35	$6.10 – $119
Cholesterol panel (lipid panel): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $43.52 AETNA — AETNA: $43.52 AETNA DOMESTIC — AETNA: $43.52 AETNA EAP — AETNA: $43.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14.17 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.10 ALLEGIANCE — CIGNA: $53.55 ALLIED BENEFIT SYSTEMS — AETNA: $43.52 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $53.55 ASR HEALTH BENEFITS — AETNA: $43.52
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$130	$84.50	$8.51 – $130
Kidney function panel: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $28.21 AETNA — AETNA: $28.21 AETNA DOMESTIC — AETNA: $28.21 AETNA EAP — AETNA: $28.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9.19 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $8.68 ALLEGIANCE — CIGNA: $58.50 ALLIED BENEFIT SYSTEMS — AETNA: $28.21 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $58.50 ASR HEALTH BENEFITS — AETNA: $28.21
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$114	$74.10	$7.32 – $114
Liver function panel: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $26.55 AETNA — AETNA: $26.55 AETNA DOMESTIC — AETNA: $26.55 AETNA EAP — AETNA: $26.55 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.65 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $7.32 ALLEGIANCE — CIGNA: $51.30 ALLIED BENEFIT SYSTEMS — AETNA: $26.55 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $51.30 ASR HEALTH BENEFITS — AETNA: $26.55
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis by Dipstick or Tablet Reagent With Microscopy Automated	$11	$11	$2.54 – $11
Urine test (automated, with microscope): 10 of 1,592 insurance plan rates ADAMH BOARD — PB XR 100% DEFAULT: $11 ADMIRAL LIFE — PB XR 100% DEFAULT: $11 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $11 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $11 ADVOCATE HEALTH — PB XR 100% DEFAULT: $11 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $11 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $11 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $11 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $11 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $11
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$108	$70.20	$3.11 – $108
Urine test (automated, with microscope): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $10.30 AETNA — AETNA: $10.30 AETNA DOMESTIC — AETNA: $10.30 AETNA EAP — AETNA: $10.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.36 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.17 ALLEGIANCE — CIGNA: $48.60 ALLIED BENEFIT SYSTEMS — AETNA: $10.30 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $48.60 ASR HEALTH BENEFITS — AETNA: $10.30
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Urinalysis by Dipstick or Tablet Reagent With Microscopy Automated	Not listed in the file	$21.21	$2.54 – $21.21
Urine test (automated, with microscope): 10 of 1,599 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $21.21 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $21.21 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $21.21 AETNA TRANSPLANT — PB XR 100% DEFAULT: $21.21 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $21.21 AFLAC — PB XR 100% DEFAULT: $21.21 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $21.21 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $21.21 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $21.21 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $21.21
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Non-Automated	$8	$8	$2.78 – $8
Urine test (manual, without microscope): 10 of 1,592 insurance plan rates AARP — PB XR 100% DEFAULT: $8 ADAMH BOARD — PB XR 100% DEFAULT: $8 ADMIRAL LIFE — PB XR 100% DEFAULT: $8 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $8 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $8 ADVOCATE HEALTH — PB XR 100% DEFAULT: $8 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $8 ALLEGIANCE — PB XR 100% DEFAULT: $8 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $8 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $8
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Nonautomated	$13	$8.45	$2.02 – $15.97
Urine test (manual, without microscope): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $11.31 AETNA — AETNA: $11.31 AETNA DOMESTIC — AETNA: $11.31 AETNA EAP — AETNA: $11.31 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.68 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $2.02 ALLEGIANCE — CIGNA: $5.85 ALLIED BENEFIT SYSTEMS — AETNA: $11.31 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5.85 ASR HEALTH BENEFITS — AETNA: $11.31
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Non-Automated	Not listed in the file	$9.12	$2.78 – $9.12
Urine test (manual, without microscope): 10 of 1,599 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $9.12 ACCLAIM — PB XR 100% DEFAULT: $9.12 AETNA MEDICAID — PB XR 100% DEFAULT: $9.12 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $9.12 AFLAC — PB XR 100% DEFAULT: $9.12 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $9.12 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $9.12 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $9.12 ALLEGEANT — PB XR 100% DEFAULT: $9.12 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $9.12
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated	$7	$7	$1.80 – $7
Urine test (automated, without microscope): 10 of 1,592 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $7 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $7 ADAMH BOARD — PB XR 100% DEFAULT: $7 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $7 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $7 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $7 ALLEGEANT — PB XR 100% DEFAULT: $7 ALLEGIANCE — PB XR 100% DEFAULT: $7 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $7 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $7
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$9	$5.85	$2.02 – $10.32
Urine test (automated, without microscope): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $7.31 AETNA — AETNA: $7.31 AETNA DOMESTIC — AETNA: $7.31 AETNA EAP — AETNA: $7.31 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.38 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $2.02 ALLEGIANCE — CIGNA: $4.05 ALLIED BENEFIT SYSTEMS — AETNA: $7.31 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $4.05 ASR HEALTH BENEFITS — AETNA: $7.31
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated	Not listed in the file	$7.48	$1.80 – $7.48
Urine test (automated, without microscope): 10 of 1,599 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $7.48 ADAMH BOARD — PB XR 100% DEFAULT: $7.48 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $7.48 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $7.48 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $7.48 ALLEGIANCE — PB XR 100% DEFAULT: $7.48 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $7.48 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $7.48 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $7.48 AMISH MENNONITE — PB XR 100% DEFAULT: $7.48
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 31348 Prostate Specific Antigen Total	$102	$66.30	$18.02 – $102
PSA (prostate specific antigen) blood test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $59.77 AETNA — AETNA: $59.77 AETNA DOMESTIC — AETNA: $59.77 AETNA EAP — AETNA: $59.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.46 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $18.39 ALLEGIANCE — CIGNA: $45.90 ALLIED BENEFIT SYSTEMS — AETNA: $59.77 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $45.90 ASR HEALTH BENEFITS — AETNA: $59.77
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$102	$66.30	$18.02 – $102
PSA (prostate specific antigen) blood test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $59.77 AETNA — AETNA: $59.77 AETNA DOMESTIC — AETNA: $59.77 AETNA EAP — AETNA: $59.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.46 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $18.39 ALLEGIANCE — CIGNA: $45.90 ALLIED BENEFIT SYSTEMS — AETNA: $59.77 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $45.90 ASR HEALTH BENEFITS — AETNA: $59.77
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Prostate Specific Antigen Total	$102	$66.30	$18.02 – $102
PSA (prostate specific antigen) blood test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $59.77 AETNA — AETNA: $59.77 AETNA DOMESTIC — AETNA: $59.77 AETNA EAP — AETNA: $59.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $19.46 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $18.39 ALLEGIANCE — CIGNA: $45.90 ALLIED BENEFIT SYSTEMS — AETNA: $59.77 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $45.90 ASR HEALTH BENEFITS — AETNA: $59.77
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 224576 Thyroid Stimulating Hormone	$165	$107.25	$9.09 – $165
Thyroid stimulating hormone (TSH) test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $54.60 AETNA — AETNA: $54.60 AETNA DOMESTIC — AETNA: $54.60 AETNA EAP — AETNA: $54.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.78 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $9.09 ALLEGIANCE — CIGNA: $74.25 ALLIED BENEFIT SYSTEMS — AETNA: $54.60 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $74.25 ASR HEALTH BENEFITS — AETNA: $54.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Thyroid Stimulating Hormone (Tsh)	$196	$127.40	$9.09 – $196
Thyroid stimulating hormone (TSH) test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $54.60 AETNA — AETNA: $54.60 AETNA DOMESTIC — AETNA: $54.60 AETNA EAP — AETNA: $54.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.78 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $9.09 ALLEGIANCE — CIGNA: $88.20 ALLIED BENEFIT SYSTEMS — AETNA: $54.60 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $88.20 ASR HEALTH BENEFITS — AETNA: $54.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Thyroid Stimulating Hormone	$165	$107.25	$9.09 – $165
Thyroid stimulating hormone (TSH) test: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $54.60 AETNA — AETNA: $54.60 AETNA DOMESTIC — AETNA: $54.60 AETNA EAP — AETNA: $54.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.78 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $9.09 ALLEGIANCE — CIGNA: $74.25 ALLIED BENEFIT SYSTEMS — AETNA: $54.60 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $74.25 ASR HEALTH BENEFITS — AETNA: $54.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$84	$54.60	$3.20 – $84
Complete blood count (CBC) with differential: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $25.25 AETNA — AETNA: $25.25 AETNA DOMESTIC — AETNA: $25.25 AETNA EAP — AETNA: $25.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.22 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.20 ALLEGIANCE — CIGNA: $37.80 ALLIED BENEFIT SYSTEMS — AETNA: $25.25 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $37.80 ASR HEALTH BENEFITS — AETNA: $25.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	Not listed in the file	$563.55	$3.20 – $299.15
Complete blood count (CBC) with differential: 10 of 106 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $25.25 AETNA — AETNA: $25.25 AETNA DOMESTIC — AETNA: $25.25 AETNA EAP — AETNA: $25.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.22 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.20 ALLIED BENEFIT SYSTEMS — AETNA: $25.25 ASR HEALTH BENEFITS — AETNA: $25.25 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $35.65 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $35.65
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Cbc Automated/Differential Wbc Automated\|PN - NON-EXCEPTED OFF-CAMPUS SVC	Not listed in the file	$507.65	$3.20 – $299.15
Complete blood count (CBC) with differential: 10 of 112 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $25.25 AETNA — AETNA: $25.25 AETNA DOMESTIC — AETNA: $25.25 AETNA EAP — AETNA: $25.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $175.90 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.20 ALLIED BENEFIT SYSTEMS — AETNA: $25.25 ASR HEALTH BENEFITS — AETNA: $25.25 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $35.65 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $35.65
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$97	$63.05	$3.20 – $97
Complete blood count (CBC), automated: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $21.03 AETNA — AETNA: $21.03 AETNA DOMESTIC — AETNA: $21.03 AETNA EAP — AETNA: $21.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.85 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.20 ALLEGIANCE — CIGNA: $43.65 ALLIED BENEFIT SYSTEMS — AETNA: $21.03 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $43.65 ASR HEALTH BENEFITS — AETNA: $21.03
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated	Not listed in the file	$632.45	$3.20 – $29.69
Complete blood count (CBC), automated: 10 of 130 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $21.03 AETNA — AETNA: $21.03 AETNA DOMESTIC — AETNA: $21.03 AETNA EAP — AETNA: $21.03 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.85 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.20 ALLIED BENEFIT SYSTEMS — AETNA: $21.03 ASR HEALTH BENEFITS — AETNA: $21.03 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $29.69 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $16.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Prothrombin Time	$15	$15	$3.43 – $15
Blood clotting time test (prothrombin time, PT): 10 of 1,599 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $15 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $15 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $15 AETNA MEDICAID — PB XR 100% DEFAULT: $15 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $15 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $15 AMALGAMATED — PB XR 100% DEFAULT: $15 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $15 AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $15 AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp Prothrombin Time	$90	$58.50	$3.95 – $90
Blood clotting time test (prothrombin time, PT): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $13.94 AETNA — AETNA: $13.94 AETNA DOMESTIC — AETNA: $13.94 AETNA EAP — AETNA: $13.94 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.54 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.95 ALLEGIANCE — CIGNA: $40.50 ALLIED BENEFIT SYSTEMS — AETNA: $13.94 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $40.50 ASR HEALTH BENEFITS — AETNA: $13.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 117079 Prothrombin Time	$90	$58.50	$3.95 – $90
Blood clotting time test (prothrombin time, PT): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $13.94 AETNA — AETNA: $13.94 AETNA DOMESTIC — AETNA: $13.94 AETNA EAP — AETNA: $13.94 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.54 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $3.95 ALLEGIANCE — CIGNA: $40.50 ALLIED BENEFIT SYSTEMS — AETNA: $13.94 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $40.50 ASR HEALTH BENEFITS — AETNA: $13.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 19790 Thromboplastin Time Partial (Ptt)	$125	$81.25	$5.89 – $125
Blood clotting test (partial thromboplastin time, PTT): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $19.53 AETNA — AETNA: $19.53 AETNA DOMESTIC — AETNA: $19.53 AETNA EAP — AETNA: $19.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.36 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.01 ALLEGIANCE — CIGNA: $56.25 ALLIED BENEFIT SYSTEMS — AETNA: $19.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $56.25 ASR HEALTH BENEFITS — AETNA: $19.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 91242 Thromboplastin Time Partial (Ptt)	$125	$81.25	$5.89 – $125
Blood clotting test (partial thromboplastin time, PTT): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $19.53 AETNA — AETNA: $19.53 AETNA DOMESTIC — AETNA: $19.53 AETNA EAP — AETNA: $19.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.36 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.01 ALLEGIANCE — CIGNA: $56.25 ALLIED BENEFIT SYSTEMS — AETNA: $19.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $56.25 ASR HEALTH BENEFITS — AETNA: $19.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Labcorp 501768 Thromboplastin Time Partial (Ptt)	$125	$81.25	$5.89 – $125
Blood clotting test (partial thromboplastin time, PTT): 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $19.53 AETNA — AETNA: $19.53 AETNA DOMESTIC — AETNA: $19.53 AETNA EAP — AETNA: $19.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.36 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $6.01 ALLEGIANCE — CIGNA: $56.25 ALLIED BENEFIT SYSTEMS — AETNA: $19.53 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $56.25 ASR HEALTH BENEFITS — AETNA: $19.53

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$2,184	$1,419.60	$63.70 – $3,256
CT scan of the head or brain, without contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.12 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $121.20 ALLEGIANCE — CIGNA: $369.24 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $369.24 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $309.03 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $300.28 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $300.28 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $309.03 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $309.03 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $309.03
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Head/Brain W/O Contrast	$366.10	Not listed in the file	$25.56 – $302.02
CT scan of the head or brain, without contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $302.02 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $302.02 GENEX WC — WORKERS COMP: $302.02 HEALTHSMART WORKERS COMP — WORKERS COMP: $302.02 JAG SOURCE — WORKERS COMP: $302.02 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $302.02 NJM INSURANCE GROUP — WORKERS COMP: $302.02 RX HEATLHCOMP — WORKERS COMP: $302.02 RX RESTAT — WORKERS COMP: $302.02 RX SAIF OPDP WC — WORKERS COMP: $302.02
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Head/Brain W/O Contrast	Not listed in the file	Not listed in the file	$25.56 – $302.02
CT scan of the head or brain, without contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $302.02 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $302.02 GENEX WC — WORKERS COMP: $302.02 HEALTHSMART WORKERS COMP — WORKERS COMP: $302.02 JAG SOURCE — WORKERS COMP: $302.02 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $302.02 NJM INSURANCE GROUP — WORKERS COMP: $302.02 RX HEATLHCOMP — WORKERS COMP: $302.02 RX RESTAT — WORKERS COMP: $302.02 RX SAIF OPDP WC — WORKERS COMP: $302.02
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$5,534	$3,597.10	$200.93 – $5,534
MRI of the brain, before and after contrast: 10 of 140 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $460.93 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $505 ALLEGIANCE — CIGNA: $1,674 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,674 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $993.43 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $1,002.04 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $1,002.04 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $993.43 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $993.43 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $993.43
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR MRI Brain W/O Contrast Followed by Contrast Material	$970.73	Not listed in the file	$69.01 – $854.21
MRI of the brain, before and after contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $854.21 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $854.21 GENEX WC — WORKERS COMP: $854.21 HEALTHSMART WORKERS COMP — WORKERS COMP: $854.21 JAG SOURCE — WORKERS COMP: $854.21 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $854.21 NJM INSURANCE GROUP — WORKERS COMP: $854.21 RX HEATLHCOMP — WORKERS COMP: $854.21 RX RESTAT — WORKERS COMP: $854.21 RX SAIF OPDP WC — WORKERS COMP: $854.21
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MRI Brain W/O Contrast Followed by Contrast Material	Not listed in the file	Not listed in the file	$69.01 – $851.66
MRI of the brain, before and after contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $851.66 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $851.66 GENEX WC — WORKERS COMP: $851.66 HEALTHSMART WORKERS COMP — WORKERS COMP: $851.66 JAG SOURCE — WORKERS COMP: $851.66 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $851.66 NJM INSURANCE GROUP — WORKERS COMP: $851.66 RX HEATLHCOMP — WORKERS COMP: $851.66 RX RESTAT — WORKERS COMP: $851.66 RX SAIF OPDP WC — WORKERS COMP: $851.66
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Xr Chest 2 Views	$86	$86	$10.98 – $86
Chest X-ray, 2 views: 10 of 1,608 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $86 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $86 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $86 AETNA — AETNA: $61.59 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $86 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $86 ALLEGEANT — PB XR 100% DEFAULT: $86 ALLEGIANCE — PB XR 100% DEFAULT: $86 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $86 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $86
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$550	$357.50	$9.09 – $550
Chest X-ray, 2 views: 10 of 152 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $72.33 AETNA — AETNA: $72.33 AETNA DOMESTIC — AETNA: $72.33 AETNA EAP — AETNA: $72.33 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $114.98 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $15.15 ALLEGIANCE — CIGNA: $110.41 ALLIED BENEFIT SYSTEMS — AETNA: $72.33 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $110.41 ASR HEALTH BENEFITS — AETNA: $72.33
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Xr Chest 2 Views	Not listed in the file	$86	$6.60 – $84.81
Chest X-ray, 2 views: 10 of 1,607 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $84.81 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.59 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $84.81 AETNA TRANSPLANT — PB XR 100% DEFAULT: $84.81 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $84.81 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $84.81 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $84.81 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $84.81 ALTA HEALTH — PB XR 100% DEFAULT: $84.81 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $84.81
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views	$131	$131	$8.09 – $131
X-ray of the lower spine, at least 4 views: 10 of 1,601 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $131 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $131 AETNA MEDICAID — PB XR 100% DEFAULT: $131 AETNA TRANSPLANT — PB XR 100% DEFAULT: $131 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $131 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $131 ALLEGEANT — PB XR 100% DEFAULT: $131 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $131 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $131 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $131
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$961	$624.65	$18.18 – $961
X-ray of the lower spine, at least 4 views: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $119.98 AETNA — AETNA: $119.98 AETNA DOMESTIC — AETNA: $119.98 AETNA EAP — AETNA: $119.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.12 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $30.30 ALLEGIANCE — CIGNA: $179.19 ALLIED BENEFIT SYSTEMS — AETNA: $119.98 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $179.19 ASR HEALTH BENEFITS — AETNA: $119.98
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Xr Lumbosacral Spine >= 4 Views	Not listed in the file	$156.24	$8.09 – $156.24
X-ray of the lower spine, at least 4 views: 10 of 1,600 insurance plan rates ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $156.24 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $156.24 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $156.24 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $156.24 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $156.24 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $156.24 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $156.24 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $156.24 ALTA HEALTH — PB XR 100% DEFAULT: $156.24 AMERIBEN — PB XR 100% DEFAULT: $156.24
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$3,661	$2,379.65	$116.92 – $5,357
MRI of the lower back (lumbar spine), without contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $315.24 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $505 ALLEGIANCE — CIGNA: $1,674 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,674 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $570.71 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $570.71 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $570.71 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $570.71
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR MRI Lumbar Spine W/O Contrast	$733.05	Not listed in the file	$44.52 – $645.05
MRI of the lower back (lumbar spine), without contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $645.05 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $645.05 GENEX WC — WORKERS COMP: $645.05 HEALTHSMART WORKERS COMP — WORKERS COMP: $645.05 JAG SOURCE — WORKERS COMP: $645.05 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $645.05 NJM INSURANCE GROUP — WORKERS COMP: $645.05 RX HEATLHCOMP — WORKERS COMP: $645.05 RX RESTAT — WORKERS COMP: $645.05 RX SAIF OPDP WC — WORKERS COMP: $645.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR MRI Lumbar Spine W/O Contrast	Not listed in the file	Not listed in the file	$44.52 – $560.70
MRI of the lower back (lumbar spine), without contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $560.70 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $560.70 GENEX WC — WORKERS COMP: $560.70 HEALTHSMART WORKERS COMP — WORKERS COMP: $560.70 JAG SOURCE — WORKERS COMP: $560.70 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $560.70 NJM INSURANCE GROUP — WORKERS COMP: $560.70 RX HEATLHCOMP — WORKERS COMP: $560.70 RX RESTAT — WORKERS COMP: $560.70 RX SAIF OPDP WC — WORKERS COMP: $560.70
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$3,656	$2,376.40	$103.02 – $3,656
CT scan of the pelvis, with contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $231.74 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $171.70 ALLEGIANCE — CIGNA: $935.77 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $935.77 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $786.82 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $503.80 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $503.80 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $786.82 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $786.82 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $786.82
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Pelvis W/Contrast	$450.29	Not listed in the file	$34.72 – $371.47
CT scan of the pelvis, with contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $371.47 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $371.47 GENEX WC — WORKERS COMP: $371.47 HEALTHSMART WORKERS COMP — WORKERS COMP: $371.47 JAG SOURCE — WORKERS COMP: $371.47 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $371.47 NJM INSURANCE GROUP — WORKERS COMP: $371.47 RX HEATLHCOMP — WORKERS COMP: $371.47 RX RESTAT — WORKERS COMP: $371.47 RX SAIF OPDP WC — WORKERS COMP: $371.47
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Pelvis W/Contrast	Not listed in the file	Not listed in the file	$34.72 – $371.47
CT scan of the pelvis, with contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $371.47 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $371.47 GENEX WC — WORKERS COMP: $371.47 HEALTHSMART WORKERS COMP — WORKERS COMP: $371.47 JAG SOURCE — WORKERS COMP: $371.47 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $371.47 NJM INSURANCE GROUP — WORKERS COMP: $371.47 RX HEATLHCOMP — WORKERS COMP: $371.47 RX RESTAT — WORKERS COMP: $371.47 RX SAIF OPDP WC — WORKERS COMP: $371.47
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$3,465	$2,252.25	$134.37 – $5,357
MRI of a leg joint (such as the knee), without contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $315.24 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $505 ALLEGIANCE — CIGNA: $1,674 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,674 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $649.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$5,196	$3,377.40	$134.37 – $5,357
MRI of a leg joint (such as the knee), without contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $315.24 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $505 ALLEGIANCE — CIGNA: $1,674 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,674 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $649.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt	$3,465	$2,252.25	$134.37 – $5,357
MRI of a leg joint (such as the knee), without contrast: 10 of 141 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $315.24 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $505 ALLEGIANCE — CIGNA: $1,674 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,674 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $685.32 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $649.17 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $649.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$4,322	$2,809.30	$65.41 – $4,322
CT scan of the abdomen and pelvis, with contrast: 10 of 140 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $460.93 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $109.01 ALLEGIANCE — CIGNA: $1,198.22 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $1,198.22 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $1,026.65 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $1,002.04 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $1,002.04 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $1,026.65 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $1,026.65 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $1,026.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR CT Abdomen & Pelvis W/Contrast	$460.07	Not listed in the file	$54.95 – $384.60
CT scan of the abdomen and pelvis, with contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $384.60 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $384.60 GENEX WC — WORKERS COMP: $384.60 HEALTHSMART WORKERS COMP — WORKERS COMP: $384.60 JAG SOURCE — WORKERS COMP: $384.60 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $384.60 NJM INSURANCE GROUP — WORKERS COMP: $384.60 RX HEATLHCOMP — WORKERS COMP: $384.60 RX RESTAT — WORKERS COMP: $384.60 RX SAIF OPDP WC — WORKERS COMP: $384.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR CT Abdomen & Pelvis W/Contrast	Not listed in the file	Not listed in the file	$54.95 – $384.60
CT scan of the abdomen and pelvis, with contrast: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $384.60 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $384.60 GENEX WC — WORKERS COMP: $384.60 HEALTHSMART WORKERS COMP — WORKERS COMP: $384.60 JAG SOURCE — WORKERS COMP: $384.60 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $384.60 NJM INSURANCE GROUP — WORKERS COMP: $384.60 RX HEATLHCOMP — WORKERS COMP: $384.60 RX RESTAT — WORKERS COMP: $384.60 RX SAIF OPDP WC — WORKERS COMP: $384.60
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$1,904	$1,237.60	$36.36 – $1,904
Ultrasound of the abdomen, complete: 10 of 140 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.12 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $60.60 ALLEGIANCE — CIGNA: $418.11 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $418.11 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $350.51 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $300.28 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $300.28 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $350.51 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $350.51 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $350.51
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Abdomen Complete	$216.85	Not listed in the file	$24.28 – $131.19
Ultrasound of the abdomen, complete: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $131.19 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $131.19 GENEX WC — WORKERS COMP: $131.19 HEALTHSMART WORKERS COMP — WORKERS COMP: $131.19 JAG SOURCE — WORKERS COMP: $131.19 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $131.19 NJM INSURANCE GROUP — WORKERS COMP: $131.19 RX HEATLHCOMP — WORKERS COMP: $131.19 RX RESTAT — WORKERS COMP: $131.19 RX SAIF OPDP WC — WORKERS COMP: $131.19
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Abdomen Complete	Not listed in the file	Not listed in the file	$24.28 – $131.19
Ultrasound of the abdomen, complete: 10 of 149 insurance plan rates ANDRIE INC — WORKERS COMP: $131.19 EAST GREENBUSH CENTRAL SCHOOL DISTRICT — WORKERS COMP: $131.19 GENEX WC — WORKERS COMP: $131.19 HEALTHSMART WORKERS COMP — WORKERS COMP: $131.19 JAG SOURCE — WORKERS COMP: $131.19 NEW YORK STATE INSURANCE FUND — WORKERS COMP: $131.19 NJM INSURANCE GROUP — WORKERS COMP: $131.19 RX HEATLHCOMP — WORKERS COMP: $131.19 RX RESTAT — WORKERS COMP: $131.19 RX SAIF OPDP WC — WORKERS COMP: $131.19
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$349	$349	$30.03 – $349
Pregnancy ultrasound (after the first trimester): 10 of 1,607 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $349 ACCLAIM — PB XR 100% DEFAULT: $349 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $349 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $349 ADVOCATE HEALTH — PB XR 100% DEFAULT: $349 AETNA — AETNA: $248.82 AETNA DOMESTIC — AETNA: $248.82 AETNA EAP — PB XR 100% DEFAULT: $349 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $349 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $349
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$770	$500.50	$33.33 – $770
Pregnancy ultrasound (after the first trimester): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $292.18 AETNA — AETNA: $292.18 AETNA DOMESTIC — AETNA: $292.18 AETNA EAP — AETNA: $292.18 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.12 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $55.55 ALLEGIANCE — CIGNA: $459.74 ALLIED BENEFIT SYSTEMS — AETNA: $292.18 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $459.74 ASR HEALTH BENEFITS — AETNA: $292.18
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation\|PROFESSIONAL COMPONENT	$123	$123	$30.03 – $349
Pregnancy ultrasound (after the first trimester): 10 of 1,607 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $123 ACCLAIM — PB XR 100% DEFAULT: $123 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $123 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $123 ADVOCATE HEALTH — PB XR 100% DEFAULT: $123 AETNA — AETNA: $87.44 AETNA DOMESTIC — AETNA: $87.44 AETNA EAP — PB XR 100% DEFAULT: $123 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $123 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $123
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric	$308	$308	$37.75 – $308
Transvaginal ultrasound: 10 of 1,606 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $308 ADAMH BOARD — PB XR 100% DEFAULT: $308 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $308 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $308 AETNA DOMESTIC — AETNA: $218.32 AETNA EAP — PB XR 100% DEFAULT: $308 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $112.28 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $308 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $308 ALLEGEANT — PB XR 100% DEFAULT: $308
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$1,524	$990.60	$36.36 – $1,524
Transvaginal ultrasound: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $287.85 AETNA — AETNA: $287.85 AETNA DOMESTIC — AETNA: $287.85 AETNA EAP — AETNA: $287.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $138.12 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $60.60 ALLEGIANCE — CIGNA: $450.69 ALLIED BENEFIT SYSTEMS — AETNA: $287.85 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $450.69 ASR HEALTH BENEFITS — AETNA: $287.85
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric	$216.85	$308	$20.87 – $131.19
Transvaginal ultrasound: rates for 1 insurance plan WC GENERIC — WORKERS COMP: $131.19
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Mammography Diagnostic Unilat Including Cad	$321	$321	$24.28 – $321
Diagnostic mammogram, one breast: 10 of 1,600 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $321 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $321 ADMIRAL LIFE — PB XR 100% DEFAULT: $321 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $321 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $321 ADVOCATE HEALTH — PB XR 100% DEFAULT: $321 AETNA MEDICAID — PB XR 100% DEFAULT: $321 AETNA TRANSPLANT — PB XR 100% DEFAULT: $321 ALLEGEANT — PB XR 100% DEFAULT: $321 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $321
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$725	$471.25	$58.78 – $725
Diagnostic mammogram, one breast: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $283.51 AETNA — AETNA: $283.51 AETNA DOMESTIC — AETNA: $283.51 AETNA EAP — AETNA: $283.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.56 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $97.97 ALLEGIANCE — CIGNA: $474.22 ALLIED BENEFIT SYSTEMS — AETNA: $283.51 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $474.22 ASR HEALTH BENEFITS — AETNA: $283.51
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$725	$471.25	$58.78 – $725
Diagnostic mammogram, one breast: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $283.51 AETNA — AETNA: $283.51 AETNA DOMESTIC — AETNA: $283.51 AETNA EAP — AETNA: $283.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $86.56 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $97.97 ALLEGIANCE — CIGNA: $474.22 ALLIED BENEFIT SYSTEMS — AETNA: $283.51 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $474.22 ASR HEALTH BENEFITS — AETNA: $283.51
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Diagnostic Mammography Incl Cad Bilateral	$404	$404	$29.82 – $404
Diagnostic mammogram, both breasts: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $404 ACCLAIM — PB XR 100% DEFAULT: $404 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $404 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $404 ADAMH BOARD — PB XR 100% DEFAULT: $404 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $404 ALLEGEANT — PB XR 100% DEFAULT: $404 ALLEGIANCE — PB XR 100% DEFAULT: $404 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $404 AMBETTER — PB XR 100% DEFAULT: $404
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$1,088	$707.20	$58.78 – $1,088
Diagnostic mammogram, both breasts: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $362.57 AETNA — AETNA: $362.57 AETNA DOMESTIC — AETNA: $362.57 AETNA EAP — AETNA: $362.57 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.98 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $97.97 ALLEGIANCE — CIGNA: $604.54 ALLIED BENEFIT SYSTEMS — AETNA: $362.57 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $604.54 ASR HEALTH BENEFITS — AETNA: $362.57
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Diagnostic Mammography Incl Cad Bilateral	Not listed in the file	$423.95	$29.82 – $423.95
Diagnostic mammogram, both breasts: 10 of 1,599 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $423.95 ADAMH BOARD — PB XR 100% DEFAULT: $423.95 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $423.95 AETNA MEDICAID — PB XR 100% DEFAULT: $423.95 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $423.95 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $423.95 ALLEGIANCE — PB XR 100% DEFAULT: $423.95 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $423.95 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $423.95 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $423.95
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Screening Mammography Bilateral Incl Cad When Performed	$329	$329	$23 – $329
Screening mammogram, both breasts: 10 of 1,600 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $329 ADAMH BOARD — PB XR 100% DEFAULT: $329 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $329 AETNA TRANSPLANT — PB XR 100% DEFAULT: $329 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $329 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $329 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $329 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $329 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $329 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $329
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$522	$339.30	$58.78 – $522
Screening mammogram, both breasts: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $299.76 AETNA — AETNA: $299.76 AETNA DOMESTIC — AETNA: $299.76 AETNA EAP — AETNA: $299.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.59 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $97.97 ALLEGIANCE — CIGNA: $501.37 ALLIED BENEFIT SYSTEMS — AETNA: $299.76 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $501.37 ASR HEALTH BENEFITS — AETNA: $299.76
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$661	$429.65	$58.78 – $661
Screening mammogram, both breasts: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $299.76 AETNA — AETNA: $299.76 AETNA DOMESTIC — AETNA: $299.76 AETNA EAP — AETNA: $299.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.59 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $97.97 ALLEGIANCE — CIGNA: $501.37 ALLIED BENEFIT SYSTEMS — AETNA: $299.76 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $501.37 ASR HEALTH BENEFITS — AETNA: $299.76

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	$37	$37	$9.16 – $37
Electrocardiogram (ECG/EKG) with reading: 10 of 1,601 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $37 ADAMH BOARD — PB XR 100% DEFAULT: $37 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $37 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $37 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $37 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $37 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $37 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $37 AMALGAMATED — PB XR 100% DEFAULT: $37 AMERICA'S TPA — PB XR 100% DEFAULT: $37
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ecg 12 Lead Interpretation & Report	$76	$49.40	$13.34 – $93.12
Electrocardiogram (ECG/EKG) with reading: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $53.20 AETNA — AETNA: $53.20 AETNA DOMESTIC — AETNA: $53.20 AETNA EAP — AETNA: $53.20 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.58 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $15.15 ALLEGIANCE — CIGNA: $93.12 ALLIED BENEFIT SYSTEMS — AETNA: $53.20 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $93.12 ASR HEALTH BENEFITS — AETNA: $53.20
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	Not listed in the file	$50.92	$11.11 – $50.92
Electrocardiogram (ECG/EKG) with reading: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $50.92 ACCESS HEALTH — PB XR 100% DEFAULT: $50.92 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $50.92 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $50.92 ADMIRAL LIFE — PB XR 100% DEFAULT: $50.92 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $50.92 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $50.92 ADVOCATE HEALTH — PB XR 100% DEFAULT: $50.92 AETNA EAP — PB XR 100% DEFAULT: $50.92 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $50.92
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram	$8,861	$5,759.65	$575.90 – $19,592
Left heart catheterization (diagnostic): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $6,202.70 AETNA — AETNA: $6,202.70 AETNA DOMESTIC — AETNA: $6,202.70 AETNA EAP — AETNA: $6,202.70 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,283.19 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $8,861 ALLEGIANCE — CIGNA: $15,169 ALLIED BENEFIT SYSTEMS — AETNA: $6,202.70 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $15,169 ASR HEALTH BENEFITS — AETNA: $6,202.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years	$1,544	$1,544	$73.91 – $1,544
Sleep study (overnight, in a sleep lab): 10 of 1,601 insurance plan rates ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $1,544 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $1,544 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,544 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $1,544 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $1,544 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,544 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,544 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,544 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $1,544 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $1,544
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years	$7,511	$4,882.15	$469.77 – $8,097
Sleep study (overnight, in a sleep lab): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,390 AETNA — AETNA: $3,390 AETNA DOMESTIC — AETNA: $3,390 AETNA EAP — AETNA: $3,390 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,134.55 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $7,511 ALLEGIANCE — CIGNA: $3,452 ALLIED BENEFIT SYSTEMS — AETNA: $3,390 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,452 ASR HEALTH BENEFITS — AETNA: $3,390
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years	Not listed in the file	$2,543	$73.91 – $2,543
Sleep study (overnight, in a sleep lab): 10 of 1,600 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $2,543 AETNA MEDICAID — PB XR 100% DEFAULT: $2,543 AETNA TRANSPLANT — PB XR 100% DEFAULT: $2,543 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $2,543 AFLAC — PB XR 100% DEFAULT: $2,543 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $2,543 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $2,543 ALTA HEALTH — PB XR 100% DEFAULT: $2,543 AMERIBEN — PB XR 100% DEFAULT: $2,543 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $2,543

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$127	$82.55	$20.52 – $383
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $230 AETNA — AETNA: $230 AETNA DOMESTIC — AETNA: $230 AETNA EAP — AETNA: $230 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.08 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $127 ALLEGIANCE — CIGNA: $269 ALLIED BENEFIT SYSTEMS — AETNA: $230 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $269 ASR HEALTH BENEFITS — AETNA: $230
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$127	$82.55	$20.52 – $383
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $230 AETNA — AETNA: $230 AETNA DOMESTIC — AETNA: $230 AETNA EAP — AETNA: $230 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.08 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $127 ALLEGIANCE — CIGNA: $269 ALLIED BENEFIT SYSTEMS — AETNA: $230 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $269 ASR HEALTH BENEFITS — AETNA: $230
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes\|CQ	$127	$82.55	$20.52 – $383
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.08 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - CA (ANTHEM) — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - CO (ANTHEM) — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - CT (ANTHEM) — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - FEDERAL — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - GA (ANTHEM) — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - ID — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84 BLUE CROSS - IN (ANTHEM) — EMPIRE BCBS HMO EPO PPO INDEMNITY: $110.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$324	$210.60	$70.18 – $383
Physical therapy evaluation (low complexity): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $230 AETNA — AETNA: $230 AETNA DOMESTIC — AETNA: $230 AETNA EAP — AETNA: $230 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $101.54 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $324 ALLEGIANCE — CIGNA: $269 ALLIED BENEFIT SYSTEMS — AETNA: $230 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $269 ASR HEALTH BENEFITS — AETNA: $230
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$388	$252.20	$70.18 – $388
Physical therapy evaluation (moderate complexity): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $230 AETNA — AETNA: $230 AETNA DOMESTIC — AETNA: $230 AETNA EAP — AETNA: $230 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $101.54 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $388 ALLEGIANCE — CIGNA: $269 ALLIED BENEFIT SYSTEMS — AETNA: $230 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $269 ASR HEALTH BENEFITS — AETNA: $230
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$488	$317.20	$70.18 – $488
Physical therapy evaluation (high complexity): 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $230 AETNA — AETNA: $230 AETNA DOMESTIC — AETNA: $230 AETNA EAP — AETNA: $230 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $101.54 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $488 ALLEGIANCE — CIGNA: $269 ALLIED BENEFIT SYSTEMS — AETNA: $230 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $269 ASR HEALTH BENEFITS — AETNA: $230
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes	$172	$172	$40.83 – $172
Psychotherapy, 30 minutes: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $172 ACCLAIM — PB XR 100% DEFAULT: $172 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $172 ADAMH BOARD — PB XR 100% DEFAULT: $172 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $172 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $172 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $172 ADVOCATE HEALTH — PB XR 100% DEFAULT: $172 AETNA MEDICAID — PB XR 100% DEFAULT: $172 AETNA TRANSPLANT — PB XR 100% DEFAULT: $172
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 30 Minutes	$394	$256.10	$60 – $394
Psychotherapy, 30 minutes: 10 of 136 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $107 AETNA — AETNA: $107 AETNA DOMESTIC — AETNA: $107 AETNA EAP — AETNA: $107 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.16 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $394 ALLEGIANCE — CIGNA: $382.18 ALLIED BENEFIT SYSTEMS — AETNA: $107 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $382.18 ASR HEALTH BENEFITS — AETNA: $107
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient 30 Minutes Alcohol Rehabilitation (Sparc)	$283	$183.95	$60 – $618
Psychotherapy, 30 minutes: 10 of 134 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $107 AETNA — AETNA: $107 AETNA DOMESTIC — AETNA: $107 AETNA EAP — AETNA: $107 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $69.16 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $283 ALLEGIANCE — CIGNA: $382.18 ALLIED BENEFIT SYSTEMS — AETNA: $107 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $382.18 ASR HEALTH BENEFITS — AETNA: $107
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 45 Minutes	$229	$229	$53.87 – $229
Psychotherapy, 45 minutes: 10 of 1,608 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $229 AARP — PB XR 100% DEFAULT: $229 ACCLAIM — PB XR 100% DEFAULT: $229 ADAMH BOARD — PB XR 100% DEFAULT: $229 ADMIRAL LIFE — PB XR 100% DEFAULT: $229 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.33 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $229 AFLAC — PB XR 100% DEFAULT: $229 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $229 ALLEGEANT — PB XR 100% DEFAULT: $229
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes	$547	$355.55	$83.35 – $547
Psychotherapy, 45 minutes: 10 of 136 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $148 AETNA — AETNA: $148 AETNA DOMESTIC — AETNA: $148 AETNA EAP — AETNA: $148 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.37 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $547 ALLEGIANCE — CIGNA: $508.28 ALLIED BENEFIT SYSTEMS — AETNA: $148 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $508.28 ASR HEALTH BENEFITS — AETNA: $148
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient 45 Minutes Alcohol Rehabilitation (Sparc)	$283	$183.95	$83.35 – $508.28
Psychotherapy, 45 minutes: 10 of 112 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $148 AETNA — AETNA: $148 AETNA DOMESTIC — AETNA: $148 AETNA EAP — AETNA: $148 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.37 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $283 ALLEGIANCE — CIGNA: $508.28 ALLIED BENEFIT SYSTEMS — AETNA: $148 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $508.28 ASR HEALTH BENEFITS — AETNA: $148
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes	$336	$336	$79.75 – $336
Psychotherapy, 60 minutes: 10 of 1,600 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $336 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $336 ADAMH BOARD — PB XR 100% DEFAULT: $336 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $336 AETNA TRANSPLANT — PB XR 100% DEFAULT: $336 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $336 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $336 AMERIBEN — PB XR 100% DEFAULT: $336 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $336 AMERIHEALTH MEDICARE — PB XR 100% DEFAULT: $336
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 60 Minutes	$547	$355.55	$95 – $760.48
Psychotherapy, 60 minutes: 10 of 122 insurance plan rates ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $547 ALLEGIANCE — CIGNA: $760.48 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $760.48 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $123.07 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $210 BLUE CARE NETWORK — EMPIRE BCBS HMO EPO PPO INDEMNITY: $210 BLUE CROSS - AK (PREMERA) — BLUE SHIELD OF NE NEW YORK PPO: $123.07 BLUE CROSS - AL — BLUE SHIELD OF NE NEW YORK PPO: $123.07 BLUE CROSS - AR — BLUE SHIELD OF NE NEW YORK PPO: $123.07 BLUE CROSS - AZ — BLUE SHIELD OF NE NEW YORK PPO: $123.07
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes	Not listed in the file	$315.36	$90.56 – $315.36
Psychotherapy, 60 minutes: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $315.36 ACCESS HEALTH — PB XR 100% DEFAULT: $315.36 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $315.36 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $315.36 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $315.36 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $315.36 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $315.36 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $315.36 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $315.36 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $315.36
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Family W/Patient 50 Minutes	$725	$471.25	$83.13 – $725
Family psychotherapy, with the patient: 10 of 136 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $159 AETNA — AETNA: $159 AETNA DOMESTIC — AETNA: $159 AETNA EAP — AETNA: $159 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.34 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $725 ALLEGIANCE — CIGNA: $119 ALLIED BENEFIT SYSTEMS — AETNA: $159 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $119 ASR HEALTH BENEFITS — AETNA: $159
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Group	$61	$61	$14.38 – $61
Group psychotherapy: 10 of 1,606 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $61 AARP — PB XR 100% DEFAULT: $61 ACCLAIM — PB XR 100% DEFAULT: $61 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $61 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $61 ADAMH BOARD — PB XR 100% DEFAULT: $61 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $61 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $61 AETNA — AETNA: $45.34 AETNA MEDICAID — PB XR 100% DEFAULT: $61
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Group Therapy Msw	$228	$148.20	$22.26 – $228
Group psychotherapy: 10 of 136 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $113 AETNA — AETNA: $113 AETNA DOMESTIC — AETNA: $113 AETNA EAP — AETNA: $113 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $24.20 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $228 ALLEGIANCE — CIGNA: $119 ALLIED BENEFIT SYSTEMS — AETNA: $113 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $119 ASR HEALTH BENEFITS — AETNA: $113
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Group Therapy	$228	$148.20	$22.26 – $228
Group psychotherapy: 10 of 136 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $113 AETNA — AETNA: $113 AETNA DOMESTIC — AETNA: $113 AETNA EAP — AETNA: $113 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $24.20 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $228 ALLEGIANCE — CIGNA: $119 ALLIED BENEFIT SYSTEMS — AETNA: $113 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $119 ASR HEALTH BENEFITS — AETNA: $113

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion	$1,061	$1,061	$135.90 – $1,061
Removal of breast growth (open surgery): 10 of 1,601 insurance plan rates AETNA EAP — PB XR 100% DEFAULT: $1,061 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $1,061 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,061 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $1,061 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $1,061 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $1,061 AMPS — PB XR 100% DEFAULT: $1,061 ANDRIE INC — PB XR 100% DEFAULT: $1,061 ANTHEM MYCARE OHIO — PB XR 100% DEFAULT: $1,061 ASI - NAVIA BENEFIT SOLUTIONS — PB XR 100% DEFAULT: $1,061
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion	$930	$930	$135.90 – $930
Removal of breast growth (open surgery): 10 of 1,601 insurance plan rates AARP — PB XR 100% DEFAULT: $930 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $930 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $930 ADVOCATE HEALTH — PB XR 100% DEFAULT: $930 AETNA EAP — PB XR 100% DEFAULT: $930 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $930 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $930 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $930 AMERICA'S TPA — PB XR 100% DEFAULT: $930 AMERICAN FAMILY — PB XR 100% DEFAULT: $930
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt	Not listed in the file	$4,145.80	$176.15 – $12,754
Removal of breast growth (open surgery): 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,600 AETNA — AETNA: $5,600 AETNA DOMESTIC — AETNA: $5,600 AETNA EAP — AETNA: $5,600 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5,173.01 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $176.15 ALLEGIANCE — CIGNA: $5,494 ALLIED BENEFIT SYSTEMS — AETNA: $5,600 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,494 ASR HEALTH BENEFITS — AETNA: $5,600
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement	$3,261	$3,261	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,261
Total hip replacement: 10 of 1,602 insurance plan rates AARP — PB XR 100% DEFAULT: $3,261 ACCLAIM — PB XR 100% DEFAULT: $3,261 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $3,261 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $3,261 ADAMH BOARD — PB XR 100% DEFAULT: $3,261 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $3,261 ADMIRAL LIFE — PB XR 100% DEFAULT: $3,261 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $3,261 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $3,261 ADVOCATE HEALTH — PB XR 100% DEFAULT: $3,261
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement	$2,825	$2,825	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,825
Total hip replacement: 10 of 1,602 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $2,825 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $2,825 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $2,825 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $2,825 AETNA TRANSPLANT — PB XR 100% DEFAULT: $2,825 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $2,825 AFLAC — PB XR 100% DEFAULT: $2,825 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $2,825 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $2,825 ALTA HEALTH — PB XR 100% DEFAULT: $2,825
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)	Not listed in the file	$21,790.34	$73.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $36,875.88
Total hip replacement: 10 of 141 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $16,275 AETNA — AETNA: $16,275 AETNA DOMESTIC — AETNA: $16,275 AETNA EAP — AETNA: $16,275 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,962.26 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $73.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALLEGIANCE — CIGNA: $27,951 ALLIED BENEFIT SYSTEMS — AETNA: $16,275 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $27,951 ASR HEALTH BENEFITS — AETNA: $16,275
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH)	Not listed in the file	$10,221.15	$8.66 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $22,301
Shoulder arthroscopy: shaving of shoulder bone: 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,600 AETNA — AETNA: $5,600 AETNA DOMESTIC — AETNA: $5,600 AETNA EAP — AETNA: $5,600 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,586.79 ALLEGIANCE — CIGNA: $5,494 ALLIED BENEFIT SYSTEMS — AETNA: $5,600 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,494 ASR HEALTH BENEFITS — AETNA: $5,600 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $6,181
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	Not listed in the file	$5,765.01	$3.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15,063
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $10,500 AETNA — AETNA: $10,500 AETNA DOMESTIC — AETNA: $10,500 AETNA EAP — AETNA: $10,500 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,322.91 ALLEGIANCE — CIGNA: $9,024 ALLIED BENEFIT SYSTEMS — AETNA: $10,500 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,024 ASR HEALTH BENEFITS — AETNA: $10,500 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $8,204
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$309	$309	$38.88 – $309
Upper GI endoscopy (diagnostic): 10 of 1,603 insurance plan rates ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $309 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $309 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $309 AETNA TRANSPLANT — PB XR 100% DEFAULT: $309 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $309 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $309 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $309 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $309 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $309 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $309
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	$267	$267	$38.88 – $267
Upper GI endoscopy (diagnostic): 10 of 1,603 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $267 ADAMH BOARD — PB XR 100% DEFAULT: $267 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $267 AETNA MEDICAID — PB XR 100% DEFAULT: $267 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $267 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $267 ALLEGIANCE — PB XR 100% DEFAULT: $267 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $267 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $267 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $267
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	Not listed in the file	$7,884.50	$1.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,047
Upper GI endoscopy (diagnostic): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,068 AETNA — AETNA: $3,068 AETNA DOMESTIC — AETNA: $3,068 AETNA EAP — AETNA: $3,068 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,198.29 ALLEGIANCE — CIGNA: $3,995 ALLIED BENEFIT SYSTEMS — AETNA: $3,068 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,995 ASR HEALTH BENEFITS — AETNA: $3,068 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $3,607
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$349	$349	$43.67 – $349
Upper GI endoscopy with biopsy: 10 of 1,603 insurance plan rates ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $349 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $349 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $349 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $349 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $349 ALLEGEANT — PB XR 100% DEFAULT: $349 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $349 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $349 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $349 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $349
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$301	$301	$43.67 – $301
Upper GI endoscopy with biopsy: 10 of 1,603 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $301 AETNA MEDICAID — PB XR 100% DEFAULT: $301 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $301 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $301 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $301 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $301 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $301 AMALGAMATED — PB XR 100% DEFAULT: $301 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $301 AMERICAN POSTAL WORKERS SECONDARY — PB XR 100% DEFAULT: $301
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	Not listed in the file	$8,516.56	$43.62 – $9,047
Upper GI endoscopy with biopsy: 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,198.29 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $43.62 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$465	$465	$58.36 – $465
Colonoscopy (diagnostic): 10 of 1,601 insurance plan rates AARP — PB XR 100% DEFAULT: $465 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $465 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $465 ADMIRAL LIFE — PB XR 100% DEFAULT: $465 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $465 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $465 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $465 AMALGAMATED — PB XR 100% DEFAULT: $465 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $465 AMERIHEALTH CARITAS MEDICAID — PB XR 100% DEFAULT: $465
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	Not listed in the file	$537.55	$58.36 – $566.80
Colonoscopy (diagnostic): 10 of 1,601 insurance plan rates AARP — PB XR 100% DEFAULT: $566.80 ACCESS HEALTH — PB XR 100% DEFAULT: $566.80 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $566.80 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $566.80 ADMIRAL LIFE — PB XR 100% DEFAULT: $566.80 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $566.80 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $566.80 ADVOCATE HEALTH — PB XR 100% DEFAULT: $566.80 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $566.80 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $566.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	Not listed in the file	$4,014.24	$1.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $9,047
Colonoscopy (diagnostic): 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,228.64 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $4,764
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	$506	$506	$63.48 – $506
Colonoscopy with biopsy: 10 of 1,601 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $506 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $506 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $506 ADAMH BOARD — PB XR 100% DEFAULT: $506 AETNA MEDICAID — PB XR 100% DEFAULT: $506 ALLEGEANT — PB XR 100% DEFAULT: $506 ALLEGIANCE — PB XR 100% DEFAULT: $506 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $506 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $506 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $506
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	Not listed in the file	$602.37	$63.48 – $677.24
Colonoscopy with biopsy: 10 of 1,601 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $677.24 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $677.24 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $677.24 AETNA MEDICAID — PB XR 100% DEFAULT: $677.24 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $677.24 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $677.24 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $677.24 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $677.24 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $677.24 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $677.24
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	Not listed in the file	$5,903.30	$130.87 – $9,047
Colonoscopy with biopsy: 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,580.98 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $174.49 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$641	$641	$79.98 – $641
Colonoscopy with removal of polyps (snare): 10 of 1,601 insurance plan rates AARP — PB XR 100% DEFAULT: $641 ACCESS HEALTH — PB XR 100% DEFAULT: $641 ACCLAIM — PB XR 100% DEFAULT: $641 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $641 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $641 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $641 ADMIRAL LIFE — PB XR 100% DEFAULT: $641 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $641 ADVOCATE HEALTH — PB XR 100% DEFAULT: $641 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $641
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551	$551	$79.98 – $551
Colonoscopy with removal of polyps (snare): 10 of 1,601 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $551 ADMIRAL LIFE — PB XR 100% DEFAULT: $551 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $551 ADVOCATE HEALTH — PB XR 100% DEFAULT: $551 AETNA MEDICAID — PB XR 100% DEFAULT: $551 ALLEGIANCE — PB XR 100% DEFAULT: $551 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $551 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $551 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $551 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $551
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	Not listed in the file	$5,914.35	$130.87 – $9,047
Colonoscopy with removal of polyps (snare): 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,580.98 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $130.87 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$466	$466	$58.47 – $466
Screening colonoscopy (not high risk): 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $466 ACCESS HEALTH — PB XR 100% DEFAULT: $466 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $466 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $466 ADMIRAL LIFE — PB XR 100% DEFAULT: $466 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $466 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $466 ADVOCATE HEALTH — PB XR 100% DEFAULT: $466 AETNA EAP — PB XR 100% DEFAULT: $466 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $466
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	Not listed in the file	$576	$58.47 – $576
Screening colonoscopy (not high risk): 10 of 1,600 insurance plan rates ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $576 ADAMH BOARD — PB XR 100% DEFAULT: $576 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $576 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $576 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $576 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $576 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $576 ALLEGIANCE — PB XR 100% DEFAULT: $576 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $576 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $576
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	Not listed in the file	$3,857.75	$4.77 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,081
Screening colonoscopy (not high risk): 10 of 139 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,228.64 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $4,764
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,671	$1,671	$34.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,671
Gallbladder removal by laparoscope: 10 of 1,600 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $1,671 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $1,671 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $1,671 AETNA MEDICAID — PB XR 100% DEFAULT: $1,671 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $1,671 ALLEGIANCE — PB XR 100% DEFAULT: $1,671 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $1,671 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,671 AM FIRST INSURANCE COMPANY — PB XR 100% DEFAULT: $1,671 AMERICAN FAMILY — PB XR 100% DEFAULT: $1,671
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,451	$1,451	$34.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,451
Gallbladder removal by laparoscope: 10 of 1,600 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $1,451 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $1,451 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $1,451 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $1,451 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,451 AFLAC — PB XR 100% DEFAULT: $1,451 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,451 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,451 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $1,451 ALTA HEALTH — PB XR 100% DEFAULT: $1,451
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	Not listed in the file	$10,080.56	$3.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $22,301
Gallbladder removal by laparoscope: 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $14,175 AETNA — AETNA: $14,175 AETNA DOMESTIC — AETNA: $14,175 AETNA EAP — AETNA: $14,175 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,987.25 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $25.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) ALLEGIANCE — CIGNA: $9,024 ALLIED BENEFIT SYSTEMS — AETNA: $14,175 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,024 ASR HEALTH BENEFITS — AETNA: $14,175
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,327	$1,327	$169.76 – $1,327
Groin (inguinal) hernia repair, age 5 or older: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $1,327 ACCESS HEALTH — PB XR 100% DEFAULT: $1,327 ADMIRAL LIFE — PB XR 100% DEFAULT: $1,327 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $1,327 ADVOCATE HEALTH — PB XR 100% DEFAULT: $1,327 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $1,327 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,327 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $1,327 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $1,327 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,327
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible	$1,157	$1,157	$27.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,157
Groin (inguinal) hernia repair, age 5 or older: 10 of 1,600 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $1,157 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $1,157 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $1,157 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $1,157 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $1,157 ALLEGEANT — PB XR 100% DEFAULT: $1,157 ALLEGIANCE — PB XR 100% DEFAULT: $1,157 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $1,157 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $1,157 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,157
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	Not listed in the file	$5,650.45	$5.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $15,063
Groin (inguinal) hernia repair, age 5 or older: 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $10,500 AETNA — AETNA: $10,500 AETNA DOMESTIC — AETNA: $10,500 AETNA EAP — AETNA: $10,500 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,730.37 ALLEGIANCE — CIGNA: $9,024 ALLIED BENEFIT SYSTEMS — AETNA: $10,500 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $9,024 ASR HEALTH BENEFITS — AETNA: $10,500 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $8,204
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	$328	$328	$26.67 – $328
Prostate biopsy: 10 of 1,602 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $328 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $328 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $328 ADAMH BOARD — PB XR 100% DEFAULT: $328 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $328 AETNA EAP — PB XR 100% DEFAULT: $328 AETNA MEDICAID — PB XR 100% DEFAULT: $328 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $328 ALLEGEANT — PB XR 100% DEFAULT: $328 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $328
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$475.61	$26.67 – $475.61
Prostate biopsy: 10 of 1,602 insurance plan rates AARP — PB XR 100% DEFAULT: $475.61 ACCESS HEALTH — PB XR 100% DEFAULT: $475.61 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $475.61 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $475.61 ADMIRAL LIFE — PB XR 100% DEFAULT: $475.61 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $475.61 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $475.61 ADVOCATE HEALTH — PB XR 100% DEFAULT: $475.61 AETNA EAP — PB XR 100% DEFAULT: $475.61 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $475.61
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach	Not listed in the file	$8,411.49	$86.21 – $9,706
Prostate biopsy: 10 of 138 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $261.73 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $4,764
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	$3,601	$3,601	$380.85 – $3,601
Prostate removal by laparoscope (radical prostatectomy): 10 of 1,602 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $3,601 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $3,601 ADAMH BOARD — PB XR 100% DEFAULT: $3,601 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $3,601 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $3,601 AETNA EAP — PB XR 100% DEFAULT: $3,601 AETNA MEDICAID — PB XR 100% DEFAULT: $3,601 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $3,601 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $3,601 ALLEGEANT — PB XR 100% DEFAULT: $3,601
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	$2,557	$2,557	$380.85 – $2,557
Prostate removal by laparoscope (radical prostatectomy): 10 of 1,602 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $2,557 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $2,557 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $2,557 AFLAC — PB XR 100% DEFAULT: $2,557 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $2,557 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $2,557 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $2,557 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $2,557 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $2,557 ALTA HEALTH — PB XR 100% DEFAULT: $2,557
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst	Not listed in the file	$25,391.20	$352.31 – $30,531.52
Prostate removal by laparoscope (radical prostatectomy): 10 of 131 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $14,175 AETNA — AETNA: $14,175 AETNA DOMESTIC — AETNA: $14,175 AETNA EAP — AETNA: $14,175 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14,043.96 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $352.31 ALLIED BENEFIT SYSTEMS — AETNA: $14,175 ASR HEALTH BENEFITS — AETNA: $14,175 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $18,891 BCN DOMESTIC — EMPIRE BCBS HMO EPO PPO INDEMNITY: $30,531.52
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	$588	$588	$73.91 – $588
Hysteroscopy with biopsy of the uterus lining: 10 of 1,601 insurance plan rates 1199 NATIONAL BENEFIT FUND — PB XR 100% DEFAULT: $588 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $588 ADAMH BOARD — PB XR 100% DEFAULT: $588 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $588 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $588 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $588 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $588 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $588 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $588 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $588
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	$498	$498	$11.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $498
Hysteroscopy with biopsy of the uterus lining: 10 of 1,601 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $498 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $498 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $498 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $498 AETNA MEDICAID — PB XR 100% DEFAULT: $498 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $498 AFLAC — PB XR 100% DEFAULT: $498 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $498 ALLIANT HEALTH PLANS — PB XR 100% DEFAULT: $498 ALTA HEALTH — PB XR 100% DEFAULT: $498
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C	Not listed in the file	$6,764.28	$43.62 – $12,754
Hysteroscopy with biopsy of the uterus lining: 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,600 AETNA — AETNA: $5,600 AETNA DOMESTIC — AETNA: $5,600 AETNA EAP — AETNA: $5,600 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,276.84 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $43.62 ALLEGIANCE — CIGNA: $5,494 ALLIED BENEFIT SYSTEMS — AETNA: $5,600 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,494 ASR HEALTH BENEFITS — AETNA: $5,600
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance	$2,295	$1,491.75	$92.95 – $7,081
Spinal injection, lower back (epidural), with imaging guidance: 10 of 153 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,068 AETNA — AETNA: $3,068 AETNA DOMESTIC — AETNA: $3,068 AETNA EAP — AETNA: $3,068 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $932.60 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $2,295 ALLEGIANCE — CIGNA: $3,995 ALLIED BENEFIT SYSTEMS — AETNA: $3,068 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $3,995 ASR HEALTH BENEFITS — AETNA: $3,068
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel	$1,121	$1,121	$122.01 – $1,121
Carpal tunnel release: 10 of 1,598 insurance plan rates ACCESS HEALTH — PB XR 100% DEFAULT: $1,121 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — PB XR 100% DEFAULT: $1,121 AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $1,121 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,121 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $1,121 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $1,121 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $1,121 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $1,121 AMALGAMATED — PB XR 100% DEFAULT: $1,121 AMERICA'S TPA — PB XR 100% DEFAULT: $1,121
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel	$995	$995	$122.01 – $995
Carpal tunnel release: 10 of 1,598 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $995 ADAMH BOARD — PB XR 100% DEFAULT: $995 ADMIRAL LIFE — PB XR 100% DEFAULT: $995 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $995 ALBANY COUNTY CORRECTIONAL FACILITY — PB XR 100% DEFAULT: $995 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $995 ALLEGIANCE — PB XR 100% DEFAULT: $995 ALLIED COMMUNITY SERVICE — PB XR 100% DEFAULT: $995 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $995 ALLWELL MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $995
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt	Not listed in the file	$4,806.88	$43.62 – $12,754
Carpal tunnel release: 10 of 143 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $4,060 AETNA — AETNA: $4,060 AETNA DOMESTIC — AETNA: $4,060 AETNA EAP — AETNA: $4,060 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,579.91 ALBANY COUNTY CORRECTIONAL FACILITY — ALBANY CORRECTIONAL FACILITY: $43.62 ALLEGIANCE — CIGNA: $5,286 ALLIED BENEFIT SYSTEMS — AETNA: $4,060 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $5,286 ASR HEALTH BENEFITS — AETNA: $4,060
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech	Not listed in the file	$3,655.53	$4.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30,267
Cataract removal with lens implant: 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $14,175 AETNA — AETNA: $14,175 AETNA DOMESTIC — AETNA: $14,175 AETNA EAP — AETNA: $14,175 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,049.06 ALLEGIANCE — CIGNA: $18,024 ALLIED BENEFIT SYSTEMS — AETNA: $14,175 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $18,024 ASR HEALTH BENEFITS — AETNA: $14,175 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $20,178
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech\|BILATERAL PROCEDURE	Not listed in the file	$6,830.41	$4.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30,267
Cataract removal with lens implant: 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $14,175 AETNA — AETNA: $14,175 AETNA DOMESTIC — AETNA: $14,175 AETNA EAP — AETNA: $14,175 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,049.06 ALLEGIANCE — CIGNA: $18,024 ALLIED BENEFIT SYSTEMS — AETNA: $14,175 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $18,024 ASR HEALTH BENEFITS — AETNA: $14,175 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $30,267
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech\|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC)	Not listed in the file	$7,446.01	$4.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $30,267
Cataract removal with lens implant: 10 of 140 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $7,087.50 AETNA — AETNA: $7,087.50 AETNA DOMESTIC — AETNA: $7,087.50 AETNA EAP — AETNA: $7,087.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,049.06 ALLEGIANCE — CIGNA: $18,024 ALLIED BENEFIT SYSTEMS — AETNA: $7,087.50 AMERICAN POSTAL WORKERS SECONDARY — CIGNA: $18,024 ASR HEALTH BENEFITS — AETNA: $7,087.50 BCBS GENERIC — BLUE SHIELD OF NE NEW YORK PPO: $20,178

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$6,060	$6,060	$853.67 – $6,060
Vaginal delivery, with care before and after: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $6,060 ACCESS HEALTH — PB XR 100% DEFAULT: $6,060 ACS BENEFIT SERVICES — PB XR 100% DEFAULT: $6,060 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $6,060 ADMIRAL LIFE — PB XR 100% DEFAULT: $6,060 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $6,060 ADVANTEK CENTRAL USD — PB XR 100% DEFAULT: $6,060 AETNA EAP — PB XR 100% DEFAULT: $6,060 ALBANY COUNTY NURSING HOME — PB XR 100% DEFAULT: $6,060 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $6,060
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$5,277	$5,277	$853.67 – $5,277
Vaginal delivery, with care before and after: 10 of 1,600 insurance plan rates AARP — PB XR 100% DEFAULT: $5,277 ACCESS HEALTH — PB XR 100% DEFAULT: $5,277 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $5,277 ADMIRAL LIFE — PB XR 100% DEFAULT: $5,277 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $5,277 ADVOCATE HEALTH — PB XR 100% DEFAULT: $5,277 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $5,277 AMERICA'S TPA — PB XR 100% DEFAULT: $5,277 AMERICAN FAMILY — PB XR 100% DEFAULT: $5,277 AMERICAN HEALTHCARE ALLIANCE — PB XR 100% DEFAULT: $5,277
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$6,684	$6,684	$1,002.29 – $6,684
Cesarean delivery (C-section), with care before and after: 10 of 1,600 insurance plan rates ACCLAIM — PB XR 100% DEFAULT: $6,684 ACTIN CARE GROUPS — PB XR 100% DEFAULT: $6,684 ADA COUNTY JAIL INMATE INS — PB XR 100% DEFAULT: $6,684 ADVANTRA FREEDOM MEDICARE ADVANTAGE — PB XR 100% DEFAULT: $6,684 AETNA MEDICAID — PB XR 100% DEFAULT: $6,684 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $6,684 ALLEGEANT — PB XR 100% DEFAULT: $6,684 ALLEGIANCE — PB XR 100% DEFAULT: $6,684 ALLIANZ GLOBAL ASSISTANCE — PB XR 100% DEFAULT: $6,684 ALLIED NATIONAL GLOBAL CARE — PB XR 100% DEFAULT: $6,684
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$5,860	$5,860	$1,002.29 – $5,860
Cesarean delivery (C-section), with care before and after: 10 of 1,600 insurance plan rates AETNA MEDICARE TRANSPLANT — PB XR 100% DEFAULT: $5,860 AETNA TRANSPLANT — PB XR 100% DEFAULT: $5,860 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $5,860 ALLIED BENEFIT SYSTEMS — PB XR 100% DEFAULT: $5,860 ALLWELL MEDICAID ADVANTAGE — PB XR 100% DEFAULT: $5,860 ALLY ALIGN CARE ADV — PB XR 100% DEFAULT: $5,860 ALTRUA HEALTHSHARE CO ZELIS — PB XR 100% DEFAULT: $5,860 AMERICAN FAMILY — PB XR 100% DEFAULT: $5,860 AMERICAN HEALTH ADVANTAGE OF IDAHO — PB XR 100% DEFAULT: $5,860 AMERICAN HEALTH PLAN — PB XR 100% DEFAULT: $5,860
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care\|ASSISTANT SURGEON	$937.60	$937.60	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $937.60
Cesarean delivery (C-section), with care before and after: 10 of 1,604 insurance plan rates ACTIN CARE GROUPS — PB XR 100% DEFAULT: $937.60 ADMINISTRATIVE CONCEPTS — PB XR 100% DEFAULT: $937.60 ADMIRAL LIFE — PB XR 100% DEFAULT: $937.60 ADVANCED CORRECTIONAL HEALTHCARE — PB XR 100% DEFAULT: $937.60 ADVENTIST HEALTH PLAN — PB XR 100% DEFAULT: $937.60 ADVOCATE HEALTH — PB XR 100% DEFAULT: $937.60 AETNA EAP — PB XR 100% DEFAULT: $937.60 ALBANY COUNTY OFFICE FOR AGING — PB XR 100% DEFAULT: $937.60 ALIGN SENIOR CARE — PB XR 100% DEFAULT: $937.60 ALLEGEANT — PB XR 100% DEFAULT: $937.60

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	$20,726.58	$3,000 – $67,848.61
Neck (cervical) spinal fusion, without complications: 10 of 37 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $52,456.21 AETNA — AETNA: $52,456.21 AETNA DOMESTIC — AETNA: $52,456.21 AETNA EAP — AETNA: $52,456.21 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $25,069.17 ALLIED BENEFIT SYSTEMS — AETNA: $52,456.21 ASR HEALTH BENEFITS — AETNA: $52,456.21 BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE — EMPIRE BCBS MEDICARE ADVANTAGE: $23,212.19 BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE — BLUE SHIELD OF NE NEW YORK MEDICARE ADV: $23,685.91 BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE — BLUE SHIELD OF NE NEW YORK MEDICARE ADV: $23,685.91
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	$17,363.57	$3,000 – $44,480.34
Uterus and ovary surgery (not for cancer), without complications: 10 of 37 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $26,658.92 AETNA — AETNA: $26,658.92 AETNA DOMESTIC — AETNA: $26,658.92 AETNA EAP — AETNA: $26,658.92 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,040.03 ALLIED BENEFIT SYSTEMS — AETNA: $26,658.92 ASR HEALTH BENEFITS — AETNA: $26,658.92 BLUE CROSS - NY (ANTHEM) MEDICARE ADVANTAGE — EMPIRE BCBS MEDICARE ADVANTAGE: $12,074.10 BLUE CROSS - NY (EXCELLUS) MEDICARE ADVANTAGE — BLUE SHIELD OF NE NEW YORK MEDICARE ADV: $12,320.51 BLUE SHIELD - NY HIGHMARK NORTHEASTERN MEDICARE ADVANTAGE — BLUE SHIELD OF NE NEW YORK MEDICARE ADV: $12,320.51

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

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

Hospital information

Hospital type	Acute Care Hospital
Address	2215 Burdett Avenue, Troy, NY 12180
County	Rensselaer County
State	New York
Phone	(518) 427‑3402
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	330180
Name in Medicare records	SAMARITAN HOSPITAL OF TROY, NEW YORK
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(518) 271‑3300^[4]
Name on the hospital’s website	Samaritan Hospital
Official website	sphp.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Samaritan Hospital - St. Peter's Health Partners — sphp.com
Awards and Accreditations | St. Peter's Health Partners — sphp.com