Does Sentara Northern Virginia Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sentara Northern Virginia Medical Center. In a medical emergency, call 911.

Where is Sentara Northern Virginia Medical Center?

2300 Opitz Boulevard, Woodbridge, VA 22191, in Prince William County, Virginia.

What is the phone number of Sentara Northern Virginia Medical Center?

(703) 523-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Sentara Northern Virginia Medical Center?

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

Sentara Northern Virginia Medical Center

Quick answers

Does Sentara Northern Virginia Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sentara Northern Virginia Medical Center. In a medical emergency, call 911.
Where is Sentara Northern Virginia Medical Center?: 2300 Opitz Boulevard, Woodbridge, VA 22191, in Prince William County, Virginia.
What is the phone number of Sentara Northern Virginia Medical Center?: (703) 523-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Sentara Northern Virginia Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5][8][15]

Cancer
Diabetes
Digestive health
Heart and Vascular
Imaging
Interventional Radiology
Maternity
Neurosciences
Orthopedics and Spine
Plastic Surgery
Primary Care
Rehabilitation and Therapy
Surgery
Urology
Women's Health
Breast care
Emergency and trauma

Conditions treated^{[8][9][12][18]}

Breast cancer
Colorectal cancer
Prostate cancer
Cardiomyopathy
Coronary artery disease
Heart arrhythmia
Heart attack
Heart failure
High cholesterol and high blood pressure
Vascular conditions
Achilles tendon injuries
Athletic and sports injuries
Chronic heel pain
Congenital deformities such as flatfoot
Foot and ankle fractures
Pediatric foot and ankle disorders
Alzheimer's disease
Back and neck pain
Brain injury
Brain and spine tumors
Dementia
Facial pain and spasms
Headaches
Lou Gehrig disease (ALS)
Multiple sclerosis
Muscular dystrophy
Parkinson's disease
Restless leg syndrome
Seizures and epilepsy
Spine injury
Stroke
Tremors
Vertigo

Treatments^[5]

Hyperbaric Oxygen Therapy
Infusion Center
Cardiac and Pulmonary Rehabilitation
Home Care

Procedures^{[5][8][9][12][13][17]}

Weight loss surgery
Cervical discectomy and fusion
Disc replacement
Kyphoplasty
Lumbar fusion
Lumbar laminectomy
Lumbar microdiscectomy
Non-surgical treatment of the spine
Hip replacement surgery
Hip resurfacing
Knee replacement surgery
Partial knee replacement
Shoulder replacement surgery
Angioplasty
Cardiac catheterization
Cardiac rehabilitation
Electrophysiology
Coronary shockwave
Radial access
Da Vinci robotic prostate surgery
External beam radiation
Angiography
Biliary procedures
Biopsies
Minimally invasive cancer treatments such as chemoembolization, radioembolization and cryoablation
Catheter insertion
Fallopian tube recanalization
Feeding tube placement
Myelogram
Needle biopsy
Radiofrequency ablation
Varicocele treatment
Varicose and spider vein treatment
Vertebroplasty
Breast surgery
Cancer surgery
Ear, nose and throat surgery
General surgery
Gynecological surgery
Hand surgery
Orthopedic surgery
Outpatient or one-day surgery
Plastic or cosmetic surgery
Spine surgery
Urology surgery
Vascular surgery

Programs and centers^{[4][5][8][9][11][12][18]}

Comprehensive Breast Center
Forensic Nurse Program
Family Health Connection
Wound Healing Center
Sentara Heart and Vascular Center
Sentara Cancer Network Resource Center
Pritikin Intensive Cardiac Rehabilitation Program
Sentara OrthoJoint Center
Express Track same-day joint replacement
Sentara Spine Center
Sports medicine
Neonatal intensive care unit
Vaginal Birth After Cesarean (VBAC) program
Postpartum and breastfeeding support group
Primary Stroke Center

Emergency care (hospital website)^{[5][14][15][18]}

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center (DNV certified)

Visiting and practical information

Visiting	Labor & delivery allows 3 visitors; postpartum unlimited; overnight visitors must stay in room 10 p.m. to 7 a.m^[11]
Parking	Enter at Potomac Center Boulevard and park in visitor lots; special parking for expectant mothers near main entrance^[11]
Interpreters and languages	Language assistance available in about 20 languages^[4]

Recognition^[8][18]

National Accreditation Program for Breast Centers (NAPBC) designation
American College of Surgeons Commission on Cancer accreditation
Primary Stroke Center certification (DNV)

Doctors and clinicians (493)

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

Main specialties

And 469 more: the button below opens the full list.

Other emergency rooms nearby

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

Fort Belvoir Community Hospital8.2 mi · Fort Belvoir, VA · Military Hospital (Department of Defense)
Inova Mount Vernon Hospital12 mi · Alexandria, VA · Acute Care Hospital
UVA Health Prince William Medical Center14 mi · Manassas, VA · Acute Care Hospital
Inova Alexandria Hospital16 mi · Alexandria, VA · Acute Care Hospital
Inova Fairfax Hospital17 mi · Falls Church, VA · Acute Care Hospital

Other hospitals nearby

Inova Specialty Hospital12 mi · Alexandria, VA · Long-Term Acute Care Hospital
Northern Virginia Mental Health Insti16 mi · Falls Church, VA · Psychiatric 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

Belmont Bay Rehabilitation and Healthcare Center1.2 mi · Woodbridge, VA · 3 of 5 stars
Westminster at Lake Ridge3.6 mi · Lake Ridge, VA · 3 of 5 stars
Belvoir Woods Health Care Center at the Fairfax7.3 mi · Fort Belvoir, VA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Ascend Hospice of Northern Virginia3.8 mi · Woodbridge, VA
Evergreen Health Care Management14 mi · Annandale, VA
Professional Healthcare Resources, Inc14 mi · Annandale, VA

All hospice providers in the state →

Home health agencies

Abel Home Health Care LLC1.5 mi · Woodbridge, VA
Quality Health Services LLC1.5 mi · Woodbridge, VA · 4 of 5 stars
Bennett Home Care Agency3.6 mi · Woodbridge, VA

All home health agencies in the state →

Dialysis facilities

DaVita Dale City3.6 mi · Dale City, VA · 4 of 5 stars
USRC Woodbridge3.6 mi · Woodbridge, VA · 4 of 5 stars
Caton Hill Peritoneal Dialysis Center3.8 mi · Woodbridge, VA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Kaiser Permanente Caton Hill Ambulatory Surgery Center3.8 mi · Woodbridge, VA
Lake Ridge Ambulatory Surgery Center, LLC3.8 mi · Woodbridge, VA
Northern Virginia Heart & Vascular Center, LLC3.8 mi · Woodbridge, VA

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

Lunera Health - Woodbridge3.9 mi · Woodbridge, VA · Community health center
Lunera Health - Dumfries5.2 mi · Dumfries, VA · Community health center
Lunera Health - Manassas12 mi · Manassas, VA · Community health center

Clinics and urgent care

American Greatest Care LLC1.5 mi · Woodbridge, VA · Urgent care center
Mna Solutions LLC1.5 mi · Woodbridge, VA · Urgent care center
SD Payments Inc1.5 mi · Woodbridge, VA · Urgent care center

Pharmacies

Giant of Maryland LLC1.5 mi · Woodbridge, VA · Community/retail pharmacy
Giant of Maryland LLC1.5 mi · Woodbridge, VA · Community/retail pharmacy
Misk LLC1.5 mi · Woodbridge, VA · Pharmacy

Assisted living nearby

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

Golden Life Senior Assisted Living10 mi · Bryans Road, MD
Lilly’s Place Indian Head10 mi · Bryan’s Road, MD
Lilly's Place Marshall10 mi · Bryans Road, MD
Starpoint Riverview10 mi · Bryans Road, MD

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	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	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	79%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	940Response rate: 18%

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)	0.245No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.199Better than the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.858No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.175Better 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	12.5%
Deaths within 30 days: heart failure patients	9.8%
Deaths within 30 days: pneumonia patients	15%
Deaths within 30 days: COPD patients	9.5%
Deaths within 30 days: stroke patients	12.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.91No 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	13%
Readmitted within 30 days: heart failure	22.8%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: COPD	22.1%
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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	166 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	77%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 Virginia Best hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Sentara Northern Virginia Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$271.67 – $629.35
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $271.67 BCBS — Anthem Exchange: $547.90 BCBS — Anthem HMO: $589.14 BCBS — Anthem Medicare Managed Care Plan: $278.99 BCBS — Anthem PPO: $629.35 Humana — Medicare Managed Care Plan: $274.33 UnitedHealthCare — DSNP Medicare Managed Care Plan: $279.66
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Iii - Er Dept Visit	$982	$491	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Level Iii - L&D Er Ept Visit	$982	$491	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$415.26 – $962
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $415.26 BCBS — Anthem Exchange: $837.49 BCBS — Anthem HMO: $900.54 BCBS — Anthem Medicare Managed Care Plan: $426.45 BCBS — Anthem PPO: $962 Humana — Medicare Managed Care Plan: $419.33 UnitedHealthCare — DSNP Medicare Managed Care Plan: $427.47
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level Iv - Er Dept Visit	$1,819	$909.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$592.67 – $1,373
Emergency room visit (high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $592.67 BCBS — Anthem Exchange: $1,195.30 BCBS — Anthem HMO: $1,285.28 BCBS — Anthem Medicare Managed Care Plan: $608.65 BCBS — Anthem PPO: $1,373 Humana — Medicare Managed Care Plan: $598.48 UnitedHealthCare — DSNP Medicare Managed Care Plan: $610.10
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level V - Er Dept Visit	$2,867	$1,433.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Level V - L&D Er Dept Visit	$2,867	$1,433.50	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$7.42 – $48.30
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $8.63 BCBS — Anthem Exchange: $16.33 BCBS — Anthem HMO: $17.51 BCBS — Anthem Medicare Managed Care Plan: $8.86 BCBS — Anthem PPO: $18.44 CareFirst — HMO: $36.54 CareFirst — PPO: $39.87 Cigna — Connect Exchange: $44.44 Cigna — PPO/POS: $48.30 Humana — Medicare Managed Care Plan: $8.71
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Basic Metabolic Panel	$86	$43	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$9.26 – $60.41
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $10.77 BCBS — Anthem Exchange: $20.38 BCBS — Anthem HMO: $21.86 BCBS — Anthem Medicare Managed Care Plan: $11.06 BCBS — Anthem PPO: $23.02 CareFirst — HMO: $29.89 CareFirst — PPO: $49.77 Cigna — Connect Exchange: $55.58 Cigna — PPO/POS: $60.41 Humana — Medicare Managed Care Plan: $10.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Comprehensive Metabolic Panel	$493	$246.50	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$35.27 – $296.59
Obstetric blood test panel: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $48.77 BCBS — Anthem Exchange: $92.27 BCBS — Anthem HMO: $98.97 BCBS — Anthem Medicare Managed Care Plan: $50.08 BCBS — Anthem PPO: $104.23 CareFirst — HMO: $45.05 CareFirst — PPO: $296.59 Cigna — Connect Exchange: $252.80 Cigna — PPO/POS: $274.79 Humana — Medicare Managed Care Plan: $49.24
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prenatal Panel	$440	$220	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$11.74 – $268.43
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $13.66 BCBS — Anthem Exchange: $25.84 BCBS — Anthem HMO: $27.72 BCBS — Anthem Medicare Managed Care Plan: $14.03 BCBS — Anthem PPO: $29.19 CareFirst — HMO: $268.43 CareFirst — PPO: $63.09 Cigna — Connect Exchange: $102.78 Cigna — PPO/POS: $111.72 Humana — Medicare Managed Care Plan: $13.79
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O	$8	$4	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Lipid Panel Complete	$170	$85	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$7.61 – $57.10
Kidney function panel: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $8.85 BCBS — Anthem Exchange: $16.75 BCBS — Anthem HMO: $17.97 BCBS — Anthem Medicare Managed Care Plan: $9.09 BCBS — Anthem PPO: $18.92 CareFirst — HMO: $57.10 CareFirst — PPO: $40.88 Cigna — Connect Exchange: $45.85 Cigna — PPO/POS: $49.84 Humana — Medicare Managed Care Plan: $8.94
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Renal Function Panel	$464	$232	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$7.16 – $202.95
Liver function panel: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $8.33 BCBS — Anthem Exchange: $15.77 BCBS — Anthem HMO: $16.91 BCBS — Anthem Medicare Managed Care Plan: $8.56 BCBS — Anthem PPO: $17.81 CareFirst — HMO: $202.95 CareFirst — PPO: $38.49 Cigna — Connect Exchange: $43.05 Cigna — PPO/POS: $46.80 Humana — Medicare Managed Care Plan: $8.42
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Hepatic Function Panel	$310	$155	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.78 – $18.13
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3.23 BCBS — Anthem Exchange: $6.12 BCBS — Anthem HMO: $6.56 BCBS — Anthem Medicare Managed Care Plan: $3.32 BCBS — Anthem PPO: $6.91 CareFirst — HMO: $13.51 CareFirst — PPO: $14.93 Cigna — Connect Exchange: $16.68 Cigna — PPO/POS: $18.13 Humana — Medicare Managed Care Plan: $3.27
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis W/Micro	$179	$89.50	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W/Scope	$179	$89.50	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.24 – $15.09
Urine test (manual, without microscope): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3.55 BCBS — Anthem Exchange: $6.72 BCBS — Anthem HMO: $7.20 BCBS — Anthem Medicare Managed Care Plan: $3.65 BCBS — Anthem PPO: $7.59 CareFirst — HMO: $13.51 CareFirst — PPO: $12.03 Cigna — Connect Exchange: $13.88 Cigna — PPO/POS: $15.09 Humana — Medicare Managed Care Plan: $3.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope	$41	$20.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.97 – $13.58
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $2.30 BCBS — Anthem Exchange: $4.34 BCBS — Anthem HMO: $4.66 BCBS — Anthem Medicare Managed Care Plan: $2.36 BCBS — Anthem PPO: $4.91 CareFirst — HMO: $10.89 CareFirst — PPO: $10.58 Cigna — Connect Exchange: $12.49 Cigna — PPO/POS: $13.58 Humana — Medicare Managed Care Plan: $2.32
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis	$107	$53.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Bile Urine	$107	$53.50	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$16.11 – $105.70
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $18.76 BCBS — Anthem Exchange: $35.49 BCBS — Anthem HMO: $38.07 BCBS — Anthem Medicare Managed Care Plan: $19.26 BCBS — Anthem PPO: $40.09 CareFirst — HMO: $78.39 CareFirst — PPO: $86.61 Cigna — Connect Exchange: $97.24 Cigna — PPO/POS: $105.70 Humana — Medicare Managed Care Plan: $18.94
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prostatic Spec Ag	$172	$86	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$14.72 – $96.64
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $17.14 BCBS — Anthem Exchange: $32.42 BCBS — Anthem HMO: $34.78 BCBS — Anthem Medicare Managed Care Plan: $17.60 BCBS — Anthem PPO: $36.62 CareFirst — HMO: $63.01 CareFirst — PPO: $79.09 Cigna — Connect Exchange: $88.90 Cigna — PPO/POS: $96.64 Humana — Medicare Managed Care Plan: $17.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Chronic Urticaria Panel, S/O	$37	$18.50	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chga-Tsh	$212	$106	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$6.81 – $45.29
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $7.93 BCBS — Anthem Exchange: $15 BCBS — Anthem HMO: $16.08 BCBS — Anthem Medicare Managed Care Plan: $8.14 BCBS — Anthem PPO: $16.94 CareFirst — HMO: $10.10 CareFirst — PPO: $36.60 Cigna — Connect Exchange: $41.67 Cigna — PPO/POS: $45.29 Humana — Medicare Managed Care Plan: $8
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc With Diff	$195	$97.50	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O	$17	$8.50	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$5.67 – $37.73
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $6.60 BCBS — Anthem Exchange: $12.49 BCBS — Anthem HMO: $13.39 BCBS — Anthem Medicare Managed Care Plan: $6.78 BCBS — Anthem PPO: $14.10 CareFirst — HMO: $33.12 CareFirst — PPO: $30.46 Cigna — Connect Exchange: $34.71 Cigna — PPO/POS: $37.73 Humana — Medicare Managed Care Plan: $6.66
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc Without Diff	$184	$92	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$3.44 – $77.65
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $4.38 BCBS — Anthem Exchange: $8.28 BCBS — Anthem HMO: $8.88 BCBS — Anthem Medicare Managed Care Plan: $4.49 BCBS — Anthem PPO: $9.35 CareFirst — HMO: $77.65 CareFirst — PPO: $18.50 Cigna — Connect Exchange: $20.83 Cigna — PPO/POS: $22.65 Humana — Medicare Managed Care Plan: $4.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Pt/Inr	$184	$92	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Arsenic, Serum/Plasma, S/O	$11	$5.50	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$5.26 – $36.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $6.13 BCBS — Anthem Exchange: $11.60 BCBS — Anthem HMO: $12.44 BCBS — Anthem Medicare Managed Care Plan: $6.30 BCBS — Anthem PPO: $13.10 CareFirst — HMO: $36.26 CareFirst — PPO: $28.24 Cigna — Connect Exchange: $31.94 Cigna — PPO/POS: $34.72 Humana — Medicare Managed Care Plan: $6.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Ptt	$225	$112.50	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Von Willebrand Screen, S/O	$9	$4.50	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$104.04 – $897.74
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $104.04 BCBS — Anthem Exchange: $209.83 BCBS — Anthem HMO: $225.63 BCBS — Anthem Medicare Managed Care Plan: $106.85 BCBS — Anthem PPO: $241.03 CareFirst — HMO: $815.88 CareFirst — PPO: $897.74 Humana — Medicare Managed Care Plan: $105.06 UnitedHealthCare — DSNP Medicare Managed Care Plan: $107.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Head Region W/O Contrast	$2,656	$1,328	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$347.20 – $4,337.44
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $347.20 BCBS — Anthem Exchange: $700.23 BCBS — Anthem HMO: $752.94 BCBS — Anthem Medicare Managed Care Plan: $356.56 BCBS — Anthem PPO: $804.33 CareFirst — HMO: $3,941.93 CareFirst — PPO: $4,337.44 Cigna — Connect Exchange: $1,604.68 Cigna — PPO/POS: $1,744.22 Humana — Medicare Managed Care Plan: $350.60
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Head W/Wo Contrast	$7,331	$3,665.50	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr - Mri Screen, Iac W&W/O Contrast	$3,491	$1,745.50	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$86.61 – $312.68
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $86.61 BCBS — Anthem Exchange: $174.67 BCBS — Anthem HMO: $187.82 BCBS — Anthem Medicare Managed Care Plan: $88.94 BCBS — Anthem PPO: $200.64 CareFirst — HMO: $284.17 CareFirst — PPO: $312.68 Humana — Medicare Managed Care Plan: $87.46 UnitedHealthCare — DSNP Medicare Managed Care Plan: $89.15
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-X-Ray Exam Chest 2 Views	$563	$281.50	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views	$563	$281.50	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$104.04 – $241.03
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $104.04 BCBS — Anthem Exchange: $209.83 BCBS — Anthem HMO: $225.63 BCBS — Anthem Medicare Managed Care Plan: $106.85 BCBS — Anthem PPO: $241.03 CareFirst — HMO: $182.45 CareFirst — PPO: $200.76 Humana — Medicare Managed Care Plan: $105.06 UnitedHealthCare — DSNP Medicare Managed Care Plan: $107.10
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Lspine Comp	$1,056	$528	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Spine Lumbar Minimum Four View	$1,056	$528	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$237.46 – $2,223.02
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $237.46 BCBS — Anthem Exchange: $478.90 BCBS — Anthem HMO: $514.95 BCBS — Anthem Medicare Managed Care Plan: $243.86 BCBS — Anthem PPO: $550.10 CareFirst — HMO: $2,020.31 CareFirst — PPO: $2,223.02 Cigna — Connect Exchange: $905.99 Cigna — PPO/POS: $984.78 Humana — Medicare Managed Care Plan: $239.78
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lumbar Spine W / O Contrast	$4,000	$2,000	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$174.56 – $1,286.52
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $174.56 BCBS — Anthem Exchange: $352.05 BCBS — Anthem HMO: $378.55 BCBS — Anthem Medicare Managed Care Plan: $179.26 BCBS — Anthem PPO: $404.39 CareFirst — HMO: $1,169.21 CareFirst — PPO: $1,286.52 Humana — Medicare Managed Care Plan: $176.27 UnitedHealthCare — DSNP Medicare Managed Care Plan: $179.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Pelvis W / Contrast	$3,388	$1,694	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$237.46 – $1,981.70
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $237.46 BCBS — Anthem Exchange: $478.90 BCBS — Anthem HMO: $514.95 BCBS — Anthem Medicare Managed Care Plan: $243.86 BCBS — Anthem PPO: $550.10 CareFirst — HMO: $1,801 CareFirst — PPO: $1,981.70 Cigna — Connect Exchange: $1,028.39 Cigna — PPO/POS: $1,117.82 Humana — Medicare Managed Care Plan: $239.78
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lower Ext W/O Contrast	$3,865	$1,932.50	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$347.20 – $3,753.03
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $347.20 BCBS — Anthem Exchange: $700.23 BCBS — Anthem HMO: $752.94 BCBS — Anthem Medicare Managed Care Plan: $356.56 BCBS — Anthem PPO: $804.33 CareFirst — HMO: $3,410.81 CareFirst — PPO: $3,753.03 Humana — Medicare Managed Care Plan: $350.60 UnitedHealthCare — DSNP Medicare Managed Care Plan: $357.41
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Abd/Pelvis W/ Contrast	$6,668	$3,334	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$104.04 – $460.63
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $104.04 BCBS — Anthem Exchange: $209.83 BCBS — Anthem HMO: $225.63 BCBS — Anthem Medicare Managed Care Plan: $106.85 BCBS — Anthem PPO: $241.03 CareFirst — HMO: $418.63 CareFirst — PPO: $460.63 Humana — Medicare Managed Care Plan: $105.06 UnitedHealthCare — DSNP Medicare Managed Care Plan: $107.10
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Abdomen Complete	$1,737	$868.50	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Abdomen	$1,737	$868.50	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$104.04 – $515.48
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $104.04 BCBS — Anthem Exchange: $209.83 BCBS — Anthem HMO: $225.63 BCBS — Anthem Medicare Managed Care Plan: $106.85 BCBS — Anthem PPO: $241.03 CareFirst — HMO: $468.47 CareFirst — PPO: $515.48 Humana — Medicare Managed Care Plan: $105.06 UnitedHealthCare — DSNP Medicare Managed Care Plan: $107.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Ob Complete >=14 Wks	$1,209	$604.50	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Preg Uterus After 1St Trimest 1/1St Gestation	$1,209	$604.50	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$104.04 – $368.84
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $104.04 BCBS — Anthem Exchange: $209.83 BCBS — Anthem HMO: $225.63 BCBS — Anthem Medicare Managed Care Plan: $106.85 BCBS — Anthem PPO: $241.03 CareFirst — HMO: $335.21 CareFirst — PPO: $368.84 Humana — Medicare Managed Care Plan: $105.06 UnitedHealthCare — DSNP Medicare Managed Care Plan: $107.10
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Transvaginal	$1,167	$583.50	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Transvaginal	$1,167	$583.50	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$293.95 – $323.44
Diagnostic mammogram, one breast: rates for 2 insurance plans CareFirst — HMO: $293.95 CareFirst — PPO: $323.44
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Unilat	$766	$383	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammo Unilat	$766	$383	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$373.18 – $410.62
Diagnostic mammogram, both breasts: rates for 2 insurance plans CareFirst — HMO: $373.18 CareFirst — PPO: $410.62
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Bilat	$975	$487.50	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammogram	$975	$487.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$281.93 – $310.21
Screening mammogram, both breasts: rates for 2 insurance plans CareFirst — HMO: $281.93 CareFirst — PPO: $310.21
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad	$830	$415	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Digital Screening Unilat	$830	$415	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,226.37 – $10,423
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $3,226.37 BCBS — Anthem Exchange: $6,506.91 BCBS — Anthem HMO: $6,996.77 BCBS — Anthem Medicare Managed Care Plan: $3,313.35 BCBS — Anthem PPO: $7,474.30 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $3,258 UnitedHealthCare — All Commercial Plans: $10,423 UnitedHealthCare — DSNP Medicare Managed Care Plan: $3,321.26
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Cd Left Hrt Cath W / Ventrclgrphy	$25,716	$12,858	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$7,762.21 – $17,982.20
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $7,762.21 BCBS — Anthem Exchange: $15,654.77 BCBS — Anthem HMO: $16,833.30 BCBS — Anthem Medicare Managed Care Plan: $7,971.49 BCBS — Anthem PPO: $17,982.20 Humana — Medicare Managed Care Plan: $7,838.31 UnitedHealthCare — All Commercial Plans: $11,640 UnitedHealthCare — DSNP Medicare Managed Care Plan: $7,990.51
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep Study W/O Induction Of Arrh	$9,342	$4,671	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$19,608 – $60,261.07
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $26,012.36 BCBS — Anthem Exchange: $52,461.52 BCBS — Anthem HMO: $56,410.96 BCBS — Anthem Medicare Managed Care Plan: $26,713.67 BCBS — Anthem PPO: $60,261.07 Humana — Medicare Managed Care Plan: $26,267.38 UnitedHealthCare — All Commercial Plans: $19,608 UnitedHealthCare — DSNP Medicare Managed Care Plan: $26,777.43
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep&Ablatn Afib Pulm Vein Isol	$33,791	$16,895.50	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea/Narco	$4,376	$2,188	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea&Eeg	$4,376	$2,188	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study-Reduce Svc	$4,376	$2,188	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.30 – $80.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $29.30 BCBS — Anthem Medicare Managed Care Plan: $30.09 CareFirst — HMO: $73.20 CareFirst — PPO: $80.88 Humana — Medicare Managed Care Plan: $29.59 UnitedHealthCare — DSNP Medicare Managed Care Plan: $30.17
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-Exercise - Isokinetic	$185	$92.50	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Exercise Therapeutic -15 Min	$185	$92.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$98.92 – $202.20
Physical therapy evaluation (low complexity): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $98.92 BCBS — Anthem Medicare Managed Care Plan: $101.59 CareFirst — HMO: $183 CareFirst — PPO: $202.20 Humana — Medicare Managed Care Plan: $99.89 UnitedHealthCare — DSNP Medicare Managed Care Plan: $101.83
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Mins	$432	$216	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$98.92 – $202.20
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $98.92 BCBS — Anthem Medicare Managed Care Plan: $101.59 CareFirst — HMO: $183 CareFirst — PPO: $202.20 Humana — Medicare Managed Care Plan: $99.89 UnitedHealthCare — DSNP Medicare Managed Care Plan: $101.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Mins	$527	$263.50	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$98.92 – $202.20
Physical therapy evaluation (high complexity): rates for 6 insurance plans Aetna — Medicare Managed Care Plan: $98.92 BCBS — Anthem Medicare Managed Care Plan: $101.59 CareFirst — HMO: $183 CareFirst — PPO: $202.20 Humana — Medicare Managed Care Plan: $99.89 UnitedHealthCare — DSNP Medicare Managed Care Plan: $101.83
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Mins	$579	$289.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (30 Min)	$301	$150.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 30 Minutes	$301	$150.50	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (45 Min)	$414	$207	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psychotherapy,45Min W/Pt,Fmly	$414	$207	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 60 Minutes	$439	$219.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy W/ Patient	$459	$229.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx W/Pt 50 Min	$459	$229.50	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,231 – $9,027.07
Removal of breast growth (open surgery): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3,896.63 BCBS — Anthem Exchange: $7,858.70 BCBS — Anthem HMO: $8,450.32 BCBS — Anthem Medicare Managed Care Plan: $4,001.69 BCBS — Anthem PPO: $9,027.07 CareFirst — HMO: $3,231 CareFirst — PPO: $3,714 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $3,934.84
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Removal Of Breast Lesion	$9,792	$4,896	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$3,988 – $29,599.70
Total hip replacement: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $12,777.04 BCBS — Anthem Exchange: $25,768.63 BCBS — Anthem HMO: $27,708.55 BCBS — Anthem Medicare Managed Care Plan: $13,121.51 BCBS — Anthem PPO: $29,599.70 CareFirst — HMO: $9,860 CareFirst — PPO: $11,336 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $12,902.30
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$3,988 – $29,599.70
Total knee replacement: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $12,777.04 BCBS — Anthem Exchange: $25,768.63 BCBS — Anthem HMO: $27,708.55 BCBS — Anthem Medicare Managed Care Plan: $13,121.51 BCBS — Anthem PPO: $29,599.70 CareFirst — HMO: $9,860 CareFirst — PPO: $11,336 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $12,902.30
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$484 – $4,335
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans CareFirst — HMO: $778 CareFirst — PPO: $897 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 UnitedHealthCare — All Commercial Plans: $484
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,256.29 – $8,137
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3,256.29 BCBS — Anthem Exchange: $6,567.26 BCBS — Anthem HMO: $7,061.66 BCBS — Anthem Medicare Managed Care Plan: $3,344.08 BCBS — Anthem PPO: $7,543.63 CareFirst — HMO: $4,039 CareFirst — PPO: $4,646 Cigna — Connect Exchange: $4,926 Cigna — PPO/POS: $5,355 Humana — Medicare Managed Care Plan: $3,288.21
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$3,988 – $13,648.22
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $5,891.41 BCBS — Anthem Exchange: $11,881.74 BCBS — Anthem HMO: $12,776.23 BCBS — Anthem Medicare Managed Care Plan: $6,050.24 BCBS — Anthem PPO: $13,648.22 CareFirst — HMO: $7,889 CareFirst — PPO: $9,071 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $5,949.16
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$902.63 – $2,830
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $902.63 BCBS — Anthem Exchange: $1,820.42 BCBS — Anthem HMO: $1,957.46 BCBS — Anthem Medicare Managed Care Plan: $926.97 BCBS — Anthem PPO: $2,091.06 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $2,603 Cigna — PPO/POS: $2,830 Humana — Medicare Managed Care Plan: $911.48
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$902.63 – $3,790
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $902.63 BCBS — Anthem Exchange: $1,820.42 BCBS — Anthem HMO: $1,957.46 BCBS — Anthem Medicare Managed Care Plan: $926.97 BCBS — Anthem PPO: $2,091.06 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $911.48
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$925.49 – $3,790
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $925.49 BCBS — Anthem Exchange: $1,866.53 BCBS — Anthem HMO: $2,007.04 BCBS — Anthem Medicare Managed Care Plan: $950.44 BCBS — Anthem PPO: $2,144.03 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $934.57
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$2,329	$1,164.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,190.90 – $3,790
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $1,190.90 BCBS — Anthem Exchange: $2,401.79 BCBS — Anthem HMO: $2,582.60 BCBS — Anthem Medicare Managed Care Plan: $1,223 BCBS — Anthem PPO: $2,758.87 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $1,202.57
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,190.90 – $3,790
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $1,190.90 BCBS — Anthem Exchange: $2,401.79 BCBS — Anthem HMO: $2,582.60 BCBS — Anthem Medicare Managed Care Plan: $1,223 BCBS — Anthem PPO: $2,758.87 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $1,202.57
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,190.90 – $3,790
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $1,190.90 BCBS — Anthem Exchange: $2,401.79 BCBS — Anthem HMO: $2,582.60 BCBS — Anthem Medicare Managed Care Plan: $1,223 BCBS — Anthem PPO: $2,758.87 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $1,202.57
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$925.49 – $3,790
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $925.49 BCBS — Anthem Exchange: $1,866.53 BCBS — Anthem HMO: $2,007.04 BCBS — Anthem Medicare Managed Care Plan: $950.44 BCBS — Anthem PPO: $2,144.03 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $934.57
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$3,988 – $13,938.02
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $6,016.50 BCBS — Anthem Exchange: $12,134.03 BCBS — Anthem HMO: $13,047.51 BCBS — Anthem Medicare Managed Care Plan: $6,178.71 BCBS — Anthem PPO: $13,938.02 CareFirst — HMO: $6,310 CareFirst — PPO: $7,257 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $6,075.48
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,563.21 – $8,254.65
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3,563.21 BCBS — Anthem Exchange: $7,186.25 BCBS — Anthem HMO: $7,727.25 BCBS — Anthem Medicare Managed Care Plan: $3,659.28 BCBS — Anthem PPO: $8,254.65 CareFirst — HMO: $5,047 CareFirst — PPO: $5,804 Cigna — Connect Exchange: $4,926 Cigna — PPO/POS: $5,355 Humana — Medicare Managed Care Plan: $3,598.14
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$2,464 – $3,790
Prostate biopsy: rates for 5 insurance plans CareFirst — HMO: $2,587 CareFirst — PPO: $2,973 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 UnitedHealthCare — All Commercial Plans: $2,464
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate/Us Or Mri/Bx	$4,838	$2,419	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$778 – $24,507.18
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $10,578.79 BCBS — Anthem Exchange: $21,335.23 BCBS — Anthem HMO: $22,941.40 BCBS — Anthem Medicare Managed Care Plan: $10,864.01 BCBS — Anthem PPO: $24,507.18 CareFirst — HMO: $778 CareFirst — PPO: $897 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $10,682.51
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,221.58 – $7,463.22
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $3,221.58 BCBS — Anthem Exchange: $6,497.26 BCBS — Anthem HMO: $6,986.39 BCBS — Anthem Medicare Managed Care Plan: $3,308.44 BCBS — Anthem PPO: $7,463.22 CareFirst — HMO: $3,231 CareFirst — PPO: $3,714 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $3,253.17
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy Biopsy	$8,987	$4,493.50	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$702.49 – $4,335
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $702.49 BCBS — Anthem Exchange: $1,416.78 BCBS — Anthem HMO: $1,523.44 BCBS — Anthem Medicare Managed Care Plan: $721.43 BCBS — Anthem PPO: $1,627.42 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335 Humana — Medicare Managed Care Plan: $709.38
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac, Img	$3,370	$1,685	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$880.23 – $2,830
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $880.23 BCBS — Anthem Exchange: $1,775.23 BCBS — Anthem HMO: $1,908.88 BCBS — Anthem Medicare Managed Care Plan: $903.96 BCBS — Anthem PPO: $2,039.16 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $2,603 Cigna — PPO/POS: $2,830 Humana — Medicare Managed Care Plan: $888.86
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Esi L/S,Transforamn-W/Wo Fluor	$3,649	$1,824.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Proc-Esi L/S W/Osed Tranforamn	$3,649	$1,824.50	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,943.35 – $5,620
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $1,943.35 BCBS — Anthem Exchange: $3,919.33 BCBS — Anthem HMO: $4,214.39 BCBS — Anthem Medicare Managed Care Plan: $1,995.74 BCBS — Anthem PPO: $4,502.03 CareFirst — HMO: $2,587 CareFirst — PPO: $2,973 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $1,962.40
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$547.36 – $3,790
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $547.36 BCBS — Anthem Exchange: $1,103.90 BCBS — Anthem HMO: $1,187.01 BCBS — Anthem Medicare Managed Care Plan: $562.11 BCBS — Anthem PPO: $1,268.02 CareFirst — HMO: $1,723 CareFirst — PPO: $1,981 Cigna — Connect Exchange: $3,486 Cigna — PPO/POS: $3,790 Humana — Medicare Managed Care Plan: $552.72
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Discission Cataract Yag Laser	$2,155	$1,077.50	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,296.74 – $8,265
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $2,296.74 BCBS — Anthem Exchange: $4,632.05 BCBS — Anthem HMO: $4,980.77 BCBS — Anthem Medicare Managed Care Plan: $2,358.66 BCBS — Anthem PPO: $5,320.71 CareFirst — HMO: $2,587 CareFirst — PPO: $2,973 Cigna — Connect Exchange: $7,603 Cigna — PPO/POS: $8,265 Humana — Medicare Managed Care Plan: $2,319.26

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$3,988 – $4,335
Vaginal delivery, with care before and after: rates for 2 insurance plans Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$3,988 – $4,335
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$3,988 – $4,335
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Cigna — Connect Exchange: $3,988 Cigna — PPO/POS: $4,335

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$73,303.74 – $158,138.96
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $73,303.74 BCBS — Anthem Exchange: $125,288.32 BCBS — Anthem HMO: $134,806.98 BCBS — Anthem Medicare Managed Care Plan: $75,280.06 BCBS — Anthem PPO: $141,077.76 CareFirst — HMO: $127,076.47 CareFirst — PPO: $133,185.17 Cigna — Connect Exchange: $102,602.01 Cigna — PPO/POS: $111,523.92 Humana — Medicare Managed Care Plan: $74,022.40
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$59,129.95
Spinal fusion (not neck), without major complications: rates for 4 insurance plans UnitedHealthCare — All Commercial Plans: $59,129.95 MedCost — Virginia Plus PPO: 95% (a percentage in the contract, not a dollar amount) MedCost — Virginia Standard PPO: 95% (a percentage in the contract, not a dollar amount) Multiplan — PHCS PPO: 90% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$14,508.98 – $31,180.67
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $14,508.98 BCBS — Anthem Exchange: $24,703.42 BCBS — Anthem HMO: $26,580.24 BCBS — Anthem Medicare Managed Care Plan: $14,900.15 BCBS — Anthem PPO: $27,816.67 CareFirst — HMO: $24,828.26 CareFirst — PPO: $26,021.79 Cigna — Connect Exchange: $20,230.30 Cigna — PPO/POS: $21,989.46 Humana — Medicare Managed Care Plan: $14,651.22
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	Not listed in the file	$18,191.86 – $39,463.61
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $18,191.86 BCBS — Anthem Exchange: $31,265.73 BCBS — Anthem HMO: $33,641.11 BCBS — Anthem Medicare Managed Care Plan: $18,682.33 BCBS — Anthem PPO: $35,205.99 CareFirst — HMO: $31,171.29 CareFirst — PPO: $32,669.73 Cigna — Connect Exchange: $25,604.35 Cigna — PPO/POS: $27,830.82 Humana — Medicare Managed Care Plan: $18,370.21
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	Not listed in the file	$9,619.99 – $20,055.92
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates Aetna — Medicare Managed Care Plan: $9,619.99 BCBS — Anthem Exchange: $15,889.64 BCBS — Anthem HMO: $17,096.85 BCBS — Anthem Medicare Managed Care Plan: $9,879.35 BCBS — Anthem PPO: $17,892.13 CareFirst — HMO: $15,783.16 CareFirst — PPO: $16,541.88 Cigna — Connect Exchange: $13,012.46 Cigna — PPO/POS: $14,143.98 Humana — Medicare Managed Care Plan: $9,714.30

Source: Sentara Northern Virginia Medical Center’s standard charges file (sentara.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2300 Opitz Boulevard, Woodbridge, VA 22191
County	Prince William County
State	Virginia
Phone	(703) 523‑1000
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	490113
Name in Medicare records	SENTARA NORTHERN VIRGINIA MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	sentara.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.

Sentara Northern Virginia Medical Center — sentara.com
Medical services - Sentara Northern Virginia Medical Center — sentara.com
Cancer Services at Sentara Northern Virginia Medical Center — sentara.com
Heart and Vascular - Sentara Northern Virginia Medical Center — sentara.com
Sentara Northern Virginia Medical Center - Women’s Health Center — sentara.com
Orthopedics and spine - Sentara Northern Virginia Medical Center — sentara.com
Sentara Northern Virginia Medical Center - Surgery — sentara.com
Sentara Northern Virginia Medical Center - Patient and visitor information — sentara.com
Emergency and Trauma Services - Sentara Northern Virginia Medical Center — sentara.com
Interventional radiology - Sentara Northern Virginia Medical Center — sentara.com
Neurosciences - Sentara Northern Virginia Medical Center — sentara.com