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Acute Care Hospital

Shands Jacksonville

Also listed as: UF Health Jacksonville

Jacksonville, Florida · Duval County · Emergency services listed

Shands Jacksonville is an acute care hospital at 655 W 8th St, Jacksonville, FL 32209. Phone: (904) 244-4000. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Shands Jacksonville is an acute care hospital in Jacksonville, Florida. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 27 services, specialties and programs. Medicare lists 1,039 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(904) 244‑4000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
1,039Doctors and clinicians
27Services listed

Quick answers

Does Shands Jacksonville have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Shands Jacksonville. In a medical emergency, call 911.
Where is Shands Jacksonville?
655 W 8th St, Jacksonville, FL 32209, in Duval County, Florida.
What is the phone number of Shands Jacksonville?
(904) 244-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Shands Jacksonville?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Shands Jacksonville for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Shands Jacksonville under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1609; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][6][7]

Conditions treated[6][7]

Procedures[7]

  • Ear, nose and throat surgery

Programs and centers[4][6][7][8]

  • UF Health TraumaOne Trauma Center
  • Poison Center
  • Comprehensive Multiple Sclerosis Program (UF Health Neuroscience Institute)
  • UF Health Breast Center - Jacksonville
  • Arts in Medicine
  • Child Life Program
  • Dog Therapy
  • Little Miracles Program

Emergency care (hospital website)[4][5][6][7][12]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I

Visiting and practical information

ParkingVisitor parking in South Garage and Lot D is hourly ($1–$4); admitted patients get two passes; outpatients can validate tickets[12]
Interpreters and languagesBilingual and deaf interpreters available through Patient Relations; free sign language interpreters for people with disabilities[9][11]

Recognition[6][7]

  • U.S. News & World Report Best Hospitals 2026-27: high performing in 12 procedures and conditions
  • Adult Level I Trauma Center, verified by the American College of Surgeons
  • Pediatric Level II Trauma Center, verified by the American College of Surgeons
  • Breast center accreditation (NAPBC, American College of Surgeons), 2023-2026
  • CAP-accredited laboratory (College of American Pathologists)

Doctors and clinicians (1,039)

1,039 doctors and other clinicians list Shands Jacksonville as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,039)

And 1,015 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Jacksonville

All hospitals in Jacksonville · Hospitals in Duval County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Shands Jacksonville 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 hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted53%National average: 64%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean70%National average: 73%
Completed surveys3,365Response rate: 16%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.001No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.417No different from the national benchmark
Surgical site infections after colon surgery0.938No different from the national benchmark
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections1.076No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.886No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients12%
Deaths within 30 days: heart failure patients9.2%
Deaths within 30 days: pneumonia patients13.8%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients10.6%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)1.2No different from the national rate
Complications after hip or knee replacement4.6%

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.8%
Readmitted within 30 days: heart attack13%
Readmitted within 30 days: heart failure19.6%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgery12.1%
Readmitted within 30 days: hip or knee replacement6.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)181 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)59%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Shands Jacksonville, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.1609Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0292More readmissions than expected
Heart failure0.9639Fewer readmissions than expected
Pneumonia0.9604Fewer readmissions than expected
COPD (chronic lung disease)1.0326More readmissions than expected
Coronary bypass surgery (CABG)1.0292More readmissions than expected
No result publishedHip or knee replacement (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score30.42 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)54.00 out of 100
Person and community engagement (patient survey)21.00 out of 100
Safety (infections and sepsis care)36.67 out of 100
Efficiency and cost reduction (Medicare spending)10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.95Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 JacksonvilleBest hospitals in Jacksonville

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Shands Jacksonville 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 →

$ 5 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 84 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB URGENT CARE CLINIC VISIT NEW LEVEL 3 $590.94 $325.02 $141.83 – $561.39
New patient office visit (about 30–44 minutes): 10 of 74 insurance plan rates
  • Aetna Better Health — Healthy Kids: $236.38
  • Aetna Better Health — MEDICAID HMO: $236.38
  • Aetna Health — ASA: $486.93
  • Aetna Health — Assurant Health: $486.93
  • Aetna Health — HMO: $292.16
  • Aetna Health — Medicare Advantage: $141.83
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $265.92
  • Archbold Medical Center — PPO: $443.21
  • AVMED — EPN: $390
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB PHYSICIAN CLINIC VISIT NEW LEVEL 3 $248.75 $136.81 $59.70 – $236.31
New patient office visit (about 30–44 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $99.50
  • Aetna Better Health — MEDICAID HMO: $99.50
  • Aetna Health — ASA: $204.97
  • Aetna Health — Assurant Health: $204.97
  • Aetna Health — HMO: $122.98
  • Aetna Health — Medicare Advantage: $59.70
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $111.94
  • Archbold Medical Center — PPO: $186.56
  • AVMED — EPN: $390
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HOSPITAL CLINIC VISIT NEW LEVEL 3 $237.04 $130.37 $56.89 – $225.19
New patient office visit (about 30–44 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $94.82
  • Aetna Better Health — MEDICAID HMO: $94.82
  • Aetna Health — ASA: $195.32
  • Aetna Health — Assurant Health: $195.32
  • Aetna Health — HMO: $117.19
  • Aetna Health — Medicare Advantage: $56.89
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $106.67
  • Archbold Medical Center — PPO: $177.78
  • AVMED — EPN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB URGENT CARE CLINIC VISIT NEW LEVEL 4 $721.04 $396.57 $173.05 – $684.99
New patient office visit (about 45–59 minutes): 10 of 74 insurance plan rates
  • Aetna Better Health — Healthy Kids: $288.42
  • Aetna Better Health — MEDICAID HMO: $288.42
  • Aetna Health — ASA: $594.14
  • Aetna Health — Assurant Health: $594.14
  • Aetna Health — HMO: $356.48
  • Aetna Health — Medicare Advantage: $173.05
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $324.47
  • Archbold Medical Center — PPO: $540.78
  • AVMED — EPN: $390
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB PHYSICIAN CLINIC VISIT NEW LEVEL 4 $372.82 $205.05 $89.48 – $354.18
New patient office visit (about 45–59 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $149.13
  • Aetna Better Health — MEDICAID HMO: $149.13
  • Aetna Health — ASA: $307.20
  • Aetna Health — Assurant Health: $307.20
  • Aetna Health — HMO: $184.32
  • Aetna Health — Medicare Advantage: $89.48
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $167.77
  • Archbold Medical Center — PPO: $279.62
  • AVMED — EPN: $390
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HOSPITAL CLINIC VISIT NEW LEVEL 4 $286.65 $157.66 $68.80 – $272.32
New patient office visit (about 45–59 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $114.66
  • Aetna Better Health — MEDICAID HMO: $114.66
  • Aetna Health — ASA: $236.20
  • Aetna Health — Assurant Health: $236.20
  • Aetna Health — HMO: $141.72
  • Aetna Health — Medicare Advantage: $68.80
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $128.99
  • Archbold Medical Center — PPO: $214.99
  • AVMED — EPN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB URGENT CARE CLINIC VISIT NEW LEVEL 5 $832.39 $457.81 $199.77 – $790.77
New patient office visit (about 60–74 minutes): 10 of 74 insurance plan rates
  • Aetna Better Health — Healthy Kids: $332.96
  • Aetna Better Health — MEDICAID HMO: $332.96
  • Aetna Health — ASA: $685.89
  • Aetna Health — Assurant Health: $685.89
  • Aetna Health — HMO: $411.53
  • Aetna Health — Medicare Advantage: $199.77
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $374.58
  • Archbold Medical Center — PPO: $624.29
  • AVMED — EPN: $390
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB PHYSICIAN CLINIC VISIT NEW LEVEL 5 $492.60 $270.93 $118.22 – $467.97
New patient office visit (about 60–74 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $197.04
  • Aetna Better Health — MEDICAID HMO: $197.04
  • Aetna Health — ASA: $405.90
  • Aetna Health — Assurant Health: $405.90
  • Aetna Health — HMO: $243.54
  • Aetna Health — Medicare Advantage: $118.22
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $221.67
  • Archbold Medical Center — PPO: $369.45
  • AVMED — EPN: $390
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HOSPITAL CLINIC VISIT NEW LEVEL 5 $336.26 $184.94 $80.70 – $319.45
New patient office visit (about 60–74 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $134.50
  • Aetna Better Health — MEDICAID HMO: $134.50
  • Aetna Health — ASA: $277.08
  • Aetna Health — Assurant Health: $277.08
  • Aetna Health — HMO: $166.25
  • Aetna Health — Medicare Advantage: $80.70
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $151.32
  • Archbold Medical Center — PPO: $252.20
  • AVMED — EPN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB URGENT CARE CLINIC VISIT EST LEVEL 3 $471.87 $259.53 $113.25 – $448.28
Established patient office visit (about 20–29 minutes): 10 of 74 insurance plan rates
  • Aetna Better Health — Healthy Kids: $188.75
  • Aetna Better Health — MEDICAID HMO: $188.75
  • Aetna Health — ASA: $388.82
  • Aetna Health — Assurant Health: $388.82
  • Aetna Health — HMO: $233.29
  • Aetna Health — Medicare Advantage: $113.25
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $212.34
  • Archbold Medical Center — PPO: $353.90
  • AVMED — EPN: $390
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB PHYSICIAN CLINIC VISIT EST LEVEL 3 $201.36 $110.75 $48.33 – $191.29
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $80.54
  • Aetna Better Health — MEDICAID HMO: $80.54
  • Aetna Health — ASA: $165.92
  • Aetna Health — Assurant Health: $165.92
  • Aetna Health — HMO: $99.55
  • Aetna Health — Medicare Advantage: $48.33
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $90.61
  • Archbold Medical Center — PPO: $151.02
  • AVMED — EPN: $390
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HOSPITAL CLINIC VISIT EST LEVEL 3 $237.04 $130.37 $56.89 – $225.19
Established patient office visit (about 20–29 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $94.82
  • Aetna Better Health — MEDICAID HMO: $94.82
  • Aetna Health — ASA: $195.32
  • Aetna Health — Assurant Health: $195.32
  • Aetna Health — HMO: $117.19
  • Aetna Health — Medicare Advantage: $56.89
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $106.67
  • Archbold Medical Center — PPO: $177.78
  • AVMED — EPN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB URGENT CARE CLINIC VISIT EST LEVEL 4 $566.69 $311.68 $136.01 – $538.36
Established patient office visit (about 30–39 minutes): 10 of 74 insurance plan rates
  • Aetna Better Health — Healthy Kids: $226.68
  • Aetna Better Health — MEDICAID HMO: $226.68
  • Aetna Health — ASA: $466.95
  • Aetna Health — Assurant Health: $466.95
  • Aetna Health — HMO: $280.17
  • Aetna Health — Medicare Advantage: $136.01
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $255.01
  • Archbold Medical Center — PPO: $425.02
  • AVMED — EPN: $390
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB PHYSICIAN CLINIC VISIT EST LEVEL 4 $285.99 $157.29 $68.64 – $271.69
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $114.40
  • Aetna Better Health — MEDICAID HMO: $114.40
  • Aetna Health — ASA: $235.66
  • Aetna Health — Assurant Health: $235.66
  • Aetna Health — HMO: $141.39
  • Aetna Health — Medicare Advantage: $68.64
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $128.70
  • Archbold Medical Center — PPO: $214.49
  • AVMED — EPN: $390
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HOSPITAL CLINIC VISIT EST LEVEL 4 $286.65 $157.66 $68.80 – $272.32
Established patient office visit (about 30–39 minutes): 10 of 73 insurance plan rates
  • Aetna Better Health — Healthy Kids: $114.66
  • Aetna Better Health — MEDICAID HMO: $114.66
  • Aetna Health — ASA: $236.20
  • Aetna Health — Assurant Health: $236.20
  • Aetna Health — HMO: $141.72
  • Aetna Health — Medicare Advantage: $68.80
  • AMBETTER — ALL PRODUCTS: $375
  • AmeriHealth Caritas Florida — MEDICAID HMO: $128.99
  • Archbold Medical Center — PPO: $214.99
  • AVMED — EPN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB OFFICE CONSULT NEW OR EST LEVEL 3 $266.70 $146.69 $41.34 – $253.37
Office consultation with a specialist (moderate): 10 of 71 insurance plan rates
  • Aetna Better Health — Healthy Kids: $106.68
  • Aetna Better Health — MEDICAID HMO: $106.68
  • Aetna Health — ASA: $219.76
  • Aetna Health — Assurant Health: $219.76
  • Aetna Health — HMO: $131.86
  • Aetna Health — Medicare Advantage: $64.01
  • AMBETTER — ALL PRODUCTS: $106.68
  • AmeriHealth Caritas Florida — MEDICAID HMO: $120.02
  • Archbold Medical Center — PPO: $200.03
  • AVMED — EPN: $149.78
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PB OFFICE CONSULT NEW OR EST LEVEL 3 $266.70 $146.69 $41.34 – $253.37
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • BCBS — CUF: $135.19
  • BCBS — JUF: $135.19
  • BCBS — NWB: $135.19
  • BCBS — PPO: $135.19
  • Health First Health Plan — Medicare Adv HMO: $173.36
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PB OFFICE CONSULT NEW OR EST LEVEL 4 $401.55 $220.85 $62.24 – $381.47
Office consultation with a specialist (moderate to high): 10 of 71 insurance plan rates
  • Aetna Better Health — Healthy Kids: $160.62
  • Aetna Better Health — MEDICAID HMO: $160.62
  • Aetna Health — ASA: $330.88
  • Aetna Health — Assurant Health: $330.88
  • Aetna Health — HMO: $198.53
  • Aetna Health — Medicare Advantage: $96.37
  • AMBETTER — ALL PRODUCTS: $160.62
  • AmeriHealth Caritas Florida — MEDICAID HMO: $180.70
  • Archbold Medical Center — PPO: $301.16
  • AVMED — EPN: $225.51
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PB OFFICE CONSULT NEW OR EST LEVEL 4 $401.55 $220.85 $62.24 – $381.47
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • BCBS — CUF: $203.55
  • BCBS — JUF: $203.55
  • BCBS — NWB: $203.55
  • BCBS — PPO: $203.55
  • Health First Health Plan — Medicare Adv HMO: $261.01
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ER LEVEL 3 $1,994.42 $1,096.93 $797.77 – $1,894.70
Emergency room visit (moderate): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $797.77
  • Aetna Better Health — MEDICAID HMO: $797.77
  • Aetna Health — ASA: $1,643.40
  • Aetna Health — Assurant Health: $1,643.40
  • Aetna Health — HMO: $986.04
  • Aetna Health — Medicare Advantage: $270.81
  • AMBETTER — ALL PRODUCTS: $461.37
  • Ameri-Plus Preferred Care — Medicare Select: $285.06
  • AmeriHealth Caritas Florida — MEDICAID HMO: $897.49
  • Archbold Medical Center — PPO: $1,495.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TRAUMA LEVEL 3 $1,994.42 $1,096.93 $797.77 – $1,894.70
Emergency room visit (moderate): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $797.77
  • Aetna Better Health — MEDICAID HMO: $797.77
  • Aetna Health — ASA: $1,643.40
  • Aetna Health — Assurant Health: $1,643.40
  • Aetna Health — HMO: $986.04
  • Aetna Health — Medicare Advantage: $270.81
  • AMBETTER — ALL PRODUCTS: $461.37
  • Ameri-Plus Preferred Care — Medicare Select: $285.06
  • AmeriHealth Caritas Florida — MEDICAID HMO: $897.49
  • Archbold Medical Center — PPO: $1,495.82
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB ER LEVEL 3 $1,994.42 $1,096.93 $797.77 – $1,894.70
Emergency room visit (moderate): rates for 5 insurance plans
  • BCBS — CUF: $1,010.97
  • BCBS — JUF: $1,010.97
  • BCBS — NWB: $1,010.97
  • BCBS — PPO: $1,010.97
  • Health First Health Plan — Medicare Adv HMO: $1,296.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ER LEVEL 4 $3,350.58 $1,842.82 $1,340.23 – $3,183.05
Emergency room visit (moderately high): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,340.23
  • Aetna Better Health — MEDICAID HMO: $1,340.23
  • Aetna Health — ASA: $2,760.88
  • Aetna Health — Assurant Health: $2,760.88
  • Aetna Health — HMO: $1,656.53
  • Aetna Health — Medicare Advantage: $413.95
  • AMBETTER — ALL PRODUCTS: $709.53
  • Ameri-Plus Preferred Care — Medicare Select: $435.74
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,507.76
  • Archbold Medical Center — PPO: $2,512.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TRAUMA LEVEL 4 $3,350.58 $1,842.82 $1,340.23 – $3,183.05
Emergency room visit (moderately high): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,340.23
  • Aetna Better Health — MEDICAID HMO: $1,340.23
  • Aetna Health — ASA: $2,760.88
  • Aetna Health — Assurant Health: $2,760.88
  • Aetna Health — HMO: $1,656.53
  • Aetna Health — Medicare Advantage: $413.95
  • AMBETTER — ALL PRODUCTS: $709.53
  • Ameri-Plus Preferred Care — Medicare Select: $435.74
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,507.76
  • Archbold Medical Center — PPO: $2,512.94
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB ER LEVEL 4 $3,350.58 $1,842.82 $1,340.23 – $3,183.05
Emergency room visit (moderately high): rates for 5 insurance plans
  • BCBS — CUF: $1,698.41
  • BCBS — JUF: $1,698.41
  • BCBS — NWB: $1,698.41
  • BCBS — PPO: $1,698.41
  • Health First Health Plan — Medicare Adv HMO: $2,177.88
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB ER LEVEL 5 $8,373.36 $4,605.35 $3,349.34 – $7,954.69
Emergency room visit (high): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3,349.34
  • Aetna Better Health — MEDICAID HMO: $3,349.34
  • Aetna Health — ASA: $6,899.65
  • Aetna Health — Assurant Health: $6,899.65
  • Aetna Health — HMO: $4,139.79
  • Aetna Health — Medicare Advantage: $590.81
  • AMBETTER — ALL PRODUCTS: $1,021.59
  • Ameri-Plus Preferred Care — Medicare Select: $621.90
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3,768.01
  • Archbold Medical Center — PPO: $6,280.02
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TRAUMA LEVEL 5 $8,373.36 $4,605.35 $3,349.34 – $7,954.69
Emergency room visit (high): 10 of 79 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3,349.34
  • Aetna Better Health — MEDICAID HMO: $3,349.34
  • Aetna Health — ASA: $6,899.65
  • Aetna Health — Assurant Health: $6,899.65
  • Aetna Health — HMO: $4,139.79
  • Aetna Health — Medicare Advantage: $590.81
  • AMBETTER — ALL PRODUCTS: $1,021.59
  • Ameri-Plus Preferred Care — Medicare Select: $621.90
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3,768.01
  • Archbold Medical Center — PPO: $6,280.02
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB ER LEVEL 5 $8,373.36 $4,605.35 $3,349.34 – $7,954.69
Emergency room visit (high): rates for 5 insurance plans
  • BCBS — CUF: $4,244.46
  • BCBS — JUF: $4,244.46
  • BCBS — NWB: $4,244.46
  • BCBS — PPO: $4,244.46
  • Health First Health Plan — Medicare Adv HMO: $5,442.68

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PANEL $183.59 $100.97 $5.01 – $9.90
Basic metabolic panel (blood test): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $151.28
  • Aetna Health — Assurant Health: $151.28
  • Aetna Health — HMO: $90.77
  • Aetna Health — Medicare Advantage: $8.04
  • AMBETTER — ALL PRODUCTS: $14.04
  • Ameri-Plus Preferred Care — Medicare Select: $8.46
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $137.69
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB BASIC METABOLIC PANEL $183.59 $100.97 $76.74 – $174.41
Basic metabolic panel (blood test): rates for 5 insurance plans
  • BCBS — CUF: $93.06
  • BCBS — JUF: $93.06
  • BCBS — NWB: $93.06
  • BCBS — PPO: $93.06
  • Health First Health Plan — Medicare Adv HMO: $119.33
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC COMPREHENSIVE METABOLIC PANEL $284.22 $156.32 $5.01 – $971.30
Comprehensive metabolic panel (blood test): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $234.20
  • Aetna Health — Assurant Health: $234.20
  • Aetna Health — HMO: $140.52
  • Aetna Health — Medicare Advantage: $10.03
  • AMBETTER — ALL PRODUCTS: $17.53
  • Ameri-Plus Preferred Care — Medicare Select: $10.56
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $213.17
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPREHENSIVE METABOLIC PANEL $282.44 $155.34 $5.01 – $12.36
Comprehensive metabolic panel (blood test): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $232.73
  • Aetna Health — Assurant Health: $232.73
  • Aetna Health — HMO: $139.64
  • Aetna Health — Medicare Advantage: $10.03
  • AMBETTER — ALL PRODUCTS: $17.53
  • Ameri-Plus Preferred Care — Medicare Select: $10.56
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $211.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC COMPREHENSIVE METABOLIC PANEL $284.22 $156.32 $5.01 – $12.36
Comprehensive metabolic panel (blood test): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $234.20
  • Aetna Health — Assurant Health: $234.20
  • Aetna Health — HMO: $140.52
  • Aetna Health — Medicare Advantage: $10.03
  • AMBETTER — ALL PRODUCTS: $17.53
  • Ameri-Plus Preferred Care — Medicare Select: $10.56
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $213.17
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB OB PANEL $470.28 $258.65 $5.01 – $55.94
Obstetric blood test panel: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $387.51
  • Aetna Health — Assurant Health: $387.51
  • Aetna Health — HMO: $232.51
  • Aetna Health — Medicare Advantage: $45.42
  • AMBETTER — ALL PRODUCTS: $79.36
  • Ameri-Plus Preferred Care — Medicare Select: $47.81
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $352.71
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB OB PANEL $470.28 $258.65 $196.58 – $446.77
Obstetric blood test panel: rates for 5 insurance plans
  • BCBS — CUF: $238.38
  • BCBS — JUF: $238.38
  • BCBS — NWB: $238.38
  • BCBS — PPO: $238.38
  • Health First Health Plan — Medicare Adv HMO: $305.68
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PANEL $272.12 $149.67 $5.01 – $15.67
Cholesterol panel (lipid panel): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $224.23
  • Aetna Health — Assurant Health: $224.23
  • Aetna Health — HMO: $134.54
  • Aetna Health — Medicare Advantage: $12.72
  • AMBETTER — ALL PRODUCTS: $22.23
  • Ameri-Plus Preferred Care — Medicare Select: $13.39
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $204.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PC LIPID PANEL $9 $4.95 $5.01 – $15.67
Cholesterol panel (lipid panel): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $7.42
  • Aetna Health — Assurant Health: $7.42
  • Aetna Health — HMO: $4.45
  • Aetna Health — Medicare Advantage: $12.72
  • AMBETTER — ALL PRODUCTS: $22.23
  • Ameri-Plus Preferred Care — Medicare Select: $13.39
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $6.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB LIPID PROFILE (CORONARY RISK) $272.12 $149.67 $5.01 – $15.67
Cholesterol panel (lipid panel): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $224.23
  • Aetna Health — Assurant Health: $224.23
  • Aetna Health — HMO: $134.54
  • Aetna Health — Medicare Advantage: $12.72
  • AMBETTER — ALL PRODUCTS: $22.23
  • Ameri-Plus Preferred Care — Medicare Select: $13.39
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $204.09
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL $162.68 $89.47 $5.01 – $10.16
Kidney function panel: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $134.05
  • Aetna Health — Assurant Health: $134.05
  • Aetna Health — HMO: $80.43
  • Aetna Health — Medicare Advantage: $8.25
  • AMBETTER — ALL PRODUCTS: $14.41
  • Ameri-Plus Preferred Care — Medicare Select: $8.68
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $122.01
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB RENAL FUNCTION PANEL $162.68 $89.47 $68 – $154.55
Kidney function panel: rates for 5 insurance plans
  • BCBS — CUF: $82.46
  • BCBS — JUF: $82.46
  • BCBS — NWB: $82.46
  • BCBS — PPO: $82.46
  • Health First Health Plan — Medicare Adv HMO: $105.74
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL $141.97 $78.08 $5.01 – $9.56
Liver function panel: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.28
  • Aetna Better Health — MEDICAID HMO: $5.10
  • Aetna Health — ASA: $116.98
  • Aetna Health — Assurant Health: $116.98
  • Aetna Health — HMO: $70.19
  • Aetna Health — Medicare Advantage: $7.76
  • AMBETTER — ALL PRODUCTS: $13.56
  • Ameri-Plus Preferred Care — Medicare Select: $8.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5.46
  • Archbold Medical Center — PPO: $106.48
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB HEPATIC FUNCTION PANEL $141.97 $78.08 $59.34 – $134.87
Liver function panel: rates for 5 insurance plans
  • BCBS — CUF: $71.96
  • BCBS — JUF: $71.96
  • BCBS — NWB: $71.96
  • BCBS — PPO: $71.96
  • Health First Health Plan — Medicare Adv HMO: $92.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC UA W/MICRO AUTOMATED $106.50 $58.58 $1.65 – $971.30
Urine test (automated, with microscope): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $87.76
  • Aetna Health — Assurant Health: $87.76
  • Aetna Health — HMO: $52.65
  • Aetna Health — Medicare Advantage: $3.01
  • AMBETTER — ALL PRODUCTS: $5.26
  • Ameri-Plus Preferred Care — Medicare Select: $3.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $79.88
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB UA W/MICRO AUTOMATED $105.91 $58.25 $1.65 – $3.71
Urine test (automated, with microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $87.27
  • Aetna Health — Assurant Health: $87.27
  • Aetna Health — HMO: $52.36
  • Aetna Health — Medicare Advantage: $3.01
  • AMBETTER — ALL PRODUCTS: $5.26
  • Ameri-Plus Preferred Care — Medicare Select: $3.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $79.43
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC UA W/MICRO AUTOMATED $106.50 $58.58 $1.65 – $3.71
Urine test (automated, with microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $87.76
  • Aetna Health — Assurant Health: $87.76
  • Aetna Health — HMO: $52.65
  • Aetna Health — Medicare Advantage: $3.01
  • AMBETTER — ALL PRODUCTS: $5.26
  • Ameri-Plus Preferred Care — Medicare Select: $3.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $79.88
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC URINE DIPSTICK NON-AUTO W/O MIC $80.96 $44.53 $1.65 – $971.30
Urine test (manual, without microscope): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $66.71
  • Aetna Health — Assurant Health: $66.71
  • Aetna Health — HMO: $40.03
  • Aetna Health — Medicare Advantage: $3.31
  • AMBETTER — ALL PRODUCTS: $5.78
  • Ameri-Plus Preferred Care — Medicare Select: $3.48
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $60.72
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB URINE DIPSTICK NON-AUTO W/O MIC $80.49 $44.27 $1.65 – $4.07
Urine test (manual, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $66.32
  • Aetna Health — Assurant Health: $66.32
  • Aetna Health — HMO: $39.79
  • Aetna Health — Medicare Advantage: $3.31
  • AMBETTER — ALL PRODUCTS: $5.78
  • Ameri-Plus Preferred Care — Medicare Select: $3.48
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $60.37
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB REDUCING SUBSTANCES, URINE $80.49 $44.27 $1.65 – $4.07
Urine test (manual, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $66.32
  • Aetna Health — Assurant Health: $66.32
  • Aetna Health — HMO: $39.79
  • Aetna Health — Medicare Advantage: $3.31
  • AMBETTER — ALL PRODUCTS: $5.78
  • Ameri-Plus Preferred Care — Medicare Select: $3.48
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $60.37
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC UA W/O MICRO AUTOMATED $65.73 $36.15 $1.65 – $971.30
Urine test (automated, without microscope): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $54.16
  • Aetna Health — Assurant Health: $54.16
  • Aetna Health — HMO: $32.50
  • Aetna Health — Medicare Advantage: $2.14
  • AMBETTER — ALL PRODUCTS: $3.74
  • Ameri-Plus Preferred Care — Medicare Select: $2.25
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $49.30
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB UA W/O MICRO AUTOMATED $65.29 $35.91 $1.65 – $2.63
Urine test (automated, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $53.80
  • Aetna Health — Assurant Health: $53.80
  • Aetna Health — HMO: $32.28
  • Aetna Health — Medicare Advantage: $2.14
  • AMBETTER — ALL PRODUCTS: $3.74
  • Ameri-Plus Preferred Care — Medicare Select: $2.25
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $48.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HEMOGLOBIN FREE QUAL URINE $6.50 $3.58 $1.65 – $2.63
Urine test (automated, without microscope): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.72
  • Aetna Better Health — MEDICAID HMO: $1.68
  • Aetna Health — ASA: $5.36
  • Aetna Health — Assurant Health: $5.36
  • Aetna Health — HMO: $3.21
  • Aetna Health — Medicare Advantage: $2.14
  • AMBETTER — ALL PRODUCTS: $3.74
  • Ameri-Plus Preferred Care — Medicare Select: $2.25
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1.80
  • Archbold Medical Center — PPO: $4.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROSTATIC SPECIFIC AG (TOTAL) $207.61 $114.19 $6.70 – $21.52
PSA (prostate specific antigen) blood test: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7.04
  • Aetna Better Health — MEDICAID HMO: $6.82
  • Aetna Health — ASA: $171.07
  • Aetna Health — Assurant Health: $171.07
  • Aetna Health — HMO: $102.64
  • Aetna Health — Medicare Advantage: $17.47
  • AMBETTER — ALL PRODUCTS: $30.53
  • Ameri-Plus Preferred Care — Medicare Select: $18.39
  • AmeriHealth Caritas Florida — MEDICAID HMO: $7.31
  • Archbold Medical Center — PPO: $155.71
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PROSTATIC SPECIFIC AG (TOTAL) $207.61 $114.19 $86.78 – $197.23
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • BCBS — CUF: $105.24
  • BCBS — JUF: $105.24
  • BCBS — NWB: $105.24
  • BCBS — PPO: $105.24
  • Health First Health Plan — Medicare Adv HMO: $134.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB TSH $223.14 $122.73 $7.33 – $19.66
Thyroid stimulating hormone (TSH) test: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7.72
  • Aetna Better Health — MEDICAID HMO: $7.46
  • Aetna Health — ASA: $183.87
  • Aetna Health — Assurant Health: $183.87
  • Aetna Health — HMO: $110.32
  • Aetna Health — Medicare Advantage: $15.96
  • AMBETTER — ALL PRODUCTS: $27.89
  • Ameri-Plus Preferred Care — Medicare Select: $16.80
  • AmeriHealth Caritas Florida — MEDICAID HMO: $7.99
  • Archbold Medical Center — PPO: $167.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PC THYROID STIMULATING HORMONE $45.74 $25.16 $7.33 – $19.66
Thyroid stimulating hormone (TSH) test: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7.72
  • Aetna Better Health — MEDICAID HMO: $7.46
  • Aetna Health — ASA: $37.69
  • Aetna Health — Assurant Health: $37.69
  • Aetna Health — HMO: $22.61
  • Aetna Health — Medicare Advantage: $15.96
  • AMBETTER — ALL PRODUCTS: $27.89
  • Ameri-Plus Preferred Care — Medicare Select: $16.80
  • AmeriHealth Caritas Florida — MEDICAID HMO: $7.99
  • Archbold Medical Center — PPO: $34.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB TSH $223.14 $122.73 $93.27 – $211.98
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • BCBS — CUF: $113.11
  • BCBS — JUF: $113.11
  • BCBS — NWB: $113.11
  • BCBS — PPO: $113.11
  • Health First Health Plan — Medicare Adv HMO: $145.04
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC CBC SCREEN DIFF PLT $195.77 $107.67 $3.27 – $971.30
Complete blood count (CBC) with differential: 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $161.31
  • Aetna Health — Assurant Health: $161.31
  • Aetna Health — HMO: $96.79
  • Aetna Health — Medicare Advantage: $7.38
  • AMBETTER — ALL PRODUCTS: $12.90
  • Ameri-Plus Preferred Care — Medicare Select: $7.77
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $146.83
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBCWD $177.94 $97.87 $3.27 – $9.09
Complete blood count (CBC) with differential: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $146.62
  • Aetna Health — Assurant Health: $146.62
  • Aetna Health — HMO: $87.97
  • Aetna Health — Medicare Advantage: $7.38
  • AMBETTER — ALL PRODUCTS: $12.90
  • Ameri-Plus Preferred Care — Medicare Select: $7.77
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $133.46
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CBC SCREEN (DIFF PLT) $194.33 $106.88 $3.27 – $9.09
Complete blood count (CBC) with differential: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $160.13
  • Aetna Health — Assurant Health: $160.13
  • Aetna Health — HMO: $96.08
  • Aetna Health — Medicare Advantage: $7.38
  • AMBETTER — ALL PRODUCTS: $12.90
  • Ameri-Plus Preferred Care — Medicare Select: $7.77
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $145.75
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC COMPLETE CBC AUTOMATED $212.91 $117.10 $3.27 – $971.30
Complete blood count (CBC), automated: 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $175.44
  • Aetna Health — Assurant Health: $175.44
  • Aetna Health — HMO: $105.26
  • Aetna Health — Medicare Advantage: $6.15
  • AMBETTER — ALL PRODUCTS: $10.74
  • Ameri-Plus Preferred Care — Medicare Select: $6.47
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $159.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COMPLETE CBC AUTOMATED $211.84 $116.51 $3.27 – $7.57
Complete blood count (CBC), automated: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $174.56
  • Aetna Health — Assurant Health: $174.56
  • Aetna Health — HMO: $104.73
  • Aetna Health — Medicare Advantage: $6.15
  • AMBETTER — ALL PRODUCTS: $10.74
  • Ameri-Plus Preferred Care — Medicare Select: $6.47
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $158.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC COMPLETE CBC AUTOMATED $212.91 $117.10 $3.27 – $7.57
Complete blood count (CBC), automated: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3.48
  • Aetna Better Health — MEDICAID HMO: $3.33
  • Aetna Health — ASA: $175.44
  • Aetna Health — Assurant Health: $175.44
  • Aetna Health — HMO: $105.26
  • Aetna Health — Medicare Advantage: $6.15
  • AMBETTER — ALL PRODUCTS: $10.74
  • Ameri-Plus Preferred Care — Medicare Select: $6.47
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3.56
  • Archbold Medical Center — PPO: $159.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC PROTHROM TIME W/INR $141.84 $78.01 $2.45 – $971.30
Blood clotting time test (prothrombin time, PT): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $116.88
  • Aetna Health — Assurant Health: $116.88
  • Aetna Health — HMO: $70.13
  • Aetna Health — Medicare Advantage: $4.08
  • AMBETTER — ALL PRODUCTS: $7.12
  • Ameri-Plus Preferred Care — Medicare Select: $4.29
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $106.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROMBIN TIME W/INR $141.21 $77.67 $2.45 – $5.02
Blood clotting time test (prothrombin time, PT): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $116.36
  • Aetna Health — Assurant Health: $116.36
  • Aetna Health — HMO: $69.81
  • Aetna Health — Medicare Advantage: $4.08
  • AMBETTER — ALL PRODUCTS: $7.12
  • Ameri-Plus Preferred Care — Medicare Select: $4.29
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $105.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PROTHROM TIME W/INR $141.21 $77.67 $2.45 – $5.02
Blood clotting time test (prothrombin time, PT): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $116.36
  • Aetna Health — Assurant Health: $116.36
  • Aetna Health — HMO: $69.81
  • Aetna Health — Medicare Advantage: $4.08
  • AMBETTER — ALL PRODUCTS: $7.12
  • Ameri-Plus Preferred Care — Medicare Select: $4.29
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $105.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC HB PTT (PARTIAL THROMBOPLASTIN TIME) $254.75 $140.11 $2.45 – $971.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $209.91
  • Aetna Health — Assurant Health: $209.91
  • Aetna Health — HMO: $125.95
  • Aetna Health — Medicare Advantage: $5.71
  • AMBETTER — ALL PRODUCTS: $9.98
  • Ameri-Plus Preferred Care — Medicare Select: $6.01
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $191.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PTT (PARTIAL THROMBOPLASTIN TIME) $211.84 $116.51 $2.45 – $7.03
Blood clotting test (partial thromboplastin time, PTT): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $174.56
  • Aetna Health — Assurant Health: $174.56
  • Aetna Health — HMO: $104.73
  • Aetna Health — Medicare Advantage: $5.71
  • AMBETTER — ALL PRODUCTS: $9.98
  • Ameri-Plus Preferred Care — Medicare Select: $6.01
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $158.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HEPCHECK PTT $211.84 $116.51 $2.45 – $7.03
Blood clotting test (partial thromboplastin time, PTT): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2.57
  • Aetna Better Health — MEDICAID HMO: $2.50
  • Aetna Health — ASA: $174.56
  • Aetna Health — Assurant Health: $174.56
  • Aetna Health — HMO: $104.73
  • Aetna Health — Medicare Advantage: $5.71
  • AMBETTER — ALL PRODUCTS: $9.98
  • Ameri-Plus Preferred Care — Medicare Select: $6.01
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2.68
  • Archbold Medical Center — PPO: $158.88

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT HEAD W/O CONTRAST $4,220.12 $2,321.07 $103.72 – $1,088
CT scan of the head or brain, without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $226.44
  • Aetna Better Health — MEDICAID HMO: $231.73
  • Aetna Health — ASA: $3,477.38
  • Aetna Health — Assurant Health: $3,477.38
  • Aetna Health — HMO: $607.70
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $248.28
  • Archbold Medical Center — PPO: $3,165.09
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT HEAD W/O CONTRAST $4,220.12 $2,321.07 $1,772.45 – $4,009.11
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • BCBS — CUF: $2,139.18
  • BCBS — JUF: $2,139.18
  • BCBS — NWB: $2,139.18
  • BCBS — PPO: $2,139.18
  • Health First Health Plan — Medicare Adv HMO: $2,743.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI BRAIN W/O & W CONTRAST $6,171.51 $3,394.33 $280.09 – $1,442.88
MRI of the brain, before and after contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $284.60
  • Aetna Better Health — MEDICAID HMO: $285.19
  • Aetna Health — ASA: $5,085.32
  • Aetna Health — Assurant Health: $5,085.32
  • Aetna Health — HMO: $687.01
  • Aetna Health — Medicare Advantage: $346.11
  • AMBETTER — ALL PRODUCTS: $595.08
  • Ameri-Plus Preferred Care — Medicare Select: $364.32
  • AmeriHealth Caritas Florida — MEDICAID HMO: $305.56
  • Archbold Medical Center — PPO: $4,628.63
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI BRAIN W/O & W CONTRAST $6,171.51 $3,394.33 $2,592.03 – $5,862.93
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • BCBS — CUF: $3,128.34
  • BCBS — JUF: $3,128.34
  • BCBS — NWB: $3,128.34
  • BCBS — PPO: $3,128.34
  • Health First Health Plan — Medicare Adv HMO: $4,011.48
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC XRAY CHEST 2 VIEWS $889.96 $489.48 $39.15 – $971.30
Chest X-ray, 2 views: 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $733.33
  • Aetna Health — Assurant Health: $733.33
  • Aetna Health — HMO: $440
  • Aetna Health — Medicare Advantage: $86.33
  • AMBETTER — ALL PRODUCTS: $146.72
  • Ameri-Plus Preferred Care — Medicare Select: $90.88
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $667.47
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB XRAY CHEST 2 VIEWS $834.83 $459.16 $39.15 – $293.25
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $687.90
  • Aetna Health — Assurant Health: $687.90
  • Aetna Health — HMO: $412.74
  • Aetna Health — Medicare Advantage: $86.33
  • AMBETTER — ALL PRODUCTS: $146.72
  • Ameri-Plus Preferred Care — Medicare Select: $90.88
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $626.12
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC XRAY CHEST 2 VIEWS $889.96 $489.48 $39.15 – $159.09
Chest X-ray, 2 views: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $733.33
  • Aetna Health — Assurant Health: $733.33
  • Aetna Health — HMO: $440
  • Aetna Health — Medicare Advantage: $86.33
  • AMBETTER — ALL PRODUCTS: $146.72
  • Ameri-Plus Preferred Care — Medicare Select: $90.88
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $667.47
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UB UC XRAY SPINE LUMBAR MIN 4 VIEWS $1,710.88 $940.98 $39.15 – $971.30
X-ray of the lower spine, at least 4 views: 10 of 83 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $1,409.77
  • Aetna Health — Assurant Health: $1,409.77
  • Aetna Health — HMO: $845.86
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $1,283.16
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB XRAY SPINE LUMBAR MIN 4 VIEWS $1,628.19 $895.50 $39.15 – $293.25
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $1,341.63
  • Aetna Health — Assurant Health: $1,341.63
  • Aetna Health — HMO: $804.98
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $1,221.14
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC XRAY SPINE LUMBAR MIN 4 VIEWS $1,710.88 $940.98 $39.15 – $192.14
X-ray of the lower spine, at least 4 views: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $39.26
  • Aetna Better Health — MEDICAID HMO: $39.86
  • Aetna Health — ASA: $1,409.77
  • Aetna Health — Assurant Health: $1,409.77
  • Aetna Health — HMO: $845.86
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $42.71
  • Archbold Medical Center — PPO: $1,283.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O CON $4,895.10 $2,692.31 $168.43 – $1,442.88
MRI of the lower back (lumbar spine), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $169.25
  • Aetna Better Health — MEDICAID HMO: $171.49
  • Aetna Health — ASA: $4,033.56
  • Aetna Health — Assurant Health: $4,033.56
  • Aetna Health — HMO: $687.01
  • Aetna Health — Medicare Advantage: $236.71
  • AMBETTER — ALL PRODUCTS: $402.77
  • Ameri-Plus Preferred Care — Medicare Select: $249.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $183.74
  • Archbold Medical Center — PPO: $3,671.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O CON $4,895.10 $2,692.31 $2,055.94 – $4,650.35
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • BCBS — CUF: $2,481.33
  • BCBS — JUF: $2,481.33
  • BCBS — NWB: $2,481.33
  • BCBS — PPO: $2,481.33
  • Health First Health Plan — Medicare Adv HMO: $3,181.82
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT PELVIS W/CONTRAST $4,959.32 $2,727.63 $174.01 – $1,088
CT scan of the pelvis, with contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $226.44
  • Aetna Better Health — MEDICAID HMO: $231.73
  • Aetna Health — ASA: $4,086.48
  • Aetna Health — Assurant Health: $4,086.48
  • Aetna Health — HMO: $607.70
  • Aetna Health — Medicare Advantage: $174.01
  • AMBETTER — ALL PRODUCTS: $296.63
  • Ameri-Plus Preferred Care — Medicare Select: $183.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $248.28
  • Archbold Medical Center — PPO: $3,719.49
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT PELVIS W/CONTRAST $4,959.32 $2,727.63 $2,082.91 – $4,711.35
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • BCBS — CUF: $2,513.88
  • BCBS — JUF: $2,513.88
  • BCBS — NWB: $2,513.88
  • BCBS — PPO: $2,513.88
  • Health First Health Plan — Medicare Adv HMO: $3,223.56
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MRI LOW EXTR W/O ANY JT $6,482.31 $3,565.27 $168.43 – $1,442.88
MRI of a leg joint (such as the knee), without contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $169.25
  • Aetna Better Health — MEDICAID HMO: $171.49
  • Aetna Health — ASA: $5,341.42
  • Aetna Health — Assurant Health: $5,341.42
  • Aetna Health — HMO: $3,204.85
  • Aetna Health — Medicare Advantage: $236.71
  • AMBETTER — ALL PRODUCTS: $402.77
  • Ameri-Plus Preferred Care — Medicare Select: $249.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $183.74
  • Archbold Medical Center — PPO: $4,861.73
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MRI LOW EXTR W/O ANY JT $6,482.31 $3,565.27 $2,722.57 – $6,158.19
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • BCBS — CUF: $3,285.88
  • BCBS — JUF: $3,285.88
  • BCBS — NWB: $3,285.88
  • BCBS — PPO: $3,285.88
  • Health First Health Plan — Medicare Adv HMO: $4,213.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB CT ABD & PELV W/CONTRAST $9,649.91 $5,307.45 $226.44 – $1,088
CT scan of the abdomen and pelvis, with contrast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $226.44
  • Aetna Better Health — MEDICAID HMO: $231.73
  • Aetna Health — ASA: $7,951.53
  • Aetna Health — Assurant Health: $7,951.53
  • Aetna Health — HMO: $607.70
  • Aetna Health — Medicare Advantage: $346.11
  • AMBETTER — ALL PRODUCTS: $595.08
  • Ameri-Plus Preferred Care — Medicare Select: $364.32
  • AmeriHealth Caritas Florida — MEDICAID HMO: $248.28
  • Archbold Medical Center — PPO: $7,237.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB CT ABD & PELV W/CONTRAST $9,649.91 $5,307.45 $4,052.96 – $9,167.41
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • BCBS — CUF: $4,891.54
  • BCBS — JUF: $4,891.54
  • BCBS — NWB: $4,891.54
  • BCBS — PPO: $4,891.54
  • Health First Health Plan — Medicare Adv HMO: $6,272.44
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE $3,229.59 $1,776.27 $103.72 – $459
Ultrasound of the abdomen, complete: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $116.60
  • Aetna Better Health — MEDICAID HMO: $117.91
  • Aetna Health — ASA: $2,661.18
  • Aetna Health — Assurant Health: $2,661.18
  • Aetna Health — HMO: $1,596.71
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $126.34
  • Archbold Medical Center — PPO: $2,422.19
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE $3,229.59 $1,776.27 $1,356.43 – $3,068.11
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • BCBS — CUF: $1,637.08
  • BCBS — JUF: $1,637.08
  • BCBS — NWB: $1,637.08
  • BCBS — PPO: $1,637.08
  • Health First Health Plan — Medicare Adv HMO: $2,099.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US OB SINGLE/FIRST GEST 14+ WKS $886.14 $487.38 $69.11 – $459
Pregnancy ultrasound (after the first trimester): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $70.58
  • Aetna Better Health — MEDICAID HMO: $70.37
  • Aetna Health — ASA: $730.18
  • Aetna Health — Assurant Health: $730.18
  • Aetna Health — HMO: $438.11
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $75.40
  • Archbold Medical Center — PPO: $664.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US OB SINGLE/FIRST GEST 14+ WKS $886.14 $487.38 $372.18 – $841.83
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • BCBS — CUF: $449.18
  • BCBS — JUF: $449.18
  • BCBS — NWB: $449.18
  • BCBS — PPO: $449.18
  • Health First Health Plan — Medicare Adv HMO: $575.99
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL NON-OB $1,693.98 $931.69 $76.82 – $459
Transvaginal ultrasound: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $76.97
  • Aetna Better Health — MEDICAID HMO: $78.22
  • Aetna Health — ASA: $1,395.84
  • Aetna Health — Assurant Health: $1,395.84
  • Aetna Health — HMO: $837.50
  • Aetna Health — Medicare Advantage: $103.72
  • AMBETTER — ALL PRODUCTS: $177.19
  • Ameri-Plus Preferred Care — Medicare Select: $109.17
  • AmeriHealth Caritas Florida — MEDICAID HMO: $83.81
  • Archbold Medical Center — PPO: $1,270.49
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB US TRANSVAGINAL NON-OB $1,693.98 $931.69 $711.47 – $1,609.28
Transvaginal ultrasound: rates for 5 insurance plans
  • BCBS — CUF: $858.68
  • BCBS — JUF: $858.68
  • BCBS — NWB: $858.68
  • BCBS — PPO: $858.68
  • Health First Health Plan — Medicare Adv HMO: $1,101.09
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MAMMOGRAM UNILAT DIGITAL $691.98 $380.59 $32.29 – $296.14
Diagnostic mammogram, one breast: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $33.08
  • Aetna Better Health — MEDICAID HMO: $32.87
  • Aetna Health — ASA: $570.19
  • Aetna Health — Assurant Health: $570.19
  • Aetna Health — HMO: $342.11
  • Aetna Health — Medicare Advantage: $159.70
  • AMBETTER — ALL PRODUCTS: $273.10
  • Ameri-Plus Preferred Care — Medicare Select: $168.11
  • AmeriHealth Caritas Florida — MEDICAID HMO: $35.22
  • Archbold Medical Center — PPO: $518.99
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MAMMOGRAM UNILAT DIGITAL $691.98 $380.59 $290.63 – $657.38
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • BCBS — CUF: $350.76
  • BCBS — JUF: $350.76
  • BCBS — NWB: $350.76
  • BCBS — PPO: $350.76
  • Health First Health Plan — Medicare Adv HMO: $449.79
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MAMMOGRAM BILAT DIGITAL $691.98 $380.59 $32.29 – $374.31
Diagnostic mammogram, both breasts: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $33.08
  • Aetna Better Health — MEDICAID HMO: $32.87
  • Aetna Health — ASA: $570.19
  • Aetna Health — Assurant Health: $570.19
  • Aetna Health — HMO: $342.11
  • Aetna Health — Medicare Advantage: $202.43
  • AMBETTER — ALL PRODUCTS: $345.20
  • Ameri-Plus Preferred Care — Medicare Select: $213.08
  • AmeriHealth Caritas Florida — MEDICAID HMO: $35.22
  • Archbold Medical Center — PPO: $518.99
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MAMMOGRAM BILAT DIGITAL $691.98 $380.59 $290.63 – $657.38
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • BCBS — CUF: $350.76
  • BCBS — JUF: $350.76
  • BCBS — NWB: $350.76
  • BCBS — PPO: $350.76
  • Health First Health Plan — Medicare Adv HMO: $449.79
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB MAMMOGRAM SCREEN BILAT DIGITAL $691.98 $380.59 $32.29 – $304.31
Screening mammogram, both breasts: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $33.08
  • Aetna Better Health — MEDICAID HMO: $32.87
  • Aetna Health — ASA: $570.19
  • Aetna Health — Assurant Health: $570.19
  • Aetna Health — HMO: $342.11
  • Aetna Health — Medicare Advantage: $163.72
  • AMBETTER — ALL PRODUCTS: $280.64
  • Ameri-Plus Preferred Care — Medicare Select: $172.34
  • AmeriHealth Caritas Florida — MEDICAID HMO: $35.22
  • Archbold Medical Center — PPO: $518.99
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB MAMMOGRAM SCREEN BILAT DIGITAL $691.98 $380.59 $289.25 – $657.38
Screening mammogram, both breasts: rates for 5 insurance plans
  • BCBS — CUF: $350.76
  • BCBS — JUF: $350.76
  • BCBS — NWB: $350.76
  • BCBS — PPO: $350.76
  • Health First Health Plan — Medicare Adv HMO: $449.79

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $18.36 – $20.24
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $18.36
  • Aetna Better Health — MEDICAID HMO: $18.89
  • AmeriHealth Caritas Florida — MEDICAID HMO: $20.24
  • CARELON HEALTH — PSYCH: $18.56
  • Community Care Plan — Florida Healthy Kids: $20.24
  • Community Care Plan — MEDICAID HMO: $20.24
  • Florida Community Care — MEDICAID HMO: $19.40
  • HUMANA — MEDICAID HMO: $18.56
  • MOLINA — MEDICAID HMO: $20.24
  • Simply Healthcare — Fl Healthy Kids: $20.03
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 $1,747.49 – $5,811.42
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $3,216.21
  • AMBETTER — ALL PRODUCTS: $5,359.42
  • Ameri-Plus Preferred Care — Medicare Select: $3,385.48
  • BCBS — Medicare Advantage-HMO: $3,385.48
  • BCBS — Medicare Advantage-PPO: $3,385.48
  • Beacon Health Strategies — Medicare: $3,487.05
  • Capital Health Plan — MEDICARE HMO: $3,385.48
  • Careplus Health Plan — MEDICARE ADVANTAGE: $3,487.05
  • Devoted Health Plan — MEDICARE HMO: $3,554.76
  • Devoted Health Plan — Medicare PPO: $3,724.03
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 $1,747.49 – $5,811.42
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,747.49
  • Aetna Better Health — MEDICAID HMO: $1,783.99
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,911.42
  • CARELON HEALTH — PSYCH: $1,752.14
  • Community Care Plan — Florida Healthy Kids: $1,911.42
  • Community Care Plan — MEDICAID HMO: $1,911.42
  • Florida Community Care — MEDICAID HMO: $1,831.78
  • HUMANA — MEDICAID HMO: $1,752.14
  • MOLINA — MEDICAID HMO: $1,911.42
  • Simply Healthcare — Fl Healthy Kids: $1,906.36
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $4,676.46 – $13,710.21
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $7,737.77
  • AMBETTER — ALL PRODUCTS: $12,643.86
  • Ameri-Plus Preferred Care — Medicare Select: $8,145.02
  • BCBS — Medicare Advantage-HMO: $8,145.02
  • BCBS — Medicare Advantage-PPO: $8,145.02
  • Beacon Health Strategies — Medicare: $8,389.38
  • Capital Health Plan — MEDICARE HMO: $8,145.02
  • Careplus Health Plan — MEDICARE ADVANTAGE: $8,389.38
  • Devoted Health Plan — MEDICARE HMO: $8,552.28
  • Devoted Health Plan — Medicare PPO: $8,959.53
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 $4,676.46 – $13,710.21
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $4,813.50
  • Aetna Better Health — MEDICAID HMO: $4,761.49
  • AmeriHealth Caritas Florida — MEDICAID HMO: $5,101.60
  • CARELON HEALTH — PSYCH: $4,676.46
  • Community Care Plan — Florida Healthy Kids: $5,101.60
  • Community Care Plan — MEDICAID HMO: $5,101.60
  • Florida Community Care — MEDICAID HMO: $4,889.03
  • HUMANA — MEDICAID HMO: $4,676.46
  • MOLINA — MEDICAID HMO: $5,101.60
  • Simply Healthcare — Fl Healthy Kids: $5,251.09
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $3,895.46 – $44,325.06
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • Aetna Health — HMO: $3,895.46
  • Aetna Health — Medicare Advantage: $25,930.46
  • AMBETTER — ALL PRODUCTS: $40,877.55
  • Ameri-Plus Preferred Care — Medicare Select: $27,295.22
  • BCBS — Blue Select PPO: $19,871.02
  • BCBS — Commercial-HMO: $25,755.40
  • BCBS — Medicare Advantage-HMO: $27,295.22
  • BCBS — Medicare Advantage-PPO: $27,295.22
  • BCBS — MyBlue HMO: $20,517.94
  • BCBS — SimplyBlue Commercial: $20,517.94
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $3,895.46 – $44,325.06
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $12,009.39
  • Aetna Better Health — MEDICAID HMO: $12,429.97
  • AmeriHealth Caritas Florida — MEDICAID HMO: $13,317.83
  • CARELON HEALTH — PSYCH: $12,208.01
  • Community Care Plan — Florida Healthy Kids: $13,317.83
  • Community Care Plan — MEDICAID HMO: $13,317.83
  • Florida Community Care — MEDICAID HMO: $12,762.92
  • HUMANA — MEDICAID HMO: $12,208.01
  • MOLINA — MEDICAID HMO: $13,317.83
  • Simply Healthcare — Fl Healthy Kids: $13,101.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSG W/4 >ATTENDED AGE 6 OR OLDER $7,271.71 $3,999.44 $525.53 – $1,838.22
Sleep study (overnight, in a sleep lab): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $541.54
  • Aetna Better Health — MEDICAID HMO: $535.08
  • Aetna Health — ASA: $5,991.89
  • Aetna Health — Assurant Health: $5,991.89
  • Aetna Health — HMO: $3,595.13
  • Aetna Health — Medicare Advantage: $851.93
  • AMBETTER — ALL PRODUCTS: $1,695.25
  • Ameri-Plus Preferred Care — Medicare Select: $896.76
  • AmeriHealth Caritas Florida — MEDICAID HMO: $573.30
  • Archbold Medical Center — PPO: $5,453.78
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSG W/4 >ATTENDED AGE 6 OR OLDER $7,271.71 $3,999.44 $2,145.15 – $6,908.12
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • BCBS — CUF: $3,686.03
  • BCBS — JUF: $3,686.03
  • BCBS — NWB: $3,686.03
  • BCBS — PPO: $3,686.03
  • Health First Health Plan — Medicare Adv HMO: $4,726.61

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EXERCISE EA 15 MIN $357.78 $196.78 $24.28 – $66.71
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $24.97
  • Aetna Better Health — MEDICAID HMO: $24.72
  • Aetna Health — ASA: $294.81
  • Aetna Health — Assurant Health: $294.81
  • Aetna Health — HMO: $176.89
  • Aetna Health — Medicare Advantage: $35.44
  • AMBETTER — ALL PRODUCTS: $61.52
  • Ameri-Plus Preferred Care — Medicare Select: $37.31
  • AmeriHealth Caritas Florida — MEDICAID HMO: $26.48
  • Archbold Medical Center — PPO: $268.34
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT EXERCISE EA 15 MIN $357.78 $196.78 $24.28 – $66.71
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $24.97
  • Aetna Better Health — MEDICAID HMO: $24.72
  • Aetna Health — ASA: $294.81
  • Aetna Health — Assurant Health: $294.81
  • Aetna Health — HMO: $176.89
  • Aetna Health — Medicare Advantage: $35.44
  • AMBETTER — ALL PRODUCTS: $61.52
  • Ameri-Plus Preferred Care — Medicare Select: $37.31
  • AmeriHealth Caritas Florida — MEDICAID HMO: $26.48
  • Archbold Medical Center — PPO: $268.34
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EXERCISE EA 15 MIN $357.78 $196.78 $131.56 – $339.89
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • BCBS — CUF: $181.36
  • BCBS — JUF: $181.36
  • BCBS — NWB: $181.36
  • BCBS — PPO: $181.36
  • Health First Health Plan — Medicare Adv HMO: $232.56
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLX $559.36 $307.65 $120.11 – $227.14
Physical therapy evaluation (low complexity): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $164.53
  • Aetna Better Health — MEDICAID HMO: $175.64
  • Aetna Health — ASA: $460.91
  • Aetna Health — Assurant Health: $460.91
  • Aetna Health — HMO: $276.55
  • Aetna Health — Medicare Advantage: $120.11
  • AMBETTER — ALL PRODUCTS: $209.48
  • Ameri-Plus Preferred Care — Medicare Select: $126.43
  • AmeriHealth Caritas Florida — MEDICAID HMO: $188.18
  • Archbold Medical Center — PPO: $419.52
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL LOW COMPLX $559.36 $307.65 $205.68 – $531.39
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • BCBS — CUF: $283.54
  • BCBS — JUF: $283.54
  • BCBS — NWB: $283.54
  • BCBS — PPO: $283.54
  • Health First Health Plan — Medicare Adv HMO: $363.58
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL MOD COMPLX $559.36 $307.65 $120.11 – $227.14
Physical therapy evaluation (moderate complexity): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $164.53
  • Aetna Better Health — MEDICAID HMO: $175.64
  • Aetna Health — ASA: $460.91
  • Aetna Health — Assurant Health: $460.91
  • Aetna Health — HMO: $276.55
  • Aetna Health — Medicare Advantage: $120.11
  • AMBETTER — ALL PRODUCTS: $209.48
  • Ameri-Plus Preferred Care — Medicare Select: $126.43
  • AmeriHealth Caritas Florida — MEDICAID HMO: $188.18
  • Archbold Medical Center — PPO: $419.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL MOD COMPLX $559.36 $307.65 $205.68 – $531.39
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • BCBS — CUF: $283.54
  • BCBS — JUF: $283.54
  • BCBS — NWB: $283.54
  • BCBS — PPO: $283.54
  • Health First Health Plan — Medicare Adv HMO: $363.58
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PT EVAL HIGH COMPLX $559.36 $307.65 $120.11 – $227.14
Physical therapy evaluation (high complexity): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $164.53
  • Aetna Better Health — MEDICAID HMO: $175.64
  • Aetna Health — ASA: $460.91
  • Aetna Health — Assurant Health: $460.91
  • Aetna Health — HMO: $276.55
  • Aetna Health — Medicare Advantage: $120.11
  • AMBETTER — ALL PRODUCTS: $209.48
  • Ameri-Plus Preferred Care — Medicare Select: $126.43
  • AmeriHealth Caritas Florida — MEDICAID HMO: $188.18
  • Archbold Medical Center — PPO: $419.52
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PT EVAL HIGH COMPLX $559.36 $307.65 $205.68 – $531.39
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • BCBS — CUF: $283.54
  • BCBS — JUF: $283.54
  • BCBS — NWB: $283.54
  • BCBS — PPO: $283.54
  • Health First Health Plan — Medicare Adv HMO: $363.58
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 30 MINUTES $401.58 $220.87 $85.86 – $290.30
Psychotherapy, 30 minutes: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $91.64
  • Aetna Better Health — MEDICAID HMO: $87.42
  • Aetna Health — ASA: $330.90
  • Aetna Health — Assurant Health: $330.90
  • Aetna Health — HMO: $198.54
  • Aetna Health — Medicare Advantage: $176.09
  • AMBETTER — ALL PRODUCTS: $267.72
  • Ameri-Plus Preferred Care — Medicare Select: $185.35
  • AmeriHealth Caritas Florida — MEDICAID HMO: $93.66
  • Archbold Medical Center — PPO: $301.19
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 30 MINUTES $401.58 $220.87 $118.47 – $381.50
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • BCBS — CUF: $203.56
  • BCBS — JUF: $203.56
  • BCBS — NWB: $203.56
  • BCBS — PPO: $203.56
  • Health First Health Plan — Medicare Adv HMO: $261.03
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 45 MINUTES $401.58 $220.87 $95.17 – $290.30
Psychotherapy, 45 minutes: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $103.14
  • Aetna Better Health — MEDICAID HMO: $96.90
  • Aetna Health — ASA: $330.90
  • Aetna Health — Assurant Health: $330.90
  • Aetna Health — HMO: $198.54
  • Aetna Health — Medicare Advantage: $176.09
  • AMBETTER — ALL PRODUCTS: $267.72
  • Ameri-Plus Preferred Care — Medicare Select: $185.35
  • AmeriHealth Caritas Florida — MEDICAID HMO: $103.82
  • Archbold Medical Center — PPO: $301.19
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 45 MINUTES $401.58 $220.87 $118.47 – $381.50
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • BCBS — CUF: $203.56
  • BCBS — JUF: $203.56
  • BCBS — NWB: $203.56
  • BCBS — PPO: $203.56
  • Health First Health Plan — Medicare Adv HMO: $261.03
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 60 MINUTES $401.58 $220.87 $95.17 – $290.30
Psychotherapy, 60 minutes: 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $103.14
  • Aetna Better Health — MEDICAID HMO: $96.90
  • Aetna Health — ASA: $330.90
  • Aetna Health — Assurant Health: $330.90
  • Aetna Health — HMO: $198.54
  • Aetna Health — Medicare Advantage: $176.09
  • AMBETTER — ALL PRODUCTS: $267.72
  • Ameri-Plus Preferred Care — Medicare Select: $185.35
  • AmeriHealth Caritas Florida — MEDICAID HMO: $103.82
  • Archbold Medical Center — PPO: $301.19
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB PSYCHOTHERAPY W/PATIENT 60 MINUTES $401.58 $220.87 $118.47 – $381.50
Psychotherapy, 60 minutes: rates for 5 insurance plans
  • BCBS — CUF: $203.56
  • BCBS — JUF: $203.56
  • BCBS — NWB: $203.56
  • BCBS — PPO: $203.56
  • Health First Health Plan — Medicare Adv HMO: $261.03
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $109.40 – $290.30
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $176.09
  • AMBETTER — ALL PRODUCTS: $267.72
  • Ameri-Plus Preferred Care — Medicare Select: $185.35
  • BCBS — Medicare Advantage-HMO: $185.35
  • BCBS — Medicare Advantage-PPO: $185.35
  • Beacon Health Strategies — Medicare: $190.92
  • Capital Health Plan — MEDICARE HMO: $185.35
  • Careplus Health Plan — MEDICARE ADVANTAGE: $190.92
  • Devoted Health Plan — MEDICARE HMO: $194.62
  • Devoted Health Plan — Medicare PPO: $203.89
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $109.40 – $290.30
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $109.40
  • Aetna Better Health — MEDICAID HMO: $115.37
  • AmeriHealth Caritas Florida — MEDICAID HMO: $123.61
  • CARELON HEALTH — PSYCH: $113.31
  • Community Care Plan — Florida Healthy Kids: $123.61
  • Community Care Plan — MEDICAID HMO: $123.61
  • Florida Community Care — MEDICAID HMO: $118.46
  • HUMANA — MEDICAID HMO: $113.31
  • MOLINA — MEDICAID HMO: $123.61
  • Simply Healthcare — Fl Healthy Kids: $119.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $109.40 – $290.30
Family psychotherapy, with the patient: 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $176.09
  • AMBETTER — ALL PRODUCTS: $267.72
  • Ameri-Plus Preferred Care — Medicare Select: $185.35
  • BCBS — Medicare Advantage-HMO: $185.35
  • BCBS — Medicare Advantage-PPO: $185.35
  • Beacon Health Strategies — Medicare: $190.92
  • Capital Health Plan — MEDICARE HMO: $185.35
  • Careplus Health Plan — MEDICARE ADVANTAGE: $190.92
  • Devoted Health Plan — MEDICARE HMO: $194.62
  • Devoted Health Plan — Medicare PPO: $203.89
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $109.40 – $290.30
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $109.40
  • Aetna Better Health — MEDICAID HMO: $115.37
  • AmeriHealth Caritas Florida — MEDICAID HMO: $123.61
  • CARELON HEALTH — PSYCH: $113.31
  • Community Care Plan — Florida Healthy Kids: $123.61
  • Community Care Plan — MEDICAID HMO: $123.61
  • Florida Community Care — MEDICAID HMO: $118.46
  • HUMANA — MEDICAID HMO: $113.31
  • MOLINA — MEDICAID HMO: $123.61
  • Simply Healthcare — Fl Healthy Kids: $119.34
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $100.78 – $194.04
Group psychotherapy: 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $100.78
  • AMBETTER — ALL PRODUCTS: $154.13
  • Ameri-Plus Preferred Care — Medicare Select: $106.09
  • BCBS — Medicare Advantage-HMO: $106.09
  • BCBS — Medicare Advantage-PPO: $106.09
  • Beacon Health Strategies — Medicare: $109.27
  • Capital Health Plan — MEDICARE HMO: $106.09
  • Careplus Health Plan — MEDICARE ADVANTAGE: $109.27
  • Devoted Health Plan — MEDICARE HMO: $111.39
  • Devoted Health Plan — Medicare PPO: $116.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $100.78 – $194.04
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $177.87
  • Aetna Better Health — MEDICAID HMO: $171.20
  • AmeriHealth Caritas Florida — MEDICAID HMO: $183.43
  • CARELON HEALTH — PSYCH: $168.15
  • Community Care Plan — Florida Healthy Kids: $183.43
  • Community Care Plan — MEDICAID HMO: $183.43
  • Florida Community Care — MEDICAID HMO: $175.79
  • HUMANA — MEDICAID HMO: $168.15
  • MOLINA — MEDICAID HMO: $183.43
  • Simply Healthcare — Fl Healthy Kids: $194.04

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EXCISION BREAST LESION(S) $9,475.44 $5,211.49 $936.71 – $6,918.76
Removal of breast growth (open surgery): 10 of 85 insurance plan rates
  • Aetna Better Health — Healthy Kids: $936.71
  • Aetna Better Health — MEDICAID HMO: $962.73
  • Aetna Health — ASA: $7,807.76
  • Aetna Health — Assurant Health: $7,807.76
  • Aetna Health — HMO: $1,983.78
  • Aetna Health — Medicare Advantage: $3,884.37
  • AMBETTER — ALL PRODUCTS: $6,380.63
  • Ameri-Plus Preferred Care — Medicare Select: $4,088.81
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,031.50
  • Archbold Medical Center — PPO: $7,106.58
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EXCISION BREAST LESION(S) $9,475.44 $5,211.49 $3,979.68 – $9,001.67
Removal of breast growth (open surgery): rates for 5 insurance plans
  • BCBS — CUF: $4,803.10
  • BCBS — JUF: $4,803.10
  • BCBS — NWB: $4,803.10
  • BCBS — PPO: $4,803.10
  • Health First Health Plan — Medicare Adv HMO: $6,159.04
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 $4,636.67 – $23,247.82
Total hip replacement: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $12,736.81
  • AMBETTER — ALL PRODUCTS: $21,439.66
  • Ameri-Plus Preferred Care — Medicare Select: $13,407.17
  • BCBS — Blue Select PPO: $4,636.67
  • BCBS — CUF: $6,195.20
  • BCBS — JUF: $6,195.20
  • BCBS — Medicare Advantage-HMO: $13,407.17
  • BCBS — Medicare Advantage-PPO: $13,407.17
  • BCBS — MyBlue HMO: $4,787.63
  • BCBS — NWB: $6,195.20
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 $4,636.67 – $23,247.82
Total hip replacement: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $6,658.26
  • Aetna Better Health — MEDICAID HMO: $6,672.93
  • AmeriHealth Caritas Florida — MEDICAID HMO: $7,149.56
  • CARELON HEALTH — PSYCH: $6,553.77
  • Community Care Plan — Florida Healthy Kids: $7,149.56
  • Community Care Plan — MEDICAID HMO: $7,149.56
  • Florida Community Care — MEDICAID HMO: $6,851.67
  • HUMANA — MEDICAID HMO: $6,553.77
  • MOLINA — MEDICAID HMO: $7,149.56
  • Simply Healthcare — Fl Healthy Kids: $7,263.55
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 $3,287.76 – $23,247.82
Total knee replacement: 10 of 36 insurance plan rates
  • Aetna Health — HMO: $3,287.76
  • Aetna Health — Medicare Advantage: $12,736.81
  • AMBETTER — ALL PRODUCTS: $21,439.66
  • Ameri-Plus Preferred Care — Medicare Select: $13,407.17
  • BCBS — Blue Select PPO: $4,636.67
  • BCBS — Commercial-HMO: $6,009.30
  • BCBS — CUF: $6,195.20
  • BCBS — JUF: $6,195.20
  • BCBS — Medicare Advantage-HMO: $13,407.17
  • BCBS — Medicare Advantage-PPO: $13,407.17
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 $3,287.76 – $23,247.82
Total knee replacement: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $6,658.26
  • Aetna Better Health — MEDICAID HMO: $6,672.93
  • AmeriHealth Caritas Florida — MEDICAID HMO: $7,149.56
  • CARELON HEALTH — PSYCH: $6,553.77
  • Community Care Plan — Florida Healthy Kids: $7,149.56
  • Community Care Plan — MEDICAID HMO: $7,149.56
  • Florida Community Care — MEDICAID HMO: $6,851.67
  • HUMANA — MEDICAID HMO: $6,553.77
  • MOLINA — MEDICAID HMO: $7,149.56
  • Simply Healthcare — Fl Healthy Kids: $7,263.55
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $1,518.31 – $3,044
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,532.86
  • Aetna Better Health — MEDICAID HMO: $1,545.91
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,656.34
  • CARELON HEALTH — PSYCH: $1,518.31
  • Community Care Plan — Florida Healthy Kids: $1,656.34
  • Community Care Plan — MEDICAID HMO: $1,656.34
  • Florida Community Care — MEDICAID HMO: $1,587.32
  • HUMANA — MEDICAID HMO: $1,518.31
  • MOLINA — MEDICAID HMO: $1,656.34
  • Simply Healthcare — Fl Healthy Kids: $1,672.21
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,518.31 – $3,044
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • UHC — HMO/PPO/POS/INDEMNITY: $3,044
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,518.31 – $5,901.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
  • Aetna Health — Medicare Advantage: $3,246.04
  • AMBETTER — ALL PRODUCTS: $5,406.41
  • Ameri-Plus Preferred Care — Medicare Select: $3,416.88
  • BCBS — Blue Select PPO: $4,415.44
  • BCBS — CUF: $5,901.50
  • BCBS — Gatorcare: $4,883.25
  • BCBS — JUF: $5,901.50
  • BCBS — Medicare Advantage-HMO: $3,416.88
  • BCBS — Medicare Advantage-PPO: $3,416.88
  • BCBS — MyBlue HMO: $4,559.19
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 $1,518.31 – $5,901.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,532.86
  • Aetna Better Health — MEDICAID HMO: $1,545.91
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,656.34
  • CARELON HEALTH — PSYCH: $1,518.31
  • Community Care Plan — Florida Healthy Kids: $1,656.34
  • Community Care Plan — MEDICAID HMO: $1,656.34
  • Florida Community Care — MEDICAID HMO: $1,587.32
  • HUMANA — MEDICAID HMO: $1,518.31
  • MOLINA — MEDICAID HMO: $1,656.34
  • Simply Healthcare — Fl Healthy Kids: $1,672.21
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 $1,496.19 – $10,688.44
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $5,872.86
  • AMBETTER — ALL PRODUCTS: $9,857.12
  • Ameri-Plus Preferred Care — Medicare Select: $6,181.95
  • BCBS — Medicare Advantage-HMO: $6,181.95
  • BCBS — Medicare Advantage-PPO: $6,181.95
  • Beacon Health Strategies — Medicare: $6,367.41
  • Capital Health Plan — MEDICARE HMO: $6,181.95
  • Careplus Health Plan — MEDICARE ADVANTAGE: $6,367.41
  • Devoted Health Plan — MEDICARE HMO: $6,491.05
  • Devoted Health Plan — Medicare PPO: $6,800.15
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 $1,496.19 – $10,688.44
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,524.19
  • Aetna Better Health — MEDICAID HMO: $1,523.39
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,632.20
  • CARELON HEALTH — PSYCH: $1,496.19
  • Community Care Plan — Florida Healthy Kids: $1,632.20
  • Community Care Plan — MEDICAID HMO: $1,632.20
  • Florida Community Care — MEDICAID HMO: $1,564.20
  • HUMANA — MEDICAID HMO: $1,496.19
  • MOLINA — MEDICAID HMO: $1,632.20
  • Simply Healthcare — Fl Healthy Kids: $1,662.76
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EGD FLEX TRNSORAL DX $4,779.14 $2,628.53 $709.37 – $4,595
Upper GI endoscopy (diagnostic): 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $709.37
  • Aetna Better Health — MEDICAID HMO: $726.86
  • Aetna Health — ASA: $3,938.01
  • Aetna Health — Assurant Health: $3,938.01
  • Aetna Health — HMO: $1,300.89
  • Aetna Health — Medicare Advantage: $899.79
  • AMBETTER — ALL PRODUCTS: $1,562.23
  • Ameri-Plus Preferred Care — Medicare Select: $947.15
  • AmeriHealth Caritas Florida — MEDICAID HMO: $778.78
  • Archbold Medical Center — PPO: $3,584.36
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EGD FLEX TRNSORAL DX $4,779.14 $2,628.53 $2,007.24 – $4,540.18
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • BCBS — CUF: $2,422.55
  • BCBS — JUF: $2,422.55
  • BCBS — NWB: $2,422.55
  • BCBS — PPO: $2,422.55
  • Health First Health Plan — Medicare Adv HMO: $3,106.44
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB EGD FLEX TRNSORAL W/BX $5,882.35 $3,235.29 $709.37 – $4,595
Upper GI endoscopy with biopsy: 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $709.37
  • Aetna Better Health — MEDICAID HMO: $726.86
  • Aetna Health — ASA: $4,847.06
  • Aetna Health — Assurant Health: $4,847.06
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $899.79
  • AMBETTER — ALL PRODUCTS: $1,562.23
  • Ameri-Plus Preferred Care — Medicare Select: $947.15
  • AmeriHealth Caritas Florida — MEDICAID HMO: $778.78
  • Archbold Medical Center — PPO: $4,411.76
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB EGD FLEX TRNSORAL W/BX $5,882.35 $3,235.29 $2,470.59 – $5,588.23
Upper GI endoscopy with biopsy: rates for 5 insurance plans
  • BCBS — CUF: $2,981.76
  • BCBS — JUF: $2,981.76
  • BCBS — NWB: $2,981.76
  • BCBS — PPO: $2,981.76
  • Health First Health Plan — Medicare Adv HMO: $3,823.53
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY DX W/WO DECOMPRESSION $5,774.13 $3,175.77 $700.57 – $4,595
Colonoscopy (diagnostic): 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $704.91
  • Aetna Better Health — MEDICAID HMO: $713.31
  • Aetna Health — ASA: $4,757.88
  • Aetna Health — Assurant Health: $4,757.88
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $922.58
  • AMBETTER — ALL PRODUCTS: $1,519.16
  • Ameri-Plus Preferred Care — Medicare Select: $971.14
  • AmeriHealth Caritas Florida — MEDICAID HMO: $764.26
  • Archbold Medical Center — PPO: $4,330.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY DX W/WO DECOMPRESSION $5,774.13 $3,175.77 $2,425.13 – $5,485.42
Colonoscopy (diagnostic): rates for 5 insurance plans
  • BCBS — CUF: $2,926.91
  • BCBS — JUF: $2,926.91
  • BCBS — NWB: $2,926.91
  • BCBS — PPO: $2,926.91
  • Health First Health Plan — Medicare Adv HMO: $3,753.18
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/BIOPSY $6,253.07 $3,439.19 $700.57 – $4,595
Colonoscopy with biopsy: 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $704.91
  • Aetna Better Health — MEDICAID HMO: $713.31
  • Aetna Health — ASA: $5,152.53
  • Aetna Health — Assurant Health: $5,152.53
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $1,187.15
  • AMBETTER — ALL PRODUCTS: $1,964.67
  • Ameri-Plus Preferred Care — Medicare Select: $1,249.63
  • AmeriHealth Caritas Florida — MEDICAID HMO: $764.26
  • Archbold Medical Center — PPO: $4,689.80
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/BIOPSY $6,253.07 $3,439.19 $2,626.29 – $5,940.42
Colonoscopy with biopsy: rates for 5 insurance plans
  • BCBS — CUF: $3,169.68
  • BCBS — JUF: $3,169.68
  • BCBS — NWB: $3,169.68
  • BCBS — PPO: $3,169.68
  • Health First Health Plan — Medicare Adv HMO: $4,064.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/REM LES SNARE $7,747.75 $4,261.26 $700.57 – $4,595
Colonoscopy with removal of polyps (snare): 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $704.91
  • Aetna Better Health — MEDICAID HMO: $713.31
  • Aetna Health — ASA: $6,384.15
  • Aetna Health — Assurant Health: $6,384.15
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $1,187.15
  • AMBETTER — ALL PRODUCTS: $1,964.67
  • Ameri-Plus Preferred Care — Medicare Select: $1,249.63
  • AmeriHealth Caritas Florida — MEDICAID HMO: $764.26
  • Archbold Medical Center — PPO: $5,810.81
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY W/REM LES SNARE $7,747.75 $4,261.26 $3,254.06 – $7,360.36
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans
  • BCBS — CUF: $3,927.33
  • BCBS — JUF: $3,927.33
  • BCBS — NWB: $3,927.33
  • BCBS — PPO: $3,927.33
  • Health First Health Plan — Medicare Adv HMO: $5,036.04
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 $700.57 – $2,130.37
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,187.15
  • AMBETTER — ALL PRODUCTS: $1,964.67
  • Ameri-Plus Preferred Care — Medicare Select: $1,249.63
  • BCBS — Medicare Advantage-HMO: $1,249.63
  • BCBS — Medicare Advantage-PPO: $1,249.63
  • Beacon Health Strategies — Medicare: $1,287.12
  • Capital Health Plan — MEDICARE HMO: $1,249.63
  • Careplus Health Plan — MEDICARE ADVANTAGE: $1,287.12
  • Devoted Health Plan — MEDICARE HMO: $1,312.11
  • Devoted Health Plan — Medicare PPO: $1,374.59
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 $700.57 – $2,130.37
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $704.91
  • Aetna Better Health — MEDICAID HMO: $713.31
  • AmeriHealth Caritas Florida — MEDICAID HMO: $764.26
  • CARELON HEALTH — PSYCH: $700.57
  • Community Care Plan — Florida Healthy Kids: $764.26
  • Community Care Plan — MEDICAID HMO: $764.26
  • Florida Community Care — MEDICAID HMO: $732.41
  • HUMANA — MEDICAID HMO: $700.57
  • MOLINA — MEDICAID HMO: $764.26
  • Simply Healthcare — Fl Healthy Kids: $769
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB COLONOSCOPY CA SCR NOT HI RISK $2,290.55 $1,259.80 $700.57 – $3,667
Screening colonoscopy (not high risk): 10 of 82 insurance plan rates
  • Aetna Better Health — Healthy Kids: $704.91
  • Aetna Better Health — MEDICAID HMO: $713.31
  • Aetna Health — ASA: $1,887.41
  • Aetna Health — Assurant Health: $1,887.41
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $922.58
  • AMBETTER — ALL PRODUCTS: $1,519.16
  • Ameri-Plus Preferred Care — Medicare Select: $971.14
  • AmeriHealth Caritas Florida — MEDICAID HMO: $764.26
  • Archbold Medical Center — PPO: $1,717.91
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB COLONOSCOPY CA SCR NOT HI RISK $2,290.55 $1,259.80 $675.71 – $2,176.02
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • BCBS — CUF: $1,161.08
  • BCBS — JUF: $1,161.08
  • BCBS — NWB: $1,161.08
  • BCBS — PPO: $1,161.08
  • Health First Health Plan — Medicare Adv HMO: $1,488.86
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 $2,567.33 – $12,574
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates
  • Aetna Health — HMO: $2,806.75
  • Aetna Health — Medicare Advantage: $5,997.56
  • AMBETTER — ALL PRODUCTS: $9,721.65
  • Ameri-Plus Preferred Care — Medicare Select: $6,313.22
  • BCBS — Blue Select PPO: $4,636.67
  • BCBS — Commercial-HMO: $6,009.30
  • BCBS — CUF: $6,195.20
  • BCBS — Gatorcare: $5,127.63
  • BCBS — JUF: $6,195.20
  • BCBS — Medicare Advantage-HMO: $6,313.22
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 $2,567.33 – $12,574
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2,567.33
  • Aetna Better Health — MEDICAID HMO: $2,687.61
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2,879.58
  • CARELON HEALTH — PSYCH: $2,639.62
  • Community Care Plan — Florida Healthy Kids: $2,879.58
  • Community Care Plan — MEDICAID HMO: $2,879.58
  • Florida Community Care — MEDICAID HMO: $2,759.60
  • HUMANA — MEDICAID HMO: $2,639.62
  • MOLINA — MEDICAID HMO: $2,879.58
  • Simply Healthcare — Fl Healthy Kids: $2,800.73
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB REP INIT ING HERNIAL >= 5YR REDU $10,770.63 $5,923.85 $2,462.73 – $8,259
Groin (inguinal) hernia repair, age 5 or older: 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2,585.09
  • Aetna Better Health — MEDICAID HMO: $2,801.64
  • Aetna Health — ASA: $8,875
  • Aetna Health — Assurant Health: $8,875
  • Aetna Health — HMO: $2,462.73
  • Aetna Health — Medicare Advantage: $3,551.99
  • AMBETTER — ALL PRODUCTS: $5,880.38
  • Ameri-Plus Preferred Care — Medicare Select: $3,738.94
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3,001.75
  • Archbold Medical Center — PPO: $8,077.97
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB REP INIT ING HERNIAL >= 5YR REDU $10,770.63 $5,923.85 $4,523.66 – $10,232.10
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans
  • BCBS — CUF: $5,459.63
  • BCBS — JUF: $5,459.63
  • BCBS — NWB: $5,459.63
  • BCBS — PPO: $5,459.63
  • Health First Health Plan — Medicare Adv HMO: $7,000.91
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ BIOPSY PROSTATE $6,573.62 $3,615.49 $1,208.34 – $4,807.81
Prostate biopsy: 10 of 76 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,211.44
  • Aetna Better Health — MEDICAID HMO: $1,230.31
  • Aetna Health — ASA: $5,416.66
  • Aetna Health — Assurant Health: $5,416.66
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $1,577.67
  • AMBETTER — ALL PRODUCTS: $3,413.38
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,318.19
  • Archbold Medical Center — PPO: $4,930.22
  • AVMED — EPN: $1,760.72
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ BIOPSY PROSTATE $6,573.62 $3,615.49 $1,018.91 – $6,244.94
Prostate biopsy: rates for 5 insurance plans
  • BCBS — CUF: $3,332.17
  • BCBS — JUF: $3,332.17
  • BCBS — NWB: $3,332.17
  • BCBS — PPO: $3,332.17
  • Health First Health Plan — Medicare Adv HMO: $4,272.85
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $3,193.64 – $18,811.03
Prostate removal by laparoscope (radical prostatectomy): 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $10,545.49
  • AMBETTER — ALL PRODUCTS: $17,347.95
  • Ameri-Plus Preferred Care — Medicare Select: $11,100.51
  • BCBS — Blue Select PPO: $4,636.67
  • BCBS — CUF: $6,195.20
  • BCBS — JUF: $6,195.20
  • BCBS — Medicare Advantage-HMO: $11,100.51
  • BCBS — Medicare Advantage-PPO: $11,100.51
  • BCBS — MyBlue HMO: $4,787.63
  • BCBS — NWB: $6,195.20
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $3,193.64 – $18,811.03
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3,193.64
  • Aetna Better Health — MEDICAID HMO: $3,406.05
  • AmeriHealth Caritas Florida — MEDICAID HMO: $3,649.34
  • CARELON HEALTH — PSYCH: $3,345.23
  • Community Care Plan — Florida Healthy Kids: $3,649.34
  • Community Care Plan — MEDICAID HMO: $3,649.34
  • Florida Community Care — MEDICAID HMO: $3,497.29
  • HUMANA — MEDICAID HMO: $3,345.23
  • MOLINA — MEDICAID HMO: $3,649.34
  • Simply Healthcare — Fl Healthy Kids: $3,483.97
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 $1,674.18 – $5,901.50
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • Aetna Health — HMO: $1,983.78
  • Aetna Health — Medicare Advantage: $3,211.44
  • AMBETTER — ALL PRODUCTS: $5,297.97
  • Ameri-Plus Preferred Care — Medicare Select: $3,380.46
  • BCBS — Blue Select PPO: $4,415.44
  • BCBS — Commercial-HMO: $5,723.30
  • BCBS — CUF: $5,901.50
  • BCBS — Gatorcare: $4,883.25
  • BCBS — JUF: $5,901.50
  • BCBS — Medicare Advantage-HMO: $3,380.46
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 $1,674.18 – $5,901.50
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,674.18
  • Aetna Better Health — MEDICAID HMO: $1,752.11
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,877.26
  • CARELON HEALTH — PSYCH: $1,720.82
  • Community Care Plan — Florida Healthy Kids: $1,877.26
  • Community Care Plan — MEDICAID HMO: $1,877.26
  • Florida Community Care — MEDICAID HMO: $1,799.04
  • HUMANA — MEDICAID HMO: $1,720.82
  • MOLINA — MEDICAID HMO: $1,877.26
  • Simply Healthcare — Fl Healthy Kids: $1,826.38
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ EPI LUMB/SAC W/IMAGING $3,936 $2,164.80 $531.54 – $3,667
Spinal injection, lower back (epidural), with imaging guidance: 10 of 84 insurance plan rates
  • Aetna Better Health — Healthy Kids: $538.71
  • Aetna Better Health — MEDICAID HMO: $541.21
  • Aetna Health — ASA: $3,243.26
  • Aetna Health — Assurant Health: $3,243.26
  • Aetna Health — HMO: $1,300.89
  • Aetna Health — Medicare Advantage: $700.28
  • AMBETTER — ALL PRODUCTS: $1,153.93
  • Ameri-Plus Preferred Care — Medicare Select: $737.14
  • AmeriHealth Caritas Florida — MEDICAID HMO: $579.86
  • Archbold Medical Center — PPO: $2,952
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ EPI LUMB/SAC W/IMAGING $3,936 $2,164.80 $1,653.12 – $3,739.20
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • BCBS — CUF: $1,995.16
  • BCBS — JUF: $1,995.16
  • BCBS — NWB: $1,995.16
  • BCBS — PPO: $1,995.16
  • Health First Health Plan — Medicare Adv HMO: $2,558.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB INJ FOREMN EIPD LUM/SAC SGL LEV $2,348.82 $1,291.85 $531.54 – $3,667
Nerve root injection, lower back, with imaging guidance: 10 of 85 insurance plan rates
  • Aetna Better Health — Healthy Kids: $538.71
  • Aetna Better Health — MEDICAID HMO: $541.21
  • Aetna Health — ASA: $1,935.43
  • Aetna Health — Assurant Health: $1,935.43
  • Aetna Health — HMO: $1,300.89
  • Aetna Health — Medicare Advantage: $877.45
  • AMBETTER — ALL PRODUCTS: $1,483.47
  • Ameri-Plus Preferred Care — Medicare Select: $923.64
  • AmeriHealth Caritas Florida — MEDICAID HMO: $579.86
  • Archbold Medical Center — PPO: $1,761.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HB INJ FOREMN EIPD LUM/SAC SGL LEV $2,348.82 $1,291.85 $986.50 – $2,231.38
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
  • BCBS — CUF: $1,190.62
  • BCBS — JUF: $1,190.62
  • BCBS — NWB: $1,190.62
  • BCBS — PPO: $1,190.62
  • Health First Health Plan — Medicare Adv HMO: $1,526.73
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 $961.25 – $5,416
Carpal tunnel release: 10 of 37 insurance plan rates
  • Aetna Health — HMO: $1,748.94
  • Aetna Health — Medicare Advantage: $1,937.23
  • AMBETTER — ALL PRODUCTS: $3,253.85
  • Ameri-Plus Preferred Care — Medicare Select: $2,039.19
  • BCBS — Blue Select PPO: $3,312.35
  • BCBS — Commercial-HMO: $4,290
  • BCBS — CUF: $4,424.20
  • BCBS — Gatorcare: $3,661.38
  • BCBS — JUF: $4,424.20
  • BCBS — Medicare Advantage-HMO: $2,039.19
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 $961.25 – $5,416
Carpal tunnel release: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $961.25
  • Aetna Better Health — MEDICAID HMO: $985.30
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,055.68
  • CARELON HEALTH — PSYCH: $967.70
  • Community Care Plan — Florida Healthy Kids: $1,055.68
  • Community Care Plan — MEDICAID HMO: $1,055.68
  • Florida Community Care — MEDICAID HMO: $1,011.69
  • HUMANA — MEDICAID HMO: $967.70
  • MOLINA — MEDICAID HMO: $1,055.68
  • Simply Healthcare — Fl Healthy Kids: $1,048.63
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 $406.19 – $991.21
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
  • Aetna Health — Medicare Advantage: $545.63
  • AMBETTER — ALL PRODUCTS: $914.12
  • Ameri-Plus Preferred Care — Medicare Select: $574.35
  • BCBS — Medicare Advantage-HMO: $574.35
  • BCBS — Medicare Advantage-PPO: $574.35
  • Beacon Health Strategies — Medicare: $591.58
  • Capital Health Plan — MEDICARE HMO: $574.35
  • Careplus Health Plan — MEDICARE ADVANTAGE: $591.58
  • Devoted Health Plan — MEDICARE HMO: $603.07
  • Devoted Health Plan — Medicare PPO: $631.79
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 $406.19 – $991.21
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $406.19
  • Aetna Better Health — MEDICAID HMO: $414.70
  • AmeriHealth Caritas Florida — MEDICAID HMO: $444.32
  • CARELON HEALTH — PSYCH: $407.30
  • Community Care Plan — Florida Healthy Kids: $444.32
  • Community Care Plan — MEDICAID HMO: $444.32
  • Florida Community Care — MEDICAID HMO: $425.81
  • HUMANA — MEDICAID HMO: $407.30
  • MOLINA — MEDICAID HMO: $444.32
  • Simply Healthcare — Fl Healthy Kids: $443.11
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,220.15 – $8,979.60
Cataract removal with lens implant: 10 of 37 insurance plan rates
  • Aetna Health — Medicare Advantage: $2,289.51
  • AMBETTER — ALL PRODUCTS: $3,800.32
  • Ameri-Plus Preferred Care — Medicare Select: $2,410.01
  • BCBS — Blue Select PPO: $3,312.35
  • BCBS — Commercial-HMO: $4,290
  • BCBS — CUF: $4,424.20
  • BCBS — Gatorcare: $3,661.38
  • BCBS — JUF: $4,424.20
  • BCBS — Medicare Advantage-HMO: $2,410.01
  • BCBS — Medicare Advantage-PPO: $2,410.01
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $1,220.15 – $8,979.60
Cataract removal with lens implant: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,220.15
  • Aetna Better Health — MEDICAID HMO: $1,245.84
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,334.83
  • CARELON HEALTH — PSYCH: $1,223.60
  • Community Care Plan — Florida Healthy Kids: $1,334.83
  • Community Care Plan — MEDICAID HMO: $1,334.83
  • Florida Community Care — MEDICAID HMO: $1,279.21
  • HUMANA — MEDICAID HMO: $1,223.60
  • MOLINA — MEDICAID HMO: $1,334.83
  • Simply Healthcare — Fl Healthy Kids: $1,331.08

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 $1,671.79 – $1,846.45
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,692.58
  • Aetna Better Health — MEDICAID HMO: $1,702.19
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,823.77
  • CARELON HEALTH — PSYCH: $1,671.79
  • Community Care Plan — Florida Healthy Kids: $1,823.77
  • Community Care Plan — MEDICAID HMO: $1,823.77
  • Florida Community Care — MEDICAID HMO: $1,747.78
  • HUMANA — MEDICAID HMO: $1,671.79
  • MOLINA — MEDICAID HMO: $1,823.77
  • Simply Healthcare — Fl Healthy Kids: $1,846.45
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 $1,848.78 – $2,041.93
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,871.77
  • Aetna Better Health — MEDICAID HMO: $1,882.40
  • AmeriHealth Caritas Florida — MEDICAID HMO: $2,016.85
  • CARELON HEALTH — PSYCH: $1,848.78
  • Community Care Plan — Florida Healthy Kids: $2,016.85
  • Community Care Plan — MEDICAID HMO: $2,016.85
  • Florida Community Care — MEDICAID HMO: $1,932.82
  • HUMANA — MEDICAID HMO: $1,848.78
  • MOLINA — MEDICAID HMO: $2,016.85
  • Simply Healthcare — Fl Healthy Kids: $2,041.93
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 $1,671.79 – $1,846.45
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,692.58
  • Aetna Better Health — MEDICAID HMO: $1,702.19
  • AmeriHealth Caritas Florida — MEDICAID HMO: $1,823.77
  • CARELON HEALTH — PSYCH: $1,671.79
  • Community Care Plan — Florida Healthy Kids: $1,823.77
  • Community Care Plan — MEDICAID HMO: $1,823.77
  • Florida Community Care — MEDICAID HMO: $1,747.78
  • HUMANA — MEDICAID HMO: $1,671.79
  • MOLINA — MEDICAID HMO: $1,823.77
  • Simply Healthcare — Fl Healthy Kids: $1,846.45

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $98,278.02 – $121,037.14
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 65 insurance plan rates
  • Aetna Health — HMO: $100,833.37
  • Aetna Health — Medicare Advantage: $98,278.02
  • AMBETTER — ALL PRODUCTS: $165,379.23
  • Ameri-Plus Preferred Care — Medicare Select: $103,450.55
  • AVMED — EPN: $115,781.39
  • AVMED — HMO: $115,781.39
  • AVMED — POS: $115,781.39
  • AVMED — Select and Entrust Networks: $131,307.09
  • BCBS — Blue Select PPO: $86,876.35
  • BCBS — Commercial-HMO: $99,755.21
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 joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $8,257.62 – $36,870.86
Hip or knee replacement (major joint of the leg), without major complications: 10 of 40 insurance plan rates
  • Aetna Health — HMO: $19,881.58
  • AVMED — EPN: $22,828.92
  • AVMED — HMO: $22,828.92
  • AVMED — POS: $22,828.92
  • AVMED — Select and Entrust Networks: $25,890.16
  • BCBS — Blue Select PPO: $17,129.64
  • BCBS — Commercial-HMO: $36,404.50
  • BCBS — CUF: $35,248.44
  • BCBS — Gatorcare: $17,299.46
  • BCBS — JUF: $35,248.44
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 $22,774.01 – $28,047.99
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates
  • Aetna Health — Medicare Advantage: $22,774.01
  • AMBETTER — ALL PRODUCTS: $36,870.86
  • Ameri-Plus Preferred Care — Medicare Select: $23,972.64
  • BCBS — Medicare Advantage-HMO: $26,369.90
  • BCBS — Medicare Advantage-PPO: $26,369.90
  • Beacon Health Strategies — Medicare: $24,691.82
  • Careplus Health Plan — MEDICARE ADVANTAGE: $24,691.82
  • Devoted Health Plan — MEDICARE HMO: $25,171.27
  • Devoted Health Plan — Medicare PPO: $26,369.90
  • Florida Complete Care — MEDICARE HMO: $26,369.90
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 $10,451.21 – $44,845.55
Neck (cervical) spinal fusion, without complications: 10 of 62 insurance plan rates
  • Aetna Health — HMO: $25,162.99
  • Aetna Health — Medicare Advantage: $27,700
  • AMBETTER — ALL PRODUCTS: $44,845.55
  • Ameri-Plus Preferred Care — Medicare Select: $29,157.89
  • AVMED — EPN: $28,893.27
  • AVMED — HMO: $28,893.27
  • AVMED — POS: $28,893.27
  • AVMED — Select and Entrust Networks: $32,767.71
  • BCBS — Blue Select PPO: $21,680.01
  • BCBS — Commercial-HMO: $38,305.30
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 $5,311.44 – $26,453.90
Uterus and ovary surgery (not for cancer), without complications: 10 of 62 insurance plan rates
  • Aetna Health — HMO: $12,788.16
  • Aetna Health — Medicare Advantage: $16,157.95
  • AMBETTER — ALL PRODUCTS: $25,505.42
  • Ameri-Plus Preferred Care — Medicare Select: $17,008.37
  • AVMED — EPN: $14,683.93
  • AVMED — HMO: $14,683.93
  • AVMED — POS: $14,683.93
  • AVMED — Select and Entrust Networks: $16,652.97
  • BCBS — Blue Select PPO: $11,018.06
  • BCBS — Commercial-HMO: $26,453.90

Source: Shands Jacksonville’s standard charges file (ufhealth.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address655 W 8th St, Jacksonville, FL 32209
CountyDuval County
StateFlorida
Phone(904) 244‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100001
Name in Medicare recordsSHANDS JACKSONVILLE
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(904) 244‑0411[4]
Name on the hospital’s websiteUF Health Jacksonville
Official websiteufhealthjax.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. UF Health Jacksonville - UF Health Jacksonville — ufhealthjax.org
  2. Directions and hours - UF Health Jacksonville - UF Health Jacksonville — ufhealthjax.org
  3. About UF Health Jacksonville - UF Health Jacksonville — ufhealthjax.org
  4. Awards and Recognition - About UF Health Jacksonville - UF Health Jacksonville — ufhealthjax.org
  5. Patient Services & Support - Patients & Visitors - UF Health Jacksonville — ufhealthjax.org
  6. Patient Relations - Patients & Visitors - UF Health Jacksonville — ufhealthjax.org
  7. Accessibility - UF Health Jacksonville - UF Health Jacksonville — ufhealthjax.org
  8. Parking - Patients & Visitors - UF Health Jacksonville — ufhealthjax.org