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Acute Care Hospital

Sharon Hospital

Sharon, Connecticut · Litchfield County · Emergency services listed

Sharon Hospital is an acute care hospital at 50 Hospital Hill Road, Sharon, CT 06069. Phone: (860) 364-4228. It has an emergency department. Medicare overall rating: 5 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

Sharon Hospital is an acute care hospital in Sharon, Connecticut. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 55 services, specialties and programs. Medicare lists 301 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

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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
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
78Beds (hospital website)
55Services listed

Quick answers

Does Sharon Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sharon Hospital. In a medical emergency, call 911.
Where is Sharon Hospital?
50 Hospital Hill Road, Sharon, CT 06069, in Litchfield County, Connecticut.
What is the phone number of Sharon Hospital?
(860) 364-4228, as listed by Medicare (CMS).
What is the Medicare star rating of Sharon Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Sharon Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Sharon Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.9044; 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][10][11][12][16]

Conditions treated[6][8][10][11][16]

  • Atrial fibrillation and rhythm disorders
  • Coronary artery disease
  • Heart failure
  • Acute ischemic stroke
  • Hemorrhagic stroke
  • Cerebrovascular disease including aneurysms
  • Hip conditions
  • Knee conditions
  • Shoulder conditions
  • Ankle conditions
  • Hernias
  • Gallbladder disease
  • Appendicitis
  • Breast conditions
  • Burns
  • Chronic or nonhealing wounds
  • Diabetic wounds

Treatments[6][8][10][16]

  • Anticoagulation therapy and monitoring
  • Mechanical thrombectomy
  • Robot-assisted hip and knee replacement
  • Total and partial joint replacement
  • Shoulder replacement surgery
  • Ankle replacement surgery
  • Compression therapy
  • Debridement
  • Infection management

Procedures[6][7][8][11]

  • Transesophageal echocardiogram
  • Nuclear stress testing
  • Stress echocardiography
  • Treadmill stress testing
  • Holter/event monitoring
  • Hernia repair
  • Gallbladder surgery
  • Breast surgery
  • Minimally invasive and laparoscopic surgery
  • Bone density testing
  • MRI
  • CT scan
  • Epidural pain management during labor
  • Nonstress testing (fetal monitoring)

Programs and centers[6][7][9][10][12][16]

  • Cardiac rehabilitation
  • Primary stroke care program
  • Stroke rehabilitation
  • Emergency department (24/7)
  • Advanced wound care program
  • Breastfeeding support
  • Childbirth education classes
  • Senior behavioral health unit

Emergency care (hospital website)[9][10]

Emergency roomYes
Open 24/7Yes
Stroke designationJoint Commission-certified Primary Stroke Center [7]

Visiting and practical information

VisitingGeneral hours 8am-8pm daily; up to four care partners at bedside at a time[14]
ParkingParking available adjacent to the main entrance and emergency department[14]

Recognition[10][15]

  • Joint Commission stroke certification (Primary Stroke Center)
  • Get With The Guidelines Stroke Gold Plus 2026
  • Get With The Guidelines Rural Hospital Stroke Care (Silver/Gold) 2026
  • U.S. News & World Report high performing in maternity care 2026

Doctors and clinicians (301)

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

Main specialties

Doctors with a page on this site (301)

And 277 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 Sharon

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

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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital84%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well84%National average: 80%
“Always” got help as soon as they wanted65%National average: 64%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean76%National average: 73%
Completed surveys300Response rate: 38%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged 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 failure patients11.3%
Deaths within 30 days: pneumonia patients11.1%
Deaths within 30 days: COPD patients9.8%
Deaths within 30 days: stroke patients10.2%
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

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)15%
Readmitted within 30 days: heart failure20.9%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPD19.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)67%National average: 66%

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

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

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 Sharon Hospital, 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 Score-0.9044Lower 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 failure1.0110More readmissions than expected
Pneumonia0.9829Fewer readmissions than expected
COPD (chronic lung disease)1.0060More readmissions than expected
Hip or knee replacement0.8985Fewer readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (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 Score46.88 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)12.50 out of 100
Person and community engagement (patient survey)55.00 out of 100
Safety (infections and sepsis care)70.00 out of 100
Efficiency and cost reduction (Medicare spending)50.00 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, ratio0.92Below 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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Sharon Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 85 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: Office/outpatient visit new Not listed in the file Not listed in the file $281.51 – $490.37
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $281.51
  • Mvp Health Care — All Commercial Plans: $441
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Triage Level Iii $2,087 $2,087 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: New Eval Visit Level 3 $368 $368 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $457.78 – $797.43
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $457.78
  • Mvp Health Care — All Commercial Plans: $709.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Triage Level Iv $3,462 $3,462 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: New Eval Visit Level 4 $406 $406 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $622.99 – $1,085.20
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $622.99
  • Mvp Health Care — All Commercial Plans: $963
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Triage Level V $6,485 $6,485 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: New Eval Visit Level 5 $445 $445 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $225.65 – $393.06
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $225.65
  • Mvp Health Care — All Commercial Plans: $351
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Est Eval Visit Level 3 $306 $306 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $332.62 – $579.40
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $332.62
  • Mvp Health Care — All Commercial Plans: $518.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Est Eval Visit Level 4 $332 $332 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $500.40
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Mvp Health Care — All Commercial Plans: $500.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $606.60
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Mvp Health Care — All Commercial Plans: $606.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $242.20 – $421.90
Emergency room visit (moderate): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $327.25
  • Bcbs — Anthem All Commercial Plans: $242.20
  • Mvp Health Care — All Commercial Plans: $383.40
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Dpt Vist Levl Iii $1,218 $1,218 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $411.96 – $717.60
Emergency room visit (moderately high): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $500.22
  • Bcbs — Anthem All Commercial Plans: $411.96
  • Mvp Health Care — All Commercial Plans: $644.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Dpt Visit Levl Iv $1,537 $1,537 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $596.46 – $1,039
Emergency room visit (high): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $713.93
  • Bcbs — Anthem All Commercial Plans: $596.46
  • Mvp Health Care — All Commercial Plans: $937.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emerg Dpt Visit Levl V $1,918 $1,918 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $45.76
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $19.10
  • Aetna — Medicare Managed Care Plan: $8.46
  • Bcbs — Anthem All Commercial Plans: $22.82
  • Cigna — All Commercial Plans: $12.64
  • Connecticare — All Commercial Plans: $9.13
  • Connecticare — Cbi Plans Exchange: $9.33
  • Magnacare — All Commercial Plans: $15.12
  • Mvp Health Care — All Commercial Plans: $22.77
  • Oxford — All Commercial Plans: $45.76
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Metabolic Panel Total Ca $60 $60 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $57.14
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $23.84
  • Aetna — Medicare Managed Care Plan: $10.56
  • Bcbs — Anthem All Commercial Plans: $28.49
  • Cigna — All Commercial Plans: $15.77
  • Connecticare — All Commercial Plans: $11.39
  • Connecticare — Cbi Plans Exchange: $11.64
  • Magnacare — All Commercial Plans: $18.89
  • Mvp Health Care — All Commercial Plans: $28.43
  • Oxford — All Commercial Plans: $57.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehen Metabolic Panel $74 $74 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $258.63
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $107.95
  • Aetna — Medicare Managed Care Plan: $47.81
  • Bcbs — Anthem All Commercial Plans: $128.97
  • Cigna — All Commercial Plans: $71.45
  • Connecticare — All Commercial Plans: $51.58
  • Connecticare — Cbi Plans Exchange: $52.71
  • Mvp Health Care — All Commercial Plans: $128.71
  • Oxford — All Commercial Plans: $258.63
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $72.42
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $30.23
  • Aetna — Medicare Managed Care Plan: $13.39
  • Bcbs — Anthem All Commercial Plans: $36.12
  • Cigna — All Commercial Plans: $20
  • Connecticare — All Commercial Plans: $14.45
  • Connecticare — Cbi Plans Exchange: $14.76
  • Magnacare — All Commercial Plans: $23.95
  • Mvp Health Care — All Commercial Plans: $36.05
  • Oxford — All Commercial Plans: $72.42
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $94 $94 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $46.97
Kidney function panel: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $19.60
  • Aetna — Medicare Managed Care Plan: $8.68
  • Bcbs — Anthem All Commercial Plans: $23.41
  • Cigna — All Commercial Plans: $12.96
  • Connecticare — All Commercial Plans: $9.36
  • Connecticare — Cbi Plans Exchange: $9.57
  • Magnacare — All Commercial Plans: $15.52
  • Mvp Health Care — All Commercial Plans: $23.37
  • Oxford — All Commercial Plans: $46.97
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $61 $61 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $44.19
Liver function panel: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $18.45
  • Aetna — Medicare Managed Care Plan: $8.17
  • Bcbs — Anthem All Commercial Plans: $22.04
  • Cigna — All Commercial Plans: $12.21
  • Connecticare — All Commercial Plans: $8.81
  • Connecticare — Cbi Plans Exchange: $9.01
  • Magnacare — All Commercial Plans: $14.60
  • Mvp Health Care — All Commercial Plans: $21.99
  • Oxford — All Commercial Plans: $44.19
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $58 $58 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $17.16
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $7.16
  • Aetna — Medicare Managed Care Plan: $3.17
  • Bcbs — Anthem All Commercial Plans: $8.55
  • Cigna — All Commercial Plans: $4.74
  • Connecticare — All Commercial Plans: $3.42
  • Connecticare — Cbi Plans Exchange: $3.49
  • Magnacare — All Commercial Plans: $5.66
  • Mvp Health Care — All Commercial Plans: $8.53
  • Oxford — All Commercial Plans: $17.16
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis, Auto W/Scope $14 $14 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $13.84
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $7.86
  • Aetna — Medicare Managed Care Plan: $3.48
  • Bcbs — Anthem All Commercial Plans: $9.39
  • Cigna — All Commercial Plans: $5.20
  • Connecticare — All Commercial Plans: $3.75
  • Connecticare — Cbi Plans Exchange: $3.84
  • Magnacare — All Commercial Plans: $4.58
  • Mvp Health Care — All Commercial Plans: $9.37
  • Oxford — All Commercial Plans: $13.84
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $12.14
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $5.08
  • Aetna — Medicare Managed Care Plan: $2.25
  • Bcbs — Anthem All Commercial Plans: $6.07
  • Cigna — All Commercial Plans: $3.36
  • Connecticare — All Commercial Plans: $2.43
  • Connecticare — Cbi Plans Exchange: $2.48
  • Magnacare — All Commercial Plans: $4.02
  • Mvp Health Care — All Commercial Plans: $6.06
  • Oxford — All Commercial Plans: $12.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record $7.23 $7.23 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $99.52
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $41.52
  • Aetna — Medicare Managed Care Plan: $18.39
  • Bcbs — Anthem All Commercial Plans: $49.61
  • Cigna — All Commercial Plans: $27.48
  • Connecticare — All Commercial Plans: $19.84
  • Connecticare — Cbi Plans Exchange: $20.27
  • Magnacare — All Commercial Plans: $32.88
  • Mvp Health Care — All Commercial Plans: $49.51
  • Oxford — All Commercial Plans: $99.52
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Assay Of Psa, Total $78 $78 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $90.91
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $37.93
  • Aetna — Medicare Managed Care Plan: $16.80
  • Bcbs — Anthem All Commercial Plans: $45.32
  • Cigna — All Commercial Plans: $25.10
  • Connecticare — All Commercial Plans: $18.12
  • Connecticare — Cbi Plans Exchange: $18.52
  • Magnacare — All Commercial Plans: $30.03
  • Mvp Health Care — All Commercial Plans: $45.23
  • Oxford — All Commercial Plans: $90.91
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Assay Thyroid Stm Hormone $71 $71 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $42.06
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $17.54
  • Aetna — Medicare Managed Care Plan: $7.77
  • Bcbs — Anthem All Commercial Plans: $20.96
  • Cigna — All Commercial Plans: $11.62
  • Connecticare — All Commercial Plans: $8.38
  • Connecticare — Cbi Plans Exchange: $8.57
  • Magnacare — All Commercial Plans: $13.90
  • Mvp Health Care — All Commercial Plans: $20.92
  • Oxford — All Commercial Plans: $42.06
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Compl Cbc W/Auto Diff Wbc $33 $33 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $34.99
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $14.61
  • Aetna — Medicare Managed Care Plan: $6.47
  • Bcbs — Anthem All Commercial Plans: $17.45
  • Cigna — All Commercial Plans: $9.67
  • Connecticare — All Commercial Plans: $6.98
  • Connecticare — Cbi Plans Exchange: $7.13
  • Magnacare — All Commercial Plans: $11.56
  • Mvp Health Care — All Commercial Plans: $17.42
  • Oxford — All Commercial Plans: $34.99
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Cbc, Automated $28 $28 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $21.29
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $9.69
  • Aetna — Medicare Managed Care Plan: $4.29
  • Bcbs — Anthem All Commercial Plans: $11.57
  • Cigna — All Commercial Plans: $6.41
  • Connecticare — All Commercial Plans: $4.63
  • Connecticare — Cbi Plans Exchange: $4.73
  • Magnacare — All Commercial Plans: $7.02
  • Mvp Health Care — All Commercial Plans: $11.55
  • Oxford — All Commercial Plans: $21.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time $18 $18 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $32.48
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $13.57
  • Aetna — Medicare Managed Care Plan: $6.01
  • Bcbs — Anthem All Commercial Plans: $16.21
  • Cigna — All Commercial Plans: $8.98
  • Connecticare — All Commercial Plans: $6.48
  • Connecticare — Cbi Plans Exchange: $6.63
  • Magnacare — All Commercial Plans: $10.73
  • Mvp Health Care — All Commercial Plans: $16.18
  • Oxford — All Commercial Plans: $32.48
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Thromboplastin Time,Part $25 $25 Not listed in the file

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: Ct head/brain w/o dye Not listed in the file Not listed in the file $125.33 – $431.11
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $189.02
  • Aetna — Medicare Managed Care Plan: $125.33
  • Bcbs — Anthem All Commercial Plans: $431.11
  • Cigna — All Commercial Plans: $414
  • Magnacare — All Commercial Plans: $135.33
  • Mvp Health Care — All Commercial Plans: $376.20
  • Oxford — All Commercial Plans: $325.53
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Ct Head/Brain Woc $1,907 $1,907 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $418.23 – $1,376.53
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $418.23
  • Bcbs — Anthem All Commercial Plans: $1,376.53
  • Cigna — All Commercial Plans: $650
  • Magnacare — All Commercial Plans: $489.23
  • Mvp Health Care — All Commercial Plans: $1,207.80
  • Oxford — All Commercial Plans: $1,169.47
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Mr Mri Brain Wwc $3,387 $3,387 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $59.99 – $271.61
Chest X-ray, 2 views: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $59.99
  • Aetna — Medicare Managed Care Plan: $104.33
  • Bcbs — Anthem All Commercial Plans: $145.90
  • Cigna — All Commercial Plans: $93.05
  • Mvp Health Care — All Commercial Plans: $126
  • Oxford — All Commercial Plans: $271.61
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Xr Chest 2 Views $656 $656 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $37.19 – $247.92
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $100.59
  • Aetna — Medicare Managed Care Plan: $125.33
  • Bcbs — Anthem All Commercial Plans: $247.92
  • Cigna — All Commercial Plans: $154.31
  • Magnacare — All Commercial Plans: $37.19
  • Mvp Health Care — All Commercial Plans: $210.60
  • Oxford — All Commercial Plans: $146.87
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Xr Spine Lwr Lumb>=4V $739 $739 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $286.04 – $793.47
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $286.04
  • Bcbs — Anthem All Commercial Plans: $793.47
  • Cigna — All Commercial Plans: $650
  • Magnacare — All Commercial Plans: $330.86
  • Mvp Health Care — All Commercial Plans: $693
  • Oxford — All Commercial Plans: $658.89
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Mr Mri Lumb Spine Woc $2,277 $2,277 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $210.27 – $1,128.61
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $511.74
  • Aetna — Medicare Managed Care Plan: $210.27
  • Bcbs — Anthem All Commercial Plans: $1,128.61
  • Cigna — All Commercial Plans: $414
  • Magnacare — All Commercial Plans: $225.88
  • Mvp Health Care — All Commercial Plans: $999
  • Oxford — All Commercial Plans: $746.62
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Ct Pelvis Wc $2,975 $2,975 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $229.84 – $903.82
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $286.04
  • Bcbs — Anthem All Commercial Plans: $903.82
  • Cigna — All Commercial Plans: $650
  • Magnacare — All Commercial Plans: $229.84
  • Mvp Health Care — All Commercial Plans: $790.20
  • Oxford — All Commercial Plans: $749.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: Mr Mri Lwrex Jt Woc Lt $2,277 $2,277 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: Mr Mri Lwrex Jt Woc Rt $2,277 $2,277 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $268.45 – $1,413.77
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $640.92
  • Aetna — Medicare Managed Care Plan: $418.23
  • Bcbs — Anthem All Commercial Plans: $1,413.77
  • Cigna — All Commercial Plans: $414
  • Magnacare — All Commercial Plans: $268.45
  • Mvp Health Care — All Commercial Plans: $1,249.20
  • Oxford — All Commercial Plans: $979.51
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Ct Abd/Pel Wc $5,969 $5,969 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $111.15 – $491.65
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $206.77
  • Aetna — Medicare Managed Care Plan: $125.33
  • Bcbs — Anthem All Commercial Plans: $491.65
  • Cigna — All Commercial Plans: $338.08
  • Magnacare — All Commercial Plans: $111.15
  • Mvp Health Care — All Commercial Plans: $426.60
  • Oxford — All Commercial Plans: $370.21
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Us Abd Comp $1,030 $1,030 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $108.99 – $556.21
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $229.21
  • Aetna — Medicare Managed Care Plan: $125.33
  • Bcbs — Anthem All Commercial Plans: $556.21
  • Cigna — All Commercial Plans: $375.68
  • Magnacare — All Commercial Plans: $108.99
  • Mvp Health Care — All Commercial Plans: $480.60
  • Oxford — All Commercial Plans: $411.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Us Preg Uterus>=14Wk Sngl $1,030 $1,030 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $46.22 – $543.74
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $227.50
  • Aetna — Medicare Managed Care Plan: $125.33
  • Bcbs — Anthem All Commercial Plans: $312.15
  • Cigna — All Commercial Plans: $370.10
  • Magnacare — All Commercial Plans: $46.22
  • Mvp Health Care — All Commercial Plans: $471.60
  • Oxford — All Commercial Plans: $392.53
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Us Transvaginal Non Ob $1,030 $1,030 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $92.85 – $545.54
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $226.64
  • Aetna — Medicare Managed Care Plan: $92.85
  • Bcbs — Anthem All Commercial Plans: $313.18
  • Cigna — All Commercial Plans: $364.53
  • Mvp Health Care — All Commercial Plans: $471.60
  • Oxford — All Commercial Plans: $377.71
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCLT In the file: Mm Dx Mammo Incl Cad Lt $626 $626 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier TCRT In the file: Mm Dx Mammo Incl Cad Rt $626 $626 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $119.16 – $699.83
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $288.80
  • Aetna — Medicare Managed Care Plan: $119.16
  • Bcbs — Anthem All Commercial Plans: $401.76
  • Cigna — All Commercial Plans: $466.16
  • Mvp Health Care — All Commercial Plans: $601.20
  • Oxford — All Commercial Plans: $483.17
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Mm Dx Mammo Incl Cad Bil $796 $796 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier TCGG In the file: Mm Dx Mammo Incl Cad Bil $796 $796 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $98.25 – $576.78
Screening mammogram, both breasts: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $238.72
  • Aetna — Medicare Managed Care Plan: $98.25
  • Bcbs — Anthem All Commercial Plans: $331.11
  • Cigna — All Commercial Plans: $385.42
  • Mvp Health Care — All Commercial Plans: $498.60
  • Oxford — All Commercial Plans: $399.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Mm Scrn Dig Bil $658 $658 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee · modifier TC52 In the file: Mm Scrn Dig Lt $658 $658 Not listed in the file

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 $50.34 – $87.69
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $50.34
  • Mvp Health Care — All Commercial Plans: $77.40
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 $2,346.28 – $11,031
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $3,886.48
  • Bcbs — Anthem All Commercial Plans: $2,346.28
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $3,625.20
  • Unitedhealthcare — All Commercial Plans: $11,031
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Lt Heart Cath $5,011 $5,011 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $3,706 – $12,039
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $9,350.36
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Unitedhealthcare — All Commercial Plans: $12,039
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Ep Eval No Arrhythmia $52,285 $52,285 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $3,229.47 – $31,334.46
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $31,334.46
  • Bcbs — Anthem All Commercial Plans: $3,229.47
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $5,041.80
  • Unitedhealthcare — All Commercial Plans: $14,444
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Tx Atrl Fib Pulm Vein Iso $27,428 $27,428 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $1,029.47 – $3,177.59
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,029.47
  • Bcbs — Anthem All Commercial Plans: $1,824.17
  • Mvp Health Care — All Commercial Plans: $2,642.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: Polysomnography,4 Or More $8,036 $8,036 Not listed in the file

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: Therapeutic exercises Not listed in the file Not listed in the file $30.48 – $177.48
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $30.48
  • Bcbs — Anthem All Commercial Plans: $101.89
  • Mvp Health Care — All Commercial Plans: $158.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Therapeutic Exer 15 Min $115 $115 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Therapeutic Exer 15 Min $115 $115 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $102.51 – $607.13
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.51
  • Bcbs — Anthem All Commercial Plans: $348.54
  • Mvp Health Care — All Commercial Plans: $540
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval Low Complx 20 Mn $392 $392 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $102.51 – $607.13
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.51
  • Bcbs — Anthem All Commercial Plans: $348.54
  • Mvp Health Care — All Commercial Plans: $540
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval Mod Complx 30 Mn $392 $392 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $102.51 – $607.13
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.51
  • Bcbs — Anthem All Commercial Plans: $348.54
  • Mvp Health Care — All Commercial Plans: $540
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Pt Eval High Complx 45 Mn $392 $392 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $212.78 – $404.37
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $212.78
  • Bcbs — Anthem All Commercial Plans: $232.14
  • Mvp Health Care — All Commercial Plans: $352.80
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $212.78 – $534.47
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $212.78
  • Bcbs — Anthem All Commercial Plans: $306.83
  • Mvp Health Care — All Commercial Plans: $468
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $212.78 – $788.92
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $212.78
  • Bcbs — Anthem All Commercial Plans: $452.90
  • Mvp Health Care — All Commercial Plans: $687.60
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 $212.78 – $576.31
Family psychotherapy, without the patient: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $212.78
  • Bcbs — Anthem All Commercial Plans: $330.84
  • Mvp Health Care — All Commercial Plans: $505.80
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 $212.78 – $601.89
Family psychotherapy, with the patient: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $212.78
  • Bcbs — Anthem All Commercial Plans: $345.53
  • Mvp Health Care — All Commercial Plans: $527.40
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 $81.62 – $142.17
Group psychotherapy: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $121.79
  • Bcbs — Anthem All Commercial Plans: $81.62
  • Mvp Health Care — All Commercial Plans: $124.20

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: Removal of breast lesion Not listed in the file Not listed in the file $1,486.71 – $9,029
Removal of breast growth (open surgery): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $4,693.88
  • Bcbs — Anthem All Commercial Plans: $2,589.75
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Cigna — All Commercial Plans: $2,764
  • Mvp Health Care — All Commercial Plans: $2,257.20
  • Unitedhealthcare — All Commercial Plans: $9,029
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 $4,519.09 – $15,391.21
Total hip replacement: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $15,391.21
  • Bcbs — Anthem All Commercial Plans: $7,871.97
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $6,910.20
  • Unitedhealthcare — All Commercial Plans: $13,041
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 $4,511.67 – $15,391.21
Total knee replacement: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $15,391.21
  • Bcbs — Anthem All Commercial Plans: $7,859.03
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $6,903
  • Unitedhealthcare — All Commercial Plans: $13,041
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $594.12 – $5,426
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Bcbs — Anthem All Commercial Plans: $1,034.92
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Cigna — All Commercial Plans: $2,764
  • Mvp Health Care — All Commercial Plans: $919.80
  • Unitedhealthcare — All Commercial Plans: $1,388
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 $1,936.30 – $10,031
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $3,922.52
  • Bcbs — Anthem All Commercial Plans: $3,372.90
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Cigna — All Commercial Plans: $3,410
  • Mvp Health Care — All Commercial Plans: $2,939.40
  • Unitedhealthcare — All Commercial Plans: $10,031
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 $1,033.37 – $9,029
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $7,096.78
  • Bcbs — Anthem All Commercial Plans: $1,800.07
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Cigna — All Commercial Plans: $2,764
  • Mvp Health Care — All Commercial Plans: $1,576.80
  • Unitedhealthcare — All Commercial Plans: $9,029
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $421.26 – $7,717
Upper GI endoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,087.31
  • Bcbs — Anthem All Commercial Plans: $733.80
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $1,803
  • Mvp Health Care — All Commercial Plans: $648
  • Unitedhealthcare — All Commercial Plans: $7,717
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Egd Diagnostic Brush Wash $2,566 $2,566 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $475.68 – $7,717
Upper GI endoscopy with biopsy: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,087.31
  • Bcbs — Anthem All Commercial Plans: $828.60
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $730.80
  • Unitedhealthcare — All Commercial Plans: $7,717
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $316.56 – $7,717
Colonoscopy (diagnostic): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,114.85
  • Bcbs — Anthem All Commercial Plans: $551.43
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $975.60
  • Unitedhealthcare — All Commercial Plans: $7,717
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $686.07 – $7,717
Colonoscopy with biopsy: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,434.55
  • Bcbs — Anthem All Commercial Plans: $1,195.09
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $1,060.20
  • Unitedhealthcare — All Commercial Plans: $7,717
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $867.57 – $7,717
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,434.55
  • Bcbs — Anthem All Commercial Plans: $1,511.25
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $1,341
  • Unitedhealthcare — All Commercial Plans: $7,717
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 $878.74 – $7,717
Ultrasound of the lower bowel by endoscope: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,434.55
  • Bcbs — Anthem All Commercial Plans: $1,530.71
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $1,360.80
  • Unitedhealthcare — All Commercial Plans: $7,717
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $317.90 – $6,174
Screening colonoscopy (not high risk): rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,114.85
  • Bcbs — Anthem All Commercial Plans: $317.90
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $977.40
  • Unitedhealthcare — All Commercial Plans: $6,174
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 $2,334.71 – $12,039
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $7,247.47
  • Bcbs — Anthem All Commercial Plans: $4,066.91
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $3,556.80
  • Unitedhealthcare — All Commercial Plans: $12,039
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $1,855.75 – $10,031
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $4,292.24
  • Bcbs — Anthem All Commercial Plans: $3,232.60
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Cigna — All Commercial Plans: $3,410
  • Mvp Health Care — All Commercial Plans: $2,826
  • Unitedhealthcare — All Commercial Plans: $10,031
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $446.28 – $7,717
Prostate biopsy: rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Bcbs — Anthem All Commercial Plans: $777.38
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $685.80
  • Unitedhealthcare — All Commercial Plans: $7,717
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Bx Prostate Ndl/Punch $2,593 $2,593 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $4,110.65 – $13,041
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $12,743.21
  • Bcbs — Anthem All Commercial Plans: $7,160.48
  • Bcbs — Empire Other Commercial Plan: $5,426
  • Mvp Health Care — All Commercial Plans: $6,332.40
  • Unitedhealthcare — All Commercial Plans: $13,041
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 $804.38 – $9,029
Hysteroscopy with biopsy of the uterus lining: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $3,880.72
  • Bcbs — Anthem All Commercial Plans: $1,401.18
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,764
  • Mvp Health Care — All Commercial Plans: $1,240.20
  • Unitedhealthcare — All Commercial Plans: $9,029
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $342.38 – $6,174
Spinal injection, lower back (epidural), with imaging guidance: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $846.22
  • Bcbs — Anthem All Commercial Plans: $596.41
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $1,803
  • Mvp Health Care — All Commercial Plans: $525.60
  • Unitedhealthcare — All Commercial Plans: $6,174
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac $1,469 $1,469 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $384.63 – $6,174
Nerve root injection, lower back, with imaging guidance: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $1,060.32
  • Bcbs — Anthem All Commercial Plans: $670
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $1,803
  • Mvp Health Care — All Commercial Plans: $588.60
  • Unitedhealthcare — All Commercial Plans: $6,174
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,572.91 – $9,029
Carpal tunnel release: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $2,340.96
  • Bcbs — Anthem All Commercial Plans: $2,739.90
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $2,376
  • Unitedhealthcare — All Commercial Plans: $9,029
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 $659.35 – $6,174
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $659.35
  • Bcbs — Anthem All Commercial Plans: $1,894.23
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $2,414
  • Mvp Health Care — All Commercial Plans: $1,654.20
  • Unitedhealthcare — All Commercial Plans: $6,174
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $1,880.07 – $9,029
Cataract removal with lens implant: rates for 7 insurance plans
  • Aetna — All Commercial Plans: $5,193
  • Aetna — Medicare Managed Care Plan: $2,766.65
  • Bcbs — Anthem All Commercial Plans: $3,274.96
  • Bcbs — Empire Other Commercial Plan: $3,706
  • Cigna — All Commercial Plans: $5,201
  • Mvp Health Care — All Commercial Plans: $2,878.20
  • Unitedhealthcare — All Commercial Plans: $9,029

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 $7,477 – $14,933.52
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $14,933.52
  • Mvp Health Care — All Commercial Plans: $12,940.20
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 $7,477 – $16,631.51
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $16,631.51
  • Mvp Health Care — All Commercial Plans: $14,317.20
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 $7,477 – $15,683.40
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Bcbs — Anthem All Commercial Plans: $15,683.40
  • Mvp Health Care — All Commercial Plans: $13,552.20

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 $85,700.53 – $194,041.84
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $183,202.50
  • Aetna — Medicare Managed Care Plan: $85,700.53
  • Bcbs — Empire Other Commercial Plan: $194,041.84
  • Bcbs — Medicare Managed Care Plan: $85,700.53
  • Cigna — Medicare Managed Care Plan: $85,700.53
  • Connecticare — Medicare Managed Care Plan: $85,700.53
  • Fidelis Care — Medicare Managed Care Plan: $85,700.53
  • Mvp Health Care — Medicare Managed Care Plan: $85,700.53
  • Unitedhealthcare — Medicare Managed Care Plan: $85,700.53
  • Unitedhealthcare — Optum Ct Medicare Managed Care Plan: $85,700.53
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file $72,554.45
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Bcbs — Empire Other Commercial Plan: $72,554.45
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 $16,897.80 – $38,259.73
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $36,122.51
  • Aetna — Medicare Managed Care Plan: $16,897.80
  • Bcbs — Anthem All Commercial Plans: $26,184
  • Bcbs — Empire Other Commercial Plan: $38,259.73
  • Bcbs — Medicare Managed Care Plan: $16,897.80
  • Cigna — Medicare Managed Care Plan: $16,897.80
  • Connecticare — Medicare Managed Care Plan: $16,897.80
  • Fidelis Care — Medicare Managed Care Plan: $16,897.80
  • Mvp Health Care — Medicare Managed Care Plan: $16,897.80
  • Unitedhealthcare — Medicare Managed Care Plan: $16,897.80
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 $21,386.59 – $48,423.19
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $45,718.23
  • Aetna — Medicare Managed Care Plan: $21,386.59
  • Bcbs — Anthem All Commercial Plans: $25,447
  • Bcbs — Empire Other Commercial Plan: $48,423.19
  • Bcbs — Medicare Managed Care Plan: $21,386.59
  • Cigna — Medicare Managed Care Plan: $21,386.59
  • Connecticare — Medicare Managed Care Plan: $21,386.59
  • Fidelis Care — Medicare Managed Care Plan: $21,386.59
  • Mvp Health Care — Medicare Managed Care Plan: $21,386.59
  • Unitedhealthcare — Medicare Managed Care Plan: $21,386.59
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 $10,868.94 – $24,609.28
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $23,234.59
  • Aetna — Medicare Managed Care Plan: $10,868.94
  • Bcbs — Empire Other Commercial Plan: $24,609.28
  • Bcbs — Medicare Managed Care Plan: $10,868.94
  • Cigna — Medicare Managed Care Plan: $10,868.94
  • Connecticare — Medicare Managed Care Plan: $10,868.94
  • Fidelis Care — Medicare Managed Care Plan: $10,868.94
  • Mvp Health Care — Medicare Managed Care Plan: $10,868.94
  • Unitedhealthcare — Medicare Managed Care Plan: $10,868.94
  • Unitedhealthcare — Optum Ct Medicare Managed Care Plan: $10,868.94

Source: Sharon Hospital’s standard charges file (northwell.edu, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address50 Hospital Hill Road, Sharon, CT 06069
CountyLitchfield County
StateConnecticut
Phone(860) 364‑4228
Emergency servicesYes
OwnershipProprietary
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number070004
Name in Medicare recordsSHARON HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(860) 364‑4000[4]
Official websitenorthwell.edu
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. Sharon Hospital (Northwell Health) — northwell.edu
  2. Northwell Sharon Hospital | Cardiology Services | Northwell Health — northwell.edu
  3. Maternity | Northwell Sharon Hospital | Northwell Health — northwell.edu
  4. Orthopedic & Bone | Joint Care | Northwell Sharon Hospital — northwell.edu
  5. Northwell Sharon Hospital | Emergency Department | Northwell Health — northwell.edu
  6. Northwell Sharon Hospital | Primary Stroke Center | Stroke & Neurology | Northwell Health — northwell.edu
  7. Northwell Sharon Hospital Surgery | General, Minimally Invasive & Specialty Care | Northwell Health — northwell.edu
  8. Senior behavioral health | Northwell Sharon Hospital | Northwell Health — northwell.edu
  9. Northwell Sharon Hospital Information | Northwell Health — northwell.edu
  10. Sharon Hospital Awards & Accreditations | Northwell Health — northwell.edu
  11. Northwell Sharon Hospital | Advanced Wound Care | Sharon, CT — northwell.edu