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Long-Term Acute Care Hospital

Shepherd Center

Atlanta, Georgia · Fulton County

  • 2020 Peachtree Rd NW, Atlanta, GA 30309 · Directions
  • (404) 350‑7311
  • Hospital type: Long-Term Acute Care Hospital · Ownership: Non-profit

Shepherd Center is a long-term acute care hospital at 2020 Peachtree Rd NW, Atlanta, GA 30309. Phone: (404) 350-7311.

Data as of August 12, 2026. Source: CMS Long-Term Care Hospital - General Information and the hospital’s website (checked October 30, 2026).

Summary

Shepherd Center is a long-term acute care hospital in Atlanta, Georgia. Its official website lists 20 services, specialties and programs. Source: CMS Long-Term Care Hospital - General Information, data updated 2026-08-12.

What is a long-term acute care hospital?

A hospital for patients who are very ill for a longer time (often weeks), such as people needing a breathing machine or complex wound care. 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

152Beds (CMS)
20Services listed

Quick answers

Where is Shepherd Center?
2020 Peachtree Rd NW, Atlanta, GA 30309, in Fulton County, Georgia.
What is the phone number of Shepherd Center?
(404) 350-7311, as listed by Medicare (CMS).

Specialties and care areas[4]

  • Multiple Sclerosis Institute
  • Rehabilitation Medicine Clinic
  • Upper Extremity Clinic
  • Urology Clinic
  • Imaging

Conditions treated[4]

Treatments[4]

Programs and centers[4]

  • Brain Injury inpatient program
  • Spinal Cord Injury inpatient program
  • Stroke inpatient program
  • Multiple Trauma inpatient program
  • Guillain-Barré syndrome inpatient program
  • Ventilator Management and Weaning program
  • Adaptive Sports

Visiting and practical information

VisitingDesignated family/caregivers any time; friends and other family 8 a.m.-8 p.m.; visits must not interrupt therapy[5]
ParkingFree covered parking deck for patients and visitors, with accessible spaces[4]
Interpreters and languagesIn-person interpreters; phone interpreters for evenings, weekends or some languages; sign language interpreters offered[8]
Patient portalMyChart

Nearest emergency rooms

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

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Other hospitals near Atlanta

All hospitals in Atlanta · Hospitals in Fulton 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

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Hospice providers

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Home health agencies

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Dialysis facilities

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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

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 87 common services exactly as Shepherd Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 87 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) · Doctor (professional) fee In the file: PR NEW EVAL VISIT LVL 3 $285 $142.50 $85.50 – $256.50
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $185.25
  • Aetna WC — Workers Comp: $242.25
  • Alamed WC — Workers Comp: $199.50
  • BCBS GA HMO/POS — GA HMO/POS: $213.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $213.75
  • Cigna Commercial — Commercial: $126.54
  • Corvel WC — Workers Comp: $242.25
  • Coventry — Commercial: $185.25
  • Coventry WC — Workers Comp: $185.25
  • Evolution WC — Workers Comp: $228
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 3 $300 $150 $90 – $270
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $195
  • Aetna WC — Workers Comp: $255
  • Alamed WC — Workers Comp: $210
  • BCBS GA HMO/POS — GA HMO/POS: $225
  • BCBS GA PAR/PPO — GA PAR/PPO: $225
  • Cigna Commercial — Commercial: $133.20
  • Corvel WC — Workers Comp: $255
  • Coventry — Commercial: $195
  • Coventry WC — Workers Comp: $195
  • Evolution WC — Workers Comp: $240
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 3 $300 $150 $147 – $255
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $255
  • Corvel WC — Workers Comp: $255
  • Evolution WC — Workers Comp: $240
  • Healthone Alliance — Commercial: $210
  • Multiplan — PHCS Beechstreet: $225
  • NovaNet WC — Workers Comp: $255
  • Paradigm WC — VHAN: $147
  • Prime Health WC — Workers Comp: $240
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEW EVAL VISIT LVL 4 $447 $223.50 $134.10 – $402.30
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $290.55
  • Aetna WC — Workers Comp: $379.95
  • Alamed WC — Workers Comp: $312.90
  • BCBS GA HMO/POS — GA HMO/POS: $335.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $335.25
  • Cigna Commercial — Commercial: $198.47
  • Corvel WC — Workers Comp: $379.95
  • Coventry — Commercial: $290.55
  • Coventry WC — Workers Comp: $290.55
  • Evolution WC — Workers Comp: $357.60
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 4 $634 $317 $190.20 – $570.60
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $412.10
  • Aetna WC — Workers Comp: $538.90
  • Alamed WC — Workers Comp: $443.80
  • BCBS GA HMO/POS — GA HMO/POS: $475.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $475.50
  • Cigna Commercial — Commercial: $281.50
  • Corvel WC — Workers Comp: $538.90
  • Coventry — Commercial: $412.10
  • Coventry WC — Workers Comp: $412.10
  • Evolution WC — Workers Comp: $507.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 4 $634 $317 $310.66 – $538.90
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $538.90
  • Corvel WC — Workers Comp: $538.90
  • Evolution WC — Workers Comp: $507.20
  • Healthone Alliance — Commercial: $443.80
  • Multiplan — PHCS Beechstreet: $475.50
  • NovaNet WC — Workers Comp: $538.90
  • Paradigm WC — VHAN: $310.66
  • Prime Health WC — Workers Comp: $507.20
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEW EVAL VISIT LVL 5 $550 $275 $165 – $495
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $357.50
  • Aetna WC — Workers Comp: $467.50
  • Alamed WC — Workers Comp: $385
  • BCBS GA HMO/POS — GA HMO/POS: $412.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $412.50
  • Cigna Commercial — Commercial: $244.20
  • Corvel WC — Workers Comp: $467.50
  • Coventry — Commercial: $357.50
  • Coventry WC — Workers Comp: $357.50
  • Evolution WC — Workers Comp: $440
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 5 $685 $342.50 $205.50 – $616.50
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $445.25
  • Aetna WC — Workers Comp: $582.25
  • Alamed WC — Workers Comp: $479.50
  • BCBS GA HMO/POS — GA HMO/POS: $513.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $513.75
  • Cigna Commercial — Commercial: $304.14
  • Corvel WC — Workers Comp: $582.25
  • Coventry — Commercial: $445.25
  • Coventry WC — Workers Comp: $445.25
  • Evolution WC — Workers Comp: $548
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW EVAL VISIT LEVEL 5 $685 $342.50 $335.65 – $582.25
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $582.25
  • Corvel WC — Workers Comp: $582.25
  • Evolution WC — Workers Comp: $548
  • Healthone Alliance — Commercial: $479.50
  • Multiplan — PHCS Beechstreet: $513.75
  • NovaNet WC — Workers Comp: $582.25
  • Paradigm WC — VHAN: $335.65
  • Prime Health WC — Workers Comp: $548
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EST EVAL VISIT LVL 3 $194 $97 $58.20 – $174.60
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $126.10
  • Aetna WC — Workers Comp: $164.90
  • Alamed WC — Workers Comp: $135.80
  • BCBS GA HMO/POS — GA HMO/POS: $145.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $145.50
  • Cigna Commercial — Commercial: $86.14
  • Corvel WC — Workers Comp: $164.90
  • Coventry — Commercial: $126.10
  • Coventry WC — Workers Comp: $126.10
  • Evolution WC — Workers Comp: $155.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST EVAL VISIT LEVEL 3 $260 $130 $78 – $234
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $169
  • Aetna WC — Workers Comp: $221
  • Alamed WC — Workers Comp: $182
  • BCBS GA HMO/POS — GA HMO/POS: $195
  • BCBS GA PAR/PPO — GA PAR/PPO: $195
  • Cigna Commercial — Commercial: $115.44
  • Corvel WC — Workers Comp: $221
  • Coventry — Commercial: $169
  • Coventry WC — Workers Comp: $169
  • Evolution WC — Workers Comp: $208
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EST EVAL VISIT LEVEL 3 $260 $130 $127.40 – $221
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $221
  • Corvel WC — Workers Comp: $221
  • Evolution WC — Workers Comp: $208
  • Healthone Alliance — Commercial: $182
  • Multiplan — PHCS Beechstreet: $195
  • NovaNet WC — Workers Comp: $221
  • Paradigm WC — VHAN: $127.40
  • Prime Health WC — Workers Comp: $208
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR EST EVAL VISIT LVL 4 $277 $138.50 $83.10 – $249.30
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $180.05
  • Aetna WC — Workers Comp: $235.45
  • Alamed WC — Workers Comp: $193.90
  • BCBS GA HMO/POS — GA HMO/POS: $207.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $207.75
  • Cigna Commercial — Commercial: $122.99
  • Corvel WC — Workers Comp: $235.45
  • Coventry — Commercial: $180.05
  • Coventry WC — Workers Comp: $180.05
  • Evolution WC — Workers Comp: $221.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EST EVAL VISIT LEVEL 4 $551 $275.50 $165.30 – $495.90
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $358.15
  • Aetna WC — Workers Comp: $468.35
  • Alamed WC — Workers Comp: $385.70
  • BCBS GA HMO/POS — GA HMO/POS: $413.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $413.25
  • Cigna Commercial — Commercial: $244.64
  • Corvel WC — Workers Comp: $468.35
  • Coventry — Commercial: $358.15
  • Coventry WC — Workers Comp: $358.15
  • Evolution WC — Workers Comp: $440.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EST EVAL VISIT LEVEL 4 $551 $275.50 $269.99 – $468.35
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $468.35
  • Corvel WC — Workers Comp: $468.35
  • Evolution WC — Workers Comp: $440.80
  • Healthone Alliance — Commercial: $385.70
  • Multiplan — PHCS Beechstreet: $413.25
  • NovaNet WC — Workers Comp: $468.35
  • Paradigm WC — VHAN: $269.99
  • Prime Health WC — Workers Comp: $440.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULT 40MIN $414 $207 $124.20 – $372.60
Office consultation with a specialist (moderate): 10 of 22 insurance plan rates
  • Aetna — Commercial: $269.10
  • Aetna WC — Workers Comp: $351.90
  • Alamed WC — Workers Comp: $289.80
  • BCBS GA HMO/POS — GA HMO/POS: $310.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $310.50
  • Cigna Commercial — Commercial: $183.82
  • Corvel WC — Workers Comp: $351.90
  • Coventry — Commercial: $269.10
  • Coventry WC — Workers Comp: $269.10
  • Evolution WC — Workers Comp: $331.20
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file $74.26 – $156.48
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • BCBS — HMO: $114.59
  • BCBS — PPO: $74.26
  • Cigna — Commercial: $128.79
  • Humana — Commercial: $120.60
  • United HealthCare — Commercial: $156.48
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULT 60MIN $598 $299 $179.40 – $538.20
Office consultation with a specialist (moderate to high): 10 of 22 insurance plan rates
  • Aetna — Commercial: $388.70
  • Aetna WC — Workers Comp: $508.30
  • Alamed WC — Workers Comp: $418.60
  • BCBS GA HMO/POS — GA HMO/POS: $448.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $448.50
  • Cigna Commercial — Commercial: $265.51
  • Corvel WC — Workers Comp: $508.30
  • Coventry — Commercial: $388.70
  • Coventry WC — Workers Comp: $388.70
  • Evolution WC — Workers Comp: $478.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file $113.20 – $231.17
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • BCBS — HMO: $182.34
  • BCBS — PPO: $113.20
  • Cigna — Commercial: $204.06
  • Humana — Commercial: $191.89
  • United HealthCare — Commercial: $231.17
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $88.41 – $167.83
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • BCBS — HMO: $91.13
  • BCBS — PPO: $88.41
  • Cigna — Commercial: $101.46
  • Humana — Commercial: $95.58
  • United HealthCare — Commercial: $167.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $102.69 – $194.49
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • BCBS — HMO: $111.43
  • BCBS — PPO: $102.69
  • Cigna — Commercial: $124.48
  • Humana — Commercial: $117.32
  • United HealthCare — Commercial: $194.49
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $41.75 – $93.93
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — Commercial: $88.78
  • BCBS — HMO: $72.02
  • BCBS — PPO: $41.75
  • Cigna — Commercial: $80.98
  • Coventry — Commercial: $93.93
  • Humana — Commercial: $75.43
  • Kaiser — Commercial: $83.09
  • Medicare — Commercial: $72.25
  • United HealthCare — Commercial: $78.43
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $217 – $269.10
Emergency room visit (moderate): rates for 4 insurance plans
  • Aetna Medicare — Medicare: $269.10
  • Commercial Medicare — Commercial Medicare: $269.10
  • Humana Tricare — Tricare: $217
  • Medicare — Traditional Medicare: $269.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $79.21 – $168.44
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — Commercial: $168.44
  • BCBS — HMO: $135.19
  • BCBS — PPO: $79.21
  • Cigna — Commercial: $151.24
  • Coventry — Commercial: $157.85
  • Humana — Commercial: $142.64
  • Kaiser — Commercial: $139.63
  • Medicare — Commercial: $121.42
  • United HealthCare — Commercial: $149.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $340.82 – $417.72
Emergency room visit (moderately high): rates for 4 insurance plans
  • Aetna Medicare — Medicare: $417.72
  • Commercial Medicare — Commercial Medicare: $417.72
  • Humana Tricare — Tricare: $340.82
  • Medicare — Traditional Medicare: $417.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $116.66 – $248.16
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — Commercial: $248.16
  • BCBS — HMO: $199.64
  • BCBS — PPO: $116.66
  • Cigna — Commercial: $225.01
  • Coventry — Commercial: $229.75
  • Humana — Commercial: $210.10
  • Kaiser — Commercial: $203.24
  • Medicare — Commercial: $176.73
  • United HealthCare — Commercial: $218.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $489.21 – $605.78
Emergency room visit (high): rates for 4 insurance plans
  • Aetna Medicare — Medicare: $605.78
  • Commercial Medicare — Commercial Medicare: $605.78
  • Humana Tricare — Tricare: $489.21
  • Medicare — Traditional Medicare: $605.78

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: HC BASIC METABOLIC PANEL (BMP) $204 $102 $61.20 – $183.60
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Commercial: $132.60
  • Aetna WC — Workers Comp: $173.40
  • Alamed WC — Workers Comp: $142.80
  • BCBS GA HMO/POS — GA HMO/POS: $153
  • BCBS GA PAR/PPO — GA PAR/PPO: $153
  • Cigna Commercial — Commercial: $90.58
  • Corvel WC — Workers Comp: $173.40
  • Coventry — Commercial: $132.60
  • Coventry WC — Workers Comp: $132.60
  • Evolution WC — Workers Comp: $163.20
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL (BMP) $204 $102 $99.96 – $173.40
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $173.40
  • Corvel WC — Workers Comp: $173.40
  • Evolution WC — Workers Comp: $163.20
  • Healthone Alliance — Commercial: $142.80
  • Multiplan — PHCS Beechstreet: $153
  • NovaNet WC — Workers Comp: $173.40
  • Paradigm WC — VHAN: $99.96
  • Prime Health WC — Workers Comp: $163.20
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic pnl total ca Not listed in the file Not listed in the file $14.10
Basic metabolic panel (blood test): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $8.46
  • BCBS GA HMO/POS — GA HMO/POS: $11.48
  • BCBS GA PAR/PPO — GA PAR/PPO: $11.48
  • Commercial Medicare — Commercial Medicare: $8.46
  • Humana — Commercial: $14.10
  • Medicare — Traditional Medicare: $8.46
  • United HealthCare — Commercial: $7.61
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPR METABOLIC PANEL (CMP) $325 $162.50 $97.50 – $292.50
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Commercial: $211.25
  • Aetna WC — Workers Comp: $276.25
  • Alamed WC — Workers Comp: $227.50
  • BCBS GA HMO/POS — GA HMO/POS: $243.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $243.75
  • Cigna Commercial — Commercial: $144.30
  • Corvel WC — Workers Comp: $276.25
  • Coventry — Commercial: $211.25
  • Coventry WC — Workers Comp: $211.25
  • Evolution WC — Workers Comp: $260
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPR METABOLIC PANEL (CMP) $325 $162.50 $159.25 – $276.25
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $276.25
  • Corvel WC — Workers Comp: $276.25
  • Evolution WC — Workers Comp: $260
  • Healthone Alliance — Commercial: $227.50
  • Multiplan — PHCS Beechstreet: $243.75
  • NovaNet WC — Workers Comp: $276.25
  • Paradigm WC — VHAN: $159.25
  • Prime Health WC — Workers Comp: $260
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 $17.61
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $10.56
  • BCBS GA HMO/POS — GA HMO/POS: $14.34
  • BCBS GA PAR/PPO — GA PAR/PPO: $14.34
  • Commercial Medicare — Commercial Medicare: $10.56
  • Humana — Commercial: $17.61
  • Medicare — Traditional Medicare: $10.56
  • United HealthCare — Commercial: $9.50
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 $79.68
Obstetric blood test panel: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $47.81
  • BCBS GA HMO/POS — GA HMO/POS: $64.92
  • BCBS GA PAR/PPO — GA PAR/PPO: $64.92
  • Commercial Medicare — Commercial Medicare: $47.81
  • Humana — Commercial: $79.68
  • Medicare — Traditional Medicare: $47.81
  • United HealthCare — Commercial: $43.03
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric panel Not listed in the file Not listed in the file $14.17 – $71.72
Obstetric blood test panel: rates for 6 insurance plans
  • BCBS — HMO: $52.62
  • BCBS — PPO: $14.17
  • Coventry — Commercial: $71.72
  • Kaiser — Commercial: $54.98
  • Medicare — Commercial: $47.81
  • United HealthCare — Commercial: $35.03
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BERKELEY LIPID PROFILE $194 $97 $58.20 – $174.60
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — Commercial: $126.10
  • Aetna WC — Workers Comp: $164.90
  • Alamed WC — Workers Comp: $135.80
  • BCBS GA HMO/POS — GA HMO/POS: $145.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $145.50
  • Cigna Commercial — Commercial: $86.14
  • Corvel WC — Workers Comp: $164.90
  • Coventry — Commercial: $126.10
  • Coventry WC — Workers Comp: $126.10
  • Evolution WC — Workers Comp: $155.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $196 $98 $58.80 – $176.40
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — Commercial: $127.40
  • Aetna WC — Workers Comp: $166.60
  • Alamed WC — Workers Comp: $137.20
  • BCBS GA HMO/POS — GA HMO/POS: $147
  • BCBS GA PAR/PPO — GA PAR/PPO: $147
  • Cigna Commercial — Commercial: $87.02
  • Corvel WC — Workers Comp: $166.60
  • Coventry — Commercial: $127.40
  • Coventry WC — Workers Comp: $127.40
  • Evolution WC — Workers Comp: $156.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BERKELEY LIPID PROFILE $194 $97 $95.06 – $164.90
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $164.90
  • Corvel WC — Workers Comp: $164.90
  • Evolution WC — Workers Comp: $155.20
  • Healthone Alliance — Commercial: $135.80
  • Multiplan — PHCS Beechstreet: $145.50
  • NovaNet WC — Workers Comp: $164.90
  • Paradigm WC — VHAN: $95.06
  • Prime Health WC — Workers Comp: $155.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $287 $143.50 $86.10 – $258.30
Kidney function panel: 10 of 22 insurance plan rates
  • Aetna — Commercial: $186.55
  • Aetna WC — Workers Comp: $243.95
  • Alamed WC — Workers Comp: $200.90
  • BCBS GA HMO/POS — GA HMO/POS: $215.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $215.25
  • Cigna Commercial — Commercial: $127.43
  • Corvel WC — Workers Comp: $243.95
  • Coventry — Commercial: $186.55
  • Coventry WC — Workers Comp: $186.55
  • Evolution WC — Workers Comp: $229.60
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $287 $143.50 $140.63 – $243.95
Kidney function panel: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $243.95
  • Corvel WC — Workers Comp: $243.95
  • Evolution WC — Workers Comp: $229.60
  • Healthone Alliance — Commercial: $200.90
  • Multiplan — PHCS Beechstreet: $215.25
  • NovaNet WC — Workers Comp: $243.95
  • Paradigm WC — VHAN: $140.63
  • Prime Health WC — Workers Comp: $229.60
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 $14.48
Kidney function panel: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $8.68
  • BCBS GA HMO/POS — GA HMO/POS: $11.79
  • BCBS GA PAR/PPO — GA PAR/PPO: $11.79
  • Commercial Medicare — Commercial Medicare: $8.68
  • Humana — Commercial: $14.48
  • Medicare — Traditional Medicare: $8.68
  • United HealthCare — Commercial: $7.81
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $274 $137 $82.20 – $246.60
Liver function panel: 10 of 22 insurance plan rates
  • Aetna — Commercial: $178.10
  • Aetna WC — Workers Comp: $232.90
  • Alamed WC — Workers Comp: $191.80
  • BCBS GA HMO/POS — GA HMO/POS: $205.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $205.50
  • Cigna Commercial — Commercial: $121.66
  • Corvel WC — Workers Comp: $232.90
  • Coventry — Commercial: $178.10
  • Coventry WC — Workers Comp: $178.10
  • Evolution WC — Workers Comp: $219.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $274 $137 $134.26 – $232.90
Liver function panel: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $232.90
  • Corvel WC — Workers Comp: $232.90
  • Evolution WC — Workers Comp: $219.20
  • Healthone Alliance — Commercial: $191.80
  • Multiplan — PHCS Beechstreet: $205.50
  • NovaNet WC — Workers Comp: $232.90
  • Paradigm WC — VHAN: $134.26
  • Prime Health WC — Workers Comp: $219.20
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 $13.62
Liver function panel: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $8.17
  • BCBS GA HMO/POS — GA HMO/POS: $11.10
  • BCBS GA PAR/PPO — GA PAR/PPO: $11.10
  • Commercial Medicare — Commercial Medicare: $8.17
  • Humana — Commercial: $13.62
  • Medicare — Traditional Medicare: $8.17
  • United HealthCare — Commercial: $7.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W MICRO $112 $56 $33.60 – $100.80
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna — Commercial: $72.80
  • Aetna WC — Workers Comp: $95.20
  • Alamed WC — Workers Comp: $78.40
  • BCBS GA HMO/POS — GA HMO/POS: $84
  • BCBS GA PAR/PPO — GA PAR/PPO: $84
  • Cigna Commercial — Commercial: $49.73
  • Corvel WC — Workers Comp: $95.20
  • Coventry — Commercial: $72.80
  • Coventry WC — Workers Comp: $72.80
  • Evolution WC — Workers Comp: $89.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W MICRO $112 $56 $54.88 – $95.20
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $95.20
  • Corvel WC — Workers Comp: $95.20
  • Evolution WC — Workers Comp: $89.60
  • Healthone Alliance — Commercial: $78.40
  • Multiplan — PHCS Beechstreet: $84
  • NovaNet WC — Workers Comp: $95.20
  • Paradigm WC — VHAN: $54.88
  • Prime Health WC — Workers Comp: $89.60
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 $5.28
Urine test (automated, with microscope): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $3.17
  • BCBS GA HMO/POS — GA HMO/POS: $4.31
  • BCBS GA PAR/PPO — GA PAR/PPO: $4.31
  • Commercial Medicare — Commercial Medicare: $3.17
  • Humana — Commercial: $5.28
  • Medicare — Traditional Medicare: $3.17
  • United HealthCare — Commercial: $2.85
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NON-AUTO WO MICRO $112 $56 $33.60 – $100.80
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna — Commercial: $72.80
  • Aetna WC — Workers Comp: $95.20
  • Alamed WC — Workers Comp: $78.40
  • BCBS GA HMO/POS — GA HMO/POS: $84
  • BCBS GA PAR/PPO — GA PAR/PPO: $84
  • Cigna Commercial — Commercial: $49.73
  • Corvel WC — Workers Comp: $95.20
  • Coventry — Commercial: $72.80
  • Coventry WC — Workers Comp: $72.80
  • Evolution WC — Workers Comp: $89.60
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NON-AUTO WO MICRO $112 $56 $54.88 – $95.20
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $95.20
  • Corvel WC — Workers Comp: $95.20
  • Evolution WC — Workers Comp: $89.60
  • Healthone Alliance — Commercial: $78.40
  • Multiplan — PHCS Beechstreet: $84
  • NovaNet WC — Workers Comp: $95.20
  • Paradigm WC — VHAN: $54.88
  • Prime Health WC — Workers Comp: $89.60
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 $5.22
Urine test (manual, without microscope): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $3.48
  • BCBS GA HMO/POS — GA HMO/POS: $3.83
  • BCBS GA PAR/PPO — GA PAR/PPO: $3.83
  • Commercial Medicare — Commercial Medicare: $3.48
  • Humana — Commercial: $5.22
  • Medicare — Traditional Medicare: $3.48
  • United HealthCare — Commercial: $3.13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO WO MICRO $112 $56 $33.60 – $100.80
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna — Commercial: $72.80
  • Aetna WC — Workers Comp: $95.20
  • Alamed WC — Workers Comp: $78.40
  • BCBS GA HMO/POS — GA HMO/POS: $84
  • BCBS GA PAR/PPO — GA PAR/PPO: $84
  • Cigna Commercial — Commercial: $49.73
  • Corvel WC — Workers Comp: $95.20
  • Coventry — Commercial: $72.80
  • Coventry WC — Workers Comp: $72.80
  • Evolution WC — Workers Comp: $89.60
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO WO MICRO $112 $56 $54.88 – $95.20
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $95.20
  • Corvel WC — Workers Comp: $95.20
  • Evolution WC — Workers Comp: $89.60
  • Healthone Alliance — Commercial: $78.40
  • Multiplan — PHCS Beechstreet: $84
  • NovaNet WC — Workers Comp: $95.20
  • Paradigm WC — VHAN: $54.88
  • Prime Health WC — Workers Comp: $89.60
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 $3.74
Urine test (automated, without microscope): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $2.25
  • BCBS GA HMO/POS — GA HMO/POS: $3.05
  • BCBS GA PAR/PPO — GA PAR/PPO: $3.05
  • Commercial Medicare — Commercial Medicare: $2.25
  • Humana — Commercial: $3.74
  • Medicare — Traditional Medicare: $2.25
  • United HealthCare — Commercial: $2.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL $52 $26 $15.60 – $46.80
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — Commercial: $33.80
  • Aetna WC — Workers Comp: $44.20
  • Alamed WC — Workers Comp: $36.40
  • BCBS GA HMO/POS — GA HMO/POS: $39
  • BCBS GA PAR/PPO — GA PAR/PPO: $39
  • Cigna Commercial — Commercial: $23.09
  • Corvel WC — Workers Comp: $44.20
  • Coventry — Commercial: $33.80
  • Coventry WC — Workers Comp: $33.80
  • Evolution WC — Workers Comp: $41.60
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSA TOTAL $52 $26 $25.48 – $44.20
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $44.20
  • Corvel WC — Workers Comp: $44.20
  • Evolution WC — Workers Comp: $41.60
  • Healthone Alliance — Commercial: $36.40
  • Multiplan — PHCS Beechstreet: $39
  • NovaNet WC — Workers Comp: $44.20
  • Paradigm WC — VHAN: $25.48
  • Prime Health WC — Workers Comp: $41.60
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 $30.66
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $18.39
  • BCBS GA HMO/POS — GA HMO/POS: $24.98
  • BCBS GA PAR/PPO — GA PAR/PPO: $24.98
  • Commercial Medicare — Commercial Medicare: $18.39
  • Humana — Commercial: $30.66
  • Medicare — Traditional Medicare: $18.39
  • United HealthCare — Commercial: $16.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH $250 $125 $75 – $225
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — Commercial: $162.50
  • Aetna WC — Workers Comp: $212.50
  • Alamed WC — Workers Comp: $175
  • BCBS GA HMO/POS — GA HMO/POS: $187.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $187.50
  • Cigna Commercial — Commercial: $111
  • Corvel WC — Workers Comp: $212.50
  • Coventry — Commercial: $162.50
  • Coventry WC — Workers Comp: $162.50
  • Evolution WC — Workers Comp: $200
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH $250 $125 $122.50 – $212.50
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $212.50
  • Corvel WC — Workers Comp: $212.50
  • Evolution WC — Workers Comp: $200
  • Healthone Alliance — Commercial: $175
  • Multiplan — PHCS Beechstreet: $187.50
  • NovaNet WC — Workers Comp: $212.50
  • Paradigm WC — VHAN: $122.50
  • Prime Health WC — Workers Comp: $200
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 $28.01
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $16.80
  • BCBS GA HMO/POS — GA HMO/POS: $22.83
  • BCBS GA PAR/PPO — GA PAR/PPO: $22.83
  • Commercial Medicare — Commercial Medicare: $16.80
  • Humana — Commercial: $28.01
  • Medicare — Traditional Medicare: $16.80
  • United HealthCare — Commercial: $15.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF $167 $83.50 $50.10 – $150.30
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — Commercial: $108.55
  • Aetna WC — Workers Comp: $141.95
  • Alamed WC — Workers Comp: $116.90
  • BCBS GA HMO/POS — GA HMO/POS: $125.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $125.25
  • Cigna Commercial — Commercial: $74.15
  • Corvel WC — Workers Comp: $141.95
  • Coventry — Commercial: $108.55
  • Coventry WC — Workers Comp: $108.55
  • Evolution WC — Workers Comp: $133.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W AUTO DIFF $167 $83.50 $81.83 – $141.95
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $141.95
  • Corvel WC — Workers Comp: $141.95
  • Evolution WC — Workers Comp: $133.60
  • Healthone Alliance — Commercial: $116.90
  • Multiplan — PHCS Beechstreet: $125.25
  • NovaNet WC — Workers Comp: $141.95
  • Paradigm WC — VHAN: $81.83
  • Prime Health WC — Workers Comp: $133.60
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 $12.95
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $7.77
  • BCBS GA HMO/POS — GA HMO/POS: $10.55
  • BCBS GA PAR/PPO — GA PAR/PPO: $10.55
  • Commercial Medicare — Commercial Medicare: $7.77
  • Humana — Commercial: $12.95
  • Medicare — Traditional Medicare: $7.77
  • United HealthCare — Commercial: $6.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC AUTO WO DIFF $125 $62.50 $37.50 – $112.50
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna — Commercial: $81.25
  • Aetna WC — Workers Comp: $106.25
  • Alamed WC — Workers Comp: $87.50
  • BCBS GA HMO/POS — GA HMO/POS: $93.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $93.75
  • Cigna Commercial — Commercial: $55.50
  • Corvel WC — Workers Comp: $106.25
  • Coventry — Commercial: $81.25
  • Coventry WC — Workers Comp: $81.25
  • Evolution WC — Workers Comp: $100
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC AUTO WO DIFF $125 $62.50 $61.25 – $106.25
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $106.25
  • Corvel WC — Workers Comp: $106.25
  • Evolution WC — Workers Comp: $100
  • Healthone Alliance — Commercial: $87.50
  • Multiplan — PHCS Beechstreet: $93.75
  • NovaNet WC — Workers Comp: $106.25
  • Paradigm WC — VHAN: $61.25
  • Prime Health WC — Workers Comp: $100
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 $10.77
Complete blood count (CBC), automated: rates for 7 insurance plans
  • Aetna Medicare — Medicare: $6.47
  • BCBS GA HMO/POS — GA HMO/POS: $8.78
  • BCBS GA PAR/PPO — GA PAR/PPO: $8.78
  • Commercial Medicare — Commercial Medicare: $6.47
  • Humana — Commercial: $10.77
  • Medicare — Traditional Medicare: $6.47
  • United HealthCare — Commercial: $5.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTIME $157 $78.50 $47.10 – $141.30
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — Commercial: $102.05
  • Aetna WC — Workers Comp: $133.45
  • Alamed WC — Workers Comp: $109.90
  • BCBS GA HMO/POS — GA HMO/POS: $117.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $117.75
  • Cigna Commercial — Commercial: $69.71
  • Corvel WC — Workers Comp: $133.45
  • Coventry — Commercial: $102.05
  • Coventry WC — Workers Comp: $102.05
  • Evolution WC — Workers Comp: $125.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTIME $157 $78.50 $76.93 – $133.45
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $133.45
  • Corvel WC — Workers Comp: $133.45
  • Evolution WC — Workers Comp: $125.60
  • Healthone Alliance — Commercial: $109.90
  • Multiplan — PHCS Beechstreet: $117.75
  • NovaNet WC — Workers Comp: $133.45
  • Paradigm WC — VHAN: $76.93
  • Prime Health WC — Workers Comp: $125.60
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 $6.56
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $4.29
  • BCBS GA HMO/POS — GA HMO/POS: $5.34
  • BCBS GA PAR/PPO — GA PAR/PPO: $5.34
  • Commercial Medicare — Commercial Medicare: $4.29
  • Humana — Commercial: $6.56
  • Medicare — Traditional Medicare: $4.29
  • United HealthCare — Commercial: $3.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT $139 $69.50 $41.70 – $125.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — Commercial: $90.35
  • Aetna WC — Workers Comp: $118.15
  • Alamed WC — Workers Comp: $97.30
  • BCBS GA HMO/POS — GA HMO/POS: $104.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $104.25
  • Cigna Commercial — Commercial: $61.72
  • Corvel WC — Workers Comp: $118.15
  • Coventry — Commercial: $90.35
  • Coventry WC — Workers Comp: $90.35
  • Evolution WC — Workers Comp: $111.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PTT $139 $69.50 $68.11 – $118.15
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $118.15
  • Corvel WC — Workers Comp: $118.15
  • Evolution WC — Workers Comp: $111.20
  • Healthone Alliance — Commercial: $97.30
  • Multiplan — PHCS Beechstreet: $104.25
  • NovaNet WC — Workers Comp: $118.15
  • Paradigm WC — VHAN: $68.11
  • Prime Health WC — Workers Comp: $111.20
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 $10.01
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • Aetna Medicare — Medicare: $6.01
  • BCBS GA HMO/POS — GA HMO/POS: $8.16
  • BCBS GA PAR/PPO — GA PAR/PPO: $8.16
  • Commercial Medicare — Commercial Medicare: $6.01
  • Humana — Commercial: $10.01
  • Medicare — Traditional Medicare: $6.01
  • United HealthCare — Commercial: $5.41

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: HC CT HEAD/BRAIN WO CNTRST $3,541 $1,770.50 $1,062.30 – $3,186.90
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $2,301.65
  • Aetna WC — Workers Comp: $3,009.85
  • Alamed WC — Workers Comp: $2,478.70
  • BCBS GA HMO/POS — GA HMO/POS: $2,655.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $2,655.75
  • Cigna Commercial — Commercial: $1,572.20
  • Corvel WC — Workers Comp: $3,009.85
  • Coventry — Commercial: $2,301.65
  • Coventry WC — Workers Comp: $2,301.65
  • Evolution WC — Workers Comp: $2,832.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CNTRST $3,541 $1,770.50 $1,735.09 – $3,009.85
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $3,009.85
  • Corvel WC — Workers Comp: $3,009.85
  • Evolution WC — Workers Comp: $2,832.80
  • Healthone Alliance — Commercial: $2,478.70
  • Multiplan — PHCS Beechstreet: $2,655.75
  • NovaNet WC — Workers Comp: $3,009.85
  • Paradigm WC — VHAN: $1,735.09
  • Prime Health WC — Workers Comp: $2,832.80
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 $102.10 – $265
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $103.69
  • BCBS GA HMO/POS — GA HMO/POS: $265
  • BCBS GA PAR/PPO — GA PAR/PPO: $265
  • Commercial Medicare — Commercial Medicare: $103.69
  • Humana Tricare — Tricare: $102.10
  • Medicare — Traditional Medicare: $103.69
  • United HealthCare — Commercial: $112.08
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CNTRST $5,778 $2,889 $1,733.40 – $5,200.20
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $3,755.70
  • Aetna WC — Workers Comp: $4,911.30
  • Alamed WC — Workers Comp: $4,044.60
  • BCBS GA HMO/POS — GA HMO/POS: $4,333.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $4,333.50
  • Cigna Commercial — Commercial: $2,565.43
  • Corvel WC — Workers Comp: $4,911.30
  • Coventry — Commercial: $3,755.70
  • Coventry WC — Workers Comp: $3,755.70
  • Evolution WC — Workers Comp: $4,622.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CNTRST $5,778 $2,889 $2,831.22 – $4,911.30
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $4,911.30
  • Corvel WC — Workers Comp: $4,911.30
  • Evolution WC — Workers Comp: $4,622.40
  • Healthone Alliance — Commercial: $4,044.60
  • Multiplan — PHCS Beechstreet: $4,333.50
  • NovaNet WC — Workers Comp: $4,911.30
  • Paradigm WC — VHAN: $2,831.22
  • Prime Health WC — Workers Comp: $4,622.40
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 $344.92 – $600
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $362.70
  • BCBS GA HMO/POS — GA HMO/POS: $600
  • BCBS GA PAR/PPO — GA PAR/PPO: $600
  • Cigna Commercial — Commercial: $430
  • Commercial Medicare — Commercial Medicare: $362.70
  • Humana Tricare — Tricare: $344.92
  • Medicare — Traditional Medicare: $362.70
  • United HealthCare — Commercial: $381.85
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2V $484 $242 $145.20 – $435.60
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Commercial: $314.60
  • Aetna WC — Workers Comp: $411.40
  • Alamed WC — Workers Comp: $338.80
  • BCBS GA HMO/POS — GA HMO/POS: $363
  • BCBS GA PAR/PPO — GA PAR/PPO: $363
  • Cigna Commercial — Commercial: $214.90
  • Corvel WC — Workers Comp: $411.40
  • Coventry — Commercial: $314.60
  • Coventry WC — Workers Comp: $314.60
  • Evolution WC — Workers Comp: $387.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2V $484 $242 $237.16 – $411.40
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $411.40
  • Corvel WC — Workers Comp: $411.40
  • Evolution WC — Workers Comp: $387.20
  • Healthone Alliance — Commercial: $338.80
  • Multiplan — PHCS Beechstreet: $363
  • NovaNet WC — Workers Comp: $411.40
  • Paradigm WC — VHAN: $237.16
  • Prime Health WC — Workers Comp: $387.20
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 $21.75 – $85.70
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $85.70
  • BCBS GA HMO/POS — GA HMO/POS: $21.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $21.75
  • Commercial Medicare — Commercial Medicare: $85.70
  • Humana Tricare — Tricare: $75.80
  • Medicare — Traditional Medicare: $85.70
  • United HealthCare — Commercial: $79.81
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR SPINE LUMBOSACRAL >=4V $812 $406 $243.60 – $730.80
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — Commercial: $527.80
  • Aetna WC — Workers Comp: $690.20
  • Alamed WC — Workers Comp: $568.40
  • BCBS GA HMO/POS — GA HMO/POS: $609
  • BCBS GA PAR/PPO — GA PAR/PPO: $609
  • Cigna Commercial — Commercial: $360.53
  • Corvel WC — Workers Comp: $690.20
  • Coventry — Commercial: $527.80
  • Coventry WC — Workers Comp: $527.80
  • Evolution WC — Workers Comp: $649.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR SPINE LUMBOSACRAL >=4V $812 $406 $397.88 – $690.20
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $690.20
  • Corvel WC — Workers Comp: $690.20
  • Evolution WC — Workers Comp: $649.60
  • Healthone Alliance — Commercial: $568.40
  • Multiplan — PHCS Beechstreet: $609
  • NovaNet WC — Workers Comp: $690.20
  • Paradigm WC — VHAN: $397.88
  • Prime Health WC — Workers Comp: $649.60
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 $36.75 – $103.69
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $103.69
  • BCBS GA HMO/POS — GA HMO/POS: $36.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $36.75
  • Commercial Medicare — Commercial Medicare: $103.69
  • Humana Tricare — Tricare: $102.10
  • Medicare — Traditional Medicare: $103.69
  • United HealthCare — Commercial: $112.08
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMB SPINE WO CNTRST $4,539 $2,269.50 $1,361.70 – $4,085.10
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $2,950.35
  • Aetna WC — Workers Comp: $3,858.15
  • Alamed WC — Workers Comp: $3,177.30
  • BCBS GA HMO/POS — GA HMO/POS: $3,404.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $3,404.25
  • Cigna Commercial — Commercial: $2,015.32
  • Corvel WC — Workers Comp: $3,858.15
  • Coventry — Commercial: $2,950.35
  • Coventry WC — Workers Comp: $2,950.35
  • Evolution WC — Workers Comp: $3,631.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMB SPINE WO CNTRST $4,539 $2,269.50 $2,224.11 – $3,858.15
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $3,858.15
  • Corvel WC — Workers Comp: $3,858.15
  • Evolution WC — Workers Comp: $3,631.20
  • Healthone Alliance — Commercial: $3,177.30
  • Multiplan — PHCS Beechstreet: $3,404.25
  • NovaNet WC — Workers Comp: $3,858.15
  • Paradigm WC — VHAN: $2,224.11
  • Prime Health WC — Workers Comp: $3,631.20
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 $215.62 – $600
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $231.10
  • BCBS GA HMO/POS — GA HMO/POS: $600
  • BCBS GA PAR/PPO — GA PAR/PPO: $600
  • Commercial Medicare — Commercial Medicare: $231.10
  • Humana Tricare — Tricare: $215.62
  • Medicare — Traditional Medicare: $231.10
  • United HealthCare — Commercial: $233.04
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CNTRST $4,563 $2,281.50 $1,368.90 – $4,106.70
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $2,965.95
  • Aetna WC — Workers Comp: $3,878.55
  • Alamed WC — Workers Comp: $3,194.10
  • BCBS GA HMO/POS — GA HMO/POS: $3,422.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $3,422.25
  • Cigna Commercial — Commercial: $2,025.97
  • Corvel WC — Workers Comp: $3,878.55
  • Coventry — Commercial: $2,965.95
  • Coventry WC — Workers Comp: $2,965.95
  • Evolution WC — Workers Comp: $3,650.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CNTRST $4,563 $2,281.50 $2,235.87 – $3,878.55
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $3,878.55
  • Corvel WC — Workers Comp: $3,878.55
  • Evolution WC — Workers Comp: $3,650.40
  • Healthone Alliance — Commercial: $3,194.10
  • Multiplan — PHCS Beechstreet: $3,422.25
  • NovaNet WC — Workers Comp: $3,878.55
  • Paradigm WC — VHAN: $2,235.87
  • Prime Health WC — Workers Comp: $3,650.40
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 $167.30 – $265
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $173.29
  • BCBS GA HMO/POS — GA HMO/POS: $265
  • BCBS GA PAR/PPO — GA PAR/PPO: $265
  • Commercial Medicare — Commercial Medicare: $173.29
  • Humana Tricare — Tricare: $167.30
  • Medicare — Traditional Medicare: $173.29
  • United HealthCare — Commercial: $182.22
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LWR EXT JNT WO CNTRST $3,922 $1,961 $1,176.60 – $3,529.80
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $2,549.30
  • Aetna WC — Workers Comp: $3,333.70
  • Alamed WC — Workers Comp: $2,745.40
  • BCBS GA HMO/POS — GA HMO/POS: $2,941.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $2,941.50
  • Cigna Commercial — Commercial: $1,741.37
  • Corvel WC — Workers Comp: $3,333.70
  • Coventry — Commercial: $2,549.30
  • Coventry WC — Workers Comp: $2,549.30
  • Evolution WC — Workers Comp: $3,137.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LWR EXT JNT WO CNTRST $3,922 $1,961 $1,921.78 – $3,333.70
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $3,333.70
  • Corvel WC — Workers Comp: $3,333.70
  • Evolution WC — Workers Comp: $3,137.60
  • Healthone Alliance — Commercial: $2,745.40
  • Multiplan — PHCS Beechstreet: $2,941.50
  • NovaNet WC — Workers Comp: $3,333.70
  • Paradigm WC — VHAN: $1,921.78
  • Prime Health WC — Workers Comp: $3,137.60
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 $215.62 – $600
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $231.10
  • BCBS GA HMO/POS — GA HMO/POS: $600
  • BCBS GA PAR/PPO — GA PAR/PPO: $600
  • Commercial Medicare — Commercial Medicare: $231.10
  • Humana Tricare — Tricare: $215.62
  • Medicare — Traditional Medicare: $231.10
  • United HealthCare — Commercial: $233.04
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD&PELVIS W CNTRST $7,565 $3,782.50 $2,269.50 – $6,808.50
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Commercial: $4,917.25
  • Aetna WC — Workers Comp: $6,430.25
  • Alamed WC — Workers Comp: $5,295.50
  • BCBS GA HMO/POS — GA HMO/POS: $5,673.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $5,673.75
  • Cigna Commercial — Commercial: $3,358.86
  • Corvel WC — Workers Comp: $6,430.25
  • Coventry — Commercial: $4,917.25
  • Coventry WC — Workers Comp: $4,917.25
  • Evolution WC — Workers Comp: $6,052
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD&PELVIS W CNTRST $7,565 $3,782.50 $3,706.85 – $6,430.25
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $6,430.25
  • Corvel WC — Workers Comp: $6,430.25
  • Evolution WC — Workers Comp: $6,052
  • Healthone Alliance — Commercial: $5,295.50
  • Multiplan — PHCS Beechstreet: $5,673.75
  • NovaNet WC — Workers Comp: $6,430.25
  • Paradigm WC — VHAN: $3,706.85
  • Prime Health WC — Workers Comp: $6,052
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast Not listed in the file Not listed in the file $265 – $362.70
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $362.70
  • BCBS GA HMO/POS — GA HMO/POS: $265
  • BCBS GA PAR/PPO — GA PAR/PPO: $265
  • Commercial Medicare — Commercial Medicare: $362.70
  • Humana Tricare — Tricare: $344.92
  • Medicare — Traditional Medicare: $362.70
  • United HealthCare — Commercial: $381.85
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABD COMPLETE $1,350 $675 $405 – $1,215
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — Commercial: $877.50
  • Aetna WC — Workers Comp: $1,147.50
  • Alamed WC — Workers Comp: $945
  • BCBS GA HMO/POS — GA HMO/POS: $1,012.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $1,012.50
  • Cigna Commercial — Commercial: $599.40
  • Corvel WC — Workers Comp: $1,147.50
  • Coventry — Commercial: $877.50
  • Coventry WC — Workers Comp: $877.50
  • Evolution WC — Workers Comp: $1,080
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABD COMPLETE $1,350 $675 $661.50 – $1,147.50
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $1,147.50
  • Corvel WC — Workers Comp: $1,147.50
  • Evolution WC — Workers Comp: $1,080
  • Healthone Alliance — Commercial: $945
  • Multiplan — PHCS Beechstreet: $1,012.50
  • NovaNet WC — Workers Comp: $1,147.50
  • Paradigm WC — VHAN: $661.50
  • Prime Health WC — Workers Comp: $1,080
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 $92.42 – $103.69
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $103.69
  • BCBS GA HMO/POS — GA HMO/POS: $92.42
  • BCBS GA PAR/PPO — GA PAR/PPO: $92.42
  • Commercial Medicare — Commercial Medicare: $103.69
  • Humana Tricare — Tricare: $102.10
  • Medicare — Traditional Medicare: $103.69
  • United HealthCare — Commercial: $112.08
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
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 $102.10 – $103.69
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna Medicare — Medicare: $103.69
  • BCBS GA HMO/POS — GA HMO/POS: $103.48
  • BCBS GA PAR/PPO — GA PAR/PPO: $103.48
  • Commercial Medicare — Commercial Medicare: $103.69
  • Humana Tricare — Tricare: $102.10
  • Medicare — Traditional Medicare: $103.69
  • United HealthCare — Commercial: $112.08
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Ob us >/ 14 wks sngl fetus Not listed in the file Not listed in the file $200.53
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • United HealthCare — Commercial: $200.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ob us >/ 14 wks sngl fetus Not listed in the file Not listed in the file $37.40 – $72.40
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • Aetna — Commercial: $72.40
  • BCBS — HMO: $61.82
  • BCBS — PPO: $37.40
  • Coventry — Commercial: $71.67
  • Humana — Commercial: $50.15
  • Kaiser — Commercial: $54.95
  • Medicare — Commercial: $47.78
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 $98.34 – $103.69
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $103.69
  • BCBS GA HMO/POS — GA HMO/POS: $98.34
  • BCBS GA PAR/PPO — GA PAR/PPO: $98.34
  • Commercial Medicare — Commercial Medicare: $103.69
  • Humana Tricare — Tricare: $102.10
  • Medicare — Traditional Medicare: $103.69
  • United HealthCare — Commercial: $112.08
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $169.70
Transvaginal ultrasound: rates for 1 insurance plan
  • United HealthCare — Commercial: $169.70
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $23.56 – $50.33
Transvaginal ultrasound: rates for 7 insurance plans
  • Aetna — Commercial: $50.09
  • BCBS — HMO: $33.28
  • BCBS — PPO: $23.56
  • Coventry — Commercial: $50.33
  • Humana — Commercial: $35.11
  • Kaiser — Commercial: $38.58
  • Medicare — Commercial: $33.55
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 $87 – $105.45
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $87
  • BCBS GA HMO/POS — GA HMO/POS: $105.45
  • BCBS GA PAR/PPO — GA PAR/PPO: $105.45
  • Commercial Medicare — Commercial Medicare: $87
  • Humana Tricare — Tricare: $91.20
  • Medicare — Traditional Medicare: $87
  • United HealthCare — Commercial: $94.55
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $168.23
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • United HealthCare — Commercial: $168.23
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $30.12 – $58.70
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna — Commercial: $58.70
  • BCBS — HMO: $38.45
  • BCBS — PPO: $30.12
  • Coventry — Commercial: $57.95
  • Kaiser — Commercial: $44.42
  • Medicare — Commercial: $38.63
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 $111.60 – $134.66
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $111.60
  • BCBS GA HMO/POS — GA HMO/POS: $134.66
  • BCBS GA PAR/PPO — GA PAR/PPO: $134.66
  • Commercial Medicare — Commercial Medicare: $111.60
  • Humana Tricare — Tricare: $116.62
  • Medicare — Traditional Medicare: $111.60
  • United HealthCare — Commercial: $120.54
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $213.45
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • United HealthCare — Commercial: $213.45
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $37.12 – $72.36
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna — Commercial: $72.36
  • BCBS — HMO: $47.81
  • BCBS — PPO: $37.12
  • Coventry — Commercial: $71.16
  • Kaiser — Commercial: $54.56
  • Medicare — Commercial: $47.44
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 $91.97 – $111.38
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna Medicare — Medicare: $91.97
  • BCBS GA HMO/POS — GA HMO/POS: $111.38
  • BCBS GA PAR/PPO — GA PAR/PPO: $111.38
  • Commercial Medicare — Commercial Medicare: $91.97
  • Humana Tricare — Tricare: $96.43
  • Medicare — Traditional Medicare: $91.97
  • United HealthCare — Commercial: $99.97
  • Cigna Commercial — Commercial: 44% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $172.33
Screening mammogram, both breasts: rates for 1 insurance plan
  • United HealthCare — Commercial: $172.33
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $28.02 – $54.90
Screening mammogram, both breasts: rates for 6 insurance plans
  • Aetna — Commercial: $54.62
  • BCBS — HMO: $36.38
  • BCBS — PPO: $28.02
  • Coventry — Commercial: $54.90
  • Kaiser — Commercial: $42.09
  • Medicare — Commercial: $36.60

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $14.57 – $30.85
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans
  • Aetna — Commercial: $24.26
  • BCBS — HMO: $30.85
  • BCBS — PPO: $20.24
  • Cigna — Commercial: $27.71
  • Coventry — Commercial: $21.86
  • Humana — Commercial: $24.48
  • Kaiser — Commercial: $16.76
  • Medicare — Commercial: $14.57
  • United HealthCare — Commercial: $25
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 $655.89 – $3,073.24
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • Aetna Medicare — Medicare: $3,073.24
  • BCBS GA HMO/POS — GA HMO/POS: $655.89
  • BCBS GA PAR/PPO — GA PAR/PPO: $655.89
  • Commercial Medicare — Commercial Medicare: $3,073.24
  • Humana Tricare — Tricare: $2,716.32
  • Medicare — Traditional Medicare: $3,073.24
  • United HealthCare — Commercial: $911
  • Paradigm WC — VHAN: 49% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $1,158.66
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • United HealthCare — Commercial: $1,158.66
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $232.79 – $398.15
Left heart catheterization (diagnostic): rates for 7 insurance plans
  • Aetna — Commercial: $352.18
  • BCBS — HMO: $398.15
  • BCBS — PPO: $294.04
  • Coventry — Commercial: $349.19
  • Humana — Commercial: $263.89
  • Kaiser — Commercial: $267.71
  • Medicare — Commercial: $232.79
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 $1,049 – $7,043.47
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Aetna Medicare — Medicare: $7,043.47
  • Commercial Medicare — Commercial Medicare: $7,043.47
  • Humana Tricare — Tricare: $5,695.41
  • Medicare — Traditional Medicare: $7,043.47
  • United HealthCare — Commercial: $1,049
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $1,033.97
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • United HealthCare — Commercial: $1,033.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $383.08 – $624.86
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • Aetna — Commercial: $579.48
  • BCBS — HMO: $624.86
  • BCBS — PPO: $483.25
  • Coventry — Commercial: $574.62
  • Humana — Commercial: $524.88
  • Kaiser — Commercial: $440.54
  • Medicare — Commercial: $383.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $950.74 – $1,693.86
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
  • Aetna — Commercial: $1,669.03
  • BCBS — HMO: $1,693.86
  • BCBS — PPO: $1,390.53
  • Cigna — Commercial: $1,446.84
  • Coventry — Commercial: $1,426.11
  • Humana — Commercial: $1,149.01
  • Kaiser — Commercial: $1,093.35
  • Medicare — Commercial: $950.74
  • United HealthCare — Commercial: $1,425.53
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 $1,238 – $22,399.73
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna Medicare — Medicare: $22,399.73
  • Commercial Medicare — Commercial Medicare: $22,399.73
  • Humana Tricare — Tricare: $20,111.70
  • Medicare — Traditional Medicare: $22,399.73
  • United HealthCare — Commercial: $1,238
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSG >4 PARAM $6,655 $3,327.50 $1,996.50 – $5,989.50
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — Commercial: $4,325.75
  • Aetna WC — Workers Comp: $5,656.75
  • Alamed WC — Workers Comp: $4,658.50
  • BCBS GA HMO/POS — GA HMO/POS: $4,991.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $4,991.25
  • Cigna Commercial — Commercial: $2,954.82
  • Corvel WC — Workers Comp: $5,656.75
  • Coventry — Commercial: $4,325.75
  • Coventry WC — Workers Comp: $4,325.75
  • Evolution WC — Workers Comp: $5,324
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSG >4 PARAM $6,655 $3,327.50 $3,260.95 – $5,656.75
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $5,656.75
  • Corvel WC — Workers Comp: $5,656.75
  • Evolution WC — Workers Comp: $5,324
  • Healthone Alliance — Commercial: $4,658.50
  • Multiplan — PHCS Beechstreet: $4,991.25
  • NovaNet WC — Workers Comp: $5,656.75
  • Paradigm WC — VHAN: $3,260.95
  • Prime Health WC — Workers Comp: $5,324
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 $861.85 – $986.08
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans
  • Aetna Medicare — Medicare: $986.08
  • Commercial Medicare — Commercial Medicare: $986.08
  • Humana Tricare — Tricare: $861.85
  • Medicare — Traditional Medicare: $986.08

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: HC EXERCISE SPEC THERAP EXRCSE 15MIN $87 $43.50 $26.10 – $78.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — Commercial: $56.55
  • Aetna WC — Workers Comp: $73.95
  • Alamed WC — Workers Comp: $60.90
  • BCBS GA HMO/POS — GA HMO/POS: $65.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $65.25
  • Cigna Commercial — Commercial: $38.63
  • Corvel WC — Workers Comp: $73.95
  • Coventry — Commercial: $56.55
  • Coventry WC — Workers Comp: $56.55
  • Evolution WC — Workers Comp: $69.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXERCISE SPEC THERAP EXRCSE 15MIN $87 $43.50 $42.63 – $73.95
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna WC — Workers Comp: $73.95
  • Corvel WC — Workers Comp: $73.95
  • Evolution WC — Workers Comp: $69.60
  • Healthone Alliance — Commercial: $60.90
  • Multiplan — PHCS Beechstreet: $65.25
  • NovaNet WC — Workers Comp: $73.95
  • Paradigm WC — VHAN: $42.63
  • Prime Health WC — Workers Comp: $69.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $18.79 – $44.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans
  • Aetna — Commercial: $43.91
  • BCBS — HMO: $25.88
  • BCBS — PPO: $18.79
  • Cigna — Commercial: $37.38
  • Coventry — Commercial: $44.70
  • Humana — Commercial: $35.27
  • Kaiser — Commercial: $34.27
  • Medicare — Commercial: $29.80
  • United HealthCare — Commercial: $30.87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $51.38 – $152.39
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna — Commercial: $121.14
  • BCBS — HMO: $73.73
  • BCBS — PPO: $51.38
  • Cigna — Commercial: $108.13
  • Coventry — Commercial: $152.39
  • Kaiser — Commercial: $116.83
  • Medicare — Commercial: $101.59
  • United HealthCare — Commercial: $78.01
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 $100.22
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Aetna Medicare — Medicare: $100.22
  • Commercial Medicare — Commercial Medicare: $100.22
  • Medicare — Traditional Medicare: $100.22
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MIN $490 $245 $147 – $441
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $318.50
  • Aetna WC — Workers Comp: $416.50
  • Alamed WC — Workers Comp: $343
  • BCBS GA HMO/POS — GA HMO/POS: $367.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $367.50
  • Cigna Commercial — Commercial: $217.56
  • Corvel WC — Workers Comp: $416.50
  • Coventry — Commercial: $318.50
  • Coventry WC — Workers Comp: $318.50
  • Evolution WC — Workers Comp: $392
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $51.38 – $152.39
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna — Commercial: $121.14
  • BCBS — HMO: $73.73
  • BCBS — PPO: $51.38
  • Cigna — Commercial: $108.13
  • Coventry — Commercial: $152.39
  • Kaiser — Commercial: $116.83
  • Medicare — Commercial: $101.59
  • United HealthCare — Commercial: $78.01
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 $100.22
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Aetna Medicare — Medicare: $100.22
  • Commercial Medicare — Commercial Medicare: $100.22
  • Medicare — Traditional Medicare: $100.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MIN $613 $306.50 $183.90 – $551.70
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $398.45
  • Aetna WC — Workers Comp: $521.05
  • Alamed WC — Workers Comp: $429.10
  • BCBS GA HMO/POS — GA HMO/POS: $459.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $459.75
  • Cigna Commercial — Commercial: $272.17
  • Corvel WC — Workers Comp: $521.05
  • Coventry — Commercial: $398.45
  • Coventry WC — Workers Comp: $398.45
  • Evolution WC — Workers Comp: $490.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $51.38 – $152.39
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna — Commercial: $121.14
  • BCBS — HMO: $73.73
  • BCBS — PPO: $51.38
  • Cigna — Commercial: $108.13
  • Coventry — Commercial: $152.39
  • Kaiser — Commercial: $116.83
  • Medicare — Commercial: $101.59
  • United HealthCare — Commercial: $78.01
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 $100.22
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Aetna Medicare — Medicare: $100.22
  • Commercial Medicare — Commercial Medicare: $100.22
  • Medicare — Traditional Medicare: $100.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MIN $737 $368.50 $221.10 – $663.30
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — Commercial: $479.05
  • Aetna WC — Workers Comp: $626.45
  • Alamed WC — Workers Comp: $515.90
  • BCBS GA HMO/POS — GA HMO/POS: $552.75
  • BCBS GA PAR/PPO — GA PAR/PPO: $552.75
  • Cigna Commercial — Commercial: $327.23
  • Corvel WC — Workers Comp: $626.45
  • Coventry — Commercial: $479.05
  • Coventry WC — Workers Comp: $479.05
  • Evolution WC — Workers Comp: $589.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYTX 30 MIN PT $248 $124 $74.40 – $223.20
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — Commercial: $161.20
  • Aetna WC — Workers Comp: $210.80
  • Alamed WC — Workers Comp: $173.60
  • BCBS GA HMO/POS — GA HMO/POS: $186
  • BCBS GA PAR/PPO — GA PAR/PPO: $186
  • Cigna Commercial — Commercial: $110.11
  • Corvel WC — Workers Comp: $210.80
  • Coventry — Commercial: $161.20
  • Coventry WC — Workers Comp: $161.20
  • Evolution WC — Workers Comp: $198.40
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR PSYTX 30 MIN PT $248 $124 $121.52 – $210.80
Psychotherapy, 30 minutes: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $210.80
  • Corvel WC — Workers Comp: $210.80
  • Evolution WC — Workers Comp: $198.40
  • Healthone Alliance — Commercial: $173.60
  • Multiplan — PHCS Beechstreet: $186
  • NovaNet WC — Workers Comp: $210.80
  • Paradigm WC — VHAN: $121.52
  • Prime Health WC — Workers Comp: $198.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $45.72 – $99.65
Psychotherapy, 30 minutes: rates for 9 insurance plans
  • Aetna — Commercial: $88.98
  • BCBS — HMO: $47
  • BCBS — PPO: $45.72
  • Cigna — Commercial: $64.77
  • Coventry — Commercial: $99.65
  • Humana — Commercial: $64.14
  • Kaiser — Commercial: $76.39
  • Medicare — Commercial: $66.43
  • United HealthCare — Commercial: $81.77
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYTX 45 MIN PT $488 $244 $146.40 – $439.20
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — Commercial: $317.20
  • Aetna WC — Workers Comp: $414.80
  • Alamed WC — Workers Comp: $341.60
  • BCBS GA HMO/POS — GA HMO/POS: $366
  • BCBS GA PAR/PPO — GA PAR/PPO: $366
  • Cigna Commercial — Commercial: $216.67
  • Corvel WC — Workers Comp: $414.80
  • Coventry — Commercial: $317.20
  • Coventry WC — Workers Comp: $317.20
  • Evolution WC — Workers Comp: $390.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR PSYTX 45 MIN PT $488 $244 $239.12 – $414.80
Psychotherapy, 45 minutes: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $414.80
  • Corvel WC — Workers Comp: $414.80
  • Evolution WC — Workers Comp: $390.40
  • Healthone Alliance — Commercial: $341.60
  • Multiplan — PHCS Beechstreet: $366
  • NovaNet WC — Workers Comp: $414.80
  • Paradigm WC — VHAN: $239.12
  • Prime Health WC — Workers Comp: $390.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $63.78 – $132.18
Psychotherapy, 45 minutes: rates for 9 insurance plans
  • Aetna — Commercial: $118.83
  • BCBS — HMO: $71
  • BCBS — PPO: $63.78
  • Cigna — Commercial: $97.15
  • Coventry — Commercial: $132.18
  • Humana — Commercial: $85.64
  • Kaiser — Commercial: $101.34
  • Medicare — Commercial: $88.12
  • United HealthCare — Commercial: $105.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY 60 MIN W/PT $586 $293 $175.80 – $527.40
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • Aetna — Commercial: $380.90
  • Aetna WC — Workers Comp: $498.10
  • Alamed WC — Workers Comp: $410.20
  • BCBS GA HMO/POS — GA HMO/POS: $439.50
  • BCBS GA PAR/PPO — GA PAR/PPO: $439.50
  • Cigna Commercial — Commercial: $260.18
  • Corvel WC — Workers Comp: $498.10
  • Coventry — Commercial: $380.90
  • Coventry WC — Workers Comp: $380.90
  • Evolution WC — Workers Comp: $468.80
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR PSYCH THERAPY 60 MIN W/PT $586 $293 $287.14 – $498.10
Psychotherapy, 60 minutes: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $498.10
  • Corvel WC — Workers Comp: $498.10
  • Evolution WC — Workers Comp: $468.80
  • Healthone Alliance — Commercial: $410.20
  • Multiplan — PHCS Beechstreet: $439.50
  • NovaNet WC — Workers Comp: $498.10
  • Paradigm WC — VHAN: $287.14
  • Prime Health WC — Workers Comp: $468.80
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $95.70 – $194.19
Psychotherapy, 60 minutes: rates for 9 insurance plans
  • Aetna — Commercial: $178.52
  • BCBS — HMO: $105.75
  • BCBS — PPO: $95.70
  • Cigna — Commercial: $146.63
  • Coventry — Commercial: $194.19
  • Humana — Commercial: $127.95
  • Kaiser — Commercial: $148.88
  • Medicare — Commercial: $129.46
  • United HealthCare — Commercial: $153.89
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $69 – $144.14
Family psychotherapy, without the patient: rates for 9 insurance plans
  • Aetna — Commercial: $144.14
  • BCBS — HMO: $69
  • BCBS — PPO: $76.70
  • Cigna — Commercial: $113.16
  • Coventry — Commercial: $142.86
  • Humana — Commercial: $104.18
  • Kaiser — Commercial: $109.53
  • Medicare — Commercial: $95.24
  • United HealthCare — Commercial: $106.98
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 $125.20 – $150.37
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $150.37
  • Commercial Medicare — Commercial Medicare: $150.37
  • Humana Tricare — Tricare: $125.20
  • Medicare — Traditional Medicare: $150.37
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 30T In the file: PR FAMILY PSYCHOTHERAPY,NO PT $248 $124 $74.40 – $223.20
Family psychotherapy, without the patient: 10 of 22 insurance plan rates
  • Aetna — Commercial: $161.20
  • Aetna WC — Workers Comp: $210.80
  • Alamed WC — Workers Comp: $173.60
  • BCBS GA HMO/POS — GA HMO/POS: $186
  • BCBS GA PAR/PPO — GA PAR/PPO: $186
  • Cigna Commercial — Commercial: $110.11
  • Corvel WC — Workers Comp: $210.80
  • Coventry — Commercial: $161.20
  • Coventry WC — Workers Comp: $161.20
  • Evolution WC — Workers Comp: $198.40
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $84 – $149.68
Family psychotherapy, with the patient: rates for 9 insurance plans
  • Aetna — Commercial: $149.68
  • BCBS — HMO: $84
  • BCBS — PPO: $94.39
  • Cigna — Commercial: $135.66
  • Coventry — Commercial: $148.95
  • Humana — Commercial: $124.67
  • Kaiser — Commercial: $114.20
  • Medicare — Commercial: $99.30
  • United HealthCare — Commercial: $133.24
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 $125.20 – $150.37
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $150.37
  • Commercial Medicare — Commercial Medicare: $150.37
  • Humana Tricare — Tricare: $125.20
  • Medicare — Traditional Medicare: $150.37
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 30T In the file: PR FAMILY PSYCHOTHERAPY W PHYS $248 $124 $74.40 – $223.20
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — Commercial: $161.20
  • Aetna WC — Workers Comp: $210.80
  • Alamed WC — Workers Comp: $173.60
  • BCBS GA HMO/POS — GA HMO/POS: $186
  • BCBS GA PAR/PPO — GA PAR/PPO: $186
  • Cigna Commercial — Commercial: $110.11
  • Corvel WC — Workers Comp: $210.80
  • Coventry — Commercial: $161.20
  • Coventry WC — Workers Comp: $161.20
  • Evolution WC — Workers Comp: $198.40
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $23 – $40.90
Group psychotherapy: rates for 9 insurance plans
  • Aetna — Commercial: $35.39
  • BCBS — HMO: $23
  • BCBS — PPO: $26.69
  • Cigna — Commercial: $38.87
  • Coventry — Commercial: $35.09
  • Humana — Commercial: $36.50
  • Kaiser — Commercial: $26.90
  • Medicare — Commercial: $23.39
  • United HealthCare — Commercial: $40.90
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 $70.15 – $84.07
Group psychotherapy: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $84.07
  • Commercial Medicare — Commercial Medicare: $84.07
  • Humana Tricare — Tricare: $70.15
  • Medicare — Traditional Medicare: $84.07
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 120T In the file: PR GROUP PSYCHOTHRAPY $667 $333.50 $200.10 – $600.30
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — Commercial: $433.55
  • Aetna WC — Workers Comp: $566.95
  • Alamed WC — Workers Comp: $466.90
  • BCBS GA HMO/POS — GA HMO/POS: $500.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $500.25
  • Cigna Commercial — Commercial: $296.15
  • Corvel WC — Workers Comp: $566.95
  • Coventry — Commercial: $433.55
  • Coventry WC — Workers Comp: $433.55
  • Evolution WC — Workers Comp: $533.60

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 $560 – $3,594.96
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $3,594.96
  • Cigna Commercial — Commercial: $560
  • Commercial Medicare — Commercial Medicare: $3,594.96
  • Humana Tricare — Tricare: $2,958.73
  • Medicare — Traditional Medicare: $3,594.96
  • United HealthCare — Commercial: $647
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $631.15
Removal of breast growth (open surgery): rates for 1 insurance plan
  • United HealthCare — Commercial: $631.15
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Removal of breast lesion Not listed in the file Not listed in the file $554.03 – $957.11
Removal of breast growth (open surgery): rates for 8 insurance plans
  • Aetna — Commercial: $910.26
  • BCBS — HMO: $814.68
  • BCBS — PPO: $554.03
  • Cigna — Commercial: $854.24
  • Coventry — Commercial: $957.11
  • Humana — Commercial: $691.13
  • Kaiser — Commercial: $733.79
  • Medicare — Commercial: $638.07
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 $1,265 – $12,412.67
Total hip replacement: rates for 5 insurance plans
  • Aetna Medicare — Medicare: $12,412.67
  • Commercial Medicare — Commercial Medicare: $12,412.67
  • Humana Tricare — Tricare: $11,538.67
  • Medicare — Traditional Medicare: $12,412.67
  • United HealthCare — Commercial: $1,265
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $1,882.37
Total hip replacement: rates for 1 insurance plan
  • United HealthCare — Commercial: $1,882.37
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total hip arthroplasty Not listed in the file Not listed in the file $1,953.09 – $3,311.15
Total hip replacement: rates for 8 insurance plans
  • Aetna — Commercial: $2,982
  • BCBS — HMO: $3,311.15
  • BCBS — PPO: $2,107.76
  • Cigna — Commercial: $3,235.43
  • Coventry — Commercial: $2,929.64
  • Humana — Commercial: $2,525.76
  • Kaiser — Commercial: $2,246.06
  • Medicare — Commercial: $1,953.09
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 $1,265 – $12,412.67
Total knee replacement: rates for 5 insurance plans
  • Aetna Medicare — Medicare: $12,412.67
  • Commercial Medicare — Commercial Medicare: $12,412.67
  • Humana Tricare — Tricare: $11,538.67
  • Medicare — Traditional Medicare: $12,412.67
  • United HealthCare — Commercial: $1,265
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $2,010.97
Total knee replacement: rates for 1 insurance plan
  • United HealthCare — Commercial: $2,010.97
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Total knee arthroplasty Not listed in the file Not listed in the file $1,951.05 – $3,541.65
Total knee replacement: rates for 8 insurance plans
  • Aetna — Commercial: $2,980.49
  • BCBS — HMO: $3,541.65
  • BCBS — PPO: $2,105.58
  • Cigna — Commercial: $3,464.84
  • Coventry — Commercial: $2,926.58
  • Humana — Commercial: $2,701.14
  • Kaiser — Commercial: $2,243.72
  • Medicare — Commercial: $1,951.05
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 $212 – $560
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Cigna Commercial — Commercial: $560
  • United HealthCare — Commercial: $212
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $231.89
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • United HealthCare — Commercial: $231.89
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $260.06 – $1,515.47
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • Aetna — Commercial: $387.24
  • BCBS — HMO: $1,515.47
  • BCBS — PPO: $274.28
  • Cigna — Commercial: $1,483.37
  • Coventry — Commercial: $390.09
  • Humana — Commercial: $1,156.43
  • Kaiser — Commercial: $299.07
  • Medicare — Commercial: $260.06
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 $682 – $3,052.76
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $3,052.76
  • Cigna Commercial — Commercial: $682
  • Commercial Medicare — Commercial Medicare: $3,052.76
  • Humana Tricare — Tricare: $2,652.02
  • Medicare — Traditional Medicare: $3,052.76
  • United HealthCare — Commercial: $801
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $717.74
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • United HealthCare — Commercial: $717.74
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $830.37 – $1,457.21
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • Aetna — Commercial: $1,185.80
  • BCBS — HMO: $1,457.21
  • BCBS — PPO: $838.50
  • Cigna — Commercial: $1,408.94
  • Coventry — Commercial: $1,245.56
  • Humana — Commercial: $1,110.98
  • Kaiser — Commercial: $954.93
  • Medicare — Commercial: $830.37
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 $560 – $5,523.13
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $5,523.13
  • Cigna Commercial — Commercial: $560
  • Commercial Medicare — Commercial Medicare: $5,523.13
  • Humana Tricare — Tricare: $4,765.53
  • Medicare — Traditional Medicare: $5,523.13
  • United HealthCare — Commercial: $647
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $389.91
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • United HealthCare — Commercial: $389.91
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $240.49 – $360.73
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans
  • Aetna — Commercial: $340.94
  • BCBS — HMO: $339.06
  • BCBS — PPO: $282.63
  • Cigna — Commercial: $350.35
  • Coventry — Commercial: $360.73
  • Humana — Commercial: $280.23
  • Kaiser — Commercial: $276.57
  • Medicare — Commercial: $240.49
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $122.05 – $399.52
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Commercial: $181.69
  • BCBS — HMO: $212.18
  • BCBS — PPO: $308.17
  • Cigna — Commercial: $223.70
  • Coventry — Commercial: $183.08
  • Humana — Commercial: $175.92
  • Kaiser — Commercial: $140.36
  • Medicare — Commercial: $122.05
  • United HealthCare — Commercial: $399.52
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 $372 – $854.93
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $854.93
  • Cigna Commercial — Commercial: $372
  • Commercial Medicare — Commercial Medicare: $854.93
  • Humana Tricare — Tricare: $758.58
  • Medicare — Traditional Medicare: $854.93
  • United HealthCare — Commercial: $567
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $137.65 – $461.07
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $205.56
  • BCBS — HMO: $252.68
  • BCBS — PPO: $411.98
  • Cigna — Commercial: $264.66
  • Coventry — Commercial: $206.48
  • Humana — Commercial: $207.80
  • Kaiser — Commercial: $158.30
  • Medicare — Commercial: $137.65
  • United HealthCare — Commercial: $461.07
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 $484 – $854.93
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $854.93
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $854.93
  • Humana Tricare — Tricare: $758.58
  • Medicare — Traditional Medicare: $854.93
  • United HealthCare — Commercial: $567
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 $484 – $861.98
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $861.98
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $861.98
  • Humana Tricare — Tricare: $743.63
  • Medicare — Traditional Medicare: $861.98
  • United HealthCare — Commercial: $567
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $262.31 – $527.48
Colonoscopy (diagnostic): rates for 5 insurance plans
  • BCBS — HMO: $317.27
  • BCBS — PPO: $380.72
  • Cigna — Commercial: $332.44
  • Humana — Commercial: $262.31
  • United HealthCare — Commercial: $527.48
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $172.38 – $258.57
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Commercial: $232.19
  • Coventry — Commercial: $258.57
  • Kaiser — Commercial: $198.24
  • Medicare — Commercial: $172.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $199.71 – $629.66
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $297.97
  • BCBS — HMO: $381.17
  • BCBS — PPO: $487.01
  • Cigna — Commercial: $400.54
  • Coventry — Commercial: $299.57
  • Humana — Commercial: $314.62
  • Kaiser — Commercial: $229.67
  • Medicare — Commercial: $199.71
  • United HealthCare — Commercial: $629.66
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 $484 – $1,112.96
Colonoscopy with biopsy: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $1,112.96
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $1,112.96
  • Humana Tricare — Tricare: $971.61
  • Medicare — Traditional Medicare: $1,112.96
  • United HealthCare — Commercial: $567
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $252.60 – $708.28
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — Commercial: $378.25
  • BCBS — HMO: $452.80
  • BCBS — PPO: $511.91
  • Cigna — Commercial: $475.41
  • Coventry — Commercial: $378.90
  • Humana — Commercial: $373.75
  • Kaiser — Commercial: $290.49
  • Medicare — Commercial: $252.60
  • United HealthCare — Commercial: $708.28
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 $484 – $1,112.96
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $1,112.96
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $1,112.96
  • Humana Tricare — Tricare: $971.61
  • Medicare — Traditional Medicare: $1,112.96
  • United HealthCare — Commercial: $567
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $256.32 – $460.31
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans
  • Aetna — Commercial: $383.20
  • BCBS — HMO: $436.39
  • BCBS — PPO: $320.77
  • Cigna — Commercial: $460.31
  • Coventry — Commercial: $384.48
  • Humana — Commercial: $359.83
  • Kaiser — Commercial: $294.77
  • Medicare — Commercial: $256.32
  • United HealthCare — Commercial: $390.62
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 $484 – $1,112.96
Ultrasound of the lower bowel by endoscope: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $1,112.96
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $1,112.96
  • Humana Tricare — Tricare: $971.61
  • Medicare — Traditional Medicare: $1,112.96
  • United HealthCare — Commercial: $567
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 $424 – $861.98
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Aetna Medicare — Medicare: $861.98
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $861.98
  • Humana Tricare — Tricare: $743.63
  • Medicare — Traditional Medicare: $861.98
  • United HealthCare — Commercial: $424
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $234.29 – $527.48
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • BCBS — HMO: $317.27
  • BCBS — PPO: $234.29
  • Humana — Commercial: $262.31
  • United HealthCare — Commercial: $527.48
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $172.72 – $259.08
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Commercial: $232.19
  • Coventry — Commercial: $259.08
  • Kaiser — Commercial: $198.63
  • Medicare — Commercial: $172.72
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 $1,049 – $5,441.84
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $5,441.84
  • Cigna Commercial — Commercial: $1,527
  • Commercial Medicare — Commercial Medicare: $5,441.84
  • Humana Tricare — Tricare: $4,741.52
  • Medicare — Traditional Medicare: $5,441.84
  • United HealthCare — Commercial: $1,049
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $967.33
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • United HealthCare — Commercial: $967.33
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $543.14 – $855.03
Gallbladder removal by laparoscope: rates for 8 insurance plans
  • Aetna — Commercial: $787.45
  • BCBS — HMO: $834.74
  • BCBS — PPO: $655.60
  • Cigna — Commercial: $855.03
  • Coventry — Commercial: $814.71
  • Humana — Commercial: $690.60
  • Kaiser — Commercial: $624.61
  • Medicare — Commercial: $543.14
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 $682 – $3,262.91
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $3,262.91
  • Cigna Commercial — Commercial: $682
  • Commercial Medicare — Commercial Medicare: $3,262.91
  • Humana Tricare — Tricare: $2,982.79
  • Medicare — Traditional Medicare: $3,262.91
  • United HealthCare — Commercial: $801
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $671
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • United HealthCare — Commercial: $671
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $799.56 – $1,199.34
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • Aetna — Commercial: $1,151.78
  • BCBS — HMO: $1,072.91
  • BCBS — PPO: $957.83
  • Cigna — Commercial: $1,104.24
  • Coventry — Commercial: $1,199.34
  • Humana — Commercial: $886.79
  • Kaiser — Commercial: $919.50
  • Medicare — Commercial: $799.56
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $129.20 – $293.74
Prostate biopsy: rates for 9 insurance plans
  • Aetna — Commercial: $191.26
  • BCBS — HMO: $186.93
  • BCBS — PPO: $254.67
  • Cigna — Commercial: $226.20
  • Coventry — Commercial: $193.80
  • Humana — Commercial: $176.05
  • Kaiser — Commercial: $148.58
  • Medicare — Commercial: $129.20
  • United HealthCare — Commercial: $293.74
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 $484 – $1,920.98
Prostate biopsy: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $1,920.98
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $1,920.98
  • Humana Tricare — Tricare: $1,680
  • Medicare — Traditional Medicare: $1,920.98
  • United HealthCare — Commercial: $567
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 $1,265 – $9,708.31
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans
  • Aetna Medicare — Medicare: $9,708.31
  • Commercial Medicare — Commercial Medicare: $9,708.31
  • Humana Tricare — Tricare: $8,346.29
  • Medicare — Traditional Medicare: $9,708.31
  • United HealthCare — Commercial: $1,265
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $2,279.43
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • United HealthCare — Commercial: $2,279.43
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 78 In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $990.12 – $2,403.34
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • Aetna — Commercial: $1,759.04
  • BCBS — HMO: $1,962.72
  • BCBS — PPO: $1,243.51
  • Cigna — Commercial: $2,403.34
  • Coventry — Commercial: $1,485.19
  • Humana — Commercial: $1,846.30
  • Kaiser — Commercial: $1,138.64
  • Medicare — Commercial: $990.12
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 $560 – $2,948.57
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $2,948.57
  • Cigna Commercial — Commercial: $560
  • Commercial Medicare — Commercial Medicare: $2,948.57
  • Humana Tricare — Tricare: $2,457.89
  • Medicare — Traditional Medicare: $2,948.57
  • United HealthCare — Commercial: $647
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $501.10
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • United HealthCare — Commercial: $501.10
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 62 In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $144.91 – $849.73
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans
  • Aetna — Commercial: $208.62
  • BCBS — HMO: $319.75
  • BCBS — PPO: $849.73
  • Cigna — Commercial: $254.48
  • Coventry — Commercial: $217.36
  • Humana — Commercial: $198.98
  • Kaiser — Commercial: $166.64
  • Medicare — Commercial: $144.91
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NJX INTERLAMINAR LMBR/SAC $647 $323.50 $194.10 – $582.30
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Commercial: $420.55
  • Aetna WC — Workers Comp: $549.95
  • Alamed WC — Workers Comp: $452.90
  • BCBS GA HMO/POS — GA HMO/POS: $485.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $485.25
  • Cigna Commercial — Commercial: $287.27
  • Corvel WC — Workers Comp: $549.95
  • Coventry — Commercial: $420.55
  • Coventry WC — Workers Comp: $420.55
  • Evolution WC — Workers Comp: $517.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ LUMB/SAC SNGL W IMG $2,208 $1,104 $662.40 – $1,987.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Commercial: $1,435.20
  • Aetna WC — Workers Comp: $1,876.80
  • Alamed WC — Workers Comp: $1,545.60
  • BCBS GA HMO/POS — GA HMO/POS: $1,656
  • BCBS GA PAR/PPO — GA PAR/PPO: $1,656
  • Cigna Commercial — Commercial: $980.35
  • Corvel WC — Workers Comp: $1,876.80
  • Coventry — Commercial: $1,435.20
  • Coventry WC — Workers Comp: $1,435.20
  • Evolution WC — Workers Comp: $1,766.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR NJX INTERLAMINAR LMBR/SAC $647 $323.50 $317.03 – $549.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $549.95
  • Corvel WC — Workers Comp: $549.95
  • Evolution WC — Workers Comp: $517.60
  • Healthone Alliance — Commercial: $452.90
  • Multiplan — PHCS Beechstreet: $485.25
  • NovaNet WC — Workers Comp: $549.95
  • Paradigm WC — VHAN: $317.03
  • Prime Health WC — Workers Comp: $517.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INJ ANES FORAMEN EPI LUMB SNGL $1,779 $889.50 $533.70 – $1,601.10
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Commercial: $1,156.35
  • Aetna WC — Workers Comp: $1,512.15
  • Alamed WC — Workers Comp: $1,245.30
  • BCBS GA HMO/POS — GA HMO/POS: $1,334.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $1,334.25
  • Cigna Commercial — Commercial: $789.88
  • Corvel WC — Workers Comp: $1,512.15
  • Coventry — Commercial: $1,156.35
  • Coventry WC — Workers Comp: $1,156.35
  • Evolution WC — Workers Comp: $1,423.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANES FORAMEN EPI LUMB SNGL $1,823 $911.50 $546.90 – $1,640.70
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Commercial: $1,184.95
  • Aetna WC — Workers Comp: $1,549.55
  • Alamed WC — Workers Comp: $1,276.10
  • BCBS GA HMO/POS — GA HMO/POS: $1,367.25
  • BCBS GA PAR/PPO — GA PAR/PPO: $1,367.25
  • Cigna Commercial — Commercial: $809.41
  • Corvel WC — Workers Comp: $1,549.55
  • Coventry — Commercial: $1,184.95
  • Coventry WC — Workers Comp: $1,184.95
  • Evolution WC — Workers Comp: $1,458.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR INJ ANES FORAMEN EPI LUMB SNGL $1,779 $889.50 $871.71 – $1,512.15
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • Aetna WC — Workers Comp: $1,512.15
  • Corvel WC — Workers Comp: $1,512.15
  • Evolution WC — Workers Comp: $1,423.20
  • Healthone Alliance — Commercial: $1,245.30
  • Multiplan — PHCS Beechstreet: $1,334.25
  • NovaNet WC — Workers Comp: $1,512.15
  • Paradigm WC — VHAN: $871.71
  • Prime Health WC — Workers Comp: $1,423.20
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 $484 – $1,820.97
Carpal tunnel release: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $1,820.97
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $1,820.97
  • Humana Tricare — Tricare: $1,643.83
  • Medicare — Traditional Medicare: $1,820.97
  • United HealthCare — Commercial: $647
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $558.83
Carpal tunnel release: rates for 1 insurance plan
  • United HealthCare — Commercial: $558.83
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $662.79 – $1,018.20
Carpal tunnel release: rates for 8 insurance plans
  • Aetna — Commercial: $937.62
  • BCBS — HMO: $1,018.20
  • BCBS — PPO: $662.79
  • Cigna — Commercial: $901.05
  • Coventry — Commercial: $1,006.52
  • Humana — Commercial: $717.36
  • Kaiser — Commercial: $771.66
  • Medicare — Commercial: $671.01
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 $424 – $548.21
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $548.21
  • Cigna Commercial — Commercial: $484
  • Commercial Medicare — Commercial Medicare: $548.21
  • Humana Tricare — Tricare: $472.11
  • Medicare — Traditional Medicare: $548.21
  • United HealthCare — Commercial: $424
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $426.75
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • United HealthCare — Commercial: $426.75
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: After cataract laser surgery Not listed in the file Not listed in the file $456.74 – $700.16
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans
  • Aetna — Commercial: $670.28
  • BCBS — HMO: $463.41
  • BCBS — PPO: $456.74
  • Cigna — Commercial: $606.74
  • Coventry — Commercial: $700.16
  • Humana — Commercial: $507.77
  • Kaiser — Commercial: $536.79
  • Medicare — Commercial: $466.77
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 $647 – $2,197.84
Cataract removal with lens implant: rates for 6 insurance plans
  • Aetna Medicare — Medicare: $2,197.84
  • Cigna Commercial — Commercial: $1,049
  • Commercial Medicare — Commercial Medicare: $2,197.84
  • Humana Tricare — Tricare: $1,948.13
  • Medicare — Traditional Medicare: $2,197.84
  • United HealthCare — Commercial: $647
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $992.93
Cataract removal with lens implant: rates for 1 insurance plan
  • United HealthCare — Commercial: $992.93
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $812.42 – $1,539.12
Cataract removal with lens implant: rates for 8 insurance plans
  • Aetna — Commercial: $1,376.34
  • BCBS — HMO: $1,172.49
  • BCBS — PPO: $886.38
  • Cigna — Commercial: $1,539.12
  • Coventry — Commercial: $1,218.63
  • Humana — Commercial: $1,285.14
  • Kaiser — Commercial: $934.28
  • Medicare — Commercial: $812.42

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetrical care Not listed in the file Not listed in the file $1,920 – $3,659.12
Vaginal delivery, with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $3,079.91
  • BCBS — HMO: $3,600
  • BCBS — PPO: $1,920
  • Cigna — Commercial: $2,678.14
  • Coventry — Commercial: $3,659.12
  • Humana — Commercial: $2,125.70
  • Kaiser — Commercial: $2,805.32
  • Medicare — Commercial: $2,439.41
  • United HealthCare — Commercial: $2,700
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $1,920 – $4,049.55
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $3,417.49
  • BCBS — HMO: $3,600
  • BCBS — PPO: $1,920
  • Cigna — Commercial: $3,032.85
  • Coventry — Commercial: $4,049.55
  • Humana — Commercial: $2,408.18
  • Kaiser — Commercial: $3,104.66
  • Medicare — Commercial: $2,699.70
  • United HealthCare — Commercial: $2,900
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Vbac delivery Not listed in the file Not listed in the file $1,720.10 – $3,833.75
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans
  • Aetna — Commercial: $3,233.66
  • BCBS — HMO: $3,000
  • BCBS — PPO: $1,720.10
  • Cigna — Commercial: $2,820.94
  • Coventry — Commercial: $3,833.75
  • Humana — Commercial: $2,239.16
  • Kaiser — Commercial: $2,939.20
  • Medicare — Commercial: $2,555.83
  • United HealthCare — Commercial: $2,700

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 & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC Not listed in the file Not listed in the file $50,225.24 – $81,837.86
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $50,225.24
  • Commercial Medicare — Commercial Medicare: $50,225.24
  • Humana Tricare — Tricare: $81,837.86
  • Medicare — Traditional Medicare: $50,225.24
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL W/O MCC Not listed in the file Not listed in the file $37,374.34 – $37,955.26
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $37,955.26
  • Commercial Medicare — Commercial Medicare: $37,955.26
  • Humana Tricare — Tricare: $37,374.34
  • Medicare — Traditional Medicare: $37,955.26
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 $70,161.81 – $75,050.31
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $75,050.31
  • Commercial Medicare — Commercial Medicare: $75,050.31
  • Humana Tricare — Tricare: $70,161.81
  • Medicare — Traditional Medicare: $75,050.31
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION W/O CC/MCC Not listed in the file Not listed in the file $33,166.15 – $37,374.34
Neck (cervical) spinal fusion, without complications: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $33,166.15
  • Commercial Medicare — Commercial Medicare: $33,166.15
  • Humana Tricare — Tricare: $37,374.34
  • Medicare — Traditional Medicare: $33,166.15
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC Not listed in the file Not listed in the file $35,606.26 – $75,050.31
Uterus and ovary surgery (not for cancer), without complications: rates for 4 insurance plans
  • Aetna Medicare — Medicare: $75,050.31
  • Commercial Medicare — Commercial Medicare: $75,050.31
  • Humana Tricare — Tricare: $35,606.26
  • Medicare — Traditional Medicare: $75,050.31

Source: Shepherd Center’s standard charges file (shepherd.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 6, 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 typeLong-Term Acute Care Hospital
Address2020 Peachtree Rd NW, Atlanta, GA 30309
CountyFulton County
StateGeorgia
Phone(404) 350‑7311
OwnershipNon-profit
CMS Certification Number112003
Name in Medicare recordsSHEPHERD CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(404) 352‑2020[4]
Official websiteshepherd.org
CorrectionsReport an error or suggest an update →

Sources

  1. Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare tool to look up and compare this type of 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. Shepherd Center Main Campus — shepherd.org
  2. Visitor Guidelines — shepherd.org
  3. Amenities & Services | Shepherd Center — shepherd.org