Quick answers
- Does Sidney Health Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Sidney Health Center. In a medical emergency, call 911.
- Where is Sidney Health Center?
- 216 14th Ave SW, Sidney, MT 59270, in Richland County, Montana.
- What is the phone number of Sidney Health Center?
- (406) 488-2100, as listed by Medicare (CMS).
- What is the Medicare star rating of Sidney Health Center?
- 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Specialties and care areas[5][13]
- Cancer Care
- Ear, Nose and Throat
- General Surgery
- Obstetrics & Gynecology
- Orthopedic Medicine
- Pediatric Clinic
- Podiatry
- Primary Care
- Urology
- Women's Health
- Audiology & Hearing Aid Services
- Respiratory Services
- Radiology Services
- Rehabilitation Services
- Ophthalmology
- Oral surgery
Conditions treated[11][16]
- Osteoarthritis
- Sleep apnea
- Insomnia
- Narcolepsy
Treatments[5][10][11][15]
- Interventional Pain Management
- Wound Care
- Cardiac Rehabilitation
- Diabetes Education
- Colonoscopy
- Upper endoscopy
- Hernia repair
- Gallbladder removal
- Appendix removal
- Skin lesion removal
- Ostomy takedowns
- Central line (PORT) placement
- Bowel resections
- Breast surgical oncology
- Melanoma surgical oncology
- Knee replacement
- Hip replacement
- Arthroscopy of the knee and shoulder
- Rotator cuff surgery
- Carpal tunnel syndrome and basic hand surgery
- Fracture repair
- Physical therapy
- Occupational therapy
- Speech therapy
- Aquatic therapy
- Dry needling
- Pelvic health therapy
Procedures[12][17]
- CT
- MRI and MRA
- Mammography
- Nuclear medicine
- Ultrasound
- DEXA (bone densitometry)
- PET scan
- Well woman exams
- Minimally invasive and advanced laparoscopic surgery
- Menopause management
- Female infertility treatment
- Preconception counseling
Programs and centers[5][8][9][13][14]
- Sleep Center
- Labor & Delivery
- Cardiac Rehabilitation
- Day Surgery
- Public Safety Program (CPR, first aid and AED training)
- MonDak Visiting Nurse
Emergency care (hospital website)[5][7]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Interpreters and languages | Free language assistance and qualified interpreters offered; call 406-488-2100 or speak with your provider[6] |
|---|
Doctors and clinicians (140)
140 doctors and other clinicians list Sidney Health Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Nurse Practitioner20
- Physician Assistant13
- Family Practice12
- Diagnostic Radiology11
- Internal Medicine10
- Pathology8
- Orthopedic Surgery7
- Certified Registered Nurse Anesthetist (CRNA)6
- General Surgery5
- Otolaryngology4
- Radiation Oncology4
- Emergency Medicine4
Doctors with a page on this site (140)
- Aaron FrankeInternal Medicine
- Aaron R. Huber, MDPathology
- Adam H. Milton, CNACertified Registered Nurse Anesthetist (CRNA)
- Alex J. Rugino, DONeurosurgery
- Alyssa Worcester, PAPhysician Assistant
- Amie Schillinger, PAPhysician Assistant
- Anastasios Saliaris, MDCardiac Electrophysiology
- Andrew Roberts, DOFamily Practice
- Berna R. Demalignon, MDRadiation Oncology
- Blaine G. White, PAPhysician Assistant
- Brandon Allen, CNACertified Registered Nurse Anesthetist (CRNA)
- Brett D. Macadam, MDDiagnostic Radiology
- Brett R. Bennion, MDOtolaryngology
- Brian Rau, MDDiagnostic Radiology
- Brit L. Nyby, PAPhysician Assistant
- Brittany Blount, PAPhysician Assistant
- Bruce A. Gardner, MDDiagnostic Radiology
- Byron E. Wright, MDGeneral Surgery
- Caitlin M. Re, NPNurse Practitioner
- Carine Basmadjian, MDCardiovascular Disease (Cardiology)
- Carlos Trevino, MDFamily Practice
- Casey Cotton, DODiagnostic Radiology
- Chad Pedersen, MDMedical Oncology
- Charles S. Needham, MDThoracic Surgery
And 116 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Roosevelt Medical Center34 mi · Culbertson, MT · Critical Access Hospital
- CHI St Alexius Health Williston39 mi · Williston, ND · Critical Access Hospital
- McKenzie County Healthcare Systems Inc42 mi · Watford City, ND · Critical Access Hospital
- Glendive Medical Center48 mi · Glendive, MT · Critical Access Hospital
- Poplar Community Hospital55 mi · Poplar, MT · Critical Access Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Sidney
- McCone County Health Center69 mi · Circle, MT · Critical Access Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Sidney Health Center Extended Care0.2 mi · Sidney, MT · 1 of 5 stars
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
- Ag Worker Health & Services11 mi · Fairview, MT · Community health center
Clinics and urgent care
- Mondak Clinic13 mi · Fairview, MT · Rural health clinic
Pharmacies
- Sidney Health Center8.4 mi · Sidney, MT · Community/retail pharmacy
- White Drug Enterprises Inc8.4 mi · Sidney, MT · Community/retail pharmacy
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Sidney Health Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 4 of 5 stars |
|---|---|
| Overall rating of the hospital | 4 of 5 stars |
| Would recommend the hospital | 5 of 5 stars |
| Nurses communicated well | 5 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Patients got help quickly from staff | 5 of 5 stars |
| Staff explained medicines | 4 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Restfulness of Environment | 5 of 5 stars |
| Care Coordination | 4 of 5 stars |
| Symptoms After Stay | 4 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 77%National average: 72% |
| Would definitely recommend the hospital | 80%National average: 71% |
| Nurses “always” communicated well | 83%National average: 80% |
| Doctors “always” communicated well | 80%National average: 80% |
| “Always” got help as soon as they wanted | 73%National average: 64% |
| Staff “always” explained medicines before giving them | 67%National average: 62% |
| Were given information about recovery at home | 88%National average: 86% |
| Room and bathroom “always” clean | 73%National average: 73% |
| Completed surveys | 259Response rate: 30% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart failure patients | 10.4% |
|---|---|
| Deaths within 30 days: pneumonia patients | 15.7% |
| Deaths within 30 days: COPD patients | 9.6% |
| Complications after hip or knee replacement | 4.2% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90) |
| Too few cases to report | Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 16.3% |
|---|---|
| Readmitted within 30 days: pneumonia | 17.2% |
| Readmitted within 30 days: hip or knee replacement | 5.9% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Low (under 20,000) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 152 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 2%National average: 2% |
| Not reported to Medicare | Sepsis patients who got all the recommended early care (SEP-1) |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
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 82 common services exactly as Sidney Health 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 82 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL III | $302 | $187 | $274.82 – $302 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99203 FAC OFFICE OP VISIT NEW PT LEVEL III | $121 | $74.93 | $110.11 – $121 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL III | $302 | $187 | $274.82 – $302 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV | $416 | $257.59 | $378.56 – $416 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99204 FAC OFFICE OP VISIT NEW PT LEVEL IV | $166 | $102.79 | $151.06 – $166 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV | $416 | $257.59 | $378.56 – $416 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V | $522 | $323.23 | $475.02 – $522 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99205 FAC OFFICE OP VISIT NEW PT LEVEL V | $209 | $129.42 | $190.19 – $209 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V | $522 | $323.23 | $475.02 – $522 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL III | $187 | $115.80 | $170.17 – $187 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99213 FAC OFFICE OP VISIT EST PT LEVEL III | $75 | $46.44 | $68.25 – $75 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99213 FAC OFFICE OP VISIT EST PT LEVEL III W PROC M25 | $75 | $46.44 | $68.25 – $75 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL IV | $273 | $169.05 | $248.43 – $273 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99214 FAC OFFICE OP VISIT EST PT LEVEL IV | $109 | $67.50 | $99.19 – $109 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99214 FAC OFFICE OP VISIT EST PT LEVEL IV W PROC M25 | $109 | $67.50 | $99.19 – $109 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN | $420 | $260.07 | $382.20 – $420 |
Office consultation with a specialist (moderate): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN | $420 | $260.07 | $382.20 – $420 |
Office consultation with a specialist (moderate): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99243 OFFICE OP CONSULT NEW/EST LOW MDM 30 MIN | $420 | $260.07 | $399 |
Office consultation with a specialist (moderate): rates for 1 insurance plan
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP CONSULT NEW/EST MOD MDM 40 MIN | $579 | $358.52 | $526.89 – $579 |
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP CONSULT NEW/EST MOD MDM 40 MIN | $579 | $358.52 | $526.89 – $579 |
Office consultation with a specialist (moderate to high): rates for 10 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99244 OFFICE OP CONSULT NEW/EST MOD MDM 40 MIN | $655 | $405.58 | $622.25 |
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 18-39 Y O | $381 | $235.92 | $346.71 – $381 |
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DOT PX NEW PT 18-39YR | $100 | $61.92 | $91 – $100 |
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMPLOYMENT PX NEW PT 18-39YR | $100 | $61.92 | $91 – $100 |
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 40-64 Y O | $409 | $253.26 | $372.19 – $409 |
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DOT PX NEW PT 40-64YR | $100 | $61.92 | $91 – $100 |
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMPLOYMENT PX NEW PT 40-64YR | $100 | $61.92 | $91 – $100 |
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III | $521 | $322.61 | $474.11 – $521 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III | $521 | $322.61 | $474.11 – $521 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99283 EMERGENCY DEPT VISIT LVL III | $308 | $190.72 | $64.97 – $292.60 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV | $660 | $408.68 | $600.60 – $660 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV | $660 | $408.68 | $600.60 – $660 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99284 EMERGENCY DEPT VISIT LVL IV | $460 | $284.84 | $110.84 – $437 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V | $1,000 | $619.20 | $910 – $1,000 |
Emergency room visit (high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V | $1,000 | $619.20 | $910 – $1,000 |
Emergency room visit (high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99285 EMERGENCY DEPT VISIT LVL V | $849 | $525.71 | $160.72 – $806.55 |
Emergency room visit (high): rates for 10 insurance plans
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048 | $116 | $71.83 | $105.56 – $116 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048 | $116 | $71.83 | $105.56 – $116 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053 | $150 | $92.88 | $136.50 – $150 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053 | $150 | $92.88 | $136.50 – $150 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055 | $340 | $210.53 | $309.40 – $340 |
Obstetric blood test panel: rates for 10 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055 | $340 | $210.53 | $309.40 – $340 |
Obstetric blood test panel: rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061 | $119 | $73.69 | $108.29 – $119 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061 | $119 | $73.69 | $108.29 – $119 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069 | $76 | $47.06 | $69.16 – $76 |
Kidney function panel: rates for 10 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069 | $76 | $47.06 | $69.16 – $76 |
Kidney function panel: rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076 | $113 | $69.97 | $102.83 – $113 |
Liver function panel: rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076 | $113 | $69.97 | $102.83 – $113 |
Liver function panel: rates for 10 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE | $30 | $18.58 | $27.30 – $30 |
Urine test (automated, with microscope): rates for 10 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001 | $46 | $28.49 | $41.86 – $46 |
Urine test (automated, with microscope): rates for 10 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE | $30 | $18.58 | $27.30 – $30 |
Urine test (automated, with microscope): rates for 10 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIP STICK TABLET REAGENT NON-AUTOMATED WO MICROSCOPY | $21 | $13.01 | $19.11 – $21 |
Urine test (manual, without microscope): rates for 10 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB UA DIPSTK NONAU W/O MICRO 81002 | $30 | $18.58 | $27.30 – $30 |
Urine test (manual, without microscope): rates for 10 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002 | $30 | $18.58 | $27.30 – $30 |
Urine test (manual, without microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS MACROSCOPIC | $20 | $12.39 | $18.20 – $20 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003 | $22 | $13.63 | $20.02 – $22 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS MACROSCOPIC | $20 | $12.39 | $18.20 – $20 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153 | $94 | $58.21 | $85.54 – $94 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153 | $94 | $58.21 | $85.54 – $94 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443 | $97 | $60.07 | $88.27 – $97 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443 | $97 | $60.07 | $88.27 – $97 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025 | $99 | $61.31 | $90.09 – $99 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025 | $99 | $61.31 | $90.09 – $99 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027 | $46 | $28.49 | $41.86 – $46 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027 | $46 | $28.49 | $41.86 – $46 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT) | $23 | $14.25 | $20.93 – $23 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME 85610 | $40 | $24.77 | $36.40 – $40 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTIME - PROTIME CLINIC 85610 | $40 | $24.77 | $36.40 – $40 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $90 | $55.73 | $81.90 – $90 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG PANEL PTT 85730.900 | $90 | $55.73 | $81.90 – $90 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $90 | $55.73 | $81.90 – $90 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST | $1,200 | $743.04 | $1,092 – $1,200 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST | $1,200 | $743.04 | $1,080 – $1,200 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 70450 CT HEAD WO CONTRAST | $323 | $200.01 | $100.07 – $306.85 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT | $3,109 | $1,925.10 | $2,829.19 – $3,109 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT | $3,109 | $1,925.10 | $2,798.10 – $3,109 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 70553 MRI BRAIN WO W CONT | $1,287 | $796.92 | $298.97 – $1,222.65 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS | $232 | $143.66 | $211.12 – $232 |
Chest X-ray, 2 views: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS | $232 | $143.66 | $208.80 – $232 |
Chest X-ray, 2 views: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 71046 RAD EXAM CHEST 2 VWS | $66 | $40.87 | $31.10 – $62.70 |
Chest X-ray, 2 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS | $474 | $293.51 | $431.34 – $474 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS | $474 | $293.51 | $426.60 – $474 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 72110 SPINE LUMBOSAC MIN4VW | $102 | $63.16 | $48.03 – $96.90 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST | $1,416 | $876.79 | $1,288.56 – $1,416 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST | $1,416 | $876.79 | $1,274.40 – $1,416 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 72148 MRI L SPINE WO CONT | $686 | $424.78 | $179.20 – $651.70 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST | $1,143 | $707.75 | $1,040.13 – $1,143 |
CT scan of the pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST | $1,143 | $707.75 | $1,028.70 – $1,143 |
CT scan of the pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 72193 CT PELVIS W CONTRAST | $364 | $225.39 | $212.45 – $398.82 |
CT scan of the pelvis, with contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST | $1,417 | $877.41 | $1,289.47 – $1,417 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST | $1,417 | $877.41 | $1,275.30 – $1,417 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 73721 MRI LO EXT JT WO | $579 | $358.52 | $190.59 – $550.05 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST | $1,969 | $1,219.21 | $1,791.79 – $1,969 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| 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 | $1,969 | $1,219.21 | $1,772.10 – $1,969 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 74177 CT ABD PELVIS W CONT | $557 | $344.90 | $282.96 – $531.18 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE | $429 | $265.64 | $390.39 – $429 |
Ultrasound of the abdomen, complete: rates for 10 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE | $429 | $265.64 | $386.10 – $429 |
Ultrasound of the abdomen, complete: rates for 10 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 76700 US ABD COMPLETE | $215 | $133.13 | $106.53 – $204.25 |
Ultrasound of the abdomen, complete: rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PREG UTER RLTIME WIMAGE DOC FETAL & MATERNL 1ST TRIMST TRANSABDM S | $360 | $222.92 | $327.60 – $360 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST | $422 | $261.31 | $384.02 – $422 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST | $422 | $261.31 | $379.80 – $422 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL | $457 | $282.98 | $415.87 – $457 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL | $457 | $282.98 | $411.30 – $457 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 76830 US TRANSVAGINAL | $125 | $77.40 | $108.69 – $204.03 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD | $461 | $285.46 | $419.51 – $461 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD | $461 | $285.46 | $414.90 – $461 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 77065 MAMMO DX UNILAT INCL CAD | $125 | $77.40 | $116.08 – $217.91 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD | $551 | $341.18 | $501.41 – $551 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD | $551 | $341.18 | $495.90 – $551 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: PFR 77066 MAMMO DX BILAT INCL CAD | $154 | $95.36 | $146.25 – $274.55 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD | $492 | $304.65 | $447.72 – $492 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52 | $76 | $47.06 | $69.16 – $76 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD | $492 | $304.65 | $442.80 – $492 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM ROUTINE WAT LEAST 12 LEADS WINTERP & REPORT | $60 | $37.16 | $54.60 – $60 |
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM ROUTINE WAT LEAST 12 LEADS WINTERP & REPORT | $60 | $37.16 | $54.60 – $60 |
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 93000 EKG ROUTINE W INT&RPT | $62 | $38.40 | $13.24 – $58.90 |
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $790.07 – $1,483.15 |
Left heart catheterization (diagnostic): rates for 9 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $790.07 – $1,483.15 |
Left heart catheterization (diagnostic): rates for 9 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $790.07 – $1,483.15 |
Left heart catheterization (diagnostic): rates for 9 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ELECTROPHYS EVAL WRIGHT ATRIAL VENTRICULAR PACE RECORDING INSERT CA | $706 | $437.16 | $642.46 – $706 |
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYS EVAL WRIGHT ATRIAL VENTRICULAR PACE RECORDING INSERT CA | $706 | $437.16 | $642.46 – $706 |
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB | Not listed in the file | Not listed in the file | $853.50 – $1,602.22 |
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY SLEEP STAGING W4+ ADDL PARAMETERS ATTENDED | $516 | $319.51 | $469.56 – $516 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS | $3,062 | $1,896 | $2,786.42 – $3,062 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SLEEP STUDY PARTIAL 95810 M52 | $3,062 | $1,896 | $2,786.42 – $3,062 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC PROC 1+ AREAS EACH 15 MIN THERAPEUTIC EXERCISES | $64 | $39.63 | $58.24 – $64 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110 | $110 | $68.12 | $100.10 – $110 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 97110 THERAPEUTIC EXERCISES | $65 | $40.25 | $59.15 – $65 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN | Not listed in the file | Not listed in the file | $93.29 – $175.13 |
Physical therapy evaluation (low complexity): rates for 9 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN | Not listed in the file | Not listed in the file | $93.29 – $175.13 |
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163 | $179 | $110.84 | $162.89 – $179 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | Not listed in the file | Not listed in the file | $93.29 – $175.13 |
Physical therapy evaluation (high complexity): rates for 9 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $117 | $72.45 | $106.47 – $117 |
Psychotherapy, 30 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 16-37 MINUTES | $117 | $72.45 | $106.47 – $117 |
Psychotherapy, 30 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | Not listed in the file | Not listed in the file | $65.58 – $123.11 |
Psychotherapy, 30 minutes: rates for 9 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $157 | $97.22 | $142.87 – $157 |
Psychotherapy, 45 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 38-52 MINUTES | $157 | $97.22 | $142.87 – $157 |
Psychotherapy, 45 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | Not listed in the file | Not listed in the file | $86.52 – $162.42 |
Psychotherapy, 45 minutes: rates for 9 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $165 | $102.17 | $150.15 – $165 |
Psychotherapy, 60 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $165 | $102.17 | $150.15 – $165 |
Psychotherapy, 60 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | Not listed in the file | Not listed in the file | $128.09 – $240.45 |
Psychotherapy, 60 minutes: rates for 9 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (WO PATIENT PRESENT) | $194 | $120.13 | $176.54 – $194 |
Family psychotherapy, without the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (WO PATIENT PRESENT) | $194 | $120.13 | $176.54 – $194 |
Family psychotherapy, without the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90846 FAMILY THERAPY PT NOT | $194 | $120.13 | $93.60 – $184.30 |
Family psychotherapy, without the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WPATIENT PRESENT) | $194 | $120.13 | $176.54 – $194 |
Family psychotherapy, with the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WPATIENT PRESENT) | $194 | $120.13 | $176.54 – $194 |
Family psychotherapy, with the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90847 FAMILY THERAPY | $194 | $120.13 | $97.60 – $184.30 |
Family psychotherapy, with the patient: rates for 10 insurance plans
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY (OTHER THAN MULTIPLE-FAMILY GROUP) | $116 | $71.83 | $105.56 – $116 |
Group psychotherapy: rates for 10 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY (OTHER THAN MULTIPLE-FAMILY GROUP) | $116 | $71.83 | $105.56 – $116 |
Group psychotherapy: rates for 10 insurance plans
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 90853 PSYCHOTHERAPY GROUP | $116 | $71.83 | $23.09 – $110.20 |
Group psychotherapy: rates for 10 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE | $1,647 | $1,019.83 | $1,498.77 – $1,647 |
Removal of breast growth (open surgery): rates for 10 insurance plans
| |||
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC BREAST LESN(S) OPEN MALE FEMALE 1 OR MORE | $1,647 | $1,019.83 | $1,498.77 – $1,647 |
Removal of breast growth (open surgery): rates for 10 insurance plans
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 19120 EXC CYST LSN BREAST | $1,647 | $1,019.83 | $392.88 – $1,564.65 |
Removal of breast growth (open surgery): rates for 10 insurance plans
| |||
| Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROPLASTY ACETABULAR PROXIMAL FEMORAL PROSTHETIC REPLACE WWO AUTOG | $4,866 | $3,013.03 | $4,428.06 – $4,866 |
Total hip replacement: rates for 10 insurance plans
| |||
| Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY ACETABULAR PROXIMAL FEMORAL PROSTHETIC REPLACE WWO AUTOG | $4,866 | $3,013.03 | $4,428.06 – $4,866 |
Total hip replacement: rates for 10 insurance plans
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 27130 ARTHROPL HIP TTL | $4,866 | $3,013.03 | $1,198.65 – $4,622.70 |
Total hip replacement: rates for 10 insurance plans
| |||
| Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL & LAT COMPARTMENTS WWO PAT | $5,197 | $3,217.99 | $4,729.27 – $5,197 |
Total knee replacement: rates for 10 insurance plans
| |||
| Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL & LAT COMPARTMENTS WWO PAT | $5,197 | $3,217.99 | $4,729.27 – $5,197 |
Total knee replacement: rates for 10 insurance plans
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 27447 ARTHROPL KNE TIB FEM | $5,197 | $3,217.99 | $1,197.12 – $4,937.15 |
Total knee replacement: rates for 10 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSCPY SHLDR SURGICAL DECOMPRESSION SUBACROMIAL SPACE WPARTIAL AC | $1,214 | $751.71 | $1,104.74 – $1,214 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCPY SHLDR SURGICAL DECOMPRESSION SUBACROMIAL SPACE WPARTIAL AC | $1,214 | $751.71 | $1,104.74 – $1,214 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 29826 DEC SUBACR SPC SCOPE | $1,214 | $751.71 | $158.57 – $1,153.30 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSCOPY KNEE SURGICAL WMENISCECTOMY MEDIAL LAT WSHAVING | $1,845 | $1,142.43 | $1,678.95 – $1,845 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY KNEE SURGICAL WMENISCECTOMY MEDIAL LAT WSHAVING | $1,845 | $1,142.43 | $1,678.95 – $1,845 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 29881 ARTHROS KNEE MENISCEC | $1,845 | $1,142.43 | $512.35 – $1,752.75 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDECTOMY < AGE 12 | $1,220 | $755.43 | $1,110.20 – $1,220 |
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDECTOMY < AGE 12 | $1,220 | $755.43 | $1,110.20 – $1,220 |
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 42820 TONSILEC ADENOTDECTOMY | $1,220 | $755.43 | $273.72 – $1,159 |
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPR GI ENDOSCOPY DX WWO SPECIMEN COLLECTION BRUSH WASH(SEP PROC) | $932 | $577.10 | $848.12 – $932 |
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPR GI ENDOSCOPY DX WWO SPECIMEN COLLECTION BRUSH WASH(SEP PROC) | $932 | $577.10 | $848.12 – $932 |
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43235 EGD | $932 | $577.10 | $112.38 – $885.40 |
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY WBX SNGL MULTIPLE | $1,142 | $707.13 | $1,039.22 – $1,142 |
Upper GI endoscopy with biopsy: rates for 10 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY WBX SNGL MULTIPLE | $1,142 | $707.13 | $1,039.22 – $1,142 |
Upper GI endoscopy with biopsy: rates for 10 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43239 EGD W BIOPSY | $1,142 | $707.13 | $126.24 – $1,084.90 |
Upper GI endoscopy with biopsy: rates for 10 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO | $1,374 | $850.79 | $1,250.34 – $1,374 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO | $1,374 | $850.79 | $1,250.34 – $1,374 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45378 COLONOSCOPY FLEXIBLE | $1,374 | $850.79 | $168.73 – $1,305.30 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE | $1,048 | $648.93 | $953.68 – $1,048 |
Colonoscopy with biopsy: rates for 10 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE | $1,048 | $648.93 | $953.68 – $1,048 |
Colonoscopy with biopsy: rates for 10 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45380 COLONOSCOPY W BX | $1,048 | $648.93 | $183.51 – $995.60 |
Colonoscopy with biopsy: rates for 10 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE WREMVL LESN SNARE | $1,242 | $769.05 | $1,130.22 – $1,242 |
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE WREMVL LESN SNARE | $1,242 | $769.05 | $1,130.22 – $1,242 |
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45385 COLONOSC W POLYPECT | $1,242 | $769.05 | $231.23 – $1,179.90 |
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WENDOSCOPIC US EXAM | $1,151 | $712.70 | $1,047.41 – $1,151 |
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WENDOSCOPIC US EXAM | $1,151 | $712.70 | $1,047.41 – $1,151 |
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45391 COLONOSCOPY W ULTRASOU | $1,151 | $712.70 | $234.31 – $1,093.45 |
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND | $1,061 | $656.98 | $965.51 – $1,061 |
Screening colonoscopy (not high risk): rates for 10 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND | $1,061 | $656.98 | $965.51 – $1,061 |
Screening colonoscopy (not high risk): rates for 10 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PF G0121 COLON CANC SCR NON-HR | $1,083 | $670.60 | $169.04 – $1,028.85 |
Screening colonoscopy (not high risk): rates for 10 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL CHOLECYSTECTOMY | $2,219 | $1,374.01 | $2,019.29 – $2,219 |
Gallbladder removal by laparoscope: rates for 10 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL CHOLECYSTECTOMY | $2,219 | $1,374.01 | $2,019.29 – $2,219 |
Gallbladder removal by laparoscope: rates for 10 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 47562 LAP CHOLECYSTECTOMY | $2,219 | $1,374.01 | $617.65 – $2,108.05 |
Gallbladder removal by laparoscope: rates for 10 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RPR INITIAL INGUINAL HERNIA AGE 5+ REDUCIBLE | $1,738 | $1,076.17 | $1,581.58 – $1,738 |
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RPR INITIAL INGUINAL HERNIA AGE 5+ REDUCIBLE | $1,738 | $1,076.17 | $1,581.58 – $1,738 |
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 49505 RPR INGUINAL HERNIA>5 | $1,738 | $1,076.17 | $490.79 – $1,651.10 |
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: MPFS | Not listed in the file | Not listed in the file | $118.85 – $223.11 |
Prostate biopsy: rates for 9 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL PROSTATECTOMY RETROPUBIC RADICAL WNERVE SPARING | $5,724 | $3,544.31 | $5,208.84 – $5,724 |
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL PROSTATECTOMY RETROPUBIC RADICAL WNERVE SPARING | $5,724 | $3,544.31 | $5,208.84 – $5,724 |
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 55866 LAPARO RADICAL PROSTAT | $5,724 | $3,544.31 | $1,101.05 – $5,437.80 |
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY SURGICAL WENDOMETRIAL BX & OR POLYPECTOMY WWO D&C | $2,057 | $1,273.70 | $1,871.87 – $2,057 |
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY SURGICAL WENDOMETRIAL BX & OR POLYPECTOMY WWO D&C | $2,057 | $1,273.70 | $1,871.87 – $2,057 |
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 58558 HYSTEROSCOPY WBIOPSY | $1,359 | $841.50 | $213.68 – $1,291.05 |
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC WITH IMAGING GUIDANCE | $704 | $435.92 | $640.64 – $704 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $270 | $167.19 | $245.70 – $270 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ INTERLAMINAR LMBR/SAC WITH IMAGING GUIDANCE | $704 | $435.92 | $640.64 – $704 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ ANESTHETC STEROID TRANSFORAMINAL EPIDURAL LUMBAR SACRAL SNGL LEVEL | $725 | $448.92 | $659.75 – $725 |
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $186 | $115.18 | $169.26 – $186 |
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ ANESTHETC STEROID TRANSFORAMINAL EPIDURAL LUMBAR SACRAL SNGL LEVEL | $725 | $448.92 | $659.75 – $725 |
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
| |||
| Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEUROPLASTY & OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL | $1,459 | $903.42 | $1,327.69 – $1,459 |
Carpal tunnel release: rates for 10 insurance plans
| |||
| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY & OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL | $1,459 | $903.42 | $1,327.69 – $1,459 |
Carpal tunnel release: rates for 10 insurance plans
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 64721 CARPAL TUNNEL RELEASE | $1,459 | $903.42 | $415.36 – $1,386.05 |
Carpal tunnel release: rates for 10 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DISCISSION SECONDARY MEMBRANOUS CATARACT LASER (1+ STAGES) | $1,046 | $647.69 | $951.86 – $1,046 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DISCISSION SECONDARY MEMBRANOUS CATARACT LASER (1+ STAGES) | $1,046 | $647.69 | $951.86 – $1,046 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 66821 DISCIS CATARACT LSR | $1,046 | $647.69 | $284.50 – $993.70 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMVL WINSERT LENS PROSTHESIS (1 STAGE) | $3,145 | $1,947.39 | $2,861.95 – $3,145 |
Cataract removal with lens implant: rates for 10 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMVL WINSERT LENS PROSTHESIS (1 STAGE) | $3,145 | $1,947.39 | $2,861.95 – $3,145 |
Cataract removal with lens implant: rates for 10 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 66984 ECCR WIOL INS 1STAGE | $3,145 | $1,947.39 | $496.64 – $2,987.75 |
Cataract removal with lens implant: rates for 10 insurance plans
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE ANTEPARTUM CARE VAGINAL DELIVERY & POSTPARTUM | $6,890 | $4,266.29 | $6,269.90 – $6,890 |
Vaginal delivery, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE ANTEPARTUM CARE VAGINAL DELIVERY & POSTPARTUM | $6,890 | $4,266.29 | $6,269.90 – $6,890 |
Vaginal delivery, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 59400 DEL VAG ANT PP CARE | $6,890 | $4,266.29 | $2,242.13 – $6,545.50 |
Vaginal delivery, with care before and after: rates for 10 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE WANTEPARTUM CARE CESAREAN DELIVERY & POSTPARTU | $6,830 | $4,229.14 | $6,215.30 – $6,830 |
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE WANTEPARTUM CARE CESAREAN DELIVERY & POSTPARTU | $6,830 | $4,229.14 | $6,215.30 – $6,830 |
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 59510 ROUTINE OB CARE WANT | $6,830 | $4,229.14 | $2,490.60 – $6,488.50 |
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE VAGINAL DELIVERY WANTEPARTUM POSTPARTUM CARE P | $5,540 | $3,430.37 | $5,041.40 – $5,540 |
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ROUTINE OBSTETRIC CARE VAGINAL DELIVERY WANTEPARTUM POSTPARTUM CARE P | $5,540 | $3,430.37 | $5,041.40 – $5,540 |
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 59610 ROUTINE OB CAR WANT | $5,540 | $3,430.37 | $2,348.66 – $5,263 |
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
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Source: Sidney Health Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Critical Access Hospital |
|---|---|
| Address | 216 14th Ave SW, Sidney, MT 59270 |
| County | Richland County |
| State | Montana |
| Phone | (406) 488‑2100 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 3 of 5 stars |
| CMS Certification Number | 271344 |
| Name in Medicare records | SIDNEY HEALTH CENTER |
| Profile level | Medicare data + hospital website |
| Official website | sidneyhealth.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Services - Sidney Health Center — sidneyhealth.org
- Non-discrimination Policy — sidneyhealth.org
- Emergency Department — sidneyhealth.org
- MonDak Visiting Nurse — sidneyhealth.org
- Public Safety Program — sidneyhealth.org
- General Surgery — sidneyhealth.org
- Orthopedic Medicine — sidneyhealth.org
- Radiology Services — sidneyhealth.org
- Surgery — sidneyhealth.org
- Cardiac Rehabilitation — sidneyhealth.org
- Rehabilitation Services — sidneyhealth.org
- Sleep Center — sidneyhealth.org
- Women's Health — sidneyhealth.org