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Acute Care Hospital

Singing River Health System

Also listed as: Pascagoula Hospital (Singing River Health System)

Pascagoula, Mississippi · Jackson County · Emergency services listed

Singing River Health System is an acute care hospital at 2809 Denny Av, Pascagoula, MS 39581. Phone: (228) 809-5000. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

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

Summary

Singing River Health System is an acute care hospital in Pascagoula, Mississippi. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 10 services, specialties and programs. Medicare lists 575 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
435Beds (hospital website)
10Services listed

Quick answers

Does Singing River Health System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Singing River Health System. In a medical emergency, call 911.
Where is Singing River Health System?
2809 Denny Av, Pascagoula, MS 39581, in Jackson County, Mississippi.
What is the phone number of Singing River Health System?
(228) 809-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Singing River Health System?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Singing River Health System for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Singing River Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1287; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

  • General medical and surgical services
  • Cancer care (Regional Cancer Center)
  • Women's and children's services
  • Rehabilitation (inpatient and outpatient)
  • Behavioral health (inpatient and outpatient)
  • Radiology

Treatments[4]

Procedures[4]

  • Ambulatory surgery

Programs and centers[4]

  • Comprehensive Rehabilitation Center
  • Intensive care units (medical, surgical, neuro)

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III

Recognition[4]

  • ACC Chest Pain - MI Registry Platinum Performance Achievement Award (2026)

Doctors and clinicians (575)

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

Main specialties

Doctors with a page on this site (575)

And 551 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Pascagoula

Hospitals in Jackson County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well79%National average: 80%
“Always” got help as soon as they wanted59%National average: 64%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean68%National average: 73%
Completed surveys902Response rate: 15%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.893No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.543No different from the national benchmark
Surgical site infections after colon surgery0.322No different from the national benchmark
Surgical site infections after abdominal hysterectomy2.247No different from the national benchmark
MRSA bloodstream infections0.726No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.478No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients14.2%
Deaths within 30 days: heart failure patients15%
Deaths within 30 days: pneumonia patients20.8%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients13.7%
Deaths within 30 days: coronary bypass surgery (CABG)2.2%
Serious complications (patient safety indicator PSI-90)1.01No different from the national rate
Complications after hip or knee replacement3.9%

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)15.9%
Readmitted within 30 days: heart attack14.4%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD21.3%
Readmitted within 30 days: coronary bypass surgery10%
Readmitted within 30 days: hip or knee replacement5.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)174 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)9%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)75%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1287Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack1.0811More readmissions than expected
Heart failure1.1187More readmissions than expected
Pneumonia1.0002More readmissions than expected
COPD (chronic lung disease)1.0484More readmissions than expected
Hip or knee replacement1.0350More readmissions than expected
Coronary bypass surgery (CABG)0.9685Fewer readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score20.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)8.33 out of 100
Person and community engagement (patient survey)34.00 out of 100
Safety (infections and sepsis care)38.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.01Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Singing River Health System 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 75 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN $732 $146.40 $68.32 – $129.81
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • 90 Degree Benefits — Commercial: $129.81
  • Aetna — Medicare Advantage: $69.69
  • Ambetter — Exchange Commercial: $102.48
  • Blue Cross Blue Shield — Medicare Advantage: $70.37
  • Cigna — Medicare Advantage: $68.32
  • Humana — Medicare Advantage: $69.69
  • Mississippi Physicians Care Network — Commercial: $122.98
  • Molina Healthcare of MS — Commercial: $109.31
  • Optum — Veteran Affairs: $68.32
  • Shared Health — Medicare Advantage: $71.74
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN $871 $174.20 $111.75 – $212.32
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • 90 Degree Benefits — Commercial: $212.32
  • Aetna — Medicare Advantage: $113.98
  • Ambetter — Exchange Commercial: $167.62
  • Blue Cross Blue Shield — Medicare Advantage: $115.10
  • Cigna — Medicare Advantage: $111.75
  • Humana — Medicare Advantage: $113.98
  • Mississippi Physicians Care Network — Commercial: $201.15
  • Molina Healthcare of MS — Commercial: $178.80
  • Optum — Veteran Affairs: $111.75
  • Shared Health — Medicare Advantage: $117.34
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN $984 $196.80 $152.82 – $290.36
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • 90 Degree Benefits — Commercial: $290.36
  • Aetna — Medicare Advantage: $155.88
  • Ambetter — Exchange Commercial: $229.23
  • Blue Cross Blue Shield — Medicare Advantage: $157.40
  • Cigna — Medicare Advantage: $152.82
  • Humana — Medicare Advantage: $155.88
  • Mississippi Physicians Care Network — Commercial: $275.08
  • Molina Healthcare of MS — Commercial: $244.51
  • Optum — Veteran Affairs: $152.82
  • Shared Health — Medicare Advantage: $160.46
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $674 $134.80 $55.13 – $104.75
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • 90 Degree Benefits — Commercial: $104.75
  • Aetna — Medicare Advantage: $56.23
  • Ambetter — Exchange Commercial: $82.70
  • Blue Cross Blue Shield — Medicare Advantage: $56.78
  • Cigna — Medicare Advantage: $55.13
  • Humana — Medicare Advantage: $56.23
  • Mississippi Physicians Care Network — Commercial: $99.23
  • Molina Healthcare of MS — Commercial: $88.21
  • Optum — Veteran Affairs: $55.13
  • Shared Health — Medicare Advantage: $57.89
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $816 $163.20 $81.10 – $154.09
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • 90 Degree Benefits — Commercial: $154.09
  • Aetna — Medicare Advantage: $82.72
  • Ambetter — Exchange Commercial: $121.65
  • Blue Cross Blue Shield — Medicare Advantage: $83.53
  • Cigna — Medicare Advantage: $81.10
  • Humana — Medicare Advantage: $82.72
  • Mississippi Physicians Care Network — Commercial: $145.98
  • Molina Healthcare of MS — Commercial: $129.76
  • Optum — Veteran Affairs: $81.10
  • Shared Health — Medicare Advantage: $85.16
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 $435 $87 Not listed in the file
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • Aetna — Commercial: 52% (a percentage in the contract, not a dollar amount)
  • First Choice — Commercial: 34% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 34% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 $480 $96 Not listed in the file
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
  • Aetna — Commercial: 52% (a percentage in the contract, not a dollar amount)
  • First Choice — Commercial: 34% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 34% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,151 $430.20 $234.20 – $1,336
Emergency room visit (moderate): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,190
  • Aetna — Commercial: $1,327
  • Aetna — Medicare Advantage: $238.88
  • Ambetter — Exchange Commercial: $351.30
  • Blue Cross Blue Shield — Medicare Advantage: $241.23
  • Cigna — Commercial: $1,314
  • Cigna — Medicare Advantage: $234.20
  • Humana — Medicare Advantage: $238.88
  • Mississippi Physicians Care Network — Commercial: $421.56
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_ET In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,151 $430.20 $234.20 – $1,336
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,190
  • Aetna — Commercial: $1,327
  • Aetna — Medicare Advantage: $238.88
  • Ambetter — Exchange Commercial: $351.30
  • Blue Cross Blue Shield — Medicare Advantage: $241.23
  • Cigna — Commercial: $1,314
  • Cigna — Medicare Advantage: $234.20
  • Humana — Medicare Advantage: $238.88
  • Mississippi Physicians Care Network — Commercial: $421.56
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $2,151 $430.20 $234.20 – $1,336
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,190
  • Aetna — Commercial: $1,327
  • Aetna — Medicare Advantage: $238.88
  • Ambetter — Exchange Commercial: $351.30
  • Blue Cross Blue Shield — Medicare Advantage: $241.23
  • Cigna — Commercial: $1,314
  • Cigna — Medicare Advantage: $234.20
  • Humana — Medicare Advantage: $238.88
  • Mississippi Physicians Care Network — Commercial: $421.56
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,335 $467 $357.99 – $4,578
Emergency room visit (moderately high): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,550
  • Aetna — Commercial: $4,578
  • Aetna — Medicare Advantage: $365.15
  • Ambetter — Exchange Commercial: $536.98
  • Blue Cross Blue Shield — Medicare Advantage: $368.73
  • Cigna — Commercial: $1,732
  • Cigna — Medicare Advantage: $357.99
  • Humana — Medicare Advantage: $365.15
  • Mississippi Physicians Care Network — Commercial: $644.38
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,335 $467 $357.99 – $4,578
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,550
  • Aetna — Commercial: $4,578
  • Aetna — Medicare Advantage: $365.15
  • Ambetter — Exchange Commercial: $536.98
  • Blue Cross Blue Shield — Medicare Advantage: $368.73
  • Cigna — Commercial: $1,732
  • Cigna — Medicare Advantage: $357.99
  • Humana — Medicare Advantage: $365.15
  • Mississippi Physicians Care Network — Commercial: $644.38
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,335 $467 $357.99 – $4,578
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,550
  • Aetna — Commercial: $4,578
  • Aetna — Medicare Advantage: $365.15
  • Ambetter — Exchange Commercial: $536.98
  • Blue Cross Blue Shield — Medicare Advantage: $368.73
  • Cigna — Commercial: $1,732
  • Cigna — Medicare Advantage: $357.99
  • Humana — Medicare Advantage: $365.15
  • Mississippi Physicians Care Network — Commercial: $644.38
  • Molina Healthcare of MS — Commercial: $750
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,098 $819.60 $510.92 – $6,346
Emergency room visit (high): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,735
  • Aetna — Commercial: $6,346
  • Aetna — Medicare Advantage: $521.14
  • Ambetter — Exchange Commercial: $766.38
  • Blue Cross Blue Shield — Medicare Advantage: $526.25
  • Cigna — Medicare Advantage: $510.92
  • Humana — Medicare Advantage: $521.14
  • Mississippi Physicians Care Network — Commercial: $919.66
  • Molina Healthcare of MS — Commercial: $750
  • Optum — Veteran Affairs: $510.92
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_ET In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,098 $819.60 $510.92 – $6,346
Emergency room visit (high): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,735
  • Aetna — Commercial: $6,346
  • Aetna — Medicare Advantage: $521.14
  • Ambetter — Exchange Commercial: $766.38
  • Blue Cross Blue Shield — Medicare Advantage: $526.25
  • Cigna — Medicare Advantage: $510.92
  • Humana — Medicare Advantage: $521.14
  • Mississippi Physicians Care Network — Commercial: $919.66
  • Molina Healthcare of MS — Commercial: $750
  • Optum — Veteran Affairs: $510.92
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,098 $819.60 $510.92 – $6,346
Emergency room visit (high): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,735
  • Aetna — Commercial: $6,346
  • Aetna — Medicare Advantage: $521.14
  • Ambetter — Exchange Commercial: $766.38
  • Blue Cross Blue Shield — Medicare Advantage: $526.25
  • Cigna — Medicare Advantage: $510.92
  • Humana — Medicare Advantage: $521.14
  • Mississippi Physicians Care Network — Commercial: $919.66
  • Molina Healthcare of MS — Commercial: $750
  • Optum — Veteran Affairs: $510.92

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $101 $20.20 $8.46 – $16.07
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $16.07
  • Aetna — Commercial: $15.48
  • Aetna — Medicare Advantage: $8.63
  • Ambetter — Exchange Commercial: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $8.71
  • Cigna — Medicare Advantage: $8.46
  • Humana — Medicare Advantage: $8.63
  • Mississippi Physicians Care Network — Commercial: $15.23
  • Molina Healthcare of MS — Commercial: $13.54
  • Optum — Veteran Affairs: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $1,088 $217.60 $8.46 – $16.07
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $16.07
  • Aetna — Commercial: $15.48
  • Aetna — Medicare Advantage: $8.63
  • Ambetter — Exchange Commercial: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $8.71
  • Cigna — Medicare Advantage: $8.46
  • Humana — Medicare Advantage: $8.63
  • Mississippi Physicians Care Network — Commercial: $15.23
  • Molina Healthcare of MS — Commercial: $13.54
  • Optum — Veteran Affairs: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $1,088 $217.60 $8.46 – $16.07
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $16.07
  • Aetna — Medicare Advantage: $8.63
  • Ambetter — Exchange Commercial: $12.69
  • Blue Cross Blue Shield — Medicare Advantage: $8.71
  • Cigna — Medicare Advantage: $8.46
  • Humana — Medicare Advantage: $8.63
  • Mississippi Physicians Care Network — Commercial: $15.23
  • Molina Healthcare of MS — Commercial: $13.54
  • Optum — Veteran Affairs: $8.46
  • Shared Health — Medicare Advantage: $8.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $123 $24.60 $10.56 – $20.06
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $20.06
  • Aetna — Commercial: $19.32
  • Aetna — Medicare Advantage: $10.77
  • Ambetter — Exchange Commercial: $15.84
  • Blue Cross Blue Shield — Medicare Advantage: $10.88
  • Cigna — Medicare Advantage: $10.56
  • Humana — Medicare Advantage: $10.77
  • Mississippi Physicians Care Network — Commercial: $19.01
  • Molina Healthcare of MS — Commercial: $16.90
  • Optum — Veteran Affairs: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $1,784 $356.80 $10.56 – $20.06
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $20.06
  • Aetna — Commercial: $19.32
  • Aetna — Medicare Advantage: $10.77
  • Ambetter — Exchange Commercial: $15.84
  • Blue Cross Blue Shield — Medicare Advantage: $10.88
  • Cigna — Medicare Advantage: $10.56
  • Humana — Medicare Advantage: $10.77
  • Mississippi Physicians Care Network — Commercial: $19.01
  • Molina Healthcare of MS — Commercial: $16.90
  • Optum — Veteran Affairs: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $1,784 $356.80 $10.56 – $20.06
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $20.06
  • Aetna — Medicare Advantage: $10.77
  • Ambetter — Exchange Commercial: $15.84
  • Blue Cross Blue Shield — Medicare Advantage: $10.88
  • Cigna — Medicare Advantage: $10.56
  • Humana — Medicare Advantage: $10.77
  • Mississippi Physicians Care Network — Commercial: $19.01
  • Molina Healthcare of MS — Commercial: $16.90
  • Optum — Veteran Affairs: $10.56
  • Shared Health — Medicare Advantage: $11.09
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $588 $117.60 $47.81 – $90.84
Obstetric blood test panel: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $90.84
  • Aetna — Commercial: $87.49
  • Aetna — Medicare Advantage: $48.77
  • Ambetter — Exchange Commercial: $71.72
  • Blue Cross Blue Shield — Medicare Advantage: $49.24
  • Cigna — Medicare Advantage: $47.81
  • Humana — Medicare Advantage: $48.77
  • Mississippi Physicians Care Network — Commercial: $86.06
  • Molina Healthcare of MS — Commercial: $76.50
  • Optum — Veteran Affairs: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $117 $23.40 $13.39 – $25.44
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $25.44
  • Aetna — Commercial: $24.50
  • Aetna — Medicare Advantage: $13.66
  • Ambetter — Exchange Commercial: $20.08
  • Blue Cross Blue Shield — Medicare Advantage: $13.79
  • Cigna — Medicare Advantage: $13.39
  • Humana — Medicare Advantage: $13.66
  • Mississippi Physicians Care Network — Commercial: $24.10
  • Molina Healthcare of MS — Commercial: $21.42
  • Optum — Veteran Affairs: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $1,504 $300.80 $13.39 – $25.44
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $25.44
  • Aetna — Commercial: $24.50
  • Aetna — Medicare Advantage: $13.66
  • Ambetter — Exchange Commercial: $20.08
  • Blue Cross Blue Shield — Medicare Advantage: $13.79
  • Cigna — Medicare Advantage: $13.39
  • Humana — Medicare Advantage: $13.66
  • Mississippi Physicians Care Network — Commercial: $24.10
  • Molina Healthcare of MS — Commercial: $21.42
  • Optum — Veteran Affairs: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $111 $22.20 $8.68 – $16.49
Kidney function panel: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $16.49
  • Aetna — Commercial: $15.88
  • Aetna — Medicare Advantage: $8.85
  • Ambetter — Exchange Commercial: $13.02
  • Blue Cross Blue Shield — Medicare Advantage: $8.94
  • Cigna — Medicare Advantage: $8.68
  • Humana — Medicare Advantage: $8.85
  • Mississippi Physicians Care Network — Commercial: $15.62
  • Molina Healthcare of MS — Commercial: $13.89
  • Optum — Veteran Affairs: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $1,399 $279.80 $8.68 – $16.49
Kidney function panel: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $16.49
  • Aetna — Commercial: $15.88
  • Aetna — Medicare Advantage: $8.85
  • Ambetter — Exchange Commercial: $13.02
  • Blue Cross Blue Shield — Medicare Advantage: $8.94
  • Cigna — Medicare Advantage: $8.68
  • Humana — Medicare Advantage: $8.85
  • Mississippi Physicians Care Network — Commercial: $15.62
  • Molina Healthcare of MS — Commercial: $13.89
  • Optum — Veteran Affairs: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $1,776 $355.20 $8.17 – $15.52
Liver function panel: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $15.52
  • Aetna — Commercial: $14.95
  • Aetna — Medicare Advantage: $8.33
  • Ambetter — Exchange Commercial: $12.26
  • Blue Cross Blue Shield — Medicare Advantage: $8.42
  • Cigna — Medicare Advantage: $8.17
  • Humana — Medicare Advantage: $8.33
  • Mississippi Physicians Care Network — Commercial: $14.71
  • Molina Healthcare of MS — Commercial: $13.07
  • Optum — Veteran Affairs: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $117 $23.40 $8.17 – $15.52
Liver function panel: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $15.52
  • Aetna — Commercial: $14.95
  • Aetna — Medicare Advantage: $8.33
  • Ambetter — Exchange Commercial: $12.26
  • Blue Cross Blue Shield — Medicare Advantage: $8.42
  • Cigna — Medicare Advantage: $8.17
  • Humana — Medicare Advantage: $8.33
  • Mississippi Physicians Care Network — Commercial: $14.71
  • Molina Healthcare of MS — Commercial: $13.07
  • Optum — Veteran Affairs: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $832 $166.40 $3.17 – $6.02
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $6.02
  • Aetna — Commercial: $5.80
  • Aetna — Medicare Advantage: $3.23
  • Ambetter — Exchange Commercial: $4.75
  • Blue Cross Blue Shield — Medicare Advantage: $3.27
  • Cigna — Medicare Advantage: $3.17
  • Humana — Medicare Advantage: $3.23
  • Mississippi Physicians Care Network — Commercial: $5.71
  • Molina Healthcare of MS — Commercial: $5.07
  • Optum — Veteran Affairs: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $30 $6 $3.17 – $6.02
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $6.02
  • Aetna — Commercial: $5.80
  • Aetna — Medicare Advantage: $3.23
  • Ambetter — Exchange Commercial: $4.76
  • Blue Cross Blue Shield — Medicare Advantage: $3.27
  • Cigna — Medicare Advantage: $3.17
  • Humana — Medicare Advantage: $3.23
  • Mississippi Physicians Care Network — Commercial: $5.71
  • Molina Healthcare of MS — Commercial: $5.07
  • Optum — Veteran Affairs: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $832 $166.40 $3.17 – $6.02
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $6.02
  • Aetna — Medicare Advantage: $3.23
  • Ambetter — Exchange Commercial: $4.75
  • Blue Cross Blue Shield — Medicare Advantage: $3.27
  • Cigna — Medicare Advantage: $3.17
  • Humana — Medicare Advantage: $3.23
  • Mississippi Physicians Care Network — Commercial: $5.71
  • Molina Healthcare of MS — Commercial: $5.07
  • Optum — Veteran Affairs: $3.17
  • Shared Health — Medicare Advantage: $3.33
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $83 $16.60 $3.48 – $6.61
Urine test (manual, without microscope): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $6.61
  • Aetna — Commercial: $6.37
  • Aetna — Medicare Advantage: $3.55
  • Ambetter — Exchange Commercial: $5.22
  • Blue Cross Blue Shield — Medicare Advantage: $3.58
  • Cigna — Medicare Advantage: $3.48
  • Humana — Medicare Advantage: $3.55
  • Mississippi Physicians Care Network — Commercial: $6.26
  • Molina Healthcare of MS — Commercial: $5.57
  • Optum — Veteran Affairs: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $27 $5.40 $2.25 – $4.28
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $4.28
  • Aetna — Commercial: $4.12
  • Aetna — Medicare Advantage: $2.30
  • Ambetter — Exchange Commercial: $3.38
  • Blue Cross Blue Shield — Medicare Advantage: $2.32
  • Cigna — Medicare Advantage: $2.25
  • Humana — Medicare Advantage: $2.30
  • Mississippi Physicians Care Network — Commercial: $4.05
  • Molina Healthcare of MS — Commercial: $3.60
  • Optum — Veteran Affairs: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $348 $69.60 $2.25 – $4.28
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $4.28
  • Aetna — Commercial: $4.12
  • Aetna — Medicare Advantage: $2.30
  • Ambetter — Exchange Commercial: $3.38
  • Blue Cross Blue Shield — Medicare Advantage: $2.32
  • Cigna — Medicare Advantage: $2.25
  • Humana — Medicare Advantage: $2.30
  • Mississippi Physicians Care Network — Commercial: $4.05
  • Molina Healthcare of MS — Commercial: $3.60
  • Optum — Veteran Affairs: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $278 $55.60 $18.39 – $34.94
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $34.94
  • Aetna — Commercial: $33.65
  • Aetna — Medicare Advantage: $18.76
  • Ambetter — Exchange Commercial: $27.58
  • Blue Cross Blue Shield — Medicare Advantage: $18.94
  • Cigna — Medicare Advantage: $18.39
  • Humana — Medicare Advantage: $18.76
  • Mississippi Physicians Care Network — Commercial: $33.10
  • Molina Healthcare of MS — Commercial: $29.42
  • Optum — Veteran Affairs: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $823 $164.60 $18.39 – $34.94
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $34.94
  • Aetna — Commercial: $33.65
  • Aetna — Medicare Advantage: $18.76
  • Ambetter — Exchange Commercial: $27.58
  • Blue Cross Blue Shield — Medicare Advantage: $18.94
  • Cigna — Medicare Advantage: $18.39
  • Humana — Medicare Advantage: $18.76
  • Mississippi Physicians Care Network — Commercial: $33.10
  • Molina Healthcare of MS — Commercial: $29.42
  • Optum — Veteran Affairs: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $823 $164.60 $18.39 – $34.94
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $34.94
  • Aetna — Medicare Advantage: $18.76
  • Ambetter — Exchange Commercial: $27.58
  • Blue Cross Blue Shield — Medicare Advantage: $18.94
  • Cigna — Medicare Advantage: $18.39
  • Humana — Medicare Advantage: $18.76
  • Mississippi Physicians Care Network — Commercial: $33.10
  • Molina Healthcare of MS — Commercial: $29.42
  • Optum — Veteran Affairs: $18.39
  • Shared Health — Medicare Advantage: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $44 $8.80 $16.80 – $31.92
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $31.92
  • Aetna — Commercial: $30.74
  • Aetna — Medicare Advantage: $17.14
  • Ambetter — Exchange Commercial: $25.20
  • Blue Cross Blue Shield — Medicare Advantage: $17.30
  • Cigna — Medicare Advantage: $16.80
  • Humana — Medicare Advantage: $17.14
  • Mississippi Physicians Care Network — Commercial: $30.24
  • Molina Healthcare of MS — Commercial: $26.88
  • Optum — Veteran Affairs: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $1,164 $232.80 $16.80 – $31.92
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $31.92
  • Aetna — Commercial: $30.74
  • Aetna — Medicare Advantage: $17.14
  • Ambetter — Exchange Commercial: $25.20
  • Blue Cross Blue Shield — Medicare Advantage: $17.30
  • Cigna — Medicare Advantage: $16.80
  • Humana — Medicare Advantage: $17.14
  • Mississippi Physicians Care Network — Commercial: $30.24
  • Molina Healthcare of MS — Commercial: $26.88
  • Optum — Veteran Affairs: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $1,164 $232.80 $16.80 – $31.92
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $31.92
  • Aetna — Medicare Advantage: $17.14
  • Ambetter — Exchange Commercial: $25.20
  • Blue Cross Blue Shield — Medicare Advantage: $17.30
  • Cigna — Medicare Advantage: $16.80
  • Humana — Medicare Advantage: $17.14
  • Mississippi Physicians Care Network — Commercial: $30.24
  • Molina Healthcare of MS — Commercial: $26.88
  • Optum — Veteran Affairs: $16.80
  • Shared Health — Medicare Advantage: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $75 $15 $7.77 – $14.76
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $14.76
  • Aetna — Commercial: $14.22
  • Aetna — Medicare Advantage: $7.93
  • Ambetter — Exchange Commercial: $11.66
  • Blue Cross Blue Shield — Medicare Advantage: $8
  • Cigna — Medicare Advantage: $7.77
  • Humana — Medicare Advantage: $7.93
  • Mississippi Physicians Care Network — Commercial: $13.99
  • Molina Healthcare of MS — Commercial: $12.43
  • Optum — Veteran Affairs: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $347 $69.40 $7.77 – $14.76
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $14.76
  • Aetna — Commercial: $14.22
  • Aetna — Medicare Advantage: $7.93
  • Ambetter — Exchange Commercial: $11.66
  • Blue Cross Blue Shield — Medicare Advantage: $8
  • Cigna — Medicare Advantage: $7.77
  • Humana — Medicare Advantage: $7.93
  • Mississippi Physicians Care Network — Commercial: $13.99
  • Molina Healthcare of MS — Commercial: $12.43
  • Optum — Veteran Affairs: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $347 $69.40 $7.77 – $14.76
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $14.76
  • Aetna — Medicare Advantage: $7.93
  • Ambetter — Exchange Commercial: $11.66
  • Blue Cross Blue Shield — Medicare Advantage: $8
  • Cigna — Medicare Advantage: $7.77
  • Humana — Medicare Advantage: $7.93
  • Mississippi Physicians Care Network — Commercial: $13.99
  • Molina Healthcare of MS — Commercial: $12.43
  • Optum — Veteran Affairs: $7.77
  • Shared Health — Medicare Advantage: $8.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $75 $15 $6.47 – $12.29
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $12.29
  • Aetna — Commercial: $11.84
  • Aetna — Medicare Advantage: $6.60
  • Ambetter — Exchange Commercial: $9.70
  • Blue Cross Blue Shield — Medicare Advantage: $6.66
  • Cigna — Medicare Advantage: $6.47
  • Humana — Medicare Advantage: $6.60
  • Mississippi Physicians Care Network — Commercial: $11.65
  • Molina Healthcare of MS — Commercial: $10.35
  • Optum — Veteran Affairs: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $582 $116.40 $6.47 – $12.29
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $12.29
  • Aetna — Commercial: $11.84
  • Aetna — Medicare Advantage: $6.60
  • Ambetter — Exchange Commercial: $9.70
  • Blue Cross Blue Shield — Medicare Advantage: $6.66
  • Cigna — Medicare Advantage: $6.47
  • Humana — Medicare Advantage: $6.60
  • Mississippi Physicians Care Network — Commercial: $11.65
  • Molina Healthcare of MS — Commercial: $10.35
  • Optum — Veteran Affairs: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $582 $116.40 $6.47 – $12.29
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $12.29
  • Aetna — Medicare Advantage: $6.60
  • Ambetter — Exchange Commercial: $9.70
  • Blue Cross Blue Shield — Medicare Advantage: $6.66
  • Cigna — Medicare Advantage: $6.47
  • Humana — Medicare Advantage: $6.60
  • Mississippi Physicians Care Network — Commercial: $11.65
  • Molina Healthcare of MS — Commercial: $10.35
  • Optum — Veteran Affairs: $6.47
  • Shared Health — Medicare Advantage: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $248 $49.60 $4.29 – $8.15
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $8.15
  • Aetna — Commercial: $7.85
  • Aetna — Medicare Advantage: $4.38
  • Ambetter — Exchange Commercial: $6.44
  • Blue Cross Blue Shield — Medicare Advantage: $4.42
  • Cigna — Medicare Advantage: $4.29
  • Humana — Medicare Advantage: $4.38
  • Mississippi Physicians Care Network — Commercial: $7.72
  • Molina Healthcare of MS — Commercial: $6.86
  • Optum — Veteran Affairs: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $17 $3.40 $4.29 – $8.15
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $8.15
  • Aetna — Commercial: $7.85
  • Aetna — Medicare Advantage: $4.38
  • Ambetter — Exchange Commercial: $6.44
  • Blue Cross Blue Shield — Medicare Advantage: $4.42
  • Cigna — Medicare Advantage: $4.29
  • Humana — Medicare Advantage: $4.38
  • Mississippi Physicians Care Network — Commercial: $7.72
  • Molina Healthcare of MS — Commercial: $6.86
  • Optum — Veteran Affairs: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: BLOOD TEST; CLOTTING TIME $248 $49.60 $4.29 – $8.15
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $8.15
  • Aetna — Medicare Advantage: $4.38
  • Ambetter — Exchange Commercial: $6.44
  • Blue Cross Blue Shield — Medicare Advantage: $4.42
  • Cigna — Medicare Advantage: $4.29
  • Humana — Medicare Advantage: $4.38
  • Mississippi Physicians Care Network — Commercial: $7.72
  • Molina Healthcare of MS — Commercial: $6.86
  • Optum — Veteran Affairs: $4.29
  • Shared Health — Medicare Advantage: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $31 $6.20 $6.01 – $11.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $11.42
  • Aetna — Commercial: $11
  • Aetna — Medicare Advantage: $6.13
  • Ambetter — Exchange Commercial: $9.02
  • Blue Cross Blue Shield — Medicare Advantage: $6.19
  • Cigna — Medicare Advantage: $6.01
  • Humana — Medicare Advantage: $6.13
  • Mississippi Physicians Care Network — Commercial: $10.82
  • Molina Healthcare of MS — Commercial: $9.62
  • Optum — Veteran Affairs: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $480 $96 $6.01 – $11.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $11.42
  • Aetna — Commercial: $11
  • Aetna — Medicare Advantage: $6.13
  • Ambetter — Exchange Commercial: $9.02
  • Blue Cross Blue Shield — Medicare Advantage: $6.19
  • Cigna — Medicare Advantage: $6.01
  • Humana — Medicare Advantage: $6.13
  • Mississippi Physicians Care Network — Commercial: $10.82
  • Molina Healthcare of MS — Commercial: $9.62
  • Optum — Veteran Affairs: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $7,931 $1,586.20 $89.69 – $812
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $131.39
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.53
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $7,931 $1,586.20 $89.69 – $884
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $884
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.53
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MA_XU In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $7,931 $1,586.20 $89.69 – $884
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $884
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.53
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $11,576 $2,315.20 $299.31 – $1,863.61
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $568.69
  • Aetna — Commercial: $513.79
  • Aetna — Medicare Advantage: $305.30
  • Ambetter — Exchange Commercial: $448.96
  • Blue Cross Blue Shield — Medicare Advantage: $308.29
  • Cigna — Medicare Advantage: $299.31
  • Humana — Medicare Advantage: $305.30
  • Mississippi Physicians Care Network — Commercial: $538.76
  • Molina Healthcare of MS — Commercial: $478.90
  • Optum — Veteran Affairs: $299.31
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MH In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $11,576 $2,315.20 $299.31 – $1,170
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $568.69
  • Aetna — Commercial: $1,170
  • Aetna — Medicare Advantage: $305.30
  • Ambetter — Exchange Commercial: $448.96
  • Blue Cross Blue Shield — Medicare Advantage: $308.29
  • Cigna — Medicare Advantage: $299.31
  • Humana — Medicare Advantage: $305.30
  • Mississippi Physicians Care Network — Commercial: $538.76
  • Molina Healthcare of MS — Commercial: $478.90
  • Optum — Veteran Affairs: $299.31
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $1,511 $302.20 $33.48 – $409.57
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $141.85
  • Aetna — Commercial: $33.48
  • Aetna — Medicare Advantage: $76.15
  • Ambetter — Exchange Commercial: $111.99
  • Blue Cross Blue Shield — Medicare Advantage: $76.90
  • Cigna — Medicare Advantage: $74.66
  • Humana — Medicare Advantage: $76.15
  • Mississippi Physicians Care Network — Commercial: $134.39
  • Molina Healthcare of MS — Commercial: $119.46
  • Optum — Veteran Affairs: $74.66
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: X-RAY OF CHEST; 2 VIEWS $1,511 $302.20 $74.66 – $141.85
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $141.85
  • Aetna — Medicare Advantage: $76.15
  • Ambetter — Exchange Commercial: $111.99
  • Blue Cross Blue Shield — Medicare Advantage: $76.90
  • Cigna — Medicare Advantage: $74.66
  • Humana — Medicare Advantage: $76.15
  • Mississippi Physicians Care Network — Commercial: $134.39
  • Molina Healthcare of MS — Commercial: $119.46
  • Optum — Veteran Affairs: $74.66
  • Shared Health — Medicare Advantage: $78.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: X-RAY OF CHEST; 2 VIEWS $1,511 $302.20 $74.66 – $141.85
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $141.85
  • Aetna — Medicare Advantage: $76.15
  • Ambetter — Exchange Commercial: $111.99
  • Blue Cross Blue Shield — Medicare Advantage: $76.90
  • Cigna — Medicare Advantage: $74.66
  • Humana — Medicare Advantage: $76.15
  • Mississippi Physicians Care Network — Commercial: $134.39
  • Molina Healthcare of MS — Commercial: $119.46
  • Optum — Veteran Affairs: $74.66
  • Shared Health — Medicare Advantage: $78.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $2,176 $435.20 $56.35 – $551.66
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $56.35
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.54
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
  • Optum — Veteran Affairs: $89.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $10,119 $2,023.80 $204.70 – $1,165.03
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $388.93
  • Aetna — Commercial: $295.16
  • Aetna — Medicare Advantage: $208.79
  • Ambetter — Exchange Commercial: $307.05
  • Blue Cross Blue Shield — Medicare Advantage: $210.84
  • Cigna — Medicare Advantage: $204.70
  • Humana — Medicare Advantage: $208.79
  • Mississippi Physicians Care Network — Commercial: $368.46
  • Molina Healthcare of MS — Commercial: $327.52
  • Optum — Veteran Affairs: $204.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MH In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $10,119 $2,023.80 $204.70 – $1,170
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $388.93
  • Aetna — Commercial: $1,170
  • Aetna — Medicare Advantage: $208.79
  • Ambetter — Exchange Commercial: $307.05
  • Blue Cross Blue Shield — Medicare Advantage: $210.84
  • Cigna — Medicare Advantage: $204.70
  • Humana — Medicare Advantage: $208.79
  • Mississippi Physicians Care Network — Commercial: $368.46
  • Molina Healthcare of MS — Commercial: $327.52
  • Optum — Veteran Affairs: $204.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $8,302 $1,660.40 $150.48 – $903.92
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $285.91
  • Aetna — Commercial: $333.10
  • Aetna — Medicare Advantage: $153.49
  • Ambetter — Exchange Commercial: $225.72
  • Blue Cross Blue Shield — Medicare Advantage: $154.99
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $150.48
  • Humana — Medicare Advantage: $153.49
  • Mississippi Physicians Care Network — Commercial: $270.86
  • Molina Healthcare of MS — Commercial: $240.77
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 $8,279 $1,655.80 $204.70 – $1,165.03
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $388.93
  • Aetna — Commercial: $333.04
  • Aetna — Medicare Advantage: $208.79
  • Ambetter — Exchange Commercial: $307.05
  • Blue Cross Blue Shield — Medicare Advantage: $210.84
  • Cigna — Medicare Advantage: $204.70
  • Humana — Medicare Advantage: $208.79
  • Mississippi Physicians Care Network — Commercial: $368.46
  • Molina Healthcare of MS — Commercial: $327.52
  • Optum — Veteran Affairs: $204.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_MH In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $8,279 $1,655.80 $204.70 – $1,170
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $388.93
  • Aetna — Commercial: $1,170
  • Aetna — Medicare Advantage: $208.79
  • Ambetter — Exchange Commercial: $307.05
  • Blue Cross Blue Shield — Medicare Advantage: $210.84
  • Cigna — Medicare Advantage: $204.70
  • Humana — Medicare Advantage: $208.79
  • Mississippi Physicians Care Network — Commercial: $368.46
  • Molina Healthcare of MS — Commercial: $327.52
  • Optum — Veteran Affairs: $204.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MH_RT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $8,279 $1,655.80 $204.70 – $1,170
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $388.93
  • Aetna — Commercial: $1,170
  • Aetna — Medicare Advantage: $208.79
  • Ambetter — Exchange Commercial: $307.05
  • Blue Cross Blue Shield — Medicare Advantage: $210.84
  • Cigna — Medicare Advantage: $204.70
  • Humana — Medicare Advantage: $208.79
  • Mississippi Physicians Care Network — Commercial: $368.46
  • Molina Healthcare of MS — Commercial: $327.52
  • Optum — Veteran Affairs: $204.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $15,856 $3,171.20 $299.31 – $1,863.61
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $568.69
  • Aetna — Commercial: $446.15
  • Aetna — Medicare Advantage: $305.30
  • Ambetter — Exchange Commercial: $448.96
  • Blue Cross Blue Shield — Medicare Advantage: $308.29
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $299.31
  • Humana — Medicare Advantage: $305.30
  • Mississippi Physicians Care Network — Commercial: $538.76
  • Molina Healthcare of MS — Commercial: $478.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $15,856 $3,171.20 $299.31 – $884
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $568.69
  • Aetna — Commercial: $884
  • Aetna — Medicare Advantage: $305.30
  • Ambetter — Exchange Commercial: $448.96
  • Blue Cross Blue Shield — Medicare Advantage: $308.29
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $299.31
  • Humana — Medicare Advantage: $305.30
  • Mississippi Physicians Care Network — Commercial: $538.76
  • Molina Healthcare of MS — Commercial: $478.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier MA In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $15,856 $3,171.20 $299.31 – $884
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $568.69
  • Aetna — Commercial: $884
  • Aetna — Medicare Advantage: $305.30
  • Ambetter — Exchange Commercial: $448.96
  • Blue Cross Blue Shield — Medicare Advantage: $308.29
  • Cigna — Commercial: $812
  • Cigna — Medicare Advantage: $299.31
  • Humana — Medicare Advantage: $305.30
  • Mississippi Physicians Care Network — Commercial: $538.76
  • Molina Healthcare of MS — Commercial: $478.90
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $5,481 $1,096.20 $89.69 – $551.66
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $116.20
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.54
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
  • Optum — Veteran Affairs: $89.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $4,411 $882.20 $89.69 – $551.66
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $128.85
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.54
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
  • Optum — Veteran Affairs: $89.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $4,411 $882.20 $89.69 – $170.41
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.54
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
  • Optum — Veteran Affairs: $89.69
  • Shared Health — Medicare Advantage: $94.17
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $3,368 $673.60 $89.69 – $551.66
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $170.41
  • Aetna — Commercial: $127.88
  • Aetna — Medicare Advantage: $91.48
  • Ambetter — Exchange Commercial: $134.54
  • Blue Cross Blue Shield — Medicare Advantage: $92.38
  • Cigna — Medicare Advantage: $89.69
  • Humana — Medicare Advantage: $91.48
  • Mississippi Physicians Care Network — Commercial: $161.44
  • Molina Healthcare of MS — Commercial: $143.50
  • Optum — Veteran Affairs: $89.69
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $878 $175.60 $35.96 – $462.82
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $68.32
  • Aetna — Commercial: $127.39
  • Aetna — Medicare Advantage: $36.68
  • Ambetter — Exchange Commercial: $53.94
  • Blue Cross Blue Shield — Medicare Advantage: $37.04
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $35.96
  • Humana — Medicare Advantage: $36.68
  • Mississippi Physicians Care Network — Commercial: $64.73
  • Molina Healthcare of MS — Commercial: $57.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $878 $175.60 $35.96 – $129
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $68.32
  • Aetna — Medicare Advantage: $36.68
  • Ambetter — Exchange Commercial: $53.94
  • Blue Cross Blue Shield — Medicare Advantage: $37.04
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $35.96
  • Humana — Medicare Advantage: $36.68
  • Mississippi Physicians Care Network — Commercial: $64.73
  • Molina Healthcare of MS — Commercial: $57.54
  • Optum — Veteran Affairs: $35.96
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_RT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $878 $175.60 $35.96 – $129
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $68.32
  • Aetna — Medicare Advantage: $36.68
  • Ambetter — Exchange Commercial: $53.94
  • Blue Cross Blue Shield — Medicare Advantage: $37.04
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $35.96
  • Humana — Medicare Advantage: $36.68
  • Mississippi Physicians Care Network — Commercial: $64.73
  • Molina Healthcare of MS — Commercial: $57.54
  • Optum — Veteran Affairs: $35.96
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $1,057 $211.40 $44.28 – $591.75
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $84.13
  • Aetna — Commercial: $162.43
  • Aetna — Medicare Advantage: $45.17
  • Ambetter — Exchange Commercial: $66.42
  • Blue Cross Blue Shield — Medicare Advantage: $45.61
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $44.28
  • Humana — Medicare Advantage: $45.17
  • Mississippi Physicians Care Network — Commercial: $79.70
  • Molina Healthcare of MS — Commercial: $70.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $75 $15 $33.47 – $129
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $63.59
  • Aetna — Commercial: $75
  • Aetna — Medicare Advantage: $34.14
  • Ambetter — Exchange Commercial: $50.20
  • Blue Cross Blue Shield — Medicare Advantage: $34.47
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $33.47
  • Humana — Medicare Advantage: $34.14
  • Mississippi Physicians Care Network — Commercial: $60.25
  • Molina Healthcare of MS — Commercial: $53.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $1,030 $206 $33.47 – $489.28
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $63.59
  • Aetna — Commercial: $134.21
  • Aetna — Medicare Advantage: $34.14
  • Ambetter — Exchange Commercial: $50.20
  • Blue Cross Blue Shield — Medicare Advantage: $34.47
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $33.47
  • Humana — Medicare Advantage: $34.14
  • Mississippi Physicians Care Network — Commercial: $60.25
  • Molina Healthcare of MS — Commercial: $53.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SCREENING MAMMOGRAPHY $1,030 $206 $33.47 – $129
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • 90 Degree Benefits — Commercial: $63.59
  • Aetna — Medicare Advantage: $34.14
  • Ambetter — Exchange Commercial: $50.20
  • Blue Cross Blue Shield — Medicare Advantage: $34.47
  • Cigna — Commercial: $129
  • Cigna — Medicare Advantage: $33.47
  • Humana — Medicare Advantage: $34.14
  • Mississippi Physicians Care Network — Commercial: $60.25
  • Molina Healthcare of MS — Commercial: $53.55
  • Optum — Veteran Affairs: $33.47

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $9,677 $1,935.40 $2,010 – $5,284.58
Left heart catheterization (diagnostic): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,284.58
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $2,836.99
  • Ambetter — Exchange Commercial: $4,172.04
  • Blue Cross Blue Shield — Medicare Advantage: $2,864.80
  • Cigna — Medicare Advantage: $2,781.36
  • Humana — Medicare Advantage: $2,836.99
  • Mississippi Physicians Care Network — Commercial: $5,006.45
  • Molina Healthcare of MS — Commercial: $4,450.18
  • Optum — Veteran Affairs: $2,781.36
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 $33,924 $6,784.80 $2,010 – $42,606.63
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $42,606.63
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $22,873.03
  • Ambetter — Exchange Commercial: $33,636.81
  • Blue Cross Blue Shield — Medicare Advantage: $23,097.28
  • Cigna — Medicare Advantage: $22,424.54
  • Humana — Medicare Advantage: $22,873.03
  • Mississippi Physicians Care Network — Commercial: $40,364.17
  • Molina Healthcare of MS — Commercial: $35,879.26
  • Optum — Veteran Affairs: $22,424.54
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $8,504 $1,700.80 $695.58 – $1,399.81
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,399.81
  • Aetna — Commercial: $695.58
  • Aetna — Medicare Advantage: $751.47
  • Ambetter — Exchange Commercial: $1,105.11
  • Blue Cross Blue Shield — Medicare Advantage: $758.84
  • Cigna — Medicare Advantage: $736.74
  • Humana — Medicare Advantage: $751.47
  • Mississippi Physicians Care Network — Commercial: $1,326.13
  • Molina Healthcare of MS — Commercial: $1,178.78
  • Optum — Veteran Affairs: $736.74

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $231 $46.20 $27.07 – $200
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • 90 Degree Benefits — Commercial: $51.43
  • Aetna — Commercial: $37.38
  • Aetna — Medicare Advantage: $27.61
  • Ambetter — Exchange Commercial: $40.60
  • Blue Cross Blue Shield — Medicare Advantage: $27.88
  • Cigna — Medicare Advantage: $27.07
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $27.61
  • Mississippi Physicians Care Network — Commercial: $48.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CQ_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $231 $46.20 $27.07 – $200
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $51.43
  • Aetna — Medicare Advantage: $27.61
  • Ambetter — Exchange Commercial: $40.60
  • Blue Cross Blue Shield — Medicare Advantage: $27.88
  • Cigna — Medicare Advantage: $27.07
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $27.61
  • Mississippi Physicians Care Network — Commercial: $48.73
  • Molina Healthcare of MS — Commercial: $43.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GO In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $231 $46.20 $27.07 – $200
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $51.43
  • Aetna — Medicare Advantage: $27.61
  • Ambetter — Exchange Commercial: $40.60
  • Blue Cross Blue Shield — Medicare Advantage: $27.88
  • Cigna — Medicare Advantage: $27.07
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $27.61
  • Mississippi Physicians Care Network — Commercial: $48.73
  • Molina Healthcare of MS — Commercial: $43.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $767 $153.40 $91.37 – $200
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Commercial: $127.25
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $767 $153.40 $91.37 – $200
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
  • Molina Healthcare of MS — Commercial: $146.19
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $767 $153.40 $91.37 – $200
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
  • Molina Healthcare of MS — Commercial: $146.19
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $767 $153.40 $91.37 – $200
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Commercial: $127.25
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $767 $153.40 $91.37 – $200
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
  • Molina Healthcare of MS — Commercial: $146.19
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $767 $153.40 $91.37 – $200
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
  • Molina Healthcare of MS — Commercial: $146.19
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $767 $153.40 $91.37 – $200
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • 90 Degree Benefits — Commercial: $173.60
  • Aetna — Commercial: $127.25
  • Aetna — Medicare Advantage: $93.20
  • Ambetter — Exchange Commercial: $137.06
  • Blue Cross Blue Shield — Medicare Advantage: $94.11
  • Cigna — Medicare Advantage: $91.37
  • Cigna C-23 — Commercial: $200
  • Cigna MS Connect — Commercial: $180
  • Humana — Medicare Advantage: $93.20
  • Mississippi Physicians Care Network — Commercial: $164.47
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES $256 $51.20 $152.28 – $289.33
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $289.33
  • Aetna — Medicare Advantage: $155.33
  • Ambetter — Exchange Commercial: $228.42
  • Blue Cross Blue Shield — Medicare Advantage: $156.85
  • Cigna — Medicare Advantage: $152.28
  • Humana — Medicare Advantage: $155.33
  • Mississippi Physicians Care Network — Commercial: $274.10
  • Molina Healthcare of MS — Commercial: $243.65
  • Optum — Veteran Affairs: $152.28
  • Shared Health — Medicare Advantage: $159.89
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES $456 $91.20 $152.28 – $289.33
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $289.33
  • Aetna — Medicare Advantage: $155.33
  • Ambetter — Exchange Commercial: $228.42
  • Blue Cross Blue Shield — Medicare Advantage: $156.85
  • Cigna — Medicare Advantage: $152.28
  • Humana — Medicare Advantage: $155.33
  • Mississippi Physicians Care Network — Commercial: $274.10
  • Molina Healthcare of MS — Commercial: $243.65
  • Optum — Veteran Affairs: $152.28
  • Shared Health — Medicare Advantage: $159.89
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES $456 $91.20 $152.28 – $289.33
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $289.33
  • Aetna — Medicare Advantage: $155.33
  • Ambetter — Exchange Commercial: $228.42
  • Blue Cross Blue Shield — Medicare Advantage: $156.85
  • Cigna — Medicare Advantage: $152.28
  • Humana — Medicare Advantage: $155.33
  • Mississippi Physicians Care Network — Commercial: $274.10
  • Molina Healthcare of MS — Commercial: $243.65
  • Optum — Veteran Affairs: $152.28
  • Shared Health — Medicare Advantage: $159.89
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN $685 $137 $152.28 – $289.33
Family psychotherapy, without the patient: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $289.33
  • Aetna — Medicare Advantage: $155.33
  • Ambetter — Exchange Commercial: $228.42
  • Blue Cross Blue Shield — Medicare Advantage: $156.85
  • Cigna — Medicare Advantage: $152.28
  • Humana — Medicare Advantage: $155.33
  • Mississippi Physicians Care Network — Commercial: $274.10
  • Molina Healthcare of MS — Commercial: $243.65
  • Optum — Veteran Affairs: $152.28
  • Shared Health — Medicare Advantage: $159.89
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN $456 $91.20 $152.28 – $289.33
Family psychotherapy, with the patient: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $289.33
  • Aetna — Medicare Advantage: $155.33
  • Ambetter — Exchange Commercial: $228.42
  • Blue Cross Blue Shield — Medicare Advantage: $156.85
  • Cigna — Medicare Advantage: $152.28
  • Humana — Medicare Advantage: $155.33
  • Mississippi Physicians Care Network — Commercial: $274.10
  • Molina Healthcare of MS — Commercial: $243.65
  • Optum — Veteran Affairs: $152.28
  • Shared Health — Medicare Advantage: $159.89
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $283 $56.60 $87.16 – $165.60
Group psychotherapy: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $165.60
  • Aetna — Medicare Advantage: $88.90
  • Ambetter — Exchange Commercial: $130.74
  • Blue Cross Blue Shield — Medicare Advantage: $89.77
  • Cigna — Medicare Advantage: $87.16
  • Humana — Medicare Advantage: $88.90
  • Mississippi Physicians Care Network — Commercial: $156.89
  • Molina Healthcare of MS — Commercial: $139.46
  • Optum — Veteran Affairs: $87.16
  • Shared Health — Medicare Advantage: $91.52

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 $9,734 $1,946.80 $1,189 – $6,382.44
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $6,382.44
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $3,426.36
  • Ambetter — Exchange Commercial: $5,038.77
  • Blue Cross Blue Shield — Medicare Advantage: $3,459.96
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $3,359.18
  • Humana — Medicare Advantage: $3,426.36
  • Mississippi Physicians Care Network — Commercial: $6,046.52
  • Molina Healthcare of MS — Commercial: $5,374.69
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $19,746 $3,949.20 $1,189 – $6,382.44
Removal of breast growth (open surgery): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $6,382.44
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $3,426.36
  • Ambetter — Exchange Commercial: $5,038.77
  • Blue Cross Blue Shield — Medicare Advantage: $3,459.96
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $3,359.18
  • Humana — Medicare Advantage: $3,426.36
  • Mississippi Physicians Care Network — Commercial: $6,046.52
  • Molina Healthcare of MS — Commercial: $5,374.69
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $38,379 $7,675.80 $2,010 – $20,927.99
Total hip replacement: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $20,927.99
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $11,235.02
  • Ambetter — Exchange Commercial: $16,522.10
  • Blue Cross Blue Shield — Medicare Advantage: $11,345.17
  • Cigna — Commercial: $2,026
  • Cigna — Medicare Advantage: $11,014.73
  • Humana — Medicare Advantage: $11,235.02
  • Mississippi Physicians Care Network — Commercial: $19,826.51
  • Molina Healthcare of MS — Commercial: $17,623.57
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $20,050 $4,010 $2,010 – $20,927.99
Total knee replacement: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $20,927.99
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $11,235.02
  • Ambetter — Exchange Commercial: $16,522.10
  • Blue Cross Blue Shield — Medicare Advantage: $11,345.17
  • Cigna — Commercial: $2,026
  • Cigna — Medicare Advantage: $11,014.73
  • Humana — Medicare Advantage: $11,235.02
  • Mississippi Physicians Care Network — Commercial: $19,826.51
  • Molina Healthcare of MS — Commercial: $17,623.57
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $8,556.75 $1,711.35 $138.35 – $2,010
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $262.86
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $141.12
  • Ambetter — Exchange Commercial: $207.53
  • Blue Cross Blue Shield — Medicare Advantage: $142.50
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $138.35
  • Humana — Medicare Advantage: $141.12
  • Mississippi Physicians Care Network — Commercial: $249.03
  • Molina Healthcare of MS — Commercial: $221.36
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $8,556.75 $1,711.35 $138.35 – $2,010
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $262.86
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $141.12
  • Ambetter — Exchange Commercial: $207.53
  • Blue Cross Blue Shield — Medicare Advantage: $142.50
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $138.35
  • Humana — Medicare Advantage: $141.12
  • Mississippi Physicians Care Network — Commercial: $249.03
  • Molina Healthcare of MS — Commercial: $221.36
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $14,514 $2,902.80 $1,189 – $5,333.60
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,333.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $2,863.30
  • Ambetter — Exchange Commercial: $4,210.74
  • Blue Cross Blue Shield — Medicare Advantage: $2,891.37
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $2,807.16
  • Humana — Medicare Advantage: $2,863.30
  • Mississippi Physicians Care Network — Commercial: $5,052.89
  • Molina Healthcare of MS — Commercial: $4,491.46
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $15,594 $3,118.80 $1,392 – $9,649.76
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $9,649.76
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $5,180.40
  • Ambetter — Exchange Commercial: $7,618.23
  • Blue Cross Blue Shield — Medicare Advantage: $5,231.18
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $5,078.82
  • Humana — Medicare Advantage: $5,180.40
  • Mississippi Physicians Care Network — Commercial: $9,141.88
  • Molina Healthcare of MS — Commercial: $8,126.11
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $2,722 $544.40 $778.13 – $2,010
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,478.45
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $793.69
  • Ambetter — Exchange Commercial: $1,167.20
  • Blue Cross Blue Shield — Medicare Advantage: $801.47
  • Cigna — Commercial: $1,919
  • Cigna — Medicare Advantage: $778.13
  • Humana — Medicare Advantage: $793.69
  • Mississippi Physicians Care Network — Commercial: $1,400.63
  • Molina Healthcare of MS — Commercial: $1,245.01
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $778.13 – $2,010
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,478.45
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $793.69
  • Ambetter — Exchange Commercial: $1,167.20
  • Blue Cross Blue Shield — Medicare Advantage: $801.47
  • Cigna — Commercial: $1,919
  • Cigna — Medicare Advantage: $778.13
  • Humana — Medicare Advantage: $793.69
  • Mississippi Physicians Care Network — Commercial: $1,400.63
  • Molina Healthcare of MS — Commercial: $1,245.01
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $778.13 – $2,010
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,478.45
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $793.69
  • Ambetter — Exchange Commercial: $1,167.20
  • Blue Cross Blue Shield — Medicare Advantage: $801.47
  • Cigna — Commercial: $1,919
  • Cigna — Medicare Advantage: $778.13
  • Humana — Medicare Advantage: $793.69
  • Mississippi Physicians Care Network — Commercial: $1,400.63
  • Molina Healthcare of MS — Commercial: $1,245.01
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $778.13 – $2,010
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,478.45
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $793.69
  • Ambetter — Exchange Commercial: $1,167.20
  • Blue Cross Blue Shield — Medicare Advantage: $801.47
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $778.13
  • Humana — Medicare Advantage: $793.69
  • Mississippi Physicians Care Network — Commercial: $1,400.63
  • Molina Healthcare of MS — Commercial: $1,245.01
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $389.06 – $2,010
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $739.21
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $396.84
  • Ambetter — Exchange Commercial: $583.59
  • Blue Cross Blue Shield — Medicare Advantage: $400.73
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $389.06
  • Humana — Medicare Advantage: $396.84
  • Mississippi Physicians Care Network — Commercial: $700.31
  • Molina Healthcare of MS — Commercial: $622.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $3,898.50 $779.70 $778.13 – $2,010
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,478.45
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $793.69
  • Ambetter — Exchange Commercial: $1,167.20
  • Blue Cross Blue Shield — Medicare Advantage: $801.47
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $778.13
  • Humana — Medicare Advantage: $793.69
  • Mississippi Physicians Care Network — Commercial: $1,400.63
  • Molina Healthcare of MS — Commercial: $1,245.01
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $10,396 $2,079.20 $797.84 – $2,010
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,515.90
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $813.80
  • Ambetter — Exchange Commercial: $1,196.76
  • Blue Cross Blue Shield — Medicare Advantage: $821.78
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $797.84
  • Humana — Medicare Advantage: $813.80
  • Mississippi Physicians Care Network — Commercial: $1,436.11
  • Molina Healthcare of MS — Commercial: $1,276.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $797.84 – $2,010
Colonoscopy (diagnostic): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,515.90
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $813.80
  • Ambetter — Exchange Commercial: $1,196.76
  • Blue Cross Blue Shield — Medicare Advantage: $821.78
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $797.84
  • Humana — Medicare Advantage: $813.80
  • Mississippi Physicians Care Network — Commercial: $1,436.11
  • Molina Healthcare of MS — Commercial: $1,276.54
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $797.84 – $2,010
Colonoscopy (diagnostic): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,515.90
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $813.80
  • Ambetter — Exchange Commercial: $1,196.76
  • Blue Cross Blue Shield — Medicare Advantage: $821.78
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $797.84
  • Humana — Medicare Advantage: $813.80
  • Mississippi Physicians Care Network — Commercial: $1,436.11
  • Molina Healthcare of MS — Commercial: $1,276.54
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $10,396 $2,079.20 $935 – $2,010
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $15,594 $3,118.80 $935 – $2,010
Colonoscopy with biopsy: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_59 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,599 $519.80 $935 – $2,010
Colonoscopy with biopsy: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $15,594 $3,118.80 $935 – $2,010
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $15,594 $3,118.80 $935 – $2,010
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $15,594 $3,118.80 $935 – $2,010
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,950.60
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,047.16
  • Ambetter — Exchange Commercial: $1,539.95
  • Blue Cross Blue Shield — Medicare Advantage: $1,057.43
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $1,026.63
  • Humana — Medicare Advantage: $1,047.16
  • Mississippi Physicians Care Network — Commercial: $1,847.93
  • Molina Healthcare of MS — Commercial: $1,642.61
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $5,198 $1,039.60 $797.84 – $2,010
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,515.90
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $813.80
  • Ambetter — Exchange Commercial: $1,196.76
  • Blue Cross Blue Shield — Medicare Advantage: $821.78
  • Cigna — Commercial: $1,710
  • Cigna — Medicare Advantage: $797.84
  • Humana — Medicare Advantage: $813.80
  • Mississippi Physicians Care Network — Commercial: $1,436.11
  • Molina Healthcare of MS — Commercial: $1,276.54
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $5,198 $1,039.60 $797.84 – $2,010
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,515.90
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $813.80
  • Ambetter — Exchange Commercial: $1,196.76
  • Blue Cross Blue Shield — Medicare Advantage: $821.78
  • Cigna — Commercial: $1,710
  • Cigna — Medicare Advantage: $797.84
  • Humana — Medicare Advantage: $813.80
  • Mississippi Physicians Care Network — Commercial: $1,436.11
  • Molina Healthcare of MS — Commercial: $1,276.54
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 $9,728 $1,945.60 $1,189 – $5,836.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,836.31
  • Aetna — Commercial: $1,980
  • Aetna — Medicare Advantage: $3,133.17
  • Ambetter — Exchange Commercial: $4,607.61
  • Blue Cross Blue Shield — Medicare Advantage: $3,163.89
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $3,071.74
  • Humana — Medicare Advantage: $3,133.17
  • Mississippi Physicians Care Network — Commercial: $5,529.13
  • Molina Healthcare of MS — Commercial: $4,914.78
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $52,962 $10,592.40 $1,189 – $5,836.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,836.31
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $3,133.17
  • Ambetter — Exchange Commercial: $4,607.61
  • Blue Cross Blue Shield — Medicare Advantage: $3,163.89
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $3,071.74
  • Humana — Medicare Advantage: $3,133.17
  • Mississippi Physicians Care Network — Commercial: $5,529.13
  • Molina Healthcare of MS — Commercial: $4,914.78
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $40,506 $8,101.20 $1,189 – $5,836.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,836.31
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $3,133.17
  • Ambetter — Exchange Commercial: $4,607.61
  • Blue Cross Blue Shield — Medicare Advantage: $3,163.89
  • Cigna — Commercial: $1,189
  • Cigna — Medicare Advantage: $3,071.74
  • Humana — Medicare Advantage: $3,133.17
  • Mississippi Physicians Care Network — Commercial: $5,529.13
  • Molina Healthcare of MS — Commercial: $4,914.78
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $3,289 $657.80 $935 – $2,231.76
Prostate biopsy: rates for 6 insurance plans
  • Aetna — Commercial: $2,010
  • Cigna — Commercial: $1,710
  • Singing River Health System Employees — Commercial: $2,231.76
  • United Healthcare — Commercial: $935
  • First Choice — Commercial: 34% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial: 34% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE $39,949.50 $7,989.90 $2,010 – $17,327.41
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $17,327.41
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $9,302.08
  • Ambetter — Exchange Commercial: $13,679.54
  • Blue Cross Blue Shield — Medicare Advantage: $9,393.28
  • Cigna — Commercial: $2,026
  • Cigna — Medicare Advantage: $9,119.69
  • Humana — Medicare Advantage: $9,302.08
  • Mississippi Physicians Care Network — Commercial: $16,415.44
  • Molina Healthcare of MS — Commercial: $14,591.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $15,594 $3,118.80 $1,392 – $5,276.74
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $5,276.74
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $2,832.77
  • Ambetter — Exchange Commercial: $4,165.84
  • Blue Cross Blue Shield — Medicare Advantage: $2,860.55
  • Cigna — Commercial: $1,392
  • Cigna — Medicare Advantage: $2,777.23
  • Humana — Medicare Advantage: $2,832.77
  • Mississippi Physicians Care Network — Commercial: $4,999.01
  • Molina Healthcare of MS — Commercial: $4,443.57
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $2,252 $450.40 $605.60 – $3,672
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,150.64
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $617.71
  • Ambetter — Exchange Commercial: $908.40
  • Blue Cross Blue Shield — Medicare Advantage: $623.77
  • Cigna — Commercial: $3,672
  • Cigna — Medicare Advantage: $605.60
  • Humana — Medicare Advantage: $617.71
  • Mississippi Physicians Care Network — Commercial: $1,090.08
  • Molina Healthcare of MS — Commercial: $968.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $2,445 $489 $758.82 – $3,672
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • 90 Degree Benefits — Commercial: $1,441.76
  • Aetna — Commercial: $935
  • Aetna — Medicare Advantage: $774
  • Ambetter — Exchange Commercial: $1,138.23
  • Blue Cross Blue Shield — Medicare Advantage: $781.58
  • Cigna — Commercial: $3,672
  • Cigna — Medicare Advantage: $758.82
  • Humana — Medicare Advantage: $774
  • Mississippi Physicians Care Network — Commercial: $1,365.88
  • Molina Healthcare of MS — Commercial: $1,214.11
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $15,594 $3,118.80 $1,675.31 – $3,183.09
Carpal tunnel release: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $3,183.09
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,708.82
  • Ambetter — Exchange Commercial: $2,512.97
  • Blue Cross Blue Shield — Medicare Advantage: $1,725.57
  • Cigna — Commercial: $1,710
  • Cigna — Medicare Advantage: $1,675.31
  • Humana — Medicare Advantage: $1,708.82
  • Mississippi Physicians Care Network — Commercial: $3,015.56
  • Molina Healthcare of MS — Commercial: $2,680.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $15,594 $3,118.80 $1,675.31 – $3,183.09
Carpal tunnel release: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $3,183.09
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,708.82
  • Ambetter — Exchange Commercial: $2,512.97
  • Blue Cross Blue Shield — Medicare Advantage: $1,725.57
  • Cigna — Commercial: $1,710
  • Cigna — Medicare Advantage: $1,675.31
  • Humana — Medicare Advantage: $1,708.82
  • Mississippi Physicians Care Network — Commercial: $3,015.56
  • Molina Healthcare of MS — Commercial: $2,680.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $15,594 $3,118.80 $1,675.31 – $3,183.09
Carpal tunnel release: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $3,183.09
  • Aetna — Commercial: $2,010
  • Aetna — Medicare Advantage: $1,708.82
  • Ambetter — Exchange Commercial: $2,512.97
  • Blue Cross Blue Shield — Medicare Advantage: $1,725.57
  • Cigna — Commercial: $1,710
  • Cigna — Medicare Advantage: $1,675.31
  • Humana — Medicare Advantage: $1,708.82
  • Mississippi Physicians Care Network — Commercial: $3,015.56
  • Molina Healthcare of MS — Commercial: $2,680.50

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,882.33 – $112,843.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $94,626.68
  • Aetna — Medicare Advantage: $63,501.62
  • Ambetter — Exchange Commercial: $96,497.56
  • Blue Cross Blue Shield — Medicare Advantage: $64,124.18
  • Blue Cross Blue Shield of MS — Commercial: $112,843.52
  • Cigna — Medicare Advantage: $62,256.49
  • Humana — Medicare Advantage: $63,501.62
  • Molina Healthcare of MS — Commercial: $62,256.49
  • Optum — Veteran Affairs: $62,256.49
  • Shared Health — Medicare Advantage: $65,369.31
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY Not listed in the file Not listed in the file $2,882.33 – $23,322
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $18,346.58
  • Aetna — Medicare Advantage: $13,771.44
  • Ambetter — Exchange Commercial: $20,927.19
  • Blue Cross Blue Shield — Medicare Advantage: $13,906.45
  • Blue Cross Blue Shield of MS — Commercial: $23,322
  • Cigna — Medicare Advantage: $13,501.41
  • Humana — Medicare Advantage: $13,771.44
  • Molina Healthcare of MS — Commercial: $13,501.41
  • Optum — Veteran Affairs: $13,501.41
  • Shared Health — Medicare Advantage: $14,176.48
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $2,882.33 – $25,857.52
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $23,990.85
  • Aetna — Medicare Advantage: $17,015.92
  • Ambetter — Exchange Commercial: $25,857.52
  • Blue Cross Blue Shield — Medicare Advantage: $17,182.74
  • Blue Cross Blue Shield of MS — Commercial: $18,209
  • Cigna — Medicare Advantage: $16,682.27
  • Humana — Medicare Advantage: $17,015.92
  • Molina Healthcare of MS — Commercial: $16,682.27
  • Optum — Veteran Affairs: $16,682.27
  • Shared Health — Medicare Advantage: $17,516.38
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $2,882.33 – $14,305.29
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
  • 90 Degree Benefits — Commercial: $11,329.50
  • Aetna — Medicare Advantage: $9,413.80
  • Ambetter — Exchange Commercial: $14,305.29
  • Blue Cross Blue Shield — Medicare Advantage: $9,506.10
  • Blue Cross Blue Shield of MS — Commercial: $8,205
  • Cigna — Medicare Advantage: $9,229.22
  • Humana — Medicare Advantage: $9,413.80
  • Molina Healthcare of MS — Commercial: $9,229.22
  • Optum — Veteran Affairs: $9,229.22
  • Shared Health — Medicare Advantage: $9,690.68

Source: Singing River Health System’s standard charges file (singingriverhealthsystem.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address2809 Denny Av, Pascagoula, MS 39581
CountyJackson County
StateMississippi
Phone(228) 809‑5000
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number250040
Name in Medicare recordsSINGING RIVER HEALTH SYSTEM
Profile levelMedicare data + hospital website
Name on the hospital’s websitePascagoula Hospital (Singing River Health System)
Official websitesingingriverhealthsystem.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Pascagoula Hospital — singingriverhealthsystem.com