Does Southeast Georgia Health System -- Camden Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Southeast Georgia Health System -- Camden Campus. In a medical emergency, call 911.

Where is Southeast Georgia Health System -- Camden Campus?

2000 Dan Proctor Drive, Saint Marys, GA 31558, in Camden County, Georgia.

What is the phone number of Southeast Georgia Health System -- Camden Campus?

(912) 576-6401, as listed by Medicare (CMS).

What is the Medicare star rating of Southeast Georgia Health System -- Camden Campus?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Southeast Georgia Health System -- Camden Campus

Quick answers

Does Southeast Georgia Health System -- Camden Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Southeast Georgia Health System -- Camden Campus. In a medical emergency, call 911.
Where is Southeast Georgia Health System -- Camden Campus?: 2000 Dan Proctor Drive, Saint Marys, GA 31558, in Camden County, Georgia.
What is the phone number of Southeast Georgia Health System -- Camden Campus?: (912) 576-6401, as listed by Medicare (CMS).
What is the Medicare star rating of Southeast Georgia Health System -- Camden Campus?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Cancer care (radiation and medical oncology)
Maternity care
Orthopaedic surgery
Senior care
Wound care
Emergency care

Conditions treated^[5]

Treatments^[4]

Radiation oncology
Medical oncology

Procedures^[4]

Joint replacement surgery
Robotic knee replacement (ROSA)
3D mammography

Programs and centers^[6]

Telestroke

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke Ready Hospital

Visiting and practical information

Parking	Lot D2 recommended for patients; lot D1 for the Emergency Care Center^[4][5]

Doctors and clinicians (296)

296 doctors and other clinicians list Southeast Georgia Health System -- Camden Campus 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 (296)

Aaron Hall, MDEmergency Medicine
Abebe H. Muraga, MDInternal Medicine
Abel J. Ignatius, MDCardiovascular Disease (Cardiology)
Abhishek Bhurwal, MDGastroenterology
Abraham Cheong, MDHematology/Oncology
Adam D. Lewis, MDEmergency Medicine
Adam HarperCertified Registered Nurse Anesthetist (CRNA)
Adam J. Polifka, MDNeurosurgery
Aditya Saini, MDCardiac Electrophysiology
Ahmed Elsharkawi, MDNephrology
Akshaya Kambhatla, MDEndocrinology
Alaina Sharpton, CNACertified Registered Nurse Anesthetist (CRNA)
Alan E. Miller, MDPhysical Medicine and Rehabilitation
Aleem Ali, MDGastroenterology
Alejandro Pena Jr., MDCardiovascular Disease (Cardiology)
Alexander Fardman, MDCardiovascular Disease (Cardiology)
Amie GardnerNurse Practitioner
Amir Abdoly, DOCardiovascular Disease (Cardiology)
Amir Wind, MDFamily Practice
Andrew Agbi, DOEmergency Medicine
Andrew C. McGregor, MDUrology
Andrew D. Magnet, MDInternal Medicine
Andrew Guidry, MDNeurology
Andrew W. White, MDEmergency Medicine

And 272 more: the button below opens the full list.

Other emergency rooms nearby

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

Baptist Medical Center - Nassau13 mi · Fernandina Beach, FL · Acute Care Hospital
Shands Jacksonville30 mi · Jacksonville, FL · Acute Care Hospital
Baptist Health Medical Center - Jacksonville32 mi · Jacksonville, FL · Acute Care Hospital
Ascension St Vincent's Riverside32 mi · Jacksonville, FL · Acute Care Hospital
HCA Florida Memorial Hospital34 mi · Jacksonville, FL · Acute Care Hospital

Other hospitals nearby

UF Health Rehabilitation Hospital - Jacksonville20 mi · Jacksonville, FL · Inpatient Rehabilitation Hospital
Southeast Georgia Health System- Brunswick Campus28 mi · Brunswick, GA · Acute Care Hospital
St Simons-By-The-Sea29 mi · Saint Simons Island, GA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Senior Care Center - St Marys4.9 mi · Saint Marys, GA · 2 of 5 stars
Fernandina Beach Rehabilitation and Nursing Center13 mi · Fernandina Beach, FL · 4 of 5 stars
Life Care Center of Hilliard19 mi · Hilliard, FL · 3 of 5 stars

All nursing homes in the state →

Home health agencies

Beacon in Home Health LLC8.5 mi · Yulee, FL

All home health agencies in the state →

Dialysis facilities

DaVita St. Mary's Dialysis6.6 mi · Saint Marys, GA · 3 of 5 stars
Fresenius Medical Care St. Marys6.6 mi · Saint Marys, GA · 2 of 5 stars
Fresenius Kidney Care Amelia Island15 mi · Fernandina Beach, FL · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Nassau Crossing Endoscopy Center8.5 mi · Yulee, FL
Amelia Island Surgery Center15 mi · Fernandina Beach, FL
Azura Surgery Center Jacksonville21 mi · Jacksonville, FL

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

CCHS St. Mary's0.1 mi · Saint Marys, GA · Community health center
McKinney Community Health Center, Inc.2.1 mi · Kingsland, GA · Community health center
CCH - Woodbine14 mi · Woodbine, GA · Community health center

Clinics and urgent care

University of Florida Jacksonville Physicians, Inc.6.6 mi · Saint Marys, GA · Rural health clinic
Avecina Medical, PA8.5 mi · Yulee, FL · Urgent care center
Solantic of Jacksonville, LLC8.5 mi · Yulee, FL · Urgent care center

Pharmacies

Publix Super Markets Inc5.8 mi · Kingsland, GA · Community/retail pharmacy
Walgreen Co5.8 mi · Kingsland, GA · Pharmacy
Camden Pharmacy Inc6.6 mi · Saint Marys, GA · Community/retail pharmacy

Assisted living nearby

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

Amelia Springs Assisted Living15 mi · Fernandina Beach, FL
Fellowship Amelia Island15 mi · Fernandina Beach, FL
Osprey Village at Amelia Island, Ltd15 mi · Fernandina Beach, FL
The Lakeside at Amelia Island15 mi · Fernandina Beach, FL

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	62%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	81%National average: 74%
Area around the room “always” quiet at night	66%National average: 60%
Completed surveys	164Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	1.25No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	16.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Complications after hip or knee replacement	Too few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.2%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	156 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	53%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 46 common services exactly as Southeast Georgia Health System -- Camden Campus 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$404.33	Not listed in the file	$76.53 – $384.11
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $343.68 Aetna — MANAGED_MEDICARE: $79.51 Ambetter — MARKETPLACE_COMMERCIAL: $124.72 Amerigroup_Community_Care — MANAGED_MEDICAID: $76.53 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $77.95 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $287.07 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $242.60 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $287.07 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $287.07 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $205.76
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$404.33	Not listed in the file	$76.53 – $384.11
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $343.68 Aetna — MANAGED_MEDICARE: $79.51 Ambetter — MARKETPLACE_COMMERCIAL: $124.72 Amerigroup_Community_Care — MANAGED_MEDICAID: $76.53 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $77.95 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $287.07 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $242.60 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $287.07 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $287.07 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $205.76
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$526.13	Not listed in the file	$110.51 – $499.82
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $447.21 Aetna — MANAGED_MEDICARE: $129.18 Ambetter — MARKETPLACE_COMMERCIAL: $202.64 Amerigroup_Community_Care — MANAGED_MEDICAID: $110.51 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $126.65 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $373.55 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $315.68 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $373.55 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $373.55 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $267.75
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$526.13	Not listed in the file	$110.51 – $499.82
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $447.21 Aetna — MANAGED_MEDICARE: $129.18 Ambetter — MARKETPLACE_COMMERCIAL: $202.64 Amerigroup_Community_Care — MANAGED_MEDICAID: $110.51 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $126.65 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $373.55 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $315.68 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $373.55 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $373.55 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $267.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$718	Not listed in the file	$137.12 – $682.10
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $610.30 Aetna — MANAGED_MEDICARE: $175.59 Ambetter — MARKETPLACE_COMMERCIAL: $275.44 Amerigroup_Community_Care — MANAGED_MEDICAID: $137.12 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $172.15 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $509.78 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $430.80 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $509.78 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $509.78 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $365.39
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$718	Not listed in the file	$137.12 – $682.10
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $610.30 Aetna — MANAGED_MEDICARE: $175.59 Ambetter — MARKETPLACE_COMMERCIAL: $275.44 Amerigroup_Community_Care — MANAGED_MEDICAID: $137.12 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $172.15 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $509.78 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $430.80 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $509.78 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $509.78 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $365.39
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$302.30	Not listed in the file	$40.70 – $287.19
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $256.96 Aetna — MANAGED_MEDICARE: $63.69 Ambetter — MARKETPLACE_COMMERCIAL: $99.90 Amerigroup_Community_Care — MANAGED_MEDICAID: $40.70 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $62.44 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $214.63 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $214.63 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $214.63 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $153.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	$302.30	Not listed in the file	$40.70 – $287.19
Established patient office visit (about 20–29 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $256.96 Aetna — MANAGED_MEDICARE: $63.69 Ambetter — MARKETPLACE_COMMERCIAL: $99.90 Amerigroup_Community_Care — MANAGED_MEDICAID: $40.70 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $62.44 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $214.63 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $214.63 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $214.63 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $153.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$399.42	Not listed in the file	$62.71 – $379.45
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $339.51 Aetna — MANAGED_MEDICARE: $93.86 Ambetter — MARKETPLACE_COMMERCIAL: $147.23 Amerigroup_Community_Care — MANAGED_MEDICAID: $62.71 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $92.02 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $283.59 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $239.65 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $283.59 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $283.59 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $203.26
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$399.42	Not listed in the file	$62.71 – $379.45
Established patient office visit (about 30–39 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $339.51 Aetna — MANAGED_MEDICARE: $93.86 Ambetter — MARKETPLACE_COMMERCIAL: $147.23 Amerigroup_Community_Care — MANAGED_MEDICAID: $62.71 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $92.02 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $283.59 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $239.65 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $283.59 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $283.59 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $203.26
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$480	Not listed in the file	$54.80 – $456
Emergency room visit (moderate): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $408 Aetna — MANAGED_MEDICARE: $213.38 Ambetter — MARKETPLACE_COMMERCIAL: $334.72 Amerigroup_Community_Care — MANAGED_MEDICAID: $54.80 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $209.20 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $340.80 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $288 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $340.80 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $340.80 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $244.27
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$673	Not listed in the file	$84.21 – $639.35
Emergency room visit (moderately high): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $572.05 Aetna — MANAGED_MEDICARE: $331.24 Ambetter — MARKETPLACE_COMMERCIAL: $519.59 Amerigroup_Community_Care — MANAGED_MEDICAID: $84.21 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $324.74 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $477.83 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $403.80 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $477.83 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $477.83 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $342.49
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$939	Not listed in the file	$132.41 – $892.05
Emergency room visit (high): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $798.15 Aetna — MANAGED_MEDICARE: $480.37 Ambetter — MARKETPLACE_COMMERCIAL: $753.52 Amerigroup_Community_Care — MANAGED_MEDICAID: $132.41 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $470.95 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $666.69 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $563.40 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $666.69 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $666.69 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $477.86

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Blood test, basic group of blood chemicals (Calcium, total)	$75.01	Not listed in the file	$8.46 – $71.26
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $63.76 Aetna — MANAGED_MEDICARE: $8.63 Ambetter — MARKETPLACE_COMMERCIAL: $13.54 Amerigroup_Community_Care — MANAGED_MEDICAID: $10.65 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $8.46 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $53.26 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $45.01 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $53.26 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $53.26 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $38.17
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Blood test, comprehensive group of blood chemicals	$89.77	Not listed in the file	$10.56 – $85.28
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $76.30 Aetna — MANAGED_MEDICARE: $10.77 Ambetter — MARKETPLACE_COMMERCIAL: $16.90 Amerigroup_Community_Care — MANAGED_MEDICAID: $13.29 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $10.56 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $63.74 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $53.86 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $63.74 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $63.74 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $45.68
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Blood test, lipids (cholesterol and triglycerides)	$99.58	Not listed in the file	$13.39 – $94.60
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $84.64 Aetna — MANAGED_MEDICARE: $13.66 Ambetter — MARKETPLACE_COMMERCIAL: $21.42 Amerigroup_Community_Care — MANAGED_MEDICAID: $16.85 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $13.39 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $70.70 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $59.75 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $70.70 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $70.70 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $50.68
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Kidney function blood test panel	$100.19	Not listed in the file	$8.68 – $95.18
Kidney function panel: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $85.16 Aetna — MANAGED_MEDICARE: $8.85 Ambetter — MARKETPLACE_COMMERCIAL: $13.89 Amerigroup_Community_Care — MANAGED_MEDICAID: $10.92 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $8.68 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $71.13 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $60.11 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $71.13 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $71.13 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $50.99
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Liver function blood test panel	$86.42	Not listed in the file	$8.17 – $82.10
Liver function panel: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $73.46 Aetna — MANAGED_MEDICARE: $8.33 Ambetter — MARKETPLACE_COMMERCIAL: $13.07 Amerigroup_Community_Care — MANAGED_MEDICAID: $10.28 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $8.17 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $61.36 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $51.85 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $61.36 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $61.36 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $43.98
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Manual urinalysis test with examination using microscope, automated	$26.69	Not listed in the file	$3.17 – $25.36
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $22.69 Aetna — MANAGED_MEDICARE: $3.23 Ambetter — MARKETPLACE_COMMERCIAL: $5.07 Amerigroup_Community_Care — MANAGED_MEDICAID: $3.99 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $3.17 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $18.95 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $16.01 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $18.95 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $18.95 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $13.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis, manual test	$120	Not listed in the file	$3.21 – $114
Urine test (manual, without microscope): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $102 Aetna — MANAGED_MEDICARE: $3.55 Ambetter — MARKETPLACE_COMMERCIAL: $5.57 Amerigroup_Community_Care — MANAGED_MEDICAID: $3.21 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $3.48 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $85.20 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $72 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $85.20 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $85.20 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $61.07
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Automated urinalysis test	$18.12	Not listed in the file	$2.25 – $17.21
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $15.40 Aetna — MANAGED_MEDICARE: $2.29 Ambetter — MARKETPLACE_COMMERCIAL: $3.60 Amerigroup_Community_Care — MANAGED_MEDICAID: $2.83 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $2.25 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $12.87 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $10.87 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $12.87 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $12.87 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $9.22
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA (prostate specific antigen) measurement, total	$138.01	Not listed in the file	$18.39 – $131.11
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $117.31 Aetna — MANAGED_MEDICARE: $18.76 Ambetter — MARKETPLACE_COMMERCIAL: $29.42 Amerigroup_Community_Care — MANAGED_MEDICAID: $23.13 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $18.39 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $97.99 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $82.81 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $97.99 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $97.99 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $70.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Blood test, thyroid stimulating hormone (TSH)	$124.07	Not listed in the file	$16.80 – $117.87
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $105.46 Aetna — MANAGED_MEDICARE: $17.14 Ambetter — MARKETPLACE_COMMERCIAL: $26.88 Amerigroup_Community_Care — MANAGED_MEDICAID: $21.12 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $16.80 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $88.09 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $74.44 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $88.09 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $88.09 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $63.14
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$65.69	Not listed in the file	$7.77 – $62.41
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $55.84 Aetna — MANAGED_MEDICARE: $7.93 Ambetter — MARKETPLACE_COMMERCIAL: $12.43 Amerigroup_Community_Care — MANAGED_MEDICAID: $9.77 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $7.77 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $46.64 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $39.41 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $46.64 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $46.64 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $33.43
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$56.08	Not listed in the file	$6.47 – $53.28
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $47.67 Aetna — MANAGED_MEDICARE: $6.60 Ambetter — MARKETPLACE_COMMERCIAL: $10.35 Amerigroup_Community_Care — MANAGED_MEDICAID: $8.14 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $6.47 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $39.82 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $33.65 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $39.82 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $39.82 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $28.54
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Blood test, clotting time	$38.40	Not listed in the file	$4.29 – $36.48
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $32.64 Aetna — MANAGED_MEDICARE: $4.38 Ambetter — MARKETPLACE_COMMERCIAL: $6.86 Amerigroup_Community_Care — MANAGED_MEDICAID: $4.94 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $4.29 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $27.26 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $23.04 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $27.26 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $27.26 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $19.54
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Coagulation assessment blood test, plasma or whole blood	$130.05	Not listed in the file	$6.01 – $123.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $110.54 Aetna — MANAGED_MEDICARE: $6.13 Ambetter — MARKETPLACE_COMMERCIAL: $9.62 Amerigroup_Community_Care — MANAGED_MEDICAID: $7.54 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $6.01 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $92.34 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $78.03 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $92.34 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $92.34 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $66.18

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT scan head or brain without contrast	$1,130.41	Not listed in the file	$37.64 – $1,073.89
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $960.85 Aetna — MANAGED_MEDICARE: $82.22 Ambetter — MARKETPLACE_COMMERCIAL: $128.97 Amerigroup_Community_Care — MANAGED_MEDICAID: $37.64 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.61 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $802.59 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $678.25 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $802.59 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $802.59 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $575.27
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI scan of brain before and after contrast	$2,969.38	Not listed in the file	$105.39 – $2,820.91
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $2,523.97 Aetna — MANAGED_MEDICARE: $287.61 Ambetter — MARKETPLACE_COMMERCIAL: $451.16 Amerigroup_Community_Care — MANAGED_MEDICAID: $105.39 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $281.97 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $2,108.26 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,781.63 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $2,108.26 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $2,108.26 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,511.12
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray of chest, 2 views	$213.74	Not listed in the file	$26.19 – $203.05
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $181.68 Aetna — MANAGED_MEDICARE: $67.96 Ambetter — MARKETPLACE_COMMERCIAL: $106.60 Amerigroup_Community_Care — MANAGED_MEDICAID: $26.19 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $66.63 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $151.76 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $128.24 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $151.76 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $151.76 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $108.77
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-ray of lower and sacral spine, minimum of 4 views	$383.46	Not listed in the file	$13.80 – $364.29
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $325.94 Aetna — MANAGED_MEDICARE: $82.22 Ambetter — MARKETPLACE_COMMERCIAL: $128.97 Amerigroup_Community_Care — MANAGED_MEDICAID: $13.80 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.61 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $272.26 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $230.08 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $272.26 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $272.26 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $195.14
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI scan of lower spinal canal without contrast	$2,007.59	Not listed in the file	$66.17 – $1,907.21
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,706.45 Aetna — MANAGED_MEDICARE: $183.26 Ambetter — MARKETPLACE_COMMERCIAL: $287.46 Amerigroup_Community_Care — MANAGED_MEDICAID: $66.17 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $179.66 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,425.39 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,204.55 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,425.39 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,425.39 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,021.66
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT scan of pelvis with contrast	$1,756.23	Not listed in the file	$51.75 – $1,668.42
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,492.80 Aetna — MANAGED_MEDICARE: $137.41 Ambetter — MARKETPLACE_COMMERCIAL: $215.54 Amerigroup_Community_Care — MANAGED_MEDICAID: $51.75 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $134.72 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,246.92 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,053.74 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,246.92 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,246.92 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $893.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI scan of leg joint without contrast	$3,765	Not listed in the file	$62.01 – $3,576.75
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $3,200.25 Aetna — MANAGED_MEDICARE: $183.26 Ambetter — MARKETPLACE_COMMERCIAL: $287.46 Amerigroup_Community_Care — MANAGED_MEDICAID: $62.01 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $179.66 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $2,673.15 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $2,259 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,916.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI scan of leg joint without contrast	$3,765	Not listed in the file	$62.01 – $3,576.75
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $3,200.25 Aetna — MANAGED_MEDICARE: $183.26 Ambetter — MARKETPLACE_COMMERCIAL: $287.46 Amerigroup_Community_Care — MANAGED_MEDICAID: $62.01 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $179.66 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $2,673.15 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $2,259 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,916.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI scan of leg joint without contrast	$3,765	Not listed in the file	$62.01 – $3,576.75
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $3,200.25 Aetna — MANAGED_MEDICARE: $183.26 Ambetter — MARKETPLACE_COMMERCIAL: $287.46 Amerigroup_Community_Care — MANAGED_MEDICAID: $62.01 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $179.66 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $2,673.15 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $2,259 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $2,673.15 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,916.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT scan of abdomen and pelvis with contrast	$1,706.31	Not listed in the file	$75.18 – $1,620.99
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,450.36 Aetna — MANAGED_MEDICARE: $287.61 Ambetter — MARKETPLACE_COMMERCIAL: $451.16 Amerigroup_Community_Care — MANAGED_MEDICAID: $75.18 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $281.97 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,211.48 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,023.79 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,211.48 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,211.48 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $868.34
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Complete ultrasound scan of abdomen	$2,287	Not listed in the file	$36.07 – $2,172.65
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,943.95 Aetna — MANAGED_MEDICARE: $82.22 Ambetter — MARKETPLACE_COMMERCIAL: $128.97 Amerigroup_Community_Care — MANAGED_MEDICAID: $36.07 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.61 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,623.77 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,372.20 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,623.77 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,623.77 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $1,163.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$526.28	Not listed in the file	$44.86 – $499.97
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $447.34 Aetna — MANAGED_MEDICARE: $82.22 Ambetter — MARKETPLACE_COMMERCIAL: $128.97 Amerigroup_Community_Care — MANAGED_MEDICAID: $44.86 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.61 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $373.66 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $315.77 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $373.66 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $373.66 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $267.82
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$1,436	Not listed in the file	$31.05 – $1,364.20
Transvaginal ultrasound: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,220.60 Aetna — MANAGED_MEDICARE: $82.22 Ambetter — MARKETPLACE_COMMERCIAL: $128.97 Amerigroup_Community_Care — MANAGED_MEDICAID: $31.05 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.61 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,019.56 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $861.60 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,019.56 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,019.56 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $730.78
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: Diagnostic mammography of 1 breast	$693	Not listed in the file	$85.58 – $658.35
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $589.05 Aetna — MANAGED_MEDICARE: $87.29 Ambetter — MARKETPLACE_COMMERCIAL: $136.93 Amerigroup_Community_Care — MANAGED_MEDICAID: $116.55 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $85.58 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $492.03 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $415.80 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $492.03 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $492.03 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $352.67
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: Diagnostic mammography of 1 breast	$693	Not listed in the file	$85.58 – $658.35
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $589.05 Aetna — MANAGED_MEDICARE: $87.29 Ambetter — MARKETPLACE_COMMERCIAL: $136.93 Amerigroup_Community_Care — MANAGED_MEDICAID: $116.55 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $85.58 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $492.03 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $415.80 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $492.03 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $492.03 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $352.67
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Diagnostic mammography of both breasts	$817	Not listed in the file	$97.31 – $776.15
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $694.45 Aetna — MANAGED_MEDICARE: $99.26 Ambetter — MARKETPLACE_COMMERCIAL: $155.70 Amerigroup_Community_Care — MANAGED_MEDICAID: $147.27 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $97.31 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $580.07 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $490.20 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $580.07 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $580.07 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $415.77
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Screening mammography	$725	Not listed in the file	$80.17 – $688.75
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $616.25 Aetna — MANAGED_MEDICARE: $81.77 Ambetter — MARKETPLACE_COMMERCIAL: $128.27 Amerigroup_Community_Care — MANAGED_MEDICAID: $118.65 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.17 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $514.75 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $435 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $514.75 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $514.75 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $368.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: Screening mammography	$725	Not listed in the file	$80.17 – $688.75
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $616.25 Aetna — MANAGED_MEDICARE: $81.77 Ambetter — MARKETPLACE_COMMERCIAL: $128.27 Amerigroup_Community_Care — MANAGED_MEDICAID: $118.65 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $80.17 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $514.75 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $435 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $514.75 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $514.75 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $368.95

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist	$11,162.68	Not listed in the file	$218.08 – $10,604.55
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $9,488.28 Aetna — MANAGED_MEDICARE: $2,436.99 Ambetter — MARKETPLACE_COMMERCIAL: $3,822.72 Amerigroup_Community_Care — MANAGED_MEDICAID: $218.08 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $2,389.20 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $7,925.50 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $6,697.61 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $7,925.50 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $7,925.50 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $5,680.69
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Sleep study in sleep lab (6 years or older)	$4,348.32	Not listed in the file	$174.50 – $4,130.90
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $3,696.07 Aetna — MANAGED_MEDICARE: $781.93 Ambetter — MARKETPLACE_COMMERCIAL: $1,226.56 Amerigroup_Community_Care — MANAGED_MEDICAID: $174.50 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $766.60 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $3,087.31 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $2,608.99 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $3,087.31 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $3,087.31 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $2,212.86

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$131.93	Not listed in the file	$20.07 – $125.33
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $112.14 Aetna — MANAGED_MEDICARE: $28.25 Ambetter — MARKETPLACE_COMMERCIAL: $44.32 Amerigroup_Community_Care — MANAGED_MEDICAID: $20.07 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $27.70 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $93.67 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $79.16 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $93.67 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $93.67 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $67.14
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 20 minutes	$255.47	Not listed in the file	$69.34 – $242.70
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $217.15 Aetna — MANAGED_MEDICARE: $96.69 Ambetter — MARKETPLACE_COMMERCIAL: $151.66 Amerigroup_Community_Care — MANAGED_MEDICAID: $69.34 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $94.79 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $181.38 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $153.28 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $130.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 30 minutes	$255.47	Not listed in the file	$94.79 – $242.70
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates Aetna — All_Commercial_Plans: $217.15 Aetna — MANAGED_MEDICARE: $96.69 Ambetter — MARKETPLACE_COMMERCIAL: $151.66 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $94.79 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $181.38 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $153.28 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $130.01 CareSource — MANAGED_MEDICARE: $94.79
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Evaluation for physical therapy, typically 45 minutes	$255.47	Not listed in the file	$69.34 – $242.70
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $217.15 Aetna — MANAGED_MEDICARE: $96.69 Ambetter — MARKETPLACE_COMMERCIAL: $151.66 Amerigroup_Community_Care — MANAGED_MEDICAID: $69.34 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $94.79 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $181.38 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $153.28 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $181.38 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $130.01

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Biopsy of prostate gland	$1,941	Not listed in the file	$132.04 – $2,389.45
Prostate biopsy: 10 of 32 insurance plan rates Aetna — All_Commercial_Plans: $1,649.85 Aetna — MANAGED_MEDICARE: $1,523.28 Ambetter — MARKETPLACE_COMMERCIAL: $2,389.45 Amerigroup_Community_Care — MANAGED_MEDICAID: $132.04 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $1,493.41 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $1,378.11 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $1,164.60 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $1,378.11 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $1,378.11 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $987.77

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$53,493.54	Not listed in the file	$21,256.24 – $50,818.86
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates Aetna — All_Commercial_Plans: $45,469.51 Aetna — MANAGED_MEDICARE: $21,681.37 Ambetter — MARKETPLACE_COMMERCIAL: $34,009.99 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $21,256.24 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $37,980.41 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $32,096.12 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $37,980.41 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $37,980.41 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $27,222.86 CareSource — MANAGED_MEDICARE: $21,256.24
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$41,788.33	Not listed in the file	$21,266.08 – $42,702.33
Neck (cervical) spinal fusion, without complications: 10 of 29 insurance plan rates Aetna — All_Commercial_Plans: $35,520.08 Aetna — MANAGED_MEDICARE: $27,222.74 Ambetter — MARKETPLACE_COMMERCIAL: $42,702.33 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $26,688.96 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $29,669.71 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $25,073 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $29,669.71 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $29,669.71 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $21,266.08 CareSource — MANAGED_MEDICARE: $26,688.96
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$32,592.65	Not listed in the file	$13,513.58 – $30,963.02
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates Aetna — All_Commercial_Plans: $27,703.75 Aetna — MANAGED_MEDICARE: $13,783.85 Ambetter — MARKETPLACE_COMMERCIAL: $21,621.73 Blue_Cross_Blue_Shield_Anthem — MANAGED_MEDICARE: $13,513.58 Blue_Cross_Blue_Shield_Anthem — PPO_OPEN_ACCESS: $23,140.78 Blue_Cross_Blue_Shield_Anthem_BLUE VALUE — COMMERCIAL: $19,555.59 Blue_Cross_Blue_Shield_Anthem_FEP — COMMERCIAL: $23,140.78 Blue_Cross_Blue_Shield_Anthem_HIGHMARK — COMMERCIAL: $23,140.78 Blue_Cross_Blue_Shield_Anthem_PATHWAY_EXCHANGE — MARKETPLACE_COMMERCIAL: $16,586.40 CareSource — MANAGED_MEDICARE: $13,513.58

Source: Southeast Georgia Health System -- Camden Campus’s standard charges file (res.cloudinary.com, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on January 28, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	2000 Dan Proctor Drive, Saint Marys, GA 31558
County	Camden County
State	Georgia
Phone	(912) 576‑6401
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	4 of 5 stars
CMS Certification Number	110146
Name in Medicare records	SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(912) 576‑6200^[4]
Official website	sghs.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Southeast Georgia Health System-Camden Campus — sghs.org
Emergency Care Center (Camden Campus) — sghs.org
Stroke Center — sghs.org