Does Southern NH Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Southern NH Medical Center. In a medical emergency, call 911.

Where is Southern NH Medical Center?

8 Prospect Street, Nashua, NH 03060, in Hillsborough County, New Hampshire.

What is the phone number of Southern NH Medical Center?

(603) 577-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Southern NH Medical Center?

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

Southern NH Medical Center — Nashua, NH

Quick answers

Does Southern NH Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Southern NH Medical Center. In a medical emergency, call 911.
Where is Southern NH Medical Center?: 8 Prospect Street, Nashua, NH 03060, in Hillsborough County, New Hampshire.
What is the phone number of Southern NH Medical Center?: (603) 577-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Southern NH Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[8][12]

Treatments^[9][12]

Bariatric surgery
CT scanning
MRI
Ultrasound
Mammography
Lung cancer screening
Lactation and breastfeeding support

Programs and centers^[8][9][12]

Emergency Department (24/7)
Trauma care (Level III-N)
Pediatric trauma care (Level III)
Primary stroke center
Breast Cancer Program
Cardiac rehabilitation
Sleep Center
Accredited cancer program (Commission on Cancer)
Level II Special Care Nursery
The Birth Place (labor and delivery)
Lung Cancer Screening Center

Emergency care (hospital website)^[8][9]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III-N
Stroke designation	DNV Certified Primary Stroke Center

Visiting and practical information

Visiting	Visitors encouraged during day and early evening; anyone visiting after 8 p.m. checks in with Security. The Birth Place has its own hours^[6]
Parking	Valet at the main entrance, or the parking garage; campus map shows parking^[11][10]
Interpreters and languages	Free qualified interpreters (in person, audio or video); ASL and other aids; call 603-577-2000^[7]

Recognition^[9][12]

DNV Healthcare Accreditation
Becker's Great Community Hospitals 2026
Metabolic and Bariatric Surgery Accreditation (MBSAQIP)
Accredited Commission on Cancer Program
Cardiac rehabilitation certification (AACVPR)
CAP laboratory accreditation

Doctors and clinicians (664)

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

Main specialties

Doctors with a page on this site (664)

Abdel Hosein, MDHematology/Oncology
Adnan I. Khan, MDNeurology
Adolfo M. Pena Salazar, MDInternal Medicine
Aimee C. SullivanCertified Registered Nurse Anesthetist (CRNA)
Ajay K. Sharma, MDCardiovascular Disease (Cardiology)
Alainna B. DriezeNurse Practitioner
Albert Tom, MDOrthopedic Surgery
Alden C. MiltonPhysician Assistant
Alec BeaulieuPhysician Assistant
Alec BiesePhysician Assistant
Alexa A. MorrisseyPhysician Assistant
Alexander B. Granok, MDInfectious Disease
Alexander C. Cvitan, MDHospice/Palliative Care
Alexander J. Gamble, DONeurosurgery
Alexander Knapik, MDDiagnostic Radiology
Alexander Melamed, MDGynecological Oncology
Alexander Talarico, CNACertified Registered Nurse Anesthetist (CRNA)
Alexander Y. Lee, MDAnesthesiology
Alexandra B. Argasinski, MDInternal Medicine
Alexandra J. Poll, PAPhysician Assistant
Alexandra R. Adler, MDAnesthesiology
Alexia A. Caprio, CNACertified Registered Nurse Anesthetist (CRNA)
Alice Yu, MDFamily Practice
Alicia MorinNurse Practitioner

And 640 more: the button below opens the full list.

Other emergency rooms nearby

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

St Joseph Hospital1.1 mi · Nashua, NH · Acute Care Hospital
Lowell General Hospital9.7 mi · Lowell, MA · Acute Care Hospital
Parkland Medical Center11 mi · Derry, NH · Acute Care Hospital
Holy Family Hospital15 mi · Methuen, MA · Acute Care Hospital
Elliot Hospital16 mi · Manchester, NH · Acute Care Hospital

Other hospitals nearby

Northeast Rehabilitation Hospital14 mi · Salem, NH · Inpatient Rehabilitation 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

Courville at Nashua0.8 mi · Nashua, NH · 5 of 5 stars
Nashua Post Acute Care1.8 mi · Nashua, NH · 1 of 5 stars
Fairview Nursing Home2.5 mi · Hudson, NH · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Home Health & Hospice Care7.3 mi · Merrimack, NH · 5 of 5 stars
Pathways Healthcare, LLC8.6 mi · Londonderry, NH
Tufts Medicine Care at Home12 mi · Lowell, MA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

New Hope Health Solutions, LLC1.1 mi · Nashua, NH
Healthy at Home, Inc3.1 mi · Nashua, NH
Bell Tower Home Health3.4 mi · Nashua, NH

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care of Nashua3.4 mi · Nashua, NH · 4 of 5 stars
DaVita Derry Dialysis8.6 mi · Londonderry, NH · 3 of 5 stars
Fresenius Medical Care Londonderry8.6 mi · Londonderry, NH · 3 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.

Centers for Pain Solutions1.1 mi · Nashua, NH
The Surgery Center of Greater Nashua1.1 mi · Nashua, NH
Nashua Ambulatory Surgical Center LLC3.1 mi · Nashua, NH

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

InteGreat Health0.0 mi · Nashua, NH · Community health center
Lamprey Health Care - Nashua Center0.1 mi · Nashua, NH · Community health center
Lamprey Health Care - Nashua Soup Kitchen & Shelter - Spring Street0.2 mi · Nashua, NH · Community health center

Clinics and urgent care

Appolic LLC1.1 mi · Nashua, NH · Urgent care center
Gorryn LLC1.1 mi · Nashua, NH · Urgent care center
Korryn LLC1.1 mi · Nashua, NH · Urgent care center

Pharmacies

Costco Wholesale Corporation1.1 mi · Nashua, NH · Community/retail pharmacy
Health Haven RX Inc.1.1 mi · Nashua, NH · Pharmacy
Healthy Quit Inc.1.1 mi · Nashua, NH · Pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	47%National average: 60%
Completed surveys	533Response rate: 23%

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)	0.719No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.441No different from the national benchmark
Surgical site infections after colon surgery	1.121No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.605No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.263Better than 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	13.8%
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	14.3%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	12.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.02No different from the national rate
Complications after hip or knee replacement	5.4%

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	14.1%
Readmitted within 30 days: heart failure	23.7%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	218 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	60%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 Nashua

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Southern NH Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU NEW PT,DETAILED,LOW 30-44 MINS	$161	$59.57	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED NEW PT,DETAILED,LOW 30-44 MINS	$161	$59.57	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU NEW PT,COMPREH,MOD-HIGH 45-59 MINS	$257	$95.09	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED NEW PT,COMPREH,MOD-HIGH 45-59 MINS	$257	$95.09	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU NEW PT,COMPREHEN,HIGH 60-74 MINS	$393	$145.41	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED NEW PT,COMPREHEN,HIGH 60-74 MINS	$393	$145.41	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FACILITY CLINIC ASSESS/MGMT SERVICES	$250	$92.50	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FACILITY ASSESSMENT L&D	$550	$203.50	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 3	$250	$92.50	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT VISIT EST LEVEL 4	$250	$92.50	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEVEL II EVAL - ESTABLISHED PATIENT 30-39 MINS	$250	$92.50	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU PROFEE E/M EST PT LVL 4 30-39 MINS	$257	$95.09	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU OP/OBV/ED CONSULT III 30 MINS	$380	$140.60	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU OP/OBV/ED CONSULT IV 40 MINS	$560	$207.20	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$298.22 – $2,052.20
Emergency room visit (moderate): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $298.22 Ambetter — Exchange: $387.68 Bcbs — Anthem Hmo/Pos: $1,108.66 Bcbs — Anthem Pathway Individual Other Commerical: $303.86 Bcbs — Anthem Pathway Small Group Exchange: $474.79 Bcbs — Anthem Ppo: $1,899.10 Bcbs — Hpn Other Commercial Plan: $1,008.88 Cigna — All Commercial Plans: $2,052.20 Cigna — Medicare Managed Care Plan: $313.13 Wellsense — Medicare Managed Care Plan: $310.15
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E/R LEVEL 3	$1,438	$532.06	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF EMERGENCY CARE DR. LVL 3	$347	$128.39	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$455.84 – $3,136.92
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $455.84 Ambetter — Exchange: $592.60 Bcbs — Anthem Hmo/Pos: $1,694.65 Bcbs — Anthem Pathway Individual Other Commerical: $464.46 Bcbs — Anthem Pathway Small Group Exchange: $725.75 Bcbs — Anthem Ppo: $2,902.89 Bcbs — Hpn Other Commercial Plan: $1,542.13 Cigna — All Commercial Plans: $3,136.92 Cigna — Medicare Managed Care Plan: $478.63 Wellsense — Medicare Managed Care Plan: $474.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E/R LEVEL 4	$2,559	$946.83	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF EMERGENCY CARE DR. LVL 4	$542	$200.54	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$650.59 – $4,477.11
Emergency room visit (high): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $650.59 Ambetter — Exchange: $845.77 Bcbs — Anthem Hmo/Pos: $2,418.66 Bcbs — Anthem Pathway Individual Other Commerical: $662.90 Bcbs — Anthem Pathway Small Group Exchange: $1,035.81 Bcbs — Anthem Ppo: $4,143.10 Bcbs — Hpn Other Commercial Plan: $2,200.98 Cigna — All Commercial Plans: $4,477.11 Cigna — Medicare Managed Care Plan: $683.12 Wellsense — Medicare Managed Care Plan: $676.62
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E/R LEVEL 5	$3,537	$1,308.69	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF EMERGENCY CARE DR. LVL 5	$647	$239.39	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $58.22
Basic metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $53.55 Ambetter — Exchange: $11 Bcbs — Anthem Hmo/Pos: $27.40 Bcbs — Anthem Pathway Individual Other Commerical: $8.46 Bcbs — Anthem Pathway Small Group Exchange: $13.47 Bcbs — Anthem Ppo: $50.57 Bcbs — Hpn Other Commercial Plan: $24.93 Cigna — All Commercial Plans: $8.88 Cigna — Medicare Managed Care Plan: $8.88 Harvard Pilgrim — Elevate Health - Individual Exchange: $20.41
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$98	$36.26	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $72.67
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $66.84 Ambetter — Exchange: $13.73 Bcbs — Anthem Hmo/Pos: $34.20 Bcbs — Anthem Pathway Individual Other Commerical: $10.56 Bcbs — Anthem Pathway Small Group Exchange: $16.81 Bcbs — Anthem Ppo: $63.12 Bcbs — Hpn Other Commercial Plan: $31.12 Cigna — All Commercial Plans: $11.09 Cigna — Medicare Managed Care Plan: $11.09 Harvard Pilgrim — Elevate Health - Individual Exchange: $25.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$122	$45.14	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $329.01
Obstetric blood test panel: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $302.64 Ambetter — Exchange: $62.15 Bcbs — Anthem Hmo/Pos: $154.82 Bcbs — Anthem Pathway Individual Other Commerical: $47.81 Bcbs — Anthem Pathway Small Group Exchange: $76.12 Bcbs — Anthem Ppo: $285.77 Bcbs — Hpn Other Commercial Plan: $140.89 Cigna — All Commercial Plans: $50.20 Cigna — Medicare Managed Care Plan: $50.20 Harvard Pilgrim — Elevate Health - Individual Exchange: $103.87
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $92.14
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $84.76 Ambetter — Exchange: $17.41 Bcbs — Anthem Hmo/Pos: $43.36 Bcbs — Anthem Pathway Individual Other Commerical: $13.39 Bcbs — Anthem Pathway Small Group Exchange: $21.32 Bcbs — Anthem Ppo: $80.03 Bcbs — Hpn Other Commercial Plan: $39.46 Cigna — All Commercial Plans: $14.06 Cigna — Medicare Managed Care Plan: $14.06 Harvard Pilgrim — Elevate Health - Individual Exchange: $32.32
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL	$152	$56.24	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $59.73
Kidney function panel: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $54.94 Ambetter — Exchange: $11.28 Bcbs — Anthem Hmo/Pos: $28.11 Bcbs — Anthem Pathway Individual Other Commerical: $8.68 Bcbs — Anthem Pathway Small Group Exchange: $13.82 Bcbs — Anthem Ppo: $51.88 Bcbs — Hpn Other Commercial Plan: $25.58 Cigna — All Commercial Plans: $9.11 Cigna — Medicare Managed Care Plan: $9.11 Harvard Pilgrim — Elevate Health - Individual Exchange: $20.96
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$122	$45.14	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $56.22
Liver function panel: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $51.72 Ambetter — Exchange: $10.62 Bcbs — Anthem Hmo/Pos: $26.46 Bcbs — Anthem Pathway Individual Other Commerical: $8.17 Bcbs — Anthem Pathway Small Group Exchange: $13.01 Bcbs — Anthem Ppo: $48.83 Bcbs — Hpn Other Commercial Plan: $24.08 Cigna — All Commercial Plans: $8.58 Cigna — Medicare Managed Care Plan: $8.58 Harvard Pilgrim — Elevate Health - Individual Exchange: $17.76
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$106	$39.22	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $21.81
Urine test (automated, with microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $20.07 Ambetter — Exchange: $4.12 Bcbs — Anthem Hmo/Pos: $10.27 Bcbs — Anthem Pathway Individual Other Commerical: $3.17 Bcbs — Anthem Pathway Small Group Exchange: $5.05 Bcbs — Anthem Ppo: $18.95 Bcbs — Hpn Other Commercial Plan: $9.34 Cigna — All Commercial Plans: $3.33 Cigna — Medicare Managed Care Plan: $3.33 Harvard Pilgrim — Elevate Health - Individual Exchange: $6.88
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $23.95
Urine test (manual, without microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $22.03 Ambetter — Exchange: $4.52 Bcbs — Anthem Hmo/Pos: $11.27 Bcbs — Anthem Pathway Individual Other Commerical: $3.48 Bcbs — Anthem Pathway Small Group Exchange: $5.54 Bcbs — Anthem Ppo: $20.80 Bcbs — Hpn Other Commercial Plan: $10.25 Cigna — All Commercial Plans: $3.65 Cigna — Medicare Managed Care Plan: $3.65 Harvard Pilgrim — Elevate Health - Individual Exchange: $6.80
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$46	$17.02	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $15.48
Urine test (automated, without microscope): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $14.24 Ambetter — Exchange: $2.92 Bcbs — Anthem Hmo/Pos: $7.29 Bcbs — Anthem Pathway Individual Other Commerical: $2.25 Bcbs — Anthem Pathway Small Group Exchange: $3.58 Bcbs — Anthem Ppo: $13.45 Bcbs — Hpn Other Commercial Plan: $6.63 Cigna — All Commercial Plans: $2.36 Cigna — Medicare Managed Care Plan: $2.36 Harvard Pilgrim — Elevate Health - Individual Exchange: $5.42
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$56	$20.72	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $126.55
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $116.41 Ambetter — Exchange: $23.91 Bcbs — Anthem Hmo/Pos: $59.55 Bcbs — Anthem Pathway Individual Other Commerical: $18.39 Bcbs — Anthem Pathway Small Group Exchange: $29.28 Bcbs — Anthem Ppo: $109.92 Bcbs — Hpn Other Commercial Plan: $54.19 Cigna — All Commercial Plans: $19.31 Cigna — Medicare Managed Care Plan: $19.31 Harvard Pilgrim — Elevate Health - Individual Exchange: $39.97
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$188	$69.56	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $115.61
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $106.34 Ambetter — Exchange: $21.84 Bcbs — Anthem Hmo/Pos: $54.40 Bcbs — Anthem Pathway Individual Other Commerical: $16.80 Bcbs — Anthem Pathway Small Group Exchange: $26.75 Bcbs — Anthem Ppo: $100.42 Bcbs — Hpn Other Commercial Plan: $49.51 Cigna — All Commercial Plans: $17.64 Cigna — Medicare Managed Care Plan: $17.64 Harvard Pilgrim — Elevate Health - Individual Exchange: $40.57
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH	$162	$59.94	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $53.47
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $49.18 Ambetter — Exchange: $10.10 Bcbs — Anthem Hmo/Pos: $25.16 Bcbs — Anthem Pathway Individual Other Commerical: $7.77 Bcbs — Anthem Pathway Small Group Exchange: $12.37 Bcbs — Anthem Ppo: $46.44 Bcbs — Hpn Other Commercial Plan: $22.90 Cigna — All Commercial Plans: $8.16 Cigna — Medicare Managed Care Plan: $8.16 Harvard Pilgrim — Elevate Health - Individual Exchange: $16.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AMP;AUTO DIFRNTL WBC	$110	$40.70	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $44.52
Complete blood count (CBC), automated: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $40.96 Ambetter — Exchange: $8.41 Bcbs — Anthem Hmo/Pos: $20.95 Bcbs — Anthem Pathway Individual Other Commerical: $6.47 Bcbs — Anthem Pathway Small Group Exchange: $10.30 Bcbs — Anthem Ppo: $38.67 Bcbs — Hpn Other Commercial Plan: $19.07 Cigna — All Commercial Plans: $6.79 Cigna — Medicare Managed Care Plan: $6.79 Harvard Pilgrim — Elevate Health - Individual Exchange: $14.04
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$81	$29.97	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $29.52
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $27.16 Ambetter — Exchange: $5.58 Bcbs — Anthem Hmo/Pos: $13.89 Bcbs — Anthem Pathway Individual Other Commerical: $4.29 Bcbs — Anthem Pathway Small Group Exchange: $6.83 Bcbs — Anthem Ppo: $25.64 Bcbs — Hpn Other Commercial Plan: $12.64 Cigna — All Commercial Plans: $4.50 Cigna — Medicare Managed Care Plan: $4.50 Harvard Pilgrim — Elevate Health - Individual Exchange: $9.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$96	$35.52	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $41.36
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $38.04 Ambetter — Exchange: $7.81 Bcbs — Anthem Hmo/Pos: $19.46 Bcbs — Anthem Pathway Individual Other Commerical: $6.01 Bcbs — Anthem Pathway Small Group Exchange: $9.57 Bcbs — Anthem Ppo: $35.92 Bcbs — Hpn Other Commercial Plan: $17.71 Cigna — All Commercial Plans: $6.31 Cigna — Medicare Managed Care Plan: $6.31 Harvard Pilgrim — Elevate Health - Individual Exchange: $13.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$118	$43.66	Not listed in the file

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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$114.21 – $785.96
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $537.91 Aetna — Medicare Managed Care Plan: $114.21 Ambetter — Exchange: $148.48 Bcbs — Anthem Hmo/Pos: $424.60 Bcbs — Anthem Pathway Individual Other Commerical: $116.37 Bcbs — Anthem Pathway Small Group Exchange: $181.84 Bcbs — Anthem Ppo: $727.32 Bcbs — Hpn Other Commercial Plan: $386.38 Cigna — All Commercial Plans: $785.96 Cigna — Medicare Managed Care Plan: $119.92
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD WO CONTRAST	$1,758	$650.46	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$381.13 – $2,622.78
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $1,717.71 Aetna — Medicare Managed Care Plan: $381.13 Ambetter — Exchange: $495.47 Bcbs — Anthem Hmo/Pos: $1,416.90 Bcbs — Anthem Pathway Individual Other Commerical: $388.34 Bcbs — Anthem Pathway Small Group Exchange: $606.80 Bcbs — Anthem Ppo: $2,427.11 Bcbs — Hpn Other Commercial Plan: $1,289.38 Cigna — All Commercial Plans: $2,622.78 Cigna — Medicare Managed Care Plan: $400.19
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR BRAIN WO&W CONTRAST	$5,786	$2,140.82	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$95.07 – $654.24
Chest X-ray, 2 views: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $181.71 Aetna — Medicare Managed Care Plan: $95.07 Ambetter — Exchange: $123.59 Bcbs — Anthem Hmo/Pos: $353.44 Bcbs — Anthem Pathway Individual Other Commerical: $96.87 Bcbs — Anthem Pathway Small Group Exchange: $151.36 Bcbs — Anthem Ppo: $605.43 Bcbs — Hpn Other Commercial Plan: $321.63 Cigna — All Commercial Plans: $654.24 Cigna — Medicare Managed Care Plan: $99.83
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$495	$183.15	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$114.21 – $785.96
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $309.12 Aetna — Medicare Managed Care Plan: $114.21 Ambetter — Exchange: $148.48 Bcbs — Anthem Hmo/Pos: $424.60 Bcbs — Anthem Pathway Individual Other Commerical: $116.37 Bcbs — Anthem Pathway Small Group Exchange: $181.84 Bcbs — Anthem Ppo: $727.32 Bcbs — Hpn Other Commercial Plan: $386.38 Cigna — All Commercial Plans: $785.96 Cigna — Medicare Managed Care Plan: $119.92
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR SPINE LUMBAR 4+ VIEWS	$775	$286.75	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$260.66 – $1,793.77
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $990.03 Aetna — Medicare Managed Care Plan: $260.66 Ambetter — Exchange: $338.86 Bcbs — Anthem Hmo/Pos: $969.05 Bcbs — Anthem Pathway Individual Other Commerical: $265.59 Bcbs — Anthem Pathway Small Group Exchange: $415 Bcbs — Anthem Ppo: $1,659.95 Bcbs — Hpn Other Commercial Plan: $881.83 Cigna — All Commercial Plans: $1,793.77 Cigna — Medicare Managed Care Plan: $273.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR SPINE LUMBAR WO CONTRAST	$3,747	$1,386.39	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$191.62 – $1,390.46
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $1,390.46 Aetna — Medicare Managed Care Plan: $191.62 Ambetter — Exchange: $249.10 Bcbs — Anthem Hmo/Pos: $712.37 Bcbs — Anthem Pathway Individual Other Commerical: $195.24 Bcbs — Anthem Pathway Small Group Exchange: $305.08 Bcbs — Anthem Ppo: $1,220.26 Bcbs — Hpn Other Commercial Plan: $648.25 Cigna — All Commercial Plans: $1,318.64 Cigna — Medicare Managed Care Plan: $201.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS WITH CONTRAST	$2,909	$1,076.33	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$260.66 – $1,793.77
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $1,127.81 Aetna — Medicare Managed Care Plan: $260.66 Ambetter — Exchange: $338.86 Bcbs — Anthem Hmo/Pos: $969.05 Bcbs — Anthem Pathway Individual Other Commerical: $265.59 Bcbs — Anthem Pathway Small Group Exchange: $415 Bcbs — Anthem Ppo: $1,659.95 Bcbs — Hpn Other Commercial Plan: $881.83 Cigna — All Commercial Plans: $1,793.77 Cigna — Medicare Managed Care Plan: $273.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: EXT LWR JT W/O CONT	$3,808	$1,408.96	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$381.13 – $2,622.78
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $1,764.86 Aetna — Medicare Managed Care Plan: $381.13 Ambetter — Exchange: $495.47 Bcbs — Anthem Hmo/Pos: $1,416.90 Bcbs — Anthem Pathway Individual Other Commerical: $388.34 Bcbs — Anthem Pathway Small Group Exchange: $606.80 Bcbs — Anthem Ppo: $2,427.11 Bcbs — Hpn Other Commercial Plan: $1,289.38 Cigna — All Commercial Plans: $2,622.78 Cigna — Medicare Managed Care Plan: $400.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS WITH CONTRAST	$4,592	$1,699.04	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$114.21 – $785.96
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $612.94 Aetna — Medicare Managed Care Plan: $114.21 Ambetter — Exchange: $148.48 Bcbs — Anthem Hmo/Pos: $424.60 Bcbs — Anthem Pathway Individual Other Commerical: $116.37 Bcbs — Anthem Pathway Small Group Exchange: $181.84 Bcbs — Anthem Ppo: $727.32 Bcbs — Hpn Other Commercial Plan: $386.38 Cigna — All Commercial Plans: $785.96 Cigna — Medicare Managed Care Plan: $119.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,567	$579.79	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$114.21 – $785.96
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $693.58 Aetna — Medicare Managed Care Plan: $114.21 Ambetter — Exchange: $148.48 Bcbs — Anthem Hmo/Pos: $424.60 Bcbs — Anthem Pathway Individual Other Commerical: $116.37 Bcbs — Anthem Pathway Small Group Exchange: $181.84 Bcbs — Anthem Ppo: $727.32 Bcbs — Hpn Other Commercial Plan: $386.38 Cigna — All Commercial Plans: $785.96 Cigna — Medicare Managed Care Plan: $119.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB 2ND/3RD TRIMESTER >14 WKS	$1,398	$517.26	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$114.21 – $785.96
Transvaginal ultrasound: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $677.99 Aetna — Medicare Managed Care Plan: $114.21 Ambetter — Exchange: $148.48 Bcbs — Anthem Hmo/Pos: $424.60 Bcbs — Anthem Pathway Individual Other Commerical: $116.37 Bcbs — Anthem Pathway Small Group Exchange: $181.84 Bcbs — Anthem Ppo: $727.32 Bcbs — Hpn Other Commercial Plan: $386.38 Cigna — All Commercial Plans: $785.96 Cigna — Medicare Managed Care Plan: $119.92
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,162	$429.94	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$680.91
Diagnostic mammogram, one breast: rates for 1 insurance plan Aetna — All Commercial Plans: $680.91
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL INCL CAD	$748	$276.76	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$89.65 – $616.93
Diagnostic mammogram, one breast: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $89.65 Ambetter — Exchange: $116.55 Bcbs — Anthem Hmo/Pos: $333.29 Bcbs — Anthem Pathway Individual Other Commerical: $91.35 Bcbs — Anthem Pathway Small Group Exchange: $142.73 Bcbs — Anthem Ppo: $570.91 Bcbs — Hpn Other Commercial Plan: $303.29 Cigna — All Commercial Plans: $616.93 Cigna — Medicare Managed Care Plan: $94.13 Wellsense — Medicare Managed Care Plan: $93.24
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$872.99
Diagnostic mammogram, both breasts: rates for 1 insurance plan Aetna — All Commercial Plans: $872.99
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIL MAMMO DX INCL CAD	$939	$347.43	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$114.98 – $791.24
Diagnostic mammogram, both breasts: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $114.98 Ambetter — Exchange: $149.47 Bcbs — Anthem Hmo/Pos: $427.45 Bcbs — Anthem Pathway Individual Other Commerical: $117.15 Bcbs — Anthem Pathway Small Group Exchange: $183.06 Bcbs — Anthem Ppo: $732.21 Bcbs — Hpn Other Commercial Plan: $388.98 Cigna — All Commercial Plans: $791.24 Cigna — Medicare Managed Care Plan: $120.73 Wellsense — Medicare Managed Care Plan: $119.58
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$719.92
Screening mammogram, both breasts: rates for 1 insurance plan Aetna — All Commercial Plans: $719.92
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BI MAMMOGRAM SCREENING BILAT	$850	$314.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$94.87 – $652.86
Screening mammogram, both breasts: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $94.87 Ambetter — Exchange: $123.33 Bcbs — Anthem Hmo/Pos: $352.69 Bcbs — Anthem Pathway Individual Other Commerical: $96.66 Bcbs — Anthem Pathway Small Group Exchange: $151.04 Bcbs — Anthem Ppo: $604.15 Bcbs — Hpn Other Commercial Plan: $320.95 Cigna — All Commercial Plans: $652.86 Cigna — Medicare Managed Care Plan: $99.61 Wellsense — Medicare Managed Care Plan: $98.66

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,541.68 – $24,372.35
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $22,533 Aetna — Medicare Managed Care Plan: $3,541.68 Ambetter — Exchange: $4,604.19 Bcbs — Anthem Hmo/Pos: $13,166.64 Bcbs — Anthem Pathway Individual Other Commerical: $3,608.67 Bcbs — Anthem Pathway Small Group Exchange: $5,638.71 Bcbs — Anthem Ppo: $22,554.08 Bcbs — Hpn Other Commercial Plan: $11,981.64 Cigna — All Commercial Plans: $24,372.35 Cigna — Medicare Managed Care Plan: $3,718.77
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LHC	$6,901	$2,553.37	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$6,784.56 – $58,636.69
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $22,533 Aetna — Medicare Managed Care Plan: $8,520.82 Ambetter — Exchange: $11,077.07 Bcbs — Anthem Hmo/Pos: $31,677.22 Bcbs — Anthem Pathway Individual Other Commerical: $8,681.98 Bcbs — Anthem Pathway Small Group Exchange: $13,565.99 Bcbs — Anthem Ppo: $54,262.18 Bcbs — Hpn Other Commercial Plan: $28,826.27 Cigna — All Commercial Plans: $58,636.69 Cigna — Medicare Managed Care Plan: $8,946.87
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EP COMPREHENSIVE STUDY WO INDUCTION ARRHYTHMIA	$20,541	$7,600.17	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$22,533 – $196,500.47
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $22,533 Aetna — Medicare Managed Care Plan: $28,554.58 Ambetter — Exchange: $37,120.95 Bcbs — Anthem Hmo/Pos: $106,155.18 Bcbs — Anthem Pathway Individual Other Commerical: $29,094.65 Bcbs — Anthem Pathway Small Group Exchange: $45,461.70 Bcbs — Anthem Ppo: $181,840.81 Bcbs — Hpn Other Commercial Plan: $96,601.22 Cigna — All Commercial Plans: $196,500.47 Cigna — Medicare Managed Care Plan: $29,982.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$938.14 – $6,455.88
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $938.14 Ambetter — Exchange: $1,219.58 Bcbs — Anthem Hmo/Pos: $3,487.65 Bcbs — Anthem Pathway Individual Other Commerical: $955.88 Bcbs — Anthem Pathway Small Group Exchange: $1,493.61 Bcbs — Anthem Ppo: $5,974.25 Bcbs — Hpn Other Commercial Plan: $3,173.76 Cigna — All Commercial Plans: $6,455.88 Cigna — Medicare Managed Care Plan: $985.05 Wellsense — Medicare Managed Care Plan: $975.67
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4+ ADD'L PARAM (6 OR OLDER)	$6,875	$2,543.75	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.58 – $203.56
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $29.58 Ambetter — Exchange: $38.45 Bcbs — Anthem Hmo/Pos: $109.97 Bcbs — Anthem Pathway Individual Other Commerical: $30.14 Bcbs — Anthem Pathway Small Group Exchange: $47.09 Bcbs — Anthem Ppo: $188.37 Bcbs — Hpn Other Commercial Plan: $100.07 Cigna — All Commercial Plans: $203.56 Cigna — Medicare Managed Care Plan: $31.06 Wellsense — Medicare Managed Care Plan: $30.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT THER EX UNIT	$163	$60.31	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier 95\|GP In the file: HC TELEHEALTH PT THER EX UNIT	$163	$60.31	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$99.71 – $686.16
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $99.71 Ambetter — Exchange: $129.62 Bcbs — Anthem Hmo/Pos: $370.68 Bcbs — Anthem Pathway Individual Other Commerical: $101.60 Bcbs — Anthem Pathway Small Group Exchange: $158.75 Bcbs — Anthem Ppo: $634.97 Bcbs — Hpn Other Commercial Plan: $337.32 Cigna — All Commercial Plans: $686.16 Cigna — Medicare Managed Care Plan: $104.70 Wellsense — Medicare Managed Care Plan: $103.70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL LOW COMPLEX 20 MIN	$484	$179.08	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier 95\|GP In the file: HC TELEHEALTH PT EVAL LOW COMPLEX 20 MIN	$484	$179.08	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$99.71 – $686.16
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $99.71 Ambetter — Exchange: $129.62 Bcbs — Anthem Hmo/Pos: $370.68 Bcbs — Anthem Pathway Individual Other Commerical: $101.60 Bcbs — Anthem Pathway Small Group Exchange: $158.75 Bcbs — Anthem Ppo: $634.97 Bcbs — Hpn Other Commercial Plan: $337.32 Cigna — All Commercial Plans: $686.16 Cigna — Medicare Managed Care Plan: $104.70 Wellsense — Medicare Managed Care Plan: $103.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MOD COMPLEX 30 MIN	$490	$181.30	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier 95\|GP In the file: HC TELEHEALTH PT EVAL MOD COMPLEX 30 MIN	$490	$181.30	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$99.71 – $686.16
Physical therapy evaluation (high complexity): rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $99.71 Ambetter — Exchange: $129.62 Bcbs — Anthem Hmo/Pos: $370.68 Bcbs — Anthem Pathway Individual Other Commerical: $101.60 Bcbs — Anthem Pathway Small Group Exchange: $158.75 Bcbs — Anthem Ppo: $634.97 Bcbs — Hpn Other Commercial Plan: $337.32 Cigna — All Commercial Plans: $686.16 Cigna — Medicare Managed Care Plan: $104.70 Wellsense — Medicare Managed Care Plan: $103.70
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$495	$183.15	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier 95\|GP In the file: HC TELEHEALTH PT EVAL HIGH COMPLEX 45 MIN	$495	$183.15	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$193.91 – $1,334.38
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $193.91 Ambetter — Exchange: $252.08 Bcbs — Anthem Hmo/Pos: $720.87 Bcbs — Anthem Pathway Individual Other Commerical: $197.57 Bcbs — Anthem Pathway Small Group Exchange: $308.72 Bcbs — Anthem Ppo: $1,234.83 Bcbs — Hpn Other Commercial Plan: $655.99 Cigna — All Commercial Plans: $1,334.38 Cigna — Medicare Managed Care Plan: $203.60 Wellsense — Medicare Managed Care Plan: $201.66
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU PSYCHOTHERAPY 20-30 MINS 90832	$212	$78.44	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED PSYCHOTHERAPY 20-30 MINS 90832	$212	$78.44	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$193.91 – $1,334.38
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $193.91 Ambetter — Exchange: $252.08 Bcbs — Anthem Hmo/Pos: $720.87 Bcbs — Anthem Pathway Individual Other Commerical: $197.57 Bcbs — Anthem Pathway Small Group Exchange: $308.72 Bcbs — Anthem Ppo: $1,234.83 Bcbs — Hpn Other Commercial Plan: $655.99 Cigna — All Commercial Plans: $1,334.38 Cigna — Medicare Managed Care Plan: $203.60 Wellsense — Medicare Managed Care Plan: $201.66
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU PSYCHOTHERAPY 45-50 MINS 90834	$288	$106.56	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED PSYCHOTHERAPY 45-50 MINS 90834	$288	$106.56	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$193.91 – $1,334.38
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $193.91 Ambetter — Exchange: $252.08 Bcbs — Anthem Hmo/Pos: $720.87 Bcbs — Anthem Pathway Individual Other Commerical: $197.57 Bcbs — Anthem Pathway Small Group Exchange: $308.72 Bcbs — Anthem Ppo: $1,234.83 Bcbs — Hpn Other Commercial Plan: $655.99 Cigna — All Commercial Plans: $1,334.38 Cigna — Medicare Managed Care Plan: $203.60 Wellsense — Medicare Managed Care Plan: $201.66
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU PSYCHOTHERAPY 75-80 MINS 90837	$394	$145.78	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROF. BHU TELEMED PSYCHOTHERAPY 75-80 MINS 90837	$394	$145.78	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$193.91 – $1,334.38
Family psychotherapy, without the patient: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $193.91 Ambetter — Exchange: $252.08 Bcbs — Anthem Hmo/Pos: $720.87 Bcbs — Anthem Pathway Individual Other Commerical: $197.57 Bcbs — Anthem Pathway Small Group Exchange: $308.72 Bcbs — Anthem Ppo: $1,234.83 Bcbs — Hpn Other Commercial Plan: $655.99 Cigna — All Commercial Plans: $1,334.38 Cigna — Medicare Managed Care Plan: $203.60 Wellsense — Medicare Managed Care Plan: $201.66
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$193.91 – $1,334.38
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $193.91 Ambetter — Exchange: $252.08 Bcbs — Anthem Hmo/Pos: $720.87 Bcbs — Anthem Pathway Individual Other Commerical: $197.57 Bcbs — Anthem Pathway Small Group Exchange: $308.72 Bcbs — Anthem Ppo: $1,234.83 Bcbs — Hpn Other Commercial Plan: $655.99 Cigna — All Commercial Plans: $1,334.38 Cigna — Medicare Managed Care Plan: $203.60 Wellsense — Medicare Managed Care Plan: $201.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$110.98 – $763.74
Group psychotherapy: rates for 10 insurance plans Aetna — Medicare Managed Care Plan: $110.98 Ambetter — Exchange: $144.28 Bcbs — Anthem Hmo/Pos: $412.59 Bcbs — Anthem Pathway Individual Other Commerical: $113.08 Bcbs — Anthem Pathway Small Group Exchange: $176.70 Bcbs — Anthem Ppo: $706.76 Bcbs — Hpn Other Commercial Plan: $375.46 Cigna — All Commercial Plans: $763.74 Cigna — Medicare Managed Care Plan: $116.53 Wellsense — Medicare Managed Care Plan: $115.42
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: PHP, GROUP PSYCHOTHERAPY	$256	$94.72	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,277.46 – $29,435.64
Removal of breast growth (open surgery): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $11,351 Aetna — Medicare Managed Care Plan: $4,277.46 Ambetter — Exchange: $5,560.69 Bcbs — Anthem Hmo/Pos: $15,901.98 Bcbs — Anthem Pathway Individual Other Commerical: $4,358.36 Bcbs — Anthem Pathway Small Group Exchange: $6,810.13 Bcbs — Anthem Ppo: $27,239.63 Bcbs — Hpn Other Commercial Plan: $14,470.80 Cigna — All Commercial Plans: $29,435.64 Cigna — Medicare Managed Care Plan: $4,491.33
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$12,601.67 – $96,519.26
Total hip replacement: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $21,126 Aetna — Medicare Managed Care Plan: $14,025.75 Ambetter — Exchange: $18,233.48 Bcbs — Anthem Hmo/Pos: $52,142.47 Bcbs — Anthem Pathway Individual Other Commerical: $14,291.03 Bcbs — Anthem Pathway Small Group Exchange: $22,330.38 Bcbs — Anthem Ppo: $89,318.57 Bcbs — Hpn Other Commercial Plan: $47,449.65 Cigna — All Commercial Plans: $96,519.26 Cigna — Medicare Managed Care Plan: $14,727.04
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$12,601.67 – $96,519.26
Total knee replacement: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $21,126 Aetna — Medicare Managed Care Plan: $14,025.75 Ambetter — Exchange: $18,233.48 Bcbs — Anthem Hmo/Pos: $52,142.47 Bcbs — Anthem Pathway Individual Other Commerical: $14,291.03 Bcbs — Anthem Pathway Small Group Exchange: $22,330.38 Bcbs — Anthem Ppo: $89,318.57 Bcbs — Hpn Other Commercial Plan: $47,449.65 Cigna — All Commercial Plans: $96,519.26 Cigna — Medicare Managed Care Plan: $14,727.04
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$11,351
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Aetna — All Commercial Plans: $11,351
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,574.53 – $24,598.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $14,929 Aetna — Medicare Managed Care Plan: $3,574.53 Ambetter — Exchange: $4,646.89 Bcbs — Anthem Hmo/Pos: $13,288.76 Bcbs — Anthem Pathway Individual Other Commerical: $3,642.14 Bcbs — Anthem Pathway Small Group Exchange: $5,691.01 Bcbs — Anthem Ppo: $22,763.27 Bcbs — Hpn Other Commercial Plan: $12,092.77 Cigna — All Commercial Plans: $24,598.40 Cigna — Medicare Managed Care Plan: $3,753.26
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$6,467.18 – $44,504.38
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $11,351 Aetna — Medicare Managed Care Plan: $6,467.18 Ambetter — Exchange: $8,407.33 Bcbs — Anthem Hmo/Pos: $24,042.54 Bcbs — Anthem Pathway Individual Other Commerical: $6,589.50 Bcbs — Anthem Pathway Small Group Exchange: $10,296.39 Bcbs — Anthem Ppo: $41,184.19 Bcbs — Hpn Other Commercial Plan: $21,878.72 Cigna — All Commercial Plans: $44,504.38 Cigna — Medicare Managed Care Plan: $6,790.54
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$990.85 – $8,965
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $8,965 Aetna — Medicare Managed Care Plan: $990.85 Ambetter — Exchange: $1,288.10 Bcbs — Anthem Hmo/Pos: $3,683.59 Bcbs — Anthem Pathway Individual Other Commerical: $1,009.59 Bcbs — Anthem Pathway Small Group Exchange: $1,577.52 Bcbs — Anthem Ppo: $6,309.89 Bcbs — Hpn Other Commercial Plan: $3,352.07 Cigna — All Commercial Plans: $6,818.58 Cigna — Medicare Managed Care Plan: $1,040.39
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD W/CS	$3,513	$1,299.81	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$990.85 – $6,818.58
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $990.85 Ambetter — Exchange: $1,288.10 Bcbs — Anthem Hmo/Pos: $3,683.59 Bcbs — Anthem Pathway Individual Other Commerical: $1,009.59 Bcbs — Anthem Pathway Small Group Exchange: $1,577.52 Bcbs — Anthem Ppo: $6,309.89 Bcbs — Hpn Other Commercial Plan: $3,352.07 Cigna — All Commercial Plans: $6,818.58 Cigna — Medicare Managed Care Plan: $1,040.39
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD/BIOPSY/SNGL/MULTI W/CS	$3,513	$1,299.81	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,015.94 – $6,991.28
Colonoscopy (diagnostic): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $1,015.94 Ambetter — Exchange: $1,320.72 Bcbs — Anthem Hmo/Pos: $3,776.89 Bcbs — Anthem Pathway Individual Other Commerical: $1,035.16 Bcbs — Anthem Pathway Small Group Exchange: $1,617.48 Bcbs — Anthem Ppo: $6,469.71 Bcbs — Hpn Other Commercial Plan: $3,436.97 Cigna — All Commercial Plans: $6,991.28 Cigna — Medicare Managed Care Plan: $1,066.74
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY DIAG INCL SPEC COLLECT BRUSH/WASHING W/CS	$3,391	$1,254.67	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,307.28 – $8,996.17
Colonoscopy with biopsy: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $1,307.28 Ambetter — Exchange: $1,699.47 Bcbs — Anthem Hmo/Pos: $4,859.99 Bcbs — Anthem Pathway Individual Other Commerical: $1,332.01 Bcbs — Anthem Pathway Small Group Exchange: $2,081.32 Bcbs — Anthem Ppo: $8,325.02 Bcbs — Hpn Other Commercial Plan: $4,422.59 Cigna — All Commercial Plans: $8,996.17 Cigna — Medicare Managed Care Plan: $1,372.65
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SNGL/MULTI W/CS	$4,087	$1,512.19	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,307.28 – $8,996.17
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $1,307.28 Ambetter — Exchange: $1,699.47 Bcbs — Anthem Hmo/Pos: $4,859.99 Bcbs — Anthem Pathway Individual Other Commerical: $1,332.01 Bcbs — Anthem Pathway Small Group Exchange: $2,081.32 Bcbs — Anthem Ppo: $8,325.02 Bcbs — Hpn Other Commercial Plan: $4,422.59 Cigna — All Commercial Plans: $8,996.17 Cigna — Medicare Managed Care Plan: $1,372.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W/RMVL TMR/POLYP/LSN SNARE W/CS	$4,087	$1,512.19	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,307.28 – $8,996.17
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $1,307.28 Ambetter — Exchange: $1,699.47 Bcbs — Anthem Hmo/Pos: $4,859.99 Bcbs — Anthem Pathway Individual Other Commerical: $1,332.01 Bcbs — Anthem Pathway Small Group Exchange: $2,081.32 Bcbs — Anthem Ppo: $8,325.02 Bcbs — Hpn Other Commercial Plan: $4,422.59 Cigna — All Commercial Plans: $8,996.17 Cigna — Medicare Managed Care Plan: $1,372.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,015.94 – $6,991.28
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $1,015.94 Ambetter — Exchange: $1,320.72 Bcbs — Anthem Hmo/Pos: $3,776.89 Bcbs — Anthem Pathway Individual Other Commerical: $1,035.16 Bcbs — Anthem Pathway Small Group Exchange: $1,617.48 Bcbs — Anthem Ppo: $6,469.71 Bcbs — Hpn Other Commercial Plan: $3,436.97 Cigna — All Commercial Plans: $6,991.28 Cigna — Medicare Managed Care Plan: $1,066.74
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCREENING COLONOSCOPY LOW RISK	$3,802	$1,406.74	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,604.50 – $45,449.36
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $15,774 Aetna — Medicare Managed Care Plan: $6,604.50 Ambetter — Exchange: $8,585.85 Bcbs — Anthem Hmo/Pos: $24,553.05 Bcbs — Anthem Pathway Individual Other Commerical: $6,729.42 Bcbs — Anthem Pathway Small Group Exchange: $10,515.01 Bcbs — Anthem Ppo: $42,058.67 Bcbs — Hpn Other Commercial Plan: $22,343.27 Cigna — All Commercial Plans: $45,449.36 Cigna — Medicare Managed Care Plan: $6,934.72
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,911.45 – $26,916.91
Groin (inguinal) hernia repair, age 5 or older: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $14,929 Aetna — Medicare Managed Care Plan: $3,911.45 Ambetter — Exchange: $5,084.88 Bcbs — Anthem Hmo/Pos: $14,541.29 Bcbs — Anthem Pathway Individual Other Commerical: $3,985.43 Bcbs — Anthem Pathway Small Group Exchange: $6,227.41 Bcbs — Anthem Ppo: $24,908.81 Bcbs — Hpn Other Commercial Plan: $13,232.57 Cigna — All Commercial Plans: $26,916.91 Cigna — Medicare Managed Care Plan: $4,107.02
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$2,846.30 – $6,643.60
Prostate biopsy: rates for 7 insurance plans Aetna — All Commercial Plans: $6,067 Harvard Pilgrim — Elevate Health - Individual Exchange: $3,061.73 Harvard Pilgrim — Elevate Health Other Commercial Plan: $5,765.67 Harvard Pilgrim — Hmo/Pos: $3,061.73 Harvard Pilgrim — Ppo: $6,643.60 Tufts — Hmo/Pos: $2,846.30 Tufts — Ppo: $3,487.05
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$11,612.67 – $79,913.48
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $15,774 Aetna — Medicare Managed Care Plan: $11,612.67 Ambetter — Exchange: $15,096.47 Bcbs — Anthem Hmo/Pos: $43,171.55 Bcbs — Anthem Pathway Individual Other Commerical: $11,832.31 Bcbs — Anthem Pathway Small Group Exchange: $18,488.52 Bcbs — Anthem Ppo: $73,951.64 Bcbs — Hpn Other Commercial Plan: $39,286.11 Cigna — All Commercial Plans: $79,913.48 Cigna — Medicare Managed Care Plan: $12,193.31
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,536.43 – $24,336.22
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $11,351 Aetna — Medicare Managed Care Plan: $3,536.43 Ambetter — Exchange: $4,597.36 Bcbs — Anthem Hmo/Pos: $13,147.12 Bcbs — Anthem Pathway Individual Other Commerical: $3,603.32 Bcbs — Anthem Pathway Small Group Exchange: $5,630.35 Bcbs — Anthem Ppo: $22,520.65 Bcbs — Hpn Other Commercial Plan: $11,963.88 Cigna — All Commercial Plans: $24,336.22 Cigna — Medicare Managed Care Plan: $3,713.25
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$771.15 – $8,965
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $8,965 Aetna — Medicare Managed Care Plan: $771.15 Ambetter — Exchange: $1,002.49 Bcbs — Anthem Hmo/Pos: $2,866.84 Bcbs — Anthem Pathway Individual Other Commerical: $785.73 Bcbs — Anthem Pathway Small Group Exchange: $1,227.74 Bcbs — Anthem Ppo: $4,910.81 Bcbs — Hpn Other Commercial Plan: $2,608.82 Cigna — All Commercial Plans: $5,306.71 Cigna — Medicare Managed Care Plan: $809.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC NJX INTERLAMINAR LMBR/SAC W/IMG GDN	$2,905	$1,074.85	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$966.25 – $8,965
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $8,965 Aetna — Medicare Managed Care Plan: $966.25 Ambetter — Exchange: $1,256.13 Bcbs — Anthem Hmo/Pos: $3,592.16 Bcbs — Anthem Pathway Individual Other Commerical: $984.53 Bcbs — Anthem Pathway Small Group Exchange: $1,538.37 Bcbs — Anthem Ppo: $6,153.27 Bcbs — Hpn Other Commercial Plan: $3,268.87 Cigna — All Commercial Plans: $6,649.33 Cigna — Medicare Managed Care Plan: $1,014.56
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ SNGL MVR RT L/S TRANSFRM INCL FLUORO	$5,256	$1,944.72	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,133.27 – $14,680.29
Carpal tunnel release: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $2,133.27 Ambetter — Exchange: $2,773.26 Bcbs — Anthem Hmo/Pos: $7,930.71 Bcbs — Anthem Pathway Individual Other Commerical: $2,173.62 Bcbs — Anthem Pathway Small Group Exchange: $3,396.38 Bcbs — Anthem Ppo: $13,585.09 Bcbs — Hpn Other Commercial Plan: $7,216.95 Cigna — All Commercial Plans: $14,680.29 Cigna — Medicare Managed Care Plan: $2,239.94
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$600.85 – $6,067
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,067 Aetna — Medicare Managed Care Plan: $600.85 Ambetter — Exchange: $781.11 Bcbs — Anthem Hmo/Pos: $2,233.74 Bcbs — Anthem Pathway Individual Other Commerical: $612.21 Bcbs — Anthem Pathway Small Group Exchange: $956.61 Bcbs — Anthem Ppo: $3,826.33 Bcbs — Hpn Other Commercial Plan: $2,032.70 Cigna — All Commercial Plans: $4,134.80 Cigna — Medicare Managed Care Plan: $630.89
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,521.21 – $17,349.87
Cataract removal with lens implant: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $15,774 Aetna — Medicare Managed Care Plan: $2,521.21 Ambetter — Exchange: $3,277.57 Bcbs — Anthem Hmo/Pos: $9,372.90 Bcbs — Anthem Pathway Individual Other Commerical: $2,568.89 Bcbs — Anthem Pathway Small Group Exchange: $4,014.01 Bcbs — Anthem Ppo: $16,055.51 Bcbs — Hpn Other Commercial Plan: $8,529.34 Cigna — All Commercial Plans: $17,349.87 Cigna — Medicare Managed Care Plan: $2,647.27

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$10,617.93 – $13,008.20
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans Tufts — Hmo/Pos: $10,617.93 Tufts — Ppo: $13,008.20
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$10,617.93 – $13,008.20
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans Tufts — Hmo/Pos: $10,617.93 Tufts — Ppo: $13,008.20

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$79,398.79 – $289,822.55
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates Aetna — Medicare Managed Care Plan: $79,398.79 Ambetter — Exchange: $103,218.43 Bcbs — Anthem Hmo/Pos: $160,601.86 Bcbs — Anthem Medicare Managed Care Plan: $79,398.79 Bcbs — Anthem Pathway Individual Other Commerical: $89,903.25 Bcbs — Anthem Pathway Small Group Exchange: $140,480.28 Bcbs — Anthem Ppo: $289,822.55 Bcbs — Hpn Other Commercial Plan: $146,147.68 Cigna — All Commercial Plans: $199,087.75 Cigna — Medicare Managed Care Plan: $83,368.73
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$33,839.23 – $109,854.71
Spinal fusion (not neck), without major complications: rates for 10 insurance plans Bcbs — Anthem Hmo/Pos: $60,874.74 Bcbs — Anthem Ppo: $109,854.71 Bcbs — Hpn Other Commercial Plan: $55,396.01 Cigna — All Commercial Plans: $75,462.48 Harvard Pilgrim — Elevate Health - Individual Exchange: $33,839.23 Harvard Pilgrim — Elevate Health Other Commercial Plan: $60,454.11 Harvard Pilgrim — Hmo/Pos: $66,306.75 Harvard Pilgrim — Ppo: $69,364.76 Mass General Brigham Health Plan — All Commercial Plans: 74.54% (a percentage in the contract, not a dollar amount) Multiplan — All Commercial Plans: 85% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$16,237.52 – $56,625.68
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates Aetna — Medicare Managed Care Plan: $16,237.52 Ambetter — Exchange: $21,108.78 Bcbs — Anthem Hmo/Pos: $31,378.47 Bcbs — Anthem Medicare Managed Care Plan: $16,237.52 Bcbs — Anthem Pathway Individual Other Commerical: $18,385.74 Bcbs — Anthem Pathway Small Group Exchange: $28,729.04 Bcbs — Anthem Ppo: $56,625.68 Bcbs — Hpn Other Commercial Plan: $28,554.41 Cigna — All Commercial Plans: $38,897.87 Cigna — Medicare Managed Care Plan: $17,049.40
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	$20,358.26 – $71,092.18
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates Aetna — Medicare Managed Care Plan: $20,358.26 Ambetter — Exchange: $26,465.74 Bcbs — Anthem Hmo/Pos: $39,394.92 Bcbs — Anthem Medicare Managed Care Plan: $20,358.26 Bcbs — Anthem Pathway Individual Other Commerical: $23,051.66 Bcbs — Anthem Pathway Small Group Exchange: $36,019.87 Bcbs — Anthem Ppo: $71,092.18 Bcbs — Hpn Other Commercial Plan: $35,849.37 Cigna — All Commercial Plans: $48,835.34 Cigna — Medicare Managed Care Plan: $21,376.17
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,703 – $35,996.57
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates Aetna — Medicare Managed Care Plan: $10,703 Ambetter — Exchange: $13,913.90 Bcbs — Anthem Hmo/Pos: $19,947.09 Bcbs — Anthem Medicare Managed Care Plan: $10,703 Bcbs — Anthem Pathway Individual Other Commerical: $12,119.01 Bcbs — Anthem Pathway Small Group Exchange: $18,936.82 Bcbs — Anthem Ppo: $35,996.57 Bcbs — Hpn Other Commercial Plan: $18,151.85 Cigna — All Commercial Plans: $24,727.12 Cigna — Medicare Managed Care Plan: $11,238.15

Source: Southern NH Medical Center’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	8 Prospect Street, Nashua, NH 03060
County	Hillsborough County
State	New Hampshire
Phone	(603) 577‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	300020
Name in Medicare records	SOUTHERN NH MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Southern New Hampshire Medical Center
Official website	snhhealth.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.

Southern New Hampshire Health — snhhealth.org
Visitor Information — snhhealth.org
Non-Discrimination and Language Assistance | SNHH — snhhealth.org
Emergency Services | Southern NH Health — snhhealth.org
Awards & Accreditations | Southern NH Health — snhhealth.org
Patients & Visitors :: Southern New Hampshire Health — snhhealth.org
Patient Information :: Southern New Hampshire Health — snhhealth.org
The Birth Place | Maternity Care in Nashua, NH | SNHMC — snhhealth.org

Southern NH Medical Center

Summary

Profile from official sources

At a glance