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Acute Care Hospital

Sovah Health Danville

Danville, Virginia · Danville City · Emergency services listed

Summary

Sovah Health Danville is an acute care hospital in Danville, Virginia. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 64 services, specialties and programs. Medicare lists 470 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Exterior of Sovah Health Danville
Photo: Mx. Granger, CC0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
250Beds (hospital website)
64Services listed

Quick answers

Does Sovah Health Danville have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sovah Health Danville. In a medical emergency, call 911.
Where is Sovah Health Danville?
142 South Main Street, Danville, VA 24541, in Danville City, Virginia.
What is the phone number of Sovah Health Danville?
(434) 799-2100, as listed by Medicare (CMS).
What is the Medicare star rating of Sovah Health Danville?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[4]

  • Pelvic floor disorders

Treatments[4]

Procedures[4]

Programs and centers[4][6][7]

  • Chest Pain Center
  • Advanced Primary Stroke Center
  • Vein Center
  • Advanced wound healing center
  • Duke Telestroke Network
  • Duke Heart Network
  • Emergency department (24-hour)
  • Home health
  • Hospice
  • Inpatient rehabilitation
  • Mother and baby
  • Family Birthing Center
  • Cardiac rehabilitation
  • One-day surgery center
  • Psychiatry and behavioral health services
  • Residency training program (family and internal medicine)

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

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Advanced Primary Stroke Center

Recognition[4][5][6]

  • ACC Chest Pain Center accreditation
  • ACC Heart Failure accreditation
  • American College of Surgeons Commission on Cancer accreditation
  • Chest Pain Center accreditation (American College of Cardiology)
  • Heart Failure accreditation (American College of Cardiology)
  • Accreditation by the American College of Surgeons' Commission on Cancer
  • Residency program accreditation (ACGME and AOA)

Doctors and clinicians (470)

470 doctors and other clinicians list Sovah Health Danville 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 (470)

And 446 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What Sovah Health Danville 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital49%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys1,016Response rate: 17%

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)0.473No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.315No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.616No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better 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 patients13.1%
Deaths within 30 days: heart failure patients11.7%
Deaths within 30 days: pneumonia patients17.2%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients13.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.95No different from the national rate
Complications after hip or knee replacement4.4%

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 attack14.5%
Readmitted within 30 days: heart failure21.8%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD20.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.9%

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)202 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)54%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Sovah Health Danville 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $854 $341.60 $81.98 – $854
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $1,239 $495.60 $118.94 – $1,239
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e $1,593 $637.20 $152.93 – $1,593
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e Not listed in the file Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $481 $192.40 $46.18 – $481
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history Not listed in the file Not listed in the file Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history $735 $294 $70.56 – $735
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history Not listed in the file Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $1,033 $413.20 $99.17 – $1,033
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination $1,444 $577.60 $138.62 – $1,444
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $1,424 $569.60 $270.11 – $1,424
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $2,448 $979.20 $415.40 – $2,448
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination $4,288 $1,715.20 $598.09 – $4,288
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination Not listed in the file Not listed in the file Not listed in the file
Emergency room visit (high): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch $130 $52 $8.46 – $130
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch Not listed in the file Not listed in the file Not listed in the file
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon $158 $63.20 $10.56 – $158
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon Not listed in the file Not listed in the file Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or $470 $188 $47.81 – $470
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or Not listed in the file Not listed in the file Not listed in the file
Obstetric blood test panel: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester $234 $93.60 $13.39 – $234
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester Not listed in the file Not listed in the file Not listed in the file
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo $213 $85.20 $8.68 – $213
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo Not listed in the file Not listed in the file Not listed in the file
Kidney function panel: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase $146 $58.40 $8.17 – $146
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase Not listed in the file Not listed in the file Not listed in the file
Liver function panel: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $97 $38.80 $3.17 – $97
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file Not listed in the file
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $146 $58.40 $3.48 – $146
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file Not listed in the file
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, $161 $64.40 $2.25 – $161
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, Not listed in the file Not listed in the file Not listed in the file
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total $327 $130.80 $18.39 – $327
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate specific antigen (PSA); total Not listed in the file Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) $215 $86 $16.80 – $215
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid stimulating hormone (TSH) Not listed in the file Not listed in the file Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count $138 $55.20 $7.77 – $138
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Not listed in the file Not listed in the file Not listed in the file
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) $124 $49.60 $6.47 – $124
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Not listed in the file Not listed in the file Not listed in the file
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time $75 $30 $4.29 – $75
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 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood $168 $67.20 $6.01 – $168
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time, partial (PTT); plasma or whole blood Not listed in the file Not listed in the file Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 150% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material $3,652 $1,460.80 $103.74 – $3,652
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file Not listed in the file
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, head or brain; without contrast material $3,981 $1,592.40 $103.74 – $3,652
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $11,307 $4,522.80 $348.39 – $11,307
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth Not listed in the file Not listed in the file Not listed in the file
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth $12,325 $4,930 $348.39 – $11,307
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views $794 $317.60 $85.89 – $794
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; 2 views Not listed in the file Not listed in the file Not listed in the file
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, chest; 2 views $866 $346.40 $85.89 – $794
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $962 $384.80 $103.74 – $962
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Not listed in the file Not listed in the file Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views $1,049 $419.60 $103.74 – $962
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $8,294 $3,317.60 $235.80 – $8,294
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Not listed in the file Not listed in the file Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material $9,041 $3,616.40 $235.80 – $8,294
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) $4,330 $1,732 $173.66 – $4,330
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, pelvis; with contrast material(s) Not listed in the file Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, pelvis; with contrast material(s) $3,722 $1,488.80 $173.66 – $4,330
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material $8,871 $3,548.40 $235.80 – $8,871
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Not listed in the file Not listed in the file Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material $9,670 $3,868 $235.80 – $8,871
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $7,146 $2,858.40 $348.39 – $7,146
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Not listed in the file Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Computed tomography, abdomen and pelvis; with contrast material(s) $7,790 $3,116 $348.39 – $7,146
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete $1,991 $796.40 $103.74 – $1,991
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, abdominal, real time with image documentation; complete Not listed in the file Not listed in the file Not listed in the file
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete $1,108 $443.20 $103.74 – $1,991
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $1,976 $790.40 $103.74 – $1,976
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day Not listed in the file Not listed in the file Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day $2,154 $861.60 $103.74 – $1,976
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal $2,282 $912.80 $103.74 – $2,282
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound, transvaginal Not listed in the file Not listed in the file Not listed in the file
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Ultrasound, transvaginal $648 $259.20 $103.74 – $2,282
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $400 $160 $38.40 – $400
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $712 $284.80 $38.40 – $400
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $952 $380.80 $91.39 – $952
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Not listed in the file Not listed in the file Not listed in the file
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $624 $249.60 $91.39 – $952
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $736 $294.40 $70.66 – $736
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Not listed in the file Not listed in the file Not listed in the file
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed $803 $321.20 $70.66 – $736

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $398 $159.20 $28.52 – $398
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib Not listed in the file Not listed in the file Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $413 $165.20 $28.52 – $398
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $735 $294 $70.56 – $735
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact $802 $320.80 $70.56 – $735
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $735 $294 $70.56 – $735
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or $802 $320.80 $70.56 – $735
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $735 $294 $70.56 – $735
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o Not listed in the file Not listed in the file Not listed in the file
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o $802 $320.80 $70.56 – $735
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes $832 $332.80 $156.74 – $832
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, with the patient: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy (other than of a multiple-family group) $721 $288.40 $90.24 – $721
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy (other than of a multiple-family group) Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 $12,160 $4,864 $3,735.54 – $12,160
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19 Not listed in the file Not listed in the file Not listed in the file
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft $29,988.50 $11,995.40 $9,566.33 – $29,988.50
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft Not listed in the file Not listed in the file Not listed in the file
Total hip replacement: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) $71,927 $28,770.80 $12,551.84 – $71,927
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) Not listed in the file Not listed in the file Not listed in the file
Total knee replacement: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele $20,289.25 $8,115.70 $1,947.77 – $20,289.25
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 16 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 9.6% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 9.6% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 31.9% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula $36,638.50 $14,655.40 $3,165.18 – $36,638.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula Not listed in the file Not listed in the file Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 $27,097.50 $10,635.40 $5,770.84 – $26,588.50
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy and adenoidectomy; younger than age 12 Not listed in the file Not listed in the file Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple $13,695.50 $7,142 $914.61 – $17,855
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple Not listed in the file Not listed in the file Not listed in the file
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) $13,967.50 $5,315.60 $889.39 – $13,289
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) Not listed in the file Not listed in the file Not listed in the file
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple $12,629 $5,207 $1,150.22 – $13,017.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with biopsy, single or multiple Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique $13,240.50 $4,908.40 $1,150.22 – $12,271
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Not listed in the file Not listed in the file Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk $14,543.50 $4,860.40 $889.39 – $12,151
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk Not listed in the file Not listed in the file Not listed in the file
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy $56,514 $22,605.60 $5,691.53 – $56,514
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy, surgical; cholecystectomy Not listed in the file Not listed in the file Not listed in the file
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible $92,668 $37,067.20 $3,442.67 – $92,668
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair initial inguinal hernia, age 5 years or older; reducible Not listed in the file Not listed in the file Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach $20,200 $8,080 $1,998.36 – $20,200
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C $28,387 $11,176.40 $3,101.70 – $27,941
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C Not listed in the file Not listed in the file Not listed in the file
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel $18,101.50 $7,291.60 $1,904.97 – $18,229
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Not listed in the file Not listed in the file Not listed in the file
Carpal tunnel release: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Aetna — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross HMO: 422.07% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem Blue Cross PPO: 428.06% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Anthem HIX: 295.45% (a percentage in the contract, not a dollar amount)
  • BCBS of VA — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Black Lung — Managed Medicare 100%: 100% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Clear Springs — Clear Springs (MCR): 103% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical $132,761.94 $53,104.78 $51,644.40 – $132,761.94
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: spinal fusion except cervical Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: 10 of 13 insurance plan rates
  • Aetna — Aetna: 51.9% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna: 58.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HIX: 39.1% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry HMO/PPO: 38.9% (a percentage in the contract, not a dollar amount)
  • Coventry — Coventry Leased Network: 62.6% (a percentage in the contract, not a dollar amount)
  • Gateway — Gateway Piedmont: 40.5% (a percentage in the contract, not a dollar amount)
  • Golden Rule — Golden Rule: 77% (a percentage in the contract, not a dollar amount)
  • Medcost — MedCost: 73.65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan: 90% (a percentage in the contract, not a dollar amount)
  • Optima Health Plan — Optima: 68.46% (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 Repla $148,097 $59,238.80 $14,379.01 – $148,097
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 Repla Not listed in the file Not listed in the file $42,421
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: $14,379.01
  • Aetna — Managed Medicare 100%: $14,379.01
  • BCBS of VA — Anthem Blue Cross HMO: $42,421
  • BCBS of VA — Anthem Blue Cross PPO: $43,837
  • BCBS of VA — Anthem HIX: $29,722
  • BCBS of VA — Managed Medicare 100%: $14,379.01
  • Black Lung — Managed Medicare 100%: $14,379.01
  • Clear Springs — Clear Springs (MCR): $14,810.38
  • Humana — Humana Medicare: $14,666.59
  • LifeWorks Advantage — LifeWorks (MCR): $15,385.55
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion without $128,528 $51,411.20 $18,054.03 – $128,528
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion without Not listed in the file Not listed in the file $18,054.03
Neck (cervical) spinal fusion, without complications: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: $18,054.03
  • Aetna — Managed Medicare 100%: $18,054.03
  • BCBS of VA — Anthem Blue Cross HMO: $41,633.10
  • BCBS of VA — Anthem Blue Cross PPO: $42,303.07
  • BCBS of VA — Anthem HIX: $29,166.37
  • BCBS of VA — Managed Medicare 100%: $18,054.03
  • Black Lung — Managed Medicare 100%: $18,054.03
  • Clear Springs — Clear Springs (MCR): $18,595.64
  • Humana — Humana Medicare: $18,415.10
  • LifeWorks Advantage — LifeWorks (MCR): $19,317.82
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 $65,647 $26,258.80 $9,141.41 – $65,647
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 Not listed in the file Not listed in the file $9,141.41
Uterus and ovary surgery (not for cancer), without complications: 10 of 29 insurance plan rates
  • Advantra — Managed Medicare 100%: $9,141.41
  • Aetna — Managed Medicare 100%: $9,141.41
  • BCBS of VA — Anthem Blue Cross HMO: $21,080.34
  • BCBS of VA — Anthem Blue Cross PPO: $21,419.57
  • BCBS of VA — Anthem HIX: $14,767.98
  • BCBS of VA — Managed Medicare 100%: $9,141.41
  • Black Lung — Managed Medicare 100%: $9,141.41
  • Clear Springs — Clear Springs (MCR): $9,415.64
  • Humana — Humana Medicare: $9,324.23
  • LifeWorks Advantage — LifeWorks (MCR): $9,781.31

Source: Sovah Health Danville’s standard charges file (sovahhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 11, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address142 South Main Street, Danville, VA 24541
CountyDanville City
StateVirginia
Phone(434) 799‑2100
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number490075
Name in Medicare recordsSOVAH HEALTH DANVILLE
Profile levelMedicare data + hospital website
Official websitesovahhealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Sovah Health - Danville — sovahhealth.com
  2. Emergency Care Services | Virginia Emergency Room (ER) — sovahhealth.com
  3. Benefits of a Teaching Hospital | Sovah Health — sovahhealth.com
  4. Campus Directory | Sovah Health - Danville — sovahhealth.com