Does SSM Health St Anthony Hospital - Oklahoma City have an emergency room?

Yes. Medicare (CMS) data lists emergency services at SSM Health St Anthony Hospital - Oklahoma City. In a medical emergency, call 911.

Where is SSM Health St Anthony Hospital - Oklahoma City?

1000 North Lee Avenue, Oklahoma City, OK 73101, in Oklahoma County, Oklahoma.

What is the phone number of SSM Health St Anthony Hospital - Oklahoma City?

(405) 272-7000, as listed by Medicare (CMS).

What is the Medicare star rating of SSM Health St Anthony Hospital - Oklahoma City?

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

SSM Health St Anthony Hospital - Oklahoma City

Quick answers

Does SSM Health St Anthony Hospital - Oklahoma City have an emergency room?: Yes. Medicare (CMS) data lists emergency services at SSM Health St Anthony Hospital - Oklahoma City. In a medical emergency, call 911.
Where is SSM Health St Anthony Hospital - Oklahoma City?: 1000 North Lee Avenue, Oklahoma City, OK 73101, in Oklahoma County, Oklahoma.
What is the phone number of SSM Health St Anthony Hospital - Oklahoma City?: (405) 272-7000, as listed by Medicare (CMS).
What is the Medicare star rating of SSM Health St Anthony Hospital - Oklahoma City?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cardiology
Behavioral medicine (inpatient)
Cancer care

Conditions treated^[4]

Crohn's disease and colitis

Treatments^[4]

Procedures^[4]

Programs and centers^[4]

Level II NICU
Joyful Beginnings Childbirth Center
Frank C. Love Cancer Institute
Crohn's & Colitis Center
Medical residency programs

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	DNV Comprehensive Stroke Center

Visiting and practical information

Parking	All campus parking is free, with garages and an open lot on 9th Street; free valet at the East Walker Avenue entrance^[4]

Recognition^[4]

#1 Regional Hospital in Oklahoma City, U.S. News & World Report (2026-2027)
Forbes Top Hospitals 2026

Doctors and clinicians (785)

785 doctors and other clinicians list SSM Health St Anthony Hospital - Oklahoma City 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

And 761 more: the button below opens the full list.

Other emergency rooms nearby

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

O U Medical Center1.3 mi · Oklahoma City, OK · Acute Care Hospital
Oklahoma City VA Medical Center1.6 mi · Oklahoma City, OK · Federal/VA Acute Care Hospital
INTEGRIS Southwest Medical Center3.9 mi · Oklahoma City, OK · Acute Care Hospital
INTEGRIS Baptist Medical Center, Inc3.9 mi · Oklahoma City, OK · Acute Care Hospital
Surgical Hospital of Oklahoma5.0 mi · Oklahoma City, OK · Acute Care Hospital

Other hospitals nearby

SSM Health Rehabilitation Hospital-Okc0.1 mi · Oklahoma City, OK · Inpatient Rehabilitation Hospital
PAM Health Specialty Hospital of Oklahoma City0.6 mi · Oklahoma City, OK · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Fairmont Skilled Nursing and Therapy2.7 mi · Oklahoma City, OK · 3 of 5 stars
Kingwood Skilled Nursing and Therapy2.8 mi · Oklahoma City, OK · 4 of 5 stars
South Park East3.3 mi · Oklahoma City, OK · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Valir Hospice Care, LLC0.5 mi · Oklahoma City, OK · 4 of 5 stars
1st Choice Hospice Care0.9 mi · Oklahoma City, OK
Emerald Hospice I0.9 mi · Edmond, OK

All hospice providers in the state →

Home health agencies

Universal Healthcare0.5 mi · Oklahoma City, OK · 1 of 5 stars
AHC HHC, LLC0.8 mi · Oklahoma City, OK
1st Choice Home Health Care0.9 mi · Oklahoma City, OK · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - SE Oklahoma0.8 mi · Oklahoma City, OK · 3 of 5 stars
DaVita Heartland Dialysis1.2 mi · Oklahoma City, OK · 2 of 5 stars
OU Children's Dialysis1.2 mi · Oklahoma City, OK

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

McGee Eye Surgery Center, LLC1.2 mi · Oklahoma City, OK
Oklahoma Endoscopy Centers3.1 mi · Oklahoma City, OK
Mercy Hospital Oklahoma City Outpatient Surgery, L3.9 mi · Oklahoma City, OK

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

City Rescue Mission0.8 mi · Oklahoma City, OK · Community health center
Healing Hands Health Care Services for the Homeless0.9 mi · Oklahoma City, OK · Community health center
WestTown1.2 mi · Oklahoma City, OK · Community health center

Clinics and urgent care

Acute Treatment Centers of America6.3 mi · Oklahoma City, OK · Urgent care center
Advance Physicians Group6.3 mi · Oklahoma City, OK · Urgent care center
Variety Care, Inc6.3 mi · Oklahoma City, OK · Urgent care center

Pharmacies

Life Pharmacy II0.5 mi · Oklahoma City, OK · Community/retail pharmacy
Ok First Med0.5 mi · Oklahoma City, OK · Pharmacy
SSM Health Care of Oklahoma Inc0.5 mi · Oklahoma City, OK · Community/retail pharmacy

Assisted living nearby

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

Village at Oakwood3.1 mi · Oklahoma City, OK
The Heaven House, LLC3.9 mi · Oklahoma City, OK
The Mansion at Waterford3.9 mi · Oklahoma City, OK
Wellington Parke, LLC5.2 mi · Del City, OK

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	66%National average: 74%
Area around the room “always” quiet at night	56%National average: 60%
Completed surveys	1,520Response rate: 19%

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)	0.355Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.89No different from the national benchmark
Surgical site infections after colon surgery	0.826No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.796No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.226Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.1%
Deaths within 30 days: heart failure patients	9.9%
Deaths within 30 days: pneumonia patients	15.5%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	11.6%
Deaths within 30 days: coronary bypass surgery (CABG)	2.3%
Serious complications (patient safety indicator PSI-90)	1.27Worse than the national rate
Complications after hip or knee replacement	3.8%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.9%
Readmitted within 30 days: heart failure	19.7%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	18.9%
Readmitted within 30 days: coronary bypass surgery	12.1%
Readmitted within 30 days: hip or knee replacement	5%

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)	125 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	60%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Oklahoma City Best hospitals in Oklahoma City

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as SSM Health St Anthony Hospital - Oklahoma City lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$125.63 – $155.85
New patient office visit (about 30–44 minutes): rates for 2 insurance plans Healthchoice — All Commercial Plans: $155.85 Medica — Exchange: $125.63
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 3	$875	$481.25	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$204.47 – $234.30
New patient office visit (about 45–59 minutes): rates for 2 insurance plans Healthchoice — All Commercial Plans: $234.30 Medica — Exchange: $204.47
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 4	$875	$481.25	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$277.89 – $309.61
New patient office visit (about 60–74 minutes): rates for 2 insurance plans Healthchoice — All Commercial Plans: $309.61 Medica — Exchange: $277.89
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op New Level 5	$875	$481.25	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$101.13 – $127.29
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans Healthchoice — All Commercial Plans: $127.29 Medica — Exchange: $101.13
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 3	$875	$481.25	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$149.16 – $179.41
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans Healthchoice — All Commercial Plans: $179.41 Medica — Exchange: $149.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Faclty Op Est Pt Level 4	$875	$481.25	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$135.64 – $136.66
Office consultation with a specialist (moderate): rates for 2 insurance plans Healthchoice — All Commercial Plans: $136.66 Medica — Exchange: $135.64
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$194.49 – $206.30
Office consultation with a specialist (moderate to high): rates for 2 insurance plans Healthchoice — All Commercial Plans: $194.49 Medica — Exchange: $206.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$143.97
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Medica — Exchange: $143.97
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$240.48	$132.26	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$174.56
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Medica — Exchange: $174.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$109.78 – $656.35
Emergency room visit (moderate): 10 of 12 insurance plan rates Ambetter Health — Exchange: $354.43 BCBS — Medicare Managed Care Plan: $262.54 BCBS — Native Blue HMO: $270.42 Community Care — HMO: $656.35 Community Care — Select HMO: $485.70 Global Health — All Commercial Plans: $561.84 Healthchoice — All Commercial Plans: $346.11 Humana — Medicare Managed Care Plan: $267 Kempton — All Commercial Plans: $511.96 Medica — Exchange: $109.78
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iii	$1,851	$1,018.05	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$186.88 – $1,003.28
Emergency room visit (moderately high): 10 of 12 insurance plan rates Ambetter Health — Exchange: $541.77 BCBS — Medicare Managed Care Plan: $401.31 BCBS — Native Blue HMO: $413.35 Community Care — HMO: $1,003.28 Community Care — Select HMO: $742.42 Global Health — All Commercial Plans: $858.80 Healthchoice — All Commercial Plans: $532.28 Humana — Medicare Managed Care Plan: $408.13 Kempton — All Commercial Plans: $782.56 Medica — Exchange: $186.88
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level Iv	$2,953	$1,624.15	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$270.86 – $1,431.91
Emergency room visit (high): 10 of 12 insurance plan rates Ambetter Health — Exchange: $773.23 BCBS — Medicare Managed Care Plan: $572.76 BCBS — Native Blue HMO: $589.95 Community Care — HMO: $1,431.91 Community Care — Select HMO: $1,059.61 Global Health — All Commercial Plans: $1,225.71 Healthchoice — All Commercial Plans: $766.38 Humana — Medicare Managed Care Plan: $582.50 Kempton — All Commercial Plans: $1,116.89 Medica — Exchange: $270.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Emergent Level V	$4,413	$2,427.15	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$6 – $21.15
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Ambetter Health — Exchange: $11.42 BCBS — Native Blue HMO: $8.71 Cigna — All Commercial Plans: $6 Community Care — HMO: $8.46 Community Care — Select HMO: $15.65 Global Health — All Commercial Plans: $18.10 Healthchoice — All Commercial Plans: $10.58 Humana — Medicare Managed Care Plan: $8.60 Kempton — All Commercial Plans: $10.58 Medica — Exchange: $12.47
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Basic Metabolic Panel (Ca Total)	$460	$253	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$8 – $26.40
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Ambetter Health — Exchange: $14.26 BCBS — Native Blue HMO: $10.88 Cigna — All Commercial Plans: $8 Community Care — HMO: $10.56 Community Care — Select HMO: $19.54 Global Health — All Commercial Plans: $22.60 Healthchoice — All Commercial Plans: $13.20 Humana — Medicare Managed Care Plan: $10.74 Kempton — All Commercial Plans: $13.20 Medica — Exchange: $15.34
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Comprehensive Metabolic Panel	$977	$537.35	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$26 – $119.52
Obstetric blood test panel: 10 of 13 insurance plan rates Ambetter Health — Exchange: $64.54 BCBS — Native Blue HMO: $49.24 Cigna — All Commercial Plans: $26 Community Care — HMO: $47.81 Community Care — Select HMO: $88.45 Global Health — All Commercial Plans: $102.31 Healthchoice — All Commercial Plans: $59.76 Humana — Medicare Managed Care Plan: $48.62 Kempton — All Commercial Plans: $59.76 Medica — Exchange: $69.97
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Obstetric Panel	$1,460	$803	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $33.48
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Ambetter Health — Exchange: $18.08 BCBS — Native Blue HMO: $13.79 Cigna — All Commercial Plans: $16 Community Care — HMO: $13.39 Community Care — Select HMO: $24.77 Global Health — All Commercial Plans: $28.65 Healthchoice — All Commercial Plans: $16.74 Humana — Medicare Managed Care Plan: $13.62 Kempton — All Commercial Plans: $16.74 Medica — Exchange: $19.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Lipid Profile	$727	$399.85	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Lipid Profile I	$66	$36.30	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$6 – $21.70
Kidney function panel: 10 of 13 insurance plan rates Ambetter Health — Exchange: $11.72 BCBS — Native Blue HMO: $8.94 Cigna — All Commercial Plans: $6 Community Care — HMO: $8.68 Community Care — Select HMO: $16.06 Global Health — All Commercial Plans: $18.58 Healthchoice — All Commercial Plans: $10.85 Humana — Medicare Managed Care Plan: $8.83 Kempton — All Commercial Plans: $10.85 Medica — Exchange: $12.94
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Renal Function Panel	$556	$305.80	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$6 – $20.42
Liver function panel: 10 of 13 insurance plan rates Ambetter Health — Exchange: $11.03 BCBS — Native Blue HMO: $8.42 Cigna — All Commercial Plans: $6 Community Care — HMO: $8.17 Community Care — Select HMO: $15.11 Global Health — All Commercial Plans: $17.48 Healthchoice — All Commercial Plans: $10.21 Humana — Medicare Managed Care Plan: $8.31 Kempton — All Commercial Plans: $10.21 Medica — Exchange: $11.97
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Hepatic Function Panel	$792	$435.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3 – $7.92
Urine test (automated, with microscope): 10 of 13 insurance plan rates Ambetter Health — Exchange: $4.28 BCBS — Native Blue HMO: $3.27 Cigna — All Commercial Plans: $3 Community Care — HMO: $3.17 Community Care — Select HMO: $5.86 Global Health — All Commercial Plans: $6.78 Healthchoice — All Commercial Plans: $3.96 Humana — Medicare Managed Care Plan: $3.22 Kempton — All Commercial Plans: $3.96 Medica — Exchange: $4.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Routine Auto W Microscopic	$258	$141.90	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.21 – $8.70
Urine test (manual, without microscope): 10 of 13 insurance plan rates Ambetter Health — Exchange: $4.70 BCBS — Native Blue HMO: $3.58 Cigna — All Commercial Plans: $4 Community Care — HMO: $3.48 Community Care — Select HMO: $6.44 Global Health — All Commercial Plans: $7.45 Healthchoice — All Commercial Plans: $4.35 Humana — Medicare Managed Care Plan: $3.54 Kempton — All Commercial Plans: $4.35 Medica — Exchange: $5.27
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ph Urine	$240	$132	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Albumin Urine Poct (Ip)	$47	$25.85	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $5.62
Urine test (automated, without microscope): 10 of 13 insurance plan rates Ambetter Health — Exchange: $3.04 BCBS — Native Blue HMO: $2.32 Cigna — All Commercial Plans: $3 Community Care — HMO: $2.25 Community Care — Select HMO: $4.16 Global Health — All Commercial Plans: $4.82 Healthchoice — All Commercial Plans: $2.81 Humana — Medicare Managed Care Plan: $2.29 Kempton — All Commercial Plans: $2.81 Medica — Exchange: $3.35
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Urinalysis Routine W/Reflex Culture	$34	$18.70	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Specific Gravity Urine Auto	$129	$70.95	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $45.98
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Ambetter Health — Exchange: $24.83 BCBS — Native Blue HMO: $18.94 Cigna — All Commercial Plans: $37 Community Care — HMO: $18.39 Community Care — Select HMO: $34.02 Global Health — All Commercial Plans: $39.35 Healthchoice — All Commercial Plans: $22.99 Humana — Medicare Managed Care Plan: $18.70 Kempton — All Commercial Plans: $22.99 Medica — Exchange: $26.84
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Psa Total	$362	$199.10	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Prostate Specific Antigen Diag	$362	$199.10	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$12 – $42
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Ambetter Health — Exchange: $22.68 BCBS — Native Blue HMO: $17.30 Cigna — All Commercial Plans: $12 Community Care — HMO: $16.80 Community Care — Select HMO: $31.08 Global Health — All Commercial Plans: $35.95 Healthchoice — All Commercial Plans: $21 Humana — Medicare Managed Care Plan: $17.09 Kempton — All Commercial Plans: $21 Medica — Exchange: $24.44
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Tsh	$386	$212.30	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$5 – $19.42
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Ambetter Health — Exchange: $10.49 BCBS — Native Blue HMO: $8 Cigna — All Commercial Plans: $5 Community Care — HMO: $7.77 Community Care — Select HMO: $14.37 Global Health — All Commercial Plans: $16.63 Healthchoice — All Commercial Plans: $9.71 Humana — Medicare Managed Care Plan: $7.90 Kempton — All Commercial Plans: $9.71 Medica — Exchange: $11.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W Auto Differential	$304	$167.20	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W Auto Differential Waived	$304	$167.20	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$5 – $16.18
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Ambetter Health — Exchange: $8.73 BCBS — Native Blue HMO: $6.66 Cigna — All Commercial Plans: $5 Community Care — HMO: $6.47 Community Care — Select HMO: $11.97 Global Health — All Commercial Plans: $13.85 Healthchoice — All Commercial Plans: $8.09 Humana — Medicare Managed Care Plan: $6.58 Kempton — All Commercial Plans: $8.09 Medica — Exchange: $9.59
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Cbc W/O Auto Differential	$284	$156.20	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$3 – $10.72
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Ambetter Health — Exchange: $5.79 BCBS — Native Blue HMO: $4.42 Cigna — All Commercial Plans: $3 Community Care — HMO: $4.29 Community Care — Select HMO: $7.94 Global Health — All Commercial Plans: $9.18 Healthchoice — All Commercial Plans: $5.36 Humana — Medicare Managed Care Plan: $4.36 Kempton — All Commercial Plans: $5.36 Medica — Exchange: $6.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt Inhibitor Screen	$54	$29.70	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Pt-Inr	$176	$96.80	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$4 – $15.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Ambetter Health — Exchange: $8.11 BCBS — Native Blue HMO: $6.19 Cigna — All Commercial Plans: $4 Community Care — HMO: $6.01 Community Care — Select HMO: $11.12 Global Health — All Commercial Plans: $12.86 Healthchoice — All Commercial Plans: $7.51 Humana — Medicare Managed Care Plan: $6.11 Kempton — All Commercial Plans: $7.51 Medica — Exchange: $8.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt Inhibitor 1Hr	$64	$35.20	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Lchg Ptt	$223	$122.65	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$99.16 – $265.85
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $135.74 BCBS — Medicare Managed Care Plan: $100.55 BCBS — Native Blue HMO: $103.57 Community Care — HMO: $251.37 Community Care — Select HMO: $186.02 Global Health — All Commercial Plans: $215.17 Healthchoice — All Commercial Plans: $265.85 Humana — Medicare Managed Care Plan: $102.26 Kempton — All Commercial Plans: $196.07 Medica — Exchange: $99.16
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head Non Contrast	$3,500	$1,925	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$316.62 – $892.83
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $452.97 BCBS — Medicare Managed Care Plan: $335.54 BCBS — Native Blue HMO: $345.60 Community Care — HMO: $838.84 Community Care — Select HMO: $620.74 Global Health — All Commercial Plans: $718.05 Healthchoice — All Commercial Plans: $892.83 Humana — Medicare Managed Care Plan: $341.24 Kempton — All Commercial Plans: $654.30 Medica — Exchange: $316.62
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain With & Without Contrast	$5,096	$2,802.80	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$33.51 – $209.25
Chest X-ray, 2 views: 10 of 12 insurance plan rates Ambetter Health — Exchange: $112.99 BCBS — Medicare Managed Care Plan: $83.70 BCBS — Native Blue HMO: $86.21 Community Care — HMO: $209.25 Community Care — Select HMO: $154.84 Global Health — All Commercial Plans: $179.11 Healthchoice — All Commercial Plans: $176.10 Humana — Medicare Managed Care Plan: $85.12 Kempton — All Commercial Plans: $163.21 Medica — Exchange: $33.51
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Xray Chest 2 Views	$647	$355.85	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$56.98 – $251.37
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Ambetter Health — Exchange: $135.74 BCBS — Medicare Managed Care Plan: $100.55 BCBS — Native Blue HMO: $103.57 Cigna — All Commercial Plans: $104 Community Care — HMO: $251.37 Community Care — Select HMO: $186.02 Global Health — All Commercial Plans: $215.17 Healthchoice — All Commercial Plans: $212.68 Humana — Medicare Managed Care Plan: $102.26 Kempton — All Commercial Plans: $196.07
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lumbar Spine 4+ Vw	$1,047	$575.85	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$182.50 – $604.30
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $309.80 BCBS — Medicare Managed Care Plan: $229.48 BCBS — Native Blue HMO: $236.36 Community Care — HMO: $573.70 Community Care — Select HMO: $424.54 Global Health — All Commercial Plans: $491.09 Healthchoice — All Commercial Plans: $604.30 Humana — Medicare Managed Care Plan: $233.38 Kempton — All Commercial Plans: $447.49 Medica — Exchange: $182.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Spine Lumbar Non Contrast	$3,876	$2,131.80	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$168.70 – $445.05
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $227.74 BCBS — Medicare Managed Care Plan: $168.70 BCBS — Native Blue HMO: $173.76 Community Care — HMO: $421.74 Community Care — Select HMO: $312.09 Global Health — All Commercial Plans: $361.01 Healthchoice — All Commercial Plans: $445.05 Humana — Medicare Managed Care Plan: $171.56 Kempton — All Commercial Plans: $328.96 Medica — Exchange: $259.65
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis With Iv Contrast	$5,205	$2,862.75	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$207.89 – $573.70
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $309.80 BCBS — Medicare Managed Care Plan: $229.48 BCBS — Native Blue HMO: $236.36 Community Care — HMO: $573.70 Community Care — Select HMO: $424.54 Global Health — All Commercial Plans: $491.09 Healthchoice — All Commercial Plans: $483.44 Humana — Medicare Managed Care Plan: $233.38 Kempton — All Commercial Plans: $447.49 Medica — Exchange: $207.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lower Ext Any Joint Non Contrast	$3,806	$2,093.30	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$325.30 – $838.84
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Ambetter Health — Exchange: $452.97 BCBS — Medicare Managed Care Plan: $335.54 BCBS — Native Blue HMO: $345.60 Community Care — HMO: $838.84 Community Care — Select HMO: $620.74 Global Health — All Commercial Plans: $718.05 Healthchoice — All Commercial Plans: $714.26 Humana — Medicare Managed Care Plan: $341.24 Kempton — All Commercial Plans: $654.30 Medica — Exchange: $325.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abdomen Pelvis W Contrast	$6,742	$3,708.10	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$100.55 – $251.37
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Ambetter Health — Exchange: $135.74 BCBS — Medicare Managed Care Plan: $100.55 BCBS — Native Blue HMO: $103.57 Cigna — All Commercial Plans: $127 Community Care — HMO: $251.37 Community Care — Select HMO: $186.02 Global Health — All Commercial Plans: $215.17 Healthchoice — All Commercial Plans: $212.68 Humana — Medicare Managed Care Plan: $102.26 Kempton — All Commercial Plans: $196.07
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete	$2,057	$1,131.35	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$100.55 – $251.37
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Ambetter Health — Exchange: $135.74 BCBS — Medicare Managed Care Plan: $100.55 BCBS — Native Blue HMO: $103.57 Cigna — All Commercial Plans: $127 Community Care — HMO: $251.37 Community Care — Select HMO: $186.02 Global Health — All Commercial Plans: $215.17 Healthchoice — All Commercial Plans: $212.68 Humana — Medicare Managed Care Plan: $102.26 Kempton — All Commercial Plans: $196.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob 14+ Wks Single Gest	$1,068	$587.40	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Us Ob >=14 Wks Single Gest	$1,418	$779.90	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$100.55 – $251.37
Transvaginal ultrasound: 10 of 13 insurance plan rates Ambetter Health — Exchange: $135.74 BCBS — Medicare Managed Care Plan: $100.55 BCBS — Native Blue HMO: $103.57 Cigna — All Commercial Plans: $127 Community Care — HMO: $251.37 Community Care — Select HMO: $186.02 Global Health — All Commercial Plans: $215.17 Healthchoice — All Commercial Plans: $212.68 Humana — Medicare Managed Care Plan: $102.26 Kempton — All Commercial Plans: $196.07
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal Non Ob	$1,367	$751.85	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$125.50 – $198.79
Diagnostic mammogram, one breast: rates for 2 insurance plans Healthchoice — All Commercial Plans: $198.79 Medica — Exchange: $125.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Dx Unilateral Includes Cad/Ai	$400	$220	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$76.91 – $192.28
Diagnostic mammogram, one breast: rates for 10 insurance plans Ambetter Health — Exchange: $103.83 BCBS — Medicare Managed Care Plan: $76.91 BCBS — Native Blue HMO: $79.22 Community Care — HMO: $192.28 Community Care — Select HMO: $142.28 Global Health — All Commercial Plans: $164.59 Humana — Medicare Managed Care Plan: $78.22 Kempton — All Commercial Plans: $149.97 Oscar — All Commercial Plans: $101.18 UnitedHealthCare — Medicare Managed Care Plan: $78.05
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$160.93 – $250.45
Diagnostic mammogram, both breasts: rates for 2 insurance plans Healthchoice — All Commercial Plans: $250.45 Medica — Exchange: $160.93
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Dx Bilateral Includes Cad/Ai	$800	$440	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$98.65 – $246.62
Diagnostic mammogram, both breasts: rates for 10 insurance plans Ambetter Health — Exchange: $133.18 BCBS — Medicare Managed Care Plan: $98.65 BCBS — Native Blue HMO: $101.61 Community Care — HMO: $246.62 Community Care — Select HMO: $182.50 Global Health — All Commercial Plans: $211.11 Humana — Medicare Managed Care Plan: $100.33 Kempton — All Commercial Plans: $192.37 Oscar — All Commercial Plans: $129.77 UnitedHealthCare — Medicare Managed Care Plan: $100.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$132.70 – $202.77
Screening mammogram, both breasts: rates for 2 insurance plans Healthchoice — All Commercial Plans: $202.77 Medica — Exchange: $132.70
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Screen Bilat Includes Cad/Ai	$630	$346.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mamm Screen Unilat Includes Cad/Ai	$315	$173.25	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$21.52 – $22.95
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans Healthchoice — All Commercial Plans: $22.95 Medica — Exchange: $21.52
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$940.46 – $7,794.98
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Ambetter Health — Exchange: $4,209.29 BCBS — Medicare Managed Care Plan: $3,117.99 BCBS — Native Blue HMO: $3,211.53 Community Care — HMO: $7,794.98 Community Care — Select HMO: $5,768.28 Global Health — All Commercial Plans: $6,672.50 Healthchoice — All Commercial Plans: $5,789.54 Humana — Medicare Managed Care Plan: $3,171 Kempton — All Commercial Plans: $6,080.08 Medica — Exchange: $5,293
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lhc W Lt Vent W S+I	$6,132	$3,372.60	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$403.17 – $18,753.70
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Ambetter Health — Exchange: $10,127 BCBS — Medicare Managed Care Plan: $7,501.48 BCBS — Native Blue HMO: $7,726.53 Community Care — HMO: $18,753.70 Community Care — Select HMO: $13,877.74 Global Health — All Commercial Plans: $16,053.17 Healthchoice — All Commercial Plans: $13,658.58 Humana — Medicare Managed Care Plan: $7,629.01 Kempton — All Commercial Plans: $14,627.89 Medica — Exchange: $7,001
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep Eval W/O Induction Right A/V	$12,503	$6,876.65	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$1,410.33 – $62,846.51
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Ambetter Health — Exchange: $33,937.11 BCBS — Medicare Managed Care Plan: $25,138.60 BCBS — Native Blue HMO: $25,892.76 Community Care — HMO: $62,846.51 Community Care — Select HMO: $46,506.41 Global Health — All Commercial Plans: $53,796.61 Healthchoice — All Commercial Plans: $44,158.14 Humana — Medicare Managed Care Plan: $25,565.96 Kempton — All Commercial Plans: $49,020.27 Medica — Exchange: $17,851
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep Eval Ablation Afib By Pulm Vein Iso	$23,278	$12,802.90	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$730.16 – $2,064.78
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Ambetter Health — Exchange: $1,114.98 BCBS — Medicare Managed Care Plan: $825.91 BCBS — Native Blue HMO: $850.69 Community Care — HMO: $2,064.78 Community Care — Select HMO: $1,527.93 Global Health — All Commercial Plans: $1,767.45 Healthchoice — All Commercial Plans: $1,780.43 Humana — Medicare Managed Care Plan: $839.95 Kempton — All Commercial Plans: $1,610.53 Medica — Exchange: $730.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomn 4 Or More >=6Yrs	$8,835	$4,859.25	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.52 – $68.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Ambetter Health — Exchange: $37.15 BCBS — Medicare Managed Care Plan: $27.52 BCBS — Native Blue HMO: $28.35 Community Care — HMO: $68.80 Community Care — Select HMO: $50.91 Global Health — All Commercial Plans: $58.89 Healthchoice — All Commercial Plans: $41.39 Humana — Medicare Managed Care Plan: $27.99 Kempton — All Commercial Plans: $53.66 Medica — Exchange: $44.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ther Exercise Ea 15 Min Pt	$120	$66	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ther Exercise Ea 15 Min Ot	$120	$66	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$92.86 – $232.15
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Ambetter Health — Exchange: $125.36 BCBS — Medicare Managed Care Plan: $92.86 BCBS — Native Blue HMO: $95.65 Community Care — HMO: $232.15 Community Care — Select HMO: $171.79 Global Health — All Commercial Plans: $198.72 Healthchoice — All Commercial Plans: $140.91 Humana — Medicare Managed Care Plan: $94.44 Kempton — All Commercial Plans: $181.08 Medica — Exchange: $153.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$230.40	$126.72	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Low Complexity 1 Rvu	$211	$116.05	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$92.86 – $232.15
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Ambetter Health — Exchange: $125.36 BCBS — Medicare Managed Care Plan: $92.86 BCBS — Native Blue HMO: $95.65 Community Care — HMO: $232.15 Community Care — Select HMO: $171.79 Global Health — All Commercial Plans: $198.72 Healthchoice — All Commercial Plans: $140.91 Humana — Medicare Managed Care Plan: $94.44 Kempton — All Commercial Plans: $181.08 Medica — Exchange: $153.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Mod Complexity 2 Rvu	$425	$233.75	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval Mod Complexity 3 Rvu	$425	$233.75	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$92.86 – $232.15
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Ambetter Health — Exchange: $125.36 BCBS — Medicare Managed Care Plan: $92.86 BCBS — Native Blue HMO: $95.65 Community Care — HMO: $232.15 Community Care — Select HMO: $171.79 Global Health — All Commercial Plans: $198.72 Healthchoice — All Commercial Plans: $140.91 Humana — Medicare Managed Care Plan: $94.44 Kempton — All Commercial Plans: $181.08 Medica — Exchange: $153.10
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Complexity 3 Rvu	$759	$417.45	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Pt Eval High Complexity 4 Rvu	$759	$417.45	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$108.45 – $426.77
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Ambetter Health — Exchange: $230.46 BCBS — Medicare Managed Care Plan: $170.71 BCBS — Native Blue HMO: $175.83 Community Care — HMO: $426.77 Community Care — Select HMO: $315.81 Global Health — All Commercial Plans: $365.32 Healthchoice — All Commercial Plans: $281.17 Humana — Medicare Managed Care Plan: $173.61 Kempton — All Commercial Plans: $332.88 Medica — Exchange: $108.45
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Psychotherapy W Pt 30 Min	$301	$165.55	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 30 Min	$301	$165.55	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$143.39 – $426.77
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Ambetter Health — Exchange: $230.46 BCBS — Medicare Managed Care Plan: $170.71 BCBS — Native Blue HMO: $175.83 Community Care — HMO: $426.77 Community Care — Select HMO: $315.81 Global Health — All Commercial Plans: $365.32 Healthchoice — All Commercial Plans: $281.17 Humana — Medicare Managed Care Plan: $173.61 Kempton — All Commercial Plans: $332.88 Medica — Exchange: $143.39
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Php Psychotherapy W Pt 45 Min	$356	$195.80	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Psychotherapy W Pt 45 Min	$643	$353.65	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$170.71 – $426.77
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Ambetter Health — Exchange: $230.46 BCBS — Medicare Managed Care Plan: $170.71 BCBS — Native Blue HMO: $175.83 Community Care — HMO: $426.77 Community Care — Select HMO: $315.81 Global Health — All Commercial Plans: $365.32 Healthchoice — All Commercial Plans: $281.17 Humana — Medicare Managed Care Plan: $173.61 Kempton — All Commercial Plans: $332.88 Medica — Exchange: $211.65
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Psychotherapy W Pt 60 Min	$484	$266.20	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy W Pt 60 Min	$584	$321.20	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$154.35 – $426.77
Family psychotherapy, without the patient: 10 of 11 insurance plan rates Ambetter Health — Exchange: $230.46 BCBS — Medicare Managed Care Plan: $170.71 BCBS — Native Blue HMO: $175.83 Community Care — HMO: $426.77 Community Care — Select HMO: $315.81 Global Health — All Commercial Plans: $365.32 Humana — Medicare Managed Care Plan: $173.61 Kempton — All Commercial Plans: $332.88 Medica — Exchange: $154.35 Oscar — All Commercial Plans: $224.57
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Family Psychotherapy Wo Pt 50Min	$484	$266.20	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$161.23 – $426.77
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Ambetter Health — Exchange: $230.46 BCBS — Medicare Managed Care Plan: $170.71 BCBS — Native Blue HMO: $175.83 Community Care — HMO: $426.77 Community Care — Select HMO: $315.81 Global Health — All Commercial Plans: $365.32 Healthchoice — All Commercial Plans: $281.17 Humana — Medicare Managed Care Plan: $173.61 Kempton — All Commercial Plans: $332.88 Medica — Exchange: $161.23
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$38.06 – $244.26
Group psychotherapy: 10 of 12 insurance plan rates Ambetter Health — Exchange: $131.90 BCBS — Medicare Managed Care Plan: $97.71 BCBS — Native Blue HMO: $100.64 Community Care — HMO: $244.26 Community Care — Select HMO: $180.76 Global Health — All Commercial Plans: $209.09 Healthchoice — All Commercial Plans: $161.88 Humana — Medicare Managed Care Plan: $99.37 Kempton — All Commercial Plans: $190.53 Medica — Exchange: $38.06
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Op Group Therapy Day Rate	$815	$448.25	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iop Group Psychotherapy Session	$265	$145.75	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$635.20 – $9,414.36
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Ambetter Health — Exchange: $5,083.76 BCBS — Medicare Managed Care Plan: $3,765.75 BCBS — Native Blue HMO: $3,878.72 Cigna — All Commercial Plans: $2,891 Community Care — HMO: $9,414.36 Community Care — Select HMO: $6,966.63 Global Health — All Commercial Plans: $8,058.70 Healthchoice — All Commercial Plans: $6,892.70 Humana — Medicare Managed Care Plan: $3,829.76 Kempton — All Commercial Plans: $7,343.20
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Breast Mass Biopsy/Excision	$11,228	$6,175.40	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$1,949.15 – $30,869.64
Total hip replacement: 10 of 13 insurance plan rates Ambetter Health — Exchange: $16,669.60 BCBS — Medicare Managed Care Plan: $12,347.86 BCBS — Native Blue HMO: $12,718.29 Community Care — HMO: $30,869.64 Community Care — Select HMO: $22,843.53 Global Health — All Commercial Plans: $26,424.41 Healthchoice — All Commercial Plans: $23,160.28 Humana — Medicare Managed Care Plan: $12,557.77 Kempton — All Commercial Plans: $24,078.32 Medica — Exchange: $11,491
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Arthroplasty Total Hip	$17,036	$9,369.80	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$1,946.36 – $30,869.64
Total knee replacement: 10 of 13 insurance plan rates Ambetter Health — Exchange: $16,669.60 BCBS — Medicare Managed Care Plan: $12,347.86 BCBS — Native Blue HMO: $12,718.29 Community Care — HMO: $30,869.64 Community Care — Select HMO: $22,843.53 Global Health — All Commercial Plans: $26,424.41 Healthchoice — All Commercial Plans: $23,160.28 Humana — Medicare Managed Care Plan: $12,557.77 Kempton — All Commercial Plans: $24,078.32 Medica — Exchange: $11,491
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Arthroplasty Total Knee	$28,118	$15,464.90	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$259.55 – $2,891
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Cigna — All Commercial Plans: $2,891 Medica — Exchange: $731 PHCS — Multiplan All Commercial Plans: $1,459 UnitedHealthCare — All Commercial Plans: $604.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Arthroscopy Shouldr Dcmprn Sbcrml	$7,067	$3,886.85	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$826.01 – $7,867.28
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Ambetter Health — Exchange: $4,248.33 BCBS — Medicare Managed Care Plan: $3,146.91 BCBS — Native Blue HMO: $3,241.32 Cigna — All Commercial Plans: $3,359 Community Care — HMO: $7,867.28 Community Care — Select HMO: $5,821.79 Global Health — All Commercial Plans: $6,734.39 Healthchoice — All Commercial Plans: $5,840.30 Humana — Medicare Managed Care Plan: $3,200.41 Kempton — All Commercial Plans: $6,136.48
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Meniscectomy Medial Or Lat Knee Bilat	$24,689	$13,578.95	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Meniscectomy Medial Or Lat Knee	$13,604	$7,482.20	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$446.27 – $14,233.78
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Ambetter Health — Exchange: $7,686.24 BCBS — Medicare Managed Care Plan: $5,693.51 BCBS — Native Blue HMO: $5,864.32 Cigna — All Commercial Plans: $2,891 Community Care — HMO: $14,233.78 Community Care — Select HMO: $10,533 Global Health — All Commercial Plans: $12,184.12 Healthchoice — All Commercial Plans: $10,648.19 Humana — Medicare Managed Care Plan: $5,790.30 Kempton — All Commercial Plans: $11,102.35
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Remove Tonsils/Adenoids Under Age 12	$7,070	$3,888.50	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$185.11 – $4,386.82
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,177.62 BCBS — Medicare Managed Care Plan: $872.31 BCBS — Native Blue HMO: $898.48 Cigna — All Commercial Plans: $1,579 Community Care — HMO: $2,180.78 Community Care — Select HMO: $1,613.78 Global Health — All Commercial Plans: $1,866.75 Healthchoice — All Commercial Plans: $1,687.61 Humana — Medicare Managed Care Plan: $887.14 Kempton — All Commercial Plans: $1,701.01
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Egd Flex Transoral Dx	$2,279	$1,253.45	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Egd Flex Transoral Dx	$1,981	$1,089.55	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$209.22 – $4,386.82
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,177.62 BCBS — Medicare Managed Care Plan: $872.31 BCBS — Native Blue HMO: $898.48 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,180.78 Community Care — Select HMO: $1,613.78 Global Health — All Commercial Plans: $1,866.75 Healthchoice — All Commercial Plans: $1,687.61 Humana — Medicare Managed Care Plan: $887.14 Kempton — All Commercial Plans: $1,701.01
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Egd Flex Transoral W Bx Sngl Or Mult	$2,180	$1,199	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$278.52 – $4,386.82
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,207.45 BCBS — Medicare Managed Care Plan: $894.41 BCBS — Native Blue HMO: $921.24 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,236.01 Community Care — Select HMO: $1,654.65 Global Health — All Commercial Plans: $1,914.03 Healthchoice — All Commercial Plans: $1,641.08 Humana — Medicare Managed Care Plan: $909.61 Kempton — All Commercial Plans: $1,744.09
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$302.71 – $4,386.82
Colonoscopy with biopsy: 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,553.71 BCBS — Medicare Managed Care Plan: $1,150.89 BCBS — Native Blue HMO: $1,185.42 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,877.23 Community Care — Select HMO: $2,129.15 Global Health — All Commercial Plans: $2,462.91 Healthchoice — All Commercial Plans: $2,122.34 Humana — Medicare Managed Care Plan: $1,170.46 Kempton — All Commercial Plans: $2,244.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$383.36 – $4,386.82
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,553.71 BCBS — Medicare Managed Care Plan: $1,150.89 BCBS — Native Blue HMO: $1,185.42 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,877.23 Community Care — Select HMO: $2,129.15 Global Health — All Commercial Plans: $2,462.91 Healthchoice — All Commercial Plans: $2,122.34 Humana — Medicare Managed Care Plan: $1,170.46 Kempton — All Commercial Plans: $2,244.24
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$388.65 – $4,386.82
Ultrasound of the lower bowel by endoscope: 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,553.71 BCBS — Medicare Managed Care Plan: $1,150.89 BCBS — Native Blue HMO: $1,185.42 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,877.23 Community Care — Select HMO: $2,129.15 Global Health — All Commercial Plans: $2,462.91 Healthchoice — All Commercial Plans: $2,122.34 Humana — Medicare Managed Care Plan: $1,170.46 Kempton — All Commercial Plans: $2,244.24
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$278.95 – $4,386.82
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,207.45 BCBS — Medicare Managed Care Plan: $894.41 BCBS — Native Blue HMO: $921.24 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $2,236.01 Community Care — Select HMO: $1,654.65 Global Health — All Commercial Plans: $1,914.03 Healthchoice — All Commercial Plans: $1,367.57 Humana — Medicare Managed Care Plan: $909.61 Kempton — All Commercial Plans: $1,744.09
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$1,004.87 – $14,536.01
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Ambetter Health — Exchange: $7,849.45 BCBS — Medicare Managed Care Plan: $5,814.41 BCBS — Native Blue HMO: $5,988.84 Cigna — All Commercial Plans: $9,284 Community Care — HMO: $14,536.01 Community Care — Select HMO: $10,756.65 Global Health — All Commercial Plans: $12,442.83 Healthchoice — All Commercial Plans: $10,501.85 Humana — Medicare Managed Care Plan: $5,913.25 Kempton — All Commercial Plans: $11,338.09
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$796.33 – $8,608.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Ambetter Health — Exchange: $4,648.75 BCBS — Medicare Managed Care Plan: $3,443.52 BCBS — Native Blue HMO: $3,546.83 Cigna — All Commercial Plans: $3,359 Community Care — HMO: $8,608.80 Community Care — Select HMO: $6,370.51 Global Health — All Commercial Plans: $7,369.13 Healthchoice — All Commercial Plans: $6,352.31 Humana — Medicare Managed Care Plan: $3,502.06 Kempton — All Commercial Plans: $6,714.87
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$198.33 – $4,386.82
Prostate biopsy: rates for 6 insurance plans Cigna — All Commercial Plans: $2,100 Healthchoice — All Commercial Plans: $3,687.32 Medica — Exchange: $1,411 Oscar — All Commercial Plans: $4,386.82 PHCS — Multiplan All Commercial Plans: $1,254 UnitedHealthCare — All Commercial Plans: $2,951.70
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$1,822.76 – $25,558.63
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates Ambetter Health — Exchange: $13,801.66 BCBS — Medicare Managed Care Plan: $10,223.45 BCBS — Native Blue HMO: $10,530.16 Community Care — HMO: $25,558.63 Community Care — Select HMO: $18,913.39 Global Health — All Commercial Plans: $21,878.19 Healthchoice — All Commercial Plans: $18,740.20 Humana — Medicare Managed Care Plan: $10,397.25 Kempton — All Commercial Plans: $19,935.73 Medica — Exchange: $11,491
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$353.07 – $7,783.42
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Ambetter Health — Exchange: $4,203.05 BCBS — Medicare Managed Care Plan: $3,113.37 BCBS — Native Blue HMO: $3,206.77 Cigna — All Commercial Plans: $2,891 Community Care — HMO: $7,783.42 Community Care — Select HMO: $5,759.73 Global Health — All Commercial Plans: $6,662.61 Healthchoice — All Commercial Plans: $5,723.15 Humana — Medicare Managed Care Plan: $3,166.30 Kempton — All Commercial Plans: $6,071.07
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$151.64 – $4,386.82
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Ambetter Health — Exchange: $916.51 BCBS — Medicare Managed Care Plan: $678.90 BCBS — Native Blue HMO: $699.26 Cigna — All Commercial Plans: $1,579 Community Care — HMO: $1,697.24 Community Care — Select HMO: $1,255.96 Global Health — All Commercial Plans: $1,452.84 Healthchoice — All Commercial Plans: $1,246.54 Humana — Medicare Managed Care Plan: $690.44 Kempton — All Commercial Plans: $1,323.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Epidural Lumbar Sacral W Img	$1,550	$852.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$169.47 – $4,386.82
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Ambetter Health — Exchange: $1,148.39 BCBS — Medicare Managed Care Plan: $850.66 BCBS — Native Blue HMO: $876.18 Cigna — All Commercial Plans: $1,579 Community Care — HMO: $2,126.65 Community Care — Select HMO: $1,573.72 Global Health — All Commercial Plans: $1,820.41 Healthchoice — All Commercial Plans: $1,602.52 Humana — Medicare Managed Care Plan: $865.12 Kempton — All Commercial Plans: $1,658.79
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Transforam Nerve L/S Sngl	$5,358	$2,946.90	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Trans Nerve L/S Sngl Bilat	$8,037	$4,420.35	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$665.59 – $4,695.18
Carpal tunnel release: 10 of 15 insurance plan rates Ambetter Health — Exchange: $2,535.40 BCBS — Medicare Managed Care Plan: $1,878.07 BCBS — Native Blue HMO: $1,934.41 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $4,695.18 Community Care — Select HMO: $3,474.43 Global Health — All Commercial Plans: $4,019.07 Healthchoice — All Commercial Plans: $3,514.99 Humana — Medicare Managed Care Plan: $1,910 Kempton — All Commercial Plans: $3,662.24
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Carpal Tunnel Release Bilat	$12,477	$6,862.35	Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Carpal Tunnel Release Unilat	$7,486	$4,117.30	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$464.17 – $4,386.82
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates Ambetter Health — Exchange: $714.11 BCBS — Medicare Managed Care Plan: $528.97 BCBS — Native Blue HMO: $544.84 Cigna — All Commercial Plans: $2,100 Community Care — HMO: $1,322.43 Community Care — Select HMO: $978.60 Global Health — All Commercial Plans: $1,132 Healthchoice — All Commercial Plans: $987.48 Humana — Medicare Managed Care Plan: $537.96 Kempton — All Commercial Plans: $1,031.49
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$814.20 – $6,535
Cataract removal with lens implant: 10 of 15 insurance plan rates Ambetter Health — Exchange: $2,996.45 BCBS — Medicare Managed Care Plan: $2,219.60 BCBS — Native Blue HMO: $2,286.18 Cigna — All Commercial Plans: $6,535 Community Care — HMO: $5,548.99 Community Care — Select HMO: $4,106.25 Global Health — All Commercial Plans: $4,749.93 Healthchoice — All Commercial Plans: $4,105.31 Humana — Medicare Managed Care Plan: $2,257.33 Kempton — All Commercial Plans: $4,328.21

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$1,189 – $4,386.82
Vaginal delivery, with care before and after: rates for 3 insurance plans Healthchoice — All Commercial Plans: $3,891.44 Medica — Exchange: $1,189 Oscar — All Commercial Plans: $4,386.82
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$1,189 – $4,386.82
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans Healthchoice — All Commercial Plans: $4,317.35 Medica — Exchange: $1,189 Oscar — All Commercial Plans: $4,386.82
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$1,189 – $4,386.82
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans Healthchoice — All Commercial Plans: $4,070.66 Medica — Exchange: $1,189 Oscar — All Commercial Plans: $4,386.82

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$75,695 – $184,111.75
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates Ambetter Health — Exchange: $102,188.25 BCBS — Blue Advantage PPO: $99,935.79 BCBS — Blue Choice PPO: $160,096.76 BCBS — Blue Lincs HMO: $99,935.79 BCBS — Blue Preferred PPO: $131,350.97 BCBS — Medicare Managed Care Plan: $75,695 BCBS — Native Blue HMO: $77,965.85 BCBS — Traditional: $184,111.75 Cigna — All Commercial Plans: $122,463.58 Community Care — HMO: $90,834
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$35,847.42 – $77,812.78
Spinal fusion (not neck), without major complications: 10 of 12 insurance plan rates BCBS — Blue Advantage PPO: $42,236.75 BCBS — Blue Choice PPO: $67,663.11 BCBS — Blue Lincs HMO: $42,236.75 BCBS — Blue Preferred PPO: $55,514.02 BCBS — Traditional: $77,812.78 Cigna — All Commercial Plans: $46,418.75 Healthcare Highways — Plus Network All Commercial Plans: $35,847.42 Healthchoice — All Commercial Plans: $47,925.81 Medica — Exchange: $41,231.85 Oscar — All Commercial Plans: $38,131.41
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$15,838.20 – $39,814.39
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates Ambetter Health — Exchange: $22,162.75 BCBS — Blue Advantage PPO: $21,611.24 BCBS — Blue Choice PPO: $34,621.12 BCBS — Blue Lincs HMO: $21,611.24 BCBS — Blue Preferred PPO: $28,404.81 BCBS — Medicare Managed Care Plan: $16,416.85 BCBS — Native Blue HMO: $16,909.36 BCBS — Traditional: $39,814.39 Cigna — All Commercial Plans: $23,927 Community Care — HMO: $19,700.22
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$19,884.48 – $44,413.50
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates Ambetter Health — Exchange: $27,383.72 BCBS — Blue Advantage PPO: $24,107.63 BCBS — Blue Choice PPO: $38,620.33 BCBS — Blue Lincs HMO: $24,107.63 BCBS — Blue Preferred PPO: $31,685.95 BCBS — Medicare Managed Care Plan: $20,284.24 BCBS — Native Blue HMO: $20,892.77 BCBS — Traditional: $44,413.50 Cigna — All Commercial Plans: $30,039.77 Community Care — HMO: $24,341.09
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,068.24 – $22,118.98
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates Ambetter Health — Exchange: $15,150.50 BCBS — Blue Advantage PPO: $11,303.74 BCBS — Blue Choice PPO: $18,108.55 BCBS — Blue Lincs HMO: $11,303.74 BCBS — Blue Preferred PPO: $14,857.11 BCBS — Medicare Managed Care Plan: $11,222.59 BCBS — Native Blue HMO: $11,559.27 BCBS — Traditional: $20,824.88 Cigna — All Commercial Plans: $15,210.23 Community Care — HMO: $13,467.11

Source: SSM Health St Anthony Hospital - Oklahoma City’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1000 North Lee Avenue, Oklahoma City, OK 73101
County	Oklahoma County
State	Oklahoma
Phone	(405) 272‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	370037
Name in Medicare records	SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY
Profile level	Medicare data + hospital website
Official website	ssmhealth.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

SSM Health St. Anthony Hospital - Oklahoma City — ssmhealth.com