Does St Alexius Medical Center have an emergency room?

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

Where is St Alexius Medical Center?

1555 N Barrington Rd, Hoffman Estates, IL 60169, in Cook County, Illinois.

What is the phone number of St Alexius Medical Center?

(847) 843-2000, as listed by Medicare (CMS).

What is the Medicare star rating of St Alexius Medical Center?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to St Alexius Medical Center for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for St Alexius Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3250; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

St Alexius Medical Center — Phone & Address

Quick answers

Does St Alexius Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Alexius Medical Center. In a medical emergency, call 911.
Where is St Alexius Medical Center?: 1555 N Barrington Rd, Hoffman Estates, IL 60169, in Cook County, Illinois.
What is the phone number of St Alexius Medical Center?: (847) 843-2000, as listed by Medicare (CMS).
What is the Medicare star rating of St Alexius Medical Center?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St Alexius Medical Center for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for St Alexius Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3250; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[4][5][7][9][15]}

Brain and spine
Cancer care
Heart and vascular care
Emergency medicine
Orthopedics
Women's health
OB-GYN and maternity care
Neonatal care
Primary care
Inpatient rehabilitation
Cardiology
Cardiothoracic surgery
Vascular surgery
Stroke care
Obstetrics and gynecology
Maternal-fetal medicine
Behavioral health

Conditions treated^{[7][9][14][15]}

Treatments^[14][15]

Chemotherapy
Immunotherapy
Hormone therapy
Radiation therapy
Brachytherapy
Stereotactic radiosurgery
Cardiac rehabilitation
Cardioversion
Catheter ablation
Cardiac resynchronization therapy
Anticoagulation therapy

Procedures^{[4][10][14][15]}

Minimally invasive robotic-assisted procedures
Cardiac catheterization
Echocardiography
Cardiac MRI
Cardiac CT
Stress test
Vascular ultrasound
Electrophysiology test
Coronary artery bypass graft surgery
Transcatheter aortic valve replacement (TAVR)
MitraClip valve repair
Pacemaker and defibrillator implantation
WATCHMAN device implantation
Ventricular assist device implantation
Carotid artery stenting (TCAR)
Biopsy
Mohs micro surgery
Robotic-assisted surgery
Endobronchial thoracic surgery
3D mammography

Programs and centers^{[4][5][8][9][14]}

Birthing center
Stroke program
Level III neonatal intensive care (NICU)
Labor, delivery and postpartum care
24/7 OB emergency care
Patient navigator
Cancer rehabilitation
Patient and caregiver support groups
Clinical trials

Emergency care (hospital website)^[4][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visiting hours are 8 a.m. to 8 p.m. every day^[13]
Parking	Complimentary valet parking at Entrance 1 (6 a.m. to 6 p.m.); self-parking lots, and ER parking in Lot K (garage)^[12]
Patient portal	Ascension patient portal

Recognition^[4]

Level II trauma center
Joint Commission Certified Primary Stroke Center
AHA Get With The Guidelines Stroke Gold Plus
Commission on Cancer accreditation
MBSAQIP Comprehensive Center
The Joint Commission National Quality Approval
ED Trauma Certification
Certified Primary Stroke Center (The Joint Commission)
Bartlett IEMA Certified Mammography Facility
CLIA accreditation
CAP accreditation

Doctors and clinicians (817)

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

Main specialties

And 793 more: the button below opens the full list.

Other emergency rooms nearby

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

Alexian Brothers Medical Center 17.3 mi · Elk Grove Village, IL · Acute Care Hospital
Elgin Mental Health Center7.7 mi · Elgin, IL · Psychiatric Hospital
Northwest Community Hospital 17.8 mi · Arlington Heights, IL · Acute Care Hospital
Saint Joseph Hospital-Elgin9.5 mi · Elgin, IL · Acute Care Hospital
Advocate Good Shepherd Hospital9.6 mi · Barrington, IL · Acute Care Hospital

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

Other hospitals near Hoffman Estates

Alexian Brothers Behavioral Health Hospital0.4 mi · Hoffman Estates, IL · Psychiatric Hospital
BHC Streamwood Hospital Inc3.1 mi · Streamwood, IL · Psychiatric Hospital

All hospitals in Hoffman Estates · Hospitals in Cook County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Alden Poplar Creek Rehab & HCC0.1 mi · Hoffman Estates, IL · 5 of 5 stars
Bella Terra Streamwood3.1 mi · Streamwood, IL · 5 of 5 stars
Encore Village3.3 mi · Schaumburg, IL · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Five Star Hospice and Palliative Care LLC1.4 mi · Hoffman Estates, IL
Visions Hospice4.6 mi · Schaumburg, IL
Alexian Brothers Hospice5.1 mi · Hanover Park, IL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Home Life Healthcare, Corp1.4 mi · Hoffman Estates, IL · 3.5 of 5 stars
Support Home Health Care LLC1.4 mi · Hoffman Estates, IL · 2 of 5 stars
Home Health Providers, PC3.1 mi · Schaumburg, IL · 1.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - Hoffman Estates1.4 mi · Hoffman Estates, IL · 5 of 5 stars
USRC Streamwood Dialysis2.8 mi · Streamwood, IL · 3 of 5 stars
DaVita Schaumburg Renal Center3.8 mi · Schaumburg, IL · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Hoffman Estates Surgery Center, LLC1.4 mi · Hoffman Estates, IL
Schaumburg Surgery Center LLC3.1 mi · Schaumburg, IL
Specialty Surgicare, Ltd3.1 mi · Schaumburg, IL

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

135 Irving Park Road3.3 mi · Streamwood, IL · Community health center
Legacy Medical Care - Hanover Park4.1 mi · Hanover Park, IL · Community health center
1515 E Lake St4.6 mi · Hanover Park, IL · Community health center

Clinics and urgent care

Golf Urgent Care Inc1.4 mi · Hoffman Estates, IL · Urgent care center
Midwest Immediate Care2.0 mi · Schaumburg, IL · Urgent care center
Northern Illinois Medical Supply LLC5.6 mi · Palatine, IL · Urgent care center

Pharmacies

Aafiyah Solutions Inc1.4 mi · Hoffman Estates, IL · Community/retail pharmacy
Amar Niya Pharmacy, Inc1.4 mi · Hoffman Estates, IL · Community/retail pharmacy
American Drug Stores LLC1.4 mi · Hoffman Estates, IL · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Patients got help quickly from staff	1 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	1 of 5 stars
Care Coordination	1 of 5 stars
Symptoms After Stay	2 of 5 stars
Rated the hospital 9 or 10 out of 10	55%National average: 72%
Would definitely recommend the hospital	55%National average: 71%
Nurses “always” communicated well	70%National average: 80%
Doctors “always” communicated well	70%National average: 80%
“Always” got help as soon as they wanted	47%National average: 64%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	70%National average: 73%
Completed surveys	469Response rate: 12%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	1.851No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.174No different from the national benchmark
Surgical site infections after colon surgery	0.737No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.272No different from the national benchmark
MRSA bloodstream infections	0.547No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.507No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.5%
Deaths within 30 days: heart failure patients	7.7%
Deaths within 30 days: pneumonia patients	11.6%
Deaths within 30 days: COPD patients	7.2%
Deaths within 30 days: stroke patients	12.7%
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	4.2%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	16.1%
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	20.2%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: hip or knee replacement	5.1%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	184 minutesNational average: 162 minutes
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 66%
Not reported to Medicare	Patients who left the emergency room before being seen (OP-22)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.3250Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	0.9765Fewer readmissions than expected
Heart failure	0.9864Fewer readmissions than expected
Pneumonia	1.0605More readmissions than expected
COPD (chronic lung disease)	0.9360Fewer readmissions than expected
Hip or knee replacement	0.9013Fewer readmissions than expected
No result published	Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.05Above the national median hospital (1.00): Medicare spent more

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

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 Illinois Best hospitals in Illinois

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as St Alexius Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 73 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$121.44 – $299.28
New patient office visit (about 30–44 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $299.28 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $299.28 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $299.28 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $299.28 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $299.28 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $299.28 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $299.28
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$121.44 – $299.28
New patient office visit (about 30–44 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $121.44 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $121.44 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $282.44 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $121.44
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$179.63 – $454.08
New patient office visit (about 45–59 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $454.08 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $454.08 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $454.08 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $454.08 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $454.08 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $454.08 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $454.08
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$179.63 – $454.08
New patient office visit (about 45–59 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $179.63 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $179.63 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $428.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $179.63
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$270.71 – $572.76
New patient office visit (about 60–74 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $572.76 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $572.76 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $572.76 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $572.76 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $572.76 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $572.76 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $572.76
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$270.71 – $572.76
New patient office visit (about 60–74 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $270.71 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $270.71 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $540.54 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $270.71
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$172.87 – $209.99
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $183.18 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $183.18 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $183.18 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $183.18 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $183.18 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $183.18 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $183.18
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$172.87 – $209.99
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $209.99 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $209.99 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $172.87 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $209.99
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$260.53 – $346.61
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $276.06 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $276.06 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $276.06 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $276.06 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $276.06 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $276.06 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $276.06
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$260.53 – $346.61
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $346.61 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $346.61 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $260.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $346.61
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$235.29 – $397.32
Office consultation with a specialist (moderate): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $397.32 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $397.32 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $397.32 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $397.32 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $397.32 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $397.32 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $397.32
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$235.29 – $397.32
Office consultation with a specialist (moderate): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $235.29 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $374.97 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$354.20 – $580.50
Office consultation with a specialist (moderate to high): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $580.50 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $580.50 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $580.50 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $580.50 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $580.50 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $580.50 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $580.50
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$354.20 – $580.50
Office consultation with a specialist (moderate to high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $354.20 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $354.20 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $547.84 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $354.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$321.31 – $412.80
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $412.80 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $412.80 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $412.80 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $412.80 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $412.80 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $412.80 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $412.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$321.31 – $412.80
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $321.31 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $321.31 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $389.58 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $321.31
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$318.78 – $482.46
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $482.46 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $482.46 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $482.46 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $482.46 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $482.46 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $482.46 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $482.46
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$318.78 – $482.46
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $318.78 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $318.78 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $455.32 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $318.78
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$274.21 – $510.89
Emergency room visit (moderate): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $274.21 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $447.39 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $214.14 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $303.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $288.64 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $467.60 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $381 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $378.12 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $214.14 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $288.64
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$202.09 – $2,475
Emergency room visit (moderate): 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $274.21 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $447.39 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $303.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $288.64 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $467.60 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $510.89 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $378.12 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $288.64 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $360.80 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $288.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$202.09 – $2,475
Emergency room visit (moderate): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $794.42 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $794.42 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $202.09 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $794.42
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$421.69 – $785.67
Emergency room visit (moderately high): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $421.69 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $688.01 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $394.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $466.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $443.88 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $719.09 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $585.92 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $581.48 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $394.74 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $443.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$359.26 – $394.74
Emergency room visit (moderately high): 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $421.69 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $688.01 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $466.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $443.88 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $719.09 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $785.67 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $581.48 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $443.88 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $554.85 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $443.88
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$359.26 – $394.74
Emergency room visit (moderately high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $359.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $359.26 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $372.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $359.26
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$607.15 – $1,131.22
Emergency room visit (high): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $607.15 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $990.62 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $588.24 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $671.07 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $639.11 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,035.36 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $843.63 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $837.23 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $588.24 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $639.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$285.89 – $588.24
Emergency room visit (high): 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $607.15 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $990.62 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $671.07 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $639.11 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,035.36 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,131.22 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $837.23 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $639.11 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $798.89 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $639.11
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$285.89 – $588.24
Emergency room visit (high): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $285.89 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $285.89 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $555.15 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $285.89

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.04 – $14.97
Basic metabolic panel (blood test): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $8.04 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $13.11 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.88 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $19.80 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.46 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $19.80 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $13.71 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $14.97 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $11.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.04 – $14.97
Basic metabolic panel (blood test): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $8.04 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $13.11 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $28.38 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.88 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.46 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13.71 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $11.17 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $11.08 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $28.38 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	Not listed in the file	Not listed in the file	$8.46 – $37.48
Basic metabolic panel (blood test): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $27.83 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $26.78 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $27.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.03 – $18.69
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $10.03 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $16.37 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $11.09 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $24.71 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $10.56 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $24.71 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $17.11 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $18.69 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $13.83 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.03 – $18.69
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $10.03 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $16.37 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $36.12 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $11.09 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $10.56 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $17.11 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $13.94 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $13.83 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $36.12 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56 – $46.78
Comprehensive metabolic panel (blood test): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $35.42 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $34.09 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $35.42
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $84.62
Obstetric blood test panel: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $45.42 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $74.11 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $50.20 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $111.88 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $47.81 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $111.88 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $77.45 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $84.62 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $62.63 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $84.62
Obstetric blood test panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $45.42 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $74.11 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $203.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $50.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $47.81 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $77.45 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $63.11 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $62.63 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $203.82 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$43.28 – $211.80
Obstetric blood test panel: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $199.87 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $192.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $199.87
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.72 – $23.70
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $12.72 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $20.75 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $14.06 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $31.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $13.39 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $31.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $21.69 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $23.70 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $17.54 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$12.72 – $23.70
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $12.72 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $20.75 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $46.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $14.06 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $13.39 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $21.69 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $17.67 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $17.54 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $46.44 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$11.58 – $59.32
Cholesterol panel (lipid panel): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $45.54 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $43.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $45.54
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.25 – $15.36
Kidney function panel: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $8.25 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $13.45 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $9.11 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $20.31 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.68 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $20.31 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $14.06 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $15.36 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $11.37 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.25 – $15.36
Kidney function panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $8.25 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $13.45 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $9.11 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.68 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $14.06 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $11.46 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $11.37 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $25.80 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $38.45
Kidney function panel: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $24.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.76 – $14.46
Liver function panel: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $7.76 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $12.66 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.58 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $19.12 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $8.17 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $19.12 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $13.24 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $14.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $10.70 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.76 – $14.46
Liver function panel: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7.76 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $12.66 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.58 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8.17 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13.24 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $10.78 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $10.70 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $25.80 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$7.59 – $36.19
Liver function panel: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $24.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.01 – $5.61
Urine test (automated, with microscope): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $3.01 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $4.91 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $3.33 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $7.42 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $3.17 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $7.42 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $5.14 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $5.61 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $4.15 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.01 – $5.61
Urine test (automated, with microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $3.01 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $4.91 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $10.32 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $3.33 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $3.17 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $5.14 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $4.18 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $4.15 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $10.32 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$2.38 – $14.04
Urine test (automated, with microscope): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $10.12 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $9.74 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $10.12
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.31 – $6.16
Urine test (manual, without microscope): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $3.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $5.39 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $3.65 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $8.14 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $3.48 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $8.14 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $5.64 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $6.16 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $4.56 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.31 – $6.16
Urine test (manual, without microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $3.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $5.39 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $7.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $3.65 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $3.48 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $5.64 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $4.59 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $4.56 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $7.74 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.61 – $15.42
Urine test (manual, without microscope): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $7.59 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $7.30 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $7.59
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.14 – $3.98
Urine test (automated, without microscope): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $2.14 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $3.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $2.36 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $5.27 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $2.25 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $5.27 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $3.65 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $3.98 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $2.95 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.14 – $3.98
Urine test (automated, without microscope): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $2.14 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $3.49 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $7.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $2.36 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $2.25 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $3.65 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $2.97 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $2.95 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $7.74 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.69 – $9.97
Urine test (automated, without microscope): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $7.59 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $7.30 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $7.59
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $32.55
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $17.47 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $28.50 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $19.31 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $43.03 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $18.39 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $43.03 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $29.79 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $32.55 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $24.09 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $32.55
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $17.47 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $28.50 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $54.18 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $19.31 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $18.39 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $29.79 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $24.27 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $24.09 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $54.18 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$13.79 – $81.47
PSA (prostate specific antigen) blood test: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $53.13 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $51.13 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $53.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.96 – $29.74
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $15.96 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $26.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $17.64 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $39.31 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $16.80 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $39.31 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $27.22 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $29.74 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $22.01 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$15.96 – $29.74
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $15.96 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $26.04 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $51.60 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $17.64 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $16.80 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $27.22 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $22.18 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $22.01 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $51.60 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$12.60 – $74.42
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $50.60 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $48.70 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $50.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.38 – $13.75
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $7.38 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $12.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $8.16 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $18.18 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $7.77 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $18.18 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $12.59 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $13.75 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $10.18 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.38 – $13.75
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7.38 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $12.04 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $25.80 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8.16 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $7.77 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $12.59 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $10.26 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $10.18 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $25.80 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$5.83 – $34.42
Complete blood count (CBC) with differential: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $25.30 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $24.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $25.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.15 – $11.45
Complete blood count (CBC), automated: 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $6.15 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $10.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $6.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $15.14 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $6.47 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $15.14 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $10.48 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $11.45 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $8.48 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.15 – $11.45
Complete blood count (CBC), automated: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $6.15 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $10.03 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $23.22 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $6.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $6.47 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $10.48 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $8.54 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $8.48 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $23.22 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$4.85 – $28.66
Complete blood count (CBC), automated: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $22.77 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $21.91 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $22.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.08 – $7.59
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $4.08 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $6.65 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $4.50 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $10.04 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $4.29 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $10.04 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $6.95 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $7.59 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $5.62 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.08 – $7.59
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $4.08 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $6.65 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $12.90 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $4.50 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $4.29 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $6.95 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $5.66 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $5.62 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $12.90 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$3.22 – $19
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $12.65 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $12.17 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $12.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.71 – $10.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $5.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $9.32 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $6.31 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $14.06 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $6.01 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $14.06 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $9.74 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $10.64 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $7.87 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$5.71 – $10.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $5.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $9.32 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $20.64 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $6.31 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $6.01 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $9.74 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $7.93 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $7.87 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $20.64 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$4.51 – $26.62
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $20.24 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $19.48 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $20.24

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$105.31 – $196.20
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $812.70 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $146.32 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $145.21 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $812.70 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$105.31 – $196.20
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $171.92 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $196.20 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $138.56
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$171.92 – $812.70
CT scan of the head or brain, without contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $796.95 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $796.95 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $766.98 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $796.95
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$353.67 – $658.94
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $353.67 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $577.03 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $3,209.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $390.89 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $372.28 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $603.09 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $491.41 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $487.69 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $3,209.52 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $372.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$353.67 – $658.94
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $353.67 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $577.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $390.89 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $553.34 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $372.28 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $603.09 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $658.94 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $487.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $372.28 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $465.35
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$553.34 – $3,209.52
MRI of the brain, before and after contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $3,147.32 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $3,147.32 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $3,028.95 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $3,147.32
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$87.20 – $162.47
Chest X-ray, 2 views: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $87.20 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $142.27 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $113.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $96.38 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $91.79 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $148.70 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $121.16 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $120.24 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $113.52 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $91.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$87.20 – $162.47
Chest X-ray, 2 views: 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $87.20 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $142.27 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $96.38 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $58.06 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $91.79 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $148.70 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $162.47 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $120.24 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $91.79 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $114.74
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$58.06 – $113.52
Chest X-ray, 2 views: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $111.32 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $111.32 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $107.13 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $111.32
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$105.31 – $196.20
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $203.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $146.32 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $145.21 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $203.82 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$105.31 – $196.20
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $96.57 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $196.20 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $138.56
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$96.57 – $203.82
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $199.87 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $199.87 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $192.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $199.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $445.99
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $239.37 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $390.55 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $1,973.70 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $264.57 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $251.97 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $408.19 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $332.60 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $330.08 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $1,973.70 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $251.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $445.99
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $239.37 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $390.55 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $264.57 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $317.63 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $251.97 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $408.19 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $445.99 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $330.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $251.97 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $314.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$317.63 – $1,973.70
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,935.45 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,935.45 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $1,862.66 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,935.45
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$176.29 – $328.46
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $176.29 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $287.63 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $1,207.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $194.85 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $185.57 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $300.62 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $244.95 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $243.10 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $1,207.44 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $185.57
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$176.29 – $328.46
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $176.29 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $287.63 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $194.85 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $437.23 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $185.57 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $300.62 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $328.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $243.10 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $185.57 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $231.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$437.23 – $1,207.44
CT scan of the pelvis, with contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,184.04 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,184.04 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $1,139.51 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,184.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $445.99
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $239.37 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $390.55 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $1,991.76 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $264.57 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $251.97 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $408.19 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $332.60 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $330.08 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $1,991.76 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $251.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$239.37 – $445.99
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $239.37 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $390.55 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $264.57 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $361.04 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $251.97 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $408.19 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $445.99 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $330.08 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $251.97 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $314.96
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$361.04 – $1,991.76
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $1,953.16 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $1,953.16 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $1,879.70 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $1,953.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$353.67 – $658.94
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $353.67 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $577.03 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $2,556.78 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $390.89 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $372.28 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $603.09 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $491.41 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $487.69 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $2,556.78 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $372.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$353.67 – $658.94
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $353.67 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $577.03 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $390.89 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $569.93 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $372.28 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $603.09 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $658.94 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $487.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $372.28 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $465.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$569.93 – $2,556.78
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $2,507.23 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $2,507.23 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $2,412.94 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $2,507.23
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$105.31 – $196.20
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $500.52 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $146.32 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $145.21 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $500.52 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$194.85 – $500.52
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $194.85 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $196.20 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $138.56
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$194.85 – $500.52
Ultrasound of the abdomen, complete: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $490.82 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $490.82 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $472.36 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $490.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$105.31 – $196.20
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $534.06 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $146.32 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $145.21 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $534.06 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$220.15 – $534.06
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $220.15 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $196.20 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $138.56
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$220.15 – $534.06
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $523.71 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $523.71 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $504.01 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $523.71
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$105.31 – $196.20
Transvaginal ultrasound: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.31 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $171.82 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $441.18 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $116.39 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $110.85 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $179.58 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $146.32 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $145.21 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $441.18 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $110.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$215.33 – $441.18
Transvaginal ultrasound: 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.31 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $171.82 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $116.39 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $215.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $110.85 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $179.58 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $196.20 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $145.21 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $110.85 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $138.56
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$215.33 – $441.18
Transvaginal ultrasound: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $432.63 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $432.63 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $416.36 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $432.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$83.29 – $155.18
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $83.29 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $135.89 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $485.04 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $92.05 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $87.67 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $142.03 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $115.72 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $114.85 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $485.04 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $87.67
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$83.29 – $155.18
Diagnostic mammogram, one breast: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $83.29 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $135.89 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $92.05 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $215.33 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $87.67 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $142.03 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $155.18 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $114.85 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $87.67 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $109.59
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$88.78 – $485.04
Diagnostic mammogram, one breast: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $475.64 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $457.75 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $475.64
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$105.92 – $197.35
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $105.92 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $172.83 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $601.14 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $117.08 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $111.50 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $180.63 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $147.18 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $146.06 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $601.14 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $111.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$105.92 – $197.35
Diagnostic mammogram, both breasts: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $105.92 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $172.83 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $117.08 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $274.32 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $111.50 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $180.63 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $197.35 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $146.06 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $111.50 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $139.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$113.18 – $601.14
Diagnostic mammogram, both breasts: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $589.49 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $567.32 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $589.49
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$87.38 – $162.80
Screening mammogram, both breasts: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $87.38 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $142.57 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $518.58 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $96.58 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $91.98 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $149.01 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $121.41 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $120.49 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $518.58 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $91.98
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$87.38 – $162.80
Screening mammogram, both breasts: 10 of 23 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $87.38 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $142.57 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $96.58 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $227.61 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $91.98 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $149.01 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $162.80 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $120.49 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $91.98 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $114.98
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$93.87 – $518.58
Screening mammogram, both breasts: rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $508.53 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $489.40 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $508.53

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $85.14 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $85.14 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $85.14 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $85.14 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $85.14 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $85.14 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $85.14
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $106.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $106.26 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $80.35 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $106.26
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$80.35 – $106.26
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$5,623 – $10,153
Left heart catheterization (diagnostic): rates for 6 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $5,678 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $5,623 BCBS PPO — 1726_BLUE CROSS BLUE SHIELD PPO (SA) 20240101: $9,180 HUMANA HMO — 1620_HUMANA HMO (SA) 20231001: $8,349 HUMANA PPO — 1622_HUMANA PPO (SA) 20231001: $10,153 UHC — 1672_UHC (BO,GO,HN,LG) 20231001: $6,855
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$832.37 – $2,917.98
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $2,917.98 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $2,917.98 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $2,917.98 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $2,917.98 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $2,917.98 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $2,917.98 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $2,917.98
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$832.37 – $2,917.98
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $832.37 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $832.37 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $2,753.82 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $832.37
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $7,051.14 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $7,051.14 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $7,051.14 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $7,051.14 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $7,051.14 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $7,051.14 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $7,051.14
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $6,654.45 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$131.56 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $7,947
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $7,947
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $2,752.86 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $2,752.86 COUNTY CARE — 1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101: $2,752.86 HARMONY HEALTH PLAN — 1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101: $2,752.86 ILLINICARE — 1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101: $2,752.86 MEDICAID REPLACEMENT 100% — 1760_MEDICAID ADVANTAGE OTHER (SA) 20240101: $2,752.86 MERIDIAN — 1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101: $2,752.86
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $1,654 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $1,637 UHC — 1711_UHC (AB,SA) 20240101: $3,834 UHC — 1672_UHC (BO,GO,HN,LG) 20231001: 60% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$756.47 – $3,834
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $756.47 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $756.47 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $2,597.98 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $756.47

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$28.06 – $52.29
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $28.06 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $45.79 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $90.30 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $31.02 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $29.54 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $47.85 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $38.99 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $38.70 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $90.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $29.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$29.82 – $90.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $28.06 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $45.79 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $31.02 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $73.69 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $29.54 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $47.85 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $52.29 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $38.70 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $29.54 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $36.92
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$29.82 – $90.30
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $70.84 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $85.22 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $70.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$95.71 – $178.33
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $132.99 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $131.98 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $224.46 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $178.33 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $125.94
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (low complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$95.71 – $178.33
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $132.99 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $131.98 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $224.46 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $178.33 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $125.94
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$95.71 – $178.33
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $95.71 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $156.16 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $105.79 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $100.75 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $163.22 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $132.99 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $131.98 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $224.46 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $100.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $95.71 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $156.16 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $105.79 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $250.82 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $100.75 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $163.22 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $178.33 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $131.98 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $100.75 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $125.94
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$101.66 – $250.82
Physical therapy evaluation (high complexity): rates for 3 insurance plans CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $235.29 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $235.29
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $224.46 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $221.09 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $219.41 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $224.46 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $296.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $167.49
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$211.83 – $224.46
Psychotherapy, 30 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $220.11 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $220.11 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $211.83 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $220.11
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $325.08 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $221.09 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $219.41 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $325.08 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $296.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $167.49
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$306.79 – $325.08
Psychotherapy, 45 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $318.78 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $318.78 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $306.79 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $318.78
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $477.30 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $221.09 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $219.41 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $477.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$159.12 – $296.46
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $296.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $167.49
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$450.45 – $477.30
Psychotherapy, 60 minutes: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $468.05 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $468.05 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $450.45 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $468.05
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $296.46
Family psychotherapy, without the patient: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $304.44 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $221.09 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $219.41 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $304.44 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $296.46
Family psychotherapy, without the patient: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $296.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $167.49
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$287.31 – $304.44
Family psychotherapy, without the patient: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $298.54 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $298.54 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $287.31 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $298.54
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $296.46
Family psychotherapy, with the patient: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $159.12 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $259.61 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $394.74 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $175.86 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $167.49 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $271.33 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $221.09 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $219.41 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $394.74 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $167.49
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$159.12 – $296.46
Family psychotherapy, with the patient: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $159.12 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $259.61 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $175.86 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $167.49 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $271.33 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $296.46 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $219.41 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $167.49 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $209.36 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $167.49
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$372.53 – $394.74
Family psychotherapy, with the patient: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $387.09 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $387.09 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $372.53 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $387.09
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$91.60 – $170.66
Group psychotherapy: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $91.60 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $149.45 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $108.36 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $101.24 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $96.42 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $156.20 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $127.27 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $126.31 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $108.36 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $96.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$91.60 – $170.66
Group psychotherapy: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $91.60 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $149.45 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $101.24 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $96.42 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $156.20 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $170.66 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $126.31 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $96.42 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $120.53 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $96.42
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$102.26 – $108.36
Group psychotherapy: rates for 4 insurance plans CIGNA — 1614_CIGNA (AB,SA) 20231001: $106.26 CIGNA C5 — 1298_CIGNA C5 (AB,SA) 20230201: $106.26 CIGNA IFP — 1616_CIGNA IFP (SA) 20231001: $102.26 CIGNA LOCAL PLUS — 1714_CIGNA LOCAL PLUS (AB,SA) 20240101: $106.26

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$928.46 – $1,729.87
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $928.46 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $1,026.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $977.33 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,583.27 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $1,290.08 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $1,280.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,221.66 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $977.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$928.46 – $1,729.87
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $928.46 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $1,026.20 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $977.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,583.27 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,729.87 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $1,280.30 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,221.66 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $977.33
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$928.46 – $1,729.87
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $928.46 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $1,026.20 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $977.33 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,583.27 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $1,290.08 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $1,280.30 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,221.66 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $977.33
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$928.46 – $1,729.87
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $928.46 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,514.86 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $1,026.20 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $977.33 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,583.27 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,729.87 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $1,280.30 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $977.33 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,221.66 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $977.33
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$902.86 – $1,682.17
Colonoscopy (diagnostic): 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $902.86 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,473.09 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $997.90 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $950.38 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,539.62 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $1,254.50 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $1,245 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $950.38 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,187.97 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $950.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$902.86 – $1,682.17
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $902.86 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,473.09 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $997.90 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $950.38 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,539.62 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,682.17 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $1,245 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $950.38 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,187.97 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $950.38
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$9,180
Gallbladder removal by laparoscope: rates for 4 insurance plans BCBS PPO — 1726_BLUE CROSS BLUE SHIELD PPO (SA) 20240101: $9,180 AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount) CIGNA — 1614_CIGNA (AB,SA) 20231001: 73% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$9,180
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan BCBS PPO — 1726_BLUE CROSS BLUE SHIELD PPO (SA) 20240101: $9,180
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: 65% (a percentage in the contract, not a dollar amount) AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: 70% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$9,180
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan BCBS PPO — 1726_BLUE CROSS BLUE SHIELD PPO (SA) 20240101: $9,180
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.80 – $1,277.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $685.80 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,118.94 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $758 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $721.90 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,169.48 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $952.91 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $945.69 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $721.90 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $902.38 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $721.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$685.80 – $1,277.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $685.80 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,118.94 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $758 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $721.90 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,169.48 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,277.76 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $945.69 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $721.90 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $902.38 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $721.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$881.66 – $1,642.67
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $881.66 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $1,438.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $974.46 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $928.06 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $1,503.46 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $1,225.04 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $1,215.76 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $928.06 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $1,160.07 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $928.06
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$881.66 – $1,642.67
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $881.66 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $1,438.49 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $974.46 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $928.06 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $1,503.46 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,642.67 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $1,215.76 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $928.06 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $1,160.07 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $928.06
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$543.28 – $1,012.21
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $543.28 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $886.40 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $600.46 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $571.87 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $926.43 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $754.87 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $749.15 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $571.87 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $714.84 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $571.87
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$543.28 – $1,012.21
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates AARP — 1687_MEDICARE ADVANTAGE AARP OUTPATIENT (AB,SA) 20240101: $543.28 ACTIN CARE — 1682_ACTIN CARE 155%MCR (AB,SA) OUTPATIENT 20240101: $886.40 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1688_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT (AB,S: $600.46 AETNA MEDICARE — 1689_MEDICARE ADVANTAGE AETNA OUTPATIENT (AB,SA) 20240101: $571.87 AMBETTER — 1683_AMBETTER (AB,SA) OUTPATIENT 20240101: $926.43 BCBS BCS — 1701_BLUE CROSS BLUE SHIELD BCS (SA) OUTPATIENT 20240101: $1,012.21 BCBS FOCUS CARE — 1699_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) OUTPATIENT 20240: $749.15 BCBS MEDICARE — 1690_MEDICARE ADVANTAGE BCBS OUTPATIENT (AB,SA) 20240101: $571.87 BRIGHT HEALTH — 1684_BRIGHT HEALTH (AB,SA) OUTPATIENT 20240101: $714.84 COVID-19 UNINSURED — 1702_COVID-19 UNINSURED (AB,SA) OUTPATIENT 20240101: $571.87
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$3,941
Cataract removal with lens implant: rates for 1 insurance plan AETNA HMO — 1717_AETNA HMO (AB,SA) 20240101: $3,941

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) 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	$1,920 – $101,893
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $62,865.48 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $102,569.99 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $69,482.90 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $66,174.19 AETNA PPO — 1720_AETNA PPO (AB,SA) 20240101: $64,698 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $107,202.19 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $87,349.93 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $86,688.19 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $66,174.19 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $82,717.74
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Outpatient (no overnight stay) 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	$1,920 – $101,893
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$12,395.35 – $21,137.34
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $12,395.35 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $20,224 AETNA BETTER HEALTH — 1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101: $2,045.76 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $13,700.13 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $13,047.74 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $21,137.34 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $17,223.02 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $17,092.54 BCBS MEDICAID — 1746_MEDICAID ADVANTAGE BCBS (SA) 20240101: $5,921.04 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $13,047.74
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Outpatient (no overnight stay) 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	$1,920 – $5,921.04
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$15,688.09 – $26,752.32
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $15,688.09 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $25,596.36 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $17,339.47 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $16,513.78 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $26,752.32 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $21,798.19 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $21,633.05 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $16,513.78 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $20,642.22 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $16,513.78
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Outpatient (no overnight stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,920
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,972.89 – $13,595.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates AARP — 1655_MEDICARE ADVANTAGE AARP (AB,SA) INPATIENT 20231001: $7,972.89 ACTIN CARE — 1650_ACTIN CARE 155%MCR (AB,SA) INPATIENT 20231001: $13,008.41 AETNA BETTER HEALTH MEDICARE REPLACEMENT — 1656_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT (AB,SA: $8,812.15 AETNA MEDICARE — 1657_MEDICARE ADVANTAGE AETNA INPATIENT (AB,SA) 20231001: $8,392.52 AMBETTER — 1646_AMBETTER (AB,SA) INPATIENT 20231001: $13,595.88 BCBS BCS — 1728_BLUE CROSS BLUE SHIELD BCS (SA) INPATIENT 20240101: $11,078.13 BCBS FOCUS CARE — 1732_BLUE CROSS BLUE SHIELD FOCUS CARE (SA) INPATIENT 202401: $10,994.20 BCBS MEDICARE — 1733_MEDICARE ADVANTAGE BCBS INPATIENT (AB,SA) 20240101: $8,392.52 BRIGHT HEALTH — 1648_BRIGHT HEALTH (AB,SA) INPATIENT 20231001: $10,490.65 COVID-19 UNINSURED — 1652_COVID-19 UNINSURED (AB,SA) INPATIENT 20231001: $8,392.52
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Outpatient (no overnight stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,920
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan UHC — 1711_UHC (AB,SA) 20240101: $1,920

Source: St Alexius Medical Center’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 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	1555 N Barrington Rd, Hoffman Estates, IL 60169
County	Cook County
State	Illinois
Phone	(847) 843‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	140290
Name in Medicare records	ST ALEXIUS MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ascension Saint Alexius
Official website	healthcare.ascension.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Ascension Saint Alexius — healthcare.ascension.org
Ascension Saint Alexius departments — healthcare.ascension.org
Ascension Saint Alexius - Emergency Room | Ascension — healthcare.ascension.org
Ascension Alexian Brothers - Birthing Center | Ascension — healthcare.ascension.org
Ascension Saint Alexius - Birthing Center | Ascension — healthcare.ascension.org
Ascension Medical Group Illinois - Heart and Vascular Imaging Hoffman Estates | Ascension — healthcare.ascension.org
Campus amenities at Ascension Columbia St. Mary's Hospital - Milwaukee Campus — healthcare.ascension.org
Visitor information - Ascension Seton Hays — healthcare.ascension.org
Ascension Illinois - Cancer Care Hoffman Estates | Ascension — healthcare.ascension.org
Ascension Medical Group Illinois - Heart & Vascular Care Hoffman Estates | Ascension — healthcare.ascension.org

St Alexius Medical Center

Summary

Profile from official sources

At a glance