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Acute Care Hospital

St Barnabas Hospital

Bronx, New York · Bronx County · Emergency services listed

St Barnabas Hospital is an acute care hospital at 4422 Third Avenue, Bronx, NY 10457. Phone: (212) 960-9000. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

St Barnabas Hospital is an acute care hospital in Bronx, New York. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 36 services, specialties and programs. Medicare lists 222 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(212) 960‑9000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
222Doctors and clinicians
36Services listed

Quick answers

Does St Barnabas Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Barnabas Hospital. In a medical emergency, call 911.
Where is St Barnabas Hospital?
4422 Third Avenue, Bronx, NY 10457, in Bronx County, New York.
What is the phone number of St Barnabas Hospital?
(212) 960-9000, as listed by Medicare (CMS).
What is the Medicare star rating of St Barnabas Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St Barnabas Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for St Barnabas Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.0860; 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[5]

Programs and centers[4][5]

  • AIDS Center
  • Residency training program
  • Women, Infants and Children (WIC) program

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

Emergency roomYes
Trauma designationLevel 2
Stroke designationStroke Center

Visiting and practical information

Patient portalMyChart

Recognition[4]

  • Level 2 Trauma Center
  • Stroke Center
  • AIDS Center
  • Federally designated Community Center of Excellence in Women's Health

Doctors and clinicians (222)

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

Main specialties

Doctors with a page on this site (222)

And 198 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Bronx

All hospitals in Bronx · Hospitals in Bronx 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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff1 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination1 of 5 stars
Symptoms After Stay1 of 5 stars
Rated the hospital 9 or 10 out of 1056%National average: 72%
Would definitely recommend the hospital55%National average: 71%
Nurses “always” communicated well70%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted49%National average: 64%
Staff “always” explained medicines before giving them50%National average: 62%
Were given information about recovery at home78%National average: 86%
Room and bathroom “always” clean64%National average: 73%
Completed surveys581Response rate: 16%

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)0.472No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0Better than the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
MRSA bloodstream infections1.262No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.403Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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 failure patients11.1%
Deaths within 30 days: pneumonia patients15.9%
Deaths within 30 days: stroke patients12.9%
Serious complications (patient safety indicator PSI-90)1.14No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Complications after hip or knee replacement

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)19.2%
Readmitted within 30 days: heart attack15.1%
Readmitted within 30 days: heart failure27.6%
Readmitted within 30 days: pneumonia19.1%
Readmitted within 30 days: COPD21.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: hip or knee replacement

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.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)279 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)8%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)39%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 Barnabas Hospital, 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 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.0860Lower 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 failure1.0618More readmissions than expected
Pneumonia0.9957Fewer readmissions than expected
No result publishedHeart attack; COPD (chronic lung disease); Hip or knee replacement; 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.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score18.17 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)15.00 out of 100
Person and community engagement (patient survey)21.00 out of 100
Safety (infections and sepsis care)36.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 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, ratio0.98Below the national median hospital (1.00): Medicare spent less

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

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 BronxBest hospitals in Bronx

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as St Barnabas Hospital 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 →

$ 3 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 86 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $344.65 $92.53 $34.04 – $206.53
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $34.04
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $91.79
  • Fidelis — CHP/HARP/Medicaid: $82.61
  • Fidelis — Essential Plan Aliesa: $82.61
  • Fidelis — Essential Plan QHP: $87.20
  • Fidelis — Medicare Advantage: $91.79
  • Fidelis — Qualified Health Plan: $87.20
  • Hamaspik Choice Inc — Medicaid: $91.79
  • Hamaspik Choice Inc — Medicare: $91.79
  • Healthfirst — CHP/FHP/Medicaid: $68.84
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES $479 Not listed in the file $57.06 – $263.45
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $263.45
  • Aetna — Gatekeeper/Non-Gatekeeper: $57.06
  • Aetna — Government: $57.06
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $239.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 30-44 MINUTES $479 Not listed in the file $239.50
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $239.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $548.14 $150.09 $56.57 – $335.34
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $56.57
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $149.04
  • Fidelis — CHP/HARP/Medicaid: $134.14
  • Fidelis — Essential Plan Aliesa: $134.14
  • Fidelis — Essential Plan QHP: $141.59
  • Fidelis — Medicare Advantage: $149.04
  • Fidelis — Qualified Health Plan: $141.59
  • Hamaspik Choice Inc — Medicaid: $149.04
  • Hamaspik Choice Inc — Medicare: $149.04
  • Healthfirst — CHP/FHP/Medicaid: $111.78
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES $503 Not listed in the file $92.04 – $276.65
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $276.65
  • Aetna — Gatekeeper/Non-Gatekeeper: $92.04
  • Aetna — Government: $92.04
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $251.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 45-59 MINUTES $503 Not listed in the file $251.50
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $251.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $744.56 $204.39 $142.32 – $562.54
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $562.54
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $203.31
  • Fidelis — CHP/HARP/Medicaid: $182.98
  • Fidelis — Essential Plan Aliesa: $182.98
  • Fidelis — Essential Plan QHP: $193.14
  • Fidelis — Medicare Advantage: $203.31
  • Fidelis — Qualified Health Plan: $193.14
  • Hamaspik Choice Inc — Medicaid: $203.31
  • Hamaspik Choice Inc — Medicare: $203.31
  • Healthfirst — CHP/FHP/Medicaid: $152.48
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES $528 Not listed in the file $140 – $290.40
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $290.40
  • Aetna — Gatekeeper/Non-Gatekeeper: $140
  • Aetna — Government: $140
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $264
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT NEW 60-74 MINUTES $528 Not listed in the file $264
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $264
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $269.26 $73.60 $51.16 – $164.45
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $134.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $73.09
  • Fidelis — CHP/HARP/Medicaid: $65.78
  • Fidelis — Essential Plan Aliesa: $65.78
  • Fidelis — Essential Plan QHP: $69.44
  • Fidelis — Medicare Advantage: $73.09
  • Fidelis — Qualified Health Plan: $69.44
  • Hamaspik Choice Inc — Medicaid: $73.09
  • Hamaspik Choice Inc — Medicare: $73.09
  • Healthfirst — CHP/FHP/Medicaid: $54.82
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 15-29 MINUTES $415 Not listed in the file $39.90 – $250
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $228.25
  • Aetna — Gatekeeper/Non-Gatekeeper: $39.90
  • Aetna — Government: $39.90
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $207.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CAH PRO FEE OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN $75 Not listed in the file $26.25 – $73.09
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $41.25
  • Aetna — Gatekeeper/Non-Gatekeeper: $39.90
  • Aetna — Government: $39.90
  • Brighton Health — Commercial: $56.25
  • Cigna — HMO/Network Benefit Plan/Open Access: $60
  • Cigna — LocalPlus Benefit Plan: $51
  • EmblemHealth — Commercial: $37.50
  • Group Health Inc — Commercial: $37.50
  • Group Health Inc — Medicare: $26.25
  • Hamaspik Choice Inc — Medicaid: $37.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $396.66 $108.33 $75.34 – $287.87
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $287.87
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $107.63
  • Fidelis — CHP/HARP/Medicaid: $96.87
  • Fidelis — Essential Plan Aliesa: $96.87
  • Fidelis — Essential Plan QHP: $102.25
  • Fidelis — Medicare Advantage: $107.63
  • Fidelis — Qualified Health Plan: $102.25
  • Hamaspik Choice Inc — Medicaid: $107.63
  • Hamaspik Choice Inc — Medicare: $107.63
  • Healthfirst — CHP/FHP/Medicaid: $80.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT 25 MINUTES $435 Not listed in the file $54 – $250
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $239.25
  • Aetna — Gatekeeper/Non-Gatekeeper: $54
  • Aetna — Government: $54
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $217.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CAH PRO FEE OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $112 Not listed in the file $39.20 – $107.63
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $61.60
  • Aetna — Gatekeeper/Non-Gatekeeper: $54
  • Aetna — Government: $54
  • Brighton Health — Commercial: $84
  • Cigna — HMO/Network Benefit Plan/Open Access: $89.60
  • Cigna — LocalPlus Benefit Plan: $76.16
  • EmblemHealth — Commercial: $56
  • Group Health Inc — Commercial: $56
  • Group Health Inc — Medicare: $39.20
  • Hamaspik Choice Inc — Medicaid: $56
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN $479 Not listed in the file $70.38 – $263.45
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $263.45
  • Aetna — Gatekeeper/Non-Gatekeeper: $70.38
  • Aetna — Government: $70.38
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $239.50
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $273 Not listed in the file $48.30
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Amida Care — Medicaid: $48.30
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN $479 Not listed in the file $239.50
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $239.50
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $404.25 Not listed in the file $75.62
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Amida Care — Medicaid: $75.62
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN $528 Not listed in the file $135.64 – $290.40
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $290.40
  • Aetna — Gatekeeper/Non-Gatekeeper: $135.64
  • Aetna — Government: $135.64
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $264
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: HC OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN $528 Not listed in the file $264
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $264
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PT AGE 18-39 $358 Not listed in the file $72.57 – $250
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $196.90
  • Aetna — Gatekeeper/Non-Gatekeeper: $72.57
  • Aetna — Government: $72.57
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $179
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $299.25 Not listed in the file $37.20
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Amida Care — Medicaid: $37.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW PT AGE 18-39 $358 Not listed in the file $179
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $179
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PT AGE 40-64 $358 Not listed in the file $88.46 – $250
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $196.90
  • Aetna — Gatekeeper/Non-Gatekeeper: $88.46
  • Aetna — Government: $88.46
  • Brighton Health — Commercial: $233
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
  • EmblemHealth — Commercial: $250
  • Group Health Inc — Commercial: $250
  • Group Health Inc — Medicare: $250
  • Hamaspik Choice Inc — Medicaid: $179
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $345 Not listed in the file $45.71
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Amida Care — Medicaid: $45.71
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NEW PT AGE 40-64 $358 Not listed in the file $179
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $179
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $299.95 $79.79 $24.41 – $176.83
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $24.41
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $78.59
  • Fidelis — CHP/HARP/Medicaid: $70.73
  • Fidelis — Essential Plan Aliesa: $70.73
  • Fidelis — Essential Plan QHP: $74.66
  • Fidelis — Medicare Advantage: $78.59
  • Fidelis — Qualified Health Plan: $74.66
  • Hamaspik Choice Inc — Medicaid: $78.59
  • Hamaspik Choice Inc — Medicare: $78.59
  • Healthfirst — CHP/FHP/Medicaid: $58.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $1,246 Not listed in the file $120 – $874
Emergency room visit (moderate): 10 of 34 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $694
  • Aetna — Gatekeeper/Non-Gatekeeper: $338.31
  • Aetna — Government: $338.31
  • Affinity — Essential Plan 1&2: $236.82
  • Affinity — Essential Plan 3&4: $236.82
  • Affinity — Medicaid/CHP/HARP: $236.82
  • Brighton Health — Commercial: $874
  • Carelon Behavioral Health — CHP/Medicaid: $120
  • Carelon Behavioral Health — Medicare Advantage: $338.31
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $338.31
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $1,246 Not listed in the file $623
Emergency room visit (moderate): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $623
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $499 $135.70 $45.02 – $302.49
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $45.02
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $134.44
  • Fidelis — CHP/HARP/Medicaid: $121
  • Fidelis — Essential Plan Aliesa: $121
  • Fidelis — Essential Plan QHP: $127.72
  • Fidelis — Medicare Advantage: $134.44
  • Fidelis — Qualified Health Plan: $127.72
  • Hamaspik Choice Inc — Medicaid: $134.44
  • Hamaspik Choice Inc — Medicare: $134.44
  • Healthfirst — CHP/FHP/Medicaid: $100.83
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $1,885 Not listed in the file $120 – $874
Emergency room visit (moderately high): 10 of 34 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $694
  • Aetna — Gatekeeper/Non-Gatekeeper: $520.28
  • Aetna — Government: $520.28
  • Affinity — Essential Plan 1&2: $364.20
  • Affinity — Essential Plan 3&4: $364.20
  • Affinity — Medicaid/CHP/HARP: $364.20
  • Brighton Health — Commercial: $874
  • Carelon Behavioral Health — CHP/Medicaid: $120
  • Carelon Behavioral Health — Medicare Advantage: $520.28
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $520.28
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $1,885 Not listed in the file $942.50
Emergency room visit (moderately high): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $942.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $729.47 $196.42 $67.19 – $438.84
Emergency room visit (high): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $67.19
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $195.04
  • Fidelis — CHP/HARP/Medicaid: $175.54
  • Fidelis — Essential Plan Aliesa: $175.54
  • Fidelis — Essential Plan QHP: $185.29
  • Fidelis — Medicare Advantage: $195.04
  • Fidelis — Qualified Health Plan: $185.29
  • Hamaspik Choice Inc — Medicaid: $195.04
  • Hamaspik Choice Inc — Medicare: $195.04
  • Healthfirst — CHP/FHP/Medicaid: $146.28
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $3,480 Not listed in the file $120 – $874
Emergency room visit (high): 10 of 34 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $694
  • Aetna — Gatekeeper/Non-Gatekeeper: $749.10
  • Aetna — Government: $749.10
  • Affinity — Essential Plan 1&2: $524.37
  • Affinity — Essential Plan 3&4: $524.37
  • Affinity — Medicaid/CHP/HARP: $524.37
  • Brighton Health — Commercial: $874
  • Carelon Behavioral Health — CHP/Medicaid: $120
  • Carelon Behavioral Health — Medicare Advantage: $749.10
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $749.10
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $3,480 Not listed in the file $1,740
Emergency room visit (high): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,740

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL $21.15 $8.46 $3.38 – $19.04
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $8.46
  • Fidelis — CHP/HARP/Medicaid: $7.61
  • Fidelis — Essential Plan Aliesa: $7.61
  • Fidelis — Essential Plan QHP: $8.04
  • Fidelis — Medicare Advantage: $8.46
  • Fidelis — Qualified Health Plan: $8.04
  • Hamaspik Choice Inc — Medicaid: $8.46
  • Hamaspik Choice Inc — Medicare: $8.46
  • Healthfirst — CHP/FHP/Medicaid: $6.34
  • Healthfirst — Commercial: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE $21 Not listed in the file $5.92 – $16.47
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $11.55
  • Aetna — Gatekeeper/Non-Gatekeeper: $8.46
  • Aetna — Government: $8.46
  • Affinity — Essential Plan 1&2: $5.92
  • Affinity — Essential Plan 3&4: $5.92
  • Affinity — Medicaid/CHP/HARP: $5.92
  • Brighton Health — Commercial: $15.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $8.46
  • Cigna — HMO/Network Benefit Plan/Open Access: $14.39
  • Cigna — LocalPlus Benefit Plan: $12.11
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE $21 Not listed in the file $10.50
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $10.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL $26.40 $10.56 $4.22 – $23.76
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $10.56
  • Fidelis — CHP/HARP/Medicaid: $9.50
  • Fidelis — Essential Plan Aliesa: $9.50
  • Fidelis — Essential Plan QHP: $10.03
  • Fidelis — Medicare Advantage: $10.56
  • Fidelis — Qualified Health Plan: $10.03
  • Hamaspik Choice Inc — Medicaid: $10.56
  • Hamaspik Choice Inc — Medicare: $10.56
  • Healthfirst — CHP/FHP/Medicaid: $7.92
  • Healthfirst — Commercial: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE $26 Not listed in the file $7.39 – $22.73
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $14.30
  • Aetna — Gatekeeper/Non-Gatekeeper: $10.56
  • Aetna — Government: $10.56
  • Affinity — Essential Plan 1&2: $7.39
  • Affinity — Essential Plan 3&4: $7.39
  • Affinity — Medicaid/CHP/HARP: $7.39
  • Brighton Health — Commercial: $19.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $10.56
  • Cigna — HMO/Network Benefit Plan/Open Access: $17.96
  • Cigna — LocalPlus Benefit Plan: $15.12
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE $26 Not listed in the file $13
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $13
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE $119 Not listed in the file $33.47 – $89.25
Obstetric blood test panel: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $65.45
  • Aetna — Gatekeeper/Non-Gatekeeper: $47.81
  • Aetna — Government: $47.81
  • Affinity — Essential Plan 1&2: $33.47
  • Affinity — Essential Plan 3&4: $33.47
  • Affinity — Medicaid/CHP/HARP: $33.47
  • Brighton Health — Commercial: $89.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $47.81
  • Cigna — HMO/Network Benefit Plan/Open Access: $71.42
  • Cigna — LocalPlus Benefit Plan: $60.11
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL - BUNDLED CHARGE $119 Not listed in the file $59.50
Obstetric blood test panel: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $59.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL $33.47 $13.39 $5.36 – $30.13
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $13.39
  • Fidelis — CHP/HARP/Medicaid: $12.05
  • Fidelis — Essential Plan Aliesa: $12.05
  • Fidelis — Essential Plan QHP: $12.72
  • Fidelis — Medicare Advantage: $13.39
  • Fidelis — Qualified Health Plan: $12.72
  • Hamaspik Choice Inc — Medicaid: $13.39
  • Hamaspik Choice Inc — Medicare: $13.39
  • Healthfirst — CHP/FHP/Medicaid: $10.04
  • Healthfirst — Commercial: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE $33 Not listed in the file $6.10 – $24.75
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $18.15
  • Aetna — Gatekeeper/Non-Gatekeeper: $13.39
  • Aetna — Government: $13.39
  • Affinity — Essential Plan 1&2: $9.37
  • Affinity — Essential Plan 3&4: $9.37
  • Affinity — Medicaid/CHP/HARP: $9.37
  • Brighton Health — Commercial: $24.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $13.39
  • Cigna — HMO/Network Benefit Plan/Open Access: $22.13
  • Cigna — LocalPlus Benefit Plan: $18.63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE $33 Not listed in the file $16.50
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $16.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE $78 Not listed in the file $6.08 – $58.50
Kidney function panel: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $42.90
  • Aetna — Gatekeeper/Non-Gatekeeper: $8.68
  • Aetna — Government: $8.68
  • Affinity — Essential Plan 1&2: $6.08
  • Affinity — Essential Plan 3&4: $6.08
  • Affinity — Medicaid/CHP/HARP: $6.08
  • Brighton Health — Commercial: $58.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $8.68
  • Cigna — HMO/Network Benefit Plan/Open Access: $14.76
  • Cigna — LocalPlus Benefit Plan: $12.43
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE $78 Not listed in the file $39
Kidney function panel: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $39
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE $20 Not listed in the file $5.72 – $16.47
Liver function panel: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $11
  • Aetna — Gatekeeper/Non-Gatekeeper: $8.17
  • Aetna — Government: $8.17
  • Affinity — Essential Plan 1&2: $5.72
  • Affinity — Essential Plan 3&4: $5.72
  • Affinity — Medicaid/CHP/HARP: $5.72
  • Brighton Health — Commercial: $15
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $8.17
  • Cigna — HMO/Network Benefit Plan/Open Access: $13.87
  • Cigna — LocalPlus Benefit Plan: $11.68
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE $20 Not listed in the file $10
Liver function panel: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $10 Not listed in the file $2.22 – $7.50
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $5.50
  • Aetna — Gatekeeper/Non-Gatekeeper: $3.17
  • Aetna — Government: $3.17
  • Affinity — Essential Plan 1&2: $2.22
  • Affinity — Essential Plan 3&4: $2.22
  • Affinity — Medicaid/CHP/HARP: $2.22
  • Brighton Health — Commercial: $7.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3.17
  • Cigna — HMO/Network Benefit Plan/Open Access: $5.38
  • Cigna — LocalPlus Benefit Plan: $4.53
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE $10 Not listed in the file $2.22 – $7.50
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $5.50
  • Aetna — Gatekeeper/Non-Gatekeeper: $3.17
  • Aetna — Government: $3.17
  • Affinity — Essential Plan 1&2: $2.22
  • Affinity — Essential Plan 3&4: $2.22
  • Affinity — Medicaid/CHP/HARP: $2.22
  • Brighton Health — Commercial: $7.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3.17
  • Cigna — HMO/Network Benefit Plan/Open Access: $5.38
  • Cigna — LocalPlus Benefit Plan: $4.53
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC $10 Not listed in the file $5
Urine test (automated, with microscope): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $5
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $8.70 $3.48 $1.39 – $7.83
Urine test (manual, without microscope): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3.48
  • Fidelis — CHP/HARP/Medicaid: $3.13
  • Fidelis — Essential Plan Aliesa: $3.13
  • Fidelis — Essential Plan QHP: $3.31
  • Fidelis — Medicare Advantage: $3.48
  • Fidelis — Qualified Health Plan: $3.31
  • Hamaspik Choice Inc — Medicaid: $3.48
  • Hamaspik Choice Inc — Medicare: $3.48
  • Healthfirst — CHP/FHP/Medicaid: $2.61
  • Healthfirst — Commercial: $3.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE - POCT ASCORBIC ACID, URINE, QUAL, DIP $8 Not listed in the file $2.02 – $6
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $4.40
  • Aetna — Gatekeeper/Non-Gatekeeper: $3.48
  • Aetna — Government: $3.48
  • Affinity — Essential Plan 1&2: $2.44
  • Affinity — Essential Plan 3&4: $2.44
  • Affinity — Medicaid/CHP/HARP: $2.44
  • Brighton Health — Commercial: $6
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3.48
  • Cigna — HMO/Network Benefit Plan/Open Access: $4.35
  • Cigna — LocalPlus Benefit Plan: $3.66
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE - POCT BILIRUBIN, URINE, QUAL, DIPSTICK $8 Not listed in the file $2.02 – $6
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $4.40
  • Aetna — Gatekeeper/Non-Gatekeeper: $3.48
  • Aetna — Government: $3.48
  • Affinity — Essential Plan 1&2: $2.44
  • Affinity — Essential Plan 3&4: $2.44
  • Affinity — Medicaid/CHP/HARP: $2.44
  • Brighton Health — Commercial: $6
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3.48
  • Cigna — HMO/Network Benefit Plan/Open Access: $4.35
  • Cigna — LocalPlus Benefit Plan: $3.66
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $5.62 $2.25 $0.90 – $5.06
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $2.25
  • Fidelis — CHP/HARP/Medicaid: $2.02
  • Fidelis — Essential Plan Aliesa: $2.02
  • Fidelis — Essential Plan QHP: $2.14
  • Fidelis — Medicare Advantage: $2.25
  • Fidelis — Qualified Health Plan: $2.14
  • Hamaspik Choice Inc — Medicaid: $2.25
  • Hamaspik Choice Inc — Medicare: $2.25
  • Healthfirst — CHP/FHP/Medicaid: $1.69
  • Healthfirst — Commercial: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE $5 Not listed in the file $1.57 – $4.54
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $2.75
  • Aetna — Gatekeeper/Non-Gatekeeper: $2.25
  • Aetna — Government: $2.25
  • Affinity — Essential Plan 1&2: $1.57
  • Affinity — Essential Plan 3&4: $1.57
  • Affinity — Medicaid/CHP/HARP: $1.57
  • Brighton Health — Commercial: $3.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $2.25
  • Cigna — HMO/Network Benefit Plan/Open Access: $3.81
  • Cigna — LocalPlus Benefit Plan: $3.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTOMATED W/O SCOPE $5 Not listed in the file $1.57 – $4.54
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $2.75
  • Aetna — Gatekeeper/Non-Gatekeeper: $2.25
  • Aetna — Government: $2.25
  • Affinity — Essential Plan 1&2: $1.57
  • Affinity — Essential Plan 3&4: $1.57
  • Affinity — Medicaid/CHP/HARP: $1.57
  • Brighton Health — Commercial: $3.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $2.25
  • Cigna — HMO/Network Benefit Plan/Open Access: $3.81
  • Cigna — LocalPlus Benefit Plan: $3.21
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA $45 Not listed in the file $12.87 – $41.38
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $24.75
  • Aetna — Gatekeeper/Non-Gatekeeper: $18.39
  • Aetna — Government: $18.39
  • Affinity — Essential Plan 1&2: $12.87
  • Affinity — Essential Plan 3&4: $12.87
  • Affinity — Medicaid/CHP/HARP: $12.87
  • Brighton Health — Commercial: $33.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $18.39
  • Cigna — HMO/Network Benefit Plan/Open Access: $31.27
  • Cigna — LocalPlus Benefit Plan: $26.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE $45 Not listed in the file $12.87 – $41.38
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $24.75
  • Aetna — Gatekeeper/Non-Gatekeeper: $18.39
  • Aetna — Government: $18.39
  • Affinity — Essential Plan 1&2: $12.87
  • Affinity — Essential Plan 3&4: $12.87
  • Affinity — Medicaid/CHP/HARP: $12.87
  • Brighton Health — Commercial: $33.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $18.39
  • Cigna — HMO/Network Benefit Plan/Open Access: $31.27
  • Cigna — LocalPlus Benefit Plan: $26.32
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA $45 Not listed in the file $22.50
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $22.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH $42 $16.80 $6.72 – $37.80
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $16.80
  • Fidelis — CHP/HARP/Medicaid: $15.12
  • Fidelis — Essential Plan Aliesa: $15.12
  • Fidelis — Essential Plan QHP: $15.96
  • Fidelis — Medicare Advantage: $16.80
  • Fidelis — Qualified Health Plan: $15.96
  • Hamaspik Choice Inc — Medicaid: $16.80
  • Hamaspik Choice Inc — Medicare: $16.80
  • Healthfirst — CHP/FHP/Medicaid: $12.60
  • Healthfirst — Commercial: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $42 Not listed in the file $9.09 – $31.50
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $23.10
  • Aetna — Gatekeeper/Non-Gatekeeper: $16.80
  • Aetna — Government: $16.80
  • Affinity — Essential Plan 1&2: $11.76
  • Affinity — Essential Plan 3&4: $11.76
  • Affinity — Medicaid/CHP/HARP: $11.76
  • Brighton Health — Commercial: $31.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $16.80
  • Cigna — HMO/Network Benefit Plan/Open Access: $28.55
  • Cigna — LocalPlus Benefit Plan: $24.03
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH) $42 Not listed in the file $9.09 – $31.50
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $23.10
  • Aetna — Gatekeeper/Non-Gatekeeper: $16.80
  • Aetna — Government: $16.80
  • Affinity — Essential Plan 1&2: $11.76
  • Affinity — Essential Plan 3&4: $11.76
  • Affinity — Medicaid/CHP/HARP: $11.76
  • Brighton Health — Commercial: $31.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $16.80
  • Cigna — HMO/Network Benefit Plan/Open Access: $28.55
  • Cigna — LocalPlus Benefit Plan: $24.03
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/ AUTO DIFF WBC $19 Not listed in the file $3.20 – $14.25
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $10.45
  • Aetna — Gatekeeper/Non-Gatekeeper: $7.77
  • Aetna — Government: $7.77
  • Affinity — Essential Plan 1&2: $5.44
  • Affinity — Essential Plan 3&4: $5.44
  • Affinity — Medicaid/CHP/HARP: $5.44
  • Brighton Health — Commercial: $14.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $7.77
  • Cigna — HMO/Network Benefit Plan/Open Access: $13.21
  • Cigna — LocalPlus Benefit Plan: $11.12
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/ AUTO DIFF WBC $19 Not listed in the file $9.50
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $9.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/O DIFFERENTIAL $16 Not listed in the file $3.20 – $12
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $8.80
  • Aetna — Gatekeeper/Non-Gatekeeper: $6.47
  • Aetna — Government: $6.47
  • Affinity — Essential Plan 1&2: $4.53
  • Affinity — Essential Plan 3&4: $4.53
  • Affinity — Medicaid/CHP/HARP: $4.53
  • Brighton Health — Commercial: $12
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $6.47
  • Cigna — HMO/Network Benefit Plan/Open Access: $10.99
  • Cigna — LocalPlus Benefit Plan: $9.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - POCT CBC $16 Not listed in the file $3.20 – $12
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $8.80
  • Aetna — Gatekeeper/Non-Gatekeeper: $6.47
  • Aetna — Government: $6.47
  • Affinity — Essential Plan 1&2: $4.53
  • Affinity — Essential Plan 3&4: $4.53
  • Affinity — Medicaid/CHP/HARP: $4.53
  • Brighton Health — Commercial: $12
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $6.47
  • Cigna — HMO/Network Benefit Plan/Open Access: $10.99
  • Cigna — LocalPlus Benefit Plan: $9.25
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/O DIFFERENTIAL $16 Not listed in the file $8
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $8
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME $10.72 $4.29 $1.72 – $9.65
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $4.29
  • Fidelis — CHP/HARP/Medicaid: $3.86
  • Fidelis — Essential Plan Aliesa: $3.86
  • Fidelis — Essential Plan QHP: $4.08
  • Fidelis — Medicare Advantage: $4.29
  • Fidelis — Qualified Health Plan: $4.08
  • Hamaspik Choice Inc — Medicaid: $4.29
  • Hamaspik Choice Inc — Medicare: $4.29
  • Healthfirst — CHP/FHP/Medicaid: $3.22
  • Healthfirst — Commercial: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $10 Not listed in the file $3 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $5.50
  • Aetna — Gatekeeper/Non-Gatekeeper: $4.29
  • Aetna — Government: $4.29
  • Affinity — Essential Plan 1&2: $3
  • Affinity — Essential Plan 3&4: $3
  • Affinity — Medicaid/CHP/HARP: $3
  • Brighton Health — Commercial: $7.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $4.29
  • Cigna — HMO/Network Benefit Plan/Open Access: $6.67
  • Cigna — LocalPlus Benefit Plan: $5.62
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY $10 Not listed in the file $3 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $5.50
  • Aetna — Gatekeeper/Non-Gatekeeper: $4.29
  • Aetna — Government: $4.29
  • Affinity — Essential Plan 1&2: $3
  • Affinity — Essential Plan 3&4: $3
  • Affinity — Medicaid/CHP/HARP: $3
  • Brighton Health — Commercial: $7.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $4.29
  • Cigna — HMO/Network Benefit Plan/Open Access: $6.67
  • Cigna — LocalPlus Benefit Plan: $5.62
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT $15 Not listed in the file $4.21 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $8.25
  • Aetna — Gatekeeper/Non-Gatekeeper: $6.01
  • Aetna — Government: $6.01
  • Affinity — Essential Plan 1&2: $4.21
  • Affinity — Essential Plan 3&4: $4.21
  • Affinity — Medicaid/CHP/HARP: $4.21
  • Brighton Health — Commercial: $11.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $6.01
  • Cigna — HMO/Network Benefit Plan/Open Access: $10.20
  • Cigna — LocalPlus Benefit Plan: $8.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM $15 Not listed in the file $4.21 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $8.25
  • Aetna — Gatekeeper/Non-Gatekeeper: $6.01
  • Aetna — Government: $6.01
  • Affinity — Essential Plan 1&2: $4.21
  • Affinity — Essential Plan 3&4: $4.21
  • Affinity — Medicaid/CHP/HARP: $4.21
  • Brighton Health — Commercial: $11.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $6.01
  • Cigna — HMO/Network Benefit Plan/Open Access: $10.20
  • Cigna — LocalPlus Benefit Plan: $8.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT $15 Not listed in the file $7.50
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $7.50

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $463.72 $125.50 $86.51 – $278.08
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $123.59
  • Fidelis — CHP/HARP/Medicaid: $111.23
  • Fidelis — Essential Plan Aliesa: $111.23
  • Fidelis — Essential Plan QHP: $117.41
  • Fidelis — Medicare Advantage: $123.59
  • Fidelis — Qualified Health Plan: $117.41
  • Hamaspik Choice Inc — Medicaid: $123.59
  • Hamaspik Choice Inc — Medicare: $123.59
  • Healthfirst — CHP/FHP/Medicaid: $92.69
  • Healthfirst — Commercial: $123.59
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $161.98 $43.93 $30.65 – $98.53
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $43.79
  • Fidelis — CHP/HARP/Medicaid: $39.41
  • Fidelis — Essential Plan Aliesa: $39.41
  • Fidelis — Essential Plan QHP: $41.60
  • Fidelis — Medicare Advantage: $43.79
  • Fidelis — Qualified Health Plan: $41.60
  • Hamaspik Choice Inc — Medicaid: $43.79
  • Hamaspik Choice Inc — Medicare: $43.79
  • Healthfirst — CHP/FHP/Medicaid: $32.84
  • Healthfirst — Commercial: $43.79
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $301.74 $81.57 $55.86 – $179.55
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $79.80
  • Fidelis — CHP/HARP/Medicaid: $71.82
  • Fidelis — Essential Plan Aliesa: $71.82
  • Fidelis — Essential Plan QHP: $75.81
  • Fidelis — Medicare Advantage: $79.80
  • Fidelis — Qualified Health Plan: $75.81
  • Hamaspik Choice Inc — Medicaid: $79.80
  • Hamaspik Choice Inc — Medicare: $79.80
  • Healthfirst — CHP/FHP/Medicaid: $59.85
  • Healthfirst — Commercial: $79.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,410.15 $379.23 $259.41 – $833.80
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $370.58
  • Fidelis — CHP/HARP/Medicaid: $333.52
  • Fidelis — Essential Plan Aliesa: $333.52
  • Fidelis — Essential Plan QHP: $352.05
  • Fidelis — Medicare Advantage: $370.58
  • Fidelis — Qualified Health Plan: $352.05
  • Hamaspik Choice Inc — Medicaid: $370.58
  • Hamaspik Choice Inc — Medicare: $370.58
  • Healthfirst — CHP/FHP/Medicaid: $277.94
  • Healthfirst — Commercial: $370.58
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $438.97 $118.80 $83.12 – $267.19
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $118.75
  • Fidelis — CHP/HARP/Medicaid: $106.88
  • Fidelis — Essential Plan Aliesa: $106.88
  • Fidelis — Essential Plan QHP: $112.81
  • Fidelis — Medicare Advantage: $118.75
  • Fidelis — Qualified Health Plan: $112.81
  • Hamaspik Choice Inc — Medicaid: $118.75
  • Hamaspik Choice Inc — Medicare: $118.75
  • Healthfirst — CHP/FHP/Medicaid: $89.06
  • Healthfirst — Commercial: $118.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $971.18 $260.43 $176.28 – $566.62
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $251.83
  • Fidelis — CHP/HARP/Medicaid: $226.65
  • Fidelis — Essential Plan Aliesa: $226.65
  • Fidelis — Essential Plan QHP: $239.24
  • Fidelis — Medicare Advantage: $251.83
  • Fidelis — Qualified Health Plan: $239.24
  • Hamaspik Choice Inc — Medicaid: $251.83
  • Hamaspik Choice Inc — Medicare: $251.83
  • Healthfirst — CHP/FHP/Medicaid: $188.87
  • Healthfirst — Commercial: $251.83
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $143.71 $39.18 $27.09 – $87.08
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $38.70
  • Fidelis — CHP/HARP/Medicaid: $34.83
  • Fidelis — Essential Plan Aliesa: $34.83
  • Fidelis — Essential Plan QHP: $36.77
  • Fidelis — Medicare Advantage: $38.70
  • Fidelis — Qualified Health Plan: $36.77
  • Hamaspik Choice Inc — Medicaid: $38.70
  • Hamaspik Choice Inc — Medicare: $38.70
  • Healthfirst — CHP/FHP/Medicaid: $29.02
  • Healthfirst — Commercial: $38.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $41.79 $11.44 $7.91 – $25.43
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $11.30
  • Fidelis — CHP/HARP/Medicaid: $10.17
  • Fidelis — Essential Plan Aliesa: $10.17
  • Fidelis — Essential Plan QHP: $10.73
  • Fidelis — Medicare Advantage: $11.30
  • Fidelis — Qualified Health Plan: $10.73
  • Hamaspik Choice Inc — Medicaid: $11.30
  • Hamaspik Choice Inc — Medicare: $11.30
  • Healthfirst — CHP/FHP/Medicaid: $8.47
  • Healthfirst — Commercial: $11.30
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $101.92 $27.74 $19.18 – $61.65
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $27.40
  • Fidelis — CHP/HARP/Medicaid: $24.66
  • Fidelis — Essential Plan Aliesa: $24.66
  • Fidelis — Essential Plan QHP: $26.03
  • Fidelis — Medicare Advantage: $27.40
  • Fidelis — Qualified Health Plan: $26.03
  • Hamaspik Choice Inc — Medicaid: $27.40
  • Hamaspik Choice Inc — Medicare: $27.40
  • Healthfirst — CHP/FHP/Medicaid: $20.55
  • Healthfirst — Commercial: $27.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $219.17 $60.61 $41.92 – $134.73
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $59.88
  • Fidelis — CHP/HARP/Medicaid: $53.89
  • Fidelis — Essential Plan Aliesa: $53.89
  • Fidelis — Essential Plan QHP: $56.89
  • Fidelis — Medicare Advantage: $59.88
  • Fidelis — Qualified Health Plan: $56.89
  • Hamaspik Choice Inc — Medicaid: $59.88
  • Hamaspik Choice Inc — Medicare: $59.88
  • Healthfirst — CHP/FHP/Medicaid: $44.91
  • Healthfirst — Commercial: $59.88
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $49.67 $13.62 $9.69 – $31.14
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $13.84
  • Fidelis — CHP/HARP/Medicaid: $12.46
  • Fidelis — Essential Plan Aliesa: $12.46
  • Fidelis — Essential Plan QHP: $13.15
  • Fidelis — Medicare Advantage: $13.84
  • Fidelis — Qualified Health Plan: $13.15
  • Hamaspik Choice Inc — Medicaid: $13.84
  • Hamaspik Choice Inc — Medicare: $13.84
  • Healthfirst — CHP/FHP/Medicaid: $10.38
  • Healthfirst — Commercial: $13.84
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $169.47 $46.99 $32.22 – $103.57
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $46.03
  • Fidelis — CHP/HARP/Medicaid: $41.43
  • Fidelis — Essential Plan Aliesa: $41.43
  • Fidelis — Essential Plan QHP: $43.73
  • Fidelis — Medicare Advantage: $46.03
  • Fidelis — Qualified Health Plan: $43.73
  • Hamaspik Choice Inc — Medicaid: $46.03
  • Hamaspik Choice Inc — Medicare: $46.03
  • Healthfirst — CHP/FHP/Medicaid: $34.52
  • Healthfirst — Commercial: $46.03
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $842.35 Not listed in the file $155.06 – $498.40
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $221.51
  • Fidelis — CHP/HARP/Medicaid: $199.36
  • Fidelis — Essential Plan Aliesa: $199.36
  • Fidelis — Essential Plan QHP: $210.43
  • Fidelis — Medicare Advantage: $221.51
  • Fidelis — Qualified Health Plan: $210.43
  • Hamaspik Choice Inc — Medicaid: $221.51
  • Hamaspik Choice Inc — Medicare: $221.51
  • Healthfirst — CHP/FHP/Medicaid: $166.13
  • Healthfirst — Commercial: $221.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $284.87 $77.44 $53.39 – $171.61
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $76.27
  • Fidelis — CHP/HARP/Medicaid: $68.64
  • Fidelis — Essential Plan Aliesa: $68.64
  • Fidelis — Essential Plan QHP: $72.46
  • Fidelis — Medicare Advantage: $76.27
  • Fidelis — Qualified Health Plan: $72.46
  • Hamaspik Choice Inc — Medicaid: $76.27
  • Hamaspik Choice Inc — Medicare: $76.27
  • Healthfirst — CHP/FHP/Medicaid: $57.20
  • Healthfirst — Commercial: $76.27
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $557.48 $150.17 $101.67 – $326.79
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $145.24
  • Fidelis — CHP/HARP/Medicaid: $130.72
  • Fidelis — Essential Plan Aliesa: $130.72
  • Fidelis — Essential Plan QHP: $137.98
  • Fidelis — Medicare Advantage: $145.24
  • Fidelis — Qualified Health Plan: $137.98
  • Hamaspik Choice Inc — Medicaid: $145.24
  • Hamaspik Choice Inc — Medicare: $145.24
  • Healthfirst — CHP/FHP/Medicaid: $108.93
  • Healthfirst — Commercial: $145.24
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL $989.42 $273.75 $185.06 – $594.83
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $264.37
  • Fidelis — CHP/HARP/Medicaid: $237.93
  • Fidelis — Essential Plan Aliesa: $237.93
  • Fidelis — Essential Plan QHP: $251.15
  • Fidelis — Medicare Advantage: $264.37
  • Fidelis — Qualified Health Plan: $251.15
  • Hamaspik Choice Inc — Medicaid: $264.37
  • Hamaspik Choice Inc — Medicare: $264.37
  • Healthfirst — CHP/FHP/Medicaid: $198.28
  • Healthfirst — Commercial: $264.37
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG CT PELVIS W/CONTRAST MATERIAL $222.08 $60.32 $41.55 – $133.54
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $59.35
  • Fidelis — CHP/HARP/Medicaid: $53.41
  • Fidelis — Essential Plan Aliesa: $53.41
  • Fidelis — Essential Plan QHP: $56.38
  • Fidelis — Medicare Advantage: $59.35
  • Fidelis — Qualified Health Plan: $56.38
  • Hamaspik Choice Inc — Medicaid: $59.35
  • Hamaspik Choice Inc — Medicare: $59.35
  • Healthfirst — CHP/FHP/Medicaid: $44.51
  • Healthfirst — Commercial: $59.35
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG CT PELVIS W/CONTRAST MATERIAL $767.34 $213.43 $143.51 – $461.30
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $205.02
  • Fidelis — CHP/HARP/Medicaid: $184.52
  • Fidelis — Essential Plan Aliesa: $184.52
  • Fidelis — Essential Plan QHP: $194.77
  • Fidelis — Medicare Advantage: $205.02
  • Fidelis — Qualified Health Plan: $194.77
  • Hamaspik Choice Inc — Medicaid: $205.02
  • Hamaspik Choice Inc — Medicare: $205.02
  • Healthfirst — CHP/FHP/Medicaid: $153.76
  • Healthfirst — Commercial: $205.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $893.76 $241.71 $165.51 – $531.99
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $236.44
  • Fidelis — CHP/HARP/Medicaid: $212.80
  • Fidelis — Essential Plan Aliesa: $212.80
  • Fidelis — Essential Plan QHP: $224.62
  • Fidelis — Medicare Advantage: $236.44
  • Fidelis — Qualified Health Plan: $224.62
  • Hamaspik Choice Inc — Medicaid: $236.44
  • Hamaspik Choice Inc — Medicare: $236.44
  • Healthfirst — CHP/FHP/Medicaid: $177.33
  • Healthfirst — Commercial: $236.44
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $260.12 $70.71 $48.73 – $156.65
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $69.62
  • Fidelis — CHP/HARP/Medicaid: $62.66
  • Fidelis — Essential Plan Aliesa: $62.66
  • Fidelis — Essential Plan QHP: $66.14
  • Fidelis — Medicare Advantage: $69.62
  • Fidelis — Qualified Health Plan: $66.14
  • Hamaspik Choice Inc — Medicaid: $69.62
  • Hamaspik Choice Inc — Medicare: $69.62
  • Healthfirst — CHP/FHP/Medicaid: $52.22
  • Healthfirst — Commercial: $69.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $633.68 $171 $116.77 – $375.35
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $166.82
  • Fidelis — CHP/HARP/Medicaid: $150.14
  • Fidelis — Essential Plan Aliesa: $150.14
  • Fidelis — Essential Plan QHP: $158.48
  • Fidelis — Medicare Advantage: $166.82
  • Fidelis — Qualified Health Plan: $158.48
  • Hamaspik Choice Inc — Medicaid: $166.82
  • Hamaspik Choice Inc — Medicare: $166.82
  • Healthfirst — CHP/FHP/Medicaid: $125.11
  • Healthfirst — Commercial: $166.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $1,350.41 $361.51 $246.07 – $790.94
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $351.53
  • Fidelis — CHP/HARP/Medicaid: $316.38
  • Fidelis — Essential Plan Aliesa: $316.38
  • Fidelis — Essential Plan QHP: $333.95
  • Fidelis — Medicare Advantage: $351.53
  • Fidelis — Qualified Health Plan: $333.95
  • Hamaspik Choice Inc — Medicaid: $351.53
  • Hamaspik Choice Inc — Medicare: $351.53
  • Healthfirst — CHP/FHP/Medicaid: $263.65
  • Healthfirst — Commercial: $351.53
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $350.18 $94.25 $66.15 – $212.62
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $94.50
  • Fidelis — CHP/HARP/Medicaid: $85.05
  • Fidelis — Essential Plan Aliesa: $85.05
  • Fidelis — Essential Plan QHP: $89.78
  • Fidelis — Medicare Advantage: $94.50
  • Fidelis — Qualified Health Plan: $89.78
  • Hamaspik Choice Inc — Medicaid: $94.50
  • Hamaspik Choice Inc — Medicare: $94.50
  • Healthfirst — CHP/FHP/Medicaid: $70.88
  • Healthfirst — Commercial: $94.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $1,000.23 $267.27 $179.92 – $578.32
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $257.03
  • Fidelis — CHP/HARP/Medicaid: $231.33
  • Fidelis — Essential Plan Aliesa: $231.33
  • Fidelis — Essential Plan QHP: $244.18
  • Fidelis — Medicare Advantage: $257.03
  • Fidelis — Qualified Health Plan: $244.18
  • Hamaspik Choice Inc — Medicaid: $257.03
  • Hamaspik Choice Inc — Medicare: $257.03
  • Healthfirst — CHP/FHP/Medicaid: $192.77
  • Healthfirst — Commercial: $257.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $496.06 $134.95 $92.50 – $297.34
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $132.15
  • Fidelis — CHP/HARP/Medicaid: $118.94
  • Fidelis — Essential Plan Aliesa: $118.94
  • Fidelis — Essential Plan QHP: $125.54
  • Fidelis — Medicare Advantage: $132.15
  • Fidelis — Qualified Health Plan: $125.54
  • Hamaspik Choice Inc — Medicaid: $132.15
  • Hamaspik Choice Inc — Medicare: $132.15
  • Healthfirst — CHP/FHP/Medicaid: $99.11
  • Healthfirst — Commercial: $132.15
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $154.07 $41.75 $29.14 – $93.67
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $41.63
  • Fidelis — CHP/HARP/Medicaid: $37.47
  • Fidelis — Essential Plan Aliesa: $37.47
  • Fidelis — Essential Plan QHP: $39.55
  • Fidelis — Medicare Advantage: $41.63
  • Fidelis — Qualified Health Plan: $39.55
  • Hamaspik Choice Inc — Medicaid: $41.63
  • Hamaspik Choice Inc — Medicare: $41.63
  • Healthfirst — CHP/FHP/Medicaid: $31.22
  • Healthfirst — Commercial: $41.63
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $341.99 $93.20 $63.36 – $203.65
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $90.51
  • Fidelis — CHP/HARP/Medicaid: $81.46
  • Fidelis — Essential Plan Aliesa: $81.46
  • Fidelis — Essential Plan QHP: $85.98
  • Fidelis — Medicare Advantage: $90.51
  • Fidelis — Qualified Health Plan: $85.98
  • Hamaspik Choice Inc — Medicaid: $90.51
  • Hamaspik Choice Inc — Medicare: $90.51
  • Healthfirst — CHP/FHP/Medicaid: $67.88
  • Healthfirst — Commercial: $90.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $575.96 $156.94 $107.17 – $344.48
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $153.10
  • Fidelis — CHP/HARP/Medicaid: $137.79
  • Fidelis — Essential Plan Aliesa: $137.79
  • Fidelis — Essential Plan QHP: $145.44
  • Fidelis — Medicare Advantage: $153.10
  • Fidelis — Qualified Health Plan: $145.44
  • Hamaspik Choice Inc — Medicaid: $153.10
  • Hamaspik Choice Inc — Medicare: $153.10
  • Healthfirst — CHP/FHP/Medicaid: $114.83
  • Healthfirst — Commercial: $153.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $189.56 $51.57 $35.93 – $115.49
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $51.33
  • Fidelis — CHP/HARP/Medicaid: $46.20
  • Fidelis — Essential Plan Aliesa: $46.20
  • Fidelis — Essential Plan QHP: $48.76
  • Fidelis — Medicare Advantage: $51.33
  • Fidelis — Qualified Health Plan: $48.76
  • Hamaspik Choice Inc — Medicaid: $51.33
  • Hamaspik Choice Inc — Medicare: $51.33
  • Healthfirst — CHP/FHP/Medicaid: $38.50
  • Healthfirst — Commercial: $51.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $386.40 $105.38 $71.24 – $228.98
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $101.77
  • Fidelis — CHP/HARP/Medicaid: $91.59
  • Fidelis — Essential Plan Aliesa: $91.59
  • Fidelis — Essential Plan QHP: $96.68
  • Fidelis — Medicare Advantage: $101.77
  • Fidelis — Qualified Health Plan: $96.68
  • Hamaspik Choice Inc — Medicaid: $101.77
  • Hamaspik Choice Inc — Medicare: $101.77
  • Healthfirst — CHP/FHP/Medicaid: $76.33
  • Healthfirst — Commercial: $101.77
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL $512.68 $138.78 $94.61 – $304.11
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $135.16
  • Fidelis — CHP/HARP/Medicaid: $121.64
  • Fidelis — Essential Plan Aliesa: $121.64
  • Fidelis — Essential Plan QHP: $128.40
  • Fidelis — Medicare Advantage: $135.16
  • Fidelis — Qualified Health Plan: $128.40
  • Hamaspik Choice Inc — Medicaid: $135.16
  • Hamaspik Choice Inc — Medicare: $135.16
  • Healthfirst — CHP/FHP/Medicaid: $101.37
  • Healthfirst — Commercial: $135.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG US TRANSVAGINAL $134.75 $35.76 $25 – $80.37
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $35.72
  • Fidelis — CHP/HARP/Medicaid: $32.15
  • Fidelis — Essential Plan Aliesa: $32.15
  • Fidelis — Essential Plan QHP: $33.93
  • Fidelis — Medicare Advantage: $35.72
  • Fidelis — Qualified Health Plan: $33.93
  • Hamaspik Choice Inc — Medicaid: $35.72
  • Hamaspik Choice Inc — Medicare: $35.72
  • Healthfirst — CHP/FHP/Medicaid: $26.79
  • Healthfirst — Commercial: $35.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG US TRANSVAGINAL $377.93 $103.02 $69.61 – $223.74
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $99.44
  • Fidelis — CHP/HARP/Medicaid: $89.50
  • Fidelis — Essential Plan Aliesa: $89.50
  • Fidelis — Essential Plan QHP: $94.47
  • Fidelis — Medicare Advantage: $99.44
  • Fidelis — Qualified Health Plan: $94.47
  • Hamaspik Choice Inc — Medicaid: $99.44
  • Hamaspik Choice Inc — Medicare: $99.44
  • Healthfirst — CHP/FHP/Medicaid: $74.58
  • Healthfirst — Commercial: $99.44
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $532 $145.33 $100.93 – $324.40
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $144.18
  • Fidelis — CHP/HARP/Medicaid: $129.76
  • Fidelis — Essential Plan Aliesa: $129.76
  • Fidelis — Essential Plan QHP: $136.97
  • Fidelis — Medicare Advantage: $144.18
  • Fidelis — Qualified Health Plan: $136.97
  • Hamaspik Choice Inc — Medicaid: $144.18
  • Hamaspik Choice Inc — Medicare: $144.18
  • Healthfirst — CHP/FHP/Medicaid: $108.14
  • Healthfirst — Commercial: $144.18
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $154.07 $42.14 $29.14 – $93.67
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $41.63
  • Fidelis — CHP/HARP/Medicaid: $37.47
  • Fidelis — Essential Plan Aliesa: $37.47
  • Fidelis — Essential Plan QHP: $39.55
  • Fidelis — Medicare Advantage: $41.63
  • Fidelis — Qualified Health Plan: $39.55
  • Hamaspik Choice Inc — Medicaid: $41.63
  • Hamaspik Choice Inc — Medicare: $41.63
  • Healthfirst — CHP/FHP/Medicaid: $31.22
  • Healthfirst — Commercial: $41.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $377.93 $103.18 $71.78 – $230.74
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $102.55
  • Fidelis — CHP/HARP/Medicaid: $92.30
  • Fidelis — Essential Plan Aliesa: $92.30
  • Fidelis — Essential Plan QHP: $97.42
  • Fidelis — Medicare Advantage: $102.55
  • Fidelis — Qualified Health Plan: $97.42
  • Hamaspik Choice Inc — Medicaid: $102.55
  • Hamaspik Choice Inc — Medicare: $102.55
  • Healthfirst — CHP/FHP/Medicaid: $76.91
  • Healthfirst — Commercial: $102.55
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $669.38 $184.24 $126.97 – $408.13
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $181.39
  • Fidelis — CHP/HARP/Medicaid: $163.25
  • Fidelis — Essential Plan Aliesa: $163.25
  • Fidelis — Essential Plan QHP: $172.32
  • Fidelis — Medicare Advantage: $181.39
  • Fidelis — Qualified Health Plan: $172.32
  • Hamaspik Choice Inc — Medicaid: $181.39
  • Hamaspik Choice Inc — Medicare: $181.39
  • Healthfirst — CHP/FHP/Medicaid: $136.04
  • Healthfirst — Commercial: $181.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $187.95 $51.75 $35.63 – $114.53
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $50.90
  • Fidelis — CHP/HARP/Medicaid: $45.81
  • Fidelis — Essential Plan Aliesa: $45.81
  • Fidelis — Essential Plan QHP: $48.35
  • Fidelis — Medicare Advantage: $50.90
  • Fidelis — Qualified Health Plan: $48.35
  • Hamaspik Choice Inc — Medicaid: $50.90
  • Hamaspik Choice Inc — Medicare: $50.90
  • Healthfirst — CHP/FHP/Medicaid: $38.17
  • Healthfirst — Commercial: $50.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $481.43 $132.49 $91.34 – $293.60
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $130.49
  • Fidelis — CHP/HARP/Medicaid: $117.44
  • Fidelis — Essential Plan Aliesa: $117.44
  • Fidelis — Essential Plan QHP: $123.97
  • Fidelis — Medicare Advantage: $130.49
  • Fidelis — Qualified Health Plan: $123.97
  • Hamaspik Choice Inc — Medicaid: $130.49
  • Hamaspik Choice Inc — Medicare: $130.49
  • Healthfirst — CHP/FHP/Medicaid: $97.87
  • Healthfirst — Commercial: $130.49
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $545.86 $148.69 $103.09 – $331.36
Screening mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $147.27
  • Fidelis — CHP/HARP/Medicaid: $132.54
  • Fidelis — Essential Plan Aliesa: $132.54
  • Fidelis — Essential Plan QHP: $139.91
  • Fidelis — Medicare Advantage: $147.27
  • Fidelis — Qualified Health Plan: $139.91
  • Hamaspik Choice Inc — Medicaid: $147.27
  • Hamaspik Choice Inc — Medicare: $147.27
  • Healthfirst — CHP/FHP/Medicaid: $110.45
  • Healthfirst — Commercial: $147.27
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $146.37 $39.62 $27.66 – $88.92
Screening mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $39.52
  • Fidelis — CHP/HARP/Medicaid: $35.57
  • Fidelis — Essential Plan Aliesa: $35.57
  • Fidelis — Essential Plan QHP: $37.54
  • Fidelis — Medicare Advantage: $39.52
  • Fidelis — Qualified Health Plan: $37.54
  • Hamaspik Choice Inc — Medicaid: $39.52
  • Hamaspik Choice Inc — Medicare: $39.52
  • Healthfirst — CHP/FHP/Medicaid: $29.64
  • Healthfirst — Commercial: $39.52
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $399.49 $109.07 $75.42 – $242.44
Screening mammogram, both breasts: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $107.75
  • Fidelis — CHP/HARP/Medicaid: $96.97
  • Fidelis — Essential Plan Aliesa: $96.97
  • Fidelis — Essential Plan QHP: $102.36
  • Fidelis — Medicare Advantage: $107.75
  • Fidelis — Qualified Health Plan: $102.36
  • Hamaspik Choice Inc — Medicaid: $107.75
  • Hamaspik Choice Inc — Medicare: $107.75
  • Healthfirst — CHP/FHP/Medicaid: $80.81
  • Healthfirst — Commercial: $107.75

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $61.25 $16.61 $11.49 – $36.92
Electrocardiogram (ECG/EKG) with reading: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $15.15
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $16.41
  • Fidelis — CHP/HARP/Medicaid: $14.77
  • Fidelis — Essential Plan Aliesa: $14.77
  • Fidelis — Essential Plan QHP: $15.59
  • Fidelis — Medicare Advantage: $16.41
  • Fidelis — Qualified Health Plan: $15.59
  • Hamaspik Choice Inc — Medicaid: $16.41
  • Hamaspik Choice Inc — Medicare: $16.41
  • Healthfirst — CHP/FHP/Medicaid: $12.31
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC EKG ROUTINE, 12 LEAD, W/REPORT $145 Not listed in the file $15.04 – $116
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $79.75
  • Aetna — Gatekeeper/Non-Gatekeeper: $15.04
  • Aetna — Government: $15.04
  • Brighton Health — Commercial: $108.75
  • Cigna — HMO/Network Benefit Plan/Open Access: $116
  • Cigna — LocalPlus Benefit Plan: $98.60
  • EmblemHealth — Commercial: $72.50
  • Group Health Inc — Commercial: $72.50
  • Group Health Inc — Medicare: $50.75
  • Hamaspik Choice Inc — Medicaid: $72.50
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: HC EKG ROUTINE, 12 LEAD, W/REPORT $145 Not listed in the file $72.50
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $72.50
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $3,907.09 $1,043.11 $409.11 – $2,241.83
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $409.11
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $996.37
  • Fidelis — CHP/HARP/Medicaid: $896.73
  • Fidelis — Essential Plan Aliesa: $896.73
  • Fidelis — Essential Plan QHP: $946.55
  • Fidelis — Medicare Advantage: $996.37
  • Fidelis — Qualified Health Plan: $946.55
  • Hamaspik Choice Inc — Medicaid: $996.37
  • Hamaspik Choice Inc — Medicare: $996.37
  • Healthfirst — CHP/FHP/Medicaid: $747.28
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $8,631 Not listed in the file $996.37 – $6,937
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $3,387
  • Aetna — Gatekeeper/Non-Gatekeeper: $3,929.87
  • Aetna — Government: $3,929.87
  • Affinity — Essential Plan 1&2: $2,750.91
  • Affinity — Essential Plan 3&4: $2,750.91
  • Affinity — Medicaid/CHP/HARP: $2,750.91
  • Brighton Health — Commercial: $6,937
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3,929.87
  • Cigna — HMO/Network Benefit Plan/Open Access: $5,261.79
  • Cigna — LocalPlus Benefit Plan: $4,472.52
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP $8,631 Not listed in the file $4,315.50
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $4,315.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $17,826 Not listed in the file $316 – $14,260.80
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $9,804.30
  • Aetna — Gatekeeper/Non-Gatekeeper: $9,271.29
  • Aetna — Government: $9,271.29
  • Affinity — Essential Plan 1&2: $6,489.90
  • Affinity — Essential Plan 3&4: $6,489.90
  • Affinity — Medicaid/CHP/HARP: $6,489.90
  • Brighton Health — Commercial: $13,369.50
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $9,271.29
  • Cigna — HMO/Network Benefit Plan/Open Access: $14,260.80
  • Cigna — LocalPlus Benefit Plan: $12,121.68
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $3,231.52 Not listed in the file $568.75
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Amida Care — Medicaid: $568.75
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $17,826 Not listed in the file $8,913
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $8,913
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $4,202.80 $1,102.97 $573.30 – $2,451.06
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $573.30
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,089.36
  • Fidelis — CHP/HARP/Medicaid: $980.42
  • Fidelis — Essential Plan Aliesa: $980.42
  • Fidelis — Essential Plan QHP: $1,034.89
  • Fidelis — Medicare Advantage: $1,089.36
  • Fidelis — Qualified Health Plan: $1,034.89
  • Hamaspik Choice Inc — Medicaid: $1,089.36
  • Hamaspik Choice Inc — Medicare: $1,089.36
  • Healthfirst — CHP/FHP/Medicaid: $817.02
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN $61,893 Not listed in the file $316 – $49,514.40
Heart rhythm study with ablation for atrial fibrillation: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $34,041.15
  • Aetna — Gatekeeper/Non-Gatekeeper: $29,974.05
  • Aetna — Government: $29,974.05
  • Affinity — Essential Plan 1&2: $20,981.83
  • Affinity — Essential Plan 3&4: $20,981.83
  • Affinity — Medicaid/CHP/HARP: $20,981.83
  • Brighton Health — Commercial: $46,419.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $29,974.05
  • Cigna — HMO/Network Benefit Plan/Open Access: $49,514.40
  • Cigna — LocalPlus Benefit Plan: $42,087.24
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN $61,893 Not listed in the file $30,946.50
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $30,946.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $2,593.96 $730.10 $507.31 – $1,630.64
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $654.30
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $724.73
  • Fidelis — CHP/HARP/Medicaid: $652.26
  • Fidelis — Essential Plan Aliesa: $652.26
  • Fidelis — Essential Plan QHP: $688.49
  • Fidelis — Medicare Advantage: $724.73
  • Fidelis — Qualified Health Plan: $688.49
  • Hamaspik Choice Inc — Medicaid: $724.73
  • Hamaspik Choice Inc — Medicare: $724.73
  • Healthfirst — CHP/FHP/Medicaid: $543.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $465.54 $127.39 $87.93 – $654.30
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $654.30
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $125.61
  • Fidelis — CHP/HARP/Medicaid: $113.05
  • Fidelis — Essential Plan Aliesa: $113.05
  • Fidelis — Essential Plan QHP: $119.33
  • Fidelis — Medicare Advantage: $125.61
  • Fidelis — Qualified Health Plan: $119.33
  • Hamaspik Choice Inc — Medicaid: $125.61
  • Hamaspik Choice Inc — Medicare: $125.61
  • Healthfirst — CHP/FHP/Medicaid: $94.21
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $2,128.42 $602.71 $419.38 – $1,348
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $654.30
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $599.11
  • Fidelis — CHP/HARP/Medicaid: $539.20
  • Fidelis — Essential Plan Aliesa: $539.20
  • Fidelis — Essential Plan QHP: $569.15
  • Fidelis — Medicare Advantage: $599.11
  • Fidelis — Qualified Health Plan: $569.15
  • Hamaspik Choice Inc — Medicaid: $599.11
  • Hamaspik Choice Inc — Medicare: $599.11
  • Healthfirst — CHP/FHP/Medicaid: $449.33

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $119.46 $32.82 $22.97 – $73.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $32.81
  • Fidelis — CHP/HARP/Medicaid: $29.53
  • Fidelis — Essential Plan Aliesa: $29.53
  • Fidelis — Essential Plan QHP: $31.17
  • Fidelis — Medicare Advantage: $32.81
  • Fidelis — Qualified Health Plan: $31.17
  • Hamaspik Choice Inc — Medicaid: $32.81
  • Hamaspik Choice Inc — Medicare: $32.81
  • Healthfirst — CHP/FHP/Medicaid: $24.61
  • Healthfirst — Commercial: $32.81
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISES $89 Not listed in the file $19.41 – $222
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $48.95
  • Aetna — Gatekeeper/Non-Gatekeeper: $19.41
  • Aetna — Government: $19.41
  • Affinity — Essential Plan 1&2: $118.52
  • Affinity — Essential Plan 3&4: $118.52
  • Affinity — Medicaid/CHP/HARP: $52.67
  • Amida Care — Medicaid: $52.67
  • Brighton Health — Commercial: $182
  • Cigna — HMO/Network Benefit Plan/Open Access: $155.95
  • Cigna — LocalPlus Benefit Plan: $132.56
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISES $89 Not listed in the file $19.41 – $222
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $48.95
  • Aetna — Gatekeeper/Non-Gatekeeper: $19.41
  • Aetna — Government: $19.41
  • Affinity — Essential Plan 1&2: $118.52
  • Affinity — Essential Plan 3&4: $118.52
  • Affinity — Medicaid/CHP/HARP: $52.67
  • Amida Care — Medicaid: $52.67
  • Brighton Health — Commercial: $182
  • Cigna — HMO/Network Benefit Plan/Open Access: $155.95
  • Cigna — LocalPlus Benefit Plan: $132.56
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $407.96 $112.40 $78.27 – $251.57
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $111.81
  • Fidelis — CHP/HARP/Medicaid: $100.63
  • Fidelis — Essential Plan Aliesa: $100.63
  • Fidelis — Essential Plan QHP: $106.22
  • Fidelis — Medicare Advantage: $111.81
  • Fidelis — Qualified Health Plan: $106.22
  • Hamaspik Choice Inc — Medicaid: $111.81
  • Hamaspik Choice Inc — Medicare: $111.81
  • Healthfirst — CHP/FHP/Medicaid: $83.86
  • Healthfirst — Commercial: $111.81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $249 Not listed in the file $49.11 – $282.59
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $136.95
  • Aetna — Gatekeeper/Non-Gatekeeper: $49.11
  • Aetna — Government: $49.11
  • Affinity — Essential Plan 1&2: $282.59
  • Affinity — Essential Plan 3&4: $282.59
  • Affinity — Medicaid/CHP/HARP: $125.60
  • Amida Care — Medicaid: $125.60
  • Brighton Health — Commercial: $182
  • Cigna — HMO/Network Benefit Plan/Open Access: $155.95
  • Cigna — LocalPlus Benefit Plan: $132.56
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $249 Not listed in the file $124.50
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $124.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $407.96 $112.40 $78.27 – $251.57
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $111.81
  • Fidelis — CHP/HARP/Medicaid: $100.63
  • Fidelis — Essential Plan Aliesa: $100.63
  • Fidelis — Essential Plan QHP: $106.22
  • Fidelis — Medicare Advantage: $111.81
  • Fidelis — Qualified Health Plan: $106.22
  • Hamaspik Choice Inc — Medicaid: $111.81
  • Hamaspik Choice Inc — Medicare: $111.81
  • Healthfirst — CHP/FHP/Medicaid: $83.86
  • Healthfirst — Commercial: $111.81
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $249 Not listed in the file $49.11 – $376.79
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $136.95
  • Aetna — Gatekeeper/Non-Gatekeeper: $49.11
  • Aetna — Government: $49.11
  • Affinity — Essential Plan 1&2: $376.79
  • Affinity — Essential Plan 3&4: $376.79
  • Affinity — Medicaid/CHP/HARP: $167.46
  • Amida Care — Medicaid: $167.46
  • Brighton Health — Commercial: $182
  • Cigna — HMO/Network Benefit Plan/Open Access: $155.95
  • Cigna — LocalPlus Benefit Plan: $132.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $249 Not listed in the file $124.50
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $124.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $407.96 $112.40 $78.27 – $251.57
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $111.81
  • Fidelis — CHP/HARP/Medicaid: $100.63
  • Fidelis — Essential Plan Aliesa: $100.63
  • Fidelis — Essential Plan QHP: $106.22
  • Fidelis — Medicare Advantage: $111.81
  • Fidelis — Qualified Health Plan: $106.22
  • Hamaspik Choice Inc — Medicaid: $111.81
  • Hamaspik Choice Inc — Medicare: $111.81
  • Healthfirst — CHP/FHP/Medicaid: $83.86
  • Healthfirst — Commercial: $111.81
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $249 Not listed in the file $49.11 – $470.99
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $136.95
  • Aetna — Gatekeeper/Non-Gatekeeper: $49.11
  • Aetna — Government: $49.11
  • Affinity — Essential Plan 1&2: $470.99
  • Affinity — Essential Plan 3&4: $470.99
  • Affinity — Medicaid/CHP/HARP: $209.33
  • Amida Care — Medicaid: $209.33
  • Brighton Health — Commercial: $182
  • Cigna — HMO/Network Benefit Plan/Open Access: $155.95
  • Cigna — LocalPlus Benefit Plan: $132.56
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $249 Not listed in the file $124.50
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $124.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $255.50 $73.85 $25.21 – $169.83
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $25.21
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $75.48
  • Fidelis — CHP/HARP/Medicaid: $67.93
  • Fidelis — Essential Plan Aliesa: $67.93
  • Fidelis — Essential Plan QHP: $71.71
  • Fidelis — Medicare Advantage: $75.48
  • Fidelis — Qualified Health Plan: $71.71
  • Hamaspik Choice Inc — Medicaid: $75.48
  • Hamaspik Choice Inc — Medicare: $75.48
  • Healthfirst — CHP/FHP/Medicaid: $56.61
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES $397 Not listed in the file $75.48 – $317.60
Psychotherapy, 30 minutes: 10 of 30 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $188
  • Aetna — Gatekeeper/Non-Gatekeeper: $196.31
  • Aetna — Government: $196.31
  • Affinity — Essential Plan 1&2: $137.42
  • Affinity — Essential Plan 3&4: $137.42
  • Affinity — Medicaid/CHP/HARP: $137.42
  • Brighton Health — Commercial: $297.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $196.31
  • Cigna — HMO/Network Benefit Plan/Open Access: $317.60
  • Cigna — LocalPlus Benefit Plan: $269.96
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES $397 Not listed in the file $198.50
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $198.50
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $340.10 $97.49 $37.79 – $223.92
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $37.79
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $99.52
  • Fidelis — CHP/HARP/Medicaid: $89.57
  • Fidelis — Essential Plan Aliesa: $89.57
  • Fidelis — Essential Plan QHP: $94.54
  • Fidelis — Medicare Advantage: $99.52
  • Fidelis — Qualified Health Plan: $94.54
  • Hamaspik Choice Inc — Medicaid: $99.52
  • Hamaspik Choice Inc — Medicare: $99.52
  • Healthfirst — CHP/FHP/Medicaid: $74.64
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES $397 Not listed in the file $99.52 – $317.60
Psychotherapy, 45 minutes: 10 of 30 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $188
  • Aetna — Gatekeeper/Non-Gatekeeper: $196.31
  • Aetna — Government: $196.31
  • Affinity — Essential Plan 1&2: $137.42
  • Affinity — Essential Plan 3&4: $137.42
  • Affinity — Medicaid/CHP/HARP: $137.42
  • Brighton Health — Commercial: $297.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $196.31
  • Cigna — HMO/Network Benefit Plan/Open Access: $317.60
  • Cigna — LocalPlus Benefit Plan: $269.96
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES $397 Not listed in the file $198.50
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $198.50
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $498.26 $143.93 $57.05 – $331.79
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $57.05
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $147.46
  • Fidelis — CHP/HARP/Medicaid: $132.71
  • Fidelis — Essential Plan Aliesa: $132.71
  • Fidelis — Essential Plan QHP: $140.09
  • Fidelis — Medicare Advantage: $147.46
  • Fidelis — Qualified Health Plan: $140.09
  • Hamaspik Choice Inc — Medicaid: $147.46
  • Hamaspik Choice Inc — Medicare: $147.46
  • Healthfirst — CHP/FHP/Medicaid: $110.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES $397 Not listed in the file $137.42 – $317.60
Psychotherapy, 60 minutes: 10 of 30 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $188
  • Aetna — Gatekeeper/Non-Gatekeeper: $196.31
  • Aetna — Government: $196.31
  • Affinity — Essential Plan 1&2: $137.42
  • Affinity — Essential Plan 3&4: $137.42
  • Affinity — Medicaid/CHP/HARP: $137.42
  • Brighton Health — Commercial: $297.75
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $196.31
  • Cigna — HMO/Network Benefit Plan/Open Access: $317.60
  • Cigna — LocalPlus Benefit Plan: $269.96
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES $397 Not listed in the file $198.50
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $198.50
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $368.62 $105.27 $43.35 – $242.78
Family psychotherapy, without the patient: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $43.35
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $107.90
  • Fidelis — CHP/HARP/Medicaid: $97.11
  • Fidelis — Essential Plan Aliesa: $97.11
  • Fidelis — Essential Plan QHP: $102.50
  • Fidelis — Medicare Advantage: $107.90
  • Fidelis — Qualified Health Plan: $102.50
  • Hamaspik Choice Inc — Medicaid: $107.90
  • Hamaspik Choice Inc — Medicare: $107.90
  • Healthfirst — CHP/FHP/Medicaid: $80.92
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT $397 Not listed in the file $107.90 – $317.60
Family psychotherapy, without the patient: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $218.35
  • Aetna — Gatekeeper/Non-Gatekeeper: $196.31
  • Aetna — Government: $196.31
  • Affinity — Essential Plan 1&2: $137.42
  • Affinity — Essential Plan 3&4: $137.42
  • Affinity — Medicaid/CHP/HARP: $137.42
  • Brighton Health — Commercial: $297.75
  • Carelon Behavioral Health — Medicare Advantage: $196.31
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $196.31
  • Cigna — HMO/Network Benefit Plan/Open Access: $317.60
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT $397 Not listed in the file $198.50
Family psychotherapy, without the patient: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $198.50
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $384.02 $109.89 $52.03 – $253.03
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $52.03
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $112.46
  • Fidelis — CHP/HARP/Medicaid: $101.21
  • Fidelis — Essential Plan Aliesa: $101.21
  • Fidelis — Essential Plan QHP: $106.84
  • Fidelis — Medicare Advantage: $112.46
  • Fidelis — Qualified Health Plan: $106.84
  • Hamaspik Choice Inc — Medicaid: $112.46
  • Hamaspik Choice Inc — Medicare: $112.46
  • Healthfirst — CHP/FHP/Medicaid: $84.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS $397 Not listed in the file $1.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $646.37
Family psychotherapy, with the patient: 10 of 45 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $188
  • Aetna — Gatekeeper/Non-Gatekeeper: $196.31
  • Aetna — Government: $196.31
  • Affinity — Essential Plan 1&2: $646.37
  • Affinity — Essential Plan 3&4: $646.37
  • Affinity — Medicaid/CHP/HARP: $287.27
  • Amida Care — Medicaid: $287.27
  • Brighton Health — Commercial: $297.75
  • Carelon Behavioral Health — HARP/QHP: $287.27
  • Carelon Behavioral Health — Medicare Advantage: $196.31
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS $397 Not listed in the file $198.50
Family psychotherapy, with the patient: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $198.50
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY $90.86 $26.02 $14.69 – $60.14
Group psychotherapy: 10 of 22 insurance plan rates
  • Amida Care — Medicaid: $14.69
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $26.73
  • Fidelis — CHP/HARP/Medicaid: $24.06
  • Fidelis — Essential Plan Aliesa: $24.06
  • Fidelis — Essential Plan QHP: $25.39
  • Fidelis — Medicare Advantage: $26.73
  • Fidelis — Qualified Health Plan: $25.39
  • Hamaspik Choice Inc — Medicaid: $26.73
  • Hamaspik Choice Inc — Medicare: $26.73
  • Healthfirst — CHP/FHP/Medicaid: $20.05
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC $237 Not listed in the file $0.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $189.60
Group psychotherapy: 10 of 46 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $130.35
  • Aetna — Gatekeeper/Non-Gatekeeper: $113.02
  • Aetna — Government: $113.02
  • Affinity — Essential Plan 1&2: $166.99
  • Affinity — Essential Plan 3&4: $166.99
  • Affinity — Medicaid/CHP/HARP: $74.22
  • Amida Care — Medicaid: $74.22
  • Brighton Health — Commercial: $177.75
  • Carelon Behavioral Health — HARP/QHP: $74.22
  • Carelon Behavioral Health — Medicare Advantage: $113.02
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY $237 Not listed in the file $0.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $189.60
Group psychotherapy: 10 of 46 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $130.35
  • Aetna — Gatekeeper/Non-Gatekeeper: $113.02
  • Aetna — Government: $113.02
  • Affinity — Essential Plan 1&2: $166.99
  • Affinity — Essential Plan 3&4: $166.99
  • Affinity — Medicaid/CHP/HARP: $74.22
  • Amida Care — Medicaid: $74.22
  • Brighton Health — Commercial: $177.75
  • Carelon Behavioral Health — HARP/QHP: $74.22
  • Carelon Behavioral Health — Medicare Advantage: $113.02

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,880.10 $505.50 $352.11 – $1,131.80
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $503.02
  • Fidelis — CHP/HARP/Medicaid: $452.72
  • Fidelis — Essential Plan Aliesa: $452.72
  • Fidelis — Essential Plan QHP: $477.87
  • Fidelis — Medicare Advantage: $503.02
  • Fidelis — Qualified Health Plan: $477.87
  • Hamaspik Choice Inc — Medicaid: $503.02
  • Hamaspik Choice Inc — Medicare: $503.02
  • Healthfirst — CHP/FHP/Medicaid: $377.26
  • Healthfirst — Commercial: $503.02
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST $9,175 Not listed in the file $503.02 – $6,881.25
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $2,134
  • Aetna — Gatekeeper/Non-Gatekeeper: $4,678.69
  • Aetna — Government: $4,678.69
  • Affinity — Essential Plan 1&2: $3,275.08
  • Affinity — Essential Plan 3&4: $3,275.08
  • Affinity — Medicaid/CHP/HARP: $3,275.08
  • Brighton Health — Commercial: $6,881.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $4,678.69
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST $9,175 Not listed in the file $4,587.50
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $4,587.50
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $5,667.59 $1,525.07 $1,062.09 – $3,413.86
Total hip replacement: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,517.27
  • Fidelis — CHP/HARP/Medicaid: $1,365.54
  • Fidelis — Essential Plan Aliesa: $1,365.54
  • Fidelis — Essential Plan QHP: $1,441.41
  • Fidelis — Medicare Advantage: $1,517.27
  • Fidelis — Qualified Health Plan: $1,441.41
  • Hamaspik Choice Inc — Medicaid: $1,517.27
  • Hamaspik Choice Inc — Medicare: $1,517.27
  • Healthfirst — CHP/FHP/Medicaid: $1,137.95
  • Healthfirst — Commercial: $1,517.27
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $5,660.55 $1,522.25 $1,060.57 – $3,408.97
Total knee replacement: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,515.10
  • Fidelis — CHP/HARP/Medicaid: $1,363.59
  • Fidelis — Essential Plan Aliesa: $1,363.59
  • Fidelis — Essential Plan QHP: $1,439.35
  • Fidelis — Medicare Advantage: $1,515.10
  • Fidelis — Qualified Health Plan: $1,439.35
  • Hamaspik Choice Inc — Medicaid: $1,515.10
  • Hamaspik Choice Inc — Medicare: $1,515.10
  • Healthfirst — CHP/FHP/Medicaid: $1,136.33
  • Healthfirst — Commercial: $1,515.10
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $754.39 $200.64 $140.26 – $450.83
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $200.37
  • Fidelis — CHP/HARP/Medicaid: $180.33
  • Fidelis — Essential Plan Aliesa: $180.33
  • Fidelis — Essential Plan QHP: $190.35
  • Fidelis — Medicare Advantage: $200.37
  • Fidelis — Qualified Health Plan: $190.35
  • Hamaspik Choice Inc — Medicaid: $200.37
  • Hamaspik Choice Inc — Medicare: $200.37
  • Healthfirst — CHP/FHP/Medicaid: $150.28
  • Healthfirst — Commercial: $200.37
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $2,394 $649.85 $453.01 – $1,456.11
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $647.16
  • Fidelis — CHP/HARP/Medicaid: $582.44
  • Fidelis — Essential Plan Aliesa: $582.44
  • Fidelis — Essential Plan QHP: $614.80
  • Fidelis — Medicare Advantage: $647.16
  • Fidelis — Qualified Health Plan: $614.80
  • Hamaspik Choice Inc — Medicaid: $647.16
  • Hamaspik Choice Inc — Medicare: $647.16
  • Healthfirst — CHP/FHP/Medicaid: $485.37
  • Healthfirst — Commercial: $647.16
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,257.80 $343.29 $238.47 – $766.51
Removal of tonsils and adenoids (under age 12): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $340.67
  • Fidelis — CHP/HARP/Medicaid: $306.60
  • Fidelis — Essential Plan Aliesa: $306.60
  • Fidelis — Essential Plan QHP: $323.64
  • Fidelis — Medicare Advantage: $340.67
  • Fidelis — Qualified Health Plan: $323.64
  • Hamaspik Choice Inc — Medicaid: $340.67
  • Hamaspik Choice Inc — Medicare: $340.67
  • Healthfirst — CHP/FHP/Medicaid: $255.50
  • Healthfirst — Commercial: $340.67
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $512.61 $139.45 $97.13 – $312.21
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $138.76
  • Fidelis — CHP/HARP/Medicaid: $124.88
  • Fidelis — Essential Plan Aliesa: $124.88
  • Fidelis — Essential Plan QHP: $131.82
  • Fidelis — Medicare Advantage: $138.76
  • Fidelis — Qualified Health Plan: $131.82
  • Hamaspik Choice Inc — Medicaid: $138.76
  • Hamaspik Choice Inc — Medicare: $138.76
  • Healthfirst — CHP/FHP/Medicaid: $104.07
  • Healthfirst — Commercial: $138.76
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $2,889 Not listed in the file $138.76 – $3,092.52
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,412
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,145.53
  • Aetna — Government: $1,145.53
  • Affinity — Essential Plan 1&2: $801.87
  • Affinity — Essential Plan 3&4: $801.87
  • Affinity — Medicaid/CHP/HARP: $801.87
  • Brighton Health — Commercial: $955
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,145.53
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD $2,889 Not listed in the file $138.76 – $3,092.52
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,412
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,145.53
  • Aetna — Government: $1,145.53
  • Affinity — Essential Plan 1&2: $801.87
  • Affinity — Essential Plan 3&4: $801.87
  • Affinity — Medicaid/CHP/HARP: $801.87
  • Brighton Health — Commercial: $955
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,145.53
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $577.08 $157.52 $108.77 – $349.61
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $155.38
  • Fidelis — CHP/HARP/Medicaid: $139.84
  • Fidelis — Essential Plan Aliesa: $139.84
  • Fidelis — Essential Plan QHP: $147.61
  • Fidelis — Medicare Advantage: $155.38
  • Fidelis — Qualified Health Plan: $147.61
  • Hamaspik Choice Inc — Medicaid: $155.38
  • Hamaspik Choice Inc — Medicare: $155.38
  • Healthfirst — CHP/FHP/Medicaid: $116.53
  • Healthfirst — Commercial: $155.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD $2,889 Not listed in the file $155.38 – $3,092.52
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,888
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,145.53
  • Aetna — Government: $1,145.53
  • Affinity — Essential Plan 1&2: $801.87
  • Affinity — Essential Plan 3&4: $801.87
  • Affinity — Medicaid/CHP/HARP: $801.87
  • Brighton Health — Commercial: $955
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,145.53
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD $2,889 Not listed in the file $1,444.50
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,444.50
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $773.36 $209.51 $145.85 – $468.81
Colonoscopy (diagnostic): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $208.36
  • Fidelis — CHP/HARP/Medicaid: $187.52
  • Fidelis — Essential Plan Aliesa: $187.52
  • Fidelis — Essential Plan QHP: $197.94
  • Fidelis — Medicare Advantage: $208.36
  • Fidelis — Qualified Health Plan: $197.94
  • Hamaspik Choice Inc — Medicaid: $208.36
  • Hamaspik Choice Inc — Medicare: $208.36
  • Healthfirst — CHP/FHP/Medicaid: $156.27
  • Healthfirst — Commercial: $208.36
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, DIAGNOSTIC $2,313 Not listed in the file $208.36 – $3,092.52
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,888
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,113.95
  • Aetna — Government: $1,113.95
  • Affinity — Essential Plan 1&2: $779.76
  • Affinity — Essential Plan 3&4: $779.76
  • Affinity — Medicaid/CHP/HARP: $779.76
  • Brighton Health — Commercial: $955
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,113.95
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, DIAGNOSTIC $2,313 Not listed in the file $1,156.50
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,156.50
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $837.97 $227.12 $158.63 – $509.87
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $226.61
  • Fidelis — CHP/HARP/Medicaid: $203.95
  • Fidelis — Essential Plan Aliesa: $203.95
  • Fidelis — Essential Plan QHP: $215.28
  • Fidelis — Medicare Advantage: $226.61
  • Fidelis — Qualified Health Plan: $215.28
  • Hamaspik Choice Inc — Medicaid: $226.61
  • Hamaspik Choice Inc — Medicare: $226.61
  • Healthfirst — CHP/FHP/Medicaid: $169.96
  • Healthfirst — Commercial: $226.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,057.81 $287.14 $199.10 – $639.97
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $284.43
  • Fidelis — CHP/HARP/Medicaid: $255.99
  • Fidelis — Essential Plan Aliesa: $255.99
  • Fidelis — Essential Plan QHP: $270.21
  • Fidelis — Medicare Advantage: $284.43
  • Fidelis — Qualified Health Plan: $270.21
  • Hamaspik Choice Inc — Medicaid: $284.43
  • Hamaspik Choice Inc — Medicare: $284.43
  • Healthfirst — CHP/FHP/Medicaid: $213.32
  • Healthfirst — Commercial: $284.43
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $1,071.04 $290.30 $201.28 – $646.99
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $287.55
  • Fidelis — CHP/HARP/Medicaid: $258.80
  • Fidelis — Essential Plan Aliesa: $258.80
  • Fidelis — Essential Plan QHP: $273.17
  • Fidelis — Medicare Advantage: $287.55
  • Fidelis — Qualified Health Plan: $273.17
  • Hamaspik Choice Inc — Medicaid: $287.55
  • Hamaspik Choice Inc — Medicare: $287.55
  • Healthfirst — CHP/FHP/Medicaid: $215.66
  • Healthfirst — Commercial: $287.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) $3,041 Not listed in the file $287.55 – $3,092.52
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,888
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,440.62
  • Aetna — Government: $1,440.62
  • Affinity — Essential Plan 1&2: $1,008.43
  • Affinity — Essential Plan 3&4: $1,008.43
  • Affinity — Medicaid/CHP/HARP: $1,008.43
  • Brighton Health — Commercial: $955
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,440.62
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER) $3,041 Not listed in the file $1,520.50
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,520.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND $776.09 $210.14 $146.29 – $470.20
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $208.98
  • Fidelis — CHP/HARP/Medicaid: $188.08
  • Fidelis — Essential Plan Aliesa: $188.08
  • Fidelis — Essential Plan QHP: $198.53
  • Fidelis — Medicare Advantage: $208.98
  • Fidelis — Qualified Health Plan: $198.53
  • Hamaspik Choice Inc — Medicaid: $208.98
  • Hamaspik Choice Inc — Medicare: $208.98
  • Healthfirst — CHP/FHP/Medicaid: $156.74
  • Healthfirst — Commercial: $208.98
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND $2,492 Not listed in the file $208.98 – $1,993.60
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $780
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,113.95
  • Aetna — Government: $1,113.95
  • Affinity — Essential Plan 1&2: $779.76
  • Affinity — Essential Plan 3&4: $779.76
  • Affinity — Medicaid/CHP/HARP: $779.76
  • Brighton Health — Commercial: $1,869
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,113.95
  • Cigna — HMO/Network Benefit Plan/Open Access: $1,993.60
  • Cigna — LocalPlus Benefit Plan: $1,694.56
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND $2,492 Not listed in the file $1,246
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,246
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $2,979.24 $797.90 $555.23 – $1,784.65
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $793.18
  • Fidelis — CHP/HARP/Medicaid: $713.86
  • Fidelis — Essential Plan Aliesa: $713.86
  • Fidelis — Essential Plan QHP: $753.52
  • Fidelis — Medicare Advantage: $793.18
  • Fidelis — Qualified Health Plan: $753.52
  • Hamaspik Choice Inc — Medicaid: $793.18
  • Hamaspik Choice Inc — Medicare: $793.18
  • Healthfirst — CHP/FHP/Medicaid: $594.88
  • Healthfirst — Commercial: $793.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $2,366.88 $633.22 $440.81 – $1,416.89
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $629.73
  • Fidelis — CHP/HARP/Medicaid: $566.76
  • Fidelis — Essential Plan Aliesa: $566.76
  • Fidelis — Essential Plan QHP: $598.24
  • Fidelis — Medicare Advantage: $629.73
  • Fidelis — Qualified Health Plan: $598.24
  • Hamaspik Choice Inc — Medicaid: $629.73
  • Hamaspik Choice Inc — Medicare: $629.73
  • Healthfirst — CHP/FHP/Medicaid: $472.30
  • Healthfirst — Commercial: $629.73
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH $540.40 $147.84 $101.91 – $327.56
Prostate biopsy: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $145.58
  • Fidelis — CHP/HARP/Medicaid: $131.02
  • Fidelis — Essential Plan Aliesa: $131.02
  • Fidelis — Essential Plan QHP: $138.30
  • Fidelis — Medicare Advantage: $145.58
  • Fidelis — Qualified Health Plan: $138.30
  • Hamaspik Choice Inc — Medicaid: $145.58
  • Hamaspik Choice Inc — Medicare: $145.58
  • Healthfirst — CHP/FHP/Medicaid: $109.19
  • Healthfirst — Commercial: $145.58
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC BIOPSY OF PROSTATE,NEEDLE/PUNCH $5,365 Not listed in the file $255.61 – $4,023.75
Prostate biopsy: 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,888
  • Aetna — Gatekeeper/Non-Gatekeeper: $255.61
  • Aetna — Government: $255.61
  • Brighton Health — Commercial: $4,023.75
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
  • EmblemHealth — Commercial: $2,682.50
  • Group Health Inc — Commercial: $2,682.50
  • Group Health Inc — Medicare: $1,877.75
  • Hamaspik Choice Inc — Medicaid: $2,682.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: HC BIOPSY OF PROSTATE,NEEDLE/PUNCH $5,365 Not listed in the file $2,682.50
Prostate biopsy: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $2,682.50
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT $4,989.60 $1,360.59 $947.09 – $3,044.23
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,352.99
  • Fidelis — CHP/HARP/Medicaid: $1,217.69
  • Fidelis — Essential Plan Aliesa: $1,217.69
  • Fidelis — Essential Plan QHP: $1,285.34
  • Fidelis — Medicare Advantage: $1,352.99
  • Fidelis — Qualified Health Plan: $1,285.34
  • Hamaspik Choice Inc — Medicaid: $1,352.99
  • Hamaspik Choice Inc — Medicare: $1,352.99
  • Healthfirst — CHP/FHP/Medicaid: $1,014.74
  • Healthfirst — Commercial: $1,352.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $1,002.89 $270 $187.25 – $601.88
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $267.50
  • Fidelis — CHP/HARP/Medicaid: $240.75
  • Fidelis — Essential Plan Aliesa: $240.75
  • Fidelis — Essential Plan QHP: $254.12
  • Fidelis — Medicare Advantage: $267.50
  • Fidelis — Qualified Health Plan: $254.12
  • Hamaspik Choice Inc — Medicaid: $267.50
  • Hamaspik Choice Inc — Medicare: $267.50
  • Healthfirst — CHP/FHP/Medicaid: $200.62
  • Healthfirst — Commercial: $267.50
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX $8,480 Not listed in the file $267.50 – $6,360
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $2,134
  • Aetna — Gatekeeper/Non-Gatekeeper: $3,884.81
  • Aetna — Government: $3,884.81
  • Affinity — Essential Plan 1&2: $2,719.37
  • Affinity — Essential Plan 3&4: $2,719.37
  • Affinity — Medicaid/CHP/HARP: $2,719.37
  • Brighton Health — Commercial: $6,360
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3,884.81
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX $8,480 Not listed in the file $4,240
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $4,240
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $409.82 $112.54 $77.93 – $250.49
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $111.33
  • Fidelis — CHP/HARP/Medicaid: $100.20
  • Fidelis — Essential Plan Aliesa: $100.20
  • Fidelis — Essential Plan QHP: $105.76
  • Fidelis — Medicare Advantage: $111.33
  • Fidelis — Qualified Health Plan: $105.76
  • Hamaspik Choice Inc — Medicaid: $111.33
  • Hamaspik Choice Inc — Medicare: $111.33
  • Healthfirst — CHP/FHP/Medicaid: $83.50
  • Healthfirst — Commercial: $111.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC INJX INTERLAMINAR EPIDURAL LUMBAR/SACRAL W/GUIDANCE $1,893 Not listed in the file $282.05 – $3,092.52
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $780
  • Aetna — Gatekeeper/Non-Gatekeeper: $282.05
  • Aetna — Government: $282.05
  • Brighton Health — Commercial: $1,419.75
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
  • EmblemHealth — Commercial: $946.50
  • Group Health Inc — Commercial: $946.50
  • Group Health Inc — Medicare: $662.55
  • Hamaspik Choice Inc — Medicaid: $946.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: HC INJX INTERLAMINAR EPIDURAL LUMBAR/SACRAL W/GUIDANCE $1,893 Not listed in the file $946.50
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $946.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $458.29 $126.24 $87.25 – $280.44
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $124.64
  • Fidelis — CHP/HARP/Medicaid: $112.18
  • Fidelis — Essential Plan Aliesa: $112.18
  • Fidelis — Essential Plan QHP: $118.41
  • Fidelis — Medicare Advantage: $124.64
  • Fidelis — Qualified Health Plan: $118.41
  • Hamaspik Choice Inc — Medicaid: $124.64
  • Hamaspik Choice Inc — Medicare: $124.64
  • Healthfirst — CHP/FHP/Medicaid: $93.48
  • Healthfirst — Commercial: $124.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJX AA&/STRD TFRM EPIDURAL LUMBAR/SACRAL - FIRST LEVEL $2,459 Not listed in the file $124.64 – $3,092.52
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,412
  • Aetna — Gatekeeper/Non-Gatekeeper: $1,087.77
  • Aetna — Government: $1,087.77
  • Affinity — Essential Plan 1&2: $761.44
  • Affinity — Essential Plan 3&4: $761.44
  • Affinity — Medicaid/CHP/HARP: $761.44
  • Brighton Health — Commercial: $1,844.25
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $1,087.77
  • Cigna — HMO/Network Benefit Plan/Open Access: $3,092.52
  • Cigna — LocalPlus Benefit Plan: $2,628.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJX AA&/STRD TFRM EPIDURAL LUMBAR/SACRAL - FIRST LEVEL $2,459 Not listed in the file $1,229.50
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $1,229.50
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,931.51 $526.89 $367.28 – $1,180.55
Carpal tunnel release: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $524.69
  • Fidelis — CHP/HARP/Medicaid: $472.22
  • Fidelis — Essential Plan Aliesa: $472.22
  • Fidelis — Essential Plan QHP: $498.46
  • Fidelis — Medicare Advantage: $524.69
  • Fidelis — Qualified Health Plan: $498.46
  • Hamaspik Choice Inc — Medicaid: $524.69
  • Hamaspik Choice Inc — Medicare: $524.69
  • Healthfirst — CHP/FHP/Medicaid: $393.52
  • Healthfirst — Commercial: $524.69
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY $1,290.24 $355.73 $244.63 – $786.31
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $349.47
  • Fidelis — CHP/HARP/Medicaid: $314.52
  • Fidelis — Essential Plan Aliesa: $314.52
  • Fidelis — Essential Plan QHP: $332
  • Fidelis — Medicare Advantage: $349.47
  • Fidelis — Qualified Health Plan: $332
  • Hamaspik Choice Inc — Medicaid: $349.47
  • Hamaspik Choice Inc — Medicare: $349.47
  • Healthfirst — CHP/FHP/Medicaid: $262.10
  • Healthfirst — Commercial: $349.47
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY $1,535 Not listed in the file $184.48 – $1,888
Laser treatment of clouding after cataract surgery: 10 of 41 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $1,888
  • Aetna — Gatekeeper/Non-Gatekeeper: $670.29
  • Aetna — Government: $670.29
  • Affinity — Essential Plan 1&2: $1,536.59
  • Affinity — Essential Plan 3&4: $1,536.59
  • Affinity — Medicaid/CHP/HARP: $682.93
  • Amida Care — Medicaid: $682.93
  • Brighton Health — Commercial: $233
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $670.29
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER SURGERY $1,535 Not listed in the file $767.50
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $767.50
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $2,233.98 $614.50 $424.65 – $1,364.96
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $606.65
  • Fidelis — CHP/HARP/Medicaid: $545.99
  • Fidelis — Essential Plan Aliesa: $545.99
  • Fidelis — Essential Plan QHP: $576.32
  • Fidelis — Medicare Advantage: $606.65
  • Fidelis — Qualified Health Plan: $576.32
  • Hamaspik Choice Inc — Medicaid: $606.65
  • Hamaspik Choice Inc — Medicare: $606.65
  • Healthfirst — CHP/FHP/Medicaid: $454.99
  • Healthfirst — Commercial: $606.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL 1 STAGE $6,123 Not listed in the file $184.48 – $4,065
Cataract removal with lens implant: 10 of 32 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $4,065
  • Aetna — Gatekeeper/Non-Gatekeeper: $2,786.64
  • Aetna — Government: $2,786.64
  • Affinity — Essential Plan 1&2: $1,950.65
  • Affinity — Essential Plan 3&4: $1,950.65
  • Affinity — Medicaid/CHP/HARP: $1,950.65
  • Brighton Health — Commercial: $233
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $2,786.64
  • Cigna — HMO/Network Benefit Plan/Open Access: $217.04
  • Cigna — LocalPlus Benefit Plan: $184.48
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL 1 STAGE $6,123 Not listed in the file $3,061.50
Cataract removal with lens implant: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $3,061.50

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $10,931.24 $2,942.30 $2,027.45 – $6,516.81
Vaginal delivery, with care before and after: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $2,896.36
  • Fidelis — CHP/HARP/Medicaid: $2,606.72
  • Fidelis — Essential Plan Aliesa: $2,606.72
  • Fidelis — Essential Plan QHP: $2,751.54
  • Fidelis — Medicare Advantage: $2,896.36
  • Fidelis — Qualified Health Plan: $2,751.54
  • Hamaspik Choice Inc — Medicaid: $2,896.36
  • Hamaspik Choice Inc — Medicare: $2,896.36
  • Healthfirst — CHP/FHP/Medicaid: $2,172.27
  • Healthfirst — Commercial: $2,896.36
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VAGINAL L&D CHARGE $1,700 Not listed in the file $595 – $8,223
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $935
  • Aetna — Gatekeeper/Non-Gatekeeper: $2,473
  • Aetna — Government: $2,473
  • Brighton Health — Commercial: $1,275
  • Cigna — HMO/Network Benefit Plan/Open Access: $1,360
  • Cigna — LocalPlus Benefit Plan: $1,156
  • EmblemHealth — Commercial: $850
  • Group Health Inc — Commercial: $850
  • Group Health Inc — Medicare: $595
  • Hamaspik Choice Inc — Medicaid: $850
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VAGINAL L&D CHARGE $1,700 Not listed in the file $850
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Hamaspik Choice Inc — Medicaid: $850
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $12,239.68 $3,298.74 $2,270.40 – $7,297.72
Cesarean delivery (C-section), with care before and after: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3,243.43
  • Fidelis — CHP/HARP/Medicaid: $2,919.09
  • Fidelis — Essential Plan Aliesa: $2,919.09
  • Fidelis — Essential Plan QHP: $3,081.26
  • Fidelis — Medicare Advantage: $3,243.43
  • Fidelis — Qualified Health Plan: $3,081.26
  • Hamaspik Choice Inc — Medicaid: $3,243.43
  • Hamaspik Choice Inc — Medicare: $3,243.43
  • Healthfirst — CHP/FHP/Medicaid: $2,432.57
  • Healthfirst — Commercial: $3,243.43
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $11,597.60 $3,113.03 $2,143.28 – $6,889.12
Vaginal delivery after a previous C-section, with care before and after: 10 of 21 insurance plan rates
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $3,061.83
  • Fidelis — CHP/HARP/Medicaid: $2,755.65
  • Fidelis — Essential Plan Aliesa: $2,755.65
  • Fidelis — Essential Plan QHP: $2,908.74
  • Fidelis — Medicare Advantage: $3,061.83
  • Fidelis — Qualified Health Plan: $2,908.74
  • Hamaspik Choice Inc — Medicaid: $3,061.83
  • Hamaspik Choice Inc — Medicare: $3,061.83
  • Healthfirst — CHP/FHP/Medicaid: $2,296.37
  • Healthfirst — Commercial: $3,061.83

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $141,850.60 – $210,734.20
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $143,104.65
  • Aetna — Gatekeeper/Non-Gatekeeper: $153,261.24
  • Aetna — Government: $153,261.24
  • Brighton Health — Commercial: $141,850.60
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $156,326.46
  • Cigna — HMO/Network Benefit Plan/Open Access: $174,007.35
  • Cigna — LocalPlus Benefit Plan: $147,906.25
  • Elderplan — Medicare Advantage: $145,598.18
  • EmblemHealth — Commercial: $153,261.24
  • Fidelis — Medicare Advantage: $153,261.24
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $27,745.67 – $53,759.82
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $27,745.67
  • Aetna — Gatekeeper/Non-Gatekeeper: $39,098.05
  • Aetna — Government: $39,098.05
  • Brighton Health — Commercial: $27,969.05
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $39,880.01
  • Cigna — HMO/Network Benefit Plan/Open Access: $34,309.48
  • Cigna — LocalPlus Benefit Plan: $29,163.06
  • Elderplan — Medicare Advantage: $37,143.15
  • EmblemHealth — Commercial: $39,098.05
  • Fidelis — Medicare Advantage: $39,098.05
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $35,398.85 – $64,001.07
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $36,281.55
  • Aetna — Gatekeeper/Non-Gatekeeper: $46,546.23
  • Aetna — Government: $46,546.23
  • Brighton Health — Commercial: $35,398.85
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $47,477.15
  • Cigna — HMO/Network Benefit Plan/Open Access: $43,423.57
  • Cigna — LocalPlus Benefit Plan: $36,910.04
  • Elderplan — Medicare Advantage: $44,218.92
  • EmblemHealth — Commercial: $46,546.23
  • Fidelis — Medicare Advantage: $46,546.23
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MS-DRG 43.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,000 – $40,004.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • 1199SEIU National Benefit Fund — Commercial: $17,133.69
  • Aetna — Gatekeeper/Non-Gatekeeper: $29,094.46
  • Aetna — Government: $29,094.46
  • Brighton Health — Commercial: $17,990.15
  • Centers Plan For Healthy Living — Dual Advantage/Medicare Advantage/Medicare Advantage Plus: $29,676.35
  • Cigna — HMO/Network Benefit Plan/Open Access: $22,068.42
  • Cigna — LocalPlus Benefit Plan: $18,758.16
  • Elderplan — Medicare Advantage: $27,639.74
  • EmblemHealth — Commercial: $29,094.46
  • Fidelis — Medicare Advantage: $29,094.46

Source: St Barnabas Hospital’s standard charges file (pricetransparency.healthcare, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 27, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address4422 Third Avenue, Bronx, NY 10457
CountyBronx County
StateNew York
Phone(212) 960‑9000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330399
Name in Medicare recordsST BARNABAS HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(718) 960‑9000[5]
Name on the hospital’s websiteSt. Barnabas Hospital
Official websitesbhny.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. About SBH — sbhny.org
  2. Services — sbhny.org