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Acute Care Hospital

St Charles Hospital

Port Jefferson, New York · Suffolk County · Emergency services listed

Summary

St Charles Hospital is an acute care hospital in Port Jefferson, New York. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 91 services, specialties and programs. Medicare lists 590 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(631) 474‑6000 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
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
590Doctors and clinicians
91Services listed

Quick answers

Does St Charles Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Charles Hospital. In a medical emergency, call 911.
Where is St Charles Hospital?
200 Belle Terre Road, Port Jefferson, NY 11777, in Suffolk County, New York.
What is the phone number of St Charles Hospital?
(631) 474-6000, as listed by Medicare (CMS).
What is the Medicare star rating of St Charles Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[5]

Treatments[4][5][6][8][11]

Procedures[5][6]

Programs and centers[4][5][6][7][8][9][11]

  • Epilepsy Center at St. Charles Hospital
  • Inpatient (acute) physical therapy and rehabilitation
  • Brain injury rehabilitation
  • Spinal cord injury rehabilitation
  • Stroke rehabilitation
  • Amputation rehabilitation
  • Diabetes Education Center
  • Center for Hyperbaric Medicine and Wound Healing
  • Fatty liver disease program
  • Acid reflux program
  • Post-COVID rehabilitation program
  • Weight loss program and surgery
  • Acute inpatient physical therapy and rehabilitation
  • Labor and delivery
  • Level II NICU
  • Maternal fetal medicine
  • Obstetrical emergency room
  • Drug and alcohol detoxification and chemical dependency rehabilitation (inpatient, ages 18 and older)

Emergency care (hospital website)[4][5][7]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center, designated by the New York State Department of Health and certified by the NYS Joint Commission

Recognition[4][6][7][8][10][11]

  • U.S. News & World Report recognition for Rehabilitation (2026-2027)
  • Autism Friendly designation (October 2026)
  • Geriatric Emergency Department Accreditation (GEDA), Level 3, American College of Emergency Physicians
  • Joint Commission Advanced Certification in Total Hip and Knee Replacement
  • Joint Commission Advanced Certification in Stroke
  • Joint Commission Advanced Certification in Palliative Care
  • CARF International accreditation for inpatient and outpatient rehabilitation programs
  • Autism Friendly Designation 2026

Doctors and clinicians (590)

590 doctors and other clinicians list St Charles 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 (590)

And 566 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence 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 Charles 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night51%National average: 60%
Completed surveys872Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgery0.411No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.529No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.057Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.9%
Deaths within 30 days: heart failure patients10.7%
Deaths within 30 days: pneumonia patients14.1%
Deaths within 30 days: COPD patients8.6%
Deaths within 30 days: stroke patients10.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.89No different from the national rate
Complications after hip or knee replacement3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD18.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement4.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)88%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Port JeffersonBest hospitals in New York

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 Charles 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC E&M INITIAL VISIT L3 $310 Not listed in the file $43.29 – $310
New patient office visit (about 30–44 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG E&M INITIAL VISIT L3 $310 Not listed in the file $43.29 – $310
New patient office visit (about 30–44 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC E&M INITIAL VISIT L3 $310 Not listed in the file $43.29 – $310
New patient office visit (about 30–44 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC E&M INITIAL VISIT L4 $375 Not listed in the file $66.04 – $375
New patient office visit (about 45–59 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG E&M INITIAL VISIT L4 $375 Not listed in the file $66.04 – $375
New patient office visit (about 45–59 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC E&M INITIAL VISIT L4 $375 Not listed in the file $66.04 – $375
New patient office visit (about 45–59 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC E&M INITIAL VISIT L5 $450 Not listed in the file $76.97 – $450
New patient office visit (about 60–74 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $225
  • Aetna — Medicare: $225
  • Aetna — Narrow Network: $225
  • Aither Health — Commercial: $450
  • Allied Wellfare Fund — Commercial: $292.50
  • Alpha Care — Medicare FIDA: $450
  • American Group Administrators — Commercial: $292.50
  • American Plan Administrators — Commercial: $202.50
  • Amerihealth Administrators — Commercial: $202.50
  • APWU — Commercial: $225
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG E&M INITIAL VISIT L5 $450 Not listed in the file $76.97 – $450
New patient office visit (about 60–74 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $225
  • Aetna — Medicare: $225
  • Aetna — Narrow Network: $225
  • Aither Health — Commercial: $450
  • Allied Wellfare Fund — Commercial: $292.50
  • Alpha Care — Medicare FIDA: $450
  • American Group Administrators — Commercial: $292.50
  • American Plan Administrators — Commercial: $202.50
  • Amerihealth Administrators — Commercial: $202.50
  • APWU — Commercial: $225
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC E&M INITIAL VISIT L5 $450 Not listed in the file $76.97 – $450
New patient office visit (about 60–74 minutes): 10 of 100 insurance plan rates
  • Aetna — Commercial: $225
  • Aetna — Medicare: $225
  • Aetna — Narrow Network: $225
  • Aither Health — Commercial: $450
  • Allied Wellfare Fund — Commercial: $292.50
  • Alpha Care — Medicare FIDA: $450
  • American Group Administrators — Commercial: $292.50
  • American Plan Administrators — Commercial: $202.50
  • Amerihealth Administrators — Commercial: $202.50
  • APWU — Commercial: $225
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC E&M ESTAB PT L3 $310 Not listed in the file $43.33 – $310
Established patient office visit (about 20–29 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG E&M ESTAB PT L3 $310 Not listed in the file $43.33 – $310
Established patient office visit (about 20–29 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC E&M ESTAB PT L3 $310 Not listed in the file $43.33 – $310
Established patient office visit (about 20–29 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $155
  • Aetna — Medicare: $155
  • Aetna — Narrow Network: $155
  • Aither Health — Commercial: $310
  • Allied Wellfare Fund — Commercial: $201.50
  • Alpha Care — Medicare FIDA: $310
  • American Group Administrators — Commercial: $201.50
  • American Plan Administrators — Commercial: $139.50
  • Amerihealth Administrators — Commercial: $139.50
  • APWU — Commercial: $155
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC E&M ESTAB PT L4 $375 Not listed in the file $63.78 – $375
Established patient office visit (about 30–39 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG E&M ESTAB PT L4 $375 Not listed in the file $63.78 – $375
Established patient office visit (about 30–39 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC E&M ESTAB PT L4 $375 Not listed in the file $63.78 – $375
Established patient office visit (about 30–39 minutes): 10 of 98 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $187.50
  • Aetna — Narrow Network: $187.50
  • Aither Health — Commercial: $375
  • Allied Wellfare Fund — Commercial: $243.75
  • Alpha Care — Medicare FIDA: $375
  • American Group Administrators — Commercial: $243.75
  • American Plan Administrators — Commercial: $168.75
  • Amerihealth Administrators — Commercial: $168.75
  • APWU — Commercial: $187.50
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $57.85 – $1,791.27
Office consultation with a specialist (moderate): 10 of 99 insurance plan rates
  • BCBS-NY Empire — Blue Access Large Group: $269
  • BCBS-NY Empire — Blue Access Small Group: $227
  • BCBS-NY Empire — Commercial: $298
  • Beacon Health Options — Commercial: $1,791.27
  • Beacon Health Options — Medicare: $1,214.42
  • Self Pay — All Plans: $298
  • United Healthcare — Behavioral NYEPP: $64.22
  • United Healthcare — BH Alternate: $177.05
  • United Healthcare — BH Empire MPN: $298
  • United Healthcare — BH MCD Alternate: $58.38
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $58.38 – $1,791.27
Office consultation with a specialist (moderate to high): 10 of 99 insurance plan rates
  • BCBS-NY Empire — Blue Access Large Group: $269
  • BCBS-NY Empire — Blue Access Small Group: $227
  • BCBS-NY Empire — Commercial: $298
  • Beacon Health Options — Commercial: $1,214.42
  • Beacon Health Options — Medicare: $1,791.27
  • Self Pay — All Plans: $298
  • United Healthcare — Behavioral NYEPP: $64.22
  • United Healthcare — BH Alternate: $177.05
  • United Healthcare — BH Empire MPN: $298
  • United Healthcare — BH MCD Alternate: $58.38
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $61.59 – $1,791.27
Preventive checkup, new patient, age 18–39: 10 of 97 insurance plan rates
  • Beacon Health Options — Commercial: $1,791.27
  • Beacon Health Options — Medicare: $1,214.42
  • Local 1199 — PPO: $536
  • United Healthcare — Behavioral NYEPP: $101.02
  • United Healthcare — BH MCD Alternate: $91.84
  • United Healthcare — CHP: $61.59
  • United Healthcare — EP 1 & 2: $138.58
  • United Healthcare — EP 3 & 4: $138.58
  • United Healthcare — MEDICAID: $61.59
  • Zadroga — WTC Health Program: $161.02
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $74.56 – $1,791.27
Preventive checkup, new patient, age 40–64: 10 of 97 insurance plan rates
  • Beacon Health Options — Commercial: $1,214.42
  • Beacon Health Options — Medicare: $1,791.27
  • Local 1199 — PPO: $628
  • United Healthcare — Behavioral NYEPP: $101.02
  • United Healthcare — BH MCD Alternate: $91.84
  • United Healthcare — CHP: $74.56
  • United Healthcare — EP 1 & 2: $167.76
  • United Healthcare — EP 3 & 4: $167.76
  • United Healthcare — MEDICAID: $74.56
  • Zadroga — WTC Health Program: $196.57
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 3 $2,127 Not listed in the file $121.76 – $2,488
Emergency room visit (moderate): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $327.66
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $339.13
  • Aither Health — Commercial: $2,127
  • Allied Wellfare Fund — Commercial: $1,382.55
  • Alpha Care — Medicare FIDA: $2,127
  • American Group Administrators — Commercial: $1,382.55
  • American Plan Administrators — Commercial: $2,488
  • Amerihealth Administrators — Commercial: $2,488
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB/ER EMERGENT CARE LVL3 $2,127 Not listed in the file $121.76 – $2,488
Emergency room visit (moderate): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $327.66
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $339.13
  • Aither Health — Commercial: $2,127
  • Allied Wellfare Fund — Commercial: $1,382.55
  • Alpha Care — Medicare FIDA: $2,127
  • American Group Administrators — Commercial: $1,382.55
  • American Plan Administrators — Commercial: $2,488
  • Amerihealth Administrators — Commercial: $2,488
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL3 $2,127 Not listed in the file $121.76 – $2,488
Emergency room visit (moderate): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $327.66
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $339.13
  • Aither Health — Commercial: $2,127
  • Allied Wellfare Fund — Commercial: $1,382.55
  • Alpha Care — Medicare FIDA: $2,127
  • American Group Administrators — Commercial: $1,382.55
  • American Plan Administrators — Commercial: $2,488
  • Amerihealth Administrators — Commercial: $2,488
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 4 $2,435 Not listed in the file $144.32 – $2,590
Emergency room visit (moderately high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $503.90
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $521.54
  • Aither Health — Commercial: $2,435
  • Allied Wellfare Fund — Commercial: $1,582.75
  • Alpha Care — Medicare FIDA: $2,435
  • American Group Administrators — Commercial: $1,582.75
  • American Plan Administrators — Commercial: $2,590
  • Amerihealth Administrators — Commercial: $2,590
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB/ER EMERGENT CARE LVL4 $2,435 Not listed in the file $144.32 – $2,590
Emergency room visit (moderately high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $503.90
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $521.54
  • Aither Health — Commercial: $2,435
  • Allied Wellfare Fund — Commercial: $1,582.75
  • Alpha Care — Medicare FIDA: $2,435
  • American Group Administrators — Commercial: $1,582.75
  • American Plan Administrators — Commercial: $2,590
  • Amerihealth Administrators — Commercial: $2,590
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL4 $2,435 Not listed in the file $144.32 – $2,590
Emergency room visit (moderately high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $2,009
  • Aetna — Medicare: $503.90
  • Aetna — Narrow Network: $1,687
  • Agewell New York — Medicare HMO: $521.54
  • Aither Health — Commercial: $2,435
  • Allied Wellfare Fund — Commercial: $1,582.75
  • Alpha Care — Medicare FIDA: $2,435
  • American Group Administrators — Commercial: $1,582.75
  • American Plan Administrators — Commercial: $2,590
  • Amerihealth Administrators — Commercial: $2,590
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 5 $2,817 Not listed in the file $144.32 – $2,817
Emergency room visit (high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $1,922
  • Aetna — Medicare: $725.52
  • Aetna — Narrow Network: $1,614
  • Agewell New York — Medicare HMO: $750.91
  • Aither Health — Commercial: $2,817
  • Allied Wellfare Fund — Commercial: $1,831.05
  • Alpha Care — Medicare FIDA: $2,817
  • American Group Administrators — Commercial: $1,831.05
  • American Plan Administrators — Commercial: $2,690
  • Amerihealth Administrators — Commercial: $2,690
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB/ER EMERGENT CARE LVL5 $2,817 Not listed in the file $144.32 – $2,817
Emergency room visit (high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $1,922
  • Aetna — Medicare: $725.52
  • Aetna — Narrow Network: $1,614
  • Agewell New York — Medicare HMO: $750.91
  • Aither Health — Commercial: $2,817
  • Allied Wellfare Fund — Commercial: $1,831.05
  • Alpha Care — Medicare FIDA: $2,817
  • American Group Administrators — Commercial: $1,831.05
  • American Plan Administrators — Commercial: $2,690
  • Amerihealth Administrators — Commercial: $2,690
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL5 $2,817 Not listed in the file $144.32 – $2,817
Emergency room visit (high): 10 of 130 insurance plan rates
  • Aetna — Commercial: $1,922
  • Aetna — Medicare: $725.52
  • Aetna — Narrow Network: $1,614
  • Agewell New York — Medicare HMO: $750.91
  • Aither Health — Commercial: $2,817
  • Allied Wellfare Fund — Commercial: $1,831.05
  • Alpha Care — Medicare FIDA: $2,817
  • American Group Administrators — Commercial: $1,831.05
  • American Plan Administrators — Commercial: $2,690
  • Amerihealth Administrators — Commercial: $2,690

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $215 Not listed in the file $7.32 – $215
Basic metabolic panel (blood test): 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.96
  • Aetna — Medicare: $8.46
  • Aetna — Narrow Network: $7.54
  • Affinity Health Plan — CHP: $7.32
  • Affinity Health Plan — EP 1&2: $16.48
  • Affinity Health Plan — EP 3&4: $16.48
  • Affinity Health Plan — HARP: $7.32
  • Affinity Health Plan — MEDICAID: $7.32
  • Agewell New York — Medicare HMO: $8.76
  • Aither Health — Commercial: $215
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP METABOLIC PANEL $405 Not listed in the file $10.10 – $405
Comprehensive metabolic panel (blood test): 10 of 167 insurance plan rates
  • Aetna — Commercial: $13.42
  • Aetna — Medicare: $10.56
  • Aetna — Narrow Network: $11.29
  • Affinity Health Plan — CHP: $10.10
  • Affinity Health Plan — EP 1&2: $22.73
  • Affinity Health Plan — EP 3&4: $22.73
  • Affinity Health Plan — HARP: $10.10
  • Affinity Health Plan — MEDICAID: $10.10
  • Agewell New York — Medicare HMO: $10.93
  • Aither Health — Commercial: $405
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80053 & 80048 $584 Not listed in the file $10.10 – $584
Comprehensive metabolic panel (blood test): 10 of 167 insurance plan rates
  • Aetna — Commercial: $13.42
  • Aetna — Medicare: $10.56
  • Aetna — Narrow Network: $11.29
  • Affinity Health Plan — CHP: $10.10
  • Affinity Health Plan — EP 1&2: $22.73
  • Affinity Health Plan — EP 3&4: $22.73
  • Affinity Health Plan — HARP: $10.10
  • Affinity Health Plan — MEDICAID: $10.10
  • Agewell New York — Medicare HMO: $10.93
  • Aither Health — Commercial: $584
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80053 & 80069 $584 Not listed in the file $10.10 – $584
Comprehensive metabolic panel (blood test): 10 of 167 insurance plan rates
  • Aetna — Commercial: $13.42
  • Aetna — Medicare: $10.56
  • Aetna — Narrow Network: $11.29
  • Affinity Health Plan — CHP: $10.10
  • Affinity Health Plan — EP 1&2: $22.73
  • Affinity Health Plan — EP 3&4: $22.73
  • Affinity Health Plan — HARP: $10.10
  • Affinity Health Plan — MEDICAID: $10.10
  • Agewell New York — Medicare HMO: $10.93
  • Aither Health — Commercial: $584
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $33.96 – $176.47
Obstetric blood test panel: 10 of 167 insurance plan rates
  • Aetna — Commercial: $67.08
  • Aetna — Medicare: $47.81
  • Aetna — Narrow Network: $56.43
  • Affinity Health Plan — CHP: $33.96
  • Affinity Health Plan — EP 1&2: $76.40
  • Affinity Health Plan — EP 3&4: $76.40
  • Affinity Health Plan — HARP: $33.96
  • Affinity Health Plan — MEDICAID: $33.96
  • Agewell New York — Medicare HMO: $49.48
  • American Plan Administrators — Commercial: $107.57
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80061 & 82465 $272 Not listed in the file $6.10 – $272
Cholesterol panel (lipid panel): 10 of 167 insurance plan rates
  • Aetna — Commercial: $18.79
  • Aetna — Medicare: $13.39
  • Aetna — Narrow Network: $15.80
  • Affinity Health Plan — CHP: $6.10
  • Affinity Health Plan — EP 1&2: $13.73
  • Affinity Health Plan — EP 3&4: $13.73
  • Affinity Health Plan — HARP: $6.10
  • Affinity Health Plan — MEDICAID: $6.10
  • Agewell New York — Medicare HMO: $13.86
  • Aither Health — Commercial: $272
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80061 & 83718 $272 Not listed in the file $6.10 – $272
Cholesterol panel (lipid panel): 10 of 167 insurance plan rates
  • Aetna — Commercial: $18.79
  • Aetna — Medicare: $13.39
  • Aetna — Narrow Network: $15.80
  • Affinity Health Plan — CHP: $6.10
  • Affinity Health Plan — EP 1&2: $13.73
  • Affinity Health Plan — EP 3&4: $13.73
  • Affinity Health Plan — HARP: $6.10
  • Affinity Health Plan — MEDICAID: $6.10
  • Agewell New York — Medicare HMO: $13.86
  • Aither Health — Commercial: $272
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80061 & 83721 $272 Not listed in the file $6.10 – $272
Cholesterol panel (lipid panel): 10 of 167 insurance plan rates
  • Aetna — Commercial: $18.79
  • Aetna — Medicare: $13.39
  • Aetna — Narrow Network: $15.80
  • Affinity Health Plan — CHP: $6.10
  • Affinity Health Plan — EP 1&2: $13.73
  • Affinity Health Plan — EP 3&4: $13.73
  • Affinity Health Plan — HARP: $6.10
  • Affinity Health Plan — MEDICAID: $6.10
  • Agewell New York — Medicare HMO: $13.86
  • Aither Health — Commercial: $272
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 80069 & 80048 $397 Not listed in the file $8.51 – $397
Kidney function panel: 10 of 167 insurance plan rates
  • Aetna — Commercial: $11.25
  • Aetna — Medicare: $8.68
  • Aetna — Narrow Network: $9.46
  • Affinity Health Plan — CHP: $8.68
  • Affinity Health Plan — EP 1&2: $19.53
  • Affinity Health Plan — EP 3&4: $19.53
  • Affinity Health Plan — HARP: $8.68
  • Affinity Health Plan — MEDICAID: $8.68
  • Agewell New York — Medicare HMO: $8.98
  • Aither Health — Commercial: $397
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $207 Not listed in the file $8.51 – $207
Kidney function panel: 10 of 167 insurance plan rates
  • Aetna — Commercial: $11.25
  • Aetna — Medicare: $8.68
  • Aetna — Narrow Network: $9.46
  • Affinity Health Plan — CHP: $8.68
  • Affinity Health Plan — EP 1&2: $19.53
  • Affinity Health Plan — EP 3&4: $19.53
  • Affinity Health Plan — HARP: $8.68
  • Affinity Health Plan — MEDICAID: $8.68
  • Agewell New York — Medicare HMO: $8.98
  • Aither Health — Commercial: $207
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $224 Not listed in the file $7.32 – $224
Liver function panel: 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.96
  • Aetna — Medicare: $8.17
  • Aetna — Narrow Network: $7.54
  • Affinity Health Plan — CHP: $7.32
  • Affinity Health Plan — EP 1&2: $16.48
  • Affinity Health Plan — EP 3&4: $16.48
  • Affinity Health Plan — HARP: $7.32
  • Affinity Health Plan — MEDICAID: $7.32
  • Agewell New York — Medicare HMO: $8.46
  • Aither Health — Commercial: $224
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE URINALYSIS W MICRO $194 Not listed in the file $3.11 – $194
Urine test (automated, with microscope): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4.44
  • Aetna — Medicare: $3.17
  • Aetna — Narrow Network: $3.74
  • Affinity Health Plan — CHP: $3.17
  • Affinity Health Plan — EP 1&2: $7.13
  • Affinity Health Plan — EP 3&4: $7.13
  • Affinity Health Plan — HARP: $3.17
  • Affinity Health Plan — MEDICAID: $3.17
  • Agewell New York — Medicare HMO: $3.28
  • Aither Health — Commercial: $194
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE KETONES $42 Not listed in the file $2.02 – $42
Urine test (manual, without microscope): 10 of 167 insurance plan rates
  • Aetna — Commercial: $3.59
  • Aetna — Medicare: $3.48
  • Aetna — Narrow Network: $3.02
  • Affinity Health Plan — CHP: $2.02
  • Affinity Health Plan — EP 1&2: $4.55
  • Affinity Health Plan — EP 3&4: $4.55
  • Affinity Health Plan — HARP: $2.02
  • Affinity Health Plan — MEDICAID: $2.02
  • Agewell New York — Medicare HMO: $3.60
  • Aither Health — Commercial: $42
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POCT URINALYSIS WO MICRO CLINITEK ANALYZER $48 Not listed in the file $2.02 – $48
Urine test (automated, without microscope): 10 of 167 insurance plan rates
  • Aetna — Commercial: $3.16
  • Aetna — Medicare: $2.25
  • Aetna — Narrow Network: $2.66
  • Affinity Health Plan — CHP: $2.02
  • Affinity Health Plan — EP 1&2: $4.55
  • Affinity Health Plan — EP 3&4: $4.55
  • Affinity Health Plan — HARP: $2.02
  • Affinity Health Plan — MEDICAID: $2.02
  • Agewell New York — Medicare HMO: $2.33
  • Aither Health — Commercial: $48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE URINALYSIS WO MICRO $67 Not listed in the file $2.02 – $67
Urine test (automated, without microscope): 10 of 167 insurance plan rates
  • Aetna — Commercial: $3.16
  • Aetna — Medicare: $2.25
  • Aetna — Narrow Network: $2.66
  • Affinity Health Plan — CHP: $2.02
  • Affinity Health Plan — EP 1&2: $4.55
  • Affinity Health Plan — EP 3&4: $4.55
  • Affinity Health Plan — HARP: $2.02
  • Affinity Health Plan — MEDICAID: $2.02
  • Agewell New York — Medicare HMO: $2.33
  • Aither Health — Commercial: $67
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC ANTIGEN DX $337 Not listed in the file $18.02 – $337
PSA (prostate specific antigen) blood test: 10 of 167 insurance plan rates
  • Aetna — Commercial: $25.82
  • Aetna — Medicare: $18.39
  • Aetna — Narrow Network: $21.72
  • Affinity Health Plan — CHP: $18.39
  • Affinity Health Plan — EP 1&2: $41.38
  • Affinity Health Plan — EP 3&4: $41.38
  • Affinity Health Plan — HARP: $18.39
  • Affinity Health Plan — MEDICAID: $18.39
  • Agewell New York — Medicare HMO: $19.03
  • Aither Health — Commercial: $337
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL REF $337 Not listed in the file $18.02 – $337
PSA (prostate specific antigen) blood test: 10 of 167 insurance plan rates
  • Aetna — Commercial: $25.82
  • Aetna — Medicare: $18.39
  • Aetna — Narrow Network: $21.72
  • Affinity Health Plan — CHP: $18.39
  • Affinity Health Plan — EP 1&2: $41.38
  • Affinity Health Plan — EP 3&4: $41.38
  • Affinity Health Plan — HARP: $18.39
  • Affinity Health Plan — MEDICAID: $18.39
  • Agewell New York — Medicare HMO: $19.03
  • Aither Health — Commercial: $337
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA ULTRASENSITIVE $337 Not listed in the file $18.02 – $337
PSA (prostate specific antigen) blood test: 10 of 167 insurance plan rates
  • Aetna — Commercial: $25.82
  • Aetna — Medicare: $18.39
  • Aetna — Narrow Network: $21.72
  • Affinity Health Plan — CHP: $18.39
  • Affinity Health Plan — EP 1&2: $41.38
  • Affinity Health Plan — EP 3&4: $41.38
  • Affinity Health Plan — HARP: $18.39
  • Affinity Health Plan — MEDICAID: $18.39
  • Agewell New York — Medicare HMO: $19.03
  • Aither Health — Commercial: $337
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THYROID STIMULATING HORMONE $393 Not listed in the file $9.09 – $393
Thyroid stimulating hormone (TSH) test: 10 of 167 insurance plan rates
  • Aetna — Commercial: $23.59
  • Aetna — Medicare: $16.80
  • Aetna — Narrow Network: $19.84
  • Affinity Health Plan — CHP: $9.09
  • Affinity Health Plan — EP 1&2: $20.45
  • Affinity Health Plan — EP 3&4: $20.45
  • Affinity Health Plan — HARP: $9.09
  • Affinity Health Plan — MEDICAID: $9.09
  • Agewell New York — Medicare HMO: $17.39
  • Aither Health — Commercial: $393
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC PLT DIFF AUTOMATED $139 Not listed in the file $3.20 – $139
Complete blood count (CBC) with differential: 10 of 167 insurance plan rates
  • Aetna — Commercial: $10.91
  • Aetna — Medicare: $7.77
  • Aetna — Narrow Network: $9.17
  • Affinity Health Plan — CHP: $3.20
  • Affinity Health Plan — EP 1&2: $7.20
  • Affinity Health Plan — EP 3&4: $7.20
  • Affinity Health Plan — HARP: $3.20
  • Affinity Health Plan — MEDICAID: $3.20
  • Agewell New York — Medicare HMO: $8.04
  • Aither Health — Commercial: $139
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 85025 & 85007 $253 Not listed in the file $3.20 – $253
Complete blood count (CBC) with differential: 10 of 167 insurance plan rates
  • Aetna — Commercial: $10.91
  • Aetna — Medicare: $7.77
  • Aetna — Narrow Network: $9.17
  • Affinity Health Plan — CHP: $3.20
  • Affinity Health Plan — EP 1&2: $7.20
  • Affinity Health Plan — EP 3&4: $7.20
  • Affinity Health Plan — HARP: $3.20
  • Affinity Health Plan — MEDICAID: $3.20
  • Agewell New York — Medicare HMO: $8.04
  • Aither Health — Commercial: $253
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 85025 & 85008 $232 Not listed in the file $3.20 – $232
Complete blood count (CBC) with differential: 10 of 167 insurance plan rates
  • Aetna — Commercial: $10.91
  • Aetna — Medicare: $7.77
  • Aetna — Narrow Network: $9.17
  • Affinity Health Plan — CHP: $3.20
  • Affinity Health Plan — EP 1&2: $7.20
  • Affinity Health Plan — EP 3&4: $7.20
  • Affinity Health Plan — HARP: $3.20
  • Affinity Health Plan — MEDICAID: $3.20
  • Agewell New York — Medicare HMO: $8.04
  • Aither Health — Commercial: $232
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC PLT AUTOMATED $140 Not listed in the file $3.20 – $140
Complete blood count (CBC), automated: 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.16
  • Aetna — Medicare: $6.47
  • Aetna — Narrow Network: $6.87
  • Affinity Health Plan — CHP: $3.20
  • Affinity Health Plan — EP 1&2: $7.20
  • Affinity Health Plan — EP 3&4: $7.20
  • Affinity Health Plan — HARP: $3.20
  • Affinity Health Plan — MEDICAID: $3.20
  • Agewell New York — Medicare HMO: $6.70
  • Aither Health — Commercial: $140
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LAB COMBINE CPT 85027 & 85008 $140 Not listed in the file $3.20 – $140
Complete blood count (CBC), automated: 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.16
  • Aetna — Medicare: $6.47
  • Aetna — Narrow Network: $6.87
  • Affinity Health Plan — CHP: $3.20
  • Affinity Health Plan — EP 1&2: $7.20
  • Affinity Health Plan — EP 3&4: $7.20
  • Affinity Health Plan — HARP: $3.20
  • Affinity Health Plan — MEDICAID: $3.20
  • Agewell New York — Medicare HMO: $6.70
  • Aither Health — Commercial: $140
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FACTOR V INHIB COAG ACTIVATED $123 Not listed in the file $3.95 – $123
Blood clotting time test (prothrombin time, PT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $5.52
  • Aetna — Medicare: $4.29
  • Aetna — Narrow Network: $4.64
  • Affinity Health Plan — CHP: $3.95
  • Affinity Health Plan — EP 1&2: $8.89
  • Affinity Health Plan — EP 3&4: $8.89
  • Affinity Health Plan — HARP: $3.95
  • Affinity Health Plan — MEDICAID: $3.95
  • Agewell New York — Medicare HMO: $4.44
  • Aither Health — Commercial: $123
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $123 Not listed in the file $3.95 – $123
Blood clotting time test (prothrombin time, PT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $5.52
  • Aetna — Medicare: $4.29
  • Aetna — Narrow Network: $4.64
  • Affinity Health Plan — CHP: $3.95
  • Affinity Health Plan — EP 1&2: $8.89
  • Affinity Health Plan — EP 3&4: $8.89
  • Affinity Health Plan — HARP: $3.95
  • Affinity Health Plan — MEDICAID: $3.95
  • Agewell New York — Medicare HMO: $4.44
  • Aither Health — Commercial: $123
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME-RSCH $123 Not listed in the file $3.95 – $123
Blood clotting time test (prothrombin time, PT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $5.52
  • Aetna — Medicare: $4.29
  • Aetna — Narrow Network: $4.64
  • Affinity Health Plan — CHP: $3.95
  • Affinity Health Plan — EP 1&2: $8.89
  • Affinity Health Plan — EP 3&4: $8.89
  • Affinity Health Plan — HARP: $3.95
  • Affinity Health Plan — MEDICAID: $3.95
  • Agewell New York — Medicare HMO: $4.44
  • Aither Health — Commercial: $123
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FACTOR V INHIB PARTIAL PTT $197 Not listed in the file $5.89 – $197
Blood clotting test (partial thromboplastin time, PTT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.43
  • Aetna — Medicare: $6.01
  • Aetna — Narrow Network: $7.09
  • Affinity Health Plan — CHP: $6.01
  • Affinity Health Plan — EP 1&2: $13.52
  • Affinity Health Plan — EP 3&4: $13.52
  • Affinity Health Plan — HARP: $6.01
  • Affinity Health Plan — MEDICAID: $6.01
  • Agewell New York — Medicare HMO: $6.22
  • Aither Health — Commercial: $197
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT $197 Not listed in the file $5.89 – $197
Blood clotting test (partial thromboplastin time, PTT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.43
  • Aetna — Medicare: $6.01
  • Aetna — Narrow Network: $7.09
  • Affinity Health Plan — CHP: $6.01
  • Affinity Health Plan — EP 1&2: $13.52
  • Affinity Health Plan — EP 3&4: $13.52
  • Affinity Health Plan — HARP: $6.01
  • Affinity Health Plan — MEDICAID: $6.01
  • Agewell New York — Medicare HMO: $6.22
  • Aither Health — Commercial: $197
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT HEPARIN DRIP TEST*C $197 Not listed in the file $5.89 – $197
Blood clotting test (partial thromboplastin time, PTT): 10 of 167 insurance plan rates
  • Aetna — Commercial: $8.43
  • Aetna — Medicare: $6.01
  • Aetna — Narrow Network: $7.09
  • Affinity Health Plan — CHP: $6.01
  • Affinity Health Plan — EP 1&2: $13.52
  • Affinity Health Plan — EP 3&4: $13.52
  • Affinity Health Plan — HARP: $6.01
  • Affinity Health Plan — MEDICAID: $6.01
  • Agewell New York — Medicare HMO: $6.22
  • Aither Health — Commercial: $197

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT BRAIN WO CON $2,400 Not listed in the file $121.20 – $2,400
CT scan of the head or brain, without contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $2,331
  • Aetna — Medicare: $125.84
  • Aetna — Narrow Network: $1,958
  • Affinity Health Plan — CHP: $121.20
  • Affinity Health Plan — EP 1&2: $272.70
  • Affinity Health Plan — EP 3&4: $272.70
  • Affinity Health Plan — HARP: $121.20
  • Affinity Health Plan — MEDICAID: $121.20
  • Agewell New York — Medicare HMO: $130.24
  • Aither Health — Commercial: $2,400
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN WWO CON $9,000 Not listed in the file $414.16 – $9,000
MRI of the brain, before and after contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $3,424
  • Aetna — Medicare: $422.61
  • Aetna — Narrow Network: $2,876
  • Affinity Health Plan — CHP: $505
  • Affinity Health Plan — EP 1&2: $1,136.25
  • Affinity Health Plan — EP 3&4: $1,136.25
  • Affinity Health Plan — HARP: $505
  • Affinity Health Plan — MEDICAID: $505
  • Agewell New York — Medicare HMO: $437.40
  • Aither Health — Commercial: $9,000
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX CHEST 2 VIEWS $623 Not listed in the file $15.15 – $623
Chest X-ray, 2 views: 10 of 167 insurance plan rates
  • Aetna — Commercial: $49.58
  • Aetna — Medicare: $104.19
  • Aetna — Narrow Network: $41.58
  • Affinity Health Plan — CHP: $15.15
  • Affinity Health Plan — EP 1&2: $34.09
  • Affinity Health Plan — EP 3&4: $34.09
  • Affinity Health Plan — HARP: $15.15
  • Affinity Health Plan — MEDICAID: $15.15
  • Agewell New York — Medicare HMO: $107.84
  • Aither Health — Commercial: $623
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX CHEST DECUBS SPEC VIEWS $623 Not listed in the file $15.15 – $623
Chest X-ray, 2 views: 10 of 167 insurance plan rates
  • Aetna — Commercial: $49.58
  • Aetna — Medicare: $104.19
  • Aetna — Narrow Network: $41.58
  • Affinity Health Plan — CHP: $15.15
  • Affinity Health Plan — EP 1&2: $34.09
  • Affinity Health Plan — EP 3&4: $34.09
  • Affinity Health Plan — HARP: $15.15
  • Affinity Health Plan — MEDICAID: $15.15
  • Agewell New York — Medicare HMO: $107.84
  • Aither Health — Commercial: $623
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX LS SPINE MIN 4V $713 Not listed in the file $30.30 – $713
X-ray of the lower spine, at least 4 views: 10 of 167 insurance plan rates
  • Aetna — Commercial: $81.53
  • Aetna — Medicare: $125.84
  • Aetna — Narrow Network: $68.37
  • Affinity Health Plan — CHP: $30.30
  • Affinity Health Plan — EP 1&2: $68.18
  • Affinity Health Plan — EP 3&4: $68.18
  • Affinity Health Plan — HARP: $30.30
  • Affinity Health Plan — MEDICAID: $30.30
  • Agewell New York — Medicare HMO: $130.24
  • Aither Health — Commercial: $713
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE WO CON $4,232 Not listed in the file $280.32 – $4,877
MRI of the lower back (lumbar spine), without contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $3,424
  • Aetna — Medicare: $286.04
  • Aetna — Narrow Network: $2,876
  • Affinity Health Plan — CHP: $505
  • Affinity Health Plan — EP 1&2: $1,136.25
  • Affinity Health Plan — EP 3&4: $1,136.25
  • Affinity Health Plan — HARP: $505
  • Affinity Health Plan — MEDICAID: $505
  • Agewell New York — Medicare HMO: $296.05
  • Aither Health — Commercial: $4,232
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CON $2,767 Not listed in the file $171.70 – $2,767
CT scan of the pelvis, with contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $2,331
  • Aetna — Medicare: $210.66
  • Aetna — Narrow Network: $1,958
  • Affinity Health Plan — CHP: $171.70
  • Affinity Health Plan — EP 1&2: $386.33
  • Affinity Health Plan — EP 3&4: $386.33
  • Affinity Health Plan — HARP: $171.70
  • Affinity Health Plan — MEDICAID: $171.70
  • Agewell New York — Medicare HMO: $218.03
  • Aither Health — Commercial: $2,767
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOW EXTRM JOINT WO CON $4,232 Not listed in the file $280.32 – $4,877
MRI of a leg joint (such as the knee), without contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $3,424
  • Aetna — Medicare: $286.04
  • Aetna — Narrow Network: $2,876
  • Affinity Health Plan — CHP: $505
  • Affinity Health Plan — EP 1&2: $1,136.25
  • Affinity Health Plan — EP 3&4: $1,136.25
  • Affinity Health Plan — HARP: $505
  • Affinity Health Plan — MEDICAID: $505
  • Agewell New York — Medicare HMO: $296.05
  • Aither Health — Commercial: $4,232
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD PELVIS W CONTRAST $3,825 Not listed in the file $109.01 – $3,825
CT scan of the abdomen and pelvis, with contrast: 10 of 167 insurance plan rates
  • Aetna — Commercial: $2,331
  • Aetna — Medicare: $422.61
  • Aetna — Narrow Network: $1,958
  • Affinity Health Plan — CHP: $109.01
  • Affinity Health Plan — EP 1&2: $245.27
  • Affinity Health Plan — EP 3&4: $245.27
  • Affinity Health Plan — HARP: $109.01
  • Affinity Health Plan — MEDICAID: $109.01
  • Agewell New York — Medicare HMO: $437.40
  • Aither Health — Commercial: $3,825
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,286 Not listed in the file $60.60 – $1,286
Ultrasound of the abdomen, complete: 10 of 167 insurance plan rates
  • Aetna — Commercial: $204.96
  • Aetna — Medicare: $125.84
  • Aetna — Narrow Network: $171.88
  • Affinity Health Plan — CHP: $60.60
  • Affinity Health Plan — EP 1&2: $136.35
  • Affinity Health Plan — EP 3&4: $136.35
  • Affinity Health Plan — HARP: $60.60
  • Affinity Health Plan — MEDICAID: $60.60
  • Agewell New York — Medicare HMO: $130.24
  • Aither Health — Commercial: $1,286
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG EVAL 2ND/3RD TRI,1ST FETUS $881 Not listed in the file $55.55 – $881
Pregnancy ultrasound (after the first trimester): 10 of 167 insurance plan rates
  • Aetna — Commercial: $228.75
  • Aetna — Medicare: $125.84
  • Aetna — Narrow Network: $191.83
  • Affinity Health Plan — CHP: $55.55
  • Affinity Health Plan — EP 1&2: $124.99
  • Affinity Health Plan — EP 3&4: $124.99
  • Affinity Health Plan — HARP: $55.55
  • Affinity Health Plan — MEDICAID: $55.55
  • Agewell New York — Medicare HMO: $130.24
  • Aither Health — Commercial: $881
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL $1,176 Not listed in the file $60.60 – $1,176
Transvaginal ultrasound: 10 of 167 insurance plan rates
  • Aetna — Commercial: $218.17
  • Aetna — Medicare: $125.84
  • Aetna — Narrow Network: $182.96
  • Affinity Health Plan — CHP: $60.60
  • Affinity Health Plan — EP 1&2: $136.35
  • Affinity Health Plan — EP 3&4: $136.35
  • Affinity Health Plan — HARP: $60.60
  • Affinity Health Plan — MEDICAID: $60.60
  • Agewell New York — Medicare HMO: $130.24
  • Aither Health — Commercial: $1,176
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MM DIAG 2D UNILAT W OR WO CAD $786 Not listed in the file $97.97 – $786
Diagnostic mammogram, one breast: 10 of 134 insurance plan rates
  • Aetna — Commercial: $235.74
  • Aetna — Medicare: $393
  • Aetna — Narrow Network: $197.69
  • Affinity Health Plan — CHP: $97.97
  • Affinity Health Plan — EP 1&2: $220.43
  • Affinity Health Plan — EP 3&4: $220.43
  • Affinity Health Plan — HARP: $97.97
  • Affinity Health Plan — MEDICAID: $97.97
  • Aither Health — Commercial: $786
  • Allied Wellfare Fund — Commercial: $510.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MM DIAG 2D BILAT W OR WO CAD $846 Not listed in the file $97.97 – $846
Diagnostic mammogram, both breasts: 10 of 134 insurance plan rates
  • Aetna — Commercial: $301.43
  • Aetna — Medicare: $423
  • Aetna — Narrow Network: $252.78
  • Affinity Health Plan — CHP: $97.97
  • Affinity Health Plan — EP 1&2: $220.43
  • Affinity Health Plan — EP 3&4: $220.43
  • Affinity Health Plan — HARP: $97.97
  • Affinity Health Plan — MEDICAID: $97.97
  • Aither Health — Commercial: $846
  • Allied Wellfare Fund — Commercial: $549.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MM SCREEN BILAT 2V W OR WO CAD $803 Not listed in the file $97.97 – $803
Screening mammogram, both breasts: 10 of 134 insurance plan rates
  • Aetna — Commercial: $249.04
  • Aetna — Medicare: $401.50
  • Aetna — Narrow Network: $208.85
  • Affinity Health Plan — CHP: $97.97
  • Affinity Health Plan — EP 1&2: $220.43
  • Affinity Health Plan — EP 3&4: $220.43
  • Affinity Health Plan — HARP: $97.97
  • Affinity Health Plan — MEDICAID: $97.97
  • Aither Health — Commercial: $803
  • Allied Wellfare Fund — Commercial: $521.95

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $15.15 – $128
Electrocardiogram (ECG/EKG) with reading: 10 of 134 insurance plan rates
  • Affinity Health Plan — CHP: $15.15
  • Affinity Health Plan — EP 1&2: $34.09
  • Affinity Health Plan — EP 3&4: $34.09
  • Affinity Health Plan — HARP: $15.15
  • Affinity Health Plan — MEDICAID: $15.15
  • BCBS-NY Empire — Blue Access Large Group: $55.15
  • BCBS-NY Empire — Blue Access Small Group: $46.54
  • BCBS-NY Empire — Commercial: $61.30
  • Beacon Health Options — CHP: $15.15
  • Beacon Health Options — Medicaid: $15.15
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LT HEART CATH W VENTR W REPORT $17,609 Not listed in the file $1,691.46 – $17,609
Left heart catheterization (diagnostic): 10 of 167 insurance plan rates
  • Aetna — Commercial: $9,515
  • Aetna — Medicare: $3,806.17
  • Aetna — Narrow Network: $7,993
  • Affinity Health Plan — CHP: $2,181.82
  • Affinity Health Plan — EP 1&2: $4,909.09
  • Affinity Health Plan — EP 3&4: $4,909.09
  • Affinity Health Plan — HARP: $2,181.82
  • Affinity Health Plan — MEDICAID: $2,181.82
  • Agewell New York — Medicare HMO: $3,939.39
  • Aither Health — Commercial: $17,609
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS WO AR $19,086 Not listed in the file $731.22 – $27,009
Heart rhythm study (electrophysiology evaluation): 10 of 167 insurance plan rates
  • Aetna — Commercial: $9,543
  • Aetna — Medicare: $8,979.45
  • Aetna — Narrow Network: $9,543
  • Affinity Health Plan — CHP: $731.22
  • Affinity Health Plan — EP 1&2: $1,645.25
  • Affinity Health Plan — EP 3&4: $1,645.25
  • Affinity Health Plan — HARP: $731.22
  • Affinity Health Plan — MEDICAID: $731.22
  • Agewell New York — Medicare HMO: $9,293.73
  • Aither Health — Commercial: $19,086
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EP TRNSPT AFIB ABLACORSINUS $71,075 Not listed in the file $1,173.88 – $71,075
Heart rhythm study with ablation for atrial fibrillation: 10 of 167 insurance plan rates
  • Aetna — Commercial: $35,537.50
  • Aetna — Medicare: $29,030.54
  • Aetna — Narrow Network: $35,537.50
  • Affinity Health Plan — CHP: $1,173.88
  • Affinity Health Plan — EP 1&2: $2,641.22
  • Affinity Health Plan — EP 3&4: $2,641.22
  • Affinity Health Plan — HARP: $1,173.88
  • Affinity Health Plan — MEDICAID: $1,173.88
  • Agewell New York — Medicare HMO: $30,046.61
  • Aither Health — Commercial: $71,075
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 4 + PARM 6 OR > YRS OLD $14,180 Not listed in the file $1,063.62 – $14,180
Sleep study (overnight, in a sleep lab): 10 of 167 insurance plan rates
  • Aetna — Commercial: $7,090
  • Aetna — Medicare: $1,203.94
  • Aetna — Narrow Network: $5,955
  • Affinity Health Plan — CHP: $1,100.10
  • Affinity Health Plan — EP 1&2: $2,475.23
  • Affinity Health Plan — EP 3&4: $2,475.23
  • Affinity Health Plan — HARP: $1,100.10
  • Affinity Health Plan — MEDICAID: $1,100.10
  • Agewell New York — Medicare HMO: $1,246.08
  • Aither Health — Commercial: $14,180

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THER EX 1 TO 1 UNIT $172 Not listed in the file $34.40 – $356
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 134 insurance plan rates
  • Aetna — Commercial: $356
  • Aetna — Medicare: $86
  • Aetna — Narrow Network: $299
  • Affinity Health Plan — CHP: $81.80
  • Affinity Health Plan — EP 1&2: $184.05
  • Affinity Health Plan — EP 3&4: $184.05
  • Affinity Health Plan — HARP: $81.80
  • Affinity Health Plan — MEDICAID: $81.80
  • Aither Health — Commercial: $172
  • Allied Wellfare Fund — Commercial: $111.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THER EX 1 TO 1 UNIT $172 Not listed in the file $34.40 – $356
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 134 insurance plan rates
  • Aetna — Commercial: $356
  • Aetna — Medicare: $86
  • Aetna — Narrow Network: $299
  • Affinity Health Plan — CHP: $81.80
  • Affinity Health Plan — EP 1&2: $184.05
  • Affinity Health Plan — EP 3&4: $184.05
  • Affinity Health Plan — HARP: $81.80
  • Affinity Health Plan — MEDICAID: $81.80
  • Aither Health — Commercial: $172
  • Allied Wellfare Fund — Commercial: $111.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY $625 Not listed in the file $125 – $625
Physical therapy evaluation (low complexity): 10 of 134 insurance plan rates
  • Aetna — Commercial: $356
  • Aetna — Medicare: $312.50
  • Aetna — Narrow Network: $299
  • Affinity Health Plan — CHP: $259.34
  • Affinity Health Plan — EP 1&2: $583.51
  • Affinity Health Plan — EP 3&4: $583.51
  • Affinity Health Plan — HARP: $259.34
  • Affinity Health Plan — MEDICAID: $259.34
  • Aither Health — Commercial: $625
  • Allied Wellfare Fund — Commercial: $406.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEXITY $650 Not listed in the file $130 – $650
Physical therapy evaluation (moderate complexity): 10 of 134 insurance plan rates
  • Aetna — Commercial: $356
  • Aetna — Medicare: $325
  • Aetna — Narrow Network: $299
  • Affinity Health Plan — CHP: $259.34
  • Affinity Health Plan — EP 1&2: $583.51
  • Affinity Health Plan — EP 3&4: $583.51
  • Affinity Health Plan — HARP: $259.34
  • Affinity Health Plan — MEDICAID: $259.34
  • Aither Health — Commercial: $650
  • Allied Wellfare Fund — Commercial: $422.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY $675 Not listed in the file $135 – $675
Physical therapy evaluation (high complexity): 10 of 134 insurance plan rates
  • Aetna — Commercial: $356
  • Aetna — Medicare: $337.50
  • Aetna — Narrow Network: $299
  • Affinity Health Plan — CHP: $259.34
  • Affinity Health Plan — EP 1&2: $583.51
  • Affinity Health Plan — EP 3&4: $583.51
  • Affinity Health Plan — HARP: $259.34
  • Affinity Health Plan — MEDICAID: $259.34
  • Aither Health — Commercial: $675
  • Allied Wellfare Fund — Commercial: $438.75
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC TX 30M IND OR FMLYMEM $375 Not listed in the file $40 – $554.13
Psychotherapy, 30 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $187.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $375
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG 30M IND OR FMLYMEM $375 Not listed in the file $40 – $554.13
Psychotherapy, 30 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $187.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $375
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH IOP TX 30M IND OR FMLYMEM $375 Not listed in the file $40 – $554.13
Psychotherapy, 30 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $187.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $187.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $375
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC TX 45M IND OR FMLYMEM $400 Not listed in the file $80 – $652.06
Psychotherapy, 45 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $200
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $200
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $400
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG 45M IND OR FMLYMEM $400 Not listed in the file $80 – $652.06
Psychotherapy, 45 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $200
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $200
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $400
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH IOP TX 45M IND OR FMLYMEM $400 Not listed in the file $80 – $652.06
Psychotherapy, 45 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $200
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $200
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $400
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC TX 60M IND OR FMLYMEM $425 Not listed in the file $89.25 – $652.06
Psychotherapy, 60 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $212.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $212.50
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $425
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM CNSLG TX 60M IND OR FMLYMEM $425 Not listed in the file $89.25 – $652.06
Psychotherapy, 60 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $212.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $212.50
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $425
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH IOP TX 60M IND OR FMLY MEM $425 Not listed in the file $89.25 – $652.06
Psychotherapy, 60 minutes: 10 of 169 insurance plan rates
  • Aetna — Commercial: $212.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $212.50
  • Affinity Health Plan — CHP: $289.80
  • Affinity Health Plan — EP 1&2: $652.06
  • Affinity Health Plan — EP 3&4: $652.06
  • Affinity Health Plan — HARP: $289.80
  • Affinity Health Plan — MEDICAID: $289.80
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $425
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH PS FAMILY THERAPY W/O PT $963 Not listed in the file $65 – $963
Family psychotherapy, without the patient: 10 of 169 insurance plan rates
  • Aetna — Commercial: $481.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $481.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $963
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC FAMILY THERAPY W PT $559 Not listed in the file $65 – $559
Family psychotherapy, with the patient: 10 of 169 insurance plan rates
  • Aetna — Commercial: $279.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $279.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $559
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM CNSLG FAMILY THERAPY W PT $559 Not listed in the file $65 – $559
Family psychotherapy, with the patient: 10 of 169 insurance plan rates
  • Aetna — Commercial: $279.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $279.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $559
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH IOP FAMILY THERAPY W PT $559 Not listed in the file $65 – $559
Family psychotherapy, with the patient: 10 of 169 insurance plan rates
  • Aetna — Commercial: $279.50
  • Aetna — Medicare: $190.13
  • Aetna — Narrow Network: $279.50
  • Affinity Health Plan — CHP: $246.28
  • Affinity Health Plan — EP 1&2: $554.13
  • Affinity Health Plan — EP 3&4: $554.13
  • Affinity Health Plan — HARP: $246.28
  • Affinity Health Plan — MEDICAID: $246.28
  • Agewell New York — Medicare HMO: $196.78
  • Aither Health — Commercial: $559
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC ACTIVITY TX - GROUP SESSION $280 Not listed in the file $37.31 – $412.12
Group psychotherapy: 10 of 169 insurance plan rates
  • Aetna — Commercial: $140
  • Aetna — Medicare: $109.46
  • Aetna — Narrow Network: $140
  • Affinity Health Plan — CHP: $183.17
  • Affinity Health Plan — EP 1&2: $412.12
  • Affinity Health Plan — EP 3&4: $412.12
  • Affinity Health Plan — HARP: $183.17
  • Affinity Health Plan — MEDICAID: $183.17
  • Agewell New York — Medicare HMO: $113.29
  • Aither Health — Commercial: $280
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH CLINIC GROUP TX < 60 $280 Not listed in the file $37.31 – $412.12
Group psychotherapy: 10 of 169 insurance plan rates
  • Aetna — Commercial: $140
  • Aetna — Medicare: $109.46
  • Aetna — Narrow Network: $140
  • Affinity Health Plan — CHP: $183.17
  • Affinity Health Plan — EP 1&2: $412.12
  • Affinity Health Plan — EP 3&4: $412.12
  • Affinity Health Plan — HARP: $183.17
  • Affinity Health Plan — MEDICAID: $183.17
  • Agewell New York — Medicare HMO: $113.29
  • Aither Health — Commercial: $280
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BH FAM COUNSLG ACTIVITY TX - GRP SESSION $280 Not listed in the file $37.31 – $412.12
Group psychotherapy: 10 of 169 insurance plan rates
  • Aetna — Commercial: $140
  • Aetna — Medicare: $109.46
  • Aetna — Narrow Network: $140
  • Affinity Health Plan — CHP: $183.17
  • Affinity Health Plan — EP 1&2: $412.12
  • Affinity Health Plan — EP 3&4: $412.12
  • Affinity Health Plan — HARP: $183.17
  • Affinity Health Plan — MEDICAID: $183.17
  • Agewell New York — Medicare HMO: $113.29
  • Aither Health — Commercial: $280

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $942.15 – $10,195.70
Removal of breast growth (open surgery): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $4,531.42
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,919.19
  • Affinity Health Plan — EP 1&2: $4,318.17
  • Affinity Health Plan — EP 3&4: $4,318.17
  • Affinity Health Plan — HARP: $1,919.19
  • Affinity Health Plan — MEDICAID: $1,919.19
  • Agewell New York — Medicare HMO: $4,690.02
  • American Plan Administrators — Commercial: $4,845
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $2,249.52 – $34,258.68
Total hip replacement: 10 of 167 insurance plan rates
  • Aetna — Medicare: $15,226.08
  • Affinity Health Plan — CHP: $4,126.79
  • Affinity Health Plan — EP 1&2: $9,285.27
  • Affinity Health Plan — EP 3&4: $9,285.27
  • Affinity Health Plan — HARP: $4,126.79
  • Affinity Health Plan — MEDICAID: $4,126.79
  • Agewell New York — Medicare HMO: $15,758.99
  • BCBS-NY Empire — BCBS BH CARELON BEACON ALT PLAN: $15,226.08
  • BCBS-NY Empire — BEACON HEALTH BC BS: $15,226.08
  • BCBS-NY Empire — Blue Access Large Group: $29,336
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,249.52 – $46,247
Total knee replacement: 10 of 167 insurance plan rates
  • Aetna — Medicare: $15,226.08
  • Affinity Health Plan — CHP: $4,126.79
  • Affinity Health Plan — EP 1&2: $9,285.27
  • Affinity Health Plan — EP 3&4: $9,285.27
  • Affinity Health Plan — HARP: $4,126.79
  • Affinity Health Plan — MEDICAID: $4,126.79
  • Agewell New York — Medicare HMO: $15,758.99
  • American Plan Administrators — Commercial: $37,681
  • Amerihealth Administrators — Commercial: $37,681
  • APWU — Commercial: $37,126
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $386.17 – $5,269
Shoulder arthroscopy: shaving of shoulder bone: 10 of 133 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $2,209.27
  • Affinity Health Plan — EP 1&2: $4,970.85
  • Affinity Health Plan — EP 3&4: $4,970.85
  • Affinity Health Plan — HARP: $2,209.27
  • Affinity Health Plan — MEDICAID: $2,209.27
  • American Plan Administrators — Commercial: $1,200
  • Amerihealth Administrators — Commercial: $1,200
  • APWU — Commercial: $4,554.66
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,196.90 – $8,638.97
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 167 insurance plan rates
  • Aetna — Commercial: $5,069.40
  • Aetna — Medicare: $3,839.54
  • Aetna — Narrow Network: $4,258
  • Affinity Health Plan — CHP: $2,209.27
  • Affinity Health Plan — EP 1&2: $4,970.85
  • Affinity Health Plan — EP 3&4: $4,970.85
  • Affinity Health Plan — HARP: $2,209.27
  • Affinity Health Plan — MEDICAID: $2,209.27
  • Agewell New York — Medicare HMO: $3,973.92
  • American Plan Administrators — Commercial: $5,183
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $612.14 – $15,750.81
Removal of tonsils and adenoids (under age 12): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $7,000.36
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,771.79
  • Affinity Health Plan — EP 1&2: $3,986.52
  • Affinity Health Plan — EP 3&4: $3,986.52
  • Affinity Health Plan — HARP: $1,771.79
  • Affinity Health Plan — MEDICAID: $1,771.79
  • Agewell New York — Medicare HMO: $7,245.37
  • American Plan Administrators — Commercial: $4,845
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER ENDO UGI DIAGNOSTIC $3,740 Not listed in the file $255.80 – $4,299
Upper GI endoscopy (diagnostic): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,109.47
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,040.48
  • Affinity Health Plan — EP 1&2: $2,341.08
  • Affinity Health Plan — EP 3&4: $2,341.08
  • Affinity Health Plan — HARP: $1,040.48
  • Affinity Health Plan — MEDICAID: $1,040.48
  • Agewell New York — Medicare HMO: $1,148.30
  • Aither Health — Commercial: $3,740
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER UPPER ENDO DIAG BIOPSY $3,435 Not listed in the file $285.80 – $4,299
Upper GI endoscopy with biopsy: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,109.47
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,040.48
  • Affinity Health Plan — EP 1&2: $2,341.08
  • Affinity Health Plan — EP 3&4: $2,341.08
  • Affinity Health Plan — HARP: $1,040.48
  • Affinity Health Plan — MEDICAID: $1,040.48
  • Agewell New York — Medicare HMO: $1,148.30
  • Aither Health — Commercial: $3,435
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $388.66 – $4,299
Colonoscopy (diagnostic): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,078.88
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,004.06
  • Affinity Health Plan — EP 1&2: $2,259.14
  • Affinity Health Plan — EP 3&4: $2,259.14
  • Affinity Health Plan — HARP: $1,004.06
  • Affinity Health Plan — MEDICAID: $1,004.06
  • Agewell New York — Medicare HMO: $1,116.64
  • American Plan Administrators — Commercial: $3,902
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $418.66 – $4,299
Colonoscopy with biopsy: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,395.28
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,004.06
  • Affinity Health Plan — EP 1&2: $2,259.14
  • Affinity Health Plan — EP 3&4: $2,259.14
  • Affinity Health Plan — HARP: $1,004.06
  • Affinity Health Plan — MEDICAID: $1,004.06
  • Agewell New York — Medicare HMO: $1,444.11
  • American Plan Administrators — Commercial: $3,902
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $526.34 – $4,299
Colonoscopy with removal of polyps (snare): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,395.28
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,004.06
  • Affinity Health Plan — EP 1&2: $2,259.14
  • Affinity Health Plan — EP 3&4: $2,259.14
  • Affinity Health Plan — HARP: $1,004.06
  • Affinity Health Plan — MEDICAID: $1,004.06
  • Agewell New York — Medicare HMO: $1,444.11
  • American Plan Administrators — Commercial: $3,902
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $529.46 – $4,299
Ultrasound of the lower bowel by endoscope: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,299
  • Aetna — Medicare: $1,395.28
  • Aetna — Narrow Network: $3,611
  • Affinity Health Plan — CHP: $1,004.06
  • Affinity Health Plan — EP 1&2: $2,259.14
  • Affinity Health Plan — EP 3&4: $2,259.14
  • Affinity Health Plan — HARP: $1,004.06
  • Affinity Health Plan — MEDICAID: $1,004.06
  • Agewell New York — Medicare HMO: $1,444.11
  • American Plan Administrators — Commercial: $3,902
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $339.36 – $5,269
Screening colonoscopy (not high risk): 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $1,078.88
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,004.06
  • Affinity Health Plan — EP 1&2: $2,259.14
  • Affinity Health Plan — EP 3&4: $2,259.14
  • Affinity Health Plan — HARP: $1,004.06
  • Affinity Health Plan — MEDICAID: $1,004.06
  • Agewell New York — Medicare HMO: $1,116.64
  • American Plan Administrators — Commercial: $3,634
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,510.81 – $15,534.34
Gallbladder removal by laparoscope: 10 of 167 insurance plan rates
  • Aetna — Commercial: $5,069.40
  • Aetna — Medicare: $6,904.15
  • Aetna — Narrow Network: $4,258
  • Affinity Health Plan — CHP: $3,210.56
  • Affinity Health Plan — EP 1&2: $7,223.76
  • Affinity Health Plan — EP 3&4: $7,223.76
  • Affinity Health Plan — HARP: $3,210.56
  • Affinity Health Plan — MEDICAID: $3,210.56
  • Agewell New York — Medicare HMO: $7,145.80
  • American Plan Administrators — Commercial: $5,453
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER REP ING HERNIA INITIAL 5YRS ABOVE $11,433 Not listed in the file $1,193.06 – $11,433
Groin (inguinal) hernia repair, age 5 or older: 10 of 167 insurance plan rates
  • Aetna — Commercial: $5,069.40
  • Aetna — Medicare: $4,176.15
  • Aetna — Narrow Network: $4,258
  • Affinity Health Plan — CHP: $2,507.96
  • Affinity Health Plan — EP 1&2: $5,642.91
  • Affinity Health Plan — EP 3&4: $5,642.91
  • Affinity Health Plan — HARP: $2,507.96
  • Affinity Health Plan — MEDICAID: $2,507.96
  • Agewell New York — Medicare HMO: $4,322.32
  • Aither Health — Commercial: $11,433
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $269.20 – $5,454.27
Prostate biopsy: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $2,424.12
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $2,401.92
  • Affinity Health Plan — EP 1&2: $5,404.33
  • Affinity Health Plan — EP 3&4: $5,404.33
  • Affinity Health Plan — HARP: $2,401.92
  • Affinity Health Plan — MEDICAID: $2,401.92
  • Agewell New York — Medicare HMO: $2,508.96
  • American Plan Administrators — Commercial: $3,902
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $2,249.52 – $46,247
Prostate removal by laparoscope (radical prostatectomy): 10 of 167 insurance plan rates
  • Aetna — Commercial: $5,069.40
  • Aetna — Medicare: $12,320.22
  • Aetna — Narrow Network: $4,258
  • Affinity Health Plan — CHP: $3,208.25
  • Affinity Health Plan — EP 1&2: $7,218.56
  • Affinity Health Plan — EP 3&4: $7,218.56
  • Affinity Health Plan — HARP: $3,208.25
  • Affinity Health Plan — MEDICAID: $3,208.25
  • Agewell New York — Medicare HMO: $12,751.43
  • American Plan Administrators — Commercial: $6,459
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $498.91 – $8,465.69
Hysteroscopy with biopsy of the uterus lining: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $3,762.53
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,719.21
  • Affinity Health Plan — EP 1&2: $3,868.22
  • Affinity Health Plan — EP 3&4: $3,868.22
  • Affinity Health Plan — HARP: $1,719.21
  • Affinity Health Plan — MEDICAID: $1,719.21
  • Agewell New York — Medicare HMO: $3,894.22
  • American Plan Administrators — Commercial: $4,845
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SX INJ EPIDRL SUBARAC L/S W/IMG $2,860 Not listed in the file $203.15 – $5,269
Spinal injection, lower back (epidural), with imaging guidance: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $819.50
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $751.98
  • Affinity Health Plan — EP 1&2: $1,691.96
  • Affinity Health Plan — EP 3&4: $1,691.96
  • Affinity Health Plan — HARP: $751.98
  • Affinity Health Plan — MEDICAID: $751.98
  • Agewell New York — Medicare HMO: $848.18
  • Aither Health — Commercial: $2,860
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ LUMBAR ANES STEROID FLR $2,552 Not listed in the file $227.91 – $5,269
Nerve root injection, lower back, with imaging guidance: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $1,053.53
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $751.98
  • Affinity Health Plan — EP 1&2: $1,691.96
  • Affinity Health Plan — EP 3&4: $1,691.96
  • Affinity Health Plan — HARP: $751.98
  • Affinity Health Plan — MEDICAID: $751.98
  • Agewell New York — Medicare HMO: $1,090.40
  • Aither Health — Commercial: $2,552
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER NEUROPLASTY MEDIAN NERVE $6,820 Not listed in the file $950.99 – $6,820
Carpal tunnel release: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $2,310.83
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,639.27
  • Affinity Health Plan — EP 1&2: $3,688.36
  • Affinity Health Plan — EP 3&4: $3,688.36
  • Affinity Health Plan — HARP: $1,639.27
  • Affinity Health Plan — MEDICAID: $1,639.27
  • Agewell New York — Medicare HMO: $2,391.71
  • Aither Health — Commercial: $6,820
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $633.25 – $5,269
Laser treatment of clouding after cataract surgery: 10 of 167 insurance plan rates
  • Aetna — Commercial: $4,663
  • Aetna — Medicare: $649.19
  • Aetna — Narrow Network: $3,917
  • Affinity Health Plan — CHP: $1,965.22
  • Affinity Health Plan — EP 1&2: $4,421.74
  • Affinity Health Plan — EP 3&4: $4,421.74
  • Affinity Health Plan — HARP: $1,965.22
  • Affinity Health Plan — MEDICAID: $1,965.22
  • Agewell New York — Medicare HMO: $671.91
  • American Plan Administrators — Commercial: $3,634
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,095.41 – $6,072.57
Cataract removal with lens implant: 10 of 167 insurance plan rates
  • Aetna — Commercial: $5,069.40
  • Aetna — Medicare: $2,698.92
  • Aetna — Narrow Network: $4,258
  • Affinity Health Plan — CHP: $2,455.59
  • Affinity Health Plan — EP 1&2: $5,525.07
  • Affinity Health Plan — EP 3&4: $5,525.07
  • Affinity Health Plan — HARP: $2,455.59
  • Affinity Health Plan — MEDICAID: $2,455.59
  • Agewell New York — Medicare HMO: $2,793.38
  • American Plan Administrators — Commercial: $4,845

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,410.87 – $12,000
Vaginal delivery, with care before and after: 10 of 134 insurance plan rates
  • Affinity Health Plan — CHP: $2,410.87
  • Affinity Health Plan — EP 1&2: $5,424.45
  • Affinity Health Plan — EP 3&4: $5,424.45
  • Affinity Health Plan — HARP: $2,410.87
  • Affinity Health Plan — MEDICAID: $2,410.87
  • American Plan Administrators — Commercial: $5,148
  • Amerihealth Administrators — Commercial: $5,148
  • Beacon Health Options — CHP: $2,410.87
  • Beacon Health Options — Medicaid: $2,410.87
  • Beacon Health Strategies — EP 3&4: $2,410.87
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,779.23 – $12,000
Cesarean delivery (C-section), with care before and after: 10 of 95 insurance plan rates
  • American Plan Administrators — Commercial: $5,148
  • Amerihealth Administrators — Commercial: $5,148
  • Benefit Services — Commercial: $5,148
  • Brighton — Create Flex: $3,087.76
  • Brighton — Create IDN: $2,999.36
  • Brighton — Direct Plus: $4,866
  • Brighton — LOCAL 3 MAGNA JIB: $4,230
  • Brighton — PPO: $5,269
  • Emblem Health — Commercial: $5,148
  • GHI CBP NY City Employee Alternate — Commercial: $5,148
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,410.87 – $12,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 134 insurance plan rates
  • Affinity Health Plan — CHP: $2,410.87
  • Affinity Health Plan — EP 1&2: $5,424.45
  • Affinity Health Plan — EP 3&4: $5,424.45
  • Affinity Health Plan — HARP: $2,410.87
  • Affinity Health Plan — MEDICAID: $2,410.87
  • American Plan Administrators — Commercial: $5,148
  • Amerihealth Administrators — Commercial: $5,148
  • Beacon Health Options — CHP: $2,410.87
  • Beacon Health Options — Medicaid: $2,410.87
  • Beacon Health Strategies — EP 3&4: $2,410.87

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: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $6,454 – $332,940
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 115 insurance plan rates
  • Aetna — Commercial: $332,940
  • Aetna — Medicare: $89,595.65
  • Aetna — Narrow Network: $279,670
  • Agewell New York — Medicare HMO: $91,949.92
  • American Plan Administrators — Commercial: $220,797.87
  • Amerihealth Administrators — Commercial: $220,797.87
  • APWU — Commercial: $222,087.57
  • BCBS-NY Empire — BCBS BH CARELON BEACON ALT PLAN: $89,311.09
  • BCBS-NY Empire — BEACON HEALTH BC BS: $89,311.09
  • BCBS-NY Empire — Blue Access Large Group: $201,611.48
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $6,454 – $43,764.34
Hip or knee replacement (major joint of the leg), without major complications: 10 of 115 insurance plan rates
  • Aetna — Commercial: $39,267.42
  • Aetna — Medicare: $17,732.96
  • Aetna — Narrow Network: $32,984.94
  • Agewell New York — Medicare HMO: $18,200.91
  • American Plan Administrators — Commercial: $43,136.47
  • Amerihealth Administrators — Commercial: $43,136.47
  • APWU — Commercial: $33,995.57
  • BCBS-NY Empire — BCBS BH CARELON BEACON ALT PLAN: $17,448.38
  • BCBS-NY Empire — BEACON HEALTH BC BS: $17,448.38
  • BCBS-NY Empire — Blue Access Large Group: $39,388.10
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $6,454 – $54,949.72
Neck (cervical) spinal fusion, without complications: 10 of 115 insurance plan rates
  • Aetna — Commercial: $49,303.47
  • Aetna — Medicare: $22,192.45
  • Aetna — Narrow Network: $41,415.30
  • Agewell New York — Medicare HMO: $22,777.46
  • American Plan Administrators — Commercial: $54,161.38
  • Amerihealth Administrators — Commercial: $54,161.38
  • APWU — Commercial: $18,030
  • BCBS-NY Empire — BCBS BH CARELON BEACON ALT PLAN: $21,907.87
  • BCBS-NY Empire — BEACON HEALTH BC BS: $21,907.87
  • BCBS-NY Empire — Blue Access Large Group: $49,454.99
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,454 – $27,823.03
Uterus and ovary surgery (not for cancer), without complications: 10 of 115 insurance plan rates
  • Aetna — Commercial: $24,964.13
  • Aetna — Medicare: $11,377.32
  • Aetna — Narrow Network: $20,970.06
  • Agewell New York — Medicare HMO: $11,678.45
  • American Plan Administrators — Commercial: $27,423.86
  • Amerihealth Administrators — Commercial: $27,423.86
  • APWU — Commercial: $21,612.56
  • BCBS-NY Empire — BCBS BH CARELON BEACON ALT PLAN: $11,092.75
  • BCBS-NY Empire — BEACON HEALTH BC BS: $11,092.75
  • BCBS-NY Empire — Blue Access Large Group: $25,040.84

Source: St Charles Hospital’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 19, 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
Address200 Belle Terre Road, Port Jefferson, NY 11777
CountySuffolk County
StateNew York
Phone(631) 474‑6000
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330246
Name in Medicare recordsST CHARLES HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSt. Charles Hospital (Good Samaritan University Hospital St. Charles Campus)
Official websitecatholichealthli.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Dedicated to Patient-Focused Care in Port Jefferson — catholichealthli.org
  2. St. Charles Hospital services — catholichealthli.org
  3. St. Charles Hospital — catholichealthli.org
  4. Emergency Medicine Good Samaritan University Hospital St. Charles Campus | Catholic Health Long Island — catholichealthli.org
  5. Services & Care Good Samaritan University Hospital St. Charles Campus | Catholic Health Long Island — catholichealthli.org
  6. Labor & Delivery at St. Charles campus | Catholic Health Long Island — catholichealthli.org
  7. Emergency Department Expansion | Catholic Health Long Island — catholichealthli.org
  8. Inpatient Physical Therapy & Rehabilitation (Acute) | Catholic Health Long Island — catholichealthli.org