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Acute Care Hospital

St Elizabeth Florence

Also listed as: St. Elizabeth Healthcare Florence Hospital

Florence, Kentucky · Boone County · Emergency services listed

St Elizabeth Florence is an acute care hospital at 4900 Houston Road, Florence, KY 41042. Phone: (859) 212-5220. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

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

Summary

St Elizabeth Florence is an acute care hospital in Florence, Kentucky. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 15 services, specialties and programs. Medicare lists 902 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(859) 212‑5220 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
3 of 5 stars3 of 5 stars · Medicare rating
902Doctors and clinicians
15Services listed

Quick answers

Does St Elizabeth Florence have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Elizabeth Florence. In a medical emergency, call 911.
Where is St Elizabeth Florence?
4900 Houston Road, Florence, KY 41042, in Boone County, Kentucky.
What is the phone number of St Elizabeth Florence?
(859) 212-5220, as listed by Medicare (CMS).
What is the Medicare star rating of St Elizabeth Florence?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to St Elizabeth Florence for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for St Elizabeth Florence under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1041; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[6][7][8][9]

Conditions treated[8]

Procedures[8]

Programs and centers[8]

  • Primary Stroke Center (Joint Commission advanced certification)
  • Joint Replacement – Shoulder (Joint Commission certification)
  • Spine Surgery (Joint Commission certification)

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingInpatient visiting 8 a.m.-8 p.m. daily, no visitor limit (system-wide guideline). ED: two visitors per patient. ICU: two at a time[9]
Interpreters and languagesFree language translation services; language service line (859) 301-2000[4]
Patient portalMyChart

Recognition[8]

  • Magnet Recognition (ANCC) – Florence campus, initial 2018, redesignated 2023
  • Joint Commission accredited hospital
  • Joint Commission accredited ambulatory care
  • AHA Get With The Guidelines – Stroke Silver Plus (2026)
  • Leapfrog Hospital Safety Grade A (Spring 2026)
  • U.S. News & World Report 2026 High Performing: COPD, Stroke
  • Women's Choice Award 2026: Bariatric Surgery, Patient Safety, Orthopedics, Outpatient Experience
  • Money Magazine Best Hospitals for Bariatric Surgery (2024)

Doctors and clinicians (902)

902 doctors and other clinicians list St Elizabeth Florence 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 (902)

And 878 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Florence

All hospitals in Florence · Hospitals in Boone County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well77%National average: 80%
“Always” got help as soon as they wanted62%National average: 64%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean75%National average: 73%
Completed surveys974Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.217No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.15No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
MRSA bloodstream infections0.422No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.126Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.7%
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients16.5%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients9.3%
Serious complications (patient safety indicator PSI-90)1.19No different from the national rate
Complications after hip or knee replacement3.9%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.5%
Readmitted within 30 days: heart attack14.5%
Readmitted within 30 days: heart failure20.2%
Readmitted within 30 days: pneumonia18.3%
Readmitted within 30 days: COPD21.7%
Readmitted within 30 days: hip or knee replacement6.5%
Too few cases to reportReadmitted within 30 days: coronary bypass surgery

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)158 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)58%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1041Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart failure0.9776Fewer readmissions than expected
Pneumonia1.0577More readmissions than expected
COPD (chronic lung disease)1.0168More readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score21.96 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)7.50 out of 100
Person and community engagement (patient survey)47.00 out of 100
Safety (infections and sepsis care)23.33 out of 100
Efficiency and cost reduction (Medicare spending)10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio1.03Above the national median hospital (1.00): Medicare spent more

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

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 KentuckyBest hospitals in Kentucky

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as St Elizabeth Florence 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 →

Show the prices of 73 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $270.64 – $668.48
Emergency room visit (moderate): rates for 7 insurance plans
  • Ambetter — Marketplace: $541.28
  • Anthem — Medicare Managed Care Plan: $270.64
  • Devoted — Medicare Managed Care Plan: $284.17
  • Employer Advisory Services — Choice Network: $668.48
  • Employer Advisory Services — Elite Network: $600.82
  • United Healthcare — Medicare Managed Care Plan: $276.05
  • Wellcare — Medicare Managed Care Plan: $292.29
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HB ER LEVEL 3 $1,111.84 $1,111.84 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HB SANE SUSPECT COLLECT OFF-SITE $1,111.84 $1,111.84 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $413.69 – $1,021.81
Emergency room visit (moderately high): rates for 7 insurance plans
  • Ambetter — Marketplace: $827.38
  • Anthem — Medicare Managed Care Plan: $413.69
  • Devoted — Medicare Managed Care Plan: $434.37
  • Employer Advisory Services — Choice Network: $1,021.81
  • Employer Advisory Services — Elite Network: $918.39
  • United Healthcare — Medicare Managed Care Plan: $421.96
  • Wellcare — Medicare Managed Care Plan: $446.79
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HB ER LEVEL 4 $1,709.82 $1,709.82 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $590.43 – $1,458.37
Emergency room visit (high): rates for 7 insurance plans
  • Ambetter — Marketplace: $1,180.87
  • Anthem — Medicare Managed Care Plan: $590.43
  • Devoted — Medicare Managed Care Plan: $619.95
  • Employer Advisory Services — Choice Network: $1,458.37
  • Employer Advisory Services — Elite Network: $1,310.76
  • United Healthcare — Medicare Managed Care Plan: $602.24
  • Wellcare — Medicare Managed Care Plan: $637.67
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HB ER LEVEL 5 $2,461.86 $2,461.86 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $3.38 – $20.90
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $20.31
  • Ambetter — Marketplace: $8.46
  • Anthem — All Commercial Plans: $5.69
  • Caresource — Marketplace: $11.84
  • Cigna — All Commercial Plans: $11.60
  • Devoted — Medicare Managed Care Plan: $8.88
  • Employer Advisory Services — Choice Network: $20.90
  • Employer Advisory Services — Elite Network: $18.78
  • Medical Mutual Of Ohio — All Commercial Plans: $3.38
  • Medical Mutual Of Ohio — Medflex: $3.38
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HB BASIC METABOLIC PAN $25.38 $25.38 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $4.22 – $26.08
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $25.35
  • Ambetter — Marketplace: $10.56
  • Anthem — All Commercial Plans: $7.15
  • Caresource — Marketplace: $14.78
  • Cigna — All Commercial Plans: $14.47
  • Devoted — Medicare Managed Care Plan: $11.09
  • Employer Advisory Services — Choice Network: $26.08
  • Employer Advisory Services — Elite Network: $23.44
  • Medical Mutual Of Ohio — All Commercial Plans: $4.22
  • Medical Mutual Of Ohio — Medflex: $4.22
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COMP METABOLIC PANEL $31.68 $31.68 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $19.12 – $118.09
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $114.75
  • Ambetter — Marketplace: $47.81
  • Anthem — All Commercial Plans: $53.28
  • Caresource — Marketplace: $66.93
  • Cigna — All Commercial Plans: $65.58
  • Devoted — Medicare Managed Care Plan: $50.20
  • Employer Advisory Services — Choice Network: $118.09
  • Employer Advisory Services — Elite Network: $106.14
  • Medical Mutual Of Ohio — All Commercial Plans: $19.12
  • Medical Mutual Of Ohio — Medflex: $19.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $5.36 – $33.07
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $32.13
  • Ambetter — Marketplace: $13.39
  • Anthem — All Commercial Plans: $9.68
  • Caresource — Marketplace: $18.75
  • Cigna — All Commercial Plans: $18.36
  • Devoted — Medicare Managed Care Plan: $14.06
  • Employer Advisory Services — Choice Network: $33.07
  • Employer Advisory Services — Elite Network: $29.73
  • Medical Mutual Of Ohio — All Commercial Plans: $5.36
  • Medical Mutual Of Ohio — Medflex: $5.36
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HB LIPID PANEL (SCREENING) $40.17 $40.17 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HB LIPID PANEL (REFLEX) $40.17 $40.17 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $3.47 – $21.44
Kidney function panel: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $20.82
  • Ambetter — Marketplace: $8.68
  • Anthem — All Commercial Plans: $5.69
  • Caresource — Marketplace: $12.15
  • Cigna — All Commercial Plans: $11.90
  • Devoted — Medicare Managed Care Plan: $9.11
  • Employer Advisory Services — Choice Network: $21.44
  • Employer Advisory Services — Elite Network: $19.27
  • Medical Mutual Of Ohio — All Commercial Plans: $3.47
  • Medical Mutual Of Ohio — Medflex: $3.47
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HB RENAL FUNCTIONAL PANEL $26.04 $26.04 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $3.27 – $20.18
Liver function panel: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $19.62
  • Ambetter — Marketplace: $8.17
  • Anthem — All Commercial Plans: $5.69
  • Caresource — Marketplace: $11.44
  • Cigna — All Commercial Plans: $11.20
  • Devoted — Medicare Managed Care Plan: $8.58
  • Employer Advisory Services — Choice Network: $20.18
  • Employer Advisory Services — Elite Network: $18.14
  • Medical Mutual Of Ohio — All Commercial Plans: $3.27
  • Medical Mutual Of Ohio — Medflex: $3.27
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HB HEPATIC PANEL $24.51 $24.51 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $1.27 – $7.83
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $7.62
  • Ambetter — Marketplace: $3.17
  • Anthem — All Commercial Plans: $2.69
  • Caresource — Marketplace: $4.44
  • Cigna — All Commercial Plans: $4.35
  • Devoted — Medicare Managed Care Plan: $3.33
  • Employer Advisory Services — Choice Network: $7.83
  • Employer Advisory Services — Elite Network: $7.04
  • Medical Mutual Of Ohio — All Commercial Plans: $1.27
  • Medical Mutual Of Ohio — Medflex: $1.27
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HB URINALYSIS W/MICRO, AUTO $9.51 $9.51 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $2.05 – $8.60
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $8.34
  • Ambetter — Marketplace: $3.48
  • Anthem — All Commercial Plans: $2.05
  • Caresource — Marketplace: $4.87
  • Cigna — All Commercial Plans: $4.77
  • Devoted — Medicare Managed Care Plan: $3.65
  • Employer Advisory Services — Choice Network: $8.60
  • Employer Advisory Services — Elite Network: $7.73
  • United Healthcare — All Commercial Plans: $4.18
  • United Healthcare — Medicare Managed Care Plan: $3.55
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HB URINALYSIS NONAUTO W/O SCOPE $10.44 $10.44 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HB POCT URINALYSIS DIPSTICK $10.44 $10.44 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $0.90 – $5.56
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $5.40
  • Ambetter — Marketplace: $2.25
  • Anthem — All Commercial Plans: $1.91
  • Caresource — Marketplace: $3.15
  • Cigna — All Commercial Plans: $3.08
  • Devoted — Medicare Managed Care Plan: $2.36
  • Employer Advisory Services — Choice Network: $5.56
  • Employer Advisory Services — Elite Network: $5
  • Medical Mutual Of Ohio — All Commercial Plans: $0.90
  • Medical Mutual Of Ohio — Medflex: $0.90
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HB URINE KETONES $6.75 $6.75 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HB UA DIPSTICK $6.75 $6.75 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $7.36 – $45.42
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $44.13
  • Ambetter — Marketplace: $18.39
  • Anthem — All Commercial Plans: $15.64
  • Caresource — Marketplace: $25.75
  • Cigna — All Commercial Plans: $25.21
  • Devoted — Medicare Managed Care Plan: $19.31
  • Employer Advisory Services — Choice Network: $45.42
  • Employer Advisory Services — Elite Network: $40.83
  • Medical Mutual Of Ohio — All Commercial Plans: $7.36
  • Medical Mutual Of Ohio — Medflex: $7.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PSA,TOTAL (TUMOR MARKER) $55.17 $55.17 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PSA TOTAL $55.17 $55.17 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $6.72 – $41.50
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $40.32
  • Ambetter — Marketplace: $16.80
  • Anthem — All Commercial Plans: $14.28
  • Caresource — Marketplace: $23.52
  • Cigna — All Commercial Plans: $23.04
  • Devoted — Medicare Managed Care Plan: $17.64
  • Employer Advisory Services — Choice Network: $41.50
  • Employer Advisory Services — Elite Network: $37.30
  • Medical Mutual Of Ohio — All Commercial Plans: $6.72
  • Medical Mutual Of Ohio — Medflex: $6.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HB TSH $50.40 $50.40 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HB TSH REFLEXIVE $50.40 $50.40 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $3.11 – $19.19
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $18.66
  • Ambetter — Marketplace: $7.77
  • Anthem — All Commercial Plans: $6.61
  • Caresource — Marketplace: $10.88
  • Cigna — All Commercial Plans: $10.66
  • Devoted — Medicare Managed Care Plan: $8.16
  • Employer Advisory Services — Choice Network: $19.19
  • Employer Advisory Services — Elite Network: $17.25
  • Medical Mutual Of Ohio — All Commercial Plans: $3.11
  • Medical Mutual Of Ohio — Medflex: $3.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COMPLETE CBC W/AUTO DIFF WBC $23.31 $23.31 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $2.59 – $15.98
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $15.54
  • Ambetter — Marketplace: $6.47
  • Anthem — All Commercial Plans: $5.50
  • Caresource — Marketplace: $9.06
  • Cigna — All Commercial Plans: $8.88
  • Devoted — Medicare Managed Care Plan: $6.79
  • Employer Advisory Services — Choice Network: $15.98
  • Employer Advisory Services — Elite Network: $14.36
  • Medical Mutual Of Ohio — All Commercial Plans: $2.59
  • Medical Mutual Of Ohio — Medflex: $2.59
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COMPLETE CBC AUTOMATED $19.41 $19.41 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $1.72 – $10.60
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $10.29
  • Ambetter — Marketplace: $4.29
  • Anthem — All Commercial Plans: $3.34
  • Caresource — Marketplace: $6.01
  • Cigna — All Commercial Plans: $5.89
  • Devoted — Medicare Managed Care Plan: $4.50
  • Employer Advisory Services — Choice Network: $10.60
  • Employer Advisory Services — Elite Network: $9.52
  • Medical Mutual Of Ohio — All Commercial Plans: $1.72
  • Medical Mutual Of Ohio — Medflex: $1.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PT - REF LAB $12.87 $12.87 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PROTHROMBIN TIME $12.87 $12.87 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $2.40 – $14.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $14.43
  • Ambetter — Marketplace: $6.01
  • Anthem — All Commercial Plans: $5.10
  • Caresource — Marketplace: $8.41
  • Cigna — All Commercial Plans: $8.25
  • Devoted — Medicare Managed Care Plan: $6.31
  • Employer Advisory Services — Choice Network: $14.84
  • Employer Advisory Services — Elite Network: $13.34
  • Medical Mutual Of Ohio — All Commercial Plans: $2.40
  • Medical Mutual Of Ohio — Medflex: $2.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PTT - REF LAB $18.03 $18.03 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PTT $18.03 $18.03 Not listed in the file

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: Ct head/brain w/o dye Not listed in the file Not listed in the file $103.65 – $381.35
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $381.35
  • Ambetter — Marketplace: $207.30
  • Anthem — Medicare Managed Care Plan: $103.65
  • Devoted — Medicare Managed Care Plan: $108.83
  • Employer Advisory Services — Choice Network: $256.02
  • Employer Advisory Services — Elite Network: $230.10
  • United Healthcare — Medicare Managed Care Plan: $105.72
  • Wellcare — Medicare Managed Care Plan: $111.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HB CT HEAD/BRAIN W/O CON $427 $427 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $345.89 – $1,252.58
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $1,252.58
  • Ambetter — Marketplace: $691.77
  • Anthem — Medicare Managed Care Plan: $345.89
  • Devoted — Medicare Managed Care Plan: $363.18
  • Employer Advisory Services — Choice Network: $854.34
  • Employer Advisory Services — Elite Network: $767.87
  • United Healthcare — Medicare Managed Care Plan: $352.80
  • Wellcare — Medicare Managed Care Plan: $373.56
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HB MRI BRAIN INC STEM W/W/O CONT $1,434.04 $1,434.04 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $86.28 – $213.11
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $122.99
  • Ambetter — Marketplace: $172.56
  • Anthem — Medicare Managed Care Plan: $86.28
  • Cigna — All Commercial Plans: $169.45
  • Devoted — Medicare Managed Care Plan: $90.59
  • Employer Advisory Services — Choice Network: $213.11
  • Employer Advisory Services — Elite Network: $191.54
  • United Healthcare — Medicare Managed Care Plan: $88.01
  • Wellcare — Medicare Managed Care Plan: $93.18
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HB RADIOLOGIC EXAMINATION, CHEST; 2 VIEWS $353.56 $353.56 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $103.65 – $256.02
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $208.92
  • Ambetter — Marketplace: $207.30
  • Anthem — Medicare Managed Care Plan: $103.65
  • Cigna — All Commercial Plans: $205.01
  • Devoted — Medicare Managed Care Plan: $108.83
  • Employer Advisory Services — Choice Network: $256.02
  • Employer Advisory Services — Elite Network: $230.10
  • United Healthcare — Medicare Managed Care Plan: $105.72
  • Wellcare — Medicare Managed Care Plan: $111.94
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HB SPINE LUMBAR MIN 4 VIEWS $427 $427 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $236.56 – $722.05
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $722.05
  • Ambetter — Marketplace: $473.12
  • Anthem — Medicare Managed Care Plan: $236.56
  • Devoted — Medicare Managed Care Plan: $248.39
  • Employer Advisory Services — Choice Network: $584.30
  • Employer Advisory Services — Elite Network: $525.16
  • United Healthcare — Medicare Managed Care Plan: $241.29
  • Wellcare — Medicare Managed Care Plan: $255.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HB MRI LUMBAR SPINE W/O CONT $970.62 $970.62 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $173.90 – $985.55
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $985.55
  • Ambetter — Marketplace: $347.80
  • Anthem — Medicare Managed Care Plan: $173.90
  • Devoted — Medicare Managed Care Plan: $182.59
  • Employer Advisory Services — Choice Network: $429.53
  • Employer Advisory Services — Elite Network: $386.06
  • United Healthcare — Medicare Managed Care Plan: $177.38
  • Wellcare — Medicare Managed Care Plan: $187.81
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HB CT PELVIS WITH CONTRAST $714.81 $714.81 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $236.56 – $822.43
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $822.43
  • Ambetter — Marketplace: $473.12
  • Anthem — Medicare Managed Care Plan: $236.56
  • Devoted — Medicare Managed Care Plan: $248.39
  • Employer Advisory Services — Choice Network: $584.30
  • Employer Advisory Services — Elite Network: $525.16
  • United Healthcare — Medicare Managed Care Plan: $241.29
  • Wellcare — Medicare Managed Care Plan: $255.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HB MRI LOW EXT ANY JT W/O CON $970.62 $970.62 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $345.89 – $1,250.68
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $1,250.68
  • Ambetter — Marketplace: $691.77
  • Anthem — Medicare Managed Care Plan: $345.89
  • Devoted — Medicare Managed Care Plan: $363.18
  • Employer Advisory Services — Choice Network: $854.34
  • Employer Advisory Services — Elite Network: $767.87
  • United Healthcare — Medicare Managed Care Plan: $352.80
  • Wellcare — Medicare Managed Care Plan: $373.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HB CT ABD & PEL W/CONTRAST $1,434.04 $1,434.04 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $103.65 – $414.31
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $414.31
  • Ambetter — Marketplace: $207.30
  • Anthem — Medicare Managed Care Plan: $103.65
  • Cigna — All Commercial Plans: $205.01
  • Devoted — Medicare Managed Care Plan: $108.83
  • Employer Advisory Services — Choice Network: $256.02
  • Employer Advisory Services — Elite Network: $230.10
  • United Healthcare — Medicare Managed Care Plan: $105.72
  • Wellcare — Medicare Managed Care Plan: $111.94
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HB US ABDOMEN COMPLETE $427 $427 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $103.65 – $468.66
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $468.66
  • Ambetter — Marketplace: $207.30
  • Anthem — Medicare Managed Care Plan: $103.65
  • Cigna — All Commercial Plans: $205.01
  • Devoted — Medicare Managed Care Plan: $108.83
  • Employer Advisory Services — Choice Network: $256.02
  • Employer Advisory Services — Elite Network: $230.10
  • United Healthcare — Medicare Managed Care Plan: $105.72
  • Wellcare — Medicare Managed Care Plan: $111.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HB US PREG UTRS SNG GEST >1ST TRI $427 $427 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $103.65 – $458.14
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $458.14
  • Ambetter — Marketplace: $207.30
  • Anthem — Medicare Managed Care Plan: $103.65
  • Cigna — All Commercial Plans: $205.01
  • Devoted — Medicare Managed Care Plan: $108.83
  • Employer Advisory Services — Choice Network: $256.02
  • Employer Advisory Services — Elite Network: $230.10
  • United Healthcare — Medicare Managed Care Plan: $105.72
  • Wellcare — Medicare Managed Care Plan: $111.94
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HB US NON-OB TRANSVAGINAL $427 $427 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $76.62 – $459.64
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $459.64
  • Ambetter — Marketplace: $153.24
  • Anthem — Medicare Managed Care Plan: $76.62
  • Cigna — All Commercial Plans: $167.72
  • Devoted — Medicare Managed Care Plan: $80.45
  • Employer Advisory Services — Choice Network: $189.25
  • Employer Advisory Services — Elite Network: $170.10
  • United Healthcare — Medicare Managed Care Plan: $78.15
  • Wellcare — Medicare Managed Care Plan: $82.75
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAPHY UNILATERAL INCLUDING CAD $223.89 $223.89 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $98.30 – $589.63
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $589.63
  • Ambetter — Marketplace: $196.60
  • Anthem — Medicare Managed Care Plan: $98.30
  • Cigna — All Commercial Plans: $215.16
  • Devoted — Medicare Managed Care Plan: $103.22
  • Employer Advisory Services — Choice Network: $242.80
  • Employer Advisory Services — Elite Network: $218.23
  • United Healthcare — Medicare Managed Care Plan: $100.27
  • Wellcare — Medicare Managed Care Plan: $106.16
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HB DIAGNOSTIC MAMMOGRAPHY BILATERAL INCLUDING CAD $285.18 $285.18 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $81.07 – $485.95
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $485.95
  • Ambetter — Marketplace: $162.14
  • Anthem — Medicare Managed Care Plan: $81.07
  • Cigna — All Commercial Plans: $177.32
  • Devoted — Medicare Managed Care Plan: $85.12
  • Employer Advisory Services — Choice Network: $200.24
  • Employer Advisory Services — Elite Network: $179.98
  • United Healthcare — Medicare Managed Care Plan: $82.69
  • Wellcare — Medicare Managed Care Plan: $87.56
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HB SCREENING MAMMOGRAPHY BILATERAL INCLUDING CAD $235.77 $235.77 Not listed in the file

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 $86.68
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $86.68
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,214.18 – $13,914
Left heart catheterization (diagnostic): rates for 9 insurance plans
  • Ambetter — Marketplace: $6,428.35
  • Anthem — All Commercial Plans: $13,914
  • Anthem — Medicare Managed Care Plan: $3,214.18
  • Devoted — Medicare Managed Care Plan: $3,374.89
  • Employer Advisory Services — Choice Network: $7,939.02
  • Employer Advisory Services — Elite Network: $7,135.47
  • United Healthcare — All Commercial Plans: $10,056
  • United Healthcare — Medicare Managed Care Plan: $3,278.46
  • Wellcare — Medicare Managed Care Plan: $3,471.31
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HB LT HRT CATH W/ VENTRCGRAPHY $12,915.16 $12,915.16 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $1,640.76 – $19,100.24
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Aetna — All Commercial Plans: $1,640.76
  • Ambetter — Marketplace: $15,465.78
  • Anthem — Medicare Managed Care Plan: $7,732.89
  • Devoted — Medicare Managed Care Plan: $8,119.53
  • Employer Advisory Services — Choice Network: $19,100.24
  • Employer Advisory Services — Elite Network: $17,167.01
  • United Healthcare — All Commercial Plans: $12,226
  • United Healthcare — Medicare Managed Care Plan: $7,887.55
  • Wellcare — Medicare Managed Care Plan: $8,351.52
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COMP EP EVAL W/O INDUCT OR ATTEMPT $30,469.27 $30,469.27 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $18,435 – $64,007.79
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans
  • Ambetter — Marketplace: $51,828.17
  • Anthem — Medicare Managed Care Plan: $25,914.09
  • Devoted — Medicare Managed Care Plan: $27,209.79
  • Employer Advisory Services — Choice Network: $64,007.79
  • Employer Advisory Services — Elite Network: $57,529.27
  • United Healthcare — All Commercial Plans: $18,435
  • United Healthcare — Medicare Managed Care Plan: $26,432.37
  • Wellcare — Medicare Managed Care Plan: $27,987.21
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HB EP TRANSSEPT CATH INS REPOS MULTI ELECT CATH W/INDU $98,507.01 $98,507.01 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $851.39 – $2,102.93
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • Ambetter — Marketplace: $1,702.78
  • Anthem — Medicare Managed Care Plan: $851.39
  • Devoted — Medicare Managed Care Plan: $893.96
  • Employer Advisory Services — Choice Network: $2,102.93
  • Employer Advisory Services — Elite Network: $1,890.08
  • United Healthcare — Medicare Managed Care Plan: $868.42
  • Wellcare — Medicare Managed Care Plan: $919.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HB POLYSOMNOGRAPHY, 4 OR>PARAM $4,085.23 $4,085.23 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HB GC PSG $4,085.23 $4,085.23 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $27.51 – $67.95
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Ambetter — Marketplace: $55.02
  • Anthem — All Commercial Plans: $29.70
  • Anthem — Medicare Managed Care Plan: $27.51
  • Devoted — Medicare Managed Care Plan: $28.89
  • Employer Advisory Services — Choice Network: $67.95
  • Employer Advisory Services — Elite Network: $61.07
  • United Healthcare — Medicare Managed Care Plan: $28.06
  • Wellcare — Medicare Managed Care Plan: $29.71
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: HB OT THER EXERCISE 15 MIN $81.15 $81.15 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HB THER EXERCISE 15 MINUTES $81.15 $81.15 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $81.47 – $229.02
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Ambetter — Marketplace: $185.44
  • Anthem — All Commercial Plans: $81.47
  • Anthem — Medicare Managed Care Plan: $92.72
  • Devoted — Medicare Managed Care Plan: $97.36
  • Employer Advisory Services — Choice Network: $229.02
  • Employer Advisory Services — Elite Network: $205.84
  • United Healthcare — Medicare Managed Care Plan: $94.57
  • Wellcare — Medicare Managed Care Plan: $100.14
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HB PT EVAL LOW COMPLEX $276.39 $276.39 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $81.47 – $229.02
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Ambetter — Marketplace: $185.44
  • Anthem — All Commercial Plans: $81.47
  • Anthem — Medicare Managed Care Plan: $92.72
  • Devoted — Medicare Managed Care Plan: $97.36
  • Employer Advisory Services — Choice Network: $229.02
  • Employer Advisory Services — Elite Network: $205.84
  • United Healthcare — Medicare Managed Care Plan: $94.57
  • Wellcare — Medicare Managed Care Plan: $100.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HB PT EVAL MOD COMPLEX $276.39 $276.39 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $81.47 – $229.02
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Ambetter — Marketplace: $185.44
  • Anthem — All Commercial Plans: $81.47
  • Anthem — Medicare Managed Care Plan: $92.72
  • Devoted — Medicare Managed Care Plan: $97.36
  • Employer Advisory Services — Choice Network: $229.02
  • Employer Advisory Services — Elite Network: $205.84
  • United Healthcare — Medicare Managed Care Plan: $94.57
  • Wellcare — Medicare Managed Care Plan: $100.14
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: HB PT EVAL HIGH COMPLEX $276.39 $276.39 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HB INDIVIDUAL THERAPY 16-37 MINUTES $645.15 $645.15 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HB INDIVIDUAL THERAPY >53 MINUTES $645.15 $645.15 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HB FAMILY PSYCH W/O PATIENT $645.15 $645.15 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HB FAMILY PSYCHOTHERAPY W/PA $645.15 $645.15 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HB RECOVERY GRP CONTINUING $371.41 $371.41 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HB IOP SESSION $371.41 $371.41 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HB PARTIAL HOSP 7-24 HRS $371.41 $371.41 Not listed in the file

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 $3,881.91 – $10,485
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Ambetter — Marketplace: $7,763.83
  • Anthem — All Commercial Plans: $9,962
  • Anthem — Medicare Managed Care Plan: $3,881.91
  • Cigna — All Commercial Plans: $10,485
  • Devoted — Medicare Managed Care Plan: $4,076.01
  • Employer Advisory Services — Choice Network: $9,588.32
  • Employer Advisory Services — Elite Network: $8,617.85
  • United Healthcare — All Commercial Plans: $5,961
  • United Healthcare — Medicare Managed Care Plan: $3,959.55
  • Wellcare — Medicare Managed Care Plan: $4,192.47
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $1,679 – $31,440.05
Total hip replacement: rates for 8 insurance plans
  • Ambetter — Marketplace: $25,457.53
  • Anthem — Medicare Managed Care Plan: $12,728.77
  • Devoted — Medicare Managed Care Plan: $13,365.20
  • Employer Advisory Services — Choice Network: $31,440.05
  • Employer Advisory Services — Elite Network: $28,257.86
  • United Healthcare — All Commercial Plans: $1,679
  • United Healthcare — Medicare Managed Care Plan: $12,983.34
  • Wellcare — Medicare Managed Care Plan: $13,747.07
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $1,679 – $31,440.05
Total knee replacement: rates for 8 insurance plans
  • Ambetter — Marketplace: $25,457.53
  • Anthem — Medicare Managed Care Plan: $12,728.77
  • Devoted — Medicare Managed Care Plan: $13,365.20
  • Employer Advisory Services — Choice Network: $31,440.05
  • Employer Advisory Services — Elite Network: $28,257.86
  • United Healthcare — All Commercial Plans: $1,679
  • United Healthcare — Medicare Managed Care Plan: $12,983.34
  • Wellcare — Medicare Managed Care Plan: $13,747.07
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $1,771 – $10,485
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • Anthem — All Commercial Plans: $9,962
  • Cigna — All Commercial Plans: $10,485
  • United Healthcare — All Commercial Plans: $1,771
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 $3,243.99 – $12,562
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Ambetter — Marketplace: $6,487.98
  • Anthem — All Commercial Plans: $11,067
  • Anthem — Medicare Managed Care Plan: $3,243.99
  • Cigna — All Commercial Plans: $12,562
  • Devoted — Medicare Managed Care Plan: $3,406.19
  • Employer Advisory Services — Choice Network: $8,012.65
  • Employer Advisory Services — Elite Network: $7,201.65
  • United Healthcare — All Commercial Plans: $8,533
  • United Healthcare — Medicare Managed Care Plan: $3,308.87
  • Wellcare — Medicare Managed Care Plan: $3,503.51
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 $5,869.15 – $14,496.80
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Ambetter — Marketplace: $11,738.30
  • Anthem — All Commercial Plans: $9,962
  • Anthem — Medicare Managed Care Plan: $5,869.15
  • Cigna — All Commercial Plans: $10,485
  • Devoted — Medicare Managed Care Plan: $6,162.61
  • Employer Advisory Services — Choice Network: $14,496.80
  • Employer Advisory Services — Elite Network: $13,029.51
  • United Healthcare — All Commercial Plans: $5,961
  • United Healthcare — Medicare Managed Care Plan: $5,986.53
  • Wellcare — Medicare Managed Care Plan: $6,338.68
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $899.22 – $4,603
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Ambetter — Marketplace: $1,798.44
  • Anthem — All Commercial Plans: $3,386
  • Anthem — Medicare Managed Care Plan: $899.22
  • Cigna — All Commercial Plans: $4,603
  • Devoted — Medicare Managed Care Plan: $944.18
  • Employer Advisory Services — Choice Network: $2,221.07
  • Employer Advisory Services — Elite Network: $1,996.27
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $917.20
  • Wellcare — Medicare Managed Care Plan: $971.16
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HB EGD DIAGNOSTIC $3,764.69 $3,764.69 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $899.22 – $5,703
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Ambetter — Marketplace: $1,798.44
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $899.22
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $944.18
  • Employer Advisory Services — Choice Network: $2,221.07
  • Employer Advisory Services — Elite Network: $1,996.27
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $917.20
  • Wellcare — Medicare Managed Care Plan: $971.16
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HB EGD W BIOPSY $3,764.69 $3,764.69 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $922 – $5,703
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Ambetter — Marketplace: $1,843.99
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $922
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $968.10
  • Employer Advisory Services — Choice Network: $2,277.33
  • Employer Advisory Services — Elite Network: $2,046.83
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $940.44
  • Wellcare — Medicare Managed Care Plan: $995.76
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COLONOSCOPY DIAGNOSTIC $3,660.87 $3,660.87 Not listed in the file
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 $1,186.40 – $5,703
Colonoscopy with biopsy: rates for 10 insurance plans
  • Ambetter — Marketplace: $2,372.79
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $1,186.40
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $1,245.72
  • Employer Advisory Services — Choice Network: $2,930.40
  • Employer Advisory Services — Elite Network: $2,633.80
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $1,210.12
  • Wellcare — Medicare Managed Care Plan: $1,281.31
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COLONOSCOPY W BIOPSY $4,734.46 $4,734.46 Not listed in the file
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 $1,186.40 – $5,703
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Ambetter — Marketplace: $2,372.79
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $1,186.40
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $1,245.72
  • Employer Advisory Services — Choice Network: $2,930.40
  • Employer Advisory Services — Elite Network: $2,633.80
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $1,210.12
  • Wellcare — Medicare Managed Care Plan: $1,281.31
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COLONOSCOPY W TUMOR REMOVAL SNARE $4,734.46 $4,734.46 Not listed in the file
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 $1,186.40 – $5,703
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
  • Ambetter — Marketplace: $2,372.79
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $1,186.40
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $1,245.72
  • Employer Advisory Services — Choice Network: $2,930.40
  • Employer Advisory Services — Elite Network: $2,633.80
  • United Healthcare — All Commercial Plans: $3,761
  • United Healthcare — Medicare Managed Care Plan: $1,210.12
  • Wellcare — Medicare Managed Care Plan: $1,281.31
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COLONOSCOPY W/ENDO U/S $4,734.46 $4,734.46 Not listed in the file
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 $922 – $5,703
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Ambetter — Marketplace: $1,843.99
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $922
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $968.10
  • Employer Advisory Services — Choice Network: $2,277.33
  • Employer Advisory Services — Elite Network: $2,046.83
  • United Healthcare — All Commercial Plans: $2,396
  • United Healthcare — Medicare Managed Care Plan: $940.44
  • Wellcare — Medicare Managed Care Plan: $995.76
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HB COLONSCOPY SCREENING INDIV NOT MEETING CRITERIA FOR HIGH RISK $3,660.87 $3,660.87 Not listed in the file
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 $5,993.77 – $14,804.61
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Ambetter — Marketplace: $11,987.54
  • Anthem — All Commercial Plans: $14,219
  • Anthem — Medicare Managed Care Plan: $5,993.77
  • Devoted — Medicare Managed Care Plan: $6,293.46
  • Employer Advisory Services — Choice Network: $14,804.61
  • Employer Advisory Services — Elite Network: $13,306.17
  • United Healthcare — All Commercial Plans: $12,226
  • United Healthcare — Medicare Managed Care Plan: $6,113.65
  • Wellcare — Medicare Managed Care Plan: $6,473.27
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,549.75 – $12,562
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Ambetter — Marketplace: $7,099.50
  • Anthem — All Commercial Plans: $11,067
  • Anthem — Medicare Managed Care Plan: $3,549.75
  • Cigna — All Commercial Plans: $12,562
  • Devoted — Medicare Managed Care Plan: $3,727.24
  • Employer Advisory Services — Choice Network: $8,767.88
  • Employer Advisory Services — Elite Network: $7,880.44
  • United Healthcare — All Commercial Plans: $8,533
  • United Healthcare — Medicare Managed Care Plan: $3,620.74
  • Wellcare — Medicare Managed Care Plan: $3,833.73
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 $3,761 – $5,703
Prostate biopsy: rates for 3 insurance plans
  • Anthem — All Commercial Plans: $5,134
  • Cigna — All Commercial Plans: $5,703
  • United Healthcare — All Commercial Plans: $3,761
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $1,679 – $26,030.91
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • Ambetter — Marketplace: $21,077.66
  • Anthem — Medicare Managed Care Plan: $10,538.83
  • Devoted — Medicare Managed Care Plan: $11,065.77
  • Employer Advisory Services — Choice Network: $26,030.91
  • Employer Advisory Services — Elite Network: $23,396.20
  • United Healthcare — All Commercial Plans: $1,679
  • United Healthcare — Medicare Managed Care Plan: $10,749.61
  • Wellcare — Medicare Managed Care Plan: $11,381.94
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 $3,209.41 – $10,485
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Ambetter — Marketplace: $6,418.82
  • Anthem — All Commercial Plans: $9,962
  • Anthem — Medicare Managed Care Plan: $3,209.41
  • Cigna — All Commercial Plans: $10,485
  • Devoted — Medicare Managed Care Plan: $3,369.88
  • Employer Advisory Services — Choice Network: $7,927.25
  • Employer Advisory Services — Elite Network: $7,124.89
  • United Healthcare — All Commercial Plans: $5,961
  • United Healthcare — Medicare Managed Care Plan: $3,273.60
  • Wellcare — Medicare Managed Care Plan: $3,466.16
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $699.84 – $4,603
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Ambetter — Marketplace: $1,399.68
  • Anthem — All Commercial Plans: $3,386
  • Anthem — Medicare Managed Care Plan: $699.84
  • Cigna — All Commercial Plans: $4,603
  • Devoted — Medicare Managed Care Plan: $734.83
  • Employer Advisory Services — Choice Network: $1,728.60
  • Employer Advisory Services — Elite Network: $1,553.64
  • United Healthcare — All Commercial Plans: $2,396
  • United Healthcare — Medicare Managed Care Plan: $713.83
  • Wellcare — Medicare Managed Care Plan: $755.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HB INJ INTERLAMINAR LUMB/SACRAL W IMAGING $2,780.73 $2,780.73 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $876.90 – $4,603
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Ambetter — Marketplace: $1,753.80
  • Anthem — All Commercial Plans: $3,386
  • Anthem — Medicare Managed Care Plan: $876.90
  • Cigna — All Commercial Plans: $4,603
  • Devoted — Medicare Managed Care Plan: $920.75
  • Employer Advisory Services — Choice Network: $2,165.94
  • Employer Advisory Services — Elite Network: $1,946.72
  • United Healthcare — All Commercial Plans: $2,396
  • United Healthcare — Medicare Managed Care Plan: $894.44
  • Wellcare — Medicare Managed Care Plan: $947.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HB ANES/STERD TRANS EPI LUMB/SCR $3,574.89 $3,574.89 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HB ANES/STERD TRANS EPILUM/SCR $3,574.89 $3,574.89 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,936.01 – $5,961
Carpal tunnel release: rates for 10 insurance plans
  • Ambetter — Marketplace: $3,872.01
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $1,936.01
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $2,032.81
  • Employer Advisory Services — Choice Network: $4,781.94
  • Employer Advisory Services — Elite Network: $4,297.94
  • United Healthcare — All Commercial Plans: $5,961
  • United Healthcare — Medicare Managed Care Plan: $1,974.73
  • Wellcare — Medicare Managed Care Plan: $2,090.89
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 $545.29 – $5,703
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Ambetter — Marketplace: $1,090.58
  • Anthem — All Commercial Plans: $5,134
  • Anthem — Medicare Managed Care Plan: $545.29
  • Cigna — All Commercial Plans: $5,703
  • Devoted — Medicare Managed Care Plan: $572.55
  • Employer Advisory Services — Choice Network: $1,346.86
  • Employer Advisory Services — Elite Network: $1,210.54
  • United Healthcare — All Commercial Plans: $2,396
  • United Healthcare — Medicare Managed Care Plan: $556.19
  • Wellcare — Medicare Managed Care Plan: $588.91
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: HB LASER TREATMENT EYE $2,202.86 $2,202.86 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,288.07 – $9,180
Cataract removal with lens implant: rates for 10 insurance plans
  • Ambetter — Marketplace: $4,576.13
  • Anthem — All Commercial Plans: $9,180
  • Anthem — Medicare Managed Care Plan: $2,288.07
  • Cigna — All Commercial Plans: $5,723
  • Devoted — Medicare Managed Care Plan: $2,402.47
  • Employer Advisory Services — Choice Network: $5,651.52
  • Employer Advisory Services — Elite Network: $5,079.51
  • United Healthcare — All Commercial Plans: $5,961
  • United Healthcare — Medicare Managed Care Plan: $2,333.83
  • Wellcare — Medicare Managed Care Plan: $2,471.11

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 $67,863.28 – $255,487.60
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $235,256.77
  • Ambetter — Marketplace: $146,781.52
  • Anthem — All Commercial Plans: $248,766.82
  • Anthem — Medicare Managed Care Plan: $73,390.76
  • Anthem Pathways X Transition — Hmo: $67,863.28
  • Buckeye Mycare Ohio — Medicare Managed Care Plan: $73,390.76
  • Caresource — Marketplace: $146,781.52
  • Caresource Ohio — Medicare Managed Care Plan: $73,390.76
  • Cigna — All Commercial Plans: $255,487.60
  • Devoted — Medicare Managed Care Plan: $77,060.30
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 $13,380.78 – $50,375.15
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $46,386.19
  • Ambetter — Marketplace: $29,748.72
  • Anthem — All Commercial Plans: $49,050
  • Anthem — Medicare Managed Care Plan: $14,874.36
  • Anthem Pathways X Transition — Hmo: $13,380.78
  • Buckeye Mycare Ohio — Medicare Managed Care Plan: $14,874.36
  • Caresource — Marketplace: $29,748.72
  • Caresource Ohio — Medicare Managed Care Plan: $14,874.36
  • Cigna — All Commercial Plans: $50,375.15
  • Devoted — Medicare Managed Care Plan: $15,618.08
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 $16,935.30 – $63,756.99
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $58,708.38
  • Ambetter — Marketplace: $37,384.10
  • Anthem — All Commercial Plans: $62,079.82
  • Anthem — Medicare Managed Care Plan: $18,692.05
  • Anthem Pathways X Transition — Hmo: $16,935.30
  • Buckeye Mycare Ohio — Medicare Managed Care Plan: $18,692.05
  • Caresource — Marketplace: $37,384.10
  • Caresource Ohio — Medicare Managed Care Plan: $18,692.05
  • Cigna — All Commercial Plans: $63,756.99
  • Devoted — Medicare Managed Care Plan: $19,626.65
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 $8,606.74 – $32,402.12
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $29,836.35
  • Ambetter — Marketplace: $19,493.68
  • Anthem — All Commercial Plans: $31,549.76
  • Anthem — Medicare Managed Care Plan: $9,746.84
  • Anthem Pathways X Transition — Hmo: $8,606.74
  • Buckeye Mycare Ohio — Medicare Managed Care Plan: $9,746.84
  • Caresource — Marketplace: $19,493.68
  • Caresource Ohio — Medicare Managed Care Plan: $9,746.84
  • Cigna — All Commercial Plans: $32,402.12
  • Devoted — Medicare Managed Care Plan: $10,234.18

Source: St Elizabeth Florence’s standard charges file (stelizabeth.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address4900 Houston Road, Florence, KY 41042
CountyBoone County
StateKentucky
Phone(859) 212‑5220
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
CMS Certification Number180045
Name in Medicare recordsST ELIZABETH FLORENCE
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(859) 212‑5200[4]
Name on the hospital’s websiteSt. Elizabeth Healthcare Florence Hospital
Official websitestelizabeth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. St. Elizabeth Healthcare Florence Hospital — stelizabeth.com
  2. St. Elizabeth Healthcare Emergency Department - Florence | KY | St. Elizabeth Healthcare — stelizabeth.com
  3. St. Elizabeth Healthcare Emergency Department - Florence | KY | St. Elizabeth Healthcare — stelizabeth.com
  4. Intensive Care Units - Florence | KY | St. Elizabeth Healthcare — stelizabeth.com
  5. Awards | St. Elizabeth Healthcare — stelizabeth.com
  6. Visitor Guidelines | St. Elizabeth Healthcare — stelizabeth.com