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Acute Care Hospital

St Francis Hospital & Medical Center

Hartford, Connecticut · Hartford County · Emergency services listed

Summary

St Francis Hospital & Medical Center is an acute care hospital in Hartford, Connecticut. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 49 services, specialties and programs. Medicare lists 859 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(860) 714‑5541 Directions Website Medicare profile
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Exterior of St Francis Hospital & Medical Center
Photo: Sage Ross, CC BY-SA 3.0, via Wikimedia Commons · source · licence

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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
617Beds (hospital website)
859Doctors and clinicians
49Services listed

Quick answers

Does St Francis Hospital & Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Francis Hospital & Medical Center. In a medical emergency, call 911.
Where is St Francis Hospital & Medical Center?
114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105, in Hartford County, Connecticut.
What is the phone number of St Francis Hospital & Medical Center?
(860) 714-5541, as listed by Medicare (CMS).
What is the Medicare star rating of St Francis Hospital & Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][7][8]

  • Emergency medicine
  • Trauma care
  • Cardiology (Hoffman Heart and Vascular Institute of Connecticut)
  • Orthopedics / joint replacement
  • Cancer care / oncology
  • Radiation oncology
  • Women's health
  • Breast care
  • Neurology / multiple sclerosis care
  • Stroke care
  • Bariatric (metabolic and weight-loss) surgery
  • Mammography / diagnostic imaging
  • Maternity and newborn care

Conditions treated[5][6][7][8]

Treatments[7]

  • Radiation oncology
  • Metabolic and bariatric surgery
  • Stroke thrombectomy
  • Trauma care
  • Breastfeeding support (Baby-Friendly care)

Procedures[7][8]

  • Total hip replacement
  • Partial hip replacement
  • Total knee replacement
  • Partial knee replacement
  • Total shoulder replacement
  • Reverse total shoulder replacement
  • Partial shoulder replacement
  • Robotic-assisted hip and knee replacement
  • Outpatient (same-day) joint replacement
  • Mammography

Programs and centers[6][7][8]

  • Connecticut Joint Replacement Institute
  • Hoffman Heart and Vascular Institute of Connecticut
  • Smilow Cancer Hospital Yale New Haven at Saint Francis
  • Comprehensive Women's Health Center
  • Curtis D. Robinson Center for Health Equity
  • Saint Francis Trauma Program
  • Center for Comprehensive MS Care
  • Breast care program (NAPBC and CoC accredited)
  • Bariatric surgery program (MBSAQIP)
  • Major teaching hospital / Graduate Medical Education
  • Spiritual care (chaplains 24/7)
  • Hospitality suites for families

Emergency care (hospital website)[5][6][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationThrombectomy-Capable Stroke Center

Visiting and practical information

ParkingCapasso Visitor Parking Garage entered from 114 Woodland St or 341 Collins St. Valet Mon-Fri 7am-7:30pm, $5 flat fee[10]
Interpreters and languagesThe site has a Language Assistance page covering about 18 languages. It does not describe interpreter services in detail[4]
Patient portalMyChart

Recognition[6][7][8]

  • Level I Trauma Center, verified by the American College of Surgeons
  • Thrombectomy-Capable Stroke Center (Joint Commission / American Stroke Association)
  • AHA Get With The Guidelines-Stroke Gold Plus (2026)
  • AHA Get With The Guidelines-Heart Failure Gold Plus (2025)
  • Center for Comprehensive MS Care (National MS Society)
  • Commission on Cancer accredited program
  • National Accreditation Program for Breast Centers (NAPBC)
  • ACR accreditation, radiation oncology
  • ACR mammography accreditation
  • MBSAQIP metabolic and bariatric surgery accreditation (2023)
  • Baby-Friendly Hospital designation
  • Cribs for Kids Gold Infant Safe Sleep Hospital
  • Joint Commission advanced orthopedic certification (Connecticut Joint Replacement Institute, 2019)
  • Healthgrades America's 50 Best for Outpatient Joint Replacement (2026)
  • U.S. News & World Report Best Regional Hospital (2013-2026)
  • CMS 4-Star Overall Hospital Rating (as stated on the site)

Doctors and clinicians (859)

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

Main specialties

Doctors with a page on this site (859)

And 835 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 Francis Hospital & Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean1 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well70%National average: 80%
Doctors “always” communicated well73%National average: 80%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean58%National average: 74%
Area around the room “always” quiet at night47%National average: 60%
Completed surveys410Response rate: 18%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.935No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.067Better than the national benchmark
Surgical site infections after colon surgery0.951No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.59No different from the national benchmark
MRSA bloodstream infections0.427No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.268Better 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 patients11.6%
Deaths within 30 days: heart failure patients11.9%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: COPD patients9.9%
Deaths within 30 days: stroke patients13%
Deaths within 30 days: coronary bypass surgery (CABG)2.5%
Serious complications (patient safety indicator PSI-90)1.39Worse than the national rate
Complications after hip or knee replacement3.5%

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 attack13.6%
Readmitted within 30 days: heart failure19.4%
Readmitted within 30 days: pneumonia16.3%
Readmitted within 30 days: COPD18.7%
Readmitted within 30 days: coronary bypass surgery10.1%
Readmitted within 30 days: hip or knee replacement5.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)275 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)57%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 Hartford

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as St Francis Hospital & Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 41 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $292 $292 $45.58 – $292
New patient office visit (about 30–44 minutes): 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $138.75
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $73.16
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $66.40
  • ALIGN SENIOR CARE — MEDICARE: $73.16
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $66.40
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $73.16
  • AMERIGROUP MEDICAID — MEDICAID: $66.40
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $66.40
  • ANTHEM MYCARE OHIO — MEDICARE: $73.16
  • BCBS GENERIC — ANTHEM BCBS: $118.04
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $175 $175 $55.95 – $175
New patient office visit (about 30–44 minutes): 10 of 774 insurance plan rates
  • AETNA — AETNA: $138.75
  • AETNA MEDICAID — MEDICAID: $66.40
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $66.40
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $73.16
  • ALLY ALIGN CARE ADV — MEDICARE: $73.16
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $66.40
  • ANDRIE INC — WORKERS COMP: $120.83
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $66.40
  • BCCP — MEDICAID: $66.40
  • BCN DOMESTIC — ANTHEM BCBS: $111.58
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level $436 $436 $94.06 – $436
New patient office visit (about 45–59 minutes): 10 of 776 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $183.39
  • AETNA — AETNA: $303.56
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $183.39
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $183.39
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $100.17
  • ALIGN SENIOR CARE — MEDICARE: $183.39
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $183.39
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $100.17
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $183.39
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $100.17
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $449 $449 $102.24 – $449
New patient office visit (about 60–74 minutes): 10 of 774 insurance plan rates
  • AETNA — AETNA: $309.92
  • AETNA DOMESTIC — AETNA: $309.92
  • AETNA MEDICAID — MEDICAID: $125.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $164.26
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $164.26
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $125.34
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $164.26
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $125.34
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $125.34
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $164.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $237 $237 $42.93 – $237
Established patient office visit (about 20–29 minutes): 10 of 768 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $98.44
  • AETNA MEDICAID — MEDICAID: $42.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.44
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $42.93
  • ALLEGIANCE — CIGNA: $132.90
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $42.93
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $98.44
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $42.93
  • AMERIHEALTH MEDICARE — MEDICARE: $98.44
  • ANDRIE INC — WORKERS COMP: $133.85
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $237 $237 $76.51 – $179.31
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • FALLON HEALTH MEDICARE ADVANTAGE — FALLON MEDICARE ADVANTAGE: $107.65
  • MEDICAID - MI — MEDICAID: $83.77
  • MEDICAID - OR — MEDICAID: $76.51
  • MOLINA MEDICARE ADVANTAGE — SENIOR WHOLE HEALTH MEDICARE ADVANTAGE: $110.50
  • UNICARE — WELLPOINT COMM AND MEDICAID: $179.31
  • US FAMILY HEALTH PLAN — US FAMILY HEALTH PLAN: $103.97
  • WELLPOINT — WELLPOINT COMM AND MEDICAID: $179.31
  • WELLPOINT MEDICAID — WELLPOINT COMM AND MEDICAID: $179.31
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $237 $237 $60.71 – $198.88
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • FALLON HEALTH MEDICARE ADVANTAGE — FALLON MEDICARE ADVANTAGE: $102.75
  • MEDICAID - MI — MEDICAID: $60.71
  • MEDICAID - OR — MEDICAID: $72.78
  • MOLINA MEDICARE ADVANTAGE — SENIOR WHOLE HEALTH MEDICARE ADVANTAGE: $105.47
  • UNICARE — WELLPOINT COMM AND MEDICAID: $163.39
  • US FAMILY HEALTH PLAN — US FAMILY HEALTH PLAN: $198.88
  • WELLPOINT — WELLPOINT COMM AND MEDICAID: $163.39
  • WELLPOINT MEDICAID — WELLPOINT COMM AND MEDICAID: $163.39
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $334 $334 $64.99 – $334
Established patient office visit (about 30–39 minutes): 10 of 776 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $64.99
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $140.16
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $140.16
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $64.99
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $64.99
  • ALIGN SENIOR CARE — MEDICARE: $140.16
  • ALLEGIANCE — CIGNA: $187.68
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $64.99
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $64.99
  • AMERICAN HEALTH PLAN — MEDICARE: $140.16
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $199 $199 $58.24 – $199
Preventive checkup, new patient, age 18–39: 10 of 560 insurance plan rates
  • AETNA — AETNA: $173.10
  • AETNA MEDICAID — MEDICAID: $69.25
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.66
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $69.25
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $69.25
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $69.25
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $69.25
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $69.25
  • AMISH MENNONITE — MEDICAID: $69.25
  • ANDRIE INC — WORKERS COMP: $136.85
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $501 $275.55 $109.22 – $501
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $370.74
  • AETNA — AETNA: $370.74
  • AETNA — AETNA WHOLE HEALTH: $296.59
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $344.19
  • ALLIED BENEFIT SYSTEMS — AETNA: $370.74
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $340.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $340.68
  • CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $175.35
  • CENTIVO — CENTIVO: $375.75
  • CHRISTIAN CARE MINISTRY — MULTIPLAN: $340.68
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $329 $329 $81.21 – $329
Preventive checkup, new patient, age 40–64: 10 of 560 insurance plan rates
  • AETNA DOMESTIC — AETNA: $270.52
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $81.21
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $81.21
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $81.21
  • AMERIGROUP MEDICAID — MEDICAID: $81.21
  • AMISH MENNONITE — MEDICAID: $81.21
  • ANDRIE INC — WORKERS COMP: $219.63
  • BCCCP-MICHIGAN — MEDICAID: $81.21
  • BCCP — MEDICAID: $81.21
  • BCN DOMESTIC — ANTHEM BCBS: $296.01
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $241 $241 $66.40 – $241
Preventive checkup, new patient, age 40–64: 10 of 560 insurance plan rates
  • AETNA — AETNA: $210.07
  • AETNA DOMESTIC — AETNA: $210.07
  • AETNA MEDICAID — MEDICAID: $81.21
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $81.21
  • AMERIGROUP MEDICAID — MEDICAID: $81.21
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $81.21
  • BCBS GENERIC — ANTHEM BCBS: $229.63
  • BCCCP-MICHIGAN — MEDICAID: $81.21
  • BCCP — MEDICAID: $81.21
  • BCN DOMESTIC — ANTHEM BCBS: $229.63
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $572 $314.60 $124.70 – $572
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $423.28
  • AETNA — AETNA: $423.28
  • AETNA — AETNA WHOLE HEALTH: $338.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $392.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $423.28
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $388.96
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $388.96
  • CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $200.20
  • CENTIVO — CENTIVO: $429
  • CHRISTIAN CARE MINISTRY — MULTIPLAN: $388.96
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $273 $273 $36.78 – $273
Emergency room visit (moderate): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $71.22
  • AETNA — AETNA: $131.01
  • AETNA DOMESTIC — AETNA: $131.01
  • AETNA MEDICAID — MEDICAID: $36.78
  • ALIGN SENIOR CARE — MEDICARE: $71.22
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $71.22
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $36.78
  • AMERIGROUP MEDICAID — MEDICAID: $36.78
  • AMISH MENNONITE — MEDICAID: $36.78
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $36.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $148 $148 $36.78 – $148
Emergency room visit (moderate): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $71.22
  • AETNA — AETNA: $131.01
  • AETNA DOMESTIC — AETNA: $131.01
  • AETNA MEDICAID — MEDICAID: $36.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $71.22
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $71.22
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $36.78
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $36.78
  • ALIGN SENIOR CARE — MEDICARE: $71.22
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $71.22
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 OB Triage Sane_Safe $2,136 $1,174.80 $302.24 – $5,748
Emergency room visit (moderate): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3,900
  • AETNA — AETNA: $3,900
  • AETNA — AETNA WHOLE HEALTH: $3,120
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $320.70
  • ALLEGIANCE — CIGNA: $4,136
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,900
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,452.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,452.48
  • BCBS GENERIC — ANTHEM: $1,137.34
  • BCN DOMESTIC — ANTHEM: $1,137.34
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $384 $384 $60.09 – $384
Emergency room visit (moderately high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $103.03
  • AETNA DOMESTIC — AETNA: $204.57
  • AETNA MEDICAID — MEDICAID: $60.09
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $103.03
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $60.09
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $60.09
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $103.03
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $103.03
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $103.03
  • AMISH MENNONITE — MEDICAID: $60.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $253 $253 $66.77 – $253
Emergency room visit (moderately high): 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $240.68
  • AETNA MEDICAID — MEDICAID: $66.77
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $66.77
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $66.77
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $66.77
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $66.77
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $121.21
  • AMERIGROUP MEDICAID — MEDICAID: $66.77
  • AMERIHEALTH MEDICARE — MEDICARE: $121.21
  • AVMED MEDICARE — MEDICARE: $121.21
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe $2,943 $1,618.65 $462 – $5,748
Emergency room visit (moderately high): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3,900
  • AETNA — AETNA: $3,900
  • AETNA — AETNA WHOLE HEALTH: $3,120
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $490.22
  • ALLEGIANCE — CIGNA: $4,136
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,900
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,001.24
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,001.24
  • BCBS GENERIC — ANTHEM: $1,738.52
  • BCN DOMESTIC — ANTHEM: $1,738.52
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $552 $552 $99.99 – $552
Emergency room visit (high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $175.48
  • AETNA DOMESTIC — AETNA: $349.48
  • AETNA MEDICAID — MEDICAID: $99.99
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $175.48
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $99.99
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $99.99
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $175.48
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $175.48
  • ALLY ALIGN CARE ADV — MEDICARE: $175.48
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $175.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $367 $367 $99.99 – $367
Emergency room visit (high): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $175.48
  • AETNA DOMESTIC — AETNA: $349.48
  • AETNA MEDICAID — MEDICAID: $99.99
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $175.48
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $175.48
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $99.99
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $175.48
  • ALLY ALIGN CARE ADV — MEDICARE: $175.48
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $175.48
  • AMERICAN HEALTH PLAN — MEDICARE: $175.48
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 OB Triage $3,691 $2,030.05 $659.38 – $5,748
Emergency room visit (high): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3,900
  • AETNA — AETNA: $3,900
  • AETNA — AETNA WHOLE HEALTH: $3,120
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $699.65
  • ALLEGIANCE — CIGNA: $4,136
  • ALLIED BENEFIT SYSTEMS — AETNA: $3,900
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,509.88
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,509.88
  • BCBS GENERIC — ANTHEM: $2,481.24
  • BCN DOMESTIC — ANTHEM: $2,481.24

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) $61 $33.55 $7.50 – $51.85
Basic metabolic panel (blood test): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $11.51
  • AETNA — AETNA: $11.51
  • AETNA — AETNA WHOLE HEALTH: $9.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.29
  • ALLEGIANCE — CIGNA: $13.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $11.51
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $41.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $41.48
  • BCBS GENERIC — ANTHEM: $9.68
  • BCN DOMESTIC — ANTHEM: $9.68
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel $75 $41.25 $9.36 – $63.75
Comprehensive metabolic panel (blood test): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $14.36
  • AETNA — AETNA: $14.36
  • AETNA — AETNA WHOLE HEALTH: $11.49
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.35
  • ALLEGIANCE — CIGNA: $17.46
  • ALLIED BENEFIT SYSTEMS — AETNA: $14.36
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $51
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $51
  • BCBS GENERIC — ANTHEM: $12.08
  • BCN DOMESTIC — ANTHEM: $12.08
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel $94 $51.70 $11.87 – $79.90
Cholesterol panel (lipid panel): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $18.21
  • AETNA — AETNA: $18.21
  • AETNA — AETNA WHOLE HEALTH: $14.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.12
  • ALLEGIANCE — CIGNA: $36.26
  • ALLIED BENEFIT SYSTEMS — AETNA: $18.21
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $63.92
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $63.92
  • BCBS GENERIC — ANTHEM: $15.32
  • BCN DOMESTIC — ANTHEM: $15.32
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $69 $37.95 $7.70 – $58.65
Kidney function panel: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $11.80
  • AETNA — AETNA: $11.80
  • AETNA — AETNA WHOLE HEALTH: $9.44
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.51
  • ALLEGIANCE — CIGNA: $13.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $11.80
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $46.92
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $46.92
  • BCBS GENERIC — ANTHEM: $9.93
  • BCN DOMESTIC — ANTHEM: $9.93
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $48 $26.40 $7.24 – $40.80
Liver function panel: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $11.11
  • AETNA — AETNA: $11.11
  • AETNA — AETNA WHOLE HEALTH: $8.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.01
  • ALLEGIANCE — CIGNA: $13.54
  • ALLIED BENEFIT SYSTEMS — AETNA: $11.11
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $32.64
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $32.64
  • BCBS GENERIC — ANTHEM: $9.35
  • BCN DOMESTIC — ANTHEM: $9.35
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated $10 $5.50 $2.26 – $8.50
Urine test (automated, with microscope): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4.31
  • AETNA — AETNA: $4.31
  • AETNA — AETNA WHOLE HEALTH: $3.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
  • ALLEGIANCE — CIGNA: $7.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $4.31
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $6.80
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $6.80
  • BCBS GENERIC — ANTHEM: $3.63
  • BCN DOMESTIC — ANTHEM: $3.63
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Urinalysis With Microscopy Automated $10 $5.50 $2.26 – $8.50
Urine test (automated, with microscope): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4.31
  • AETNA — AETNA: $4.31
  • AETNA — AETNA WHOLE HEALTH: $3.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.11
  • ALLEGIANCE — CIGNA: $7.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $4.31
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $6.80
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $6.80
  • BCBS GENERIC — ANTHEM: $3.63
  • BCN DOMESTIC — ANTHEM: $3.63
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated Not listed in the file $1,534.50 $3.17 – $554.35
Urine test (automated, with microscope): 10 of 38 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4.31
  • AETNA — AETNA: $4.31
  • AETNA — AETNA WHOLE HEALTH: $3.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $156.41
  • ALLEGIANCE — CIGNA: $7.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $4.31
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — ANTHEM MEDIBLUE MEDICARE ADVANTAGE: $156.41
  • CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $159.54
  • CCA SENIOR CARE OPTIONS — COMMONWEALTH CARE ALLIANCE MEDICARE ADV: $159.54
  • CIGNA — CIGNA: $7.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Nonautomated $34 $18.70 $3.09 – $28.90
Urine test (manual, without microscope): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4.73
  • AETNA — AETNA: $4.73
  • AETNA — AETNA WHOLE HEALTH: $3.79
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.41
  • ALLEGIANCE — CIGNA: $8.05
  • ALLIED BENEFIT SYSTEMS — AETNA: $4.73
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $23.12
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $23.12
  • BCBS GENERIC — ANTHEM: $3.98
  • BCN DOMESTIC — ANTHEM: $3.98
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Urinalysis Without Microscopy Automated $20 $11 $2 – $17
Urine test (automated, without microscope): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3.06
  • AETNA — AETNA: $3.06
  • AETNA — AETNA WHOLE HEALTH: $2.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
  • ALLEGIANCE — CIGNA: $7.08
  • ALLIED BENEFIT SYSTEMS — AETNA: $3.06
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $13.60
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $13.60
  • BCBS GENERIC — ANTHEM: $2.57
  • BCN DOMESTIC — ANTHEM: $2.57
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated $20 $11 $2 – $17
Urine test (automated, without microscope): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3.06
  • AETNA — AETNA: $3.06
  • AETNA — AETNA WHOLE HEALTH: $2.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.21
  • ALLEGIANCE — CIGNA: $7.08
  • ALLIED BENEFIT SYSTEMS — AETNA: $3.06
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $13.60
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $13.60
  • BCBS GENERIC — ANTHEM: $2.57
  • BCN DOMESTIC — ANTHEM: $2.57
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated Not listed in the file $946.55 $2.25 – $164.39
Urine test (automated, without microscope): 10 of 37 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $3.06
  • AETNA — AETNA: $3.06
  • AETNA — AETNA WHOLE HEALTH: $2.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $156.41
  • ALLEGIANCE — CIGNA: $7.08
  • ALLIED BENEFIT SYSTEMS — AETNA: $3.06
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — ANTHEM MEDIBLUE MEDICARE ADVANTAGE: $156.41
  • CAREPARTNERS OF CONNECTICUT MEDICARE ADVANTAGE — CAREPARTNERS MEDICARE ADVANTAGE: $159.54
  • CCA SENIOR CARE OPTIONS — COMMONWEALTH CARE ALLIANCE MEDICARE ADV: $159.54
  • CIGNA — CIGNA: $7.08
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total Ultrasensitive $126 $69.30 $16.31 – $107.10
PSA (prostate specific antigen) blood test: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $25.01
  • AETNA — AETNA: $25.01
  • AETNA — AETNA WHOLE HEALTH: $20.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • ALLEGIANCE — CIGNA: $77.37
  • ALLIED BENEFIT SYSTEMS — AETNA: $25.01
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $85.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $85.68
  • BCBS GENERIC — ANTHEM: $21.04
  • BCN DOMESTIC — ANTHEM: $21.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 1012090 Prostate Specific Antigen Total $126 $69.30 $16.31 – $107.10
PSA (prostate specific antigen) blood test: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $25.01
  • AETNA — AETNA: $25.01
  • AETNA — AETNA WHOLE HEALTH: $20.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • ALLEGIANCE — CIGNA: $77.37
  • ALLIED BENEFIT SYSTEMS — AETNA: $25.01
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $85.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $85.68
  • BCBS GENERIC — ANTHEM: $21.04
  • BCN DOMESTIC — ANTHEM: $21.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total $126 $69.30 $16.31 – $107.10
PSA (prostate specific antigen) blood test: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $25.01
  • AETNA — AETNA: $25.01
  • AETNA — AETNA WHOLE HEALTH: $20.01
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.02
  • ALLEGIANCE — CIGNA: $77.37
  • ALLIED BENEFIT SYSTEMS — AETNA: $25.01
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $85.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $85.68
  • BCBS GENERIC — ANTHEM: $21.04
  • BCN DOMESTIC — ANTHEM: $21.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone $144 $79.20 $14.90 – $122.40
Thyroid stimulating hormone (TSH) test: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $22.85
  • AETNA — AETNA: $22.85
  • AETNA — AETNA WHOLE HEALTH: $18.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.46
  • ALLEGIANCE — CIGNA: $27.51
  • ALLIED BENEFIT SYSTEMS — AETNA: $22.85
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $97.92
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $97.92
  • BCBS GENERIC — ANTHEM: $19.22
  • BCN DOMESTIC — ANTHEM: $19.22
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated $62 $34.10 $6.89 – $52.70
Complete blood count (CBC) with differential: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $10.57
  • AETNA — AETNA: $10.57
  • AETNA — AETNA WHOLE HEALTH: $8.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.61
  • ALLEGIANCE — CIGNA: $12.68
  • ALLIED BENEFIT SYSTEMS — AETNA: $10.57
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $42.16
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $42.16
  • BCBS GENERIC — ANTHEM: $8.89
  • BCN DOMESTIC — ANTHEM: $8.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated Not listed in the file $7,888.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $1,742.92 – $12,660 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 95 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,849.38
  • BCBS GENERIC — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCN DOMESTIC — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CARE NETWORK — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AL — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AR — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AZ — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $6,558.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated Intrauterine $40 $22 $5.74 – $34
Complete blood count (CBC), automated: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8.80
  • AETNA — AETNA: $8.80
  • AETNA — AETNA WHOLE HEALTH: $7.04
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34
  • ALLEGIANCE — CIGNA: $10.50
  • ALLIED BENEFIT SYSTEMS — AETNA: $8.80
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $27.20
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $27.20
  • BCBS GENERIC — ANTHEM: $7.40
  • BCN DOMESTIC — ANTHEM: $7.40
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated $40 $22 $5.74 – $34
Complete blood count (CBC), automated: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8.80
  • AETNA — AETNA: $8.80
  • AETNA — AETNA WHOLE HEALTH: $7.04
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.34
  • ALLEGIANCE — CIGNA: $10.50
  • ALLIED BENEFIT SYSTEMS — AETNA: $8.80
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $27.20
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $27.20
  • BCBS GENERIC — ANTHEM: $7.40
  • BCN DOMESTIC — ANTHEM: $7.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated Not listed in the file $12,341.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $3,589.50 – $15,344 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 96 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,808.75
  • ALLEGIANCE — CIGNA: $15,344 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCN DOMESTIC — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CARE NETWORK — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AL — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AR — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BLUE CROSS - AZ — ANTHEM: $13,507.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Prothrombin Time $27 $14.85 $3.80 – $22.95
Blood clotting time test (prothrombin time, PT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $5.83
  • AETNA — AETNA: $5.83
  • AETNA — AETNA WHOLE HEALTH: $4.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
  • ALLEGIANCE — CIGNA: $6
  • ALLIED BENEFIT SYSTEMS — AETNA: $5.83
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18.36
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18.36
  • BCBS GENERIC — ANTHEM: $4.91
  • BCN DOMESTIC — ANTHEM: $4.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time $27 $14.85 $3.80 – $22.95
Blood clotting time test (prothrombin time, PT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $5.83
  • AETNA — AETNA: $5.83
  • AETNA — AETNA WHOLE HEALTH: $4.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
  • ALLEGIANCE — CIGNA: $6
  • ALLIED BENEFIT SYSTEMS — AETNA: $5.83
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18.36
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18.36
  • BCBS GENERIC — ANTHEM: $4.91
  • BCN DOMESTIC — ANTHEM: $4.91
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time $27 $14.85 $3.80 – $22.95
Blood clotting time test (prothrombin time, PT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $5.83
  • AETNA — AETNA: $5.83
  • AETNA — AETNA WHOLE HEALTH: $4.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.20
  • ALLEGIANCE — CIGNA: $6
  • ALLIED BENEFIT SYSTEMS — AETNA: $5.83
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $18.36
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $18.36
  • BCBS GENERIC — ANTHEM: $4.91
  • BCN DOMESTIC — ANTHEM: $4.91
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt) $50 $27.50 $5.33 – $42.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8.17
  • AETNA — AETNA: $8.17
  • AETNA — AETNA WHOLE HEALTH: $6.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
  • ALLEGIANCE — CIGNA: $9.57
  • ALLIED BENEFIT SYSTEMS — AETNA: $8.17
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $34
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $34
  • BCBS GENERIC — ANTHEM: $6.88
  • BCN DOMESTIC — ANTHEM: $6.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 3500044 Thromboplastin Time Partial (Ptt) $50 $27.50 $5.33 – $42.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8.17
  • AETNA — AETNA: $8.17
  • AETNA — AETNA WHOLE HEALTH: $6.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
  • ALLEGIANCE — CIGNA: $9.57
  • ALLIED BENEFIT SYSTEMS — AETNA: $8.17
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $34
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $34
  • BCBS GENERIC — ANTHEM: $6.88
  • BCN DOMESTIC — ANTHEM: $6.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt) $50 $27.50 $5.33 – $42.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8.17
  • AETNA — AETNA: $8.17
  • AETNA — AETNA WHOLE HEALTH: $6.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.89
  • ALLEGIANCE — CIGNA: $9.57
  • ALLIED BENEFIT SYSTEMS — AETNA: $8.17
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $34
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $34
  • BCBS GENERIC — ANTHEM: $6.88
  • BCN DOMESTIC — ANTHEM: $6.88

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast $1,393 $766.15 $115.75 – $1,184.05
CT scan of the head or brain, without contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $175.09
  • AETNA — AETNA: $175.09
  • AETNA — AETNA WHOLE HEALTH: $140.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $455.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $175.09
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $947.24
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $947.24
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast Not listed in the file $766.15 $55.01 – $12,660
CT scan of the head or brain, without contrast: 10 of 112 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $175.09
  • AETNA — AETNA: $175.09
  • AETNA — AETNA WHOLE HEALTH: $140.07
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $455.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $175.09
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $435.58
  • BLUE CARE NETWORK — ANTHEM: $435.58
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier NC In the file: HC CT Head/Brain W/O Contrast|NC Not listed in the file $29,001.69 $55.01 – $12,660
CT scan of the head or brain, without contrast: 10 of 112 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $9,995
  • AETNA — AETNA: $9,995
  • AETNA — AETNA WHOLE HEALTH: $7,996
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $55.01
  • ALLEGIANCE — CIGNA: $10,460
  • ALLIED BENEFIT SYSTEMS — AETNA: $9,995
  • BCBS GENERIC — ANTHEM: $195.09
  • BCN DOMESTIC — ANTHEM: $195.09
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $195.09
  • BLUE CARE NETWORK — ANTHEM: $195.09
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast $5,008 $2,754.40 $386.27 – $4,256.80
MRI of the brain, before and after contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $552.24
  • AETNA — AETNA: $552.24
  • AETNA — AETNA WHOLE HEALTH: $441.80
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $409.87
  • ALLEGIANCE — CIGNA: $832.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $552.24
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,405.44
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,405.44
  • BCBS GENERIC — ANTHEM: $1,453.55
  • BCN DOMESTIC — ANTHEM: $1,453.55
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $658 $361.90 $48.15 – $559.30
Chest X-ray, 2 views: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $60.19
  • AETNA — AETNA: $60.19
  • AETNA — AETNA WHOLE HEALTH: $48.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.24
  • ALLEGIANCE — CIGNA: $427.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $60.19
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $447.44
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $447.44
  • BCBS GENERIC — ANTHEM: $362.59
  • BCN DOMESTIC — ANTHEM: $362.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views Not listed in the file $361.90 $48.15 – $13,155.44
Chest X-ray, 2 views: 10 of 108 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $60.19
  • AETNA — AETNA: $60.19
  • AETNA — AETNA WHOLE HEALTH: $48.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $102.24
  • ALLIED BENEFIT SYSTEMS — AETNA: $60.19
  • BCBS GENERIC — ANTHEM: $362.59
  • BCN DOMESTIC — ANTHEM: $362.59
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $362.59
  • BLUE CARE NETWORK — ANTHEM: $362.59
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $362.59
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier 26|51 In the file: PR Xr Chest 2 Views|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES $23 $23 $3.20 – $23
Chest X-ray, 2 views: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $14.77
  • AETNA MEDICAID — MEDICAID: $3.38
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $5.12
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $3.38
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $3.38
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $5.12
  • AMERICAN HEALTH PLAN — MEDICARE: $5.12
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $3.38
  • AMERIHEALTH MEDICARE — MEDICARE: $5.12
  • ANTHEM MYCARE OHIO — MEDICARE: $5.12
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views $736 $404.80 $85.05 – $625.60
X-ray of the lower spine, at least 4 views: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $106.31
  • AETNA — AETNA: $106.31
  • AETNA — AETNA WHOLE HEALTH: $85.05
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $163.96
  • ALLIED BENEFIT SYSTEMS — AETNA: $106.31
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $500.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $500.48
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast $2,743 $1,508.65 $257.16 – $2,331.55
MRI of the lower back (lumbar spine), without contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $321.45
  • AETNA — AETNA: $321.45
  • AETNA — AETNA WHOLE HEALTH: $257.16
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.32
  • ALLEGIANCE — CIGNA: $832.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $321.45
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,865.24
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,865.24
  • BCBS GENERIC — ANTHEM: $994.11
  • BCN DOMESTIC — ANTHEM: $994.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: HC MRI Lumbar Spine W/O Contrast|REDUCED SERVICES $2,743 $1,508.65 $257.16 – $2,331.55
MRI of the lower back (lumbar spine), without contrast: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.32
  • BCBS GENERIC — ANTHEM: $994.11
  • BCN DOMESTIC — ANTHEM: $994.11
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $994.11
  • BLUE CARE NETWORK — ANTHEM: $994.11
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $994.11
  • BLUE CROSS - AL — ANTHEM: $994.11
  • BLUE CROSS - AR — ANTHEM: $994.11
  • BLUE CROSS - AZ — ANTHEM: $994.11
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $994.11
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast $1,954 $1,074.70 $194.21 – $1,660.90
CT scan of the pelvis, with contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $449.42
  • AETNA — AETNA: $449.42
  • AETNA — AETNA WHOLE HEALTH: $359.53
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $206.07
  • ALLEGIANCE — CIGNA: $455.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $449.42
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,328.72
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,328.72
  • BCBS GENERIC — ANTHEM: $730.80
  • BCN DOMESTIC — ANTHEM: $730.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt $2,582 $1,420.10 $264.18 – $2,194.70
MRI of a leg joint (such as the knee), without contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $369.32
  • AETNA — AETNA: $369.32
  • AETNA — AETNA WHOLE HEALTH: $295.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.32
  • ALLEGIANCE — CIGNA: $832.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $369.32
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,755.76
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,755.76
  • BCBS GENERIC — ANTHEM: $994.11
  • BCN DOMESTIC — ANTHEM: $994.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl $3,874 $2,130.70 $264.18 – $3,292.90
MRI of a leg joint (such as the knee), without contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $369.32
  • AETNA — AETNA: $369.32
  • AETNA — AETNA WHOLE HEALTH: $295.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.32
  • ALLEGIANCE — CIGNA: $832.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $369.32
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,634.32
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,634.32
  • BCBS GENERIC — ANTHEM: $994.11
  • BCN DOMESTIC — ANTHEM: $994.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt $2,582 $1,420.10 $264.18 – $2,194.70
MRI of a leg joint (such as the knee), without contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $369.32
  • AETNA — AETNA: $369.32
  • AETNA — AETNA WHOLE HEALTH: $295.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $280.32
  • ALLEGIANCE — CIGNA: $832.42
  • ALLIED BENEFIT SYSTEMS — AETNA: $369.32
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $1,755.76
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $1,755.76
  • BCBS GENERIC — ANTHEM: $994.11
  • BCN DOMESTIC — ANTHEM: $994.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast $3,171 $1,744.05 $386.27 – $2,695.35
CT scan of the abdomen and pelvis, with contrast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $564.32
  • AETNA — AETNA: $564.32
  • AETNA — AETNA WHOLE HEALTH: $451.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $409.87
  • ALLEGIANCE — CIGNA: $455.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $564.32
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,156.28
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,156.28
  • BCBS GENERIC — ANTHEM: $1,453.55
  • BCN DOMESTIC — ANTHEM: $1,453.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast Not listed in the file $3,253.96 $451.46 – $837.78
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $564.32
  • AETNA — AETNA: $564.32
  • AETNA — AETNA WHOLE HEALTH: $451.46
  • ALLEGIANCE — CIGNA: $455.04
  • ALLIED BENEFIT SYSTEMS — AETNA: $564.32
  • CIGNA — CIGNA: $455.04
  • CONNECTICARE — CONNECTICARE CBI: $685.31
  • CONNECTICARE — CONNECTICARE COMMERCIAL: $837.78
  • CONNECTICUT DEPT OF CORRECTION — CONNECTICUT DEPT OF CORRECTIONS: $475.65
  • GEHA — UNITED HEALTHCARE: $610.96
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $919 $505.45 $115.75 – $781.15
Ultrasound of the abdomen, complete: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $200.45
  • AETNA — AETNA: $200.45
  • AETNA — AETNA WHOLE HEALTH: $160.36
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $352.35
  • ALLIED BENEFIT SYSTEMS — AETNA: $200.45
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $624.92
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $624.92
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation $366 $366 $30.03 – $366
Pregnancy ultrasound (after the first trimester): 10 of 773 insurance plan rates
  • AETNA — AETNA: $336.82
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $141.62
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $141.62
  • ALLY ALIGN CARE ADV — MEDICARE: $141.62
  • ANTHEM MYCARE OHIO — MEDICARE: $141.62
  • AURORA SPECIAL NEEDS — MEDICARE: $141.62
  • BCBS GENERIC — ANTHEM BCBS: $232.64
  • BCCCP-MICHIGAN — MEDICAID: $169.50
  • BCCP — MEDICAID: $169.50
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $232.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $946 $520.30 $115.75 – $804.10
Pregnancy ultrasound (after the first trimester): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $231.79
  • AETNA — AETNA: $231.79
  • AETNA — AETNA WHOLE HEALTH: $185.43
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $375.94
  • ALLIED BENEFIT SYSTEMS — AETNA: $231.79
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $643.28
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $643.28
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation Not listed in the file $328.54 $29.33 – $328.54
Pregnancy ultrasound (after the first trimester): 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $141.62
  • AETNA — AETNA: $328.54
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $141.62
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $141.62
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $88.60
  • ALIGN SENIOR CARE — MEDICARE: $141.62
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $141.62
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $141.62
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $88.60
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $141.62
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric $310 $310 $20.22 – $310
Transvaginal ultrasound: 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $123.11
  • AETNA — AETNA: $297.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $123.11
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $123.11
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $123.11
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $66.84
  • ALIGN SENIOR CARE — MEDICARE: $123.11
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $123.11
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $123.11
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $66.84
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $1,311 $721.05 $115.75 – $1,114.35
Transvaginal ultrasound: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $222.20
  • AETNA — AETNA: $222.20
  • AETNA — AETNA WHOLE HEALTH: $177.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $122.82
  • ALLEGIANCE — CIGNA: $273.83
  • ALLIED BENEFIT SYSTEMS — AETNA: $222.20
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $891.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $891.48
  • BCBS GENERIC — ANTHEM: $435.58
  • BCN DOMESTIC — ANTHEM: $435.58
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR US Transvaginal Non Obstetric Not listed in the file $275.82 $20.22 – $275.82
Transvaginal ultrasound: 10 of 773 insurance plan rates
  • AETNA — AETNA: $275.82
  • AETNA DOMESTIC — AETNA: $275.82
  • AETNA MEDICAID — MEDICAID: $66.84
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $66.84
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $66.84
  • ALIGN SENIOR CARE — MEDICARE: $123.11
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $66.84
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $66.84
  • ALLY ALIGN CARE ADV — MEDICARE: $123.11
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $123.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt $887 $487.85 $82.33 – $753.95
Diagnostic mammogram, one breast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $224.70
  • AETNA — AETNA: $224.70
  • AETNA — AETNA WHOLE HEALTH: $179.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.99
  • ALLEGIANCE — CIGNA: $353.80
  • ALLIED BENEFIT SYSTEMS — AETNA: $224.70
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $603.16
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $603.16
  • BCBS GENERIC — ANTHEM: $106.23
  • BCN DOMESTIC — ANTHEM: $106.23
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt $887 $487.85 $82.33 – $753.95
Diagnostic mammogram, one breast: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $224.70
  • AETNA — AETNA: $224.70
  • AETNA — AETNA WHOLE HEALTH: $179.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.99
  • ALLEGIANCE — CIGNA: $353.80
  • ALLIED BENEFIT SYSTEMS — AETNA: $224.70
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $603.16
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $603.16
  • BCBS GENERIC — ANTHEM: $106.23
  • BCN DOMESTIC — ANTHEM: $106.23
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: HC Mammography Diagnostic Unilateral Rt|BILATERAL PROCEDURE $887 $487.85 $82.33 – $753.95
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $449.39
  • AETNA — AETNA: $449.39
  • AETNA — AETNA WHOLE HEALTH: $359.52
  • ALLEGIANCE — CIGNA: $707.60
  • ALLIED BENEFIT SYSTEMS — AETNA: $449.39
  • CIGNA — CIGNA: $707.60
  • CONNECTICARE — CONNECTICARE CBI: $294.27
  • CONNECTICARE — CONNECTICARE COMMERCIAL: $359.74
  • GEHA — UNITED HEALTHCARE: $302.56
  • GRAVIE ADMIN SERVICES — AETNA: $449.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral $1,132 $622.60 $105.66 – $962.20
Diagnostic mammogram, both breasts: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $288.37
  • AETNA — AETNA: $288.37
  • AETNA — AETNA WHOLE HEALTH: $230.69
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $116.78
  • ALLEGIANCE — CIGNA: $452.65
  • ALLIED BENEFIT SYSTEMS — AETNA: $288.37
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $769.76
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $769.76
  • BCBS GENERIC — ANTHEM: $136.33
  • BCN DOMESTIC — ANTHEM: $136.33
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: HC Mammography Diagnostic Bilateral|BILATERAL PROCEDURE $1,132 $622.60 $105.66 – $962.20
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $576.73
  • AETNA — AETNA: $576.73
  • AETNA — AETNA WHOLE HEALTH: $461.39
  • ALLEGIANCE — CIGNA: $905.30
  • ALLIED BENEFIT SYSTEMS — AETNA: $576.73
  • CIGNA — CIGNA: $905.30
  • CONNECTICARE — CONNECTICARE CBI: $375.77
  • CONNECTICARE — CONNECTICARE COMMERCIAL: $459.37
  • GEHA — UNITED HEALTHCARE: $385.73
  • GRAVIE ADMIN SERVICES — AETNA: $576.73
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral $934 $513.70 $87.12 – $793.90
Screening mammogram, both breasts: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $237.77
  • AETNA — AETNA: $237.77
  • AETNA — AETNA WHOLE HEALTH: $190.21
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.29
  • ALLEGIANCE — CIGNA: $374.10
  • ALLIED BENEFIT SYSTEMS — AETNA: $237.77
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $635.12
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $635.12
  • BCBS GENERIC — ANTHEM: $112.41
  • BCN DOMESTIC — ANTHEM: $112.41
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed $701 $385.55 $87.12 – $595.85
Screening mammogram, both breasts: 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $237.77
  • AETNA — AETNA: $237.77
  • AETNA — AETNA WHOLE HEALTH: $190.21
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $96.29
  • ALLEGIANCE — CIGNA: $374.10
  • ALLIED BENEFIT SYSTEMS — AETNA: $237.77
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $476.68
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $476.68
  • BCBS GENERIC — ANTHEM: $112.41
  • BCN DOMESTIC — ANTHEM: $112.41

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ecg 12 Lead Interpretation & Report $386 $212.30 $14.46 – $328.10
Electrocardiogram (ECG/EKG) with reading: 10 of 133 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $285.64
  • AETNA — AETNA: $285.64
  • AETNA — AETNA WHOLE HEALTH: $228.51
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15.98
  • ALLEGIANCE — CIGNA: $122.05
  • ALLIED BENEFIT SYSTEMS — AETNA: $285.64
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $262.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $262.48
  • BCBS GENERIC — ANTHEM: $18.66
  • BCN DOMESTIC — ANTHEM: $18.66
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Lt Heart Catheterization Incl Intraproc Inj for Lt Ventriculography Img $3,133 $3,133 $73.70 – $3,133
Left heart catheterization (diagnostic): 10 of 773 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $460.57
  • AETNA — AETNA: $1,505.97
  • AETNA DOMESTIC — AETNA: $1,505.97
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $460.57
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $460.57
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $277.60
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $460.57
  • ALLY ALIGN CARE ADV — MEDICARE: $460.57
  • AMERICAN HEALTH PLAN — MEDICARE: $460.57
  • AMERIGROUP MEDICAID — MEDICAID: $277.60
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram $14,988 $8,243.40 $3,589.50 – $15,344
Left heart catheterization (diagnostic): 10 of 118 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,808.75
  • ALLEGIANCE — CIGNA: $15,344
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $10,191.84
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $10,191.84
  • BCBS GENERIC — ANTHEM: $13,507.29
  • BCN DOMESTIC — ANTHEM: $13,507.29
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $13,507.29
  • BLUE CARE NETWORK — ANTHEM: $13,507.29
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $13,507.29
  • BLUE CROSS - AL — ANTHEM: $13,507.29
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR Lt Heart Catheterization Incl Intraproc Inj for Lt Ventriculography Img|PROFESSIONAL COMPONENT $889 $889 $73.70 – $3,133
Left heart catheterization (diagnostic): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $119.73
  • AETNA — AETNA: $382.86
  • AETNA DOMESTIC — AETNA: $382.86
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $119.73
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $119.73
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $80.36
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $119.73
  • AMERICAN HEALTH PLAN — MEDICARE: $119.73
  • AMERIGROUP MEDICAID — MEDICAID: $80.36
  • AMERIHEALTH MEDICARE — MEDICARE: $119.73
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia $11,444 $6,294.20 $1,217.38 – $32,496.79
Heart rhythm study (electrophysiology evaluation): 10 of 130 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $8,468.56
  • AETNA — AETNA: $8,468.56
  • AETNA — AETNA WHOLE HEALTH: $6,774.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,163.35
  • ALLEGIANCE — CIGNA: $1,626.69
  • ALLIED BENEFIT SYSTEMS — AETNA: $8,468.56
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $7,781.92
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $7,781.92
  • BCBS GENERIC — ANTHEM: $32,496.79
  • BCN DOMESTIC — ANTHEM: $32,496.79
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR Comprehensive Electrophysiologic Evaluation WO Arrhythmia Induction|PROFESSIONAL COMPONENT $2,701 $2,701 $119.82 – $2,701
Heart rhythm study (electrophysiology evaluation): 10 of 774 insurance plan rates
  • AETNA — AETNA: $634.96
  • AETNA DOMESTIC — AETNA: $634.96
  • AETNA MEDICAID — MEDICAID: $129.94
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $129.94
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $129.94
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $129.94
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $194.78
  • AMERICAN HEALTH PLAN — MEDICARE: $194.78
  • AMERIGROUP MEDICAID — MEDICAID: $129.94
  • AMERIHEALTH MEDICARE — MEDICARE: $194.78
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR Comprehensive Electrophysiologic Evaluation WO Arrhythmia Induction|PROFESSIONAL COMPONENT Not listed in the file $1,106.67 $119.82 – $1,106.67
Heart rhythm study (electrophysiology evaluation): 10 of 774 insurance plan rates
  • AETNA — AETNA: $634.96
  • AETNA DOMESTIC — AETNA: $634.96
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $194.78
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $194.78
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $129.94
  • ALIGN SENIOR CARE — MEDICARE: $194.78
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $194.78
  • ALLY ALIGN CARE ADV — MEDICARE: $194.78
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $194.78
  • AMERICAN HEALTH PLAN — MEDICARE: $194.78
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath $3,988 $3,988 $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,988
Heart rhythm study with ablation for atrial fibrillation: 10 of 774 insurance plan rates
  • AETNA — AETNA: $1,829.90
  • AETNA DOMESTIC — AETNA: $1,829.90
  • AETNA MEDICAID — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $418.73
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $418.73
  • ALIGN SENIOR CARE — MEDICARE: $418.73
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $418.73
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $418.73
  • ALLY ALIGN CARE ADV — MEDICARE: $418.73
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation $29,861 $16,423.55 $4,461.25 – $108,901.66
Heart rhythm study with ablation for atrial fibrillation: 10 of 120 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30,707.77
  • ALLEGIANCE — CIGNA: $31,293
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $20,305.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $20,305.48
  • BCBS GENERIC — ANTHEM: $108,901.66
  • BCN DOMESTIC — ANTHEM: $108,901.66
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $108,901.66
  • BLUE CARE NETWORK — ANTHEM: $108,901.66
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $108,901.66
  • BLUE CROSS - AL — ANTHEM: $108,901.66
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath Not listed in the file $2,568.52 $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,568.52
Heart rhythm study with ablation for atrial fibrillation: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $418.73
  • AETNA DOMESTIC — AETNA: $1,829.90
  • AETNA MEDICAID — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $418.73
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $418.73
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $248.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $418.73
  • ALLY ALIGN CARE ADV — MEDICARE: $418.73
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $2,447 $2,447 $76.25 – $2,447
Sleep study (overnight, in a sleep lab): 10 of 773 insurance plan rates
  • AETNA DOMESTIC — AETNA: $1,775.71
  • AETNA MEDICAID — MEDICAID: $531.05
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $531.05
  • ALIGN SENIOR CARE — MEDICARE: $708.34
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $531.05
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $708.34
  • AMERIGROUP MEDICAID — MEDICAID: $531.05
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $531.05
  • AMERIHEALTH MEDICARE — MEDICARE: $708.34
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $531.05
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $5,914 $3,252.70 $950.80 – $5,632
Sleep study (overnight, in a sleep lab): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4,479
  • AETNA — AETNA: $4,479
  • AETNA — AETNA WHOLE HEALTH: $3,583
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,008.88
  • ALLEGIANCE — CIGNA: $3,272.22
  • ALLIED BENEFIT SYSTEMS — AETNA: $4,479
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $4,021.52
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $4,021.52
  • BCBS GENERIC — ANTHEM: $3,577.87
  • BCN DOMESTIC — ANTHEM: $3,577.87
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years Not listed in the file $2,543 $76.25 – $2,543
Sleep study (overnight, in a sleep lab): 10 of 773 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $708.34
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $708.34
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $531.05
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $708.34
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $531.05
  • ALLY ALIGN CARE ADV — MEDICARE: $708.34
  • AMERIGROUP MEDICAID — MEDICAID: $531.05
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $531.05
  • AMERIHEALTH MEDICARE — MEDICARE: $708.34
  • ANDRIE INC — WORKERS COMP: $1,280.58

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $272 $149.60 $27.17 – $433
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $201.28
  • AETNA — AETNA: $201.28
  • AETNA — AETNA WHOLE HEALTH: $161.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.03
  • ALLEGIANCE — CIGNA: $150.88
  • ALLIED BENEFIT SYSTEMS — AETNA: $201.28
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $184.96
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $184.96
  • BCBS GENERIC — ANTHEM: $32.96
  • BCN DOMESTIC — ANTHEM: $32.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $272 $149.60 $27.17 – $433
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $201.28
  • AETNA — AETNA: $201.28
  • AETNA — AETNA WHOLE HEALTH: $161.02
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.03
  • ALLEGIANCE — CIGNA: $150.88
  • ALLIED BENEFIT SYSTEMS — AETNA: $201.28
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $184.96
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $184.96
  • BCBS GENERIC — ANTHEM: $32.96
  • BCN DOMESTIC — ANTHEM: $32.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes|CQ $272 $149.60 $27.17 – $433
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $30.03
  • BCBS GENERIC — ANTHEM: $32.96
  • BCN DOMESTIC — ANTHEM: $32.96
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $32.96
  • BLUE CARE NETWORK — ANTHEM: $32.96
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $32.96
  • BLUE CROSS - AL — ANTHEM: $32.96
  • BLUE CROSS - AR — ANTHEM: $32.96
  • BLUE CROSS - AZ — ANTHEM: $32.96
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $32.96
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family $742 $408.10 $91.35 – $630.70
Physical therapy evaluation (low complexity): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $549.08
  • AETNA — AETNA: $549.08
  • AETNA — AETNA WHOLE HEALTH: $439.26
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.96
  • ALLEGIANCE — CIGNA: $481.56
  • ALLIED BENEFIT SYSTEMS — AETNA: $549.08
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $504.56
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $504.56
  • BCBS GENERIC — ANTHEM: $110.83
  • BCN DOMESTIC — ANTHEM: $110.83
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family Not listed in the file $34,691.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $91.35 – $34,638 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Physical therapy evaluation (low complexity): 10 of 96 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.96
  • ALLEGIANCE — CIGNA: $34,638 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — ANTHEM: $110.83
  • BCN DOMESTIC — ANTHEM: $110.83
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $110.83
  • BLUE CARE NETWORK — ANTHEM: $110.83
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $110.83
  • BLUE CROSS - AL — ANTHEM: $110.83
  • BLUE CROSS - AR — ANTHEM: $110.83
  • BLUE CROSS - AZ — ANTHEM: $110.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family $765 $420.75 $91.35 – $650.25
Physical therapy evaluation (moderate complexity): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $566.10
  • AETNA — AETNA: $566.10
  • AETNA — AETNA WHOLE HEALTH: $452.88
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.96
  • ALLEGIANCE — CIGNA: $496.49
  • ALLIED BENEFIT SYSTEMS — AETNA: $566.10
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $520.20
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $520.20
  • BCBS GENERIC — ANTHEM: $110.83
  • BCN DOMESTIC — ANTHEM: $110.83
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family $803 $441.65 $91.35 – $682.55
Physical therapy evaluation (high complexity): 10 of 134 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $594.22
  • AETNA — AETNA: $594.22
  • AETNA — AETNA WHOLE HEALTH: $475.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.96
  • ALLEGIANCE — CIGNA: $521.15
  • ALLIED BENEFIT SYSTEMS — AETNA: $594.22
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $546.04
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $546.04
  • BCBS GENERIC — ANTHEM: $110.83
  • BCN DOMESTIC — ANTHEM: $110.83
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes $200 $200 $29.29 – $200
Psychotherapy, 30 minutes: 10 of 774 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $29.29
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $69.75
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $29.29
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $29.29
  • ALIGN SENIOR CARE — MEDICARE: $69.75
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $29.29
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $29.29
  • AMERICAN HEALTH PLAN — MEDICARE: $69.75
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $29.29
  • AMERIHEALTH MEDICARE — MEDICARE: $69.75
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 30 Minutes $286 $157.30 $157.76 – $286
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $211.64
  • AETNA — AETNA: $211.64
  • AETNA — AETNA WHOLE HEALTH: $169.31
  • ALLEGIANCE — CIGNA: $185.61
  • ALLIED BENEFIT SYSTEMS — AETNA: $211.64
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $194.48
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $194.48
  • CHRISTIAN CARE MINISTRY — MULTIPLAN: $194.48
  • CIGNA — CIGNA: $185.61
  • CIGNA — EVERNORTH: $228.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes Not listed in the file $181.48 $21.32 – $181.48
Psychotherapy, 30 minutes: 10 of 700 insurance plan rates
  • AETNA DOMESTIC — AETNA: $145.40
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $69.75
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $69.75
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $21.32
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $21.32
  • ALIGN SENIOR CARE — MEDICARE: $69.75
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $69.75
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $21.32
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $21.32
  • ALLY ALIGN CARE ADV — MEDICARE: $69.75
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes $341 $187.55 $188.10 – $341
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $252.34
  • AETNA — AETNA: $252.34
  • AETNA — AETNA WHOLE HEALTH: $201.87
  • ALLEGIANCE — CIGNA: $221.31
  • ALLIED BENEFIT SYSTEMS — AETNA: $252.34
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $231.88
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $231.88
  • CHRISTIAN CARE MINISTRY — MULTIPLAN: $231.88
  • CIGNA — CIGNA: $221.31
  • CIGNA — EVERNORTH: $272.80

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $1,077 $1,077 $106.52 – $1,077
Removal of breast growth (open surgery): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $213
  • AETNA — AETNA: $508.20
  • AETNA MEDICAID — MEDICAID: $106.52
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $213
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $213
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $106.52
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $213
  • AMERICAN HEALTH PLAN — MEDICARE: $213
  • AMERIGROUP MEDICAID — MEDICAID: $106.52
  • AMERIHEALTH MEDICARE — MEDICARE: $213
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $930 $930 $106.52 – $1,860
Removal of breast growth (open surgery): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $213
  • AETNA DOMESTIC — AETNA: $508.20
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $213
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $213
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $106.52
  • ALIGN SENIOR CARE — MEDICARE: $213
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $106.52
  • AMISH MENNONITE — MEDICAID: $106.52
  • AURORA SPECIAL NEEDS — MEDICARE: $213
  • AVMED MEDICARE — MEDICARE: $213
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt Not listed in the file $16,059.28 $4,335.21 – $16,313.39
Removal of breast growth (open surgery): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,600
  • BCBS GENERIC — ANTHEM: $16,313.39
  • BCN DOMESTIC — ANTHEM: $16,313.39
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $16,313.39
  • BLUE CARE NETWORK — ANTHEM: $16,313.39
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $16,313.39
  • BLUE CROSS - AL — ANTHEM: $16,313.39
  • BLUE CROSS - AR — ANTHEM: $16,313.39
  • BLUE CROSS - AZ — ANTHEM: $16,313.39
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $16,313.39
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $3,642 $3,642 $370.52 – $3,642
Total hip replacement: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $1,700.89
  • AETNA MEDICAID — MEDICAID: $419.24
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $604.03
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $419.24
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $419.24
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $419.24
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $419.24
  • AMERICAN HEALTH PLAN — MEDICARE: $604.03
  • AMERIGROUP MEDICAID — MEDICAID: $419.24
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $419.24
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,825 $2,825 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,825
Total hip replacement: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $604.03
  • AETNA — AETNA: $1,700.89
  • AETNA DOMESTIC — AETNA: $1,700.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $604.03
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $604.03
  • ALIGN SENIOR CARE — MEDICARE: $604.03
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $419.24
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $604.03
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $604.03
  • AMERIGROUP MEDICAID — MEDICAID: $419.24
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) Not listed in the file $37,576.92 $14,215.15 – $53,491.54
Total hip replacement: 10 of 96 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,083.38
  • ALLEGIANCE — CIGNA: $34,638
  • BCBS GENERIC — ANTHEM: $53,491.54
  • BCN DOMESTIC — ANTHEM: $53,491.54
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $53,491.54
  • BLUE CARE NETWORK — ANTHEM: $53,491.54
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $53,491.54
  • BLUE CROSS - AL — ANTHEM: $53,491.54
  • BLUE CROSS - AR — ANTHEM: $53,491.54
  • BLUE CROSS - AZ — ANTHEM: $53,491.54
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $4,023 $4,023 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,023
Total knee replacement: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $512.48
  • AETNA — AETNA: $1,614.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $512.48
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $512.48
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $406.42
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $406.42
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $512.48
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $512.48
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $406.42
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $512.48
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $2,821 $2,821 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,821
Total knee replacement: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $602.92
  • AETNA DOMESTIC — AETNA: $1,899.35
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $602.92
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $451.58
  • ALIGN SENIOR CARE — MEDICARE: $602.92
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $451.58
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $602.92
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $602.92
  • AMERIGROUP MEDICAID — MEDICAID: $451.58
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $451.58
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) Not listed in the file $37,294.04 $14,215.15 – $53,491.54
Total knee replacement: 10 of 96 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15,083.38
  • ALLEGIANCE — CIGNA: $24,036
  • BCBS GENERIC — ANTHEM: $53,491.54
  • BCN DOMESTIC — ANTHEM: $53,491.54
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $53,491.54
  • BLUE CARE NETWORK — ANTHEM: $53,491.54
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $53,491.54
  • BLUE CROSS - AL — ANTHEM: $53,491.54
  • BLUE CROSS - AR — ANTHEM: $53,491.54
  • BLUE CROSS - AZ — ANTHEM: $53,491.54
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) Not listed in the file $34,944.08 $8,034.17 – $30,232.55
Shoulder arthroscopy: shaving of shoulder bone: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8,524.88
  • BCBS GENERIC — ANTHEM: $30,232.55
  • BCN DOMESTIC — ANTHEM: $30,232.55
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $30,232.55
  • BLUE CARE NETWORK — ANTHEM: $30,232.55
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $30,232.55
  • BLUE CROSS - AL — ANTHEM: $30,232.55
  • BLUE CROSS - AR — ANTHEM: $30,232.55
  • BLUE CROSS - AZ — ANTHEM: $30,232.55
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $30,232.55
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) Not listed in the file $18,734.38 $3,622.80 – $13,632.59
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,844.07
  • BCBS GENERIC — ANTHEM: $13,632.59
  • BCN DOMESTIC — ANTHEM: $13,632.59
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $13,632.59
  • BLUE CARE NETWORK — ANTHEM: $13,632.59
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $13,632.59
  • BLUE CROSS - AL — ANTHEM: $13,632.59
  • BLUE CROSS - AR — ANTHEM: $13,632.59
  • BLUE CROSS - AZ — ANTHEM: $13,632.59
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $13,632.59
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $1,434 $1,434 $35.25 – $1,434
Upper GI endoscopy (diagnostic): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.97
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.97
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.97
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $56.97
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $40.33
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40.33
  • ALIGN SENIOR CARE — MEDICARE: $56.97
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $56.97
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $40.33
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $56.97
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $267 $267 $35.25 – $267
Upper GI endoscopy (diagnostic): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $56.97
  • AETNA DOMESTIC — AETNA: $198.02
  • AETNA MEDICAID — MEDICAID: $40.33
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $56.97
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $56.97
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $56.97
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $40.33
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $56.97
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $56.97
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $40.33
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing Not listed in the file $6,671.14 $1,004.22 – $3,778.89
Upper GI endoscopy (diagnostic): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,065.56
  • BCBS GENERIC — ANTHEM: $3,778.89
  • BCN DOMESTIC — ANTHEM: $3,778.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $3,778.89
  • BLUE CARE NETWORK — ANTHEM: $3,778.89
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $3,778.89
  • BLUE CROSS - AL — ANTHEM: $3,778.89
  • BLUE CROSS - AR — ANTHEM: $3,778.89
  • BLUE CROSS - AZ — ANTHEM: $3,778.89
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $3,778.89
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $530 $530 $39.41 – $530
Upper GI endoscopy with biopsy: 10 of 774 insurance plan rates
  • ALIGN SENIOR CARE — MEDICARE: $63.63
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $63.63
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $47.78
  • ALLY ALIGN CARE ADV — MEDICARE: $63.63
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $63.63
  • AMERIGROUP MEDICAID — MEDICAID: $47.78
  • ANDRIE INC — WORKERS COMP: $171.06
  • BCBS GENERIC — ANTHEM BCBS: $280.90
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $63.63
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS: $280.90
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $301 $301 $39.41 – $301
Upper GI endoscopy with biopsy: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $223.05
  • AETNA MEDICAID — MEDICAID: $47.78
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $63.63
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $63.63
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $47.78
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $47.78
  • AMERICAN HEALTH PLAN — MEDICARE: $63.63
  • AMERIHEALTH MEDICARE — MEDICARE: $63.63
  • ANDRIE INC — WORKERS COMP: $171.06
  • ANTHEM MYCARE OHIO — MEDICARE: $63.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) Not listed in the file $8,890.78 $1,004.22 – $3,778.89
Upper GI endoscopy with biopsy: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,065.56
  • BCBS GENERIC — ANTHEM: $3,778.89
  • BCN DOMESTIC — ANTHEM: $3,778.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $3,778.89
  • BLUE CARE NETWORK — ANTHEM: $3,778.89
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $3,778.89
  • BLUE CROSS - AL — ANTHEM: $3,778.89
  • BLUE CROSS - AR — ANTHEM: $3,778.89
  • BLUE CROSS - AZ — ANTHEM: $3,778.89
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $3,778.89
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing $700 $700 $52.51 – $700
Colonoscopy (diagnostic): 10 of 774 insurance plan rates
  • AETNA — AETNA: $312.01
  • AETNA DOMESTIC — AETNA: $312.01
  • AETNA MEDICAID — MEDICAID: $60.50
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $84.83
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $60.50
  • ALIGN SENIOR CARE — MEDICARE: $84.83
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $84.83
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $60.50
  • AMERICAN HEALTH PLAN — MEDICARE: $84.83
  • AMERIHEALTH MEDICARE — MEDICARE: $84.83
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing Not listed in the file $591.83 $52.51 – $659.95
Colonoscopy (diagnostic): 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $84.83
  • AETNA — AETNA: $312.01
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $84.83
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $84.83
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $60.50
  • ALIGN SENIOR CARE — MEDICARE: $84.83
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $60.50
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $84.83
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $84.83
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $60.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) Not listed in the file $3,774.62 $1,029.66 – $3,874.62
Colonoscopy (diagnostic): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,092.55
  • BCBS GENERIC — ANTHEM: $3,874.62
  • BCN DOMESTIC — ANTHEM: $3,874.62
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $3,874.62
  • BLUE CARE NETWORK — ANTHEM: $3,874.62
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $3,874.62
  • BLUE CROSS - AL — ANTHEM: $3,874.62
  • BLUE CROSS - AR — ANTHEM: $3,874.62
  • BLUE CROSS - AZ — ANTHEM: $3,874.62
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $3,874.62
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple $1,205 $1,205 $56.66 – $1,205
Colonoscopy with biopsy: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $91.45
  • AETNA — AETNA: $337.57
  • AETNA MEDICAID — MEDICAID: $72.27
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.45
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $91.45
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $72.27
  • ALIGN SENIOR CARE — MEDICARE: $91.45
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $91.45
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $91.45
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $91.45
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple Not listed in the file $668.92 $56.66 – $767.58
Colonoscopy with biopsy: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $91.45
  • AETNA DOMESTIC — AETNA: $337.57
  • AETNA MEDICAID — MEDICAID: $72.27
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $91.45
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $72.27
  • AMERICAN HEALTH PLAN — MEDICARE: $91.45
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $72.27
  • ANTHEM MYCARE OHIO — MEDICARE: $91.45
  • AURORA SPECIAL NEEDS — MEDICARE: $91.45
  • AVMED MEDICARE — MEDICARE: $91.45
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) Not listed in the file $10,950.22 $1,324.93 – $4,985.72
Colonoscopy with biopsy: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,405.86
  • BCBS GENERIC — ANTHEM: $4,985.72
  • BCN DOMESTIC — ANTHEM: $4,985.72
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $4,985.72
  • BLUE CARE NETWORK — ANTHEM: $4,985.72
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $4,985.72
  • BLUE CROSS - AL — ANTHEM: $4,985.72
  • BLUE CROSS - AR — ANTHEM: $4,985.72
  • BLUE CROSS - AZ — ANTHEM: $4,985.72
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $4,985.72
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $1,356 $1,356 $71.25 – $1,356
Colonoscopy with removal of polyps (snare): 10 of 774 insurance plan rates
  • AETNA — AETNA: $428.28
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $114.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $85.84
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $85.84
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $85.84
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $114.87
  • ALLY ALIGN CARE ADV — MEDICARE: $114.87
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $114.87
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $85.84
  • AMERIHEALTH MEDICARE — MEDICARE: $114.87
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $551 $551 $71.25 – $551
Colonoscopy with removal of polyps (snare): 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $428.28
  • AETNA MEDICAID — MEDICAID: $85.84
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $114.87
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $114.87
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $85.84
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $85.84
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $85.84
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $85.84
  • ANDRIE INC — WORKERS COMP: $313.30
  • ANTHEM MYCARE OHIO — MEDICARE: $114.87
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) Not listed in the file $11,305.91 $1,324.93 – $4,985.72
Colonoscopy with removal of polyps (snare): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,405.86
  • BCBS GENERIC — ANTHEM: $4,985.72
  • BCN DOMESTIC — ANTHEM: $4,985.72
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $4,985.72
  • BLUE CARE NETWORK — ANTHEM: $4,985.72
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $4,985.72
  • BLUE CROSS - AL — ANTHEM: $4,985.72
  • BLUE CROSS - AR — ANTHEM: $4,985.72
  • BLUE CROSS - AZ — ANTHEM: $4,985.72
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $4,985.72
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient $803 $803 $52.61 – $803
Screening colonoscopy (not high risk): 10 of 507 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $85.03
  • AETNA — AETNA: $117
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.03
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.03
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $85.03
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $85.03
  • ALLY ALIGN CARE ADV — MEDICARE: $85.03
  • AMERICAN HEALTH PLAN — MEDICARE: $85.03
  • AMERIHEALTH MEDICARE — MEDICARE: $85.03
  • ANDRIE INC — WORKERS COMP: $401.50
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient Not listed in the file $582.81 $52.61 – $582.81
Screening colonoscopy (not high risk): 10 of 507 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $85.03
  • AETNA — AETNA: $117
  • AETNA DOMESTIC — AETNA: $117
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $85.03
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.03
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $85.03
  • ALIGN SENIOR CARE — MEDICARE: $85.03
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $85.03
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $85.03
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $85.03
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH) Not listed in the file $6,425.40 $1,029.66 – $3,874.62
Screening colonoscopy (not high risk): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,092.55
  • BCBS GENERIC — ANTHEM: $3,874.62
  • BCN DOMESTIC — ANTHEM: $3,874.62
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $3,874.62
  • BLUE CARE NETWORK — ANTHEM: $3,874.62
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $3,874.62
  • BLUE CROSS - AL — ANTHEM: $3,874.62
  • BLUE CROSS - AR — ANTHEM: $3,874.62
  • BLUE CROSS - AZ — ANTHEM: $3,874.62
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $3,874.62
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $3,112 $3,112 $197.01 – $3,112
Gallbladder removal by laparoscope: 10 of 774 insurance plan rates
  • AETNA — AETNA: $825
  • AETNA DOMESTIC — AETNA: $825
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $197.01
  • ALIGN SENIOR CARE — MEDICARE: $329.59
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $197.01
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $329.59
  • AMERIGROUP MEDICAID — MEDICAID: $197.01
  • AMERIHEALTH MEDICARE — MEDICARE: $329.59
  • AMISH MENNONITE — MEDICAID: $197.01
  • ANDRIE INC — WORKERS COMP: $834.36
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,451 $1,451 $32.24 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,451
Gallbladder removal by laparoscope: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $329.59
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $329.59
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $329.59
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $197.01
  • ALIGN SENIOR CARE — MEDICARE: $329.59
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $197.01
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $329.59
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $329.59
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $329.59
  • AMERIGROUP MEDICAID — MEDICAID: $197.01
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) Not listed in the file $24,408.03 $6,693.68 – $25,188.31
Gallbladder removal by laparoscope: 10 of 102 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $15,236
  • AETNA — AETNA: $15,236
  • AETNA — AETNA WHOLE HEALTH: $12,189
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,102.52
  • ALLIED BENEFIT SYSTEMS — AETNA: $15,236
  • BCBS GENERIC — ANTHEM: $25,188.31
  • BCN DOMESTIC — ANTHEM: $25,188.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $25,188.31
  • BLUE CARE NETWORK — ANTHEM: $25,188.31
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $25,188.31
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $2,293 $2,293 $138.40 – $2,293
Groin (inguinal) hernia repair, age 5 or older: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $265.13
  • AETNA — AETNA: $653.32
  • AETNA MEDICAID — MEDICAID: $138.40
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $265.13
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $265.13
  • ALIGN SENIOR CARE — MEDICARE: $265.13
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $265.13
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $138.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $265.13
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $265.13
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $1,157 $1,157 $25.92 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,157
Groin (inguinal) hernia repair, age 5 or older: 10 of 774 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $138.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $138.40
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $138.40
  • ALIGN SENIOR CARE — MEDICARE: $265.13
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $138.40
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $265.13
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $265.13
  • AMERICAN HEALTH PLAN — MEDICARE: $265.13
  • AMERIGROUP MEDICAID — MEDICAID: $138.40
  • AMERIHEALTH MEDICARE — MEDICARE: $265.13
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) Not listed in the file $16,272.42 $3,964.27 – $14,917.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,206.39
  • BCBS GENERIC — ANTHEM: $14,917.52
  • BCN DOMESTIC — ANTHEM: $14,917.52
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $14,917.52
  • BLUE CARE NETWORK — ANTHEM: $14,917.52
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $14,917.52
  • BLUE CROSS - AL — ANTHEM: $14,917.52
  • BLUE CROSS - AR — ANTHEM: $14,917.52
  • BLUE CROSS - AZ — ANTHEM: $14,917.52
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $14,917.52
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach Not listed in the file $14,410.98 $57.70 – $8,709.47
Prostate biopsy: 10 of 86 insurance plan rates
  • BCBS GENERIC — ANTHEM: $8,709.47
  • BCN DOMESTIC — ANTHEM: $8,709.47
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $8,709.47
  • BLUE CARE NETWORK — ANTHEM: $8,709.47
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $8,709.47
  • BLUE CROSS - AL — ANTHEM: $8,709.47
  • BLUE CROSS - AR — ANTHEM: $8,709.47
  • BLUE CROSS - AZ — ANTHEM: $8,709.47
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $8,709.47
  • BLUE CROSS - CO (ANTHEM) — ANTHEM: $8,709.47
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst Not listed in the file $44,735.49 $11,769.49 – $44,288.53
Prostate removal by laparoscope (radical prostatectomy): 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $12,488.34
  • BCBS GENERIC — ANTHEM: $44,288.53
  • BCN DOMESTIC — ANTHEM: $44,288.53
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $44,288.53
  • BLUE CARE NETWORK — ANTHEM: $44,288.53
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $44,288.53
  • BLUE CROSS - AL — ANTHEM: $44,288.53
  • BLUE CROSS - AR — ANTHEM: $44,288.53
  • BLUE CROSS - AZ — ANTHEM: $44,288.53
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $44,288.53
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $705 $705 $10.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $705
Hysteroscopy with biopsy of the uterus lining: 10 of 774 insurance plan rates
  • AETNA — AETNA: $273.50
  • AETNA DOMESTIC — AETNA: $273.50
  • AETNA MEDICAID — MEDICAID: $79.86
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $105.65
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $79.86
  • AMERICAN HEALTH PLAN — MEDICARE: $105.65
  • AMERIGROUP MEDICAID — MEDICAID: $79.86
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $79.86
  • AMERIHEALTH MEDICARE — MEDICARE: $105.65
  • ANDRIE INC — WORKERS COMP: $289.68
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $498 $498 $10.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $498
Hysteroscopy with biopsy of the uterus lining: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $273.50
  • AETNA MEDICAID — MEDICAID: $79.86
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $105.65
  • ALIGN SENIOR CARE — MEDICARE: $105.65
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $79.86
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $105.65
  • AMERICAN HEALTH PLAN — MEDICARE: $105.65
  • AMERIGROUP MEDICAID — MEDICAID: $79.86
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $79.86
  • AMERIHEALTH MEDICARE — MEDICARE: $105.65
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $12,116 $6,663.80 $3,584.18 – $13,487.27
Hysteroscopy with biopsy of the uterus lining: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,803.10
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $8,238.88
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $8,238.88
  • BCBS GENERIC — ANTHEM: $13,487.27
  • BCN DOMESTIC — ANTHEM: $13,487.27
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $13,487.27
  • BLUE CARE NETWORK — ANTHEM: $13,487.27
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $13,487.27
  • BLUE CROSS - AL — ANTHEM: $13,487.27
  • BLUE CROSS - AR — ANTHEM: $13,487.27
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance $305 $305 $28.44 – $305
Spinal injection, lower back (epidural), with imaging guidance: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $45.79
  • AETNA DOMESTIC — AETNA: $111.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $45.79
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $45.79
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $45.79
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $31.83
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $45.79
  • AMERICAN HEALTH PLAN — MEDICARE: $45.79
  • AMERIGROUP MEDICAID — MEDICAID: $31.83
  • AMERIHEALTH MEDICARE — MEDICARE: $45.79
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Injection(S) Epidural Lumbar Needle Placement W/Guidance $213 $213 $28.44 – $213
Spinal injection, lower back (epidural), with imaging guidance: 10 of 774 insurance plan rates
  • AETNA — AETNA: $111.55
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $45.79
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $45.79
  • ALIGN SENIOR CARE — MEDICARE: $45.79
  • AMERIGROUP MEDICAID — MEDICAID: $31.83
  • ANTHEM MYCARE OHIO — MEDICARE: $45.79
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $31.83
  • AURORA SPECIAL NEEDS — MEDICARE: $45.79
  • BCBS GENERIC — ANTHEM BCBS: $105.23
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $45.79
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $3,579 $1,968.45 $781.56 – $3,042.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $829.30
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $2,433.72
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $2,433.72
  • BCBS GENERIC — ANTHEM: $2,941.02
  • BCN DOMESTIC — ANTHEM: $2,941.02
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $2,941.02
  • BLUE CARE NETWORK — ANTHEM: $2,941.02
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $2,941.02
  • BLUE CROSS - AL — ANTHEM: $2,941.02
  • BLUE CROSS - AR — ANTHEM: $2,941.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $435 $435 $25.81 – $870
Nerve root injection, lower back, with imaging guidance: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $51.17
  • AETNA — AETNA: $146.57
  • AETNA DOMESTIC — AETNA: $146.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $51.17
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $51.17
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $51.17
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $30.75
  • ALIGN SENIOR CARE — MEDICARE: $51.17
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $51.17
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $51.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt $4,622 $2,542.10 $979.30 – $3,928.70
Nerve root injection, lower back, with imaging guidance: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,039.11
  • ALLIED NATIONAL GLOBAL CARE — MULTIPLAN: $3,142.96
  • ASRM - RELIANCE STANDARD LIFE INSURANCE — MULTIPLAN: $3,142.96
  • BCBS GENERIC — ANTHEM: $3,685.09
  • BCN DOMESTIC — ANTHEM: $3,685.09
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $3,685.09
  • BLUE CARE NETWORK — ANTHEM: $3,685.09
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $3,685.09
  • BLUE CROSS - AL — ANTHEM: $3,685.09
  • BLUE CROSS - AR — ANTHEM: $3,685.09
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level Not listed in the file $321.12 $25.81 – $614.12
Nerve root injection, lower back, with imaging guidance: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $51.17
  • AETNA — AETNA: $146.57
  • AETNA DOMESTIC — AETNA: $146.57
  • AETNA MEDICAID — MEDICAID: $30.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $51.17
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $51.17
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $30.75
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $30.75
  • ALIGN SENIOR CARE — MEDICARE: $51.17
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $30.75
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $1,401 $1,401 $122.01 – $1,401
Carpal tunnel release: 10 of 774 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $122.52
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $122.52
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $122.52
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $122.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $220.96
  • ALLY ALIGN CARE ADV — MEDICARE: $220.96
  • AMERIHEALTH MEDICARE — MEDICARE: $220.96
  • ANDRIE INC — WORKERS COMP: $564.13
  • AURORA SPECIAL NEEDS — MEDICARE: $220.96
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $220.96
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Neuroplasty/Transposition Median Nerve at Carpal Tunnel $995 $995 $122.01 – $995
Carpal tunnel release: 10 of 774 insurance plan rates
  • AETNA — AETNA: $573.08
  • AETNA DOMESTIC — AETNA: $573.08
  • AETNA MEDICAID — MEDICAID: $122.52
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $220.96
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $220.96
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $220.96
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $122.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $220.96
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $220.96
  • AMERICAN HEALTH PLAN — MEDICARE: $220.96
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt Not listed in the file $11,269.61 $2,162.08 – $8,135.91
Carpal tunnel release: 10 of 92 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,294.14
  • BCBS GENERIC — ANTHEM: $8,135.91
  • BCN DOMESTIC — ANTHEM: $8,135.91
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $8,135.91
  • BLUE CARE NETWORK — ANTHEM: $8,135.91
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $8,135.91
  • BLUE CROSS - AL — ANTHEM: $8,135.91
  • BLUE CROSS - AR — ANTHEM: $8,135.91
  • BLUE CROSS - AZ — ANTHEM: $8,135.91
  • BLUE CROSS - CA (ANTHEM) — ANTHEM: $8,135.91

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $5,555 $5,555 $908.68 – $5,555
Vaginal delivery, with care before and after: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,156.88
  • AETNA DOMESTIC — AETNA: $2,644.39
  • AETNA MEDICAID — MEDICAID: $1,306.17
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,156.88
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,156.88
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $1,156.88
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,306.17
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,306.17
  • ALIGN SENIOR CARE — MEDICARE: $1,156.88
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,156.88
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $5,277 $5,277 $517.97 – $5,277
Vaginal delivery, with care before and after: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,156.88
  • AETNA DOMESTIC — AETNA: $2,644.39
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $517.97
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $517.97
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,156.88
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,156.88
  • ALLY ALIGN CARE ADV — MEDICARE: $1,156.88
  • AMERIGROUP MEDICAID — MEDICAID: $517.97
  • AMERIHEALTH MEDICARE — MEDICARE: $1,156.88
  • ANDRIE INC — WORKERS COMP: $3,038.74
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care $5,709 $5,709 $1,002.29 – $5,709
Cesarean delivery (C-section), with care before and after: 10 of 774 insurance plan rates
  • AETNA — AETNA: $2,644.39
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,475.31
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,475.31
  • ALIGN SENIOR CARE — MEDICARE: $1,295.44
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,475.31
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,295.44
  • ALLY ALIGN CARE ADV — MEDICARE: $1,295.44
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,295.44
  • AMISH MENNONITE — MEDICAID: $1,475.31
  • ANDRIE INC — WORKERS COMP: $3,360.97
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care $5,860 $5,860 $585.04 – $5,860
Cesarean delivery (C-section), with care before and after: 10 of 774 insurance plan rates
  • AETNA DOMESTIC — AETNA: $2,644.39
  • AETNA MEDICAID — MEDICAID: $585.04
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,295.44
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,295.44
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $1,295.44
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $585.04
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,295.44
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,295.44
  • AMERICAN HEALTH PLAN — MEDICARE: $1,295.44
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $585.04
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care|ASSISTANT SURGEON $937.60 $937.60 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $937.60
Cesarean delivery (C-section), with care before and after: 10 of 774 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $207.27
  • AETNA — AETNA: $423.10
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $117.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $117.01
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $207.27
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $207.27
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $117.01
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $207.27
  • AMERICAN HEALTH PLAN — MEDICARE: $207.27
  • AMISH MENNONITE — MEDICAID: $117.01

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 $240,631.90 $87,920.72 – $238,035.09
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 100 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $87,920.72
  • ALLEGIANCE — CIGNA: $226,051.16
  • BCBS GENERIC — ANTHEM: $218,458.44
  • BCN DOMESTIC — ANTHEM: $218,458.44
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $218,458.44
  • BLUE CARE NETWORK — ANTHEM: $218,458.44
  • BLUE CROSS - AK (PREMERA) — ANTHEM: $218,458.44
  • BLUE CROSS - AL — ANTHEM: $218,458.44
  • BLUE CROSS - AR — ANTHEM: $218,458.44
  • BLUE CROSS - AZ — ANTHEM: $218,458.44
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 $43,704.42 $17,914.33 – $46,933.99
Hip or knee replacement (major joint of the leg), without major complications: 10 of 112 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $22,791
  • AETNA — AETNA: $22,791
  • AETNA — AETNA WHOLE HEALTH: $34,643.04
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17,914.33
  • ALLEGIANCE — CIGNA: $44,571.09
  • ALLIED BENEFIT SYSTEMS — AETNA: $22,791
  • BCBS GENERIC — ANTHEM: $39,793.41
  • BCN DOMESTIC — ANTHEM: $39,793.41
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $39,793.41
  • BLUE CARE NETWORK — ANTHEM: $39,793.41
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 $44,762.42 $22,481.64 – $59,401.71
Neck (cervical) spinal fusion, without complications: 10 of 112 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $34,254
  • AETNA — AETNA: $34,254
  • AETNA — AETNA WHOLE HEALTH: $43,845.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $22,481.64
  • ALLEGIANCE — CIGNA: $56,411.12
  • ALLIED BENEFIT SYSTEMS — AETNA: $34,254
  • BCBS GENERIC — ANTHEM: $53,204.49
  • BCN DOMESTIC — ANTHEM: $53,204.49
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $53,204.49
  • BLUE CARE NETWORK — ANTHEM: $53,204.49
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 $39,524.60 $11,780 – $30,188.71
Uterus and ovary surgery (not for cancer), without complications: 10 of 112 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $18,569
  • AETNA — AETNA: $18,569
  • AETNA — AETNA WHOLE HEALTH: $22,282.97
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,780
  • ALLEGIANCE — CIGNA: $28,668.85
  • ALLIED BENEFIT SYSTEMS — AETNA: $18,569
  • BCBS GENERIC — ANTHEM: $23,716.02
  • BCN DOMESTIC — ANTHEM: $23,716.02
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM: $23,716.02
  • BLUE CARE NETWORK — ANTHEM: $23,716.02

Source: St Francis Hospital & Medical Center’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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
Address114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
CountyHartford County
StateConnecticut
Phone(860) 714‑5541
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number070002
Name in Medicare recordsST FRANCIS HOSPITAL & MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(860) 714‑4000[6]
Name on the hospital’s websiteSaint Francis Hospital and Medical Center
Official websitetrinityhealthofne.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. Saint Francis Hospital and Medical Center — trinityhealthofne.org
  2. Saint Francis Hospital Emergency Department | Trinity Health Of New England — trinityhealthofne.org
  3. Saint Francis Hospital | Trinity Health Of New England — trinityhealthofne.org
  4. Saint Francis Hospital Awards | Trinity Health Of New England — trinityhealthofne.org
  5. Connecticut Joint Replacement Institute | Trinity Health Of New England — trinityhealthofne.org
  6. Patient and Visitor Parking Information | Trinity Health Of New England — trinityhealthofne.org