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Acute Care Hospital

St Johns Medical Center

Jackson, Wyoming · Teton County · Emergency services listed

Summary

St Johns Medical Center is an acute care hospital in Jackson, Wyoming. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 49 services, specialties and programs. Medicare lists 202 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

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-03). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
49Services listed

Quick answers

Does St Johns Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Johns Medical Center. In a medical emergency, call 911.
Where is St Johns Medical Center?
po box 428, Jackson, WY 83001, in Teton County, Wyoming.
What is the phone number of St Johns Medical Center?
(307) 733-3636, as listed by Medicare (CMS).
What is the Medicare star rating of St Johns Medical Center?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][7]

Conditions treated[5]

Treatments[5][6][7]

Procedures[4][6][7][8]

Programs and centers[6][7]

  • Birth Center
  • Joint & Spine Center
  • Sleep Disorder Center
  • Transitional Care Unit
  • Intensive Care Unit
  • Hospitalist program
  • Lifestyle Medicine

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationArea Trauma Hospital (Wyoming Dept. of Health designation)

Visiting and practical information

VisitingSuggested visiting hours 11 a.m.-7 p.m.; main entrance open 5 a.m.-7 p.m. Mon-Fri, otherwise use the ER entrance[10]
Patient portalHealtheLife patient portal

Recognition[5][7][9]

  • Area Trauma Hospital (Wyoming Department of Health)
  • CMS 5-Star Overall Hospital Quality Rating
  • Newsweek World's Best Hospitals 2026
  • Newsweek Best-In-State Hospitals 2026 (#1 in Wyoming)
  • U.S. News High-Performing Hospital for Maternity Care 2026
  • Top 20 Rural and Community Hospital (National Rural Health Association) 2026
  • Women's Choice Award America's Best Hospitals 2025
  • Healthgrades Outstanding Patient Experience Award
  • Press Ganey Guardian of Excellence Award (Patient Experience)
  • ISO 9001 certification
  • College of American Pathologists accredited laboratory

Doctors and clinicians (202)

202 doctors and other clinicians list St Johns 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 (202)

And 178 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 →

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.

Pharmacies

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 Johns 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) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1084%National average: 72%
Would definitely recommend the hospital85%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well85%National average: 80%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home93%National average: 86%
Room and bathroom “always” clean86%National average: 74%
Area around the room “always” quiet at night71%National average: 60%
Completed surveys409Response rate: 29%

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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.34No different from 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 patientsToo few cases to report
Deaths within 30 days: heart failure patients10%
Deaths within 30 days: pneumonia patients9.4%
Deaths within 30 days: COPD patients7.7%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.2No different from the national rate
Complications after hip or knee replacement4.1%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.9%
Readmitted within 30 days: pneumonia16.5%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)109 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)83%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as St Johns 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $200 $200 $70.09 – $196
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $196
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $193.20
  • BCBS SELECT — BCBS SELECT: $196
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $178.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $184
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $184
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $182
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $190
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $192
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $184
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $250 $250 $114.82 – $245
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $245
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $241.50
  • BCBS SELECT — BCBS SELECT: $245
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $223
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $230
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $230
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $227.50
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $237.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $240
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $230
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $300 $300 $157.20 – $294
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $294
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $289.80
  • BCBS SELECT — BCBS SELECT: $294
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $267.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $276
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $276
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $273
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $285
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $288
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $276
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $170 $170 $56.67 – $166.60
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $166.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $164.22
  • BCBS SELECT — BCBS SELECT: $166.60
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $151.64
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $156.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $156.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $154.70
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $161.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $163.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $156.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $360 $360 $131 – $352.80
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $352.80
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $159
  • BCBS SELECT — BCBS SELECT: $131
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $331.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $331.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $334.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $327.60
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $342
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $345.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $133.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $285 $285 $124 – $279.30
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $279.30
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $151
  • BCBS SELECT — BCBS SELECT: $124
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $262.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $262.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $265.05
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $259.35
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $270.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $273.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $164.40
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more $445 $445 $200 – $436.10
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $436.10
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $243
  • BCBS SELECT — BCBS SELECT: $200
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $409.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $409.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $413.85
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $404.95
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $422.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $427.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $264.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years) $285 $285 $127 – $279.30
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $279.30
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $155
  • BCBS SELECT — BCBS SELECT: $127
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $262.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $262.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $265.05
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $259.35
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $270.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $273.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $168.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years) $580 $580 $155 – $568.40
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $568.40
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $188
  • BCBS SELECT — BCBS SELECT: $155
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $533.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $533.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $539.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $527.80
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $551
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $556.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $204.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $2,044 $2,044 $298.69 – $2,003.12
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,003.12
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,974.50
  • BCBS SELECT — BCBS SELECT: $2,003.12
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,823.25
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $1,880.48
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $1,880.48
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $1,860.04
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $1,941.80
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $1,962.24
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $1,880.48
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making $270 $270 $67.74 – $264.60
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $264.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $116
  • BCBS SELECT — BCBS SELECT: $116
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $248.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $248.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $251.10
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $245.70
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $256.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $259.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $110.40
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $3,425 $3,425 $456.57 – $3,356.50
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,356.50
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $3,308.55
  • BCBS SELECT — BCBS SELECT: $3,356.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,055.10
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,151
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,151
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,116.75
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,253.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,288
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,151
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making $460 $460 $115.20 – $450.80
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $450.80
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $197
  • BCBS SELECT — BCBS SELECT: $197
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $423.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $423.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $427.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $418.60
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $437
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $441.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $202.80
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $4,892 $4,892 $651.63 – $4,794.16
Emergency room visit (high): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $4,794.16
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,725.67
  • BCBS SELECT — BCBS SELECT: $4,794.16
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $4,363.66
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $4,500.64
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $4,500.64
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $4,451.72
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $4,647.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $4,696.32
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $4,500.64
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making $670 $670 $167.18 – $656.60
Emergency room visit (high): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $656.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $284
  • BCBS SELECT — BCBS SELECT: $284
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $616.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $616.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $623.10
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $609.70
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $636.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $643.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $294.60

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $160 $160 $8.46 – $156.80
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $156.80
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $154.56
  • BCBS SELECT — BCBS SELECT: $156.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $142.72
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $147.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $147.20
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $145.60
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $152
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $153.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $147.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $200 $200 $10.56 – $196
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $196
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $193.20
  • BCBS SELECT — BCBS SELECT: $196
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $178.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $184
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $184
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $182
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $190
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $192
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $184
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $37.50 $37.50 $13.39 – $57
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $36.75
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $51
  • BCBS SELECT — BCBS SELECT: $45
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $34.50
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $34.50
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $34.88
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $34.13
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $35.63
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $36
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $57
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $133 $133 $8.68 – $130.34
Kidney function panel: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $130.34
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $128.48
  • BCBS SELECT — BCBS SELECT: $130.34
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $118.64
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $122.36
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $122.36
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $121.03
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $126.35
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $127.68
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $122.36
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $158 $158 $8.17 – $154.84
Liver function panel: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $154.84
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $152.63
  • BCBS SELECT — BCBS SELECT: $154.84
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $140.94
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $145.36
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $145.36
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $143.78
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $150.10
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $151.68
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $145.36
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $85 $85 $3.17 – $83.30
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $83.30
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $82.11
  • BCBS SELECT — BCBS SELECT: $83.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $75.82
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $78.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $78.20
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $77.35
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $80.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $81.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $78.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $69 $69 $3.48 – $67.62
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $67.62
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $66.65
  • BCBS SELECT — BCBS SELECT: $67.62
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $61.55
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $63.48
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $63.48
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $62.79
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $65.55
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $66.24
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $63.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $152 $152 $18.39 – $148.96
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $148.96
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $146.83
  • BCBS SELECT — BCBS SELECT: $148.96
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $135.58
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $139.84
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $139.84
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $138.32
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $144.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $145.92
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $139.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $175 $175 $16.80 – $171.50
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $171.50
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $169.05
  • BCBS SELECT — BCBS SELECT: $171.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $156.10
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $161
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $161
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $159.25
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $166.25
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $168
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $161
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $90 $90 $7.77 – $88.20
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $88.20
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $86.94
  • BCBS SELECT — BCBS SELECT: $88.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $80.28
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $82.80
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $82.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $81.90
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $85.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $86.40
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $82.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $85 $85 $6.47 – $83.30
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $83.30
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $82.11
  • BCBS SELECT — BCBS SELECT: $83.30
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $75.82
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $78.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $78.20
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $77.35
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $80.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $81.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $78.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $70 $70 $4.29 – $68.60
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $68.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $67.62
  • BCBS SELECT — BCBS SELECT: $68.60
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $62.44
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $64.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $64.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $63.70
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $66.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $67.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $64.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $129 $129 $6.01 – $126.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $126.42
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $124.61
  • BCBS SELECT — BCBS SELECT: $126.42
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $115.07
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $118.68
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $118.68
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $117.39
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $122.55
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $123.84
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $118.68

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast $2,024 $2,024 $114.39 – $1,983.52
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $1,983.52
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,955.18
  • BCBS SELECT — BCBS SELECT: $1,983.52
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,805.41
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $1,862.08
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $1,862.08
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $1,841.84
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $1,922.80
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $1,943.04
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $1,862.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast $4,070 $4,070 $381.74 – $3,988.60
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,988.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $3,931.62
  • BCBS SELECT — BCBS SELECT: $3,988.60
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,630.44
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,744.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,744.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,703.70
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,866.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,907.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,744.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views $425 $425 $95.22 – $416.50
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $416.50
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $410.55
  • BCBS SELECT — BCBS SELECT: $416.50
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $379.10
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $391
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $391
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $386.75
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $403.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $408
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $391
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views $690 $690 $114.39 – $676.20
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $676.20
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $666.54
  • BCBS SELECT — BCBS SELECT: $676.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $615.48
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $634.80
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $634.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $627.90
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $655.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $662.40
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $634.80
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $2,809 $2,809 $261.08 – $2,752.82
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,752.82
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $2,713.49
  • BCBS SELECT — BCBS SELECT: $2,752.82
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,505.63
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,584.28
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,584.28
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,556.19
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,668.55
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,696.64
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,584.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,287 $2,287 $191.92 – $2,241.26
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,241.26
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $2,209.24
  • BCBS SELECT — BCBS SELECT: $2,241.26
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,040
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,104.04
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,104.04
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,081.17
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,172.65
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,195.52
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,104.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast $2,474 $2,474 $261.08 – $2,424.52
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,424.52
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $2,389.88
  • BCBS SELECT — BCBS SELECT: $2,424.52
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,206.81
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,276.08
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,276.08
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,251.34
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,350.30
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,375.04
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,276.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $4,211 $4,211 $381.74 – $4,126.78
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $4,126.78
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,067.83
  • BCBS SELECT — BCBS SELECT: $4,126.78
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,756.21
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,874.12
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,874.12
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,832.01
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $4,000.45
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $4,042.56
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,874.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen $1,201 $1,201 $114.39 – $1,176.98
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $1,176.98
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,160.17
  • BCBS SELECT — BCBS SELECT: $1,176.98
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,071.29
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $1,104.92
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $1,104.92
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $1,092.91
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $1,140.95
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $1,152.96
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $1,104.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $520 $520 $46.66 – $509.60
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $509.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $187
  • BCBS SELECT — BCBS SELECT: $107
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $478.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $478.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $483.60
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $473.20
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $494
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $499.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $84.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $727 $727 $114.39 – $712.46
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $712.46
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $702.28
  • BCBS SELECT — BCBS SELECT: $712.46
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $648.48
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $668.84
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $668.84
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $661.57
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $690.65
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $697.92
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $668.84
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast $460 $460 $123.40 – $450.80
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $450.80
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $444.36
  • BCBS SELECT — BCBS SELECT: $450.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $410.32
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $423.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $423.20
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $418.60
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $437
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $441.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $423.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts $562 $562 $156.29 – $550.76
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $550.76
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $542.89
  • BCBS SELECT — BCBS SELECT: $550.76
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $501.30
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $517.04
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $517.04
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $511.42
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $533.90
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $539.52
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $517.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography $350 $350 $125.82 – $343
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $343
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $338.10
  • BCBS SELECT — BCBS SELECT: $343
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $312.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $322
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $322
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $318.50
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $332.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $336
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $322

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report $46 $46 $15.19 – $45.08
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $45.08
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $24
  • BCBS SELECT — BCBS SELECT: $20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $42.32
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $42.32
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $42.78
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $41.86
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $43.70
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $44.16
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $28.80
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Insertion of tube in left heart chambers for diagnosis with review by radiologist $2,288 $2,288 $223.75 – $2,242.24
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,242.24
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $383
  • BCBS SELECT — BCBS SELECT: $316
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,104.96
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,104.96
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,127.84
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,082.08
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,173.60
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,196.48
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $411
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Insertion of catheters for recording and pacing of right heart chambers rhythm $1,031 $1,031 $364.21 – $1,010.38
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $1,010.38
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $634
  • BCBS SELECT — BCBS SELECT: $522
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $948.52
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $948.52
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $958.83
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $938.21
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $979.45
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $989.76
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $679.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction $2,832 $2,832 $772.68 – $2,775.36
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,775.36
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,825
  • BCBS SELECT — BCBS SELECT: $1,503
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,605.44
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,605.44
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,633.76
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,577.12
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,690.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,718.72
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $1,957.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older) $4,340 $4,340 $939.63 – $4,253.20
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $4,253.20
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,192.44
  • BCBS SELECT — BCBS SELECT: $4,253.20
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,871.28
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,992.80
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,992.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,949.40
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $4,123
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $4,166.40
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,992.80

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $144 $144 $28.97 – $141.12
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $141.12
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $139.10
  • BCBS SELECT — BCBS SELECT: $141.12
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $128.45
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $132.48
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $132.48
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $131.04
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $136.80
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $138.24
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $132.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes $339 $339 $97.78 – $332.22
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $332.22
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $327.47
  • BCBS SELECT — BCBS SELECT: $332.22
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $302.39
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $311.88
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $311.88
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $308.49
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $322.05
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $325.44
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $311.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes $416 $416 $97.78 – $407.68
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $407.68
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $401.86
  • BCBS SELECT — BCBS SELECT: $407.68
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $371.07
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $382.72
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $382.72
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $378.56
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $395.20
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $399.36
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $382.72
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes $510 $510 $97.78 – $499.80
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $499.80
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $492.66
  • BCBS SELECT — BCBS SELECT: $499.80
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $454.92
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $469.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $469.20
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $464.10
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $484.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $489.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $469.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes $195 $195 $69.39 – $191.10
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $191.10
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $109
  • BCBS SELECT — BCBS SELECT: $90
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $179.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $179.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $181.35
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $177.45
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $185.25
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $187.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $106.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes $255 $255 $91.68 – $249.90
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $249.90
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $143
  • BCBS SELECT — BCBS SELECT: $118
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $234.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $234.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $237.15
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $232.05
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $242.25
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $244.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $141.60
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour $385 $385 $135.10 – $377.30
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $377.30
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $212
  • BCBS SELECT — BCBS SELECT: $175
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $354.20
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $354.20
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $358.05
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $350.35
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $365.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $369.60
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $211.80
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes $186 $186 $98.94 – $182.28
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $182.28
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $155
  • BCBS SELECT — BCBS SELECT: $128
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $171.12
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $171.12
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $172.98
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $169.26
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $176.70
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $178.56
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $171
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes $223 $223 $102.70 – $218.54
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $218.54
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $161
  • BCBS SELECT — BCBS SELECT: $132
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $205.16
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $205.16
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $207.39
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $202.93
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $211.85
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $214.08
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $177.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy $62 $62 $24.30 – $60.76
Group psychotherapy: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $60.76
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $38
  • BCBS SELECT — BCBS SELECT: $31
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $57.04
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $57.04
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $57.66
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $56.42
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $58.90
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $59.52
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple $2,558 $2,558 $395.23 – $2,506.84
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,506.84
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,005
  • BCBS SELECT — BCBS SELECT: $919
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,353.36
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,353.36
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,378.94
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,327.78
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,430.10
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,455.68
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $720
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis $7,442 $7,442 $1,126.85 – $7,293.16
Total hip replacement: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $7,293.16
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $5,446
  • BCBS SELECT — BCBS SELECT: $3,206
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $6,846.64
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $6,846.64
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $6,921.06
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $6,772.22
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $7,069.90
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $7,144.32
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,352.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee $7,100 $7,100 $1,124.43 – $6,958
Total knee replacement: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $6,958
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $6,368
  • BCBS SELECT — BCBS SELECT: $3,423
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $6,532
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $6,532
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $6,603
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $6,461
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $6,745
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $6,816
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,349.60
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope $906 $906 $142.60 – $887.88
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $887.88
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $694
  • BCBS SELECT — BCBS SELECT: $389
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $833.52
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $833.52
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $842.58
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $824.46
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $860.70
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $869.76
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $303
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope $2,812 $2,812 $503.55 – $2,755.76
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,755.76
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $2,194
  • BCBS SELECT — BCBS SELECT: $1,216
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,587.04
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,587.04
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,615.16
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,558.92
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,671.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,699.52
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $936
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years) $908 $908 $255.74 – $1,022
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $889.84
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,022
  • BCBS SELECT — BCBS SELECT: $659
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $835.36
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $835.36
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $844.44
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $826.28
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $862.60
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $871.68
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $495.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $695 $695 $108.47 – $681.10
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $681.10
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $598
  • BCBS SELECT — BCBS SELECT: $326
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $639.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $639.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $646.35
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $632.45
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $660.25
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $667.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $212.40
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $480 $480 $121.24 – $721
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $470.40
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $721
  • BCBS SELECT — BCBS SELECT: $385
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $441.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $441.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $446.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $436.80
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $456
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $460.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $239.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope $680 $680 $161.11 – $855
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $666.40
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $855
  • BCBS SELECT — BCBS SELECT: $486
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $625.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $625.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $632.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $618.80
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $646
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $652.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $321
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope $830 $830 $174.05 – $1,106
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $813.40
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,106
  • BCBS SELECT — BCBS SELECT: $580
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $763.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $763.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $771.90
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $755.30
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $788.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $796.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $347.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $1,700 $1,700 $219.02 – $1,666
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $1,666
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,341
  • BCBS SELECT — BCBS SELECT: $688
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,564
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $1,564
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $1,581
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $1,547
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $1,615
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $1,632
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $441
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Ultrasound exam of large bowel using a flexible endoscope $764 $764 $221.87 – $748.72
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $748.72
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $599
  • BCBS SELECT — BCBS SELECT: $661
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $702.88
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $702.88
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $710.52
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $695.24
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $725.80
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $733.44
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $445.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $645 $645 $161.35 – $855
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $632.10
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $855
  • BCBS SELECT — BCBS SELECT: $234
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $593.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $593.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $599.85
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $586.95
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $612.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $619.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $321.60
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $2,750 $2,750 $608.76 – $2,695
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,695
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $2,635
  • BCBS SELECT — BCBS SELECT: $1,462
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,530
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,530
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,557.50
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,502.50
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,612.50
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,640
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $1,151.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older) $3,878 $3,878 $490.23 – $3,800.44
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,800.44
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,888
  • BCBS SELECT — BCBS SELECT: $1,159
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,567.76
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,567.76
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,606.54
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,528.98
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,684.10
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,722.88
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $910.20
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope $4,326 $4,326 $1,057.28 – $4,357
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $4,239.48
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,357
  • BCBS SELECT — BCBS SELECT: $3,759
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,979.92
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,979.92
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $4,023.18
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,936.66
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $4,109.70
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $4,152.96
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $2,501.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope $3,880 $3,880 $198.16 – $3,802.40
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,802.40
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $704
  • BCBS SELECT — BCBS SELECT: $598
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,569.60
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,569.60
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,608.40
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,530.80
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,686
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,724.80
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $404.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance $652 $652 $87.70 – $638.96
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $638.96
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $425
  • BCBS SELECT — BCBS SELECT: $228
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $599.84
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $599.84
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $606.36
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $593.32
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $619.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $625.92
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $171.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $3,924 $3,924 $967.79 – $3,845.52
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,845.52
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $3,790.58
  • BCBS SELECT — BCBS SELECT: $3,845.52
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,500.21
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,610.08
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,610.08
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,570.84
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,727.80
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,767.04
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,610.08
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve $2,220 $2,220 $414.59 – $2,175.60
Carpal tunnel release: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $2,175.60
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,619
  • BCBS SELECT — BCBS SELECT: $956
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $2,042.40
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $2,042.40
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $2,064.60
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $2,020.20
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $2,109
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $2,131.20
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $742.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser $1,746 $1,746 $273.05 – $1,711.08
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $1,711.08
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $1,056
  • BCBS SELECT — BCBS SELECT: $717
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $1,606.32
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $1,606.32
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $1,623.78
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $1,588.86
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $1,658.70
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $1,676.16
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $528.60
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens $3,392 $3,392 $457.91 – $3,324.16
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $3,324.16
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $3,141
  • BCBS SELECT — BCBS SELECT: $1,472
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $3,120.64
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $3,120.64
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $3,154.56
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $3,086.72
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $3,222.40
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $3,256.32
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $927

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery $9,100 $9,100 $2,122.95 – $8,918
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $8,918
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,298
  • BCBS SELECT — BCBS SELECT: $4,741
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $8,372
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $8,372
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $8,463
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $8,281
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $8,645
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $8,736
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,691.80
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery $11,000 $11,000 $2,360.44 – $10,780
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $10,780
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,751
  • BCBS SELECT — BCBS SELECT: $5,240
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $10,120
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $10,120
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $10,230
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $10,010
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $10,450
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $10,560
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $4,094.40
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery $5,828 $5,828 $2,222.68 – $5,711.44
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $5,711.44
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $4,505
  • BCBS SELECT — BCBS SELECT: $4,969
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $5,361.76
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $5,361.76
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $5,420.04
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $5,303.48
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $5,536.60
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $5,594.88
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $3,884.40

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $106,080.21 $106,080.21 $26,676.04 – $103,958.61
Spinal fusion (not neck), without major complications: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $103,958.61
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $102,473.49
  • BCBS SELECT — BCBS SELECT: $103,958.61
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $94,623.55
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $97,593.80
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $97,593.80
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $96,532.99
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $100,776.20
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $101,837
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $97,593.80
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $49,975.99 $49,975.99 $14,066.93 – $48,976.47
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $48,976.47
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $48,276.81
  • BCBS SELECT — BCBS SELECT: $48,976.47
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $44,578.59
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $45,977.92
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $45,977.92
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $45,478.16
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $47,477.20
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $47,976.95
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $45,977.92
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $98,538.84 $98,538.84 $17,803.72 – $96,568.06
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $96,568.06
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $95,188.52
  • BCBS SELECT — BCBS SELECT: $96,568.06
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $87,896.64
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $90,655.73
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $90,655.73
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $89,670.34
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $93,611.90
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $94,597.28
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $90,655.73
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $35,992.37 $35,992.37 $9,048.08 – $35,272.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS — ALTIUS/COVENTRY/MAILHANDLERS-ALL PLANS: $35,272.52
  • BCBS PARTICIPATING-ALL OTHER PLANS — BCBS PARTICIPATING-ALL OTHER PLANS: $34,768.63
  • BCBS SELECT — BCBS SELECT: $35,272.52
  • CIGNA-ALL PLANS — CIGNA-ALL PLANS: $32,105.19
  • FIRST CHOICE OF MIDWEST-ALL PLANS — FIRST CHOICE OF MIDWEST-ALL PLANS: $33,112.98
  • FIRST CHOICE(AETNA)-ALL PLANS — FIRST CHOICE(AETNA)-ALL PLANS: $33,112.98
  • GEHA-ALL PLANS — GEHA-ALL PLANS: $32,753.05
  • INTERWEST HEALTH-ALL PLANS — INTERWEST HEALTH-ALL PLANS: $34,192.75
  • MEDICA COMM-ALL PLANS — MEDICA COMM-ALL PLANS: $34,552.67
  • MOUNTAIN HEALTH COOP-ALL PLANS — MOUNTAIN HEALTH COOP-ALL PLANS: $33,112.98

Source: St Johns Medical Center’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 17, 2026; retrieved November 5, 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
Addresspo box 428, Jackson, WY 83001
CountyTeton County
StateWyoming
Phone(307) 733‑3636
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number530015
Name in Medicare recordsST JOHNS MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSt. John's Health
Official websitestjohns.health
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-03.

  1. St. John's Health | Hospital in Jackson, WY — stjohns.health
  2. Emergency Room | St. John's Health — stjohns.health
  3. Hospital in Jackson, WY | St. John's Health — stjohns.health
  4. St. John's Inpatient Care | Hospital in Jackson, WY — stjohns.health
  5. Jackson Health Services | Medical Center in Teton County — stjohns.health
  6. Awards & Recognition | St. John's Health — stjohns.health
  7. Visitor Policy | St. John's Health — stjohns.health