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Acute Care Hospital

St Joseph's Hospital Health Center

Syracuse, New York · Onondaga County · Emergency services listed

Summary

St Joseph's Hospital Health Center is an acute care hospital in Syracuse, New York. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 45 services, specialties and programs. Medicare lists 714 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(315) 448‑5111 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
714Doctors and clinicians
45Services listed

Quick answers

Does St Joseph's Hospital Health Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Joseph's Hospital Health Center. In a medical emergency, call 911.
Where is St Joseph's Hospital Health Center?
301 Prospect Avenue, Syracuse, NY 13203, in Onondaga County, New York.
What is the phone number of St Joseph's Hospital Health Center?
(315) 448-5111, as listed by Medicare (CMS).
What is the Medicare star rating of St Joseph's Hospital Health Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][10][11][13][15][16][17][19][20]

Conditions treated[10][20]

  • Preterm labor
  • Pre-eclampsia
  • High-risk pregnancy
  • Cervical insufficiency
  • Congenital anomalies
  • Postpartum complications

Treatments[11][17]

  • Epidural anesthesia
  • Nitrous oxide for labor
  • IV pain medication in labor

Procedures[11][12][15][20]

Programs and centers[9][10][11][12][13][14][16][17][18][19][20][21][22]

  • Obstetric Emergency Department (OB ED)
  • Level III Neonatal Intensive Care Unit
  • Birthplace / Labor and Delivery
  • Mother Baby Unit
  • Maternal Fetal Medicine program
  • Midwifery services
  • Breast-feeding Support Center
  • OB Hospitalist Program
  • Infant safe sleep program
  • Online childbirth and new family classes
  • Total joint replacement education classes
  • Spine surgery education classes
  • Shoulder surgery education classes
  • In-person maternity tours

Emergency care (hospital website)[5][6][7][10]

Emergency roomYes
Stroke designationDesignated stroke center

Visiting and practical information

VisitingGeneral visiting hours 10 am to 8 pm; some units differ (CPEP 9 am-8 pm, Unit 3-6 by appointment)[6]

Recognition[16][19][22]

  • Baby Friendly designation
  • Cribs for Kids National Safe Sleep Hospital Certification

Doctors and clinicians (714)

714 doctors and other clinicians list St Joseph's Hospital Health 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 (714)

And 690 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What St Joseph's Hospital Health 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean64%National average: 74%
Area around the room “always” quiet at night54%National average: 60%
Completed surveys521Response rate: 27%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.279Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.376Better than the national benchmark
Surgical site infections after colon surgery0.171Better than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.313No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.364Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11%
Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients16.8%
Deaths within 30 days: COPD patients6.9%
Deaths within 30 days: stroke patients12.4%
Deaths within 30 days: coronary bypass surgery (CABG)1.3%
Serious complications (patient safety indicator PSI-90)1.18No different from the national rate
Complications after hip or knee replacement5.4%

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 attack16.1%
Readmitted within 30 days: heart failure23.3%
Readmitted within 30 days: pneumonia19.5%
Readmitted within 30 days: COPD21.9%
Readmitted within 30 days: coronary bypass surgery10.3%
Readmitted within 30 days: hip or knee replacement7.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)226 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)47%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in SyracuseBest hospitals in Syracuse

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as St Joseph's Hospital Health 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 →

$ 31 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $220 $220 $34.04 – $124.02
New patient office visit (about 30–44 minutes): 10 of 745 insurance plan rates
  • AETNA DOMESTIC — AETNA: $124.02
  • AETNA MEDICAID — MEDICAID: $34.04
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $34.04
  • ALIGN SENIOR CARE — MEDICARE: $67.87
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $67.87
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $34.04
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $34.04
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $34.04
  • AURORA SPECIAL NEEDS — MEDICARE: $67.87
  • AVMED MEDICARE — MEDICARE: $67.87
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $220 $220 $76.19
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • FIDELIS CARE — FIDELIS HEALTH BENEFIT EXCHANGE: $76.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Low Level $220 $220 $83.11
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • FIDELIS CARE — FIDELIS HEALTH BENEFIT EXCHANGE: $83.11
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level $256 $256 $56.57 – $202.01
New patient office visit (about 45–59 minutes): 10 of 746 insurance plan rates
  • AETNA DOMESTIC — AETNA: $202.01
  • AETNA MEDICAID — MEDICAID: $56.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $111.15
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $111.15
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $56.57
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $56.57
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $111.15
  • AMERIGROUP MEDICAID — MEDICAID: $56.57
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $56.57
  • ANDRIE INC — WORKERS COMP: $163.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit New Mod Pro 45-59 Mins (Restricted Method II CAH) Not listed in the file $718.25 $25.10 – $362.85
New patient office visit (about 45–59 minutes): 10 of 120 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $115.60
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $25.10
  • BCBS GENERIC — EXCELLUS BCBS: $362.85
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.85
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.85
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $334 $334 $73.59 – $274.64
New patient office visit (about 60–74 minutes): 10 of 744 insurance plan rates
  • AETNA — AETNA: $274.64
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $152.08
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $152.08
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $73.59
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $73.59
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $152.08
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $73.59
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $152.08
  • ALLY ALIGN CARE ADV — MEDICARE: $152.08
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $152.08
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $334 $334 $186.22
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • FIDELIS CARE — FIDELIS HEALTH BENEFIT EXCHANGE: $186.22
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New High Level $334 $334 $217.25
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • FIDELIS CARE — FIDELIS HEALTH BENEFIT EXCHANGE: $217.25
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level $105 $105 $21.76 – $99.99
Established patient office visit (about 20–29 minutes): 10 of 746 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $54.89
  • AETNA DOMESTIC — AETNA: $99.99
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $54.89
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $54.89
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $54.89
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $21.76
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $21.76
  • ALIGN SENIOR CARE — MEDICARE: $54.89
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $54.89
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $54.89
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Low Pro 20-29 Mins (Restricted Method II CAH) Not listed in the file $348.40 $7.32 – $362.85
Established patient office visit (about 20–29 minutes): 10 of 124 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $57.09
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $25.10
  • BCBS GENERIC — EXCELLUS BCBS: $362.85
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.85
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.85
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level $157 $157 $34.03 – $147.53
Established patient office visit (about 30–39 minutes): 10 of 746 insurance plan rates
  • AETNA — AETNA: $147.53
  • AETNA MEDICAID — MEDICAID: $34.03
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $80.68
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $34.03
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $80.68
  • AMERICAN HEALTH PLAN — MEDICARE: $80.68
  • AMERIGROUP MEDICAID — MEDICAID: $34.03
  • AMERIHEALTH MEDICARE — MEDICARE: $80.68
  • AMISH MENNONITE — MEDICAID: $34.03
  • ANTHEM MYCARE OHIO — MEDICARE: $80.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Visit Estab Mod Pro 30-39 Mins (Restricted Method II CAH) Not listed in the file $1,021.15 $18.05 – $301.41
Established patient office visit (about 30–39 minutes): 10 of 58 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.91
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $30.08
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $71.12
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $197 $197 $9.09 – $149.51
Preventive checkup, new patient, age 18–39: 10 of 383 insurance plan rates
  • AETNA — AETNA: $120.93
  • AETNA DOMESTIC — AETNA: $120.93
  • AETNA MEDICAID — MEDICAID: $37.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $66.86
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $37.20
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $37.20
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $37.20
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $37.20
  • AMERIGROUP MEDICAID — MEDICAID: $37.20
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $37.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years $388 $252.20 $88.21 – $388
Preventive checkup, new patient, age 18–39: 10 of 117 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $267.72
  • AETNA — AETNA: $267.72
  • AETNA DOMESTIC — AETNA: $267.72
  • AETNA EAP — AETNA: $267.72
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97
  • ALLIED BENEFIT SYSTEMS — AETNA: $267.72
  • BCBS GENERIC — EXCELLUS BCBS: $207
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $207
  • BLUE CARE NETWORK — EXCELLUS BCBS: $207
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $207
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 18-39 Years Not listed in the file $1,233.05 $21.64 – $216.05
Preventive checkup, new patient, age 18–39: 10 of 53 insurance plan rates
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $50.20
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $239 $239 $11.05 – $181.46
Preventive checkup, new patient, age 40–64: 10 of 383 insurance plan rates
  • AETNA — AETNA: $146.66
  • AETNA DOMESTIC — AETNA: $146.66
  • AETNA MEDICAID — MEDICAID: $45.71
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.24
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $45.71
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $45.71
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $45.71
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $45.71
  • AMERIGROUP MEDICAID — MEDICAID: $45.71
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $45.71
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC E&M Preventive Medicine Initial Comprehensive New Patient 40-64 Years $437 $284.05 $106.85 – $437
Preventive checkup, new patient, age 40–64: 10 of 117 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $301.53
  • AETNA — AETNA: $301.53
  • AETNA DOMESTIC — AETNA: $301.53
  • AETNA EAP — AETNA: $301.53
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $109.25
  • ALLIED BENEFIT SYSTEMS — AETNA: $301.53
  • BCBS GENERIC — EXCELLUS BCBS: $233.14
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $233.14
  • BLUE CARE NETWORK — EXCELLUS BCBS: $233.14
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $233.14
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $148 $148 $24.41 – $148
Emergency room visit (moderate): 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $65.68
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $65.68
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $24.41
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $24.41
  • ALIGN SENIOR CARE — MEDICARE: $65.68
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $65.68
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $65.68
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $24.41
  • ALLY ALIGN CARE ADV — MEDICARE: $65.68
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $24.41
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low $142 $142 $24.41 – $142
Emergency room visit (moderate): 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $65.68
  • AETNA MEDICAID — MEDICAID: $24.41
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $65.68
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $65.68
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $24.41
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $24.41
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $65.68
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $65.68
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $24.41
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $65.68
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 OB Triage Sane_Safe $1,114 $724.10 $294.38 – $1,921
Emergency room visit (moderate): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $768.66
  • AETNA — AETNA: $768.66
  • AETNA DOMESTIC — AETNA: $768.66
  • AETNA EAP — AETNA: $768.66
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $347.30
  • ALLIED BENEFIT SYSTEMS — AETNA: $768.66
  • BCBS GENERIC — EXCELLUS BCBS: $743.97
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $294.38
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $743.97
  • BLUE CARE NETWORK — EXCELLUS BCBS: $743.97
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $241 $241 $42.76 – $241
Emergency room visit (moderately high): 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $42.76
  • ALIGN SENIOR CARE — MEDICARE: $111.74
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $42.76
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $111.74
  • AMERIGROUP MEDICAID — MEDICAID: $42.76
  • AURORA SPECIAL NEEDS — MEDICARE: $111.74
  • AVMED MEDICARE — MEDICARE: $111.74
  • BCBS GENERIC — EXCELLUS BCBS: $155.37
  • BCCCP-MICHIGAN — MEDICAID: $42.76
  • BCCP — MEDICAID: $42.76
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate $253 $253 $45.02 – $241.59
Emergency room visit (moderately high): 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $111.74
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $45.02
  • ALIGN SENIOR CARE — MEDICARE: $111.74
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $45.02
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $111.74
  • AMERIGROUP MEDICAID — MEDICAID: $45.02
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $45.02
  • AMERIHEALTH MEDICARE — MEDICARE: $111.74
  • AMISH MENNONITE — MEDICAID: $45.02
  • ANDRIE INC — WORKERS COMP: $241.59
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 OB Triage Sane_Safe $1,798 $1,168.70 $449.97 – $1,921
Emergency room visit (moderately high): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,240.62
  • AETNA — AETNA: $1,240.62
  • AETNA DOMESTIC — AETNA: $1,240.62
  • AETNA EAP — AETNA: $1,240.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $530.86
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,240.62
  • BCBS GENERIC — EXCELLUS BCBS: $1,137.20
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $449.97
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $1,137.20
  • BLUE CARE NETWORK — EXCELLUS BCBS: $1,137.20
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $352 $352 $67.19 – $352
Emergency room visit (high): 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $67.19
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $162.19
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $67.19
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $162.19
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $67.19
  • AMERIGROUP MEDICAID — MEDICAID: $67.19
  • AMERIHEALTH MEDICARE — MEDICARE: $162.19
  • AMISH MENNONITE — MEDICAID: $67.19
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $67.19
  • AVMED MEDICARE — MEDICARE: $162.19
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High $367 $367 $67.19 – $360.39
Emergency room visit (high): 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $67.19
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $162.19
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $67.19
  • ALLY ALIGN CARE ADV — MEDICARE: $162.19
  • AMERICAN HEALTH PLAN — MEDICARE: $162.19
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $67.19
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $67.19
  • AURORA SPECIAL NEEDS — MEDICARE: $162.19
  • AVMED MEDICARE — MEDICARE: $162.19
  • BCCCP-MICHIGAN — MEDICAID: $67.19
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 OB Triage Sane_Safe $2,202 $1,431.30 $642.22 – $2,202
Emergency room visit (high): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,519.38
  • AETNA — AETNA: $1,519.38
  • AETNA DOMESTIC — AETNA: $1,519.38
  • AETNA EAP — AETNA: $1,519.38
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $757.67
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,519.38
  • BCBS GENERIC — EXCELLUS BCBS: $1,623.05
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $642.22
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $1,623.05
  • BLUE CARE NETWORK — EXCELLUS BCBS: $1,623.05

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) $82 $53.30 $7.31 – $73.80
Basic metabolic panel (blood test): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $56.58
  • AETNA — AETNA: $56.58
  • AETNA DOMESTIC — AETNA: $56.58
  • AETNA EAP — AETNA: $56.58
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.62
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $7.32
  • ALLIED BENEFIT SYSTEMS — AETNA: $56.58
  • BCBS GENERIC — EXCELLUS BCBS: $8.46
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $7.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total) Not listed in the file $640.90 $7.32 – $362.61
Basic metabolic panel (blood test): 10 of 128 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $169.27
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $7.32
  • BCBS GENERIC — EXCELLUS BCBS: $362.61
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.48
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.61
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.61
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.61
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.61
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.61
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel $93 $60.45 $9.12 – $83.70
Comprehensive metabolic panel (blood test): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $64.17
  • AETNA — AETNA: $64.17
  • AETNA DOMESTIC — AETNA: $64.17
  • AETNA EAP — AETNA: $64.17
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.76
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $10.10
  • ALLIED BENEFIT SYSTEMS — AETNA: $64.17
  • BCBS GENERIC — EXCELLUS BCBS: $10.56
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $9.12
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel Not listed in the file $659.75 $10.10 – $362.85
Comprehensive metabolic panel (blood test): 10 of 128 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $169.38
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $10.10
  • BCBS GENERIC — EXCELLUS BCBS: $362.85
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.85
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.85
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel $104 $67.60 $6.10 – $93.60
Cholesterol panel (lipid panel): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $71.76
  • AETNA — AETNA: $71.76
  • AETNA DOMESTIC — AETNA: $71.76
  • AETNA EAP — AETNA: $71.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.65
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $6.10
  • ALLIED BENEFIT SYSTEMS — AETNA: $71.76
  • BCBS GENERIC — EXCELLUS BCBS: $13.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $11.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel $84 $54.60 $7.50 – $75.60
Kidney function panel: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $57.96
  • AETNA — AETNA: $57.96
  • AETNA DOMESTIC — AETNA: $57.96
  • AETNA EAP — AETNA: $57.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.85
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $8.68
  • ALLIED BENEFIT SYSTEMS — AETNA: $57.96
  • BCBS GENERIC — EXCELLUS BCBS: $8.68
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $7.50
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel $75 $48.75 $7.06 – $67.50
Liver function panel: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $51.75
  • AETNA — AETNA: $51.75
  • AETNA DOMESTIC — AETNA: $51.75
  • AETNA EAP — AETNA: $51.75
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.33
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $7.32
  • ALLIED BENEFIT SYSTEMS — AETNA: $51.75
  • BCBS GENERIC — EXCELLUS BCBS: $8.17
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $7.06
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated $38 $24.70 $2.74 – $34.20
Urine test (automated, with microscope): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $26.22
  • AETNA — AETNA: $26.22
  • AETNA DOMESTIC — AETNA: $26.22
  • AETNA EAP — AETNA: $26.22
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.23
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.17
  • ALLIED BENEFIT SYSTEMS — AETNA: $26.22
  • BCBS GENERIC — EXCELLUS BCBS: $3.17
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $2.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated Not listed in the file $589.55 $3.17 – $362.85
Urine test (automated, with microscope): 10 of 128 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $169.38
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.17
  • BCBS GENERIC — EXCELLUS BCBS: $362.85
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.85
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.85
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Nonautomated $43 $27.95 $2.02 – $38.70
Urine test (manual, without microscope): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $29.67
  • AETNA — AETNA: $29.67
  • AETNA DOMESTIC — AETNA: $29.67
  • AETNA EAP — AETNA: $29.67
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.55
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $2.02
  • ALLIED BENEFIT SYSTEMS — AETNA: $29.67
  • BCBS GENERIC — EXCELLUS BCBS: $3.48
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3.01
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated $38 $24.70 $1.94 – $34.20
Urine test (automated, without microscope): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $26.22
  • AETNA — AETNA: $26.22
  • AETNA DOMESTIC — AETNA: $26.22
  • AETNA EAP — AETNA: $26.22
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.29
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $2.02
  • ALLIED BENEFIT SYSTEMS — AETNA: $26.22
  • BCBS GENERIC — EXCELLUS BCBS: $2.25
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1.94
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated Not listed in the file $7.49 $1.58 – $7.49
Urine test (automated, without microscope): 10 of 739 insurance plan rates
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $2.02
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $2.21
  • ALLY ALIGN CARE ADV — MEDICARE: $2.21
  • AMERIGROUP MEDICAID — MEDICAID: $2.02
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $2.02
  • AMERIHEALTH MEDICARE — MEDICARE: $2.21
  • AMISH MENNONITE — MEDICAID: $2.02
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $2.02
  • BCBS GENERIC — EXCELLUS BCBS: $2.18
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $2.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Urinalysis Without Microscopy Automated $5 $5 $5
Urine test (automated, without microscope): 10 of 730 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $2.21
  • AETNA MEDICAID — MEDICAID: $2.02
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $2.21
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $2.21
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $2.02
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $2.21
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $2.21
  • ALLY ALIGN CARE ADV — MEDICARE: $2.21
  • AMERIGROUP MEDICAID — MEDICAID: $2.02
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $2.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Prostate Specific Antigen Total $33 $21.45 $15.89 – $41.38
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $22.77
  • AETNA — AETNA: $22.77
  • AETNA DOMESTIC — AETNA: $22.77
  • AETNA EAP — AETNA: $22.77
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.74
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $18.39
  • ALLIED BENEFIT SYSTEMS — AETNA: $22.77
  • BCBS GENERIC — EXCELLUS BCBS: $18.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $15.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 1012090 Prostate Specific Antigen Total $92 $59.80 $15.89 – $82.80
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $63.48
  • AETNA — AETNA: $63.48
  • AETNA DOMESTIC — AETNA: $63.48
  • AETNA EAP — AETNA: $63.48
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.74
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $18.39
  • ALLIED BENEFIT SYSTEMS — AETNA: $63.48
  • BCBS GENERIC — EXCELLUS BCBS: $18.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $15.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 31348 Prostate Specific Antigen Total $33 $21.45 $15.89 – $41.38
PSA (prostate specific antigen) blood test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $22.77
  • AETNA — AETNA: $22.77
  • AETNA DOMESTIC — AETNA: $22.77
  • AETNA EAP — AETNA: $22.77
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.74
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $18.39
  • ALLIED BENEFIT SYSTEMS — AETNA: $22.77
  • BCBS GENERIC — EXCELLUS BCBS: $18.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $15.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Thyroid Stimulating Hormone (Tsh) $98 $63.70 $9.09 – $88.20
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $67.62
  • AETNA — AETNA: $67.62
  • AETNA DOMESTIC — AETNA: $67.62
  • AETNA EAP — AETNA: $67.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.12
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $9.09
  • ALLIED BENEFIT SYSTEMS — AETNA: $67.62
  • BCBS GENERIC — EXCELLUS BCBS: $16.80
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $14.51
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest Thyroid Stimulating Hormone $89 $57.85 $9.09 – $80.10
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $61.41
  • AETNA — AETNA: $61.41
  • AETNA DOMESTIC — AETNA: $61.41
  • AETNA EAP — AETNA: $61.41
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.12
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $9.09
  • ALLIED BENEFIT SYSTEMS — AETNA: $61.41
  • BCBS GENERIC — EXCELLUS BCBS: $16.80
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $14.51
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone $139 $90.35 $9.09 – $125.10
Thyroid stimulating hormone (TSH) test: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $95.91
  • AETNA — AETNA: $95.91
  • AETNA DOMESTIC — AETNA: $95.91
  • AETNA EAP — AETNA: $95.91
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17.12
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $9.09
  • ALLIED BENEFIT SYSTEMS — AETNA: $95.91
  • BCBS GENERIC — EXCELLUS BCBS: $16.80
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $14.51
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated $95 $61.75 $3.20 – $85.50
Complete blood count (CBC) with differential: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $65.55
  • AETNA — AETNA: $65.55
  • AETNA DOMESTIC — AETNA: $65.55
  • AETNA EAP — AETNA: $65.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.92
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $65.55
  • BCBS GENERIC — EXCELLUS BCBS: $7.77
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $6.71
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated Not listed in the file $532.35 $3.20 – $16.58
Complete blood count (CBC) with differential: 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.92
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.20
  • BCBS GENERIC — EXCELLUS BCBS: $7.77
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $6.71
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $7.77
  • BLUE CARE NETWORK — EXCELLUS BCBS: $7.77
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $7.77
  • BLUE CROSS - AL — EXCELLUS BCBS: $7.77
  • BLUE CROSS - AR — EXCELLUS BCBS: $7.77
  • BLUE CROSS - AZ — EXCELLUS BCBS: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated $86 $55.90 $3.20 – $77.40
Complete blood count (CBC), automated: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $59.34
  • AETNA — AETNA: $59.34
  • AETNA DOMESTIC — AETNA: $59.34
  • AETNA EAP — AETNA: $59.34
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.59
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $59.34
  • BCBS GENERIC — EXCELLUS BCBS: $6.47
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $5.59
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated Not listed in the file $737.10 $3.20 – $362.85
Complete blood count (CBC), automated: 10 of 128 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $169.38
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.20
  • BCBS GENERIC — EXCELLUS BCBS: $362.85
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $143.57
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $362.85
  • BLUE CARE NETWORK — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AL — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AR — EXCELLUS BCBS: $362.85
  • BLUE CROSS - AZ — EXCELLUS BCBS: $362.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Prothrombin Time $22 $14.30 $3.71 – $19.80
Blood clotting time test (prothrombin time, PT): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $15.18
  • AETNA — AETNA: $15.18
  • AETNA DOMESTIC — AETNA: $15.18
  • AETNA EAP — AETNA: $15.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.37
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.95
  • ALLIED BENEFIT SYSTEMS — AETNA: $15.18
  • BCBS GENERIC — EXCELLUS BCBS: $4.29
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3.71
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time $24 $15.60 $3.71 – $21.60
Blood clotting time test (prothrombin time, PT): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $16.56
  • AETNA — AETNA: $16.56
  • AETNA DOMESTIC — AETNA: $16.56
  • AETNA EAP — AETNA: $16.56
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.37
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $3.95
  • ALLIED BENEFIT SYSTEMS — AETNA: $16.56
  • BCBS GENERIC — EXCELLUS BCBS: $4.29
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3.71
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt) $35 $22.75 $5.19 – $31.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $24.15
  • AETNA — AETNA: $24.15
  • AETNA DOMESTIC — AETNA: $24.15
  • AETNA EAP — AETNA: $24.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.13
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $6.01
  • ALLIED BENEFIT SYSTEMS — AETNA: $24.15
  • BCBS GENERIC — EXCELLUS BCBS: $6.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $5.19
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC External Hppn Thromboplastin Time Partial (Ptt) $35 $22.75 $5.19 – $31.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $24.15
  • AETNA — AETNA: $24.15
  • AETNA DOMESTIC — AETNA: $24.15
  • AETNA EAP — AETNA: $24.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.13
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $6.01
  • ALLIED BENEFIT SYSTEMS — AETNA: $24.15
  • BCBS GENERIC — EXCELLUS BCBS: $6.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $5.19
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Quest 7079 Thromboplastin Time Partial (Ptt) $35 $22.75 $5.19 – $31.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $24.15
  • AETNA — AETNA: $24.15
  • AETNA DOMESTIC — AETNA: $24.15
  • AETNA EAP — AETNA: $24.15
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.13
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $6.01
  • ALLIED BENEFIT SYSTEMS — AETNA: $24.15
  • BCBS GENERIC — EXCELLUS BCBS: $6.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $5.19
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast $1,397 $908.05 $72.72 – $1,257.30
CT scan of the head or brain, without contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $963.93
  • AETNA — AETNA: $963.93
  • AETNA DOMESTIC — AETNA: $963.93
  • AETNA EAP — AETNA: $963.93
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $121.20
  • ALLIED BENEFIT SYSTEMS — AETNA: $963.93
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier 76 In the file: HC CT Head/Brain W/O Contrast|REPEAT PROCEDURE BY SAME PHYSICIAN $1,397 $908.05 $72.72 – $1,257.30
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT Head/Brain W/O Contrast|TECHNICAL COMPONENT $1,397 $908.05 $72.72 – $1,257.30
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast $2,734 $1,777.10 $303 – $2,460.60
MRI of the brain, before and after contrast: 10 of 150 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,886.46
  • AETNA — AETNA: $1,886.46
  • AETNA DOMESTIC — AETNA: $1,886.46
  • AETNA EAP — AETNA: $1,886.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $443.85
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $505
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,886.46
  • BCBS GENERIC — EXCELLUS BCBS: $950.81
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $950.81
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI Brain W/O & W/Contrast|TECHNICAL COMPONENT $2,734 $1,777.10 $303 – $2,460.60
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views $405 $263.25 $9.09 – $364.50
Chest X-ray, 2 views: 10 of 150 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $279.45
  • AETNA — AETNA: $279.45
  • AETNA DOMESTIC — AETNA: $279.45
  • AETNA EAP — AETNA: $279.45
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $110.72
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $15.15
  • ALLIED BENEFIT SYSTEMS — AETNA: $279.45
  • BCBS GENERIC — EXCELLUS BCBS: $237.18
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $93.85
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $237.18
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier 26|51 In the file: PR Xr Chest 2 Views|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES $23 $23 $3.20 – $23
Chest X-ray, 2 views: 10 of 743 insurance plan rates
  • AETNA — AETNA: $7.57
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5.35
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $4.80
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $4.80
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $4.58
  • ALIGN SENIOR CARE — MEDICARE: $4.80
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $4.80
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $4.58
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $4.80
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $4.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR Xr Chest 2 Views|PROFESSIONAL COMPONENT $23 $23 $3.20 – $23
Chest X-ray, 2 views: 10 of 743 insurance plan rates
  • AETNA — AETNA: $15.14
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.69
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $9.59
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $9.59
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $9.16
  • ALIGN SENIOR CARE — MEDICARE: $9.59
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $9.59
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $9.16
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $9.59
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $9.59
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views $567 $368.55 $18.18 – $510.30
X-ray of the lower spine, at least 4 views: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $391.23
  • AETNA — AETNA: $391.23
  • AETNA DOMESTIC — AETNA: $391.23
  • AETNA EAP — AETNA: $391.23
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $30.30
  • ALLIED BENEFIT SYSTEMS — AETNA: $391.23
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC Xr Lumbosacral Spine >= 4 Views|TECHNICAL COMPONENT $567 $368.55 $18.18 – $510.30
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • FIDELIS MEDICARE — FIDELIS MEDICARE ADVANTAGE: $137.03
  • MEDIGOLD MEDICARE ADVANTAGE — MEDIGOLD MEDICARE ADVANTAGE: $130.45
  • MVP MEDICARE ADVANTAGE — MVP MEDICARE ADVANTAGE: $143.55
  • US FAMILY HEALTH PLAN — MARTINS POINT: $130.50
  • WELLCARE MEDICARE — WELLCARE MEDICARE ADVANTAGE: $137.03
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast $2,374 $1,543.10 $230.07 – $2,136.60
MRI of the lower back (lumbar spine), without contrast: 10 of 141 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $303.56
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $505
  • BCBS GENERIC — EXCELLUS BCBS: $650.28
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $650.28
  • BLUE CARE NETWORK — EXCELLUS BCBS: $650.28
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $650.28
  • BLUE CROSS - AL — EXCELLUS BCBS: $650.28
  • BLUE CROSS - AR — EXCELLUS BCBS: $650.28
  • BLUE CROSS - AZ — EXCELLUS BCBS: $650.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC MRI Lumbar Spine W/O Contrast|TECHNICAL COMPONENT $2,374 $1,543.10 $230.07 – $2,136.60
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,638.06
  • AETNA — AETNA: $1,638.06
  • AETNA DOMESTIC — AETNA: $1,638.06
  • AETNA EAP — AETNA: $1,638.06
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,638.06
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast $1,861 $1,209.65 $103.02 – $1,674.90
CT scan of the pelvis, with contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,284.09
  • AETNA — AETNA: $1,284.09
  • AETNA DOMESTIC — AETNA: $1,284.09
  • AETNA EAP — AETNA: $1,284.09
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $223.15
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $171.70
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,284.09
  • BCBS GENERIC — EXCELLUS BCBS: $478.03
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $478.03
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT Pelvis W/Contrast|TECHNICAL COMPONENT $1,861 $1,209.65 $103.02 – $1,674.90
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $223.15
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $189.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt $2,132 $1,385.80 $257.31 – $1,918.80
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,471.08
  • AETNA — AETNA: $1,471.08
  • AETNA DOMESTIC — AETNA: $1,471.08
  • AETNA EAP — AETNA: $1,471.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $303.56
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $505
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,471.08
  • BCBS GENERIC — EXCELLUS BCBS: $650.28
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $650.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt $2,132 $1,385.80 $257.31 – $1,918.80
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $1,471.08
  • AETNA — AETNA: $1,471.08
  • AETNA DOMESTIC — AETNA: $1,471.08
  • AETNA EAP — AETNA: $1,471.08
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $303.56
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $505
  • ALLIED BENEFIT SYSTEMS — AETNA: $1,471.08
  • BCBS GENERIC — EXCELLUS BCBS: $650.28
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $650.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl $3,199 $2,079.35 $257.31 – $2,879.10
MRI of a leg joint (such as the knee), without contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $2,207.31
  • AETNA — AETNA: $2,207.31
  • AETNA DOMESTIC — AETNA: $2,207.31
  • AETNA EAP — AETNA: $2,207.31
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $303.56
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $505
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,207.31
  • BCBS GENERIC — EXCELLUS BCBS: $650.28
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $257.31
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $650.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast $3,284 $2,134.60 $65.41 – $2,955.60
CT scan of the abdomen and pelvis, with contrast: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $2,265.96
  • AETNA — AETNA: $2,265.96
  • AETNA DOMESTIC — AETNA: $2,265.96
  • AETNA EAP — AETNA: $2,265.96
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $443.85
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $109.01
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,265.96
  • BCBS GENERIC — EXCELLUS BCBS: $950.81
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $950.81
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC CT Abdomen & Pelvis W/Contrast|TECHNICAL COMPONENT $3,284 $2,134.60 $65.41 – $2,955.60
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $376.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC CT Abdomen & Pelvis W/Contrast|TECHNICAL COMPONENT Not listed in the file $3,693.62 $65.41 – $245.27
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $109.01
  • BLUE CROSS - NY (EXCELLUS) — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $109.01
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID: $109.01
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID ESS 1 & 2: $109.01
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $109.01
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 1 & 2: $109.01
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 3 & 4: $109.01
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID HARP: $109.01
  • FIDELIS CARE MEDICAID ADVANTAGE — FIDELIS MEDICAID ESS 1 & 2: $147.16
  • FIDELIS CARE MEDICAID ADVANTAGE — FIDELIS MEDICAID ESS 3 & 4: $147.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete $808 $525.20 $36.36 – $727.20
Ultrasound of the abdomen, complete: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $557.52
  • AETNA — AETNA: $557.52
  • AETNA DOMESTIC — AETNA: $557.52
  • AETNA EAP — AETNA: $557.52
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $60.60
  • ALLIED BENEFIT SYSTEMS — AETNA: $557.52
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US Abdomen Complete|TECHNICAL COMPONENT $808 $525.20 $36.36 – $727.20
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $600 $390 $33.33 – $540
Pregnancy ultrasound (after the first trimester): 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $414
  • AETNA — AETNA: $414
  • AETNA DOMESTIC — AETNA: $414
  • AETNA EAP — AETNA: $414
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $55.55
  • ALLIED BENEFIT SYSTEMS — AETNA: $414
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation|TECHNICAL COMPONENT $600 $390 $33.33 – $540
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation|TECHNICAL COMPONENT Not listed in the file $890.50 $33.33 – $284.93
Pregnancy ultrasound (after the first trimester): 10 of 128 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $55.55
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
  • BLUE CARE NETWORK — EXCELLUS BCBS: $284.93
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $284.93
  • BLUE CROSS - AL — EXCELLUS BCBS: $284.93
  • BLUE CROSS - AR — EXCELLUS BCBS: $284.93
  • BLUE CROSS - AZ — EXCELLUS BCBS: $284.93
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric $510 $331.50 $36.36 – $459
Transvaginal ultrasound: 10 of 153 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $351.90
  • AETNA — AETNA: $351.90
  • AETNA DOMESTIC — AETNA: $351.90
  • AETNA EAP — AETNA: $351.90
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $133.01
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $60.60
  • ALLIED BENEFIT SYSTEMS — AETNA: $351.90
  • BCBS GENERIC — EXCELLUS BCBS: $284.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $284.93
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC|76 In the file: HC US Transvaginal Non Obstetric|TECHNICAL COMPONENT|REPEAT PROCEDURE BY SAME PHYSICIAN $510 $331.50 $36.36 – $459
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: HC US Transvaginal Non Obstetric|TECHNICAL COMPONENT $510 $331.50 $36.36 – $459
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $112.74
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt $723 $469.95 $58.78 – $650.70
Diagnostic mammogram, one breast: 10 of 86 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $498.87
  • AETNA — AETNA: $498.87
  • AETNA DOMESTIC — AETNA: $498.87
  • AETNA EAP — AETNA: $498.87
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.35
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $97.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $498.87
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt $723 $469.95 $58.78 – $650.70
Diagnostic mammogram, one breast: 10 of 86 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $498.87
  • AETNA — AETNA: $498.87
  • AETNA DOMESTIC — AETNA: $498.87
  • AETNA EAP — AETNA: $498.87
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.35
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $97.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $498.87
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $70.65
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral $777 $505.05 $58.78 – $699.30
Diagnostic mammogram, both breasts: 10 of 86 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $536.13
  • AETNA — AETNA: $536.13
  • AETNA DOMESTIC — AETNA: $536.13
  • AETNA EAP — AETNA: $536.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $106.87
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $97.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $536.13
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $90.59
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $90.59
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $90.59
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral $481 $312.65 $58.78 – $432.90
Screening mammogram, both breasts: 10 of 86 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $331.89
  • AETNA — AETNA: $331.89
  • AETNA DOMESTIC — AETNA: $331.89
  • AETNA EAP — AETNA: $331.89
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.20
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $97.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $331.89
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $74.76
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $74.76
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $74.76
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR Screening Mammography Bilateral Incl Cad When Performed|PROFESSIONAL COMPONENT $79 $79 $22.37 – $79
Screening mammogram, both breasts: 10 of 743 insurance plan rates
  • AETNA DOMESTIC — AETNA: $52.28
  • AETNA MEDICAID — MEDICAID: $38.42
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $37.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $38.42
  • ALIGN SENIOR CARE — MEDICARE: $33.54
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $33.54
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $38.42
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $38.42
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $33.54
  • AMERIGROUP MEDICAID — MEDICAID: $38.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PR Screening Mammography Bilateral Incl Cad When Performed|PROFESSIONAL COMPONENT Not listed in the file $211.47 $50.90 – $132.37
Screening mammogram, both breasts: 10 of 743 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $74.55
  • AETNA MEDICAID — MEDICAID: $97.76
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.52
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $74.55
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $97.76
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $97.76
  • ALIGN SENIOR CARE — MEDICARE: $74.55
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $74.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $97.76
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $74.55

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report $34 $34 $11.11 – $34
Electrocardiogram (ECG/EKG) with reading: 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $14.43
  • AETNA MEDICAID — MEDICAID: $15.15
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $14.43
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $15.15
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14.43
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $14.43
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $14.43
  • ALLY ALIGN CARE ADV — MEDICARE: $14.43
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $14.43
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $15.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ecg 12 Lead Interpretation & Report $351 $228.15 $12.72 – $315.90
Electrocardiogram (ECG/EKG) with reading: 10 of 86 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $242.19
  • AETNA — AETNA: $242.19
  • AETNA DOMESTIC — AETNA: $242.19
  • AETNA EAP — AETNA: $242.19
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $15
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $15.15
  • ALLIED BENEFIT SYSTEMS — AETNA: $242.19
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $12.72
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $12.72
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $12.72
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report Not listed in the file $29 $11.11 – $50.95
Electrocardiogram (ECG/EKG) with reading: 10 of 738 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $15.15
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14.43
  • ALLY ALIGN CARE ADV — MEDICARE: $14.43
  • AMERIGROUP MEDICAID — MEDICAID: $15.15
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $15.15
  • AMERIHEALTH MEDICARE — MEDICARE: $14.43
  • AMISH MENNONITE — MEDICAID: $15.15
  • AVMED MEDICARE — MEDICARE: $14.43
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $14.43
  • BCN DOMESTIC — EXCELLUS BCBS: $17.64
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cath Lt Heart/Lv Gram $10,380 $6,747 $3,114 – $10,380
Left heart catheterization (diagnostic): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $7,162.20
  • AETNA — AETNA: $7,162.20
  • AETNA DOMESTIC — AETNA: $7,162.20
  • AETNA EAP — AETNA: $7,162.20
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,124.55
  • ALLIED BENEFIT SYSTEMS — AETNA: $7,162.20
  • BCBS GENERIC — EXCELLUS BCBS: $8,835.49
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3,496.07
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8,835.49
  • BLUE CARE NETWORK — EXCELLUS BCBS: $8,835.49
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Comprehensive Electrophysiologic Evaluation WO Arrhythmia Induction $2,579 $2,579 $119.82 – $1,289.50
Heart rhythm study (electrophysiology evaluation): 10 of 492 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $284.38
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $284.38
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $284.38
  • AMERIGROUP MEDICAID — MEDICAID: $284.38
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $284.38
  • ANDRIE INC — WORKERS COMP: $496.98
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $284.38
  • BCBS GENERIC — EXCELLUS BCBS: $1,204.51
  • BCCCP-MICHIGAN — MEDICAID: $284.38
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $1,204.51
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Comprehensive Rt Atrial/Ventricular Pacing/Record W/O Arrhythmia $15,518 $10,086.70 $4,655.40 – $21,257.03
Heart rhythm study (electrophysiology evaluation): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $10,707.42
  • AETNA — AETNA: $10,707.42
  • AETNA DOMESTIC — AETNA: $10,707.42
  • AETNA EAP — AETNA: $10,707.42
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,923.13
  • ALLIED BENEFIT SYSTEMS — AETNA: $10,707.42
  • BCBS GENERIC — EXCELLUS BCBS: $21,257.03
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $8,411.10
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $21,257.03
  • BLUE CARE NETWORK — EXCELLUS BCBS: $21,257.03
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 26 In the file: PR Comprehensive Electrophysiologic Evaluation WO Arrhythmia Induction|PROFESSIONAL COMPONENT $734 $734 $119.82 – $1,289.50
Heart rhythm study (electrophysiology evaluation): 10 of 738 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $175.17
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $175.17
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $156.28
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $156.28
  • ALIGN SENIOR CARE — MEDICARE: $175.17
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $156.28
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $175.17
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $175.17
  • AMERICAN HEALTH PLAN — MEDICARE: $175.17
  • AMERIGROUP MEDICAID — MEDICAID: $156.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath $2,222 $2,222 $257.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,688.54
Heart rhythm study with ablation for atrial fibrillation: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $373.25
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALIGN SENIOR CARE — MEDICARE: $373.25
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $373.25
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $373.25
  • ALLY ALIGN CARE ADV — MEDICARE: $373.25
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANDRIE INC — WORKERS COMP: $1,041.98
  • AURORA SPECIAL NEEDS — MEDICARE: $373.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation $56,826 $36,936.90 $12,038 – $71,235.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $39,209.94
  • AETNA — AETNA: $39,209.94
  • AETNA DOMESTIC — AETNA: $39,209.94
  • AETNA EAP — AETNA: $39,209.94
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $33,253.92
  • ALLIED BENEFIT SYSTEMS — AETNA: $39,209.94
  • BCBS GENERIC — EXCELLUS BCBS: $71,235.55
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $28,186.87
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $71,235.55
  • BLUE CARE NETWORK — EXCELLUS BCBS: $71,235.55
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Eval Electrophysiologic Comprehensive Transeptal Cath Not listed in the file $2,222 $257.20 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,688.54
Heart rhythm study with ablation for atrial fibrillation: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $373.25
  • AETNA MEDICAID — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $373.25
  • ALIGN SENIOR CARE — MEDICARE: $373.25
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $373.25
  • ALLY ALIGN CARE ADV — MEDICARE: $373.25
  • AMERIGROUP MEDICAID — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • ANTHEM MYCARE OHIO — MEDICARE: $373.25
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $286.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $1,206 $1,206 $76.25 – $1,206
Sleep study (overnight, in a sleep lab): 10 of 737 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $629.73
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $629.73
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $654.30
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $629.73
  • AMERICAN HEALTH PLAN — MEDICARE: $629.73
  • AMERIGROUP MEDICAID — MEDICAID: $654.30
  • AMISH MENNONITE — MEDICAID: $654.30
  • ANTHEM MYCARE OHIO — MEDICARE: $629.73
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $654.30
  • BCBS GENERIC — EXCELLUS BCBS: $776.99
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years $4,277 $2,780.05 $916.40 – $4,277
Sleep study (overnight, in a sleep lab): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $2,951.13
  • AETNA — AETNA: $2,951.13
  • AETNA DOMESTIC — AETNA: $2,951.13
  • AETNA EAP — AETNA: $2,951.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,092.53
  • ALLIED BENEFIT SYSTEMS — AETNA: $2,951.13
  • BCBS GENERIC — EXCELLUS BCBS: $2,340.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $926.06
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,340.39
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,340.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Polysomnography Sleep Staging >=4 Parameters Age >=6 Years Not listed in the file $2,543 $76.25 – $2,543
Sleep study (overnight, in a sleep lab): 10 of 737 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $629.73
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $654.30
  • ALIGN SENIOR CARE — MEDICARE: $629.73
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $654.30
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $654.30
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $629.73
  • AMERIGROUP MEDICAID — MEDICAID: $654.30
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $654.30
  • AMERIHEALTH MEDICARE — MEDICARE: $629.73
  • ANDRIE INC — WORKERS COMP: $306.43

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $187 $121.55 $24.55 – $187
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $129.03
  • AETNA — AETNA: $129.03
  • AETNA DOMESTIC — AETNA: $129.03
  • AETNA EAP — AETNA: $129.03
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $129.03
  • BCBS GENERIC — EXCELLUS BCBS: $62.05
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $24.55
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $62.05
  • BLUE CARE NETWORK — EXCELLUS BCBS: $62.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $177 $115.05 $24.55 – $177
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $122.13
  • AETNA — AETNA: $122.13
  • AETNA DOMESTIC — AETNA: $122.13
  • AETNA EAP — AETNA: $122.13
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.97
  • ALLIED BENEFIT SYSTEMS — AETNA: $122.13
  • BCBS GENERIC — EXCELLUS BCBS: $62.05
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $24.55
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $62.05
  • BLUE CARE NETWORK — EXCELLUS BCBS: $62.05
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes Not listed in the file $1,090.70 $2.37 – $83.97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 125 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.97
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $2.37
  • BCBS GENERIC — EXCELLUS BCBS: $62.05
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $24.55
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $62.05
  • BLUE CARE NETWORK — EXCELLUS BCBS: $62.05
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $62.05
  • BLUE CROSS - AL — EXCELLUS BCBS: $62.05
  • BLUE CROSS - AR — EXCELLUS BCBS: $62.05
  • BLUE CROSS - AZ — EXCELLUS BCBS: $62.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family $522 $339.30 $82.88 – $522
Physical therapy evaluation (low complexity): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $360.18
  • AETNA — AETNA: $360.18
  • AETNA DOMESTIC — AETNA: $360.18
  • AETNA EAP — AETNA: $360.18
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.78
  • ALLIED BENEFIT SYSTEMS — AETNA: $360.18
  • BCBS GENERIC — EXCELLUS BCBS: $209.47
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $209.47
  • BLUE CARE NETWORK — EXCELLUS BCBS: $209.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: HC Pt Evaluation Low Complexity Patient/Family|CQ $522 $339.30 $82.88 – $522
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family $526 $341.90 $82.88 – $526
Physical therapy evaluation (moderate complexity): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $362.94
  • AETNA — AETNA: $362.94
  • AETNA DOMESTIC — AETNA: $362.94
  • AETNA EAP — AETNA: $362.94
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.78
  • ALLIED BENEFIT SYSTEMS — AETNA: $362.94
  • BCBS GENERIC — EXCELLUS BCBS: $209.47
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $209.47
  • BLUE CARE NETWORK — EXCELLUS BCBS: $209.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier CQ In the file: HC Pt Evaluation Moderate Complexity Patient/Family|CQ $526 $341.90 $82.88 – $526
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - GA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - ID MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - IN (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE CROSS - KY (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family $531 $345.15 $82.88 – $531
Physical therapy evaluation (high complexity): 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $366.39
  • AETNA — AETNA: $366.39
  • AETNA DOMESTIC — AETNA: $366.39
  • AETNA EAP — AETNA: $366.39
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $97.78
  • ALLIED BENEFIT SYSTEMS — AETNA: $366.39
  • BCBS GENERIC — EXCELLUS BCBS: $209.47
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $82.88
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $209.47
  • BLUE CARE NETWORK — EXCELLUS BCBS: $209.47
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 30 Minutes $126 $126 $39.87 – $112.18
Psychotherapy, 30 minutes: 10 of 746 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $50.83
  • AETNA DOMESTIC — AETNA: $106.33
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $50.83
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $50.83
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $75.08
  • ALIGN SENIOR CARE — MEDICARE: $50.83
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $50.83
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $50.83
  • AMERIGROUP MEDICAID — MEDICAID: $75.08
  • AMERIHEALTH MEDICARE — MEDICARE: $50.83
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 30 Minutes $229 $148.85 $68.17 – $229
Psychotherapy, 30 minutes: 10 of 48 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $158.01
  • AETNA — AETNA: $158.01
  • AETNA DOMESTIC — AETNA: $158.01
  • AETNA EAP — AETNA: $158.01
  • ALLIED BENEFIT SYSTEMS — AETNA: $158.01
  • BLUE CROSS - NY (EXCELLUS) — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $229
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID: $229
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID ESS 1 & 2: $229
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $229
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 1 & 2: $229
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 45 Minutes $168 $168 $52.72 – $168
Psychotherapy, 45 minutes: 10 of 746 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $67.16
  • AETNA — AETNA: $140.62
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $89.54
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $67.16
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $99.08
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $99.08
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $67.16
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $67.16
  • ALLY ALIGN CARE ADV — MEDICARE: $67.16
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $67.16
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes $334 $217.10 $89.95 – $334
Psychotherapy, 45 minutes: 10 of 48 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $230.46
  • AETNA — AETNA: $230.46
  • AETNA DOMESTIC — AETNA: $230.46
  • AETNA EAP — AETNA: $230.46
  • ALLIED BENEFIT SYSTEMS — AETNA: $230.46
  • BLUE CROSS - NY (EXCELLUS) — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $334
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID: $334
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID ESS 1 & 2: $334
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $334
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 1 & 2: $334
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes $251 $251 $77.64 – $251
Psychotherapy, 60 minutes: 10 of 508 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $98.98
  • AETNA MEDICAID — MEDICAID: $145.02
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $98.98
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $98.98
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $145.02
  • ALIGN SENIOR CARE — MEDICARE: $98.98
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $98.98
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $145.02
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $98.98
  • ALLY ALIGN CARE ADV — MEDICARE: $98.98
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes $251 $251 $57.05 – $251
Psychotherapy, 60 minutes: 10 of 508 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $131.97
  • AETNA MEDICAID — MEDICAID: $57.05
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $131.97
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $131.97
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $57.05
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $131.97
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $57.05
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $131.97
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $131.97
  • AMERICAN HEALTH PLAN — MEDICARE: $131.97
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Patient 60 Minutes $251 $251 $90.57 – $224.89
Psychotherapy, 60 minutes: 10 of 238 insurance plan rates
  • AETNA — AETNA: $207.55
  • AETNA DOMESTIC — AETNA: $207.55
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $131.97
  • ANDRIE INC — WORKERS COMP: $224.89
  • BCBS GENERIC — EXCELLUS BCBS: $161.08
  • BCN DOMESTIC — EXCELLUS BCBS: $161.08
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $161.08
  • BLUE CARE NETWORK — EXCELLUS BCBS: $161.08
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $161.08
  • BLUE CROSS - AL — EXCELLUS BCBS: $161.08
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Psychotherapy Family W/O Patient 50 Minutes $205 $205 $58.39 – $175.22
Family psychotherapy, without the patient: 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $72.45
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $72.45
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $72.45
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $93.90
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $72.45
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $72.45
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $93.90
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $72.45
  • ALLY ALIGN CARE ADV — MEDICARE: $72.45
  • AMERICAN HEALTH PLAN — MEDICARE: $72.45
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Family W/O Patient 50 Minutes $355 $230.75 $97.23 – $355
Family psychotherapy, without the patient: 10 of 48 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $244.95
  • AETNA — AETNA: $244.95
  • AETNA DOMESTIC — AETNA: $244.95
  • AETNA EAP — AETNA: $244.95
  • ALLIED BENEFIT SYSTEMS — AETNA: $244.95
  • BLUE CROSS - NY (EXCELLUS) — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $355
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID: $355
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID ESS 1 & 2: $355
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $355
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 1 & 2: $355
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Psychotherapy Family W/O Patient 50 Minutes Not listed in the file $216.79 $43.35 – $216.79
Family psychotherapy, without the patient: 10 of 738 insurance plan rates
  • ALIGN SENIOR CARE — MEDICARE: $96.60
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $96.60
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $43.35
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $96.60
  • ALLY ALIGN CARE ADV — MEDICARE: $96.60
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $43.35
  • AMERIHEALTH MEDICARE — MEDICARE: $96.60
  • AMISH MENNONITE — MEDICAID: $43.35
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $43.35
  • AURORA SPECIAL NEEDS — MEDICARE: $96.60
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Psychotherapy Family W/Patient 50 Minutes $211 $211 $52.03 – $173.93
Family psychotherapy, with the patient: 10 of 508 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $52.03
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $52.03
  • ALIGN SENIOR CARE — MEDICARE: $100.29
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $100.29
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $52.03
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $52.03
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $100.29
  • AMERIGROUP MEDICAID — MEDICAID: $52.03
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $52.03
  • AMERIHEALTH MEDICARE — MEDICARE: $100.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Psychotherapy Family W/Patient 50 Minutes $211 $211 $52.35 – $135.82
Family psychotherapy, with the patient: 10 of 508 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $97.40
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $75.22
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $75.22
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $97.40
  • ALIGN SENIOR CARE — MEDICARE: $75.22
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $75.22
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $97.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $75.22
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $75.22
  • ALLY ALIGN CARE ADV — MEDICARE: $75.22
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Family W/Patient 50 Minutes $211 $211 $60.89 – $205.47
Family psychotherapy, with the patient: 10 of 238 insurance plan rates
  • AETNA — AETNA: $158.17
  • AETNA DOMESTIC — AETNA: $158.17
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $100.29
  • ANDRIE INC — WORKERS COMP: $181.94
  • BCBS GENERIC — EXCELLUS BCBS: $122.70
  • BCN DOMESTIC — EXCELLUS BCBS: $122.70
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $122.70
  • BLUE CARE NETWORK — EXCELLUS BCBS: $122.70
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $122.70
  • BLUE CROSS - AL — EXCELLUS BCBS: $122.70
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR Psychotherapy Group $50 $50 $13.99 – $50
Group psychotherapy: 10 of 746 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $26.30
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $17.79
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $26.30
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $26.30
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $17.79
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $17.79
  • AMERICAN HEALTH PLAN — MEDICARE: $17.79
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $26.30
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $26.30
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $17.79
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Group Therapy $188 $122.20 $56.40 – $188
Group psychotherapy: 10 of 45 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $129.72
  • AETNA — AETNA: $129.72
  • AETNA DOMESTIC — AETNA: $129.72
  • AETNA EAP — AETNA: $129.72
  • ALLIED BENEFIT SYSTEMS — AETNA: $129.72
  • BLUE CROSS - NY (EXCELLUS) — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $188
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID: $188
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS BCBS MEDICAID ESS 1 & 2: $188
  • BLUE CROSS - NY (EXCELLUS) MEDICAID ADVANTAGE — EXCELLUS MEDICAID ESS 3 & 4 & HEALTHY: $188
  • CAPITAL DISTRICT PHYSICIANS HEALTH MEDICAID ADVANTAGE — CDPHP MEDICAID ESS 1 & 2: $188

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $818 $818 $91.91 – $621
Removal of breast growth (open surgery): 10 of 738 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $91.91
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $188.71
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $91.91
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $188.71
  • AMERICAN HEALTH PLAN — MEDICARE: $188.71
  • AMERIGROUP MEDICAID — MEDICAID: $91.91
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $91.91
  • ANDRIE INC — WORKERS COMP: $248.10
  • ANTHEM MYCARE OHIO — MEDICARE: $188.71
  • AVMED MEDICARE — MEDICARE: $188.71
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Exc Cyst/Aberrant Breast Tissue Open Male/Female 1/> Lesion $930 $930 $91.91 – $802.58
Removal of breast growth (open surgery): 10 of 738 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $188.71
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $91.91
  • ALIGN SENIOR CARE — MEDICARE: $188.71
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $91.91
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $188.71
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $188.71
  • AMERICAN HEALTH PLAN — MEDICARE: $188.71
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $91.91
  • ANDRIE INC — WORKERS COMP: $248.10
  • ANTHEM MYCARE OHIO — MEDICARE: $188.71
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt Not listed in the file $7,618.12 $25.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,671.04
Removal of breast growth (open surgery): 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,981.41
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $25.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — EXCELLUS BCBS: $10,671.04
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $4,222.37
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $10,671.04
  • BLUE CARE NETWORK — EXCELLUS BCBS: $10,671.04
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $10,671.04
  • BLUE CROSS - AL — EXCELLUS BCBS: $10,671.04
  • BLUE CROSS - AR — EXCELLUS BCBS: $10,671.04
  • BLUE CROSS - AZ — EXCELLUS BCBS: $10,671.04
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,825 $2,825 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,601.50
Total hip replacement: 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $348.64
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $348.64
  • ALIGN SENIOR CARE — MEDICARE: $540.07
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $540.07
  • AMERIGROUP MEDICAID — MEDICAID: $348.64
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $348.64
  • AMERIHEALTH MEDICARE — MEDICARE: $540.07
  • AMISH MENNONITE — MEDICAID: $348.64
  • AURORA SPECIAL NEEDS — MEDICARE: $540.07
  • BCBS GENERIC — EXCELLUS BCBS: $2,067.04
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Acetabular and Proximal Femoral Prosthetic Replacement $2,684 $2,684 $348.64 – $2,601.50
Total hip replacement: 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $348.64
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $540.07
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $348.64
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $348.64
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $540.07
  • ALLY ALIGN CARE ADV — MEDICARE: $540.07
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $540.07
  • AMERICAN HEALTH PLAN — MEDICARE: $540.07
  • AMERIGROUP MEDICAID — MEDICAID: $348.64
  • AMERIHEALTH MEDICARE — MEDICARE: $540.07
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) Not listed in the file $26,635.95 $1.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $34,990.26
Total hip replacement: 10 of 124 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,334.03
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $12.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — EXCELLUS BCBS: $34,990.26
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $13,845.14
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $34,990.26
  • BLUE CARE NETWORK — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AL — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AR — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AZ — EXCELLUS BCBS: $34,990.26
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $2,821 $2,821 $369.66 – $2,064.09
Total knee replacement: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $539.22
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $539.22
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $539.22
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $374.55
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $374.55
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $539.22
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $374.55
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $539.22
  • AMERICAN HEALTH PLAN — MEDICARE: $539.22
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $374.55
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroplasty Knee Condyle&Plateau Med/Lat Cpts W/WO Patella Resurfacing $2,681 $2,681 $369.66 – $2,037.01
Total knee replacement: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $539.22
  • AETNA MEDICAID — MEDICAID: $374.55
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $539.22
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $374.55
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $374.55
  • ALIGN SENIOR CARE — MEDICARE: $539.22
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $374.55
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $374.55
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $539.22
  • AMERICAN HEALTH PLAN — MEDICARE: $539.22
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) Not listed in the file $26,235.10 $9.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $34,990.26
Total knee replacement: 10 of 124 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16,334.03
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $9.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — EXCELLUS BCBS: $34,990.26
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $13,845.14
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $34,990.26
  • BLUE CARE NETWORK — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AL — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AR — EXCELLUS BCBS: $34,990.26
  • BLUE CROSS - AZ — EXCELLUS BCBS: $34,990.26
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $370 $370 $94.15 – $370
Shoulder arthroscopy: shaving of shoulder bone: 10 of 739 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $326.86
  • ALIGN SENIOR CARE — MEDICARE: $137.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $326.86
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $326.86
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $137.55
  • AMERIGROUP MEDICAID — MEDICAID: $326.86
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $326.86
  • ANDRIE INC — WORKERS COMP: $370
  • AVMED MEDICARE — MEDICARE: $137.55
  • BCBS GENERIC — EXCELLUS BCBS: $273.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Shoulder Decompr Subacromial Space W/Part Acromioplasty $317 $317 $94.15 – $317
Shoulder arthroscopy: shaving of shoulder bone: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $137.55
  • AETNA MEDICAID — MEDICAID: $317
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $137.55
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $137.55
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $317
  • ALIGN SENIOR CARE — MEDICARE: $137.55
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $317
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $317
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $137.55
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $137.55
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) Not listed in the file $18,892.93 $9 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19,775.93
Shoulder arthroscopy: shaving of shoulder bone: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $9,231.73
  • BCBS GENERIC — EXCELLUS BCBS: $19,775.93
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $7,825.05
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $19,775.93
  • BLUE CARE NETWORK — EXCELLUS BCBS: $19,775.93
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $19,775.93
  • BLUE CROSS - AL — EXCELLUS BCBS: $19,775.93
  • BLUE CROSS - AR — EXCELLUS BCBS: $19,775.93
  • BLUE CROSS - AZ — EXCELLUS BCBS: $19,775.93
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $19,775.93
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $1,220 $1,220 $26.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $890.12
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 739 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $240.17
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $154.04
  • ALLY ALIGN CARE ADV — MEDICARE: $240.17
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $240.17
  • AMERICAN HEALTH PLAN — MEDICARE: $240.17
  • AMERIHEALTH MEDICARE — MEDICARE: $240.17
  • ANTHEM MYCARE OHIO — MEDICARE: $240.17
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $154.04
  • AURORA SPECIAL NEEDS — MEDICARE: $240.17
  • BCBS MEDICARE ADVANTAGE GENERIC — MEDICARE: $240.17
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Arthroscopy Knee Surg W/ Meniscectomy Incl Debr/Shvi Artc Cartilage $1,071 $1,071 $154.04 – $890.12
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 739 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $240.17
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $154.04
  • ALIGN SENIOR CARE — MEDICARE: $240.17
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $240.17
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $154.04
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $240.17
  • AMERICAN HEALTH PLAN — MEDICARE: $240.17
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $154.04
  • AMERIHEALTH MEDICARE — MEDICARE: $240.17
  • AMISH MENNONITE — MEDICAID: $154.04
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) Not listed in the file $11,410.50 $6 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,917.44
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,162.81
  • BCBS GENERIC — EXCELLUS BCBS: $8,917.44
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3,528.50
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8,917.44
  • BLUE CARE NETWORK — EXCELLUS BCBS: $8,917.44
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $8,917.44
  • BLUE CROSS - AL — EXCELLUS BCBS: $8,917.44
  • BLUE CROSS - AR — EXCELLUS BCBS: $8,917.44
  • BLUE CROSS - AZ — EXCELLUS BCBS: $8,917.44
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $8,917.44
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 $571 $571 $70.52 – $433.75
Removal of tonsils and adenoids (under age 12): 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $122.41
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $122.41
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $70.52
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $122.41
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $70.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $122.41
  • ALLY ALIGN CARE ADV — MEDICARE: $122.41
  • AMERICAN HEALTH PLAN — MEDICARE: $122.41
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $70.52
  • AMERIHEALTH MEDICARE — MEDICARE: $122.41
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 Not listed in the file $571 $70.52 – $524.31
Removal of tonsils and adenoids (under age 12): 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $122.41
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $122.41
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $122.41
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $70.52
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $70.52
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $122.41
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $122.41
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $70.52
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $122.41
  • ALLY ALIGN CARE ADV — MEDICARE: $122.41
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Tonsillectomy & Adenoidectomy Younger Than Age 12 Not listed in the file $7,451.18 $95.85 – $16,133.78
Removal of tonsils and adenoids (under age 12): 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,531.51
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $95.85
  • BCBS GENERIC — EXCELLUS BCBS: $16,133.78
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $6,383.90
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $16,133.78
  • BLUE CARE NETWORK — EXCELLUS BCBS: $16,133.78
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $16,133.78
  • BLUE CROSS - AL — EXCELLUS BCBS: $16,133.78
  • BLUE CROSS - AR — EXCELLUS BCBS: $16,133.78
  • BLUE CROSS - AZ — EXCELLUS BCBS: $16,133.78
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $267 $267 $35.25 – $260.25
Upper GI endoscopy (diagnostic): 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $52.17
  • AETNA MEDICAID — MEDICAID: $40.40
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $52.17
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40.40
  • ALIGN SENIOR CARE — MEDICARE: $52.17
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $40.40
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $52.17
  • ALLY ALIGN CARE ADV — MEDICARE: $52.17
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $52.17
  • AMERIGROUP MEDICAID — MEDICAID: $40.40
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing $246 $246 $35.25 – $246
Upper GI endoscopy (diagnostic): 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $52.17
  • AETNA MEDICAID — MEDICAID: $40.40
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $52.17
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $52.17
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $40.40
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $40.40
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $52.17
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $40.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $52.17
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $40.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing Not listed in the file $3,968.22 $4,987
Upper GI endoscopy (diagnostic): 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,153.91
  • BCBS GENERIC — EXCELLUS BCBS: $2,471.88
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $978.09
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,471.88
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AL — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AR — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AZ — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $2,471.88
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $278 $278 $39.41 – $278
Upper GI endoscopy with biopsy: 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $58.35
  • AETNA MEDICAID — MEDICAID: $50.50
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $58.35
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $50.50
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $50.50
  • ALIGN SENIOR CARE — MEDICARE: $58.35
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $58.35
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $50.50
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $50.50
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $58.35
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple $301 $301 $39.41 – $301
Upper GI endoscopy with biopsy: 10 of 738 insurance plan rates
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $58.35
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $50.50
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $58.35
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $58.35
  • ALLY ALIGN CARE ADV — MEDICARE: $58.35
  • AMERIGROUP MEDICAID — MEDICAID: $50.50
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $50.50
  • ANDRIE INC — WORKERS COMP: $301
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $50.50
  • AURORA SPECIAL NEEDS — MEDICARE: $58.35
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) Not listed in the file $5,385.41 $43.62 – $4,987
Upper GI endoscopy with biopsy: 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,153.91
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $130.87
  • BCBS GENERIC — EXCELLUS BCBS: $2,471.88
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $978.09
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,471.88
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AL — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AR — EXCELLUS BCBS: $2,471.88
  • BLUE CROSS - AZ — EXCELLUS BCBS: $2,471.88
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing $370 $370 $51.62 – $354.43
Colonoscopy (diagnostic): 10 of 738 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $51.62
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $51.62
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $77.60
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $77.60
  • AMERIGROUP MEDICAID — MEDICAID: $51.62
  • AMERIHEALTH MEDICARE — MEDICARE: $77.60
  • AMISH MENNONITE — MEDICAID: $51.62
  • ANDRIE INC — WORKERS COMP: $354.43
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $51.62
  • AVMED MEDICARE — MEDICARE: $77.60
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing Not listed in the file $370 $51.62 – $354.43
Colonoscopy (diagnostic): 10 of 738 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $77.60
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $51.62
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $77.60
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $77.60
  • AMERICAN HEALTH PLAN — MEDICARE: $77.60
  • AMERIGROUP MEDICAID — MEDICAID: $51.62
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $51.62
  • ANTHEM MYCARE OHIO — MEDICARE: $77.60
  • ASCENSION ST. VINCENT PUBLIC SAFETY MEDICAL — MEDICAID: $51.62
  • BCCCP-MICHIGAN — MEDICAID: $51.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH) Not listed in the file $3,117.59 $4,987
Colonoscopy (diagnostic): 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,183.14
  • BCBS GENERIC — EXCELLUS BCBS: $2,534.49
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,002.86
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,534.49
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AL — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AR — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AZ — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $2,534.49
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple $403 $403 $56.66 – $389.87
Colonoscopy with biopsy: 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $83.86
  • AETNA MEDICAID — MEDICAID: $80.80
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $83.86
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $83.86
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $80.80
  • ALIGN SENIOR CARE — MEDICARE: $83.86
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $83.86
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $80.80
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $83.86
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $80.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple Not listed in the file $403 $56.66 – $389.87
Colonoscopy with biopsy: 10 of 738 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $83.86
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $80.80
  • ALIGN SENIOR CARE — MEDICARE: $83.86
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $83.86
  • AMERICAN HEALTH PLAN — MEDICARE: $83.86
  • AMERIGROUP MEDICAID — MEDICAID: $80.80
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $80.80
  • AMERIHEALTH MEDICARE — MEDICARE: $83.86
  • AMISH MENNONITE — MEDICAID: $80.80
  • ANDRIE INC — WORKERS COMP: $389.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH) Not listed in the file $5,608.07 $87.24 – $4,987
Colonoscopy with biopsy: 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,522.43
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $87.24
  • BCBS GENERIC — EXCELLUS BCBS: $3,261.30
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,290.45
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $3,261.30
  • BLUE CARE NETWORK — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AL — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AR — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AZ — EXCELLUS BCBS: $3,261.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $511 $511 $71.25 – $502.28
Colonoscopy with removal of polyps (snare): 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $105.61
  • AETNA MEDICAID — MEDICAID: $73.44
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $105.61
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $105.61
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $73.44
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $73.44
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $105.61
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $73.44
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $105.61
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $73.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech $551 $551 $71.25 – $502.28
Colonoscopy with removal of polyps (snare): 10 of 738 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $73.44
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $105.61
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $73.44
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $73.44
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $73.44
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $73.44
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $105.61
  • ALLY ALIGN CARE ADV — MEDICARE: $105.61
  • AMERICAN HEALTH PLAN — MEDICARE: $105.61
  • AMERIGROUP MEDICAID — MEDICAID: $73.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH) Not listed in the file $5,549.83 $87.24 – $4,987
Colonoscopy with removal of polyps (snare): 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,522.43
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $87.24
  • BCBS GENERIC — EXCELLUS BCBS: $3,261.30
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,290.45
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $3,261.30
  • BLUE CARE NETWORK — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AL — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AR — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AZ — EXCELLUS BCBS: $3,261.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Colonoscopy Flexible W Endo US Exam Ltd to Rectum/Sigmoid/Colon/Cecum Not listed in the file $2,937.90 $2.97 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,987
Ultrasound of the lower bowel by endoscope: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,522.43
  • BCBS GENERIC — EXCELLUS BCBS: $3,261.30
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,290.45
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $3,261.30
  • BLUE CARE NETWORK — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AL — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AR — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - AZ — EXCELLUS BCBS: $3,261.30
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $3,261.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH) Not listed in the file $3,094.39 $1.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,840
Screening colonoscopy (not high risk): 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,183.14
  • BCBS GENERIC — EXCELLUS BCBS: $2,534.49
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,002.86
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,534.49
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AL — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AR — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AZ — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $2,534.49
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SUR Not listed in the file $2,704.23 $1.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,840
Screening colonoscopy (not high risk): 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,183.14
  • BCBS GENERIC — EXCELLUS BCBS: $2,534.49
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $1,002.86
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $2,534.49
  • BLUE CARE NETWORK — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AL — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AR — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - AZ — EXCELLUS BCBS: $2,534.49
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $2,534.49
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,451 $1,451 $166.79 – $991.47
Gallbladder removal by laparoscope: 10 of 738 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $166.79
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $166.79
  • ALIGN SENIOR CARE — MEDICARE: $291.62
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $291.62
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $166.79
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $166.79
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $291.62
  • ALLY ALIGN CARE ADV — MEDICARE: $291.62
  • AMERIGROUP MEDICAID — MEDICAID: $166.79
  • AURORA SPECIAL NEEDS — MEDICARE: $291.62
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy $1,305 $1,305 $166.79 – $991.47
Gallbladder removal by laparoscope: 10 of 738 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $291.62
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $291.62
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $291.62
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $166.79
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $291.62
  • ALLY ALIGN CARE ADV — MEDICARE: $291.62
  • AMERICAN HEALTH PLAN — MEDICARE: $291.62
  • AMERIGROUP MEDICAID — MEDICAID: $166.79
  • AMERIHEALTH MEDICARE — MEDICARE: $291.62
  • AMISH MENNONITE — MEDICAID: $166.79
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) Not listed in the file $20,992.73 $25.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16,476.35
Gallbladder removal by laparoscope: 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7,691.43
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $25.58 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • BCBS GENERIC — EXCELLUS BCBS: $16,476.35
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $6,519.45
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $16,476.35
  • BLUE CARE NETWORK — EXCELLUS BCBS: $16,476.35
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $16,476.35
  • BLUE CROSS - AL — EXCELLUS BCBS: $16,476.35
  • BLUE CROSS - AR — EXCELLUS BCBS: $16,476.35
  • BLUE CROSS - AZ — EXCELLUS BCBS: $16,476.35
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $1,032 $1,032 $116.88 – $784.26
Groin (inguinal) hernia repair, age 5 or older: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $234.44
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $234.44
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $234.44
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $116.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $116.88
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $234.44
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $116.88
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $234.44
  • ALLY ALIGN CARE ADV — MEDICARE: $234.44
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $234.44
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Repr Init Ing Hernia 5y or Older Reducible $1,157 $1,157 $24.68 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $784.26
Groin (inguinal) hernia repair, age 5 or older: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $234.44
  • AETNA MEDICAID — MEDICAID: $116.88
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $116.88
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $116.88
  • ALIGN SENIOR CARE — MEDICARE: $234.44
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $116.88
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $234.44
  • AMERICAN HEALTH PLAN — MEDICARE: $234.44
  • AMERIGROUP MEDICAID — MEDICAID: $116.88
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $116.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) Not listed in the file $8,577.60 $5.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $16,545.49
Groin (inguinal) hernia repair, age 5 or older: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,555.17
  • BCBS GENERIC — EXCELLUS BCBS: $9,757.95
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3,861.08
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $9,757.95
  • BLUE CARE NETWORK — EXCELLUS BCBS: $9,757.95
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $9,757.95
  • BLUE CROSS - AL — EXCELLUS BCBS: $9,757.95
  • BLUE CROSS - AR — EXCELLUS BCBS: $9,757.95
  • BLUE CROSS - AZ — EXCELLUS BCBS: $9,757.95
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $9,757.95
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst $3,254 $3,254 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,200.46
Prostate removal by laparoscope (radical prostatectomy): 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $440.71
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $433.47
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $440.71
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $440.71
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $440.71
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $433.47
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $433.47
  • AMERICAN HEALTH PLAN — MEDICARE: $433.47
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $440.71
  • ANDRIE INC — WORKERS COMP: $1,232.40
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst $2,557 $2,557 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,200.46
Prostate removal by laparoscope (radical prostatectomy): 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $509.97
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $509.97
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $509.97
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $440.71
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $509.97
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $509.97
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $440.71
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $509.97
  • ALLY ALIGN CARE ADV — MEDICARE: $509.97
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $509.97
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst Not listed in the file $32,589.52 $267.64 – $28,970.32
Prostate removal by laparoscope (radical prostatectomy): 10 of 127 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13,523.82
  • ALBANY COUNTY CORRECTIONAL FACILITY — CORRECTIONAL FACILITY: $267.64
  • BCBS GENERIC — EXCELLUS BCBS: $28,970.32
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $11,463.13
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $28,970.32
  • BLUE CARE NETWORK — EXCELLUS BCBS: $28,970.32
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $28,970.32
  • BLUE CROSS - AL — EXCELLUS BCBS: $28,970.32
  • BLUE CROSS - AR — EXCELLUS BCBS: $28,970.32
  • BLUE CROSS - AZ — EXCELLUS BCBS: $28,970.32
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $498 $498 $10.43 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $445.57
Hysteroscopy with biopsy of the uterus lining: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $95.58
  • AETNA MEDICAID — MEDICAID: $65.84
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $95.58
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $95.58
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $65.84
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $95.58
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $95.58
  • ALLY ALIGN CARE ADV — MEDICARE: $95.58
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $95.58
  • AMERICAN HEALTH PLAN — MEDICARE: $95.58
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $465 $465 $65.18 – $445.57
Hysteroscopy with biopsy of the uterus lining: 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $65.84
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $95.58
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $65.84
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $95.58
  • AMERICAN HEALTH PLAN — MEDICARE: $95.58
  • AMERIGROUP MEDICAID — MEDICAID: $65.84
  • ANTHEM MYCARE OHIO — MEDICARE: $95.58
  • AVMED MEDICARE — MEDICARE: $95.58
  • BCBS GENERIC — EXCELLUS BCBS: $337.44
  • BCCCP-MICHIGAN — MEDICAID: $65.84
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $6,865 $4,462.25 $2,059.50 – $8,822.39
Hysteroscopy with biopsy of the uterus lining: 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $4,736.85
  • AETNA — AETNA: $4,736.85
  • AETNA DOMESTIC — AETNA: $4,736.85
  • AETNA EAP — AETNA: $4,736.85
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4,118.44
  • ALLIED BENEFIT SYSTEMS — AETNA: $4,736.85
  • BCBS GENERIC — EXCELLUS BCBS: $8,822.39
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $3,490.89
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $8,822.39
  • BLUE CARE NETWORK — EXCELLUS BCBS: $8,822.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $1,428 $928.20 $428.40 – $3,840
Spinal injection, lower back (epidural), with imaging guidance: 10 of 152 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $985.32
  • AETNA — AETNA: $985.32
  • AETNA DOMESTIC — AETNA: $985.32
  • AETNA EAP — AETNA: $985.32
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $898.06
  • ALLIED BENEFIT SYSTEMS — AETNA: $985.32
  • BCBS GENERIC — EXCELLUS BCBS: $1,923.79
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $761.22
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $1,923.79
  • BLUE CARE NETWORK — EXCELLUS BCBS: $1,923.79
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Neuroplasty Median Nerve Carpal Rt Not listed in the file $7,195.14 $10.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $6,019
Carpal tunnel release: 10 of 114 insurance plan rates
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,484.36
  • BCBS GENERIC — EXCELLUS BCBS: $5,321.91
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $2,105.80
  • BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — EXCELLUS BCBS: $5,321.91
  • BLUE CARE NETWORK — EXCELLUS BCBS: $5,321.91
  • BLUE CROSS - AK (PREMERA) — EXCELLUS BCBS: $5,321.91
  • BLUE CROSS - AL — EXCELLUS BCBS: $5,321.91
  • BLUE CROSS - AR — EXCELLUS BCBS: $5,321.91
  • BLUE CROSS - AZ — EXCELLUS BCBS: $5,321.91
  • BLUE CROSS - CA (ANTHEM) — EXCELLUS BCBS: $5,321.91

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $4,666 $4,666 $772.38 – $3,249.62
Vaginal delivery, with care before and after: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,018.40
  • AETNA MEDICAID — MEDICAID: $825.53
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,018.40
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $1,018.40
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $825.53
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $825.53
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,018.40
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,018.40
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $825.53
  • ALLY ALIGN CARE ADV — MEDICARE: $1,018.40
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care $5,277 $5,277 $853.67 – $3,239.14
Vaginal delivery, with care before and after: 10 of 739 insurance plan rates
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,018.40
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $1,018.40
  • ALLY ALIGN CARE ADV — MEDICARE: $1,018.40
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,018.40
  • AMERICAN HEALTH PLAN — MEDICARE: $1,018.40
  • AMERIGROUP MEDICAID — MEDICAID: $868.98
  • AMERIHEALTH MEDICARE — MEDICARE: $1,018.40
  • AMISH MENNONITE — MEDICAID: $868.98
  • ANTHEM MYCARE OHIO — MEDICARE: $1,018.40
  • BCBS GENERIC — EXCELLUS BCBS: $3,239.14
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care $5,141 $5,141 $983.79 – $3,598.10
Cesarean delivery (C-section), with care before and after: 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $983.79
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $983.79
  • ALIGN SENIOR CARE — MEDICARE: $1,132.53
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $983.79
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,132.53
  • AMERIGROUP MEDICAID — MEDICAID: $983.79
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $983.79
  • ANDRIE INC — WORKERS COMP: $1,023.79
  • AURORA SPECIAL NEEDS — MEDICARE: $1,132.53
  • AVMED MEDICARE — MEDICARE: $1,132.53
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care $5,860 $5,860 $983.79 – $3,589.73
Cesarean delivery (C-section), with care before and after: 10 of 739 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,132.53
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,132.53
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $983.79
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $983.79
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,132.53
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $983.79
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,132.53
  • ALLY ALIGN CARE ADV — MEDICARE: $1,132.53
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,132.53
  • AMERICAN HEALTH PLAN — MEDICARE: $1,132.53
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care|ASSISTANT SURGEON $937.60 $937.60 $37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $937.60
Cesarean delivery (C-section), with care before and after: 10 of 743 insurance plan rates
  • ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $181.20
  • AETNA DOMESTIC — AETNA: $318.46
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $212.91
  • AETNA MEDICARE TRANSPLANT — MEDICARE: $181.20
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $196.76
  • ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $196.76
  • ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $181.20
  • ALLWELL MEDICARE ADVANTAGE — MEDICARE: $181.20
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $181.20
  • ALLY ALIGN CARE ADV — MEDICARE: $181.20
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S $5,000 $5,000 $914.66 – $3,391.59
Vaginal delivery after a previous C-section, with care before and after: 10 of 739 insurance plan rates
  • AETNA MEDICAID — MEDICAID: $914.66
  • AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,066.34
  • ALLWELL MEDICAID ADVANTAGE — MEDICAID: $914.66
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,066.34
  • AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $1,066.34
  • AMERICAN HEALTH PLAN — MEDICARE: $1,066.34
  • AMERIGROUP MEDICAID — MEDICAID: $914.66
  • ANTHEM MYCARE OHIO — MEDICARE: $1,066.34
  • BCN DOMESTIC — EXCELLUS BCBS: $3,391.59
  • BLUE CARE NETWORK ADVANTAGE — MEDICARE: $1,066.34
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine OB Care Incl Antepartum Care Vag Del & Pp Care After Prev C/S Not listed in the file $5,000 $914.66 – $3,383.28
Vaginal delivery after a previous C-section, with care before and after: 10 of 739 insurance plan rates
  • AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $914.66
  • ALIGN SENIOR CARE — MEDICARE: $1,066.34
  • ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $914.66
  • ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,066.34
  • AMERIGROUP MEDICAID — MEDICAID: $914.66
  • AMERIHEALTH CARITAS MEDICAID — MEDICAID: $914.66
  • ANDRIE INC — WORKERS COMP: $941.77
  • AURORA SPECIAL NEEDS — MEDICARE: $1,066.34
  • AVMED MEDICARE — MEDICARE: $1,066.34
  • BCBS GENERIC — EXCELLUS BCBS: $3,383.28

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $138,829.06 $15,481.74 – $167,951.11
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 53 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $167,951.11
  • AETNA — AETNA: $167,951.11
  • AETNA DOMESTIC — AETNA: $167,951.11
  • AETNA EAP — AETNA: $167,951.11
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $87,718.93
  • ALLIED BENEFIT SYSTEMS — AETNA: $167,951.11
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $77,326.92
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $77,326.92
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $77,326.92
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $77,326.92
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $32,760.38 $15,392.71 – $40,686
Hip or knee replacement (major joint of the leg), without major complications: 10 of 53 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $33,115.36
  • AETNA — AETNA: $33,115.36
  • AETNA DOMESTIC — AETNA: $33,115.36
  • AETNA EAP — AETNA: $33,115.36
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $17,461.35
  • ALLIED BENEFIT SYSTEMS — AETNA: $33,115.36
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $15,392.71
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $15,392.71
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $15,392.71
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $15,392.71
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file $32,089.83 $19,433.39 – $41,912.24
Neck (cervical) spinal fusion, without complications: 10 of 53 insurance plan rates
  • 1199 NATIONAL BENEFIT FUND — AETNA: $41,912.24
  • AETNA — AETNA: $41,912.24
  • AETNA DOMESTIC — AETNA: $41,912.24
  • AETNA EAP — AETNA: $41,912.24
  • AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $22,045.05
  • ALLIED BENEFIT SYSTEMS — AETNA: $41,912.24
  • BCBS MEDICARE ADVANTAGE GENERIC — EXCELLUS BCBS MEDICARE ADVANTAGE: $19,433.39
  • BLUE CROSS - CA (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $19,433.39
  • BLUE CROSS - CT (ANTHEM) MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $19,433.39
  • BLUE CROSS - FL MEDICARE ADVANTAGE — EXCELLUS BCBS MEDICARE ADVANTAGE: $19,433.39

Source: St Joseph's Hospital Health Center’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address301 Prospect Avenue, Syracuse, NY 13203
CountyOnondaga County
StateNew York
Phone(315) 448‑5111
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330140
Name in Medicare recordsST JOSEPH'S HOSPITAL HEALTH CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSt. Joseph's Health Hospital
Official websitesjhsyr.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Services — sjhsyr.org
  2. For Visitors — sjhsyr.org
  3. About Us — sjhsyr.org
  4. Online Childbirth and New Family Classes | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  5. Obstetric Emergency Department (OB ED) | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  6. Birthplace-Labor & Delivery | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  7. Pre-Joint Replacement Education | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  8. Spine Surgery Education | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  9. Shoulder Surgery Education | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  10. Minimally Invasive Spine Surgery | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  11. Maternity Care | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  12. Midwifery | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  13. Mother Baby Unit | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  14. Neonatal Intensive Care Unit NICU | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  15. Maternal Fetal Medicine | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  16. In-person Tour | St. Joseph's Health Syracuse, New York (NY) Hospitals — sjhsyr.org
  17. Infant Safe Sleep — sjhsyr.org