Does St Lucie Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St Lucie Medical Center. In a medical emergency, call 911.

Where is St Lucie Medical Center?

1800 SE Tiffany Ave, Port Saint Lucie, FL 34952, in St. Lucie County, Florida.

What is the phone number of St Lucie Medical Center?

(772) 335-4000, as listed by Medicare (CMS).

What is the Medicare star rating of St Lucie Medical Center?

1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

St Lucie Medical Center — Port Saint Lucie, FL

Quick answers

Does St Lucie Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St Lucie Medical Center. In a medical emergency, call 911.
Where is St Lucie Medical Center?: 1800 SE Tiffany Ave, Port Saint Lucie, FL 34952, in St. Lucie County, Florida.
What is the phone number of St Lucie Medical Center?: (772) 335-4000, as listed by Medicare (CMS).
What is the Medicare star rating of St Lucie Medical Center?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][11][12][17][20]}

Conditions treated^{[7][9][10][12][14][16][18][20]}

Stroke
Heart attack
Heart disease
Peripheral vascular disease
Lymphedema
Ankle injuries
Arthritis
Back pain
Fractures
Osteoporosis
Sprains
Strains
Tendinitis
Ligament tears
Bone tumors
Soft tissue tumors
Avascular necrosis
Enlarged prostate (BPH)
Uterine fibroids
Endometriosis
Pelvic organ prolapse

Treatments^{[4][6][7][10][12][16][20]}

Outpatient physical rehabilitation
Cardiac catheterization
Angioplasty
Stenting
Stress testing
Echocardiography
Transesophageal echo (TEE)
Electrocardiogram (EKG)
CT scanning
MRI
Mammography
Nuclear medicine
Ultrasound imaging
X-ray imaging
Physical therapy
Occupational therapy
Speech therapy
Dysphagia therapy
Vestibular rehabilitation
Lymphedema therapy
Arthroscopy
Spinal fusion
Fracture repair
Total knee replacement
Total hip replacement
Shoulder replacement
Minimally invasive hip replacement
Minimally invasive knee replacement
Ceramic-on-ceramic hip replacement

Procedures^{[4][6][8][9][10][18][20]}

Robotic surgery
Labor and delivery
Robotic gynecologic surgery
Robotic orthopedic surgery
Hysterectomy
Myomectomy
Cesarean section
Endoscopy
Colonoscopy
Outpatient surgery
Interventional radiology
Vein mapping
Surgical treatment for enlarged prostate (BPH)

Programs and centers^{[4][5][8][10][11][12][14][19][20]}

NICU
Orthopedic Spine Institute
Emergency room (24/7)
Fast Track ER
Senior-friendly emergency care
Obstetrics emergency room
The Birthing Center
Level II neonatal intensive care unit
Cardiac catheterization lab
Lymphedema clinic
Stroke support group
Care Assure nurse navigation
Patient surgery text updates

Emergency care (hospital website)^{[4][5][11][14]}

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visitor hours Monday through Sunday, 6:00am to 8:00pm^[13]
Parking	Visitors park in white spaces; ER/OR visitors in red spaces. Free shuttle from car to entrances^[13]

Recognition^{[4][5][14][15]}

Primary Stroke Center certification (The Joint Commission)
Top Performing Hospital (The Joint Commission)
Blue Distinction Center for Maternity Care
Baby Friendly designation
The Joint Commission accredited hospital
Primary Stroke Center (The Joint Commission)
ANCC Pathway to Excellence Designation
Healthgrades Patient Safety Excellence Award 2026
Healthgrades #1 in Florida for Joint Replacement 2026
Healthgrades America's 100 Best Hospitals for Orthopedic Surgery 2026
Healthgrades Five-Star for Treatment of Heart Failure 2026
Healthgrades Five-Star for Treatment of Sepsis 2026

Doctors and clinicians (367)

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

Main specialties

And 343 more: the button below opens the full list.

Other emergency rooms nearby

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

Port St Lucie Hospital1.2 mi · Port Saint Lucie, FL · Psychiatric Hospital
Cleveland Clinic Martin North Hospital7.1 mi · Stuart, FL · Acute Care Hospital
HCA Florida Lawnwood Hospital10 mi · Fort Pierce, FL · Acute Care Hospital
Cleveland Clinic Indian River Hospital26 mi · Vero Beach, FL · Acute Care Hospital
Jupiter Medical Center28 mi · Jupiter, FL · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehab Hospital An Affiliate of Ma…12 mi · Stuart, FL · Inpatient Rehabilitation Hospital
Coral Shores Behavioral Health12 mi · Stuart, FL · Psychiatric Hospital

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

Palm Garden of Port Saint Lucie0.3 mi · Port Saint Lucie, FL · 4 of 5 stars
Tiffany Hall Nursing and Rehab Center0.5 mi · Port Saint Lucie, FL · 3 of 5 stars
Savannas Park Health and Rehabilitation Center0.8 mi · Port Saint Lucie, FL · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Treasure Coast Hospice of St Lucie8.5 mi · Fort Pierce, FL · 4 of 5 stars
Treasure Coast Hospice of Martin17 mi · Stuart, FL · 4 of 5 stars

All hospice providers in the state →

Home health agencies

A Patient's Choice Home Health LLC0.5 mi · Port Saint Lucie, FL
Concierge Home Care0.5 mi · Port Saint Lucie, FL
Optimum Solution Home Health, LLC0.5 mi · Port Saint Lucie, FL

All home health agencies in the state →

Dialysis facilities

DaVita Treasure Coast Dialysis0.5 mi · Port Saint Lucie, FL · 3 of 5 stars
RAI Care Centers - Port Saint Lucie0.5 mi · Port Saint Lucie, FL · 1 of 5 stars
BMA - Port Saint Lucie6.2 mi · Port Saint Lucie, FL · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

One Day Surgery0.5 mi · Port Saint Lucie, FL
The Surgical Center of the Treasure Coast0.5 mi · Port Saint Lucie, FL
The Surgery Center at Jensen Beach3.3 mi · Jensen Beach, FL

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

Florida Community Helath Centers, Inc. - Port St. Lucie Senior and Adult Health Center0.3 mi · Port Saint Lucie, FL · Community health center
Florida Community Health Centers, Inc - Port St. Lucie Women & Children0.5 mi · Port Saint Lucie, FL · Community health center
Florida Community Health Centers, Inc. Mobile Unit 10.5 mi · Port Saint Lucie, FL · Community health center

Clinics and urgent care

East Florida Carenow Urgent Care, LLC0.5 mi · Port St Lucie, FL · Urgent care center
Premise Health of Florida Medical, P.A.0.5 mi · Port Saint Lucie, FL · Urgent care center
Solantic/South Fl LLC0.5 mi · Port St Lucie, FL · Urgent care center

Pharmacies

Albertsons LLC0.5 mi · Port St Lucie, FL · Community/retail pharmacy
All Med Pharmcy0.5 mi · Port St Lucie, FL · Community/retail pharmacy
Florida Community Health Centers, Inc.0.5 mi · Port Saint Lucie, FL · Community/retail pharmacy

Assisted living nearby

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

Browns House Assisted Living Facility LLC0.5 mi · Port Saint Lucie, FL
Colliers at Port St. Lucie0.5 mi · Port Saint Lucie, FL
Home of Serenity LLC0.5 mi · Port Saint Lucie, FL
L & C Care LLC0.5 mi · Port Saint Lucie, FL

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	66%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	613Response rate: 21%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0.281No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.478No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0Better 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 patients	11.1%
Deaths within 30 days: heart failure patients	10.9%
Deaths within 30 days: pneumonia patients	14.2%
Deaths within 30 days: COPD patients	7.6%
Deaths within 30 days: stroke patients	16.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.86No different from the national rate
Complications after hip or knee replacement	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 attack	15%
Readmitted within 30 days: heart failure	24.1%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	21.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	8.7%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	108 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	90%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 Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as St Lucie Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$1,569	$1,569	$108.26 – $1,333.65
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates Aetna — ASA: $470.70 Aetna — HMO-Gated: $321.64 Aetna — PPO-NonGated: $403.23 Aetna — QHP: $273.01 AmeriHealth Caritas — HIX: $690.36 AvMed — JacksonFirstNetworkOON: $784.50 BCBS — BSLNON-PAR: $378.13 BCBS — HMO: $296.54 BCBS — MBN: $254.18 BCBS — MCRHMO: $108.26
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$263.12 – $268.66
New patient office visit (about 30–44 minutes): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $268.66 CorVel Corporation — WORKERSCOMP: $263.12 Prime Health — WORKERSCOMP: $268.66
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$2,536	$2,536	$174.98 – $2,155.60
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Aetna — ASA: $760.80 Aetna — HMO-Gated: $519.88 Aetna — PPO-NonGated: $651.75 Aetna — QHP: $441.26 AmeriHealth Caritas — HIX: $1,115.84 AvMed — JacksonFirstNetworkOON: $980.50 BCBS — BSLNON-PAR: $611.18 BCBS — HMO: $479.30 BCBS — MBN: $410.83 BCBS — MCRHMO: $174.98
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$281.12 – $287.04
New patient office visit (about 45–59 minutes): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $287.04 CorVel Corporation — WORKERSCOMP: $281.12 Prime Health — WORKERSCOMP: $287.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$2,779	$2,779	$191.75 – $2,362.15
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates Aetna — ASA: $833.70 Aetna — HMO-Gated: $569.70 Aetna — PPO-NonGated: $714.20 Aetna — QHP: $483.55 AmeriHealth Caritas — HIX: $1,222.76 AvMed — JacksonFirstNetworkOON: $1,075 BCBS — BSLNON-PAR: $669.74 BCBS — HMO: $525.23 BCBS — MBN: $450.20 BCBS — MCRHMO: $191.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$189.05 – $193.03
New patient office visit (about 60–74 minutes): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $193.03 CorVel Corporation — WORKERSCOMP: $189.05 Prime Health — WORKERSCOMP: $193.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$1,782	$1,782	$122.96 – $1,514.70
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Aetna — ASA: $534.60 Aetna — HMO-Gated: $365.31 Aetna — PPO-NonGated: $457.97 Aetna — QHP: $310.07 AmeriHealth Caritas — HIX: $784.08 AvMed — JacksonFirstNetworkOON: $689 BCBS — BSLNON-PAR: $429.46 BCBS — HMO: $336.80 BCBS — MBN: $288.68 BCBS — MCRHMO: $122.96
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$140.06 – $143.01
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $143.01 CorVel Corporation — WORKERSCOMP: $140.06 Prime Health — WORKERSCOMP: $143.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$2,285	$2,285	$157.66 – $1,942.25
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Aetna — ASA: $685.50 Aetna — HMO-Gated: $468.43 Aetna — PPO-NonGated: $587.25 Aetna — QHP: $397.59 AmeriHealth Caritas — HIX: $1,005.40 AvMed — JacksonFirstNetworkOON: $884 BCBS — BSLNON-PAR: $550.68 BCBS — HMO: $431.87 BCBS — MBN: $370.17 BCBS — MCRHMO: $157.66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$185.08 – $188.98
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $188.98 CorVel Corporation — WORKERSCOMP: $185.08 Prime Health — WORKERSCOMP: $188.98
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$111.15 – $113.49
Office consultation with a specialist (moderate): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $113.49 CorVel Corporation — WORKERSCOMP: $111.15 Prime Health — WORKERSCOMP: $113.49
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$174.80 – $178.48
Office consultation with a specialist (moderate to high): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $178.48 CorVel Corporation — WORKERSCOMP: $174.80 Prime Health — WORKERSCOMP: $178.48
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$70.58
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Humana — TRICR: $70.58
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$85.86
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Humana — TRICR: $85.86
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$2,908	$2,908	$872.40 – $2,471.80
Emergency room visit (moderate): rates for 9 insurance plans Aetna — ASA: $872.40 AmeriHealth Caritas — HIX: $1,279.52 AvMed — JacksonFirstNetworkOON: $1,454 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $2,471.80 Multiplan — COMMPPOPRIMARYNETWORK: $2,181 Plotkin Health — COMM: $1,454 Prime Health Sherriff — COMM: $1,454 United — GlobalBenefitPlanAppendix: $1,308.60 United PPO — OptionsPPO: $1,244.62
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$73.15 – $74.69
Emergency room visit (moderate): 10 of 26 insurance plan rates AvMed — ASOEO: $8,681 AvMed — Empower: $7,828 AvMed — Engage: $7,828 AvMed — Flex: $7,828 AvMed — Focus: $7,828 AvMed — FullyInsured: $7,828 AvMed — HIX: $1,707 AvMed — Select: $7,828 BCBS — BSLNON-PAR: $4,007 BCBS — HMO: $4,051
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$2,866	$2,866	$859.80 – $2,436.10
Emergency room visit (moderate): rates for 9 insurance plans Aetna — ASA: $859.80 AmeriHealth Caritas — HIX: $1,261.04 AvMed — JacksonFirstNetworkOON: $1,433 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $2,436.10 Multiplan — COMMPPOPRIMARYNETWORK: $2,149.50 Plotkin Health — COMM: $1,433 Prime Health Sherriff — COMM: $1,433 United — GlobalBenefitPlanAppendix: $1,289.70 United PPO — OptionsPPO: $1,226.65
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$4,622	$4,622	$1,386.60 – $3,928.70
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — ASA: $1,386.60 AmeriHealth Caritas — HIX: $2,033.68 AvMed — JacksonFirstNetworkOON: $2,311 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $3,928.70 Multiplan — COMMPPOPRIMARYNETWORK: $3,466.50 Plotkin Health — COMM: $2,311 Prime Health Sherriff — COMM: $2,311 United — GlobalBenefitPlanAppendix: $2,079.90 United PPO — OptionsPPO: $1,978.22
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$800 – $7,272
Emergency room visit (moderately high): 10 of 26 insurance plan rates AvMed — ASOEO: $9,710 AvMed — Empower: $8,755 AvMed — Engage: $8,755 AvMed — Flex: $8,755 AvMed — Focus: $8,755 AvMed — FullyInsured: $8,755 AvMed — HIX: $2,002 AvMed — Select: $8,755 BCBS — BSLNON-PAR: $4,679 BCBS — HMO: $5,652
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$4,851	$4,851	$1,455.30 – $4,123.35
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — ASA: $1,455.30 AmeriHealth Caritas — HIX: $2,134.44 AvMed — JacksonFirstNetworkOON: $2,425.50 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $4,123.35 Multiplan — COMMPPOPRIMARYNETWORK: $3,638.25 Plotkin Health — COMM: $2,425.50 Prime Health Sherriff — COMM: $2,425.50 United — GlobalBenefitPlanAppendix: $2,182.95 United PPO — OptionsPPO: $2,076.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$5,167	$5,167	$1,550.10 – $4,391.95
Emergency room visit (high): rates for 9 insurance plans Aetna — ASA: $1,550.10 AmeriHealth Caritas — HIX: $2,273.48 AvMed — JacksonFirstNetworkOON: $2,583.50 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $4,391.95 Multiplan — COMMPPOPRIMARYNETWORK: $3,875.25 Plotkin Health — COMM: $2,583.50 Prime Health Sherriff — COMM: $2,583.50 United — GlobalBenefitPlanAppendix: $2,325.15 United PPO — OptionsPPO: $2,211.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$800 – $7,272
Emergency room visit (high): 10 of 26 insurance plan rates AvMed — ASOEO: $9,875 AvMed — Empower: $8,903 AvMed — Engage: $8,903 AvMed — Flex: $8,903 AvMed — Focus: $8,903 AvMed — FullyInsured: $8,903 AvMed — HIX: $3,547 AvMed — Select: $8,903 BCBS — BSLNON-PAR: $4,679 BCBS — HMO: $5,652
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$6,074	$6,074	$1,822.20 – $5,162.90
Emergency room visit (high): rates for 9 insurance plans Aetna — ASA: $1,822.20 AmeriHealth Caritas — HIX: $2,672.56 AvMed — JacksonFirstNetworkOON: $3,037 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $5,162.90 Multiplan — COMMPPOPRIMARYNETWORK: $4,555.50 Plotkin Health — COMM: $3,037 Prime Health Sherriff — COMM: $3,037 United — GlobalBenefitPlanAppendix: $2,733.30 United PPO — OptionsPPO: $2,599.67

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$3,264	$3,264	$280.70 – $2,774.40
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — ASA: $979.20 AmeriHealth Caritas — HIX: $1,436.16 AvMed — ASOEO: $979.20 AvMed — Empower: $816 AvMed — Engage: $816 AvMed — Flex: $816 AvMed — Focus: $816 AvMed — FullyInsured: $816 AvMed — HIX: $391.68 AvMed — JacksonFirstNetworkOON: $1,632
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	Not listed in the file	Not listed in the file	$8.46
Basic metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — MCR: $8.97 American Health Plan — MCR: $8.97 AmeriHealth Caritas — MGMCR: $10.15 BCBS — MCRHMO: $8.63 BCBS — MCRPPO: $8.63 CareWorks (Rockport) — WORKERSCOMP: $224.73 Centurion — GVT: $9.31 Cigna Healthspring — MCR: $9.05 CorVel Corporation — WORKERSCOMP: $220.10 Devoted Health — MCR: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$3,457	$3,457	$297.30 – $2,938.45
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Aetna — ASA: $1,037.10 AmeriHealth Caritas — HIX: $1,521.08 AvMed — ASOEO: $1,037.10 AvMed — Empower: $864.25 AvMed — Engage: $864.25 AvMed — Flex: $864.25 AvMed — Focus: $864.25 AvMed — FullyInsured: $864.25 AvMed — HIX: $414.84 AvMed — JacksonFirstNetworkOON: $1,728.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates Aetna — MCR: $11.19 American Health Plan — MCR: $11.19 AmeriHealth Caritas — MGMCR: $12.67 BCBS — MCRHMO: $10.77 BCBS — MCRPPO: $10.77 CareWorks (Rockport) — WORKERSCOMP: $334.03 Centurion — GVT: $11.62 Cigna Healthspring — MCR: $11.30 CorVel Corporation — WORKERSCOMP: $327.14 Devoted Health — MCR: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: 10 of 37 insurance plan rates Aetna — MCR: $50.68 American Health Plan — MCR: $50.68 AmeriHealth Caritas — MGMCR: $57.37 BCBS — MCRHMO: $48.77 BCBS — MCRPPO: $48.77 CareWorks (Rockport) — WORKERSCOMP: $252.32 Centurion — GVT: $52.59 Cigna Healthspring — MCR: $51.16 CorVel Corporation — WORKERSCOMP: $247.11 Devoted Health — MCR: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$32.61	$32.61	$2.80 – $27.72
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Aetna — ASA: $9.78 AmeriHealth Caritas — HIX: $14.35 AvMed — ASOEO: $9.78 AvMed — Empower: $8.15 AvMed — Engage: $8.15 AvMed — Flex: $8.15 AvMed — Focus: $8.15 AvMed — FullyInsured: $8.15 AvMed — HIX: $3.91 AvMed — JacksonFirstNetworkOON: $16.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	Not listed in the file	Not listed in the file	$13.39
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates Aetna — MCR: $14.19 American Health Plan — MCR: $14.19 AmeriHealth Caritas — MGMCR: $16.07 BCBS — MCRHMO: $13.66 BCBS — MCRPPO: $13.66 CareWorks (Rockport) — WORKERSCOMP: $227.79 Centurion — GVT: $14.73 Cigna Healthspring — MCR: $14.33 CorVel Corporation — WORKERSCOMP: $223.10 Devoted Health — MCR: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$2,331	$2,331	$200.47 – $1,981.35
Kidney function panel: 10 of 25 insurance plan rates Aetna — ASA: $699.30 AmeriHealth Caritas — HIX: $1,025.64 AvMed — ASOEO: $699.30 AvMed — Empower: $582.75 AvMed — Engage: $582.75 AvMed — Flex: $582.75 AvMed — Focus: $582.75 AvMed — FullyInsured: $582.75 AvMed — HIX: $279.72 AvMed — JacksonFirstNetworkOON: $1,165.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	Not listed in the file	Not listed in the file	$8.68
Kidney function panel: 10 of 37 insurance plan rates Aetna — MCR: $9.20 American Health Plan — MCR: $9.20 AmeriHealth Caritas — MGMCR: $10.42 BCBS — MCRHMO: $8.85 BCBS — MCRPPO: $8.85 CareWorks (Rockport) — WORKERSCOMP: $167.53 Centurion — GVT: $9.55 Cigna Healthspring — MCR: $9.29 CorVel Corporation — WORKERSCOMP: $164.07 Devoted Health — MCR: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$2,886	$2,886	$248.20 – $2,453.10
Liver function panel: 10 of 25 insurance plan rates Aetna — ASA: $865.80 AmeriHealth Caritas — HIX: $1,269.84 AvMed — ASOEO: $865.80 AvMed — Empower: $721.50 AvMed — Engage: $721.50 AvMed — Flex: $721.50 AvMed — Focus: $721.50 AvMed — FullyInsured: $721.50 AvMed — HIX: $346.32 AvMed — JacksonFirstNetworkOON: $1,443
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase	Not listed in the file	Not listed in the file	$8.17
Liver function panel: 10 of 37 insurance plan rates Aetna — MCR: $8.66 American Health Plan — MCR: $8.66 AmeriHealth Caritas — MGMCR: $9.80 BCBS — MCRHMO: $8.33 BCBS — MCRPPO: $8.33 CareWorks (Rockport) — WORKERSCOMP: $270.70 Centurion — GVT: $8.99 Cigna Healthspring — MCR: $8.74 CorVel Corporation — WORKERSCOMP: $265.12 Devoted Health — MCR: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$770	$770	$66.22 – $654.50
Urine test (automated, with microscope): 10 of 25 insurance plan rates Aetna — ASA: $231 AmeriHealth Caritas — HIX: $338.80 AvMed — ASOEO: $231 AvMed — Empower: $192.50 AvMed — Engage: $192.50 AvMed — Flex: $192.50 AvMed — Focus: $192.50 AvMed — FullyInsured: $192.50 AvMed — HIX: $92.40 AvMed — JacksonFirstNetworkOON: $385
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$3.17
Urine test (automated, with microscope): 10 of 37 insurance plan rates Aetna — MCR: $3.36 American Health Plan — MCR: $3.36 AmeriHealth Caritas — MGMCR: $3.80 BCBS — MCRHMO: $3.23 BCBS — MCRPPO: $3.23 CareWorks (Rockport) — WORKERSCOMP: $116.45 Centurion — GVT: $3.49 Cigna Healthspring — MCR: $3.39 CorVel Corporation — WORKERSCOMP: $114.05 Devoted Health — MCR: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$3.46 – $38.45
Urine test (manual, without microscope): 10 of 37 insurance plan rates Aetna — MCR: $3.69 American Health Plan — MCR: $3.69 AmeriHealth Caritas — MGMCR: $4.18 BCBS — MCRHMO: $3.55 BCBS — MCRPPO: $3.55 CareWorks (Rockport) — WORKERSCOMP: $37.79 Centurion — GVT: $3.83 Cigna Healthspring — MCR: $3.72 CorVel Corporation — WORKERSCOMP: $37.01 Devoted Health — MCR: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$478	$478	$41.11 – $406.30
Urine test (automated, without microscope): 10 of 25 insurance plan rates Aetna — ASA: $143.40 AmeriHealth Caritas — HIX: $210.32 AvMed — ASOEO: $143.40 AvMed — Empower: $119.50 AvMed — Engage: $119.50 AvMed — Flex: $119.50 AvMed — Focus: $119.50 AvMed — FullyInsured: $119.50 AvMed — HIX: $57.36 AvMed — JacksonFirstNetworkOON: $239
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.25
Urine test (automated, without microscope): 10 of 37 insurance plan rates Aetna — MCR: $2.39 American Health Plan — MCR: $2.39 AmeriHealth Caritas — MGMCR: $2.70 BCBS — MCRHMO: $2.29 BCBS — MCRPPO: $2.29 CareWorks (Rockport) — WORKERSCOMP: $87.85 Centurion — GVT: $2.48 Cigna Healthspring — MCR: $2.41 CorVel Corporation — WORKERSCOMP: $86.04 Devoted Health — MCR: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$918	$918	$78.95 – $780.30
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Aetna — ASA: $275.40 AmeriHealth Caritas — HIX: $403.92 AvMed — ASOEO: $275.40 AvMed — Empower: $229.50 AvMed — Engage: $229.50 AvMed — Flex: $229.50 AvMed — Focus: $229.50 AvMed — FullyInsured: $229.50 AvMed — HIX: $110.16 AvMed — JacksonFirstNetworkOON: $459
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — MCR: $19.49 American Health Plan — MCR: $19.49 AmeriHealth Caritas — MGMCR: $22.07 BCBS — MCRHMO: $18.76 BCBS — MCRPPO: $18.76 Centurion — GVT: $20.23 Cigna Healthspring — MCR: $19.68 Devoted Health — MCR: $18.39 Florida Complete Care — MCR: $19.68 Hospice of Treasure Coast — COMM: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total UNSCHEDULED	Not listed in the file	Not listed in the file	$155.07 – $158.33
PSA (prostate specific antigen) blood test: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $158.33 CorVel Corporation — WORKERSCOMP: $155.07 Prime Health — WORKERSCOMP: $158.33
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,702	$1,702	$146.37 – $1,446.70
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Aetna — ASA: $510.60 AmeriHealth Caritas — HIX: $748.88 AvMed — ASOEO: $510.60 AvMed — Empower: $425.50 AvMed — Engage: $425.50 AvMed — Flex: $425.50 AvMed — Focus: $425.50 AvMed — FullyInsured: $425.50 AvMed — HIX: $204.24 AvMed — JacksonFirstNetworkOON: $851
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$16.80
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — MCR: $17.81 American Health Plan — MCR: $17.81 AmeriHealth Caritas — MGMCR: $20.16 BCBS — MCRHMO: $17.14 BCBS — MCRPPO: $17.14 Centurion — GVT: $18.48 Cigna Healthspring — MCR: $17.98 Devoted Health — MCR: $16.80 Florida Complete Care — MCR: $17.98 Hospice of Treasure Coast — COMM: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) UNSCHEDULED	Not listed in the file	Not listed in the file	$181.08 – $184.89
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $184.89 CorVel Corporation — WORKERSCOMP: $181.08 Prime Health — WORKERSCOMP: $184.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$7.77
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates Aetna — MCR: $8.24 American Health Plan — MCR: $8.24 AmeriHealth Caritas — MGMCR: $9.32 BCBS — MCRHMO: $7.93 BCBS — MCRPPO: $7.93 CareWorks (Rockport) — WORKERSCOMP: $161.40 Centurion — GVT: $8.55 Cigna Healthspring — MCR: $8.31 CorVel Corporation — WORKERSCOMP: $158.07 Devoted Health — MCR: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$770	$770	$66.22 – $654.50
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Aetna — ASA: $231 AmeriHealth Caritas — HIX: $338.80 AvMed — ASOEO: $231 AvMed — Empower: $192.50 AvMed — Engage: $192.50 AvMed — Flex: $192.50 AvMed — Focus: $192.50 AvMed — FullyInsured: $192.50 AvMed — HIX: $92.40 AvMed — JacksonFirstNetworkOON: $385
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	Not listed in the file	Not listed in the file	$6.47
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — MCR: $6.86 American Health Plan — MCR: $6.86 AmeriHealth Caritas — MGMCR: $7.76 BCBS — MCRHMO: $6.60 BCBS — MCRPPO: $6.60 Centurion — GVT: $7.12 Cigna Healthspring — MCR: $6.92 Devoted Health — MCR: $6.47 Florida Complete Care — MCR: $6.92 Hospice of Treasure Coast — COMM: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED	Not listed in the file	Not listed in the file	$124.05 – $126.66
Complete blood count (CBC), automated: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $126.66 CorVel Corporation — WORKERSCOMP: $124.05 Prime Health — WORKERSCOMP: $126.66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$726	$726	$62.44 – $617.10
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Aetna — ASA: $217.80 AmeriHealth Caritas — HIX: $319.44 AvMed — ASOEO: $217.80 AvMed — Empower: $181.50 AvMed — Engage: $181.50 AvMed — Flex: $181.50 AvMed — Focus: $181.50 AvMed — FullyInsured: $181.50 AvMed — HIX: $87.12 AvMed — JacksonFirstNetworkOON: $363
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — MCR: $4.55 American Health Plan — MCR: $4.55 AmeriHealth Caritas — MGMCR: $5.15 BCBS — MCRHMO: $4.38 BCBS — MCRPPO: $4.38 Centurion — GVT: $4.72 Cigna Healthspring — MCR: $4.59 Devoted Health — MCR: $4.29 Florida Complete Care — MCR: $4.59 Hospice of Treasure Coast — COMM: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; UNSCHEDULED	Not listed in the file	Not listed in the file	$102.05 – $104.20
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $104.20 CorVel Corporation — WORKERSCOMP: $102.05 Prime Health — WORKERSCOMP: $104.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$978	$978	$84.11 – $831.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Aetna — ASA: $293.40 AmeriHealth Caritas — HIX: $430.32 AvMed — ASOEO: $293.40 AvMed — Empower: $244.50 AvMed — Engage: $244.50 AvMed — Flex: $244.50 AvMed — Focus: $244.50 AvMed — FullyInsured: $244.50 AvMed — HIX: $117.36 AvMed — JacksonFirstNetworkOON: $489
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — MCR: $6.37 American Health Plan — MCR: $6.37 AmeriHealth Caritas — MGMCR: $7.21 BCBS — MCRHMO: $6.13 BCBS — MCRPPO: $6.13 Centurion — GVT: $6.61 Cigna Healthspring — MCR: $6.43 Devoted Health — MCR: $6.01 Florida Complete Care — MCR: $6.43 Hospice of Treasure Coast — COMM: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED	Not listed in the file	Not listed in the file	$129.06 – $131.77
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $131.77 CorVel Corporation — WORKERSCOMP: $129.06 Prime Health — WORKERSCOMP: $131.77

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$10,102	$10,102	$868.77 – $8,586.70
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — ASA: $3,030.60 AmeriHealth Caritas — HIX: $4,444.88 AvMed — JacksonFirstNetworkOON: $5,051 Freedom Health — MGMCR: $868.77 Health Sun Health Plan — MGMCR: $2,151.73 Molina — HIX: $2,727.54 Molina — MCR: $1,919.38 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $8,586.70 Multiplan — COMMPPOPRIMARYNETWORK: $7,576.50 Optimum — MGMCR: $868.77
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$185.25 – $4,112
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — QHP: $1,087 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $926 AvMed — Select: $3,710 United — AllPayerAppendix: $185.25
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material UNSCHEDULED	Not listed in the file	Not listed in the file	$2,128.95 – $2,173.77
CT scan of the head or brain, without contrast: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $2,173.77 CorVel Corporation — WORKERSCOMP: $2,128.95 Prime Health — WORKERSCOMP: $2,173.77
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$11,302	$11,302	$971.97 – $9,606.70
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — ASA: $3,390.60 AmeriHealth Caritas — HIX: $4,972.88 AvMed — JacksonFirstNetworkOON: $5,651 Freedom Health — MGMCR: $971.97 Health Sun Health Plan — MGMCR: $2,407.33 Molina — HIX: $3,051.54 Molina — MCR: $2,147.38 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $9,606.70 Multiplan — COMMPPOPRIMARYNETWORK: $8,476.50 Optimum — MGMCR: $971.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	$11,302	$11,302	$625.80 – $4,112
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates Aetna — QHP: $1,499 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $1,132 AvMed — Select: $3,710 CareWorks (Rockport) — WORKERSCOMP: $3,807.15
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,652	$1,652	$142.07 – $1,404.20
Chest X-ray, 2 views: 10 of 25 insurance plan rates Aetna — ASA: $495.60 AmeriHealth Caritas — HIX: $726.88 AvMed — ASOEO: $495.60 AvMed — Empower: $413 AvMed — Engage: $413 AvMed — Flex: $413 AvMed — Focus: $413 AvMed — FullyInsured: $413 AvMed — HIX: $198.24 AvMed — JacksonFirstNetworkOON: $826
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$137.53
Chest X-ray, 2 views: rates for 4 insurance plans United — AllPayerAppendix: $137.53 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views UNSCHEDULED	Not listed in the file	Not listed in the file	$458.20 – $467.85
Chest X-ray, 2 views: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $467.85 CorVel Corporation — WORKERSCOMP: $458.20 Prime Health — WORKERSCOMP: $467.85
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$3,796	$3,796	$326.46 – $3,226.60
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates Aetna — ASA: $1,138.80 AmeriHealth Caritas — HIX: $1,670.24 AvMed — ASOEO: $1,138.80 AvMed — Empower: $949 AvMed — Engage: $949 AvMed — Flex: $949 AvMed — Focus: $949 AvMed — FullyInsured: $949 AvMed — HIX: $455.52 AvMed — JacksonFirstNetworkOON: $1,898
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$185.25
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans United — AllPayerAppendix: $185.25 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED	Not listed in the file	Not listed in the file	$806.36 – $823.34
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $823.34 CorVel Corporation — WORKERSCOMP: $806.36 Prime Health — WORKERSCOMP: $823.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$7,845	$7,845	$674.67 – $6,668.25
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — ASA: $2,353.50 AmeriHealth Caritas — HIX: $3,451.80 AvMed — JacksonFirstNetworkOON: $3,922.50 Freedom Health — MGMCR: $674.67 Health Sun Health Plan — MGMCR: $1,670.98 Molina — HIX: $2,118.15 Molina — MCR: $1,490.55 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $6,668.25 Multiplan — COMMPPOPRIMARYNETWORK: $5,883.75 Optimum — MGMCR: $674.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	$7,845	$7,845	$391.22 – $4,112
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Aetna — QHP: $1,499 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $1,132 AvMed — Select: $3,710 CareWorks (Rockport) — WORKERSCOMP: $2,650.81
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$13,850	$13,850	$1,191.10 – $11,772.50
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — ASA: $4,155 AmeriHealth Caritas — HIX: $6,094 AvMed — JacksonFirstNetworkOON: $6,925 Freedom Health — MGMCR: $1,191.10 Health Sun Health Plan — MGMCR: $2,950.05 Molina — HIX: $3,739.50 Molina — MCR: $2,631.50 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $11,772.50 Multiplan — COMMPPOPRIMARYNETWORK: $10,387.50 Optimum — MGMCR: $1,191.10
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$303.54 – $4,112
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Aetna — QHP: $1,087 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $926 AvMed — Select: $3,710 United — AllPayerAppendix: $303.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) UNSCHEDULED	Not listed in the file	Not listed in the file	$2,926.30 – $2,987.91
CT scan of the pelvis, with contrast: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $2,987.91 CorVel Corporation — WORKERSCOMP: $2,926.30 Prime Health — WORKERSCOMP: $2,987.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material	Not listed in the file	Not listed in the file	$391.22 – $4,112
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Aetna — QHP: $1,499 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $1,132 AvMed — Select: $3,710 CareWorks (Rockport) — WORKERSCOMP: $2,512.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT	$7,845	$7,845	$674.67 – $6,668.25
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — ASA: $2,353.50 AmeriHealth Caritas — HIX: $3,451.80 AvMed — JacksonFirstNetworkOON: $3,922.50 Freedom Health — MGMCR: $674.67 Health Sun Health Plan — MGMCR: $1,670.98 Molina — HIX: $2,118.15 Molina — MCR: $1,490.55 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $6,668.25 Multiplan — COMMPPOPRIMARYNETWORK: $5,883.75 Optimum — MGMCR: $674.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI LW JNT W/O CONT BI	$7,845	$7,845	$674.67 – $6,668.25
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — ASA: $2,353.50 AmeriHealth Caritas — HIX: $3,451.80 AvMed — JacksonFirstNetworkOON: $3,922.50 Freedom Health — MGMCR: $674.67 Health Sun Health Plan — MGMCR: $1,670.98 Molina — HIX: $2,118.15 Molina — MCR: $1,490.55 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $6,668.25 Multiplan — COMMPPOPRIMARYNETWORK: $5,883.75 Optimum — MGMCR: $674.67
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$27,685	$27,685	$2,380.91 – $23,532.25
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — ASA: $8,305.50 AmeriHealth Caritas — HIX: $12,181.40 AvMed — JacksonFirstNetworkOON: $13,842.50 Freedom Health — MGMCR: $2,380.91 Health Sun Health Plan — MGMCR: $5,896.90 Molina — HIX: $7,474.95 Molina — MCR: $5,260.15 Multiplan — COMMPPOCOMPLEMENTARYNETWORK: $23,532.25 Multiplan — COMMPPOPRIMARYNETWORK: $20,763.75 Optimum — MGMCR: $2,380.91
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$625.80 – $4,112
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — QHP: $1,087 AvMed — ASOEO: $4,112 AvMed — Empower: $3,710 AvMed — Engage: $3,710 AvMed — Flex: $3,710 AvMed — Focus: $3,710 AvMed — FullyInsured: $3,710 AvMed — HIX: $926 AvMed — Select: $3,710 United — AllPayerAppendix: $625.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED	Not listed in the file	Not listed in the file	$4,720.10 – $4,819.47
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $4,819.47 CorVel Corporation — WORKERSCOMP: $4,720.10 Prime Health — WORKERSCOMP: $4,819.47
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$6,285	$6,285	$540.51 – $5,342.25
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates Aetna — ASA: $1,885.50 AmeriHealth Caritas — HIX: $2,765.40 AvMed — ASOEO: $1,885.50 AvMed — Empower: $1,571.25 AvMed — Engage: $1,571.25 AvMed — Flex: $1,571.25 AvMed — Focus: $1,571.25 AvMed — FullyInsured: $1,571.25 AvMed — HIX: $754.20 AvMed — JacksonFirstNetworkOON: $3,142.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$185.25
Ultrasound of the abdomen, complete: rates for 4 insurance plans United — AllPayerAppendix: $185.25 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED	Not listed in the file	Not listed in the file	$1,424.63 – $1,454.62
Ultrasound of the abdomen, complete: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $1,454.62 CorVel Corporation — WORKERSCOMP: $1,424.63 Prime Health — WORKERSCOMP: $1,454.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$4,321	$4,321	$371.61 – $3,672.85
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates Aetna — ASA: $1,296.30 AmeriHealth Caritas — HIX: $1,901.24 AvMed — ASOEO: $1,296.30 AvMed — Empower: $1,080.25 AvMed — Engage: $1,080.25 AvMed — Flex: $1,080.25 AvMed — Focus: $1,080.25 AvMed — FullyInsured: $1,080.25 AvMed — HIX: $518.52 AvMed — JacksonFirstNetworkOON: $2,160.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$941.42 – $961.24
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans CareWorks (Rockport) — WORKERSCOMP: $961.24 CorVel Corporation — WORKERSCOMP: $941.42 Prime Health — WORKERSCOMP: $961.24 United — AllPayerAppendix: $185.25 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$4,846	$4,846	$416.76 – $4,119.10
Transvaginal ultrasound: 10 of 25 insurance plan rates Aetna — ASA: $1,453.80 AmeriHealth Caritas — HIX: $2,132.24 AvMed — ASOEO: $1,453.80 AvMed — Empower: $1,211.50 AvMed — Engage: $1,211.50 AvMed — Flex: $1,211.50 AvMed — Focus: $1,211.50 AvMed — FullyInsured: $1,211.50 AvMed — HIX: $581.52 AvMed — JacksonFirstNetworkOON: $2,423
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$185.25
Transvaginal ultrasound: rates for 4 insurance plans United — AllPayerAppendix: $185.25 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal UNSCHEDULED	Not listed in the file	Not listed in the file	$968.43 – $988.82
Transvaginal ultrasound: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $988.82 CorVel Corporation — WORKERSCOMP: $968.43 Prime Health — WORKERSCOMP: $988.82
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$84.93 – $967.54
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — MCR: $92.81 American Health Plan — MCR: $92.81 AmeriHealth Caritas — MGMCR: $105.07 BCBS — MCRHMO: $89.31 BCBS — MCRPPO: $89.31 Centurion — GVT: $96.32 Cigna Healthspring — MCR: $93.69 Devoted Health — MCR: $87.56 Florida Complete Care — MCR: $93.69 Hospice of Treasure Coast — COMM: $87.56
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$499	$499	$42.91 – $424.15
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates Aetna — ASA: $149.70 AmeriHealth Caritas — HIX: $219.56 AvMed — ASOEO: $149.70 AvMed — Empower: $124.75 AvMed — Engage: $124.75 AvMed — Flex: $124.75 AvMed — Focus: $124.75 AvMed — FullyInsured: $124.75 AvMed — HIX: $59.88 AvMed — JacksonFirstNetworkOON: $249.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$499	$499	$42.91 – $424.15
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates Aetna — ASA: $149.70 AmeriHealth Caritas — HIX: $219.56 AvMed — ASOEO: $149.70 AvMed — Empower: $124.75 AvMed — Engage: $124.75 AvMed — Flex: $124.75 AvMed — Focus: $124.75 AvMed — FullyInsured: $124.75 AvMed — HIX: $59.88 AvMed — JacksonFirstNetworkOON: $249.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$1,001	$1,001	$109.14 – $1,243.46
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — MCR: $119.28 American Health Plan — MCR: $119.28 AmeriHealth Caritas — MGMCR: $135.04 BCBS — MCRHMO: $114.78 BCBS — MCRPPO: $114.78 Centurion — GVT: $123.78 Cigna Healthspring — MCR: $120.41 Devoted Health — MCR: $112.53 Florida Complete Care — MCR: $120.41 Hospice of Treasure Coast — COMM: $112.53
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$1,001	$1,001	$86.09 – $850.85
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates Aetna — ASA: $300.30 AmeriHealth Caritas — HIX: $440.44 AvMed — ASOEO: $300.30 AvMed — Empower: $250.25 AvMed — Engage: $250.25 AvMed — Flex: $250.25 AvMed — Focus: $250.25 AvMed — FullyInsured: $250.25 AvMed — HIX: $120.12 AvMed — JacksonFirstNetworkOON: $500.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$793	$793	$164.31
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — MCR: $98.20 American Health Plan — MCR: $98.20 AmeriHealth Caritas — MGMCR: $111.17 BCBS — MCRHMO: $94.49 BCBS — MCRPPO: $94.49 Centurion — GVT: $101.90 Cigna Healthspring — MCR: $99.12 Devoted Health — MCR: $92.64 Florida Complete Care — MCR: $99.12 Hospice of Treasure Coast — COMM: $92.64
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$793	$793	$68.20 – $674.05
Screening mammogram, both breasts: 10 of 25 insurance plan rates Aetna — ASA: $237.90 AmeriHealth Caritas — HIX: $348.92 AvMed — ASOEO: $237.90 AvMed — Empower: $198.25 AvMed — Engage: $198.25 AvMed — Flex: $198.25 AvMed — Focus: $198.25 AvMed — FullyInsured: $198.25 AvMed — HIX: $95.16 AvMed — JacksonFirstNetworkOON: $396.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report UNSCHEDULED	Not listed in the file	Not listed in the file	$383.17 – $391.24
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans CareWorks (Rockport) — WORKERSCOMP: $391.24 CorVel Corporation — WORKERSCOMP: $383.17 Humana — TRICR: $13.20 Prime Health — WORKERSCOMP: $391.24 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$20,000
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates Aetna — HMO-Gated: $18,299 Aetna — PPO-NonGated: $20,050 Aetna — QHP: $14,238 AvMed — ASOEO: $22,212 AvMed — Empower: $20,033 AvMed — Engage: $20,033 AvMed — Flex: $20,033 AvMed — Focus: $20,033 AvMed — FullyInsured: $20,033 AvMed — HIX: $7,545
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$2,900
Left heart catheterization (diagnostic): rates for 1 insurance plan Freedom Health — MGMCD: $2,900
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	Not listed in the file	Not listed in the file	$10,180 – $25,663
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates Aetna — HMO-Gated: $23,210 Aetna — PPO-NonGated: $25,663 Aetna — QHP: $18,060 AvMed — ASOEO: $51,007 AvMed — Empower: $45,995 AvMed — Engage: $45,995 AvMed — Flex: $45,995 AvMed — Focus: $45,995 AvMed — FullyInsured: $45,995 AvMed — HIX: $24,969
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	Not listed in the file	Not listed in the file	$10,180 – $25,663
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates Aetna — HMO-Gated: $23,210 Aetna — PPO-NonGated: $25,663 Aetna — QHP: $18,060 AvMed — ASOEO: $51,007 AvMed — Empower: $45,995 AvMed — Engage: $45,995 AvMed — Flex: $45,995 AvMed — Focus: $45,995 AvMed — FullyInsured: $45,995 AvMed — HIX: $24,969
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist SCHEDULED	Not listed in the file	Not listed in the file	$525.35 – $536.41
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans CareWorks (Rockport) — WORKERSCOMP: $536.41 CorVel Corporation — WORKERSCOMP: $525.35 Prime Health — WORKERSCOMP: $536.41 United — AllPayerAppendix: $8,800 Aetna — HMO-Gated: 20.5% (a percentage in the contract, not a dollar amount) Aetna — PPO-NonGated: 25.7% (a percentage in the contract, not a dollar amount) Aetna — QHP: 17.4% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib	Not listed in the file	Not listed in the file	$28.62 – $326.09
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — MCR: $31.28 American Health Plan — MCR: $31.28 AmeriHealth Caritas — MGMCR: $35.41 BCBS — MCRHMO: $30.10 BCBS — MCRPPO: $30.10 CareWorks (Rockport) — WORKERSCOMP: $33.95 Centurion — GVT: $32.46 Cigna Healthspring — MCR: $31.58 CorVel Corporation — WORKERSCOMP: $33.25 Devoted Health — MCR: $29.51
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: THER EXERCIS 15 MIN PTCQ	$731	$731	$62.87 – $621.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — ASA: $219.30 AmeriHealth Caritas — HIX: $321.64 AvMed — ASOEO: $219.30 AvMed — Empower: $182.75 AvMed — Engage: $182.75 AvMed — Flex: $182.75 AvMed — Focus: $182.75 AvMed — FullyInsured: $182.75 AvMed — HIX: $87.72 AvMed — JacksonFirstNetworkOON: $365.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO\|CO In the file: THER EXERCIS 15 MIN OTCO	$731	$731	$62.87 – $621.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates Aetna — ASA: $219.30 AmeriHealth Caritas — HIX: $321.64 AvMed — ASOEO: $219.30 AvMed — Empower: $182.75 AvMed — Engage: $182.75 AvMed — Flex: $182.75 AvMed — Focus: $182.75 AvMed — FullyInsured: $182.75 AvMed — HIX: $87.72 AvMed — JacksonFirstNetworkOON: $365.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$1,612	$1,612	$93.10 – $95.06
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — MCR: $104.65 American Health Plan — MCR: $104.65 AmeriHealth Caritas — MGMCR: $118.48 BCBS — MCRHMO: $100.70 BCBS — MCRPPO: $100.70 CareWorks (Rockport) — WORKERSCOMP: $95.06 Centurion — GVT: $108.60 Cigna Healthspring — MCR: $105.64 CorVel Corporation — WORKERSCOMP: $93.10 Devoted Health — MCR: $98.73
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$1,612	$1,612	$138.63 – $1,370.20
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates Aetna — ASA: $483.60 AmeriHealth Caritas — HIX: $709.28 AvMed — ASOEO: $483.60 AvMed — Empower: $403 AvMed — Engage: $403 AvMed — Flex: $403 AvMed — Focus: $403 AvMed — FullyInsured: $403 AvMed — HIX: $193.44 AvMed — JacksonFirstNetworkOON: $806
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$1,612	$1,612	$86.88 – $960.05
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Aetna — MCR: $92.09 American Health Plan — MCR: $92.09 AmeriHealth Caritas — MGMCR: $104.26 BCBS — MCRHMO: $88.62 BCBS — MCRPPO: $88.62 Centurion — GVT: $95.57 Cigna Healthspring — MCR: $92.96 Devoted Health — MCR: $86.88 Florida Complete Care — MCR: $92.96 Hospice of Treasure Coast — COMM: $86.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$1,612	$1,612	$93.10 – $95.06
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna — MCR: $104.65 American Health Plan — MCR: $104.65 AmeriHealth Caritas — MGMCR: $118.48 BCBS — MCRHMO: $100.70 BCBS — MCRPPO: $100.70 CareWorks (Rockport) — WORKERSCOMP: $95.06 Centurion — GVT: $108.60 Cigna Healthspring — MCR: $105.64 CorVel Corporation — WORKERSCOMP: $93.10 Devoted Health — MCR: $98.73
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$1,612	$1,612	$138.63 – $1,370.20
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates Aetna — ASA: $483.60 AmeriHealth Caritas — HIX: $709.28 AvMed — ASOEO: $483.60 AvMed — Empower: $403 AvMed — Engage: $403 AvMed — Flex: $403 AvMed — Focus: $403 AvMed — FullyInsured: $403 AvMed — HIX: $193.44 AvMed — JacksonFirstNetworkOON: $806
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$1,612	$1,612	$86.88 – $960.05
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Aetna — MCR: $92.09 American Health Plan — MCR: $92.09 AmeriHealth Caritas — MGMCR: $104.26 BCBS — MCRHMO: $88.62 BCBS — MCRPPO: $88.62 Centurion — GVT: $95.57 Cigna Healthspring — MCR: $92.96 Devoted Health — MCR: $86.88 Florida Complete Care — MCR: $92.96 Hospice of Treasure Coast — COMM: $86.88
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$1,612	$1,612	$95.77 – $1,090.97
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates Aetna — MCR: $104.65 American Health Plan — MCR: $104.65 AmeriHealth Caritas — MGMCR: $118.48 BCBS — MCRHMO: $100.70 BCBS — MCRPPO: $100.70 CareWorks (Rockport) — WORKERSCOMP: $95.06 Centurion — GVT: $108.60 Cigna Healthspring — MCR: $105.64 CorVel Corporation — WORKERSCOMP: $93.10 Devoted Health — MCR: $98.73
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$1,612	$1,612	$138.63 – $1,370.20
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates Aetna — ASA: $483.60 AmeriHealth Caritas — HIX: $709.28 AvMed — ASOEO: $483.60 AvMed — Empower: $403 AvMed — Engage: $403 AvMed — Flex: $403 AvMed — Focus: $403 AvMed — FullyInsured: $403 AvMed — HIX: $193.44 AvMed — JacksonFirstNetworkOON: $806
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$1,612	$1,612	$86.88 – $960.05
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Aetna — MCR: $92.09 American Health Plan — MCR: $92.09 AmeriHealth Caritas — MGMCR: $104.26 BCBS — MCRHMO: $88.62 BCBS — MCRPPO: $88.62 Centurion — GVT: $95.57 Cigna Healthspring — MCR: $92.96 Devoted Health — MCR: $86.88 Florida Complete Care — MCR: $92.96 Hospice of Treasure Coast — COMM: $86.88
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIV SESSION 30MIN	$421	$421	$36.21 – $357.85
Psychotherapy, 30 minutes: 10 of 40 insurance plan rates Aetna — ASA: $126.30 Aetna — HMO-Gated: $86.31 Aetna — PPO-NonGated: $108.20 Aetna — QHP: $73.25 AmeriHealth Caritas — HIX: $185.24 AvMed — ASOEO: $126.30 AvMed — Empower: $105.25 AvMed — Engage: $105.25 AvMed — Flex: $105.25 AvMed — Focus: $105.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient UNSCHEDULED	$421	$421	$234.11 – $239.04
Psychotherapy, 30 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient SCHEDULED	$421	$421	$68.40 – $69.84
Psychotherapy, 30 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $69.84 CorVel Corporation — WORKERSCOMP: $68.40 Prime Health — WORKERSCOMP: $69.84
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIV SESSION 45MIN	$753	$753	$64.76 – $640.05
Psychotherapy, 45 minutes: 10 of 40 insurance plan rates Aetna — ASA: $225.90 Aetna — HMO-Gated: $154.37 Aetna — PPO-NonGated: $193.52 Aetna — QHP: $131.02 AmeriHealth Caritas — HIX: $331.32 AvMed — ASOEO: $225.90 AvMed — Empower: $188.25 AvMed — Engage: $188.25 AvMed — Flex: $188.25 AvMed — Focus: $188.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient SCHEDULED	$753	$753	$91.20 – $93.12
Psychotherapy, 45 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $93.12 CorVel Corporation — WORKERSCOMP: $91.20 Prime Health — WORKERSCOMP: $93.12
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient UNSCHEDULED	$753	$753	$234.11 – $239.04
Psychotherapy, 45 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIV SESSION 60MIN	$753	$753	$64.76 – $640.05
Psychotherapy, 60 minutes: 10 of 40 insurance plan rates Aetna — ASA: $225.90 Aetna — HMO-Gated: $154.37 Aetna — PPO-NonGated: $193.52 Aetna — QHP: $131.02 AmeriHealth Caritas — HIX: $331.32 AvMed — ASOEO: $225.90 AvMed — Empower: $188.25 AvMed — Engage: $188.25 AvMed — Flex: $188.25 AvMed — Focus: $188.25
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient UNSCHEDULED	$753	$753	$234.11 – $239.04
Psychotherapy, 60 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient SCHEDULED	$753	$753	$136.80 – $139.68
Psychotherapy, 60 minutes: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $139.68 CorVel Corporation — WORKERSCOMP: $136.80 Prime Health — WORKERSCOMP: $139.68
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAM WO PT 50 MIN	$753	$753	$64.76 – $640.05
Family psychotherapy, without the patient: 10 of 40 insurance plan rates Aetna — ASA: $225.90 Aetna — HMO-Gated: $154.37 Aetna — PPO-NonGated: $193.52 Aetna — QHP: $131.02 AmeriHealth Caritas — HIX: $331.32 AvMed — ASOEO: $225.90 AvMed — Empower: $188.25 AvMed — Engage: $188.25 AvMed — Flex: $188.25 AvMed — Focus: $188.25
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes SCHEDULED	$753	$753	$110.20 – $112.52
Family psychotherapy, without the patient: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $112.52 CorVel Corporation — WORKERSCOMP: $110.20 Prime Health — WORKERSCOMP: $112.52
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED	$753	$753	$234.11 – $239.04
Family psychotherapy, without the patient: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM W PT 50 MIN	$753	$753	$64.76 – $640.05
Family psychotherapy, with the patient: 10 of 40 insurance plan rates Aetna — ASA: $225.90 Aetna — HMO-Gated: $154.37 Aetna — PPO-NonGated: $193.52 Aetna — QHP: $131.02 AmeriHealth Caritas — HIX: $331.32 AvMed — ASOEO: $225.90 AvMed — Empower: $188.25 AvMed — Engage: $188.25 AvMed — Flex: $188.25 AvMed — Focus: $188.25
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes UNSCHEDULED	$753	$753	$234.11 – $239.04
Family psychotherapy, with the patient: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY)	$421	$421	$36.21 – $357.85
Group psychotherapy: 10 of 32 insurance plan rates Aetna — ASA: $126.30 Aetna — HMO-Gated: $86.31 Aetna — PPO-NonGated: $108.20 Aetna — QHP: $73.25 AmeriHealth Caritas — HIX: $185.24 AvMed — ASOEO: $126.30 AvMed — Empower: $105.25 AvMed — Engage: $105.25 AvMed — Flex: $105.25 AvMed — Focus: $105.25
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) UNSCHEDULED	Not listed in the file	Not listed in the file	$234.11 – $239.04
Group psychotherapy: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $239.04 CorVel Corporation — WORKERSCOMP: $234.11 Prime Health — WORKERSCOMP: $239.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) SCHEDULED	Not listed in the file	Not listed in the file	$30.40 – $31.04
Group psychotherapy: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $31.04 CorVel Corporation — WORKERSCOMP: $30.40 Prime Health — WORKERSCOMP: $31.04

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$22,332 – $30,357
Removal of breast growth (open surgery): 10 of 35 insurance plan rates Aetna — HMO-Gated: $16,103 Aetna — PPO-NonGated: $17,837 Aetna — QHP: $12,530 AvMed — ASOEO: $27,973 AvMed — Empower: $25,224 AvMed — Engage: $25,224 AvMed — Flex: $25,224 AvMed — Focus: $25,224 AvMed — FullyInsured: $25,224 AvMed — HIX: $10,188
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$1,495 – $43,000
Total hip replacement: 10 of 39 insurance plan rates Aetna — HMO-Gated: $31,455 Aetna — PPO-NonGated: $31,455 Aetna — QHP: $24,476 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $41,379 AvMed — Empower: $40,029 AvMed — Engage: $40,029 AvMed — Flex: $40,029 AvMed — Focus: $40,029 AvMed — FullyInsured: $40,029
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$2,702 – $15,153
Total knee replacement: 10 of 42 insurance plan rates Aetna — HMO-Gated: $31,455 Aetna — PPO-NonGated: $31,455 Aetna — QHP: $24,476 American Health Plan — MCR: $17,429.32 AvMed — ASOEO: $41,379 AvMed — Empower: $40,029 AvMed — Engage: $40,029 AvMed — Flex: $40,029 AvMed — Focus: $40,029 AvMed — FullyInsured: $40,029
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$2,518 – $17,837
Shoulder arthroscopy: shaving of shoulder bone: 10 of 30 insurance plan rates Aetna — HMO-Gated: $16,103 Aetna — PPO-NonGated: $17,837 Aetna — QHP: $12,530 AvMed — ASOEO: $27,973 AvMed — Empower: $25,224 AvMed — Engage: $25,224 AvMed — Flex: $25,224 AvMed — Focus: $25,224 AvMed — FullyInsured: $25,224 AvMed — HIX: $10,188
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$6,625 – $17,837
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates Aetna — HMO-Gated: $16,103 Aetna — PPO-NonGated: $17,837 Aetna — QHP: $12,530 AvMed — ASOEO: $27,973 AvMed — Empower: $25,224 AvMed — Engage: $25,224 AvMed — Flex: $25,224 AvMed — Focus: $25,224 AvMed — FullyInsured: $25,224 AvMed — HIX: $10,188
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$1,495 – $31,400
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $24,677 BCBS — HMO: $23,866 BCBS — MBN: $21,742 BCBS — NWB: $23,689 BCBS — PHS: $24,677 BCBS — PPO: $23,689 BCBS — SBN: $23,866 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$1,495 – $16,800
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $9,396 BCBS — HMO: $6,542 BCBS — MBN: $5,523 BCBS — NWB: $6,634 BCBS — PHS: $9,396 BCBS — PPO: $6,634 BCBS — SBN: $6,542 CareWorks (Rockport) — WORKERSCOMP: $1,955.16 Cigna — HMO: $15,153
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$2,702 – $15,153
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $9,396 BCBS — HMO: $6,542 BCBS — MBN: $5,523 BCBS — NWB: $6,634 BCBS — PHS: $9,396 BCBS — PPO: $6,634 BCBS — SBN: $6,542 CareWorks (Rockport) — WORKERSCOMP: $1,495.49 Cigna — HMO: $15,153
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$1,495 – $16,800
Colonoscopy (diagnostic): 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $9,396 BCBS — HMO: $6,542 BCBS — MBN: $5,523 BCBS — NWB: $6,634 BCBS — PHS: $9,396 BCBS — PPO: $6,634 BCBS — SBN: $6,542 CareWorks (Rockport) — WORKERSCOMP: $1,304.47 Cigna — HMO: $15,153
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$1,495 – $16,800
Colonoscopy with biopsy: 10 of 28 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $11,343 BCBS — HMO: $7,473 BCBS — MBN: $6,312 BCBS — NWB: $7,611 BCBS — PHS: $11,343 BCBS — PPO: $7,611 BCBS — SBN: $7,473 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple SCHEDULED	Not listed in the file	Not listed in the file	$2,456.09 – $2,507.80
Colonoscopy with biopsy: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $2,507.80 CorVel Corporation — WORKERSCOMP: $2,456.09 Prime Health — WORKERSCOMP: $2,507.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple UNSCHEDULED	Not listed in the file	Not listed in the file	$3,324.48 – $3,394.47
Colonoscopy with biopsy: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $3,394.47 CorVel Corporation — WORKERSCOMP: $3,324.48 Prime Health — WORKERSCOMP: $3,394.47
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$2,702 – $16,800
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $11,343 BCBS — HMO: $7,473 BCBS — MBN: $6,312 BCBS — NWB: $7,611 BCBS — PHS: $11,343 BCBS — PPO: $7,611 BCBS — SBN: $7,473 CareWorks (Rockport) — WORKERSCOMP: $1,843.82 Cigna — HMO: $15,153
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$1,928.86 – $1,969.47
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $11,343 BCBS — HMO: $7,473 BCBS — MBN: $6,312 BCBS — NWB: $7,611 BCBS — PHS: $11,343 BCBS — PPO: $7,611 BCBS — SBN: $7,473 CareWorks (Rockport) — WORKERSCOMP: $1,969.47 Cigna — HMO: $15,153
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$3,509 – $12,200
Screening colonoscopy (not high risk): rates for 6 insurance plans CareWorks (Rockport) — WORKERSCOMP: $220.19 CorVel Corporation — WORKERSCOMP: $215.65 Oscar — HIX: $4,288 Prime Health — WORKERSCOMP: $220.19 Simply Healthcare — HIX: $3,509 United — AllPayerAppendix: $12,200
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$6,625 – $20,031
Gallbladder removal by laparoscope: 10 of 32 insurance plan rates Aetna — HMO-Gated: $17,334 Aetna — PPO-NonGated: $20,031 Aetna — QHP: $13,489 AvMed — ASOEO: $24,680 AvMed — Empower: $22,257 AvMed — Engage: $22,257 AvMed — Flex: $22,257 AvMed — Focus: $22,257 AvMed — FullyInsured: $22,257 AvMed — HIX: $9,810
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy SCHEDULED	Not listed in the file	Not listed in the file	$245.11 – $250.27
Gallbladder removal by laparoscope: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $250.27 CorVel Corporation — WORKERSCOMP: $245.11 Prime Health — WORKERSCOMP: $250.27
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy UNSCHEDULED	Not listed in the file	Not listed in the file	$1,360.11 – $1,388.74
Gallbladder removal by laparoscope: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $1,388.74 CorVel Corporation — WORKERSCOMP: $1,360.11 Prime Health — WORKERSCOMP: $1,388.74
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$6,625 – $15,153
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $24,677 BCBS — HMO: $23,866 BCBS — MBN: $21,742 BCBS — NWB: $23,689 BCBS — PHS: $24,677 BCBS — PPO: $23,689 BCBS — SBN: $23,866 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible UNSCHEDULED	Not listed in the file	Not listed in the file	$13,156.85 – $13,433.84
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $13,433.84 CorVel Corporation — WORKERSCOMP: $13,156.85 Prime Health — WORKERSCOMP: $13,433.84
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible SCHEDULED	Not listed in the file	Not listed in the file	$4,624.06 – $4,721.41
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $4,721.41 CorVel Corporation — WORKERSCOMP: $4,624.06 Prime Health — WORKERSCOMP: $4,721.41
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach SCHEDULED	Not listed in the file	Not listed in the file	$4,905.18 – $5,008.45
Prostate biopsy: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $5,008.45 CorVel Corporation — WORKERSCOMP: $4,905.18 Prime Health — WORKERSCOMP: $5,008.45
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$4,989 – $5,336
Prostate biopsy: rates for 2 insurance plans Oscar — HIX: $5,336 Simply Healthcare — HIX: $4,989
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$2,702 – $45,000
Prostate removal by laparoscope (radical prostatectomy): 10 of 31 insurance plan rates AvMed — ASOEO: $17,277 AvMed — Empower: $15,580 AvMed — Engage: $15,580 AvMed — Flex: $15,580 AvMed — Focus: $15,580 AvMed — FullyInsured: $15,580 AvMed — HIX: $7,167 AvMed — Select: $15,580 BCBS — BSLNON-PAR: $24,677 BCBS — HMO: $23,866
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$6,625 – $17,837
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates Aetna — HMO-Gated: $16,103 Aetna — PPO-NonGated: $17,837 Aetna — QHP: $12,530 AvMed — ASOEO: $17,277 AvMed — Empower: $15,580 AvMed — Engage: $15,580 AvMed — Flex: $15,580 AvMed — Focus: $15,580 AvMed — FullyInsured: $15,580 AvMed — HIX: $7,167
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$2,090.93 – $2,134.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $9,396 BCBS — HMO: $6,542 BCBS — MBN: $5,523 BCBS — NWB: $6,634 BCBS — PHS: $9,396 BCBS — PPO: $6,634 BCBS — SBN: $6,542 CareWorks (Rockport) — WORKERSCOMP: $2,134.95 Cigna — HMO: $15,153
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$2,702 – $15,153
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates BCBS — BSLNON-PAR: $9,396 BCBS — HMO: $6,542 BCBS — MBN: $5,523 BCBS — NWB: $6,634 BCBS — PHS: $9,396 BCBS — PPO: $6,634 BCBS — SBN: $6,542 CareWorks (Rockport) — WORKERSCOMP: $3,659.03 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$6,625 – $31,400
Carpal tunnel release: 10 of 29 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $15,120 BCBS — HMO: $12,152 BCBS — MBN: $10,230 BCBS — NWB: $12,359 BCBS — PHS: $15,120 BCBS — PPO: $12,359 BCBS — SBN: $12,152 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel SCHEDULED	Not listed in the file	Not listed in the file	$3,057.36 – $3,121.72
Carpal tunnel release: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $3,121.72 CorVel Corporation — WORKERSCOMP: $3,057.36 Prime Health — WORKERSCOMP: $3,121.72
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel UNSCHEDULED	Not listed in the file	Not listed in the file	$4,164.86 – $4,252.54
Carpal tunnel release: rates for 3 insurance plans CareWorks (Rockport) — WORKERSCOMP: $4,252.54 CorVel Corporation — WORKERSCOMP: $4,164.86 Prime Health — WORKERSCOMP: $4,252.54
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$2,702 – $15,153
Laser treatment of clouding after cataract surgery: 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $7,531 BCBS — HMO: $4,672 BCBS — MBN: $3,945 BCBS — NWB: $4,764 BCBS — PHS: $7,531 BCBS — PPO: $4,764 BCBS — SBN: $4,672 CareWorks (Rockport) — WORKERSCOMP: $506.67 Cigna — HMO: $15,153
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$2,702
Cataract removal with lens implant: 10 of 31 insurance plan rates AvMed — HIX: $4,452 BCBS — BSLNON-PAR: $15,120 BCBS — HMO: $12,152 BCBS — MBN: $10,230 BCBS — NWB: $12,359 BCBS — PHS: $15,120 BCBS — PPO: $12,359 BCBS — SBN: $12,152 CareWorks (Rockport) — WORKERSCOMP: $4,292.38 Cigna — HMO: $15,153

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care	Not listed in the file	Not listed in the file	$2,702 – $15,153
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates AvMed — HIX: $4,452 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166 Cigna — PPO: $15,153 Freedom Health — MGMCD: $1,495 Freedom Health — MGMCR: $2,350 Health Sun Health Plan — MGMCR: $2,050 Molina — HIX: $2,702 Molina — MCR: $1,950 Optimum — MGMCR: $2,350
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$2,702
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates AvMed — HIX: $4,452 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166 Cigna — PPO: $15,153 Freedom Health — MGMCD: $1,495 Freedom Health — MGMCR: $2,350 Health Sun Health Plan — MGMCR: $2,050 Molina — HIX: $2,702 Molina — MCR: $1,950 Optimum — MGMCR: $2,350
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$1,495 – $15,153
Vaginal delivery after a previous C-section, with care before and after: 10 of 25 insurance plan rates AvMed — HIX: $4,452 Cigna — HMO: $15,153 Cigna — NewBusinessNBN: $11,166 Cigna — PPO: $15,153 Freedom Health — MGMCD: $1,495 Freedom Health — MGMCR: $2,350 Health Sun Health Plan — MGMCR: $2,050 Molina — HIX: $2,702 Molina — MCR: $1,950 Optimum — MGMCR: $2,350

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA	Not listed in the file	Not listed in the file	$7,000 – $80,778.56
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 67 insurance plan rates Aetna — HMO-Gated: $124,237 Aetna — MCR: $82,331.99 Aetna — PPO-NonGated: $136,659 Aetna — QHP: $96,672 American Health Plan — MCR: $1,275 AvMed — ASOEO: $138,213 AvMed — Empower: $124,639 AvMed — Engage: $124,639 AvMed — Flex: $124,639 AvMed — Focus: $124,639
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT	Not listed in the file	Not listed in the file	$16,649.11
Hip or knee replacement (major joint of the leg), without major complications: 10 of 63 insurance plan rates Aetna — HMO-Gated: $57,784 Aetna — MCR: $16,969.29 Aetna — PPO-NonGated: $65,677 Aetna — QHP: $44,963 American Health Plan — MCR: $1,275 AvMed — ASOEO: $60,649 AvMed — Empower: $54,693 AvMed — Engage: $54,693 AvMed — Flex: $54,693 AvMed — Focus: $54,693
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Trauma	Not listed in the file	Not listed in the file	$15,528.50 – $18,410.07
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans HUMANA — MGMCRHMO: $18,410.07 HUMANA — MGMCRPPO: $15,528.50
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$21,233.64
Neck (cervical) spinal fusion, without complications: 10 of 63 insurance plan rates Aetna — HMO-Gated: $52,007 Aetna — MCR: $21,233.64 Aetna — PPO-NonGated: $57,207 Aetna — QHP: $40,469 American Health Plan — MCR: $21,233.64 AvMed — ASOEO: $74,917 AvMed — Empower: $67,556 AvMed — Engage: $67,556 AvMed — Flex: $67,556 AvMed — Focus: $67,556
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Trauma	Not listed in the file	Not listed in the file	$19,430.79 – $23,036.50
Neck (cervical) spinal fusion, without complications: rates for 2 insurance plans HUMANA — MGMCRHMO: $23,036.50 HUMANA — MGMCRPPO: $19,430.79
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,029.75
Uterus and ovary surgery (not for cancer), without complications: 10 of 63 insurance plan rates Aetna — HMO-Gated: $23,115 Aetna — MCR: $11,241.86 Aetna — PPO-NonGated: $27,543 Aetna — QHP: $17,987 American Health Plan — MCR: $11,241.86 AvMed — ASOEO: $3,785 AvMed — Empower: $3,414 AvMed — Engage: $3,414 AvMed — Flex: $3,414 AvMed — Focus: $3,414
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma	Not listed in the file	Not listed in the file	$10,287.36 – $12,196.36
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans HUMANA — MGMCRHMO: $12,196.36 HUMANA — MGMCRPPO: $10,287.36

Source: St Lucie Medical Center’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	1800 SE Tiffany Ave, Port Saint Lucie, FL 34952
County	St. Lucie County
State	Florida
Phone	(772) 335‑4000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	100260
Name in Medicare records	ST LUCIE MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	HCA Florida St. Lucie Hospital
Official website	hcafloridahealthcare.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
St Lucie Hospital — hcafloridahealthcare.com
Imaging Center in Port St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Orthopedic Services in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Labor & Delivery Unit in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Robotic Surgeons in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Cardiac Services in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Emergency Room (ER) in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Outpatient Physical Therapy in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Visitor Information | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Stroke Center in St. Lucie, FL | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Awards and Recognition | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Joint Replacement Surgery in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Neurological care | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Surgeons in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Patient SMS Updates | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com
Women's Care Center in St. Lucie | HCA Florida St. Lucie Hospital — hcafloridahealthcare.com

St Lucie Medical Center

Summary

Profile from official sources

At a glance