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Acute Care Hospital

St Mary Medical Center Inc

Hobart, Indiana · Lake County · Emergency services listed

Summary

St Mary Medical Center Inc is an acute care hospital in Hobart, Indiana. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 58 services, specialties and programs. Medicare lists 913 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
58Services listed

Quick answers

Does St Mary Medical Center Inc have an emergency room?
Yes. Medicare (CMS) data lists emergency services at St Mary Medical Center Inc. In a medical emergency, call 911.
Where is St Mary Medical Center Inc?
1500 S Lake Park Ave, Hobart, IN 46342, in Lake County, Indiana.
What is the phone number of St Mary Medical Center Inc?
(219) 947-6196, as listed by Medicare (CMS).
What is the Medicare star rating of St Mary Medical Center Inc?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

Procedures[4]

Programs and centers[4]

  • Joint Academy orthopedic surgery program
  • High Risk Breast Clinic
  • Family Birthing Center (Labor & Delivery)
  • Acute Rehabilitation
  • Chronic Care Management Clinic

Emergency care (hospital website)[4]

Emergency roomYes
Stroke designationPrimary Stroke Center (Joint Commission gold seal)

Visiting and practical information

VisitingGeneral visitation: two visitors at a time, 8 am-8 pm. ICU also 8 am-8 pm, no children under 12. After 8 pm enter via Emergency Dept[4]
ParkingFree visitor parking at East, West and Surgery entrances; free valet Mon-Fri 7 am-5 pm at East and West entrances[4]
Patient portalMyChart

Recognition[4]

  • Joint Commission accredited
  • Joint Commission gold seal: Primary Stroke Center
  • Joint Commission gold seal: Hip and Knee Replacement
  • Center of Excellence in Minimally Invasive Gynecology
  • Center of Excellence in Robotic Surgery

Doctors and clinicians (913)

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

Main specialties

Doctors with a page on this site (913)

And 889 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital73%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night58%National average: 60%
Completed surveys512Response rate: 20%

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)0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.422No different from the national benchmark
Surgical site infections after colon surgery0.796No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.967No different from the national benchmark
MRSA bloodstream infections0.538No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.396Better 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 patients12.6%
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients19.3%
Deaths within 30 days: COPD patients7.8%
Deaths within 30 days: stroke patients8.8%
Deaths within 30 days: coronary bypass surgery (CABG)3.8%
Serious complications (patient safety indicator PSI-90)1.07No different from the national rate
Complications after hip or knee replacement4.4%

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 attack15.4%
Readmitted within 30 days: heart failure22.9%
Readmitted within 30 days: pneumonia18.7%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgery11%
Readmitted within 30 days: hip or knee replacement4.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)156 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)82%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 52 common services exactly as St Mary Medical Center Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC L&D Outpt 3 Hrs $1,447 $868.20 $110.20 – $1,276.25
Established patient office visit (about 20–29 minutes): 10 of 63 insurance plan rates
  • AETNA [360] — Aetna: $1,075.12
  • AETNA [360] — Aetna NBD: $1,060.65
  • AETNA X [854] — Aetna: $1,075.12
  • AMBETTER MHS [852] — Ambetter: $110.20
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $981.93
  • Anthem Essentials [855] — Anthem Essentials: $110.20
  • ANTHEM X [801] — Anthem Blue Cross: $981.93
  • BLUE CROSS [300] — Anthem Blue Cross: $981.93
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,276.25
  • BX ILL HMO MCNP [315] — BX IL HMO: $719.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Treatment Room Chg $1,702 $1,021.20 $110.20 – $1,501.16
Established patient office visit (about 20–29 minutes): 10 of 63 insurance plan rates
  • AETNA [360] — Aetna: $1,264.59
  • AETNA [360] — Aetna NBD: $1,247.57
  • AETNA X [854] — Aetna: $1,264.59
  • AMBETTER MHS [852] — Ambetter: $110.20
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,154.98
  • Anthem Essentials [855] — Anthem Essentials: $110.20
  • ANTHEM X [801] — Anthem Blue Cross: $1,154.98
  • BLUE CROSS [300] — Anthem Blue Cross: $1,154.98
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,501.16
  • BX ILL HMO MCNP [315] — BX IL HMO: $845.89
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC ER Clinic Visit Lvl 3 $349 $209.40 $126.73 – $307.12
Established patient office visit (about 20–29 minutes): 10 of 50 insurance plan rates
  • AETNA [360] — Aetna: $259.31
  • AETNA [360] — Aetna NBD: $255.82
  • AETNA X [854] — Aetna: $259.31
  • BX ILL HMO MCNP [315] — BX IL HMO: $173.45
  • CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $159.12
  • CARETAKER HIP [232] — Indiana Medicaid: $159.12
  • CHAMPVA [130] — Medicare: $140.86
  • CHOICECARE [395] — Humana PPO: $262.10
  • CIGNA [365] — Cigna One Health HMO: $184.27
  • COMMERCIAL [600] — Multiplan: $307.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC L&D Outpt 4 Hrs $1,576 $945.60 $140.86 – $1,390.03
Established patient office visit (about 30–39 minutes): 10 of 63 insurance plan rates
  • AETNA [360] — Aetna: $1,170.97
  • AETNA [360] — Aetna NBD: $1,155.21
  • AETNA X [854] — Aetna: $1,170.97
  • AMBETTER MHS [852] — Ambetter: $161.90
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,069.47
  • Anthem Essentials [855] — Anthem Essentials: $161.90
  • ANTHEM X [801] — Anthem Blue Cross: $1,069.47
  • BLUE CROSS [300] — Anthem Blue Cross: $1,069.47
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,390.03
  • BX ILL HMO MCNP [315] — BX IL HMO: $783.27
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC L&D Outpt 5 Hrs $1,708 $1,024.80 $140.86 – $1,506.46
Established patient office visit (about 30–39 minutes): 10 of 63 insurance plan rates
  • AETNA [360] — Aetna: $1,269.04
  • AETNA [360] — Aetna NBD: $1,251.96
  • AETNA X [854] — Aetna: $1,269.04
  • AMBETTER MHS [852] — Ambetter: $161.90
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,159.05
  • Anthem Essentials [855] — Anthem Essentials: $161.90
  • ANTHEM X [801] — Anthem Blue Cross: $1,159.05
  • BLUE CROSS [300] — Anthem Blue Cross: $1,159.05
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,506.46
  • BX ILL HMO MCNP [315] — BX IL HMO: $848.88
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC ER Clinic Visit Lvl 4 $419 $251.40 $140.86 – $368.72
Established patient office visit (about 30–39 minutes): 10 of 50 insurance plan rates
  • AETNA [360] — Aetna: $311.32
  • AETNA [360] — Aetna NBD: $307.13
  • AETNA X [854] — Aetna: $311.32
  • BX ILL HMO MCNP [315] — BX IL HMO: $208.24
  • CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $159.12
  • CARETAKER HIP [232] — Indiana Medicaid: $159.12
  • CHAMPVA [130] — Medicare: $140.86
  • CHOICECARE [395] — Humana PPO: $314.67
  • CIGNA [365] — Cigna One Health HMO: $221.23
  • COMMERCIAL [600] — Multiplan: $368.72
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Visit Level 3 $1,867 $1,120.20 $78.64 – $1,949
Emergency room visit (moderate): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $1,071
  • AETNA [360] — Aetna NBD: $1,039
  • AETNA X [854] — Aetna: $1,071
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $927.90
  • BX ILL HMO MCNP [315] — Powers Health Partners: $78.64
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Visit Level 3 Mod 25 $1,867 $1,120.20 $78.64 – $1,949
Emergency room visit (moderate): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $1,071
  • AETNA [360] — Aetna NBD: $1,039
  • AETNA X [854] — Aetna: $1,071
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $927.90
  • BX ILL HMO MCNP [315] — Powers Health Partners: $78.64
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Visit Level 4 $2,467 $1,480.20 $145.53 – $4,158
Emergency room visit (moderately high): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $1,660
  • AETNA [360] — Aetna NBD: $1,610
  • AETNA X [854] — Aetna: $1,660
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,226.10
  • BX ILL HMO MCNP [315] — Powers Health Partners: $145.53
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Visit Level 4 Mod 25 $2,467 $1,480.20 $145.53 – $4,158
Emergency room visit (moderately high): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $1,660
  • AETNA [360] — Aetna NBD: $1,610
  • AETNA X [854] — Aetna: $1,660
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,226.10
  • BX ILL HMO MCNP [315] — Powers Health Partners: $145.53
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Visit Level 5 $3,577 $2,146.20 $211.64 – $4,158
Emergency room visit (high): 10 of 65 insurance plan rates
  • AETNA [360] — Aetna: $2,196
  • AETNA [360] — Aetna NBD: $2,130
  • AETNA X [854] — Aetna: $2,196
  • AMBETTER MHS [852] — Ambetter: $630.08
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • Anthem Essentials [855] — Anthem Essentials: $630.08
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,777.77
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Visit Level 5 Mod 25 $3,577 $2,146.20 $211.64 – $4,158
Emergency room visit (high): 10 of 65 insurance plan rates
  • AETNA [360] — Aetna: $2,196
  • AETNA [360] — Aetna NBD: $2,130
  • AETNA X [854] — Aetna: $2,196
  • AMBETTER MHS [852] — Ambetter: $630.08
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • Anthem Essentials [855] — Anthem Essentials: $630.08
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,777.77

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel $244 $146.40 $8.46 – $214.72
Basic metabolic panel (blood test): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $13.20
  • AETNA [360] — Aetna NBD: $13.79
  • AETNA X [854] — Aetna: $13.20
  • AMBETTER MHS [852] — Ambetter: $16.92
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10
  • Anthem Essentials [855] — Anthem Essentials: $16.92
  • ANTHEM X [801] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10
  • BX ILL HMO MCNP [315] — BX IL HMO: $121.27
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel POC $243 $145.80 $8.46 – $213.84
Basic metabolic panel (blood test): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $13.20
  • AETNA [360] — Aetna NBD: $13.79
  • AETNA X [854] — Aetna: $13.20
  • AMBETTER MHS [852] — Ambetter: $16.92
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10
  • Anthem Essentials [855] — Anthem Essentials: $16.92
  • ANTHEM X [801] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10
  • BX ILL HMO MCNP [315] — BX IL HMO: $120.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel $410 $246 $10.56 – $360.80
Comprehensive metabolic panel (blood test): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $16.47
  • AETNA [360] — Aetna NBD: $17.21
  • AETNA X [854] — Aetna: $16.47
  • AMBETTER MHS [852] — Ambetter: $21.12
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $29.50
  • Anthem Essentials [855] — Anthem Essentials: $21.12
  • ANTHEM X [801] — Anthem Blue Cross: $29.50
  • BLUE CROSS [300] — Anthem Blue Cross: $29.50
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $29.50
  • BX ILL HMO MCNP [315] — BX IL HMO: $203.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comp Metabolic Panel POC $410 $246 $10.56 – $360.80
Comprehensive metabolic panel (blood test): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $16.47
  • AETNA [360] — Aetna NBD: $17.21
  • AETNA X [854] — Aetna: $16.47
  • AMBETTER MHS [852] — Ambetter: $21.12
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $29.50
  • Anthem Essentials [855] — Anthem Essentials: $21.12
  • ANTHEM X [801] — Anthem Blue Cross: $29.50
  • BLUE CROSS [300] — Anthem Blue Cross: $29.50
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $29.50
  • BX ILL HMO MCNP [315] — BX IL HMO: $203.77
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC Obstetric Panel $418 $250.80 $47.81 – $368.68
Obstetric blood test panel: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $74.58
  • AETNA [360] — Aetna NBD: $77.93
  • AETNA X [854] — Aetna: $74.58
  • AMBETTER MHS [852] — Ambetter: $95.62
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $283.65
  • Anthem Essentials [855] — Anthem Essentials: $95.62
  • ANTHEM X [801] — Anthem Blue Cross: $283.65
  • BLUE CROSS [300] — Anthem Blue Cross: $283.65
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $368.68
  • BX ILL HMO MCNP [315] — BX IL HMO: $207.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Profile III $41 $24.60 $13.39 – $44.81
Cholesterol panel (lipid panel): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $20.89
  • AETNA [360] — Aetna NBD: $21.83
  • AETNA X [854] — Aetna: $20.89
  • AMBETTER MHS [852] — Ambetter: $26.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94
  • Anthem Essentials [855] — Anthem Essentials: $26.78
  • ANTHEM X [801] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94
  • BX ILL HMO MCNP [315] — BX IL HMO: $20.38
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Profile IV $541 $324.60 $13.39 – $476.08
Cholesterol panel (lipid panel): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $20.89
  • AETNA [360] — Aetna NBD: $21.83
  • AETNA X [854] — Aetna: $20.89
  • AMBETTER MHS [852] — Ambetter: $26.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94
  • Anthem Essentials [855] — Anthem Essentials: $26.78
  • ANTHEM X [801] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94
  • BX ILL HMO MCNP [315] — BX IL HMO: $268.88
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel V $180 $108 $13.39 – $158.40
Cholesterol panel (lipid panel): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $20.89
  • AETNA [360] — Aetna NBD: $21.83
  • AETNA X [854] — Aetna: $20.89
  • AMBETTER MHS [852] — Ambetter: $26.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $37.94
  • Anthem Essentials [855] — Anthem Essentials: $26.78
  • ANTHEM X [801] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross: $37.94
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $37.94
  • BX ILL HMO MCNP [315] — BX IL HMO: $89.46
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $349 $209.40 $8.68 – $307.12
Kidney function panel: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $13.54
  • AETNA [360] — Aetna NBD: $14.15
  • AETNA X [854] — Aetna: $13.54
  • AMBETTER MHS [852] — Ambetter: $17.36
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $24.60
  • Anthem Essentials [855] — Anthem Essentials: $17.36
  • ANTHEM X [801] — Anthem Blue Cross: $24.60
  • BLUE CROSS [300] — Anthem Blue Cross: $24.60
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $24.60
  • BX ILL HMO MCNP [315] — BX IL HMO: $173.45
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $410 $246 $8.17 – $360.80
Liver function panel: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $12.75
  • AETNA [360] — Aetna NBD: $13.32
  • AETNA X [854] — Aetna: $12.75
  • AMBETTER MHS [852] — Ambetter: $16.34
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10
  • Anthem Essentials [855] — Anthem Essentials: $16.34
  • ANTHEM X [801] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10
  • BX ILL HMO MCNP [315] — BX IL HMO: $203.77
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel POC $410 $246 $8.17 – $360.80
Liver function panel: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $12.75
  • AETNA [360] — Aetna NBD: $13.32
  • AETNA X [854] — Aetna: $12.75
  • AMBETTER MHS [852] — Ambetter: $16.34
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.10
  • Anthem Essentials [855] — Anthem Essentials: $16.34
  • ANTHEM X [801] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross: $18.10
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.10
  • BX ILL HMO MCNP [315] — BX IL HMO: $203.77
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W/ Micro $81 $48.60 $3.17 – $71.28
Urine test (automated, with microscope): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $4.95
  • AETNA [360] — Aetna NBD: $5.17
  • AETNA X [854] — Aetna: $4.95
  • AMBETTER MHS [852] — Ambetter: $6.34
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $8.96
  • Anthem Essentials [855] — Anthem Essentials: $6.34
  • ANTHEM X [801] — Anthem Blue Cross: $8.96
  • BLUE CROSS [300] — Anthem Blue Cross: $8.96
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $8.96
  • BX ILL HMO MCNP [315] — BX IL HMO: $40.26
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis Auto W/Micro $81 $48.60 $3.17 – $71.28
Urine test (automated, with microscope): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $4.95
  • AETNA [360] — Aetna NBD: $5.17
  • AETNA X [854] — Aetna: $4.95
  • AMBETTER MHS [852] — Ambetter: $6.34
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $8.96
  • Anthem Essentials [855] — Anthem Essentials: $6.34
  • ANTHEM X [801] — Anthem Blue Cross: $8.96
  • BLUE CROSS [300] — Anthem Blue Cross: $8.96
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $8.96
  • BX ILL HMO MCNP [315] — BX IL HMO: $40.26
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Inct Clnc Urinalysis Nonauto W/O Micro $65 $39 $3.48 – $57.20
Urine test (manual, without microscope): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $5.43
  • AETNA [360] — Aetna NBD: $5.67
  • AETNA X [854] — Aetna: $5.43
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24
  • ANTHEM X [801] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24
  • BX ILL HMO MCNP [315] — BX IL HMO: $32.31
  • BX ILL HMO MCNP [315] — Powers Health Partners: $3.48
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Non Auto W/O Micro $65 $39 $3.48 – $57.20
Urine test (manual, without microscope): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $5.43
  • AETNA [360] — Aetna NBD: $5.67
  • AETNA X [854] — Aetna: $5.43
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24
  • ANTHEM X [801] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24
  • BX ILL HMO MCNP [315] — BX IL HMO: $32.31
  • BX ILL HMO MCNP [315] — Powers Health Partners: $3.48
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Non-Auto W/O Micro POC $52 $31.20 $3.48 – $45.76
Urine test (manual, without microscope): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $5.43
  • AETNA [360] — Aetna NBD: $5.67
  • AETNA X [854] — Aetna: $5.43
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $7.24
  • ANTHEM X [801] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross: $7.24
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $7.24
  • BX ILL HMO MCNP [315] — BX IL HMO: $25.84
  • BX ILL HMO MCNP [315] — Powers Health Partners: $3.48
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $7.24
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC ED Urinalysis Auto W/O Micro $52 $31.20 $2.25 – $45.76
Urine test (automated, without microscope): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $3.51
  • AETNA [360] — Aetna NBD: $3.67
  • AETNA X [854] — Aetna: $3.51
  • AMBETTER MHS [852] — Ambetter: $4.50
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36
  • Anthem Essentials [855] — Anthem Essentials: $4.50
  • ANTHEM X [801] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36
  • BX ILL HMO MCNP [315] — BX IL HMO: $25.84
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Ua Auto W/O Microsingle Test $14 $8.40 $2.25 – $12.32
Urine test (automated, without microscope): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $3.51
  • AETNA [360] — Aetna NBD: $3.67
  • AETNA X [854] — Aetna: $3.51
  • AMBETTER MHS [852] — Ambetter: $4.50
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36
  • Anthem Essentials [855] — Anthem Essentials: $4.50
  • ANTHEM X [801] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36
  • BX ILL HMO MCNP [315] — BX IL HMO: $6.96
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Auto W/O Micro $52 $31.20 $2.25 – $45.76
Urine test (automated, without microscope): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $3.51
  • AETNA [360] — Aetna NBD: $3.67
  • AETNA X [854] — Aetna: $3.51
  • AMBETTER MHS [852] — Ambetter: $4.50
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $6.36
  • Anthem Essentials [855] — Anthem Essentials: $4.50
  • ANTHEM X [801] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross: $6.36
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $6.36
  • BX ILL HMO MCNP [315] — BX IL HMO: $25.84
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Diagnostic-Total $226 $135.60 $18.39 – $198.88
PSA (prostate specific antigen) blood test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $28.69
  • AETNA [360] — Aetna NBD: $29.98
  • AETNA X [854] — Aetna: $28.69
  • AMBETTER MHS [852] — Ambetter: $36.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12
  • Anthem Essentials [855] — Anthem Essentials: $36.78
  • ANTHEM X [801] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $112.32
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Screening $226 $135.60 $18.39 – $198.88
PSA (prostate specific antigen) blood test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $28.69
  • AETNA [360] — Aetna NBD: $29.98
  • AETNA X [854] — Aetna: $28.69
  • AMBETTER MHS [852] — Ambetter: $36.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12
  • Anthem Essentials [855] — Anthem Essentials: $36.78
  • ANTHEM X [801] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $112.32
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Psa Total (Psatf)II $190 $114 $18.39 – $167.20
PSA (prostate specific antigen) blood test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $28.69
  • AETNA [360] — Aetna NBD: $29.98
  • AETNA X [854] — Aetna: $28.69
  • AMBETTER MHS [852] — Ambetter: $36.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $52.12
  • Anthem Essentials [855] — Anthem Essentials: $36.78
  • ANTHEM X [801] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross: $52.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $52.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $94.43
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh $262 $157.20 $16.80 – $230.56
Thyroid stimulating hormone (TSH) test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $26.21
  • AETNA [360] — Aetna NBD: $27.38
  • AETNA X [854] — Aetna: $26.21
  • AMBETTER MHS [852] — Ambetter: $33.60
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60
  • Anthem Essentials [855] — Anthem Essentials: $33.60
  • ANTHEM X [801] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60
  • BX ILL HMO MCNP [315] — BX IL HMO: $130.21
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh II $242 $145.20 $16.80 – $212.96
Thyroid stimulating hormone (TSH) test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $26.21
  • AETNA [360] — Aetna NBD: $27.38
  • AETNA X [854] — Aetna: $26.21
  • AMBETTER MHS [852] — Ambetter: $33.60
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60
  • Anthem Essentials [855] — Anthem Essentials: $33.60
  • ANTHEM X [801] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60
  • BX ILL HMO MCNP [315] — BX IL HMO: $120.27
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Tsh Newborn $28 $16.80 $13.92 – $56.28
Thyroid stimulating hormone (TSH) test: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $26.21
  • AETNA [360] — Aetna NBD: $27.38
  • AETNA X [854] — Aetna: $26.21
  • AMBETTER MHS [852] — Ambetter: $33.60
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $47.60
  • Anthem Essentials [855] — Anthem Essentials: $33.60
  • ANTHEM X [801] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross: $47.60
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $47.60
  • BX ILL HMO MCNP [315] — BX IL HMO: $13.92
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc W/Auto Wbc Diff $122 $73.20 $7.77 – $107.36
Complete blood count (CBC) with differential: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $12.12
  • AETNA [360] — Aetna NBD: $12.67
  • AETNA X [854] — Aetna: $12.12
  • AMBETTER MHS [852] — Ambetter: $15.54
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $22.04
  • Anthem Essentials [855] — Anthem Essentials: $15.54
  • ANTHEM X [801] — Anthem Blue Cross: $22.04
  • BLUE CROSS [300] — Anthem Blue Cross: $22.04
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $22.04
  • BX ILL HMO MCNP [315] — BX IL HMO: $60.63
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Cbc W/Auto Wbc Diff POC $122 $73.20 $7.77 – $107.36
Complete blood count (CBC) with differential: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $12.12
  • AETNA [360] — Aetna NBD: $12.67
  • AETNA X [854] — Aetna: $12.12
  • AMBETTER MHS [852] — Ambetter: $15.54
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $22.04
  • Anthem Essentials [855] — Anthem Essentials: $15.54
  • ANTHEM X [801] — Anthem Blue Cross: $22.04
  • BLUE CROSS [300] — Anthem Blue Cross: $22.04
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $22.04
  • BX ILL HMO MCNP [315] — BX IL HMO: $60.63
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Cbc W/O Differential $109 $65.40 $6.47 – $95.92
Complete blood count (CBC), automated: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $10.09
  • AETNA [360] — Aetna NBD: $10.55
  • AETNA X [854] — Aetna: $10.09
  • AMBETTER MHS [852] — Ambetter: $12.94
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $18.34
  • Anthem Essentials [855] — Anthem Essentials: $12.94
  • ANTHEM X [801] — Anthem Blue Cross: $18.34
  • BLUE CROSS [300] — Anthem Blue Cross: $18.34
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $18.34
  • BX ILL HMO MCNP [315] — BX IL HMO: $54.17
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) OP Csc $81 $48.60 $4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $6.69
  • AETNA [360] — Aetna NBD: $6.99
  • AETNA X [854] — Aetna: $6.69
  • AMBETTER MHS [852] — Ambetter: $8.58
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12
  • Anthem Essentials [855] — Anthem Essentials: $8.58
  • ANTHEM X [801] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $40.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) Ch Sau $81 $48.60 $4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $6.69
  • AETNA [360] — Aetna NBD: $6.99
  • AETNA X [854] — Aetna: $6.69
  • AMBETTER MHS [852] — Ambetter: $8.58
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12
  • Anthem Essentials [855] — Anthem Essentials: $8.58
  • ANTHEM X [801] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $40.26
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time (Pt) Ac Clnc Hob $81 $48.60 $4.29 – $71.28
Blood clotting time test (prothrombin time, PT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $6.69
  • AETNA [360] — Aetna NBD: $6.99
  • AETNA X [854] — Aetna: $6.69
  • AMBETTER MHS [852] — Ambetter: $8.58
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $11.12
  • Anthem Essentials [855] — Anthem Essentials: $8.58
  • ANTHEM X [801] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross: $11.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $11.12
  • BX ILL HMO MCNP [315] — BX IL HMO: $40.26
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Partial Thrombo Time (Ptt) III $13 $7.80 $6.01 – $20.11
Blood clotting test (partial thromboplastin time, PTT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $9.38
  • AETNA [360] — Aetna NBD: $9.80
  • AETNA X [854] — Aetna: $9.38
  • AMBETTER MHS [852] — Ambetter: $12.02
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17
  • Anthem Essentials [855] — Anthem Essentials: $12.02
  • ANTHEM X [801] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $17
  • BX ILL HMO MCNP [315] — BX IL HMO: $6.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Partial Thrombo Time (Ptt) $70 $42 $6.01 – $61.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $9.38
  • AETNA [360] — Aetna NBD: $9.80
  • AETNA X [854] — Aetna: $9.38
  • AMBETTER MHS [852] — Ambetter: $12.02
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17
  • Anthem Essentials [855] — Anthem Essentials: $12.02
  • ANTHEM X [801] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $17
  • BX ILL HMO MCNP [315] — BX IL HMO: $34.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Silica Clotting Time Screen $79 $47.40 $6.01 – $69.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $9.38
  • AETNA [360] — Aetna NBD: $9.80
  • AETNA X [854] — Aetna: $9.38
  • AMBETTER MHS [852] — Ambetter: $12.02
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $17
  • Anthem Essentials [855] — Anthem Essentials: $12.02
  • ANTHEM X [801] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross: $17
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $17
  • BX ILL HMO MCNP [315] — BX IL HMO: $39.26

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain WO Cont $1,716 $1,029.60 $84.48 – $1,510.08
CT scan of the head or brain, without contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $653
  • AETNA [360] — Aetna NBD: $634
  • AETNA X [854] — Aetna: $653
  • AMBETTER MHS [852] — Ambetter: $110.61
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $257.87
  • Anthem Essentials [855] — Anthem Essentials: $110.61
  • ANTHEM X [801] — Anthem Blue Cross: $257.87
  • BLUE CROSS [300] — Anthem Blue Cross: $257.87
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $257.87
  • BX ILL HMO MCNP [315] — BX IL HMO: $852.85
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain W & WO Cont $6,184 $3,710.40 $290.24 – $5,441.92
MRI of the brain, before and after contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $884
  • AETNA [360] — Aetna NBD: $857
  • AETNA X [854] — Aetna: $884
  • AMBETTER MHS [852] — Ambetter: $369.11
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $692.65
  • Anthem Essentials [855] — Anthem Essentials: $369.11
  • ANTHEM X [801] — Anthem Blue Cross: $692.65
  • BLUE CROSS [300] — Anthem Blue Cross: $692.65
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $692.65
  • BX ILL HMO MCNP [315] — BX IL HMO: $3,073.45
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Xr Chest 2v $483 $289.80 $25.50 – $439
Chest X-ray, 2 views: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $71.51
  • AETNA [360] — Aetna NBD: $69.39
  • AETNA X [854] — Aetna: $71.51
  • AMBETTER MHS [852] — Ambetter: $92.07
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $327.76
  • Anthem Essentials [855] — Anthem Essentials: $92.07
  • ANTHEM X [801] — Anthem Blue Cross: $327.76
  • BLUE CROSS [300] — Anthem Blue Cross: $327.76
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $426.01
  • BX ILL HMO MCNP [315] — BX IL HMO: $240.05
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Xr Spine Lumbar Min 4v $765 $459 $41.17 – $673.20
X-ray of the lower spine, at least 4 views: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $126.81
  • AETNA [360] — Aetna NBD: $123.05
  • AETNA X [854] — Aetna: $126.81
  • AMBETTER MHS [852] — Ambetter: $110.61
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $51.94
  • Anthem Essentials [855] — Anthem Essentials: $110.61
  • ANTHEM X [801] — Anthem Blue Cross: $51.94
  • BLUE CROSS [300] — Anthem Blue Cross: $51.94
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $51.94
  • BX ILL HMO MCNP [315] — BX IL HMO: $380.21
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Lumbar Spine WO Cont $3,948 $2,368.80 $165.74 – $3,474.24
MRI of the lower back (lumbar spine), without contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $884
  • AETNA [360] — Aetna NBD: $857
  • AETNA X [854] — Aetna: $884
  • AMBETTER MHS [852] — Ambetter: $252.44
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $485.46
  • Anthem Essentials [855] — Anthem Essentials: $252.44
  • ANTHEM X [801] — Anthem Blue Cross: $485.46
  • BLUE CROSS [300] — Anthem Blue Cross: $485.46
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $485.46
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,962.16
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W Cont $2,168 $1,300.80 $185.58 – $1,907.84
CT scan of the pelvis, with contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $653
  • AETNA [360] — Aetna NBD: $634
  • AETNA X [854] — Aetna: $653
  • AMBETTER MHS [852] — Ambetter: $185.58
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $349.35
  • Anthem Essentials [855] — Anthem Essentials: $185.58
  • ANTHEM X [801] — Anthem Blue Cross: $349.35
  • BLUE CROSS [300] — Anthem Blue Cross: $349.35
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $349.35
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,077.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Low Ext Jt WO Con $3,939 $2,363.40 $187.12 – $3,466.32
MRI of a leg joint (such as the knee), without contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $884
  • AETNA [360] — Aetna NBD: $857
  • AETNA X [854] — Aetna: $884
  • AMBETTER MHS [852] — Ambetter: $252.44
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $490.03
  • Anthem Essentials [855] — Anthem Essentials: $252.44
  • ANTHEM X [801] — Anthem Blue Cross: $490.03
  • BLUE CROSS [300] — Anthem Blue Cross: $490.03
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $490.03
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,957.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abdomen & Pelvis W Contrast $4,677 $2,806.20 $273.74 – $4,115.76
CT scan of the abdomen and pelvis, with contrast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $653
  • AETNA [360] — Aetna NBD: $634
  • AETNA X [854] — Aetna: $653
  • AMBETTER MHS [852] — Ambetter: $369.11
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $698.99
  • Anthem Essentials [855] — Anthem Essentials: $369.11
  • ANTHEM X [801] — Anthem Blue Cross: $698.99
  • BLUE CROSS [300] — Anthem Blue Cross: $698.99
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $698.99
  • BX ILL HMO MCNP [315] — BX IL HMO: $2,324.47
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete $1,040 $624 $95.62 – $915.20
Ultrasound of the abdomen, complete: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $239
  • AETNA [360] — Aetna NBD: $231.91
  • AETNA X [854] — Aetna: $239
  • AMBETTER MHS [852] — Ambetter: $110.61
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $118.25
  • Anthem Essentials [855] — Anthem Essentials: $110.61
  • ANTHEM X [801] — Anthem Blue Cross: $118.25
  • BLUE CROSS [300] — Anthem Blue Cross: $118.25
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $118.25
  • BX ILL HMO MCNP [315] — BX IL HMO: $516.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB > 14 Wks Single $993 $595.80 $105.11 – $873.84
Pregnancy ultrasound (after the first trimester): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $276.58
  • AETNA [360] — Aetna NBD: $268.37
  • AETNA X [854] — Aetna: $276.58
  • AMBETTER MHS [852] — Ambetter: $110.61
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $123.94
  • Anthem Essentials [855] — Anthem Essentials: $110.61
  • ANTHEM X [801] — Anthem Blue Cross: $123.94
  • BLUE CROSS [300] — Anthem Blue Cross: $123.94
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $123.94
  • BX ILL HMO MCNP [315] — BX IL HMO: $493.52
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal (Non-OB) $933 $559.80 $103.05 – $821.04
Transvaginal ultrasound: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $265.08
  • AETNA [360] — Aetna NBD: $257.22
  • AETNA X [854] — Aetna: $265.08
  • AMBETTER MHS [852] — Ambetter: $110.61
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $113.10
  • Anthem Essentials [855] — Anthem Essentials: $110.61
  • ANTHEM X [801] — Anthem Blue Cross: $113.10
  • BLUE CROSS [300] — Anthem Blue Cross: $113.10
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $113.10
  • BX ILL HMO MCNP [315] — BX IL HMO: $463.70
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Mammo Digtl Diag Unil $377 $226.20 $79.74 – $415.98
Diagnostic mammogram, one breast: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $268.72
  • AETNA [360] — Aetna NBD: $260.75
  • AETNA X [854] — Aetna: $268.72
  • AMBETTER MHS [852] — Ambetter: $159.48
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $255.83
  • Anthem Essentials [855] — Anthem Essentials: $159.48
  • ANTHEM X [801] — Anthem Blue Cross: $255.83
  • BLUE CROSS [300] — Anthem Blue Cross: $255.83
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $332.51
  • BX ILL HMO MCNP [315] — BX IL HMO: $187.37
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Mammo Digtl Diag Bil $512 $307.20 $102.19 – $530.90
Diagnostic mammogram, both breasts: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $344.38
  • AETNA [360] — Aetna NBD: $334.16
  • AETNA X [854] — Aetna: $344.38
  • AMBETTER MHS [852] — Ambetter: $204.38
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $347.44
  • Anthem Essentials [855] — Anthem Essentials: $204.38
  • ANTHEM X [801] — Anthem Blue Cross: $347.44
  • BLUE CROSS [300] — Anthem Blue Cross: $347.44
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $451.58
  • BX ILL HMO MCNP [315] — BX IL HMO: $254.46
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Mammo Digtl Scrn Bil $428 $256.80 $84.38 – $439.28
Screening mammogram, both breasts: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $284.36
  • AETNA [360] — Aetna NBD: $275.92
  • AETNA X [854] — Aetna: $284.36
  • AMBETTER MHS [852] — Ambetter: $168.76
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $290.44
  • Anthem Essentials [855] — Anthem Essentials: $168.76
  • ANTHEM X [801] — Anthem Blue Cross: $290.44
  • BLUE CROSS [300] — Anthem Blue Cross: $290.44
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $377.50
  • BX ILL HMO MCNP [315] — BX IL HMO: $212.72
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Mammo Digtl Scrn Unil $317 $190.20 $84.38 – $439.28
Screening mammogram, both breasts: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $284.36
  • AETNA [360] — Aetna NBD: $275.92
  • AETNA X [854] — Aetna: $284.36
  • AMBETTER MHS [852] — Ambetter: $168.76
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $215.12
  • Anthem Essentials [855] — Anthem Essentials: $168.76
  • ANTHEM X [801] — Anthem Blue Cross: $215.12
  • BLUE CROSS [300] — Anthem Blue Cross: $215.12
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $279.59
  • BX ILL HMO MCNP [315] — BX IL HMO: $157.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC Mammo Digtl Scrn Bil|REDUCED SERVICES $428 $256.80 $84.38 – $439.28
Screening mammogram, both breasts: rates for 3 insurance plans
  • AMBETTER MHS [852] — Ambetter: $84.38
  • Anthem Essentials [855] — Anthem Essentials: $84.38
  • MARKETPLACE OUT OF NETWORK [853] — Ambetter: $84.38

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Left Heart Cath W Lvgram $25,227 $15,136.20 $787.86 – $22,199.76
Left heart catheterization (diagnostic): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $18,743.66
  • AETNA [360] — Aetna NBD: $18,491.39
  • AETNA X [854] — Aetna: $18,743.66
  • AMBETTER MHS [852] — Ambetter: $3,430
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $21,454
  • Anthem Essentials [855] — Anthem Essentials: $3,430
  • ANTHEM X [801] — Anthem Blue Cross: $21,454
  • BLUE CROSS [300] — Anthem Blue Cross: $21,454
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $21,454
  • BX ILL HMO MCNP [315] — BX IL HMO: $16,448
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Eps WO Induct Attempt $13,052 $7,831.20 $522.58 – $107,991
Heart rhythm study (electrophysiology evaluation): 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $9,697.64
  • AETNA [360] — Aetna NBD: $9,567.12
  • AETNA X [854] — Aetna: $9,697.64
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $107,991
  • ANTHEM X [801] — Anthem Blue Cross: $107,991
  • BLUE CROSS [300] — Anthem Blue Cross: $107,991
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $107,991
  • BX ILL HMO MCNP [315] — BX IL HMO: $6,486.84
  • BX ILL HMO MCNP [315] — Powers Health Partners: $522.58
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $107,991
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Afib Ablation $114,353 $68,611.80 $1,471.28 – $107,991
Heart rhythm study with ablation for atrial fibrillation: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $48,205
  • AETNA [360] — Aetna NBD: $46,759
  • AETNA X [854] — Aetna: $48,205
  • AMBETTER MHS [852] — Ambetter: $27,654.12
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $107,991
  • Anthem Essentials [855] — Anthem Essentials: $27,654.12
  • ANTHEM X [801] — Anthem Blue Cross: $107,991
  • BLUE CROSS [300] — Anthem Blue Cross: $107,991
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $107,991
  • BX ILL HMO MCNP [315] — BX IL HMO: $74,558.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg Attend =/> 6 Yrs Old $6,368 $3,820.80 $571.31 – $5,616.58
Sleep study (overnight, in a sleep lab): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $2,162
  • AETNA [360] — Aetna NBD: $2,097
  • AETNA X [854] — Aetna: $2,162
  • AMBETTER MHS [852] — Ambetter: $908.56
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $4,321.32
  • Anthem Essentials [855] — Anthem Essentials: $908.56
  • ANTHEM X [801] — Anthem Blue Cross: $4,321.32
  • BLUE CROSS [300] — Anthem Blue Cross: $4,321.32
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $5,616.58
  • BX ILL HMO MCNP [315] — BX IL HMO: $3,164.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg Lmtd Attend =/> 6yrs Old $3,560 $2,136 $571.31 – $3,559.88
Sleep study (overnight, in a sleep lab): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $2,162
  • AETNA [360] — Aetna NBD: $2,097
  • AETNA X [854] — Aetna: $2,162
  • AMBETTER MHS [852] — Ambetter: $908.56
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $2,415.82
  • Anthem Essentials [855] — Anthem Essentials: $908.56
  • ANTHEM X [801] — Anthem Blue Cross: $2,415.82
  • BLUE CROSS [300] — Anthem Blue Cross: $2,415.82
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $3,139.92
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,769.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: HC Psg Attend =/> 6 Yrs Old|REDUCED SERVICES $6,368 $3,820.80 $571.31 – $5,616.58
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • AMBETTER MHS [852] — Ambetter: $908.56
  • Anthem Essentials [855] — Anthem Essentials: $908.56
  • CHAMPVA [130] — Medicare: $908.56
  • LOCAL 697 [387] — Local 697: $908.56
  • MARKETPLACE OUT OF NETWORK [853] — Ambetter: $908.56
  • MEDICARE [100] — Medicare: $908.56
  • MEDICARE MANAGED CARE PLANS [152] — Medicare: $908.56
  • MEDICARE MANAGED CARE PLANS [152] — UHC Devoted Medicare: $926.73
  • MEDICARE PSYCH [111] — Medicare: $908.56
  • MEDICARE REHAB [110] — Medicare: $908.56

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pta Therp Exerc Ea 15 Min $133 $79.80 $27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $70.56
  • AETNA [360] — Aetna NBD: $68.33
  • AETNA X [854] — Aetna: $70.56
  • AMBETTER MHS [852] — Ambetter: $55.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16
  • Anthem Essentials [855] — Anthem Essentials: $55.78
  • ANTHEM X [801] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16
  • BX ILL HMO MCNP [315] — BX IL HMO: $66.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ota Therp Exerc Ea 15 Min $133 $79.80 $27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $70.56
  • AETNA [360] — Aetna NBD: $68.33
  • AETNA X [854] — Aetna: $70.56
  • AMBETTER MHS [852] — Ambetter: $55.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16
  • Anthem Essentials [855] — Anthem Essentials: $55.78
  • ANTHEM X [801] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16
  • BX ILL HMO MCNP [315] — BX IL HMO: $66.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Therp Exerc Ea 15 Min $133 $79.80 $27.89 – $287
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $70.56
  • AETNA [360] — Aetna NBD: $68.33
  • AETNA X [854] — Aetna: $70.56
  • AMBETTER MHS [852] — Ambetter: $55.78
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $43.16
  • Anthem Essentials [855] — Anthem Essentials: $55.78
  • ANTHEM X [801] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross: $43.16
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $43.16
  • BX ILL HMO MCNP [315] — BX IL HMO: $66.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Cmplxty $222 $133.20 $94.33 – $287
Physical therapy evaluation (low complexity): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $238.65
  • AETNA [360] — Aetna NBD: $231.11
  • AETNA X [854] — Aetna: $238.65
  • AMBETTER MHS [852] — Ambetter: $188.66
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $150.65
  • Anthem Essentials [855] — Anthem Essentials: $188.66
  • ANTHEM X [801] — Anthem Blue Cross: $150.65
  • BLUE CROSS [300] — Anthem Blue Cross: $150.65
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $195.80
  • BX ILL HMO MCNP [315] — BX IL HMO: $110.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Cmplxty $303 $181.80 $94.33 – $287
Physical therapy evaluation (moderate complexity): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $225.13
  • AETNA [360] — Aetna NBD: $222.10
  • AETNA X [854] — Aetna: $225.13
  • AMBETTER MHS [852] — Ambetter: $188.66
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $205.62
  • Anthem Essentials [855] — Anthem Essentials: $188.66
  • ANTHEM X [801] — Anthem Blue Cross: $205.62
  • BLUE CROSS [300] — Anthem Blue Cross: $205.62
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $267.25
  • BX ILL HMO MCNP [315] — BX IL HMO: $150.59
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Cmplxty $369 $221.40 $94.33 – $325.46
Physical therapy evaluation (high complexity): 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $238.65
  • AETNA [360] — Aetna NBD: $231.11
  • AETNA X [854] — Aetna: $238.65
  • AMBETTER MHS [852] — Ambetter: $188.66
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $250.40
  • Anthem Essentials [855] — Anthem Essentials: $188.66
  • ANTHEM X [801] — Anthem Blue Cross: $250.40
  • BLUE CROSS [300] — Anthem Blue Cross: $250.40
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $325.46
  • BX ILL HMO MCNP [315] — BX IL HMO: $183.39
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 30 Min $304 $182.40 $73.27 – $268.13
Psychotherapy, 30 minutes: 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $225.87
  • AETNA [360] — Aetna NBD: $222.83
  • AETNA X [854] — Aetna: $225.87
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $206.29
  • ANTHEM X [801] — Anthem Blue Cross: $206.29
  • BLUE CROSS [300] — Anthem Blue Cross: $206.29
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $268.13
  • BX ILL HMO MCNP [315] — BX IL HMO: $151.09
  • BX ILL HMO MCNP [315] — Powers Health Partners: $73.27
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $268.13
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 45 Min $380 $228 $97.69 – $335.16
Psychotherapy, 45 minutes: 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $282.34
  • AETNA [360] — Aetna NBD: $278.54
  • AETNA X [854] — Aetna: $282.34
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $257.87
  • ANTHEM X [801] — Anthem Blue Cross: $257.87
  • BLUE CROSS [300] — Anthem Blue Cross: $257.87
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $335.16
  • BX ILL HMO MCNP [315] — BX IL HMO: $188.86
  • BX ILL HMO MCNP [315] — Powers Health Partners: $97.69
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $335.16
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Iop Thrpy Indv Pt &/or Fam 60 Min $473 $283.80 $145.78 – $417.19
Psychotherapy, 60 minutes: 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $351.44
  • AETNA [360] — Aetna NBD: $346.71
  • AETNA X [854] — Aetna: $351.44
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $320.98
  • ANTHEM X [801] — Anthem Blue Cross: $320.98
  • BLUE CROSS [300] — Anthem Blue Cross: $320.98
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $417.19
  • BX ILL HMO MCNP [315] — BX IL HMO: $235.08
  • BX ILL HMO MCNP [315] — Powers Health Partners: $145.78
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $417.19
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC Iop Thrpy Group $171 $102.60 $28.85 – $150.82
Group psychotherapy: 10 of 60 insurance plan rates
  • AETNA [360] — Aetna: $127.05
  • AETNA [360] — Aetna NBD: $125.34
  • AETNA X [854] — Aetna: $127.05
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $116.04
  • ANTHEM X [801] — Anthem Blue Cross: $116.04
  • BLUE CROSS [300] — Anthem Blue Cross: $116.04
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $150.82
  • BX ILL HMO MCNP [315] — BX IL HMO: $84.99
  • BX ILL HMO MCNP [315] — Powers Health Partners: $28.85
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $150.82

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC ER Ugi Endo Diag W or WO Spc $3,232 $1,939.20 $152.39 – $2,844.16
Upper GI endoscopy (diagnostic): 10 of 57 insurance plan rates
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,606.30
  • BX ILL HMO MCNP [315] — Powers Health Partners: $152.39
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
  • CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $582.98
  • CARETAKER HIP [232] — Indiana Medicaid: $582.98
  • CHAMPVA [130] — Medicare: $926.63
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC ER Ugi Endo W Bx Sngl Mlti $3,232 $1,939.20 $171.28 – $2,844.16
Upper GI endoscopy with biopsy: 10 of 57 insurance plan rates
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,739
  • ANTHEM X [801] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross: $1,739
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $1,739
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,606.30
  • BX ILL HMO MCNP [315] — Powers Health Partners: $171.28
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross Traditional: $1,739
  • CARESOURCE HOOSIER HEALTHWISE [233] — Indiana Medicaid: $582.98
  • CARETAKER HIP [232] — Indiana Medicaid: $582.98
  • CHAMPVA [130] — Medicare: $926.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Diag/Thrp Lumb/Sacrl W Fluro/CT $2,537 $1,522.20 $121.96 – $8,100
Spinal injection, lower back (epidural), with imaging guidance: 10 of 66 insurance plan rates
  • AETNA [360] — Aetna: $1,884.99
  • AETNA [360] — Aetna NBD: $1,859.62
  • AETNA X [854] — Aetna: $1,884.99
  • AMBETTER MHS [852] — Ambetter: $746.83
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $1,721.61
  • Anthem Essentials [855] — Anthem Essentials: $746.83
  • ANTHEM X [801] — Anthem Blue Cross: $1,721.61
  • BLUE CROSS [300] — Anthem Blue Cross: $1,721.61
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $2,237.63
  • BX ILL HMO MCNP [315] — BX IL HMO: $1,654.12

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $296,138.18 $177,682.91 $74,563.60 – $188,631.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 29 insurance plan rates
  • AETNA [360] — Aetna: $188,631.95
  • AETNA [360] — Aetna NBD: $182,967.71
  • AETNA X [854] — Aetna: $188,631.95
  • AMBETTER MHS [852] — Ambetter: $74,563.60
  • Anthem Essentials [855] — Anthem Essentials: $74,563.60
  • CHAMPVA [130] — Medicare: $74,563.60
  • CHOICECARE [395] — Humana PPO: $97,828
  • CIGNA [365] — Cigna: $154,568.24
  • CIGNA [365] — Cigna One Health HMO: $113,363.09
  • COMMERCIAL [600] — UHC All Payors: $136,567.89
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $55,878.69 $33,527.21 $14,927.25 – $47,134
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates
  • AETNA [360] — Aetna: $47,134
  • AETNA [360] — Aetna NBD: $45,720
  • AETNA X [854] — Aetna: $47,134
  • AMBETTER MHS [852] — Ambetter: $14,927.25
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $34,074.02
  • Anthem Essentials [855] — Anthem Essentials: $14,927.25
  • ANTHEM X [801] — Anthem Blue Cross: $34,074.02
  • BLUE CROSS [300] — Anthem Blue Cross: $34,074.02
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $40,765.37
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross: $34,074.02
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 $34,731.34 $20,838.80 $9,701.60 – $26,220.95
Uterus and ovary surgery (not for cancer), without complications: 10 of 40 insurance plan rates
  • AETNA [360] — Aetna: $23,923.18
  • AETNA [360] — Aetna NBD: $23,204.81
  • AETNA X [854] — Aetna: $23,923.18
  • AMBETTER MHS [852] — Ambetter: $9,701.60
  • ANTHEM CARPTENTERS [468] — Anthem Blue Cross: $21,916.97
  • Anthem Essentials [855] — Anthem Essentials: $9,701.60
  • ANTHEM X [801] — Anthem Blue Cross: $21,916.97
  • BLUE CROSS [300] — Anthem Blue Cross: $21,916.97
  • BLUE CROSS [300] — Anthem Blue Cross Traditional: $26,220.95
  • BX ILL WITHOUT SUITCASE [606] — Anthem Blue Cross: $21,916.97

Source: St Mary Medical Center Inc’s standard charges file (powershealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1500 S Lake Park Ave, Hobart, IN 46342
CountyLake County
StateIndiana
Phone(219) 947‑6196
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number150034
Name in Medicare recordsST MARY MEDICAL CENTER INC
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(219) 942‑0551[4]
Name on the hospital’s websiteSt. Mary Medical Center
Official websitepowershealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. St. Mary Medical Center | Powers Health — powershealth.org