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Acute Care Hospital

Stephens County Hospital

Toccoa, Georgia · Stephens County · Emergency services listed

Summary

Stephens County Hospital is an acute care hospital in Toccoa, Georgia. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 53 services, specialties and programs. Medicare lists 106 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(706) 282‑4250 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
106Doctors and clinicians
53Services listed

Quick answers

Does Stephens County Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Stephens County Hospital. In a medical emergency, call 911.
Where is Stephens County Hospital?
163 Hospital Drive, Toccoa, GA 30577, in Stephens County, Georgia.
What is the phone number of Stephens County Hospital?
(706) 282-4250, as listed by Medicare (CMS).
What is the Medicare star rating of Stephens County Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][9][18][19][20]

Conditions treated[8][10][18][19][20][22]

Treatments[4][15][18]

Procedures[4][9][10][11][12][13][14][15][16][17][23]

  • Hernia surgery
  • Gallbladder surgery
  • Joint replacement
  • X-ray imaging
  • Fluoroscopy
  • Digital mammography
  • MRI
  • Ultrasound
  • CT scan
  • Nuclear medicine
  • Bone density testing
  • DOT physical exams
  • Drug and alcohol testing

Programs and centers[4][5][8][18][19][22]

  • Swing Bed Program
  • STEMI program
  • SET PAD
  • Community Paramedicine
  • Stroke rehabilitation program
  • Parkinson's LSVT BIG program
  • Cardiac rehabilitation program
  • County EMS (911 medical response)

Emergency care (hospital website)[5][8][19]

Emergency roomYes
Open 24/7Yes
Stroke designationRemote Treatment Stroke Center, designated by the Georgia Department of Public Health Office of EMS and Trauma

Visiting and practical information

VisitingMed/surg units 8 a.m.-9 p.m.; ICU visits in half-hour windows at 9, 12, 3, 6 and 9, two visitors at a time[6]
Interpreters and languagesFree medical interpretation; in-house interpreters or Language Line for non-English speakers; aids for deaf or hard-of-hearing patients[21]

Recognition[12][15][16]

  • ACR accreditation for digital (3D) mammography
  • ACR accreditation for ultrasound
  • ACR accreditation for CT scan program

Doctors and clinicians (106)

106 doctors and other clinicians list Stephens County Hospital 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 (106)

And 82 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

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 Stephens County Hospital 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1074%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well85%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night68%National average: 60%
Completed surveys250Response rate: 17%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.441No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients9.9%
Deaths within 30 days: pneumonia patients19%
Deaths within 30 days: COPD patients7.9%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacementToo few cases to report

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 attackNot reported to Medicare
Readmitted within 30 days: heart failure21.9%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)130 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)53%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 GeorgiaBest hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as Stephens County Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: VISIT - NEW PATIENT - LEVEL 3 $381 $228.60 $122.49 – $381
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $323.85
  • AMERIGROUP — MEDICAID: $122.49
  • BCBS — Commercial: $304.91
  • CARESOURCE — MEDICARE: $381
  • CIGNA — Commercial: $342.90
  • MEDICAID — MEDICAID: $122.49
  • MEDICARE — MEDICARE: $381
  • PEACHSTATE_MEDICAID — MEDICAID: $122.49
  • UHC — Commercial: $335.28
  • WELLCARE_MEDICAID — MEDICAID: $126.15
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: VISIT - NEW PATIENT - LEVEL 4 $389 $233.40 $125.06 – $389
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $330.65
  • AMERIGROUP — MEDICAID: $125.06
  • BCBS — Commercial: $311.32
  • CARESOURCE — MEDICARE: $389
  • CIGNA — Commercial: $350.10
  • MEDICAID — MEDICAID: $125.06
  • MEDICARE — MEDICARE: $389
  • PEACHSTATE_MEDICAID — MEDICAID: $125.06
  • UHC — Commercial: $342.32
  • WELLCARE_MEDICAID — MEDICAID: $128.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: VISIT - NEW PATIENT - LEVEL 5 $561 $336.60 $180.36 – $561
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $476.85
  • AMERIGROUP — MEDICAID: $180.36
  • BCBS — Commercial: $448.97
  • CARESOURCE — MEDICARE: $561
  • CIGNA — Commercial: $504.90
  • MEDICAID — MEDICAID: $180.36
  • MEDICARE — MEDICARE: $561
  • PEACHSTATE_MEDICAID — MEDICAID: $180.36
  • UHC — Commercial: $493.68
  • WELLCARE_MEDICAID — MEDICAID: $185.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: VISIT - ESTABLISHED PATIENT - LEVEL 3 $281 $168.60 $90.34 – $281
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $238.85
  • AMERIGROUP — MEDICAID: $90.34
  • BCBS — Commercial: $224.88
  • CARESOURCE — MEDICARE: $281
  • CIGNA — Commercial: $252.90
  • MEDICAID — MEDICAID: $90.34
  • MEDICARE — MEDICARE: $281
  • PEACHSTATE_MEDICAID — MEDICAID: $90.34
  • UHC — Commercial: $247.28
  • WELLCARE_MEDICAID — MEDICAID: $93.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: VISIT - ESTABLISHED PATIENT - LEVEL 4 $305 $183 $98.06 – $305
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $259.25
  • AMERIGROUP — MEDICAID: $98.06
  • BCBS — Commercial: $244.09
  • CARESOURCE — MEDICARE: $305
  • CIGNA — Commercial: $274.50
  • MEDICAID — MEDICAID: $98.06
  • MEDICARE — MEDICARE: $305
  • PEACHSTATE_MEDICAID — MEDICAID: $98.06
  • UHC — Commercial: $268.40
  • WELLCARE_MEDICAID — MEDICAID: $100.99
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 3 ED VISIT $808 $484.80 $269.48 – $727.20
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — Commercial: $686.80
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $646.64
  • CARESOURCE — MEDICARE: $269.48
  • CIGNA — Commercial: $727.20
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $269.48
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $711.04
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 3 WITH PROCEDURE $465.15 $279.09 $269.48 – $418.64
Emergency room visit (moderate): rates for 10 insurance plans
  • Aetna — Commercial: $395.38
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $372.26
  • CARESOURCE — MEDICARE: $269.48
  • CIGNA — Commercial: $418.64
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $269.48
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $409.33
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 3 $193.50 $116.10 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL 4 ED VISIT $1,093 $655.80 $385 – $983.70
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — Commercial: $929.05
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $874.73
  • CARESOURCE — MEDICARE: $414.42
  • CIGNA — Commercial: $983.70
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $414.42
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $961.84
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL 4 WITH PROCEDURE $1,150 $690 $385 – $1,035
Emergency room visit (moderately high): rates for 10 insurance plans
  • Aetna — Commercial: $977.50
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $920.35
  • CARESOURCE — MEDICARE: $414.42
  • CIGNA — Commercial: $1,035
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $414.42
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $1,012
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EXTENDED SERVICE $356 $213.60 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL 5 ED VISIT $1,283 $769.80 $385 – $1,154.70
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — Commercial: $1,090.55
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $1,026.78
  • CARESOURCE — MEDICARE: $596.69
  • CIGNA — Commercial: $1,154.70
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $596.69
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $1,129.04
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL 5 WITH PROCEDURE $1,104.95 $662.97 $385 – $994.46
Emergency room visit (high): rates for 10 insurance plans
  • Aetna — Commercial: $939.21
  • AMERIGROUP — MEDICAID: $385
  • BCBS — Commercial: $884.29
  • CARESOURCE — MEDICARE: $596.69
  • CIGNA — Commercial: $994.46
  • MEDICAID — MEDICAID: $385
  • MEDICARE — MEDICARE: $596.69
  • PEACHSTATE_MEDICAID — MEDICAID: $385
  • UHC — Commercial: $972.36
  • WELLCARE_MEDICAID — MEDICAID: $396.55
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: COMPLETE CARE $485.50 $291.30 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL (BMP) $34.38 $20.63 $8.46 – $30.94
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $29.22
  • AMERIGROUP — MEDICAID: $10.65
  • BCBS — Commercial: $27.51
  • CARESOURCE — MEDICARE: $8.63
  • CIGNA — Commercial: $30.94
  • MEDICAID — MEDICAID: $10.65
  • MEDICARE — MEDICARE: $8.46
  • PEACHSTATE_MEDICAID — MEDICAID: $10.65
  • UHC — Commercial: $30.25
  • WELLCARE_MEDICAID — MEDICAID: $10.97
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP Q6hrs $34.38 $20.63 $8.46 – $30.94
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $29.22
  • AMERIGROUP — MEDICAID: $10.65
  • BCBS — Commercial: $27.51
  • CARESOURCE — MEDICARE: $8.63
  • CIGNA — Commercial: $30.94
  • MEDICAID — MEDICAID: $10.65
  • MEDICARE — MEDICARE: $8.46
  • PEACHSTATE_MEDICAID — MEDICAID: $10.65
  • UHC — Commercial: $30.25
  • WELLCARE_MEDICAID — MEDICAID: $10.97
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HEALTH FAIR CMP $52.16 $31.30 $10.56 – $46.94
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $44.34
  • AMERIGROUP — MEDICAID: $13.29
  • BCBS — Commercial: $41.74
  • CARESOURCE — MEDICARE: $10.77
  • CIGNA — Commercial: $46.94
  • MEDICAID — MEDICAID: $13.29
  • MEDICARE — MEDICARE: $10.56
  • PEACHSTATE_MEDICAID — MEDICAID: $13.29
  • UHC — Commercial: $45.90
  • WELLCARE_MEDICAID — MEDICAID: $13.69
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL (CMP) $67.74 $40.64 $10.56 – $60.97
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Commercial: $57.58
  • AMERIGROUP — MEDICAID: $13.29
  • BCBS — Commercial: $54.21
  • CARESOURCE — MEDICARE: $10.77
  • CIGNA — Commercial: $60.97
  • MEDICAID — MEDICAID: $13.29
  • MEDICARE — MEDICARE: $10.56
  • PEACHSTATE_MEDICAID — MEDICAID: $13.29
  • UHC — Commercial: $59.61
  • WELLCARE_MEDICAID — MEDICAID: $13.69
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: ..PRENATAL BLOOD WORK $25 $15 $20.01 – $48.77
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — Commercial: $21.25
  • AMERIGROUP — MEDICAID: $28.08
  • BCBS — Commercial: $20.01
  • CARESOURCE — MEDICARE: $48.77
  • CIGNA — Commercial: $22.50
  • MEDICAID — MEDICAID: $28.08
  • MEDICARE — MEDICARE: $47.81
  • PEACHSTATE_MEDICAID — MEDICAID: $25
  • UHC — Commercial: $22
  • WELLCARE_MEDICAID — MEDICAID: $28.92
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HEALTH FAIR LIPID PANEL $26.30 $15.78 $13.39 – $23.67
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $22.36
  • AMERIGROUP — MEDICAID: $16.85
  • BCBS — Commercial: $21.05
  • CARESOURCE — MEDICARE: $13.66
  • CIGNA — Commercial: $23.67
  • MEDICAID — MEDICAID: $16.85
  • MEDICARE — MEDICARE: $13.39
  • PEACHSTATE_MEDICAID — MEDICAID: $16.85
  • UHC — Commercial: $23.14
  • WELLCARE_MEDICAID — MEDICAID: $17.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $34.16 $20.50 $13.39 – $30.74
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Commercial: $29.04
  • AMERIGROUP — MEDICAID: $16.85
  • BCBS — Commercial: $27.34
  • CARESOURCE — MEDICARE: $13.66
  • CIGNA — Commercial: $30.74
  • MEDICAID — MEDICAID: $16.85
  • MEDICARE — MEDICARE: $13.39
  • PEACHSTATE_MEDICAID — MEDICAID: $16.85
  • UHC — Commercial: $30.06
  • WELLCARE_MEDICAID — MEDICAID: $17.36
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $53.98 $32.39 $8.68 – $48.58
Kidney function panel: rates for 10 insurance plans
  • Aetna — Commercial: $45.88
  • AMERIGROUP — MEDICAID: $10.92
  • BCBS — Commercial: $43.20
  • CARESOURCE — MEDICARE: $8.85
  • CIGNA — Commercial: $48.58
  • MEDICAID — MEDICAID: $10.92
  • MEDICARE — MEDICARE: $8.68
  • PEACHSTATE_MEDICAID — MEDICAID: $10.92
  • UHC — Commercial: $47.50
  • WELLCARE_MEDICAID — MEDICAID: $11.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC PANEL (LIVER) $54.02 $32.41 $8.17 – $48.62
Liver function panel: rates for 10 insurance plans
  • Aetna — Commercial: $45.92
  • AMERIGROUP — MEDICAID: $10.28
  • BCBS — Commercial: $43.23
  • CARESOURCE — MEDICARE: $8.33
  • CIGNA — Commercial: $48.62
  • MEDICAID — MEDICAID: $10.28
  • MEDICARE — MEDICARE: $8.17
  • PEACHSTATE_MEDICAID — MEDICAID: $10.28
  • UHC — Commercial: $47.54
  • WELLCARE_MEDICAID — MEDICAID: $10.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINE W/ MICRO $24.75 $14.85 $3.17 – $22.28
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Commercial: $21.04
  • AMERIGROUP — MEDICAID: $3.99
  • BCBS — Commercial: $19.81
  • CARESOURCE — MEDICARE: $3.23
  • CIGNA — Commercial: $22.28
  • MEDICAID — MEDICAID: $3.99
  • MEDICARE — MEDICARE: $3.17
  • PEACHSTATE_MEDICAID — MEDICAID: $3.99
  • UHC — Commercial: $21.78
  • WELLCARE_MEDICAID — MEDICAID: $4.11
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE DIPSTIX NONAUTO $29.25 $17.55 $3.21 – $26.33
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $24.86
  • AMERIGROUP — MEDICAID: $3.21
  • BCBS — Commercial: $23.41
  • CARESOURCE — MEDICARE: $3.55
  • CIGNA — Commercial: $26.33
  • MEDICAID — MEDICAID: $3.21
  • MEDICARE — MEDICARE: $3.48
  • PEACHSTATE_MEDICAID — MEDICAID: $3.21
  • UHC — Commercial: $25.74
  • WELLCARE_MEDICAID — MEDICAID: $3.31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE HEMOGLOBIN, QL DIPSTICK $48.25 $28.95 $3.21 – $43.43
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $41.01
  • AMERIGROUP — MEDICAID: $3.21
  • BCBS — Commercial: $38.61
  • CARESOURCE — MEDICARE: $3.55
  • CIGNA — Commercial: $43.43
  • MEDICAID — MEDICAID: $3.21
  • MEDICARE — MEDICARE: $3.48
  • PEACHSTATE_MEDICAID — MEDICAID: $3.21
  • UHC — Commercial: $42.46
  • WELLCARE_MEDICAID — MEDICAID: $3.31
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE W/O MICRO $18.55 $11.13 $2.25 – $16.70
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Commercial: $15.77
  • AMERIGROUP — MEDICAID: $2.83
  • BCBS — Commercial: $14.85
  • CARESOURCE — MEDICARE: $2.30
  • CIGNA — Commercial: $16.70
  • MEDICAID — MEDICAID: $2.83
  • MEDICARE — MEDICARE: $2.25
  • PEACHSTATE_MEDICAID — MEDICAID: $2.83
  • UHC — Commercial: $16.32
  • WELLCARE_MEDICAID — MEDICAID: $2.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HEALTH FAIR PSA $55.89 $33.53 $18.39 – $50.30
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $47.51
  • AMERIGROUP — MEDICAID: $23.13
  • BCBS — Commercial: $44.73
  • CARESOURCE — MEDICARE: $18.76
  • CIGNA — Commercial: $50.30
  • MEDICAID — MEDICAID: $23.13
  • MEDICARE — MEDICARE: $18.39
  • PEACHSTATE_MEDICAID — MEDICAID: $23.13
  • UHC — Commercial: $49.18
  • WELLCARE_MEDICAID — MEDICAID: $23.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: .PSA TOTAL (RL) $59 $35.40 $18.39 – $53.10
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $50.15
  • AMERIGROUP — MEDICAID: $23.13
  • BCBS — Commercial: $47.22
  • CARESOURCE — MEDICARE: $18.76
  • CIGNA — Commercial: $53.10
  • MEDICAID — MEDICAID: $23.13
  • MEDICARE — MEDICARE: $18.39
  • PEACHSTATE_MEDICAID — MEDICAID: $23.13
  • UHC — Commercial: $51.92
  • WELLCARE_MEDICAID — MEDICAID: $23.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA ULTRASENSITIVE (MAYO) $105.75 $63.45 $18.39 – $95.18
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Commercial: $89.89
  • AMERIGROUP — MEDICAID: $23.13
  • BCBS — Commercial: $84.63
  • CARESOURCE — MEDICARE: $18.76
  • CIGNA — Commercial: $95.18
  • MEDICAID — MEDICAID: $23.13
  • MEDICARE — MEDICARE: $18.39
  • PEACHSTATE_MEDICAID — MEDICAID: $23.13
  • UHC — Commercial: $93.06
  • WELLCARE_MEDICAID — MEDICAID: $23.82
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HEALTH FAIR TSH $25.49 $15.29 $16.80 – $22.94
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $21.67
  • AMERIGROUP — MEDICAID: $21.12
  • BCBS — Commercial: $20.40
  • CARESOURCE — MEDICARE: $17.14
  • CIGNA — Commercial: $22.94
  • MEDICAID — MEDICAID: $21.12
  • MEDICARE — MEDICARE: $16.80
  • PEACHSTATE_MEDICAID — MEDICAID: $21.12
  • UHC — Commercial: $22.43
  • WELLCARE_MEDICAID — MEDICAID: $21.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $33.10 $19.86 $16.80 – $29.79
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $28.14
  • AMERIGROUP — MEDICAID: $21.12
  • BCBS — Commercial: $26.49
  • CARESOURCE — MEDICARE: $17.14
  • CIGNA — Commercial: $29.79
  • MEDICAID — MEDICAID: $21.12
  • MEDICARE — MEDICARE: $16.80
  • PEACHSTATE_MEDICAID — MEDICAID: $21.12
  • UHC — Commercial: $29.13
  • WELLCARE_MEDICAID — MEDICAID: $21.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH ULTRA $49.91 $29.95 $16.80 – $44.92
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Commercial: $42.42
  • AMERIGROUP — MEDICAID: $21.12
  • BCBS — Commercial: $39.94
  • CARESOURCE — MEDICARE: $17.14
  • CIGNA — Commercial: $44.92
  • MEDICAID — MEDICAID: $21.12
  • MEDICARE — MEDICARE: $16.80
  • PEACHSTATE_MEDICAID — MEDICAID: $21.12
  • UHC — Commercial: $43.92
  • WELLCARE_MEDICAID — MEDICAID: $21.75
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: .CP CBC W/AUTO DIFF $15.54 $9.32 $7.77 – $13.99
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $13.21
  • AMERIGROUP — MEDICAID: $9.77
  • BCBS — Commercial: $12.44
  • CARESOURCE — MEDICARE: $7.93
  • CIGNA — Commercial: $13.99
  • MEDICAID — MEDICAID: $9.77
  • MEDICARE — MEDICARE: $7.77
  • PEACHSTATE_MEDICAID — MEDICAID: $9.77
  • UHC — Commercial: $13.68
  • WELLCARE_MEDICAID — MEDICAID: $10.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF $42.41 $25.45 $7.77 – $38.17
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $36.05
  • AMERIGROUP — MEDICAID: $9.77
  • BCBS — Commercial: $33.94
  • CARESOURCE — MEDICARE: $7.93
  • CIGNA — Commercial: $38.17
  • MEDICAID — MEDICAID: $9.77
  • MEDICARE — MEDICARE: $7.77
  • PEACHSTATE_MEDICAID — MEDICAID: $9.77
  • UHC — Commercial: $37.32
  • WELLCARE_MEDICAID — MEDICAID: $10.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: DAILY - CBC $53.75 $32.25 $7.77 – $48.38
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Commercial: $45.69
  • AMERIGROUP — MEDICAID: $9.77
  • BCBS — Commercial: $43.02
  • CARESOURCE — MEDICARE: $7.93
  • CIGNA — Commercial: $48.38
  • MEDICAID — MEDICAID: $9.77
  • MEDICARE — MEDICARE: $7.77
  • PEACHSTATE_MEDICAID — MEDICAID: $9.77
  • UHC — Commercial: $47.30
  • WELLCARE_MEDICAID — MEDICAID: $10.06
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEALTH FAIR CBC W/O DIFF $22.41 $13.45 $6.47 – $20.17
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Commercial: $19.05
  • AMERIGROUP — MEDICAID: $8.14
  • BCBS — Commercial: $17.93
  • CARESOURCE — MEDICARE: $6.60
  • CIGNA — Commercial: $20.17
  • MEDICAID — MEDICAID: $8.14
  • MEDICARE — MEDICARE: $6.47
  • PEACHSTATE_MEDICAID — MEDICAID: $8.14
  • UHC — Commercial: $19.72
  • WELLCARE_MEDICAID — MEDICAID: $8.38
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC W/O AUTO DIFF $29.10 $17.46 $6.47 – $26.19
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Commercial: $24.74
  • AMERIGROUP — MEDICAID: $8.14
  • BCBS — Commercial: $23.29
  • CARESOURCE — MEDICARE: $6.60
  • CIGNA — Commercial: $26.19
  • MEDICAID — MEDICAID: $8.14
  • MEDICARE — MEDICARE: $6.47
  • PEACHSTATE_MEDICAID — MEDICAID: $8.14
  • UHC — Commercial: $25.61
  • WELLCARE_MEDICAID — MEDICAID: $8.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME INR $32.37 $19.42 $4.29 – $29.13
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $27.51
  • AMERIGROUP — MEDICAID: $4.94
  • BCBS — Commercial: $25.91
  • CARESOURCE — MEDICARE: $4.38
  • CIGNA — Commercial: $29.13
  • MEDICAID — MEDICAID: $4.94
  • MEDICARE — MEDICARE: $4.29
  • PEACHSTATE_MEDICAID — MEDICAID: $4.94
  • UHC — Commercial: $28.49
  • WELLCARE_MEDICAID — MEDICAID: $5.09
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: DAILY - PROTIME $41.50 $24.90 $4.29 – $37.35
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $35.28
  • AMERIGROUP — MEDICAID: $4.94
  • BCBS — Commercial: $33.21
  • CARESOURCE — MEDICARE: $4.38
  • CIGNA — Commercial: $37.35
  • MEDICAID — MEDICAID: $4.94
  • MEDICARE — MEDICARE: $4.29
  • PEACHSTATE_MEDICAID — MEDICAID: $4.94
  • UHC — Commercial: $36.52
  • WELLCARE_MEDICAID — MEDICAID: $5.09
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME (MAYO) $90 $54 $4.29 – $81
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Commercial: $76.50
  • AMERIGROUP — MEDICAID: $4.94
  • BCBS — Commercial: $72.03
  • CARESOURCE — MEDICARE: $4.38
  • CIGNA — Commercial: $81
  • MEDICAID — MEDICAID: $4.94
  • MEDICARE — MEDICARE: $4.29
  • PEACHSTATE_MEDICAID — MEDICAID: $4.94
  • UHC — Commercial: $79.20
  • WELLCARE_MEDICAID — MEDICAID: $5.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $32.37 $19.42 $6.01 – $29.13
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $27.51
  • AMERIGROUP — MEDICAID: $7.54
  • BCBS — Commercial: $25.91
  • CARESOURCE — MEDICARE: $6.13
  • CIGNA — Commercial: $29.13
  • MEDICAID — MEDICAID: $7.54
  • MEDICARE — MEDICARE: $6.01
  • PEACHSTATE_MEDICAID — MEDICAID: $7.54
  • UHC — Commercial: $28.49
  • WELLCARE_MEDICAID — MEDICAID: $7.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: DAILY - PTT $41.50 $24.90 $6.01 – $37.35
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $35.28
  • AMERIGROUP — MEDICAID: $7.54
  • BCBS — Commercial: $33.21
  • CARESOURCE — MEDICARE: $6.13
  • CIGNA — Commercial: $37.35
  • MEDICAID — MEDICAID: $7.54
  • MEDICARE — MEDICARE: $6.01
  • PEACHSTATE_MEDICAID — MEDICAID: $7.54
  • UHC — Commercial: $36.52
  • WELLCARE_MEDICAID — MEDICAID: $7.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: COAG INTERPRETATION (RL) $62.25 $37.35 $6.01 – $56.03
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Commercial: $52.91
  • AMERIGROUP — MEDICAID: $7.54
  • BCBS — Commercial: $49.82
  • CARESOURCE — MEDICARE: $6.13
  • CIGNA — Commercial: $56.03
  • MEDICAID — MEDICAID: $7.54
  • MEDICARE — MEDICARE: $6.01
  • PEACHSTATE_MEDICAID — MEDICAID: $7.54
  • UHC — Commercial: $54.78
  • WELLCARE_MEDICAID — MEDICAID: $7.77

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: (E) CT HEAD W/O CONTRAST $1,425.25 $855.15 $103.49 – $1,282.73
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,211.46
  • AMERIGROUP — MEDICAID: $458.22
  • BCBS — Commercial: $1,140.63
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $1,282.73
  • MEDICAID — MEDICAID: $458.22
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $458.22
  • UHC — Commercial: $1,254.22
  • WELLCARE_MEDICAID — MEDICAID: $471.90
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD WO CONTRAST $664 $398.40 $103.49 – $597.60
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $564.40
  • AMERIGROUP — MEDICAID: $213.48
  • BCBS — Commercial: $531.40
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $597.60
  • MEDICAID — MEDICAID: $213.48
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $213.48
  • UHC — Commercial: $584.32
  • WELLCARE_MEDICAID — MEDICAID: $219.85
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT OF HEAD/BRAIN W/O DYE $284 $170.40 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI IACS WITH AND WITHOUT CONTRAST $1,417 $850.20 $347.57 – $1,275.30
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,204.45
  • AMERIGROUP — MEDICAID: $455.57
  • BCBS — Commercial: $1,134.03
  • CARESOURCE — MEDICARE: $347.57
  • CIGNA — Commercial: $1,275.30
  • MEDICAID — MEDICAID: $455.57
  • MEDICARE — MEDICARE: $347.57
  • PEACHSTATE_MEDICAID — MEDICAID: $455.57
  • UHC — Commercial: $1,246.96
  • WELLCARE_MEDICAID — MEDICAID: $469.17
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI PITUITARY W/ AND W/O CONTRAST $1,417 $850.20 $347.57 – $1,275.30
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,204.45
  • AMERIGROUP — MEDICAID: $455.57
  • BCBS — Commercial: $1,134.03
  • CARESOURCE — MEDICARE: $347.57
  • CIGNA — Commercial: $1,275.30
  • MEDICAID — MEDICAID: $455.57
  • MEDICARE — MEDICARE: $347.57
  • PEACHSTATE_MEDICAID — MEDICAID: $455.57
  • UHC — Commercial: $1,246.96
  • WELLCARE_MEDICAID — MEDICAID: $469.17
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WWO CONTRAST $3,533 $2,119.80 $347.57 – $3,179.70
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Commercial: $3,003.05
  • AMERIGROUP — MEDICAID: $1,135.86
  • BCBS — Commercial: $2,827.46
  • CARESOURCE — MEDICARE: $347.57
  • CIGNA — Commercial: $3,179.70
  • MEDICAID — MEDICAID: $1,135.86
  • MEDICARE — MEDICARE: $347.57
  • PEACHSTATE_MEDICAID — MEDICAID: $1,135.86
  • UHC — Commercial: $3,109.04
  • WELLCARE_MEDICAID — MEDICAID: $1,169.78
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: PORT CHEST PA/LAT 2V $160.50 $96.30 $51.60 – $144.45
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Commercial: $136.43
  • AMERIGROUP — MEDICAID: $51.60
  • BCBS — Commercial: $128.45
  • CARESOURCE — MEDICARE: $85.69
  • CIGNA — Commercial: $144.45
  • MEDICAID — MEDICAID: $51.60
  • MEDICARE — MEDICARE: $85.69
  • PEACHSTATE_MEDICAID — MEDICAID: $51.60
  • UHC — Commercial: $141.24
  • WELLCARE_MEDICAID — MEDICAID: $53.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST PA & LAT $121 $72.60 $38.90 – $108.90
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Commercial: $102.85
  • AMERIGROUP — MEDICAID: $38.90
  • BCBS — Commercial: $96.84
  • CARESOURCE — MEDICARE: $85.69
  • CIGNA — Commercial: $108.90
  • MEDICAID — MEDICAID: $38.90
  • MEDICARE — MEDICARE: $85.69
  • PEACHSTATE_MEDICAID — MEDICAID: $38.90
  • UHC — Commercial: $106.48
  • WELLCARE_MEDICAID — MEDICAID: $40.06
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DAILY CHEST PA/LAT $192.50 $115.50 $61.89 – $173.25
Chest X-ray, 2 views: rates for 10 insurance plans
  • Aetna — Commercial: $163.63
  • AMERIGROUP — MEDICAID: $61.89
  • BCBS — Commercial: $154.06
  • CARESOURCE — MEDICARE: $85.69
  • CIGNA — Commercial: $173.25
  • MEDICAID — MEDICAID: $61.89
  • MEDICARE — MEDICARE: $85.69
  • PEACHSTATE_MEDICAID — MEDICAID: $61.89
  • UHC — Commercial: $169.40
  • WELLCARE_MEDICAID — MEDICAID: $63.74
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR COMPLETE W OBLIQUES 4V $617.50 $370.50 $103.49 – $555.75
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Aetna — Commercial: $524.88
  • AMERIGROUP — MEDICAID: $198.53
  • BCBS — Commercial: $494.19
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $555.75
  • MEDICAID — MEDICAID: $198.53
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $198.53
  • UHC — Commercial: $543.40
  • WELLCARE_MEDICAID — MEDICAID: $204.45
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XRAY EXAM L-SPINE 4 VIEWS $78 $46.80 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR WO CONTRAST $1,232 $739.20 $235.25 – $1,108.80
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,047.20
  • AMERIGROUP — MEDICAID: $396.09
  • BCBS — Commercial: $985.97
  • CARESOURCE — MEDICARE: $235.25
  • CIGNA — Commercial: $1,108.80
  • MEDICAID — MEDICAID: $396.09
  • MEDICARE — MEDICARE: $235.25
  • PEACHSTATE_MEDICAID — MEDICAID: $396.09
  • UHC — Commercial: $1,084.16
  • WELLCARE_MEDICAID — MEDICAID: $407.92
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR WO DYE $336 $201.60 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: (E) CT PELVIS W/CONTRAST $1,425.25 $855.15 $173.25 – $1,282.73
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,211.46
  • AMERIGROUP — MEDICAID: $458.22
  • BCBS — Commercial: $1,140.63
  • CARESOURCE — MEDICARE: $173.25
  • CIGNA — Commercial: $1,282.73
  • MEDICAID — MEDICAID: $458.22
  • MEDICARE — MEDICARE: $173.25
  • PEACHSTATE_MEDICAID — MEDICAID: $458.22
  • UHC — Commercial: $1,254.22
  • WELLCARE_MEDICAID — MEDICAID: $471.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W CONTRAST $1,125 $675 $173.25 – $1,012.50
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Commercial: $956.25
  • AMERIGROUP — MEDICAID: $361.69
  • BCBS — Commercial: $900.34
  • CARESOURCE — MEDICARE: $173.25
  • CIGNA — Commercial: $1,012.50
  • MEDICAID — MEDICAID: $361.69
  • MEDICARE — MEDICARE: $173.25
  • PEACHSTATE_MEDICAID — MEDICAID: $361.69
  • UHC — Commercial: $990
  • WELLCARE_MEDICAID — MEDICAID: $372.49
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE $327 $196.20 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI EXT LOW JOINT BILAT WO CONTRAST $2,138 $1,282.80 $235.25 – $1,924.20
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $1,817.30
  • AMERIGROUP — MEDICAID: $687.37
  • BCBS — Commercial: $1,711.04
  • CARESOURCE — MEDICARE: $235.25
  • CIGNA — Commercial: $1,924.20
  • MEDICAID — MEDICAID: $687.37
  • MEDICARE — MEDICARE: $235.25
  • PEACHSTATE_MEDICAID — MEDICAID: $687.37
  • UHC — Commercial: $1,881.44
  • WELLCARE_MEDICAID — MEDICAID: $707.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI HIND FOOT - WO CONTRAST LT $961.50 $576.90 $235.25 – $865.35
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $817.28
  • AMERIGROUP — MEDICAID: $309.12
  • BCBS — Commercial: $769.49
  • CARESOURCE — MEDICARE: $235.25
  • CIGNA — Commercial: $865.35
  • MEDICAID — MEDICAID: $309.12
  • MEDICARE — MEDICARE: $235.25
  • PEACHSTATE_MEDICAID — MEDICAID: $309.12
  • UHC — Commercial: $846.12
  • WELLCARE_MEDICAID — MEDICAID: $318.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI EXT LOW JOINT WO CONTRAST LT $2,777.78 $1,666.67 $235.25 – $2,500
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Commercial: $2,361.11
  • AMERIGROUP — MEDICAID: $893.06
  • BCBS — Commercial: $2,223.06
  • CARESOURCE — MEDICARE: $235.25
  • CIGNA — Commercial: $2,500
  • MEDICAID — MEDICAID: $893.06
  • MEDICARE — MEDICARE: $235.25
  • PEACHSTATE_MEDICAID — MEDICAID: $893.06
  • UHC — Commercial: $2,444.45
  • WELLCARE_MEDICAID — MEDICAID: $919.72
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD/PEL W CONTRAST $3,791 $2,274.60 $347.57 – $3,411.90
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Commercial: $3,222.35
  • AMERIGROUP — MEDICAID: $1,218.81
  • BCBS — Commercial: $3,033.94
  • CARESOURCE — MEDICARE: $347.57
  • CIGNA — Commercial: $3,411.90
  • MEDICAID — MEDICAID: $1,218.81
  • MEDICARE — MEDICARE: $347.57
  • PEACHSTATE_MEDICAID — MEDICAID: $1,218.81
  • UHC — Commercial: $3,336.08
  • WELLCARE_MEDICAID — MEDICAID: $1,255.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN AND PELVIS W CONTRAST $655 $393 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: PORTALBE US ABDOMEN $577.50 $346.50 $103.49 – $519.75
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Commercial: $490.88
  • AMERIGROUP — MEDICAID: $185.67
  • BCBS — Commercial: $462.17
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $519.75
  • MEDICAID — MEDICAID: $185.67
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $185.67
  • UHC — Commercial: $508.20
  • WELLCARE_MEDICAID — MEDICAID: $191.21
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: (E) US ABDOMEN $866.25 $519.75 $103.49 – $779.63
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Commercial: $736.31
  • AMERIGROUP — MEDICAID: $278.50
  • BCBS — Commercial: $693.26
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $779.63
  • MEDICAID — MEDICAID: $278.50
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $278.50
  • UHC — Commercial: $762.30
  • WELLCARE_MEDICAID — MEDICAID: $286.82
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN $1,204 $722.40 $103.49 – $1,083.60
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Aetna — Commercial: $1,023.40
  • AMERIGROUP — MEDICAID: $387.09
  • BCBS — Commercial: $963.56
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $1,083.60
  • MEDICAID — MEDICAID: $387.09
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $387.09
  • UHC — Commercial: $1,059.52
  • WELLCARE_MEDICAID — MEDICAID: $398.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: (E) US OB MATURITY COMP $956 $573.60 $103.49 – $860.40
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Commercial: $812.60
  • AMERIGROUP — MEDICAID: $307.35
  • BCBS — Commercial: $765.09
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $860.40
  • MEDICAID — MEDICAID: $307.35
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $307.35
  • UHC — Commercial: $841.28
  • WELLCARE_MEDICAID — MEDICAID: $316.53
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB MATURITY COMP GREATER THAN 14 WEEK $493 $295.80 $103.49 – $443.70
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Commercial: $419.05
  • AMERIGROUP — MEDICAID: $158.50
  • BCBS — Commercial: $394.55
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $443.70
  • MEDICAID — MEDICAID: $158.50
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $158.50
  • UHC — Commercial: $433.84
  • WELLCARE_MEDICAID — MEDICAID: $163.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: PORT US OB MATURITY COMP $657.25 $394.35 $103.49 – $591.53
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • Aetna — Commercial: $558.66
  • AMERIGROUP — MEDICAID: $211.31
  • BCBS — Commercial: $526
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $591.53
  • MEDICAID — MEDICAID: $211.31
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $211.31
  • UHC — Commercial: $578.38
  • WELLCARE_MEDICAID — MEDICAID: $217.62
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: (E) US ENDOVAGINAL $537.50 $322.50 $103.49 – $483.75
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Commercial: $456.88
  • AMERIGROUP — MEDICAID: $172.81
  • BCBS — Commercial: $430.16
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $483.75
  • MEDICAID — MEDICAID: $172.81
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $172.81
  • UHC — Commercial: $473
  • WELLCARE_MEDICAID — MEDICAID: $177.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: PORT US ENDOVAGINAL NON-OBSTETRICAL $296 $177.60 $95.16 – $266.40
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Commercial: $251.60
  • AMERIGROUP — MEDICAID: $95.16
  • BCBS — Commercial: $236.89
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $266.40
  • MEDICAID — MEDICAID: $95.16
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $95.16
  • UHC — Commercial: $260.48
  • WELLCARE_MEDICAID — MEDICAID: $98.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US ENDOVAGINAL NON-OBSTETRICAL $1,212.75 $727.65 $103.49 – $1,091.48
Transvaginal ultrasound: rates for 10 insurance plans
  • Aetna — Commercial: $1,030.84
  • AMERIGROUP — MEDICAID: $389.90
  • BCBS — Commercial: $970.56
  • CARESOURCE — MEDICARE: $103.49
  • CIGNA — Commercial: $1,091.48
  • MEDICAID — MEDICAID: $389.90
  • MEDICARE — MEDICARE: $103.49
  • PEACHSTATE_MEDICAID — MEDICAID: $389.90
  • UHC — Commercial: $1,067.22
  • WELLCARE_MEDICAID — MEDICAID: $401.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DIGITAL DIAG UNILAT LT $324 $194.40 $104.17 – $324
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Commercial: $275.40
  • AMERIGROUP — MEDICAID: $104.17
  • BCBS — Commercial: $259.30
  • CARESOURCE — MEDICARE: $324
  • CIGNA — Commercial: $291.60
  • MEDICAID — MEDICAID: $104.17
  • MEDICARE — MEDICARE: $324
  • PEACHSTATE_MEDICAID — MEDICAID: $104.17
  • UHC — Commercial: $285.12
  • WELLCARE_MEDICAID — MEDICAID: $107.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DIGITAL MAMMO SPOT COMP UNILAT LT $526.33 $315.80 $169.22 – $526.33
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Commercial: $447.38
  • AMERIGROUP — MEDICAID: $169.22
  • BCBS — Commercial: $421.22
  • CARESOURCE — MEDICARE: $526.33
  • CIGNA — Commercial: $473.70
  • MEDICAID — MEDICAID: $169.22
  • MEDICARE — MEDICARE: $526.33
  • PEACHSTATE_MEDICAID — MEDICAID: $169.22
  • UHC — Commercial: $463.17
  • WELLCARE_MEDICAID — MEDICAID: $174.27
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM DIGITAL DIAG UNILAT RT $324 $194.40 $104.17 – $324
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — Commercial: $275.40
  • AMERIGROUP — MEDICAID: $104.17
  • BCBS — Commercial: $259.30
  • CARESOURCE — MEDICARE: $324
  • CIGNA — Commercial: $291.60
  • MEDICAID — MEDICAID: $104.17
  • MEDICARE — MEDICARE: $324
  • PEACHSTATE_MEDICAID — MEDICAID: $104.17
  • UHC — Commercial: $285.12
  • WELLCARE_MEDICAID — MEDICAID: $107.28
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM MAMMO DIAG UNILAT LT $97.25 $58.35 $31.27 – $97.25
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $82.66
  • AMERIGROUP — MEDICAID: $31.27
  • BCBS — Commercial: $77.83
  • CARESOURCE — MEDICARE: $97.25
  • CIGNA — Commercial: $87.53
  • MEDICAID — MEDICAID: $31.27
  • MEDICARE — MEDICARE: $97.25
  • PEACHSTATE_MEDICAID — MEDICAID: $31.27
  • UHC — Commercial: $85.58
  • WELLCARE_MEDICAID — MEDICAID: $32.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM MAMMO SPOT COMPR UNILAT LT $97.25 $58.35 $31.27 – $97.25
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $82.66
  • AMERIGROUP — MEDICAID: $31.27
  • BCBS — Commercial: $77.83
  • CARESOURCE — MEDICARE: $97.25
  • CIGNA — Commercial: $87.53
  • MEDICAID — MEDICAID: $31.27
  • MEDICARE — MEDICARE: $97.25
  • PEACHSTATE_MEDICAID — MEDICAID: $31.27
  • UHC — Commercial: $85.58
  • WELLCARE_MEDICAID — MEDICAID: $32.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM DIGITAL MAMMO SPOT COMP BILAT $240 $144 $77.16 – $240
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $204
  • AMERIGROUP — MEDICAID: $77.16
  • BCBS — Commercial: $192.07
  • CARESOURCE — MEDICARE: $240
  • CIGNA — Commercial: $216
  • MEDICAID — MEDICAID: $77.16
  • MEDICARE — MEDICARE: $240
  • PEACHSTATE_MEDICAID — MEDICAID: $77.16
  • UHC — Commercial: $211.20
  • WELLCARE_MEDICAID — MEDICAID: $79.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM 3D MAMMO UNILATERAL RIGHT SCREENING $77.75 $46.65 $25 – $77.75
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $66.09
  • AMERIGROUP — MEDICAID: $25
  • BCBS — Commercial: $62.22
  • CARESOURCE — MEDICARE: $77.75
  • CIGNA — Commercial: $69.98
  • MEDICAID — MEDICAID: $25
  • MEDICARE — MEDICARE: $77.75
  • PEACHSTATE_MEDICAID — MEDICAID: $25
  • UHC — Commercial: $68.42
  • WELLCARE_MEDICAID — MEDICAID: $25.74
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM 3D MAMMO UNILATERAL LEFT SCREENING $77.75 $46.65 $25 – $77.75
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $66.09
  • AMERIGROUP — MEDICAID: $25
  • BCBS — Commercial: $62.22
  • CARESOURCE — MEDICARE: $77.75
  • CIGNA — Commercial: $69.98
  • MEDICAID — MEDICAID: $25
  • MEDICARE — MEDICARE: $77.75
  • PEACHSTATE_MEDICAID — MEDICAID: $25
  • UHC — Commercial: $68.42
  • WELLCARE_MEDICAID — MEDICAID: $25.74
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM MAMMO SCREEN BILAT $126 $75.60 $40.51 – $126
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — Commercial: $107.10
  • AMERIGROUP — MEDICAID: $40.51
  • BCBS — Commercial: $100.84
  • CARESOURCE — MEDICARE: $126
  • CIGNA — Commercial: $113.40
  • MEDICAID — MEDICAID: $40.51
  • MEDICARE — MEDICARE: $126
  • PEACHSTATE_MEDICAID — MEDICAID: $40.51
  • UHC — Commercial: $110.88
  • WELLCARE_MEDICAID — MEDICAID: $41.72

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: FULL COMPLEX POLYSMNOGRAPHY $2,727.75 $1,636.65 $876.97 – $2,454.98
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Aetna — Commercial: $2,318.59
  • AMERIGROUP — MEDICAID: $876.97
  • BCBS — Commercial: $2,183.02
  • CARESOURCE — MEDICARE: $990.18
  • CIGNA — Commercial: $2,454.98
  • MEDICAID — MEDICAID: $876.97
  • MEDICARE — MEDICARE: $990.18
  • PEACHSTATE_MEDICAID — MEDICAID: $876.97
  • UHC — Commercial: $2,400.42
  • WELLCARE_MEDICAID — MEDICAID: $903.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: REDUCED POLYSMNOGRAPHY $2,336 $1,401.60 $751.02 – $2,102.40
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Aetna — Commercial: $1,985.60
  • AMERIGROUP — MEDICAID: $751.02
  • BCBS — Commercial: $1,869.50
  • CARESOURCE — MEDICARE: $990.18
  • CIGNA — Commercial: $2,102.40
  • MEDICAID — MEDICAID: $751.02
  • MEDICARE — MEDICARE: $990.18
  • PEACHSTATE_MEDICAID — MEDICAID: $751.02
  • UHC — Commercial: $2,055.68
  • WELLCARE_MEDICAID — MEDICAID: $773.45

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: EXERCISE REVIEW $30 $18 $9.65 – $30
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $25.50
  • AMERIGROUP — MEDICAID: $9.65
  • BCBS — Commercial: $24.01
  • CARESOURCE — MEDICARE: $30
  • CIGNA — Commercial: $27
  • MEDICAID — MEDICAID: $9.65
  • MEDICARE — MEDICARE: $30
  • PEACHSTATE_MEDICAID — MEDICAID: $9.65
  • UHC — Commercial: $26.40
  • WELLCARE_MEDICAID — MEDICAID: $9.93
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: P/T THERAPEUTIC EXERCISE I $40 $24 $12.86 – $40
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $34
  • AMERIGROUP — MEDICAID: $12.86
  • BCBS — Commercial: $32.01
  • CARESOURCE — MEDICARE: $40
  • CIGNA — Commercial: $36
  • MEDICAID — MEDICAID: $12.86
  • MEDICARE — MEDICARE: $40
  • PEACHSTATE_MEDICAID — MEDICAID: $12.86
  • UHC — Commercial: $35.20
  • WELLCARE_MEDICAID — MEDICAID: $13.24
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: DO NOT USE $50 $30 $16.08 – $50
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna — Commercial: $42.50
  • AMERIGROUP — MEDICAID: $16.08
  • BCBS — Commercial: $40.02
  • CARESOURCE — MEDICARE: $50
  • CIGNA — Commercial: $45
  • MEDICAID — MEDICAID: $16.08
  • MEDICARE — MEDICARE: $50
  • PEACHSTATE_MEDICAID — MEDICAID: $16.08
  • UHC — Commercial: $44
  • WELLCARE_MEDICAID — MEDICAID: $16.56
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: P/T EVAL LOW COMPLEXITY $95 $57 $30.54 – $95
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna — Commercial: $80.75
  • AMERIGROUP — MEDICAID: $30.54
  • BCBS — Commercial: $76.03
  • CARESOURCE — MEDICARE: $95
  • CIGNA — Commercial: $85.50
  • MEDICAID — MEDICAID: $30.54
  • MEDICARE — MEDICARE: $95
  • PEACHSTATE_MEDICAID — MEDICAID: $30.54
  • UHC — Commercial: $83.60
  • WELLCARE_MEDICAID — MEDICAID: $31.45
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: P/T EVAL MOD COMPLEXITY $156 $93.60 $50.15 – $156
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna — Commercial: $132.60
  • AMERIGROUP — MEDICAID: $50.15
  • BCBS — Commercial: $124.85
  • CARESOURCE — MEDICARE: $156
  • CIGNA — Commercial: $140.40
  • MEDICAID — MEDICAID: $50.15
  • MEDICARE — MEDICARE: $156
  • PEACHSTATE_MEDICAID — MEDICAID: $50.15
  • UHC — Commercial: $137.28
  • WELLCARE_MEDICAID — MEDICAID: $51.65
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: P/T EVAL HIGH COMPLEXITY $242.54 $145.52 $77.98 – $242.54
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna — Commercial: $206.16
  • AMERIGROUP — MEDICAID: $77.98
  • BCBS — Commercial: $194.10
  • CARESOURCE — MEDICARE: $242.54
  • CIGNA — Commercial: $218.29
  • MEDICAID — MEDICAID: $77.98
  • MEDICARE — MEDICARE: $242.54
  • PEACHSTATE_MEDICAID — MEDICAID: $77.98
  • UHC — Commercial: $213.44
  • WELLCARE_MEDICAID — MEDICAID: $80.30

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LSESION $13,750 $8,250 $4,420.63 – $13,750
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — Commercial: $11,687.50
  • AMERIGROUP — MEDICAID: $4,420.63
  • BCBS — Commercial: $11,004.13
  • CARESOURCE — MEDICARE: $13,750
  • CIGNA — Commercial: $12,375
  • MEDICAID — MEDICAID: $4,420.63
  • MEDICARE — MEDICARE: $13,750
  • PEACHSTATE_MEDICAID — MEDICAID: $4,420.63
  • UHC — Commercial: $12,100
  • WELLCARE_MEDICAID — MEDICAID: $4,552.63
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROSPLASTY $48,000 $28,800 $15,432 – $48,000
Total hip replacement: rates for 10 insurance plans
  • Aetna — Commercial: $40,800
  • AMERIGROUP — MEDICAID: $15,432
  • BCBS — Commercial: $38,414.40
  • CARESOURCE — MEDICARE: $48,000
  • CIGNA — Commercial: $43,200
  • MEDICAID — MEDICAID: $15,432
  • MEDICARE — MEDICARE: $48,000
  • PEACHSTATE_MEDICAID — MEDICAID: $15,432
  • UHC — Commercial: $42,240
  • WELLCARE_MEDICAID — MEDICAID: $15,892.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY $13,000 $7,800 $4,179.50 – $13,000
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — Commercial: $11,050
  • AMERIGROUP — MEDICAID: $4,179.50
  • BCBS — Commercial: $10,403.90
  • CARESOURCE — MEDICARE: $13,000
  • CIGNA — Commercial: $11,700
  • MEDICAID — MEDICAID: $4,179.50
  • MEDICARE — MEDICARE: $13,000
  • PEACHSTATE_MEDICAID — MEDICAID: $4,179.50
  • UHC — Commercial: $11,440
  • WELLCARE_MEDICAID — MEDICAID: $4,304.30
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY $20,850 $12,510 $6,703.28 – $20,850
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — Commercial: $17,722.50
  • AMERIGROUP — MEDICAID: $6,703.28
  • BCBS — Commercial: $16,686.26
  • CARESOURCE — MEDICARE: $20,850
  • CIGNA — Commercial: $18,765
  • MEDICAID — MEDICAID: $6,703.28
  • MEDICARE — MEDICARE: $20,850
  • PEACHSTATE_MEDICAID — MEDICAID: $6,703.28
  • UHC — Commercial: $18,348
  • WELLCARE_MEDICAID — MEDICAID: $6,903.44
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US PROSTATE BX $4,387.25 $2,632.35 $1,410.50 – $4,387.25
Prostate biopsy: rates for 10 insurance plans
  • Aetna — Commercial: $3,729.16
  • AMERIGROUP — MEDICAID: $1,410.50
  • BCBS — Commercial: $3,511.12
  • CARESOURCE — MEDICARE: $4,387.25
  • CIGNA — Commercial: $3,948.53
  • MEDICAID — MEDICAID: $1,410.50
  • MEDICARE — MEDICARE: $4,387.25
  • PEACHSTATE_MEDICAID — MEDICAID: $1,410.50
  • UHC — Commercial: $3,860.78
  • WELLCARE_MEDICAID — MEDICAID: $1,452.62
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NERVE ROOT BLOCK LUMBAR BILAT $1,320 $792 $424.38 – $1,188
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $1,122
  • AMERIGROUP — MEDICAID: $424.38
  • BCBS — Commercial: $1,056.40
  • CARESOURCE — MEDICARE: $866.48
  • CIGNA — Commercial: $1,188
  • MEDICAID — MEDICAID: $424.38
  • MEDICARE — MEDICARE: $866.48
  • PEACHSTATE_MEDICAID — MEDICAID: $424.38
  • UHC — Commercial: $1,161.60
  • WELLCARE_MEDICAID — MEDICAID: $437.05
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NERVE ROOT BLOCK LUMBAR $660 $396 $212.19 – $866.48
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Commercial: $561
  • AMERIGROUP — MEDICAID: $212.19
  • BCBS — Commercial: $528.20
  • CARESOURCE — MEDICARE: $866.48
  • CIGNA — Commercial: $594
  • MEDICAID — MEDICAID: $212.19
  • MEDICARE — MEDICARE: $866.48
  • PEACHSTATE_MEDICAID — MEDICAID: $212.19
  • UHC — Commercial: $580.80
  • WELLCARE_MEDICAID — MEDICAID: $218.53
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT EXTRACTION WITH MONOFOCAL LENS $5,054.63 $3,032.78 $1,625.06 – $5,054.63
Cataract removal with lens implant: rates for 10 insurance plans
  • Aetna — Commercial: $4,296.44
  • AMERIGROUP — MEDICAID: $1,625.06
  • BCBS — Commercial: $4,045.22
  • CARESOURCE — MEDICARE: $5,054.63
  • CIGNA — Commercial: $4,549.17
  • MEDICAID — MEDICAID: $1,625.06
  • MEDICARE — MEDICARE: $5,054.63
  • PEACHSTATE_MEDICAID — MEDICAID: $1,625.06
  • UHC — Commercial: $4,448.07
  • WELLCARE_MEDICAID — MEDICAID: $1,673.59

Source: Stephens County Hospital’s standard charges file (stephenscountyhospital.pg.quadax.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 19, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address163 Hospital Drive, Toccoa, GA 30577
CountyStephens County
StateGeorgia
Phone(706) 282‑4250
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
CMS Certification Number110032
Name in Medicare recordsSTEPHENS COUNTY HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(706) 282‑4200[4][5]
Official websitestephenscountyhospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Stephens County Hospital (Toccoa, Georgia) — stephenscountyhospital.com
  2. Emergency Services | Immediate Medical Assistance | Stephens County | Toccoa — stephenscountyhospital.com
  3. Patient Visiting Hours | Stephens County Hospital | Toccoa — stephenscountyhospital.com
  4. Emergency Services | Immediate Medical Assistance | Stephens County | Toccoa — stephenscountyhospital.com
  5. Radiology & Imaging | Inpatient | Outpatient | Stephens County — stephenscountyhospital.com
  6. Central DXA Bone Density Testing | Stephens County Hospital — stephenscountyhospital.com
  7. Diagnostic | X-Ray Imaging | Stephens County | Toccoa — stephenscountyhospital.com
  8. 3D Mammogram Screening | Digital Mammography | Toccoa — stephenscountyhospital.com
  9. Fluoroscopy | X-Ray | Fluoroscope | Stephens County — stephenscountyhospital.com
  10. Magnetic Resonance Imaging | MRI | Stephens County Hospital — stephenscountyhospital.com
  11. Ultrasound | General | Vascular | Cardiac | Stephens County — stephenscountyhospital.com
  12. Computerized Axial Tomography | CT Scan | Radiologist | Toccoa — stephenscountyhospital.com
  13. Nuclear Medicine | Radiopharmaceuticals | Stephens County — stephenscountyhospital.com
  14. Parkinson's LSVT BIG Program — stephenscountyhospital.com
  15. Stroke Rehabilitation — stephenscountyhospital.com
  16. Stroke Recovery at Stephens County Hospital — stephenscountyhospital.com
  17. Interpreting Service | Stephens County Hospital | Toccoa GA — stephenscountyhospital.com
  18. Cardiac Rehabilitation & Maintenance Program | Stephen County Services — stephenscountyhospital.com
  19. Department of Transportation (DOT) Services | Toccoa, GA — stephenscountyhospital.com