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Acute Care Hospital

Stormont Vail Hospital

Also listed as: Stormont Vail Health Hospital

Topeka, Kansas · Shawnee County · Emergency services listed

Stormont Vail Hospital is an acute care hospital at 1500 SW 10th Avenue, Topeka, KS 66604. Phone: (785) 354-6121. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Stormont Vail Hospital is an acute care hospital in Topeka, Kansas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 24 services, specialties and programs. Medicare lists 763 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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 2026-10-30). 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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
24Services listed

Quick answers

Does Stormont Vail Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Stormont Vail Hospital. In a medical emergency, call 911.
Where is Stormont Vail Hospital?
1500 SW 10th Avenue, Topeka, KS 66604, in Shawnee County, Kansas.
What is the phone number of Stormont Vail Hospital?
(785) 354-6121, as listed by Medicare (CMS).
What is the Medicare star rating of Stormont Vail Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Stormont Vail Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Stormont Vail Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0849; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Conditions treated[6]

  • Amputations, cuts, puncture wounds
  • Fractures
  • Facial trauma
  • Gunshot wounds
  • Injuries from serious falls or vehicle crashes
  • Traumatic brain injuries
  • Spinal cord injuries

Treatments[4]

  • Labor and delivery
  • Breastfeeding support
  • Post-acute care

Programs and centers[5][6]

  • Trauma care
  • Labor and delivery
  • NICU
  • Breastfeeding support

Emergency care (hospital website)[4][5][6][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationAccredited Primary Stroke Center

Recognition[6][7]

  • Accredited Chest Pain Center
  • Accredited Primary Stroke Center
  • Verified Level II Trauma Center (American College of Surgeons)

Doctors and clinicians (763)

763 doctors and other clinicians list Stormont Vail 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 (763)

And 739 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Topeka

All hospitals in Topeka · Hospitals in Shawnee County · Hospitals near me

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 Stormont Vail 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital76%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted61%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean73%National average: 73%
Completed surveys811Response rate: 24%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.688No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.1No different from the national benchmark
Surgical site infections after colon surgery0.266No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.14No different from the national benchmark
MRSA bloodstream infections0.314No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.406Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients11.9%
Deaths within 30 days: pneumonia patients15.6%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients10.3%
Deaths within 30 days: coronary bypass surgery (CABG)2.6%
Serious complications (patient safety indicator PSI-90)0.97No different from the national rate
Complications after hip or knee replacement5.9%

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)15%
Readmitted within 30 days: heart attack13.3%
Readmitted within 30 days: heart failure21.8%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD20.3%
Readmitted within 30 days: coronary bypass surgery12.5%
Readmitted within 30 days: hip or knee replacement6.7%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)222 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)91%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Stormont Vail Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.0849Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack0.9654Fewer readmissions than expected
Heart failure1.0153More readmissions than expected
Pneumonia0.9521Fewer readmissions than expected
COPD (chronic lung disease)1.0140More readmissions than expected
Hip or knee replacement1.0267More readmissions than expected
Coronary bypass surgery (CABG)0.9139Fewer readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score27.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)21.67 out of 100
Person and community engagement (patient survey)36.00 out of 100
Safety (infections and sepsis care)51.67 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.06Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 50 common services exactly as Stormont Vail 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 →

Show the prices of 50 common services

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: HC E&M NEW PT WOUND - LEVEL 3 $600.97 Not listed in the file $147.83 – $155.61
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $155.61
  • BCBS — BCBS CHO: $147.83
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC E&M NEW PT OSTOMY - LEVEL 2 $486.21 Not listed in the file $147.83 – $155.61
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $155.61
  • BCBS — BCBS CHO: $147.83
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC E&M NEW PT OSTOMY - LEVEL 2 $486.21 Not listed in the file Not listed in the file
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC E&M NEW PT OSTOMY - LEVEL 3 $667.13 Not listed in the file $147.83 – $155.61
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $155.61
  • BCBS — BCBS CHO: $147.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC E&M NEW PT WOUND - LEVEL 4 $667.13 Not listed in the file $147.83 – $155.61
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $155.61
  • BCBS — BCBS CHO: $147.83
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC E&M NEW PT OSTOMY - LEVEL 3 $667.13 Not listed in the file Not listed in the file
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC LABOR CHECK NEW PT 2 HOURS $465.09 Not listed in the file $246.86 – $259.85
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $259.85
  • BCBS — BCBS CHO: $246.86
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC E&M NEW PT WOUND - LEVEL 5 $890.52 Not listed in the file $246.86 – $259.85
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $259.85
  • BCBS — BCBS CHO: $246.86
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC LABOR CHECK NEW PT 2 HOURS $465.09 Not listed in the file Not listed in the file
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC E&M EST PT OSTOMY - LEVEL 2 $524.27 Not listed in the file $99.05 – $104.26
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $104.26
  • BCBS — BCBS CHO: $99.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC E&M EST PT WOUND - LEVEL 3 $550.73 Not listed in the file $99.05 – $104.26
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $104.26
  • BCBS — BCBS CHO: $99.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC LABOR CHECK EST PT 2 HOURS $379.19 Not listed in the file $99.05 – $104.26
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $104.26
  • BCBS — BCBS CHO: $99.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC E&M EST PT OSTOMY - LEVEL 3 $669.77 Not listed in the file $118.27 – $124.49
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $124.49
  • BCBS — BCBS CHO: $118.27
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC E&M EST PT WOUND - LEVEL 4 $703.07 Not listed in the file $118.27 – $124.49
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • BCBS — BCBS CAP: $124.49
  • BCBS — BCBS CHO: $118.27
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC E&M EST PT WOUND - LEVEL 4 $703.07 Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY - LEVEL 3 $749 Not listed in the file $107.10 – $450.82
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $254.86
  • BCBS — BCBS CAP: $450.82
  • BCBS — BCBS CHO: $428.28
  • BCBS — Kancare BCBS: $108.15
  • BCBS — Medicare BCBS: $254.86
  • Centene — Kancare Sunflower: $107.10
  • Humana — Medicare Humana: $254.86
  • United Healthcare — Kancare UHC: $107.10
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC EMERGENCY - LEVEL 3 $749 Not listed in the file Not listed in the file
Emergency room visit (moderate): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY - LEVEL 4 RAPE EXAM $988.95 Not listed in the file $107.10 – $826.06
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $391.94
  • BCBS — BCBS CAP: $826.06
  • BCBS — BCBS CHO: $784.76
  • BCBS — Kancare BCBS: $108.15
  • BCBS — Medicare BCBS: $391.94
  • Centene — Kancare Sunflower: $107.10
  • Humana — Medicare Humana: $391.94
  • United Healthcare — Kancare UHC: $107.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY - LEVEL 4 $990 Not listed in the file $107.10 – $826.06
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $391.94
  • BCBS — BCBS CAP: $826.06
  • BCBS — BCBS CHO: $784.76
  • BCBS — Kancare BCBS: $108.15
  • BCBS — Medicare BCBS: $391.94
  • Centene — Kancare Sunflower: $107.10
  • Humana — Medicare Humana: $391.94
  • United Healthcare — Kancare UHC: $107.10
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC EMERGENCY - LEVEL 4 $990 Not listed in the file Not listed in the file
Emergency room visit (moderately high): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY LEVEL 5 RAPE EXAM $1,690.36 Not listed in the file $107.10 – $1,411.83
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $564.32
  • BCBS — BCBS CAP: $1,411.83
  • BCBS — BCBS CHO: $1,341.24
  • BCBS — Kancare BCBS: $108.15
  • BCBS — Medicare BCBS: $564.32
  • Centene — Kancare Sunflower: $107.10
  • Humana — Medicare Humana: $564.32
  • United Healthcare — Kancare UHC: $107.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY - LEVEL 5 $1,690.36 Not listed in the file $107.10 – $1,411.83
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $564.32
  • BCBS — BCBS CAP: $1,411.83
  • BCBS — BCBS CHO: $1,341.24
  • BCBS — Kancare BCBS: $108.15
  • BCBS — Medicare BCBS: $564.32
  • Centene — Kancare Sunflower: $107.10
  • Humana — Medicare Humana: $564.32
  • United Healthcare — Kancare UHC: $107.10
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC EMERGENCY - LEVEL 5 $1,690.36 Not listed in the file Not listed in the file
Emergency room visit (high): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL TOTAL CA $328.27 Not listed in the file $8.63 – $16.87
Basic metabolic panel (blood test): rates for 5 insurance plans
  • BCBS — BCBS CAP: $16.87
  • BCBS — BCBS CHO: $16.03
  • BCBS — Kancare BCBS: $8.71
  • Centene — Kancare Sunflower: $8.63
  • United Healthcare — Kancare UHC: $8.63
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL TOTAL CA $328.27 Not listed in the file Not listed in the file
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PAN $381.80 Not listed in the file $10.77 – $19.47
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • BCBS — BCBS CAP: $19.47
  • BCBS — BCBS CHO: $18.50
  • BCBS — Kancare BCBS: $10.88
  • Centene — Kancare Sunflower: $10.77
  • United Healthcare — Kancare UHC: $10.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PAN $381.80 Not listed in the file Not listed in the file
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC PRENATAL PROF WI HEPATITIS $651.46 Not listed in the file $48.77 – $76.75
Obstetric blood test panel: rates for 5 insurance plans
  • BCBS — BCBS CAP: $76.75
  • BCBS — BCBS CHO: $72.91
  • BCBS — Kancare BCBS: $49.24
  • Centene — Kancare Sunflower: $48.77
  • United Healthcare — Kancare UHC: $48.77
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC PRENATAL PROF WI HEPATITIS $651.46 Not listed in the file Not listed in the file
Obstetric blood test panel: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL $381.65 Not listed in the file $13.66 – $37.08
Cholesterol panel (lipid panel): rates for 5 insurance plans
  • BCBS — BCBS CAP: $37.08
  • BCBS — BCBS CHO: $35.23
  • BCBS — Kancare BCBS: $13.79
  • Centene — Kancare Sunflower: $13.66
  • United Healthcare — Kancare UHC: $13.66
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $381.65 Not listed in the file Not listed in the file
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL $301.18 Not listed in the file $8.85 – $17.45
Kidney function panel: rates for 5 insurance plans
  • BCBS — BCBS CAP: $17.45
  • BCBS — BCBS CHO: $16.58
  • BCBS — Kancare BCBS: $8.94
  • Centene — Kancare Sunflower: $8.85
  • United Healthcare — Kancare UHC: $8.85
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $301.18 Not listed in the file Not listed in the file
Kidney function panel: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL $273.25 Not listed in the file $8.33 – $27.38
Liver function panel: rates for 5 insurance plans
  • BCBS — BCBS CAP: $27.38
  • BCBS — BCBS CHO: $26.01
  • BCBS — Kancare BCBS: $8.42
  • Centene — Kancare Sunflower: $8.33
  • United Healthcare — Kancare UHC: $8.33
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL $273.25 Not listed in the file Not listed in the file
Liver function panel: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC AUTO URINE DIP W MICROSCOPIC $141.75 Not listed in the file $3.23 – $8.36
Urine test (automated, with microscope): rates for 5 insurance plans
  • BCBS — BCBS CAP: $8.36
  • BCBS — BCBS CHO: $7.94
  • BCBS — Kancare BCBS: $3.27
  • Centene — Kancare Sunflower: $3.23
  • United Healthcare — Kancare UHC: $3.23
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC AUTO URINE DIP W MICROSCOPIC $141.75 Not listed in the file Not listed in the file
Urine test (automated, with microscope): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC ACETONE-URINE $49.26 Not listed in the file $3.07 – $8.88
Urine test (manual, without microscope): rates for 5 insurance plans
  • BCBS — BCBS CAP: $8.88
  • BCBS — BCBS CHO: $8.44
  • BCBS — Kancare BCBS: $3.10
  • Centene — Kancare Sunflower: $3.07
  • United Healthcare — Kancare UHC: $3.07
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC SPECIFIC-GRAVITY-URINE $82.03 Not listed in the file $3.07 – $8.88
Urine test (manual, without microscope): rates for 5 insurance plans
  • BCBS — BCBS CAP: $8.88
  • BCBS — BCBS CHO: $8.44
  • BCBS — Kancare BCBS: $3.10
  • Centene — Kancare Sunflower: $3.07
  • United Healthcare — Kancare UHC: $3.07
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC ACETONE-URINE $49.26 Not listed in the file Not listed in the file
Urine test (manual, without microscope): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC AUTO URINALYSIS W/O MICROSCOP $103.22 Not listed in the file $1.95 – $7.89
Urine test (automated, without microscope): rates for 5 insurance plans
  • BCBS — BCBS CAP: $7.89
  • BCBS — BCBS CHO: $7.50
  • BCBS — Kancare BCBS: $1.97
  • Centene — Kancare Sunflower: $1.95
  • United Healthcare — Kancare UHC: $1.95
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC AUTO URINALYSIS W/O MICROSCOP $103.22 Not listed in the file Not listed in the file
Urine test (automated, without microscope): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC ASSAY OF PSA TOTAL $160.20 Not listed in the file $18.76 – $58.36
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • BCBS — BCBS CAP: $58.36
  • BCBS — BCBS CHO: $55.44
  • BCBS — Kancare BCBS: $18.94
  • Centene — Kancare Sunflower: $18.76
  • United Healthcare — Kancare UHC: $18.76
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC ASSAY OF PSA TOTAL $160.20 Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH-THYROID-STIMULATING-HOR $263.45 Not listed in the file $16.07 – $37.75
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • BCBS — BCBS CAP: $37.75
  • BCBS — BCBS CHO: $35.86
  • BCBS — Kancare BCBS: $16.22
  • Centene — Kancare Sunflower: $16.07
  • United Healthcare — Kancare UHC: $16.07
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC TSH-THYROID-STIMULATING-HOR $263.45 Not listed in the file Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC CBC-COMPLETE-BLOOD-COUNT $196.16 Not listed in the file $6.73 – $11.47
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • BCBS — BCBS CAP: $11.47
  • BCBS — BCBS CHO: $10.90
  • BCBS — Kancare BCBS: $6.80
  • Centene — Kancare Sunflower: $6.73
  • United Healthcare — Kancare UHC: $6.73
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC-COMPLETE-BLOOD-COUNT $196.16 Not listed in the file Not listed in the file
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC CBC-WITHOUT-DIFF $190.46 Not listed in the file $6.60 – $11.94
Complete blood count (CBC), automated: rates for 5 insurance plans
  • BCBS — BCBS CAP: $11.94
  • BCBS — BCBS CHO: $11.34
  • BCBS — Kancare BCBS: $6.66
  • Centene — Kancare Sunflower: $6.60
  • United Healthcare — Kancare UHC: $6.60
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC CBC-WITHOUT-DIFF $190.46 Not listed in the file Not listed in the file
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PT-PROTHROMBIN TIME $211.36 Not listed in the file $4.38 – $13.81
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans
  • BCBS — BCBS CAP: $13.81
  • BCBS — BCBS CHO: $13.12
  • BCBS — Kancare BCBS: $4.42
  • Centene — Kancare Sunflower: $4.38
  • United Healthcare — Kancare UHC: $4.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PT-PROTHROMBIN TIME $211.36 Not listed in the file Not listed in the file
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PTT $248.83 Not listed in the file $5.36 – $19.34
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • BCBS — BCBS CAP: $19.34
  • BCBS — BCBS CHO: $18.37
  • BCBS — Kancare BCBS: $5.41
  • Centene — Kancare Sunflower: $5.36
  • United Healthcare — Kancare UHC: $5.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT $248.83 Not listed in the file Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

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: HC CT HEAD/BRAIN W/O CONTRAST $2,236.70 Not listed in the file $61.16 – $612.94
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $612.94
  • BCBS — BCBS CHO: $582.29
  • BCBS — Kancare BCBS: $110.09
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $109.02
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $109.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN W/O CONTRAST $2,236.70 Not listed in the file Not listed in the file
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI, BRAIN W/WO CONTRAST $5,415.30 Not listed in the file $210.82 – $704.95
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $328.72
  • BCBS — BCBS CAP: $704.95
  • BCBS — BCBS CHO: $669.70
  • BCBS — Kancare BCBS: $379.48
  • BCBS — Medicare BCBS: $328.72
  • Centene — Kancare Sunflower: $375.80
  • Humana — Medicare Humana: $328.72
  • United Healthcare — Kancare UHC: $375.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI, BRAIN W/WO CONTRAST $5,415.30 Not listed in the file Not listed in the file
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST 2 VIEWS $492.94 Not listed in the file $25.61 – $415.34
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $81.04
  • BCBS — BCBS CAP: $415.34
  • BCBS — BCBS CHO: $394.57
  • BCBS — Kancare BCBS: $76.07
  • BCBS — Medicare BCBS: $81.04
  • Centene — Kancare Sunflower: $75.33
  • Humana — Medicare Humana: $81.04
  • United Healthcare — Kancare UHC: $75.33
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC CHEST 2 VIEWS $492.94 Not listed in the file Not listed in the file
Chest X-ray, 2 views: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC LUMBAR SPINE 4 VIEWS $991.01 Not listed in the file $61.16 – $783.86
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $783.86
  • BCBS — BCBS CHO: $744.67
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC LUMBAR SPINE 4 VIEWS $991.01 Not listed in the file Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI, L SPINE WO CONTRAST $3,204.30 Not listed in the file $133.62 – $704.95
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $222.49
  • BCBS — BCBS CAP: $704.95
  • BCBS — BCBS CHO: $669.70
  • BCBS — Kancare BCBS: $240.53
  • BCBS — Medicare BCBS: $222.49
  • Centene — Kancare Sunflower: $238.19
  • Humana — Medicare Humana: $222.49
  • United Healthcare — Kancare UHC: $238.19
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI, L SPINE WO CONTRAST $3,204.30 Not listed in the file Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W/CONTRAST $3,568.65 Not listed in the file $103.19 – $612.94
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $163.86
  • BCBS — BCBS CAP: $612.94
  • BCBS — BCBS CHO: $582.29
  • BCBS — Kancare BCBS: $157.89
  • BCBS — Medicare BCBS: $163.86
  • Centene — Kancare Sunflower: $156.36
  • Humana — Medicare Humana: $163.86
  • United Healthcare — Kancare UHC: $156.36
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W/CONTRAST $3,568.65 Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI-LOWER EXT-JOINT WO CONTR $3,204.30 Not listed in the file $133.62 – $704.95
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $222.49
  • BCBS — BCBS CAP: $704.95
  • BCBS — BCBS CHO: $669.70
  • BCBS — Kancare BCBS: $240.53
  • BCBS — Medicare BCBS: $222.49
  • Centene — Kancare Sunflower: $238.19
  • Humana — Medicare Humana: $222.49
  • United Healthcare — Kancare UHC: $238.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI-LOWER EXT-JOINT WO CONTR $3,204.30 Not listed in the file Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD/PELVIS W CONTRAST $6,434.87 Not listed in the file $72.52 – $1,298.97
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $328.72
  • BCBS — BCBS CAP: $1,298.97
  • BCBS — BCBS CHO: $1,234.02
  • BCBS — Kancare BCBS: $322.57
  • BCBS — Medicare BCBS: $328.72
  • Centene — Kancare Sunflower: $319.43
  • Humana — Medicare Humana: $328.72
  • United Healthcare — Kancare UHC: $319.43
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABD/PELVIS W CONTRAST $6,434.87 Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC ABDOMINAL, COMPLETE PR $1,429.51 Not listed in the file $61.16 – $708.31
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $708.31
  • BCBS — BCBS CHO: $672.89
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US ABDOMINAL COMPLETE $1,429.51 Not listed in the file $61.16 – $708.31
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $708.31
  • BCBS — BCBS CHO: $672.89
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US EXAM ABDOM COMPLETE $1,051.67 Not listed in the file $61.16 – $708.31
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $708.31
  • BCBS — BCBS CHO: $672.89
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US OB >= 14 WKS SINGLE FETUS $777.13 Not listed in the file $61.16 – $523.41
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $523.41
  • BCBS — BCBS CHO: $497.24
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB >= 14 WKS SINGLE FETUS $777.13 Not listed in the file Not listed in the file
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON-OB $970.19 Not listed in the file $61.16 – $653.44
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $653.44
  • BCBS — BCBS CHO: $620.77
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC NON-OB TRANSVAG US $970.19 Not listed in the file $61.16 – $653.44
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $97.88
  • BCBS — BCBS CAP: $653.44
  • BCBS — BCBS CHO: $620.77
  • BCBS — Kancare BCBS: $93.58
  • BCBS — Medicare BCBS: $97.88
  • Centene — Kancare Sunflower: $92.67
  • Humana — Medicare Humana: $97.88
  • United Healthcare — Kancare UHC: $92.67
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON-OB $970.19 Not listed in the file Not listed in the file
Transvaginal ultrasound: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LT HEART CATH ONLY $16,823.49 Not listed in the file $2,325.56 – $12,037.34
Left heart catheterization (diagnostic): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $2,960.51
  • BCBS — BCBS CAP: $12,037.34
  • BCBS — BCBS CHO: $11,435.47
  • BCBS — Kancare BCBS: $2,348.36
  • BCBS — Medicare BCBS: $2,960.51
  • Centene — Kancare Sunflower: $2,325.56
  • Humana — Medicare Humana: $2,960.51
  • United Healthcare — Kancare UHC: $2,325.56
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC LT HEART CATH ONLY $16,823.49 Not listed in the file Not listed in the file
Left heart catheterization (diagnostic): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC TX ATRIAL FIB PULM VEIN ISOL $62,171.16 Not listed in the file $7,685.20 – $68,247.97
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $22,580.51
  • BCBS — BCBS CAP: $68,247.97
  • BCBS — BCBS CHO: $64,835.57
  • BCBS — Kancare BCBS: $7,760.55
  • BCBS — Medicare BCBS: $22,580.51
  • Centene — Kancare Sunflower: $7,685.20
  • Humana — Medicare Humana: $22,580.51
  • United Healthcare — Kancare UHC: $7,685.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC TX ATRIAL FIB PULM VEIN ISOL $62,171.16 Not listed in the file Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC SLEEP STAGING 4/MORE PARA $6,128.84 Not listed in the file $390.68 – $1,314.81
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $936.45
  • BCBS — BCBS CAP: $1,314.81
  • BCBS — BCBS CHO: $1,249.07
  • BCBS — Kancare BCBS: $872.15
  • BCBS — Medicare BCBS: $936.45
  • Centene — Kancare Sunflower: $863.69
  • Humana — Medicare Humana: $936.45
  • United Healthcare — Kancare UHC: $863.69
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC SLEEP STAGING 4/MORE PARA $6,128.84 Not listed in the file Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

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: HC C-THERAPEUTIC EXERCISES EA 15 MI $199.29 Not listed in the file $28.60 – $76.24
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • BCBS — BCBS CAP: $76.24
  • BCBS — BCBS CHO: $72.43
  • BCBS — Kancare BCBS: $28.88
  • Centene — Kancare Sunflower: $28.60
  • United Healthcare — Kancare UHC: $28.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC IP-THERAPEUTIC EXERCISES EA 15 $199.29 Not listed in the file $28.60 – $76.24
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • BCBS — BCBS CAP: $76.24
  • BCBS — BCBS CHO: $72.43
  • BCBS — Kancare BCBS: $28.88
  • Centene — Kancare Sunflower: $28.60
  • United Healthcare — Kancare UHC: $28.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC EXERCISES EA 15 MI $199.29 Not listed in the file $28.60 – $76.24
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • BCBS — BCBS CAP: $76.24
  • BCBS — BCBS CHO: $72.43
  • BCBS — Kancare BCBS: $28.88
  • Centene — Kancare Sunflower: $28.60
  • United Healthcare — Kancare UHC: $28.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC IP-PT EVAL LOW COMPLEX 20 MIN $383.05 Not listed in the file $73.26 – $179.25
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • BCBS — BCBS CAP: $179.25
  • BCBS — BCBS CHO: $170.29
  • BCBS — Kancare BCBS: $73.97
  • Centene — Kancare Sunflower: $73.26
  • United Healthcare — Kancare UHC: $73.26
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC IP-PT EVAL LOW COMPLEX 20 MIN $383.05 Not listed in the file Not listed in the file
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC IP-PT EVAL MOD COMPLEX 30 MIN $420.02 Not listed in the file $73.26 – $179.25
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • BCBS — BCBS CAP: $179.25
  • BCBS — BCBS CHO: $170.29
  • BCBS — Kancare BCBS: $73.97
  • Centene — Kancare Sunflower: $73.26
  • United Healthcare — Kancare UHC: $73.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC IP-PT EVAL MOD COMPLEX 30 MIN $420.02 Not listed in the file Not listed in the file
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC IP-PT EVAL HIGH COMPLEX 45 MIN $456.99 Not listed in the file $58.60 – $179.25
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • BCBS — BCBS CAP: $179.25
  • BCBS — BCBS CHO: $170.29
  • BCBS — Kancare BCBS: $59.17
  • Centene — Kancare Sunflower: $58.60
  • United Healthcare — Kancare UHC: $58.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC IP-PT EVAL HIGH COMPLEX 45 MIN $456.99 Not listed in the file Not listed in the file
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSY TX PT AND/OR FAM 30 MIN $251.60 Not listed in the file $86.41 – $147.89
Psychotherapy, 30 minutes: rates for 5 insurance plans
  • Aetna — Medicare Aetna: $147.89
  • BCBS — BCBS CAP: $90.96
  • BCBS — BCBS CHO: $86.41
  • BCBS — Medicare BCBS: $147.89
  • Humana — Medicare Humana: $147.89
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSY TX PT AND/OR FAM 30 MIN $251.60 Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSY TX W/PATIENT 45 MIN $327.60 Not listed in the file $147.89 – $254.53
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Aetna — Medicare Aetna: $147.89
  • BCBS — BCBS CAP: $254.53
  • BCBS — BCBS CHO: $241.80
  • BCBS — Medicare BCBS: $147.89
  • Humana — Medicare Humana: $147.89
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC IOP PSY TX W/PATIENT 45 MIN $327.60 Not listed in the file $147.89 – $254.53
Psychotherapy, 45 minutes: rates for 5 insurance plans
  • Aetna — Medicare Aetna: $147.89
  • BCBS — BCBS CAP: $254.53
  • BCBS — BCBS CHO: $241.80
  • BCBS — Medicare BCBS: $147.89
  • Humana — Medicare Humana: $147.89
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC IOP PSY TX W/PATIENT 45 MIN $327.60 Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC IOP GROUP PSYCHOTHERAPY $135.56 Not listed in the file $85.14 – $106.35
Group psychotherapy: rates for 5 insurance plans
  • Aetna — Medicare Aetna: $85.14
  • BCBS — BCBS CAP: $106.35
  • BCBS — BCBS CHO: $101.03
  • BCBS — Medicare BCBS: $85.14
  • Humana — Medicare Humana: $85.14
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC IOP GROUP PSYCHOTHERAPY $135.56 Not listed in the file Not listed in the file
Group psychotherapy: rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH $2,735.43 Not listed in the file $299.52 – $1,408.24
Upper GI endoscopy (diagnostic): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $862.97
  • BCBS — BCBS CAP: $1,408.24
  • BCBS — BCBS CHO: $1,337.83
  • BCBS — Kancare BCBS: $302.46
  • BCBS — Medicare BCBS: $862.97
  • Centene — Kancare Sunflower: $299.52
  • Humana — Medicare Humana: $862.97
  • United Healthcare — Kancare UHC: $299.52
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC EGD DIAGNOSTIC BRUSH WASH $2,735.43 Not listed in the file Not listed in the file
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLON CA SCRN NOT HI RISK IND $3,414.61 Not listed in the file $578.81 – $1,551.38
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • Aetna — Medicare Aetna: $839.17
  • BCBS — BCBS CAP: $1,551.38
  • BCBS — BCBS CHO: $1,473.81
  • BCBS — Kancare BCBS: $584.48
  • BCBS — Medicare BCBS: $839.17
  • Centene — Kancare Sunflower: $578.81
  • Humana — Medicare Humana: $839.17
  • United Healthcare — Kancare UHC: $578.81
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC COLON CA SCRN NOT HI RISK IND $3,414.61 Not listed in the file Not listed in the file
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Aetna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Cigna — Cigna Commercial: 65% (a percentage in the contract, not a dollar amount)
  • Multiplan — Multiplan Commercial: 88% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Commercial: 65% (a percentage in the contract, not a dollar amount)

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 Not listed in the file Not listed in the file $68,200.95 – $224,875.07
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 6 insurance plans
  • Aetna — Medicare Aetna: $68,200.95
  • BCBS — Kancare BCBS: $78,118.64
  • BCBS — Medicare BCBS: $68,200.95
  • Centene — Kancare Sunflower: $77,360.20
  • Humana — Medicare Humana: $68,200.95
  • United Healthcare — Kancare UHC: $77,360.20
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: OTHER HEART ASSIST SYSTEM IMPLANT Not listed in the file Not listed in the file $68,200.95 – $224,875.07
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 2 insurance plans
  • BCBS — Blue Cross CAP: $224,875.07
  • BCBS — Blue Cross Choice: $213,631.32
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 Not listed in the file Not listed in the file $14,084.39 – $45,500.23
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans
  • Aetna — Medicare Aetna: $14,084.39
  • BCBS — Kancare BCBS: $23,207.96
  • BCBS — Medicare BCBS: $14,084.39
  • Centene — Kancare Sunflower: $22,982.64
  • Humana — Medicare Humana: $14,084.39
  • United Healthcare — Kancare UHC: $22,982.64
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP & KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTR W/O MCC Not listed in the file Not listed in the file $14,084.39 – $45,500.23
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • BCBS — Blue Cross CAP: $45,500.23
  • BCBS — Blue Cross Choice: $43,225.22
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $17,615.03 – $53,817.76
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans
  • Aetna — Medicare Aetna: $17,615.03
  • BCBS — Blue Cross CAP: $53,817.76
  • BCBS — Blue Cross Choice: $51,126.88
  • BCBS — Kancare BCBS: $22,483.05
  • BCBS — Medicare BCBS: $17,615.03
  • Centene — Kancare Sunflower: $22,264.77
  • Humana — Medicare Humana: $17,615.03
  • United Healthcare — Kancare UHC: $22,264.77
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,174.86 – $23,974.46
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans
  • Aetna — Medicare Aetna: $9,342.41
  • BCBS — Kancare BCBS: $9,264.81
  • BCBS — Medicare BCBS: $9,342.41
  • Centene — Kancare Sunflower: $9,174.86
  • Humana — Medicare Humana: $9,342.41
  • United Healthcare — Kancare UHC: $9,174.86
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 WITH CC/MCC Not listed in the file Not listed in the file $9,174.86 – $23,974.46
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
  • BCBS — Blue Cross CAP: $23,974.46
  • BCBS — Blue Cross Choice: $22,775.74

Source: Stormont Vail Hospital’s standard charges file (stormontvail.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 19, 2025; 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
Address1500 SW 10th Avenue, Topeka, KS 66604
CountyShawnee County
StateKansas
Phone(785) 354‑6121
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number170086
Name in Medicare recordsSTORMONT VAIL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(785) 354‑6000[4]
Name on the hospital’s websiteStormont Vail Health Hospital
Official websitestormontvail.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Stormont Vail Hospital — stormontvail.org
  2. Stormont Vail Health Hospital - Stormont Vail Health — stormontvail.org
  3. Trauma Care - Stormont Vail Health — stormontvail.org
  4. Emergency Department - Stormont Vail Health — stormontvail.org