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Acute Care Hospital

Strong Memorial Hospital

Rochester, New York · Monroe County · Emergency services listed

Summary

Strong Memorial Hospital is an acute care hospital in Rochester, New York. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 10 services, specialties and programs. Medicare lists 3,263 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(585) 275‑2121 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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
886Beds (hospital website)
3,263Doctors and clinicians
10Services listed

Quick answers

Does Strong Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Strong Memorial Hospital. In a medical emergency, call 911.
Where is Strong Memorial Hospital?
601 Elmwood Ave, Rochester, NY 14642, in Monroe County, New York.
What is the phone number of Strong Memorial Hospital?
(585) 275-2121, as listed by Medicare (CMS).
What is the Medicare star rating of Strong Memorial Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5]

Programs and centers[5][6][7]

  • Trauma and burn care
  • Burn center (only dedicated burn center in the region)
  • Pediatric emergency department (region's only)
  • Psychiatric emergency department (area's only)
  • Toxicology (poisonings and drug overdoses)

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

Emergency roomYes

Visiting and practical information

VisitingVisiting hours 8am to 8pm, 7 days a week; up to two visitors at bedside; visitors must be over 12 and get a pass in the Main Lobby[10]
Interpreters and languagesSpanish and ASL interpreters 24/7; 200+ other languages by live remote interpreter; call (585) 275-4778[8][9]
Patient portalMyChart

Recognition[4]

  • Age-Friendly Health System, highest level of certification
  • Age-Friendly Health System certification (highest level)

Doctors and clinicians (3,263)

3,263 doctors and other clinicians list Strong Memorial 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 (3,263)

And 3,239 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Strong Memorial 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 hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean58%National average: 74%
Area around the room “always” quiet at night42%National average: 60%
Completed surveys946Response rate: 27%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.746Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.435Better than the national benchmark
Surgical site infections after colon surgery1.811Worse than the national benchmark
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections0.724No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.407Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11%
Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients10.6%
Deaths within 30 days: COPD patients9.1%
Deaths within 30 days: stroke patients11.6%
Deaths within 30 days: coronary bypass surgery (CABG)3.4%
Serious complications (patient safety indicator PSI-90)1.33Worse than 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 attack12.9%
Readmitted within 30 days: heart failure20.8%
Readmitted within 30 days: pneumonia17.8%
Readmitted within 30 days: COPD20.5%
Readmitted within 30 days: coronary bypass surgery10.4%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)247 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)5%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)45%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 RochesterBest hospitals in Rochester

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Strong Memorial 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 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $400 $200 $32.34 – $541.11
New patient office visit (about 30–44 minutes): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $130.58
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $58.87
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $62.33
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $271.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $70.65
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $336.19
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $61.81
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $106.73
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $58.87
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $193.48
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office/Outpt Visit, New, Level lII Not listed in the file Not listed in the file $37.98 – $581.33
New patient office visit (about 30–44 minutes): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $271
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $37.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $37.98
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $271
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $271
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $271
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $271
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $495 $247.50 $53.74 – $812.57
New patient office visit (about 45–59 minutes): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $376.13
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $113.42
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $102.08
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $326.84
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $115.69
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $644.83
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $119.09
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $182.57
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $198.39
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $404.78
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office/Outpt Visit, New, Level lV Not listed in the file Not listed in the file $58.03 – $581.33
New patient office visit (about 45–59 minutes): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $414
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $58.03
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $58.03
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $414
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $414
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $414
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $414
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $460 $230 $69.91 – $1,072.96
New patient office visit (about 60–74 minutes): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $285.87
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $131.90
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $139.66
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $593.39
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $158.28
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $876.74
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $138.50
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $238.53
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $131.90
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $712.47
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB Initial Comp Evaluation Not listed in the file $848.30 $120.45 – $852
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $852
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $120.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $120.45
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $852
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $852
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $852
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $852
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HB Renal Donor Evaluation Not listed in the file $2,969.05 $152.50 – $2,981
New patient office visit (about 60–74 minutes): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,981
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $421.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $421.64
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,981
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,981
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $2,981
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $2,981
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $239 $119.50 $20.67 – $442.61
Established patient office visit (about 20–29 minutes): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $186.50
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $56.01
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $50.41
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $162.06
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $57.13
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $319.18
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $49.99
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $72.45
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $115.54
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $184.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office/Outpt Visit, Est, Level III Not listed in the file $179.35 $19.92 – $236.04
Established patient office visit (about 20–29 minutes): 10 of 35 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $74.30
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $187
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $236.04
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $19.92
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $83.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $19.92
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $187
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $187
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $187
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $187
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/Outpt Visit, New, Level lII $302 Not listed in the file Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $635 $317.50 $32.33 – $623.31
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $154.30
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $69.98
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $74.10
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $239.50
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $83.98
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $399.34
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $86.45
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $111.63
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $170.07
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $162.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office/Outpt Visit, Est, Level IV Not listed in the file $259.25 $29.22 – $347.43
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $109.37
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $276
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $347.43
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $29.22
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $122.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $29.22
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $276
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $276
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $276
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $276
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/Outpt Visit, New, Level lV $461 Not listed in the file Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $555 $277.50 $48.30 – $237.88
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates
  • EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] — BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH : $48.30
  • FIDELIS [5155] — FIDELIS METAL TIERS [515501]: $103.13
  • FIDELIS [5155], FIDELIS MEDICAID [1708] — FIDELIS ESSENTIAL (W/ MEDICAID) [170804], FIDELIS ESSENTIAL : $98.01
  • FIDELIS [5155], FIDELIS MEDICAID [1708] — FIDELIS MEDICAID [170801],FIDELIS CHILD HEALTH PLUS [515502]: $98.01
  • HIGHMARK BC/BS OF WESTERN NY [5143] — BC/BS OF WESTERN NY [514301], COMMUNITY BLUE (BUFFALO NY) [5: $128.04
  • HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BS — HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (: $64.88
  • INDEPENDENT HEALTH [5156] — INDEPENDENT HEALTH (BUFFALO NY) [515601], NOVA HEALTHCARE AD: $146.10
  • INDEPENDENT HEALTH ASSOC MEDICAID [1710] — INDEPENDENT HEALTH ASSOC MEDICAID [171001]: $48.30
  • MVP [2900] — MVP PREMIER INDIVIDUAL [290002]: $158.23
  • MVP MEDICAID [1712] — MVP ESSENTIAL (W/ MEDICAID) [171204]: $85.48
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: HB Office/OP Consltj New/Est Pt Low Mdm 30 Minutes Not listed in the file $332.35 $47.14 – $581.33
Office consultation with a specialist (moderate): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $314
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $47.14
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $47.14
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $314
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $314
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $314
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $314
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: HB Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $391 Not listed in the file Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $305 $152.50 $75.62 – $339.16
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates
  • EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] — BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH : $75.62
  • FIDELIS [5155] — FIDELIS METAL TIERS [515501]: $175.51
  • FIDELIS [5155], FIDELIS MEDICAID [1708] — FIDELIS ESSENTIAL (W/ MEDICAID) [170804], FIDELIS ESSENTIAL : $149.51
  • FIDELIS [5155], FIDELIS MEDICAID [1708] — FIDELIS MEDICAID [170801],FIDELIS CHILD HEALTH PLUS [515502]: $149.51
  • HIGHMARK BC/BS OF WESTERN NY [5143] — BC/BS OF WESTERN NY [514301], COMMUNITY BLUE (BUFFALO NY) [5: $191.94
  • HIGHMARK BC/BS OF WESTERN NY MEDICAID [1702], AMERIGROUP (BS — HIGHMARK BC/BS OF WESTERN NY MEDICAID [170201], AMERIGROUP (: $111.50
  • INDEPENDENT HEALTH [5156] — INDEPENDENT HEALTH (BUFFALO NY) [515601], NOVA HEALTHCARE AD: $280.97
  • INDEPENDENT HEALTH ASSOC MEDICAID [1710] — INDEPENDENT HEALTH ASSOC MEDICAID [171001]: $75.62
  • MVP [2900] — MVP PREMIER INDIVIDUAL [290002]: $240.22
  • MVP MEDICAID [1712] — MVP ESSENTIAL (W/ MEDICAID) [171204]: $129.78
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: HB Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes Not listed in the file $498.10 $70.78 – $581.33
Office consultation with a specialist (moderate to high): 10 of 32 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $152.50
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $472
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $581.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $70.78
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $434.26
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $70.78
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $472
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $472
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $472
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $472
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: HB Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $586 Not listed in the file Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $640 $320 $35.34 – $628.78
Preventive checkup, new patient, age 18–39: 10 of 30 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $149.28
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $68.23
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $72.24
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $309.87
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $81.88
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $221.75
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $140.58
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $139.91
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $222.46
  • EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] — BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH : $35.34
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: HB Ped New Wcc, 18-39 Years Not listed in the file $323.85 $47.94 – $342
Preventive checkup, new patient, age 18–39: 10 of 28 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $342
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $300.71
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $47.94
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $201.80
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $47.94
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $342
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $342
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $342
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $342
  • FIDELIS [5155] — FIDELIS METAL TIERS [515501]: $342
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: HB Initial Preventive Medicine New Pt Age 18-39yrs Not listed in the file $323.85 $47.94 – $342
Preventive checkup, new patient, age 18–39: 10 of 28 insurance plan rates
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $342
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $300.71
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $47.94
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $201.80
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $47.94
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $342
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $342
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $342
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $342
  • FIDELIS [5155] — FIDELIS METAL TIERS [515501]: $342
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $294 $147 $43.42 – $724.91
Preventive checkup, new patient, age 40–64: 10 of 30 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $181.04
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $97.53
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $87.78
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $281.01
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $99.48
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $550.84
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $170.62
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $199.38
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $135.70
  • EXCELLUS BC/BS MEDICAID [1706], EXCELLUS BC/BS [2201] — BLUE CHOICE OPTION MEDICAID [170601], EXCELLUS CHILD HEALTH : $68.28
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: HB Initial Preventive Medicine New Patient 40-64yrs Not listed in the file $374.85 $55.51 – $396
Preventive checkup, new patient, age 40–64: 10 of 30 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $161.35
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $396
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $348.19
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $55.51
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $233.66
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $55.51
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $396
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $396
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $396
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $396
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HB Initial Preventive Medicine New Patient 40-64yrs $441 Not listed in the file Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM $150 $75 $27.57 – $341.72
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $133.78
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $67.02
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $60.32
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $176.50
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $68.36
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $196.05
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $70.37
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $92
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $123.70
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $236.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB Cpep Triage/Screening-Level 3 Not listed in the file $1,951.60 $277.15 – $1,847
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $393.19
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $1,847
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $353.87
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,249.04
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $277.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $933.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $277.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $327.66
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $1,847
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $1,847
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HB Medical Visit Fee III Not listed in the file $1,811.35 $257.23 – $1,714
Emergency room visit (moderate): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $393.19
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $1,714
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $353.87
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,249.04
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $257.23
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $933.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $257.23
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $327.66
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $1,714
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $1,714
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $590 $295 $43.07 – $582.49
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $191.62
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $114.02
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $102.62
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $297.44
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $116.30
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $495.12
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $119.72
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $168.52
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $179.21
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $335.23
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB Cpep Triage/Screening-Level 4 Not listed in the file $3,006.45 $426.95 – $2,845
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $604.68
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,845
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $544.21
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,920.87
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $426.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,434.90
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $426.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $503.90
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,845
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,845
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HB Medical Visit Fee IV Not listed in the file $3,065.10 $435.32 – $2,901
Emergency room visit (moderately high): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $604.68
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,901
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $544.21
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,920.87
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $435.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,434.90
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $435.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $503.90
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,901
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,901
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: PR EMERGENCY DEPARTMENT VISIT HIGH MDM $855 $427.50 $67.42 – $844.50
Emergency room visit (high): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $327.76
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $165.50
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $148.95
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $578.29
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $168.81
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $411.84
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $147.71
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $244.75
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $259.83
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $212.96
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB Cpep Triage/Screening-Level 5 Not listed in the file $3,337.10 $473.96 – $3,158
Emergency room visit (high): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $870.62
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,158
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $783.56
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $2,765.68
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $473.96
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,065.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $473.96
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $725.52
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,158
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,158
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HB Medical Visit Fee V Not listed in the file $3,400 $482.86 – $3,218
Emergency room visit (high): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $870.62
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,218
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $783.56
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $2,765.68
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $482.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,065.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $482.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $725.52
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,218
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,218

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HB Basic Metabolic Panel Calcium Total Not listed in the file $39.10 $7.53 – $16.48
Basic metabolic panel (blood test): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $13.96
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $10.15
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $7.64
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $8.46
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $8.46
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $7.87
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $7.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $9.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $7.64
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $7.64
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HB Basic Metabolic Panel Calcium Total $46 Not listed in the file Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HB Comprehensive Metabolic Panel Not listed in the file $51 $9.40 – $22.73
Comprehensive metabolic panel (blood test): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $17.42
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $12.67
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $10.08
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $10.56
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $10.56
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $9.82
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $10.08
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $11.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $10.08
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $10.08
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HB Comprehensive Metabolic Panel $60 Not listed in the file Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HB Lipid Panel Not listed in the file $62.90 $7.02 – $22.09
Cholesterol panel (lipid panel): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $22.09
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $16.07
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $12.78
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $13.39
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $13.39
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $12.45
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $12.78
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $15.04
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $12.78
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $12.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HB Lipid Panel $74 Not listed in the file Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HB Renal Function Panel Not listed in the file $41.65 $7.73 – $19.53
Kidney function panel: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $14.32
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $10.42
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $8.29
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $8.68
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $8.68
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $8.07
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $8.29
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $9.75
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $8.29
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $8.29
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HB Renal Function Panel $49 Not listed in the file Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HB Hepatic Function Panel Not listed in the file $39.10 $7.27 – $16.48
Liver function panel: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $13.48
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $9.80
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $7.64
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $8.17
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $8.17
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $7.60
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $7.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $9.18
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $7.64
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $7.64
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HB Hepatic Function Panel $46 Not listed in the file Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HB Urnls Dip Stick/Tablet Reagent Auto Microscopy Not listed in the file $12.75 $2.82 – $7.13
Urine test (automated, with microscope): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $5.23
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $3.80
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3.02
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $3.17
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $3.17
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $2.95
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $3.02
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3.56
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $3.02
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3.02
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HB Urnls Dip Stick/Tablet Reagent Auto Microscopy $15 Not listed in the file Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $5 $2.50 $2 – $14.58
Urine test (manual, without microscope): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $3.48
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $3.48
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $2.44
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $3.48
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $3.48
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $2.61
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $3.65
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $4.97
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $6.49
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $14.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp Not listed in the file $11.90 $2.32 – $5.74
Urine test (manual, without microscope): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $5.74
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4.18
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2.44
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $3.48
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $3.48
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $3.24
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $2.44
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3.91
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $2.44
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2.44
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $14 Not listed in the file Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $10 $5 $1.48 – $9.43
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $2.25
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2.25
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $1.58
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $2.25
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2.25
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1.69
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $2.01
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $3.78
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $2.25
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $6.06
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy Not listed in the file $7.65 $2 – $4.55
Urine test (automated, without microscope): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $3.71
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2.70
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2.14
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2.25
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $2.25
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $2.09
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $2.14
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2.53
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $2.14
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $9 Not listed in the file Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Prostate Health Index Not listed in the file $20.40 $16.37 – $41.38
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $30.34
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $22.07
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $17.55
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $18.39
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $18.39
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $17.10
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $17.55
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $20.65
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $17.55
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $17.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HB Assay of Prostate Specific Antigen Total Not listed in the file $89.25 $16.37 – $41.38
PSA (prostate specific antigen) blood test: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $30.34
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $22.07
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $17.55
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $18.39
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $18.39
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $17.10
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $17.55
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $20.65
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $17.55
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $17.55
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HB Assay of Prostate Specific Antigen Total $105 Not listed in the file Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HB Assay of Thyroid Stimulating Hormone Tsh Not listed in the file $81.60 $10.45 – $27.72
Thyroid stimulating hormone (TSH) test: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $27.72
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $20.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $16.03
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $16.80
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $16.80
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $15.62
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $16.03
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $18.87
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $16.03
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $16.03
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HB Assay of Thyroid Stimulating Hormone Tsh $96 Not listed in the file Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HB Blood Count Complete Auto&Auto Difrntl Wbc Not listed in the file $38.25 $3.68 – $12.82
Complete blood count (CBC) with differential: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $12.82
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $9.32
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $7.38
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $7.77
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $7.77
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $7.22
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $7.38
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $8.73
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $7.38
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $7.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HB Blood Count Complete Auto&Auto Difrntl Wbc $45 Not listed in the file Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HB Blood Count Complete Automated Not listed in the file $32.30 $3.68 – $10.68
Complete blood count (CBC), automated: 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $10.68
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $7.76
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $6.17
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $6.47
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $6.47
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $6.02
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $6.17
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $7.27
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $6.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $6.17
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HB Blood Count Complete Automated $38 Not listed in the file Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: CHG PROTHROMBIN TIME $15 $7.50 $2.83 – $17.97
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $4.29
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4.29
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $3
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $4.29
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4.29
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $3.22
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $3.83
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $7.21
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $8.01
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $11.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time Not listed in the file $25.50 $3.75 – $8.89
Blood clotting time test (prothrombin time, PT): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $7.08
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $5.15
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3.75
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4.29
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $4.29
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $3.99
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $3.75
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $4.82
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $3.75
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time $30 Not listed in the file Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HB Thromboplastin Time Partial Plasma/Whole Blood Not listed in the file $30.60 $5.35 – $13.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 37 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $9.92
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $7.21
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $5.73
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $6.01
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [51490] — CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [514901]: $6.01
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $5.59
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $5.73
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $6.75
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $5.73
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $5.73
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HB Thromboplastin Time Partial Plasma/Whole Blood $36 Not listed in the file Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL $530 $265 $86.68 – $519.72
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $204.68
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $102.11
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $91.90
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $361.13
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $104.15
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $253.45
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $107.22
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $160.83
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $188.13
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $352.52
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HB CT Head/Brain W/O Contrast Material Not listed in the file $793.90 $113.76 – $479.70
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $408.59
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $151.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $121.20
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $135.91
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $479.70
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $121.20
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $358.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $121.20
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $125.84
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $121.20
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Ct head/brain w/o dye Not listed in the file $124.09 $127.08 – $258.50
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $139.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $133.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $258.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $175.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $130.50
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $142.47
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $130.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,585 $792.50 $258 – $1,550.25
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $618.65
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $303.53
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $273.18
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $816.23
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $309.60
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,550.25
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $318.71
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $508.09
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $303.53
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $630.79
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HB MRI Brain Brain Stem W/O W/Contrast Material Not listed in the file $2,680.05 $382.04 – $1,610.99
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $1,289.60
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $507.13
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $505
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $456.42
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,610.99
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,203.43
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $422.61
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $505
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Mri brain stem w/o & w/dye Not listed in the file $414.11 $424.09 – $862.64
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $464.01
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $446.90
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $862.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $767.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $767.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $585.34
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $435.49
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $435.49
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $475.41
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $435.49
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS $165 $82.50 $24.65 – $160.98
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $95.12
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $31.60
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $28.44
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $82.66
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $32.23
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $92.36
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $33.18
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $53.45
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $58.28
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $109.20
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HB Radiologic Exam Chest 2 Views Not listed in the file $371.45 $15.15 – $397.17
Chest X-ray, 2 views: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $139.23
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $125.03
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $15.15
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $112.53
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $397.17
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $296.71
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $104.19
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $15.15
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray exam chest 2 views Not listed in the file $103.30 $105.79 – $215.18
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $115.74
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $111.48
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $215.18
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $191.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $191.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $146.01
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $108.63
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $108.63
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $118.59
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $108.63
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $110 $55 $35.99 – $248.35
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $144.88
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $50.94
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $45.85
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $125.90
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $51.96
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $121.12
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $53.49
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $67.13
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $89.90
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $67.44
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HB Radex Spine Lumbosacral Minimum 4 Views Not listed in the file $501.50 $30.30 – $479.70
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $234.98
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $151.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $30.30
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $135.91
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $479.70
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $30.30
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $358.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $30.30
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $125.84
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $30.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray exam l-2 spine 4/>vws Not listed in the file $124.09 $127.08 – $258.50
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $139.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $133.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $258.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $175.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $130.50
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $142.47
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $130.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HB MRI Spinal Canal Lumbar W/O Contrast Material Not listed in the file $1,675.35 $258.58 – $1,136.25
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $743.34
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $343.25
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $505
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $308.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,090.38
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $814.53
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $286.04
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $505
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Mri lumbar spine w/o dye Not listed in the file $283.22 $290.04 – $589.98
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $317.34
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $305.64
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $589.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $524.91
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $524.91
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $400.32
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $297.84
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $297.84
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $325.15
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $297.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HB MRI Spinal Canal Lumbar W/O Contrast Material $1,971 Not listed in the file Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HB CT Pelvis W/Contrast Material Not listed in the file $1,301.35 $171.70 – $1,050.60
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $1,050.60
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $252.79
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $171.70
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $227.51
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $803.04
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $171.70
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $599.88
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $171.70
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $210.66
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $171.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Ct pelvis w/dye Not listed in the file $208.20 $213.22 – $433.70
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $233.29
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $224.68
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $433.70
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $385.87
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $385.87
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $294.29
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $218.95
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $218.95
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $239.02
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $218.95
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HB CT Pelvis W/Contrast Material $1,531 Not listed in the file 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: HB MRI Any Jt Lower Extrem W/O Contrast Matrl Not listed in the file $1,675.35 $258.58 – $1,136.25
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $852.61
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $343.25
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $505
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $308.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,090.38
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $814.53
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $505
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $286.04
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $505
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Mri jnt of lwr extre w/o dye Not listed in the file $283.22 $290.04 – $589.98
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $317.34
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $305.64
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $589.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $524.91
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $524.91
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $400.32
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $297.84
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $297.84
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $325.15
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $297.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HB MRI Any Jt Lower Extrem W/O Contrast Matrl $1,971 Not listed in the file Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $1,500 $750 $206.04 – $1,465.41
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $896.77
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $287.14
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $258.43
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $1,042.11
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $292.88
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,245.60
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $301.50
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $455.17
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $530.43
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $437.77
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HB CT Abdomen & Pelvis W/Contrast Material Not listed in the file $2,680.05 $109.01 – $1,610.99
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $1,318.01
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $507.13
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $109.01
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $456.42
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $1,610.99
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $109.01
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,203.43
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $109.01
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $422.61
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $109.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Ct abd & pelvis w/contrast Not listed in the file $414.11 $424.09 – $862.64
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $464.01
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $446.90
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $862.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $767.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $767.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $585.34
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $435.49
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $435.49
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $475.41
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $435.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $565 $282.50 $92.10 – $552.25
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $331.18
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $109.34
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $98.41
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $287.78
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $111.53
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $469.41
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $114.81
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $201.80
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $109.34
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $149.97
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HB US Abdominal Real Time W/Image Documentation Not listed in the file $631.55 $60.60 – $479.70
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $462.02
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $151.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $60.60
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $135.91
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $479.70
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $358.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $125.84
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $60.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Us exam abdom complete Not listed in the file $124.09 $127.08 – $258.50
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $139.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $133.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $258.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $175.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $130.50
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $142.47
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $130.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $660 $330 $107.14 – $642.40
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $385.15
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $130.19
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $117.17
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $334.68
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $132.79
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $642.40
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $136.70
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $195.54
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $130.19
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $174.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HB US Preg Uterus After 1st Trimest 1/1st Gestation Not listed in the file $501.50 $55.55 – $519.87
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $519.87
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $151.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $55.55
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $135.91
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $479.70
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $55.55
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $358.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $55.55
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $125.84
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $55.55
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ob us >/= 14 wks sngl fetus Not listed in the file $124.09 $127.08 – $258.50
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $139.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $133.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $258.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $175.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $130.50
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $142.47
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $130.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: CHG US TRANSVAGINAL $580 $290 $80.85 – $562.67
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $223.91
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $112.32
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $101.09
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $295.42
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $114.57
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $322.82
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $117.94
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $201.78
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $112.32
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $228.95
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HB Ultrasound Transvaginal Not listed in the file $501.50 $60.60 – $507.91
Transvaginal ultrasound: 10 of 38 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $507.91
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $151.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $60.60
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $135.91
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $479.70
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $358.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $60.60
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $125.84
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $60.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Transvaginal us non-ob Not listed in the file $124.09 $127.08 – $258.50
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $139.05
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $133.92
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $258.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $175.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $130.50
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $130.50
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $142.47
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $130.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Computer-Aided Detcj Uni Not listed in the file $441.15 $72.85 – $572.88
Diagnostic mammogram, one breast: 10 of 36 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $523.84
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $96.71
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $97.97
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $572.88
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $229.49
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $97.97
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $97.97
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $220.43
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HB Diagnostic Mammography Computer-Aided Detcj Uni $519 Not listed in the file Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $775 $387.50 $106.26 – $758
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $294.50
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $150.11
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $135.10
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $388.56
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $153.11
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $758
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $133.97
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $276.88
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $150.11
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $205.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HB Diagnostic Mammography Computer-Aided Detcj Bi Not listed in the file $586.50 $92.83 – $724.81
Diagnostic mammogram, both breasts: 10 of 36 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $667.49
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $123.23
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $97.97
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $724.81
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $292.42
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $97.97
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $97.97
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $220.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HB Diagnostic Mammography Computer-Aided Detcj Bi $690 Not listed in the file Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $630 $315 $85.75 – $613.90
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $238.90
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $120.77
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $108.69
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $421.52
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $123.19
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $613.90
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $107.79
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $224.18
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $222.22
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $166.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HB Screening Mammography Bi 2-View Breast Inc Cad Not listed in the file $586.50 $76.80 – $584.56
Screening mammogram, both breasts: 10 of 36 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $552.24
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $101.95
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $97.97
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $584.56
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $241.93
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $97.97
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $97.97
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $97.97
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $220.43
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HB Screening Mammography Bi 2-View Breast Inc Cad $690 Not listed in the file Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $35 $17.50 $11.47 – $68.77
Electrocardiogram (ECG/EKG) with reading: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $40.63
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $12.51
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $13.25
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $47.21
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $15.01
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $58.45
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $13.14
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $27.88
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $21.16
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $18.68
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: HB Ecg Routine Ecg W/Least 12 Lds W/I&R Not listed in the file $42.50 $13.34 – $50.85
Electrocardiogram (ECG/EKG) with reading: 10 of 35 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $16.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $15.15
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $50.85
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $37.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $15.15
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $15.15
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $15.15
  • FIDELIS [5155] — FIDELIS ESS PQ 1 AND 2 [515503]: $34.09
  • FIDELIS [5155] — FIDELIS ESSENTIAL PA 3 AND 4 [170804]: $34.09
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: HB Ecg Routine Ecg W/Least 12 Lds W/I&R $50 Not listed in the file Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Lt Heart Cath/Inj/Vntrclgrm/S&I Not listed in the file $12,353.05 $3,440.78 – $14,509.12
Left heart catheterization (diagnostic): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,567.40
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $11,692
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,110.66
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $14,509.12
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $11,692
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $10,838.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $11,692
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $3,806.17
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $11,692
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $11,692
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left hrt cath w/ventrclgrphy Not listed in the file $3,848.12 $3,940.86 – $8,016.13
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,311.82
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,152.84
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $8,016.13
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $7,132.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $7,132.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $5,439.28
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $4,046.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $4,046.85
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $4,417.81
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $4,046.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Lt Heart Cath/Inj/Vntrclgrm/S&I $14,533 Not listed in the file Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HB Compre Electrophysiologic W/O Arrhyt Induction Not listed in the file $18,874.25 $8,117.42 – $34,229.66
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $10,775.34
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $17,864
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $9,697.81
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $34,229.66
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $17,864
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $25,569.89
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $17,864
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $8,979.45
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $17,864
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $17,864
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive ep evaluation Not listed in the file $9,258.08 $9,481.20 – $19,285.77
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $10,373.68
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $9,991.19
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $19,285.77
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $17,158.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $17,158.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $13,086.19
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $9,736.19
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $9,736.19
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $10,628.68
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $9,736.19
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HB Compre Electrophysiologic W/O Arrhyt Induction $22,205 Not listed in the file Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Ablation Atrial Fib Not listed in the file $61,116.70 $8,680.47 – $110,664.42
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $34,836.65
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $57,845
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $31,352.98
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $110,664.42
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $8,680.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $82,667.37
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $8,680.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $29,030.54
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $57,845
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $57,845
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Compre ep eval abltj atr fib Not listed in the file $31,025.23 $31,772.94 – $64,629.53
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $34,763.79
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $33,482
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $64,629.53
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $57,501.70
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $57,501.70
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $43,853.83
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $32,627.47
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $32,627.47
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $35,618.32
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $32,627.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Ablation Atrial Fib $71,902 Not listed in the file Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $3,070 $1,535 $440.52 – $2,989.18
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $1,704.88
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $641.94
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $577.75
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $1,981.19
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $654.78
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $2,989.18
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $674.04
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $998.10
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $1,082
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $811.77
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HB Polysom 6/>Yrs Sleep 4/> Addl Param Attnd Not listed in the file $3,728.95 $516.59 – $4,589.42
Sleep study (overnight, in a sleep lab): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,444.73
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,890
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,300.26
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,589.42
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $516.59
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,428.34
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $516.59
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,203.94
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,890
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,890
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysom 6/> yrs 4/> param Not listed in the file $1,019.31 $1,043.88 – $2,123.36
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,142.14
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,100.03
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,123.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,889.18
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,889.18
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,440.79
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,071.95
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,071.95
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,170.21
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,071.95

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: HB Ot Therapeutic Px 1/> Areas Ea 15 Min Exercises Not listed in the file $84.15 $11.95 – $87
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $41.99
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $28.04
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $87
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $23.36
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $78.19
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $11.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $29.11
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $11.95
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $87
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HB Therapeutic Px 1/> Areas Each 15 Min Exercises Not listed in the file $84.15 $11.95 – $87
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $41.99
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $28.04
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $87
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $23.36
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $78.19
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $11.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $29.11
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $11.95
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $87
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HB Therapeutic Px 1/> Areas Each 15 Min Exercises $99 Not listed in the file Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $495 $247.50 $29.19 – $491.13
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $160.73
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $81.14
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $85.91
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $90.08
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $97.37
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $491.13
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $100.23
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $84
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $81.14
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $256.69
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HB Physical Therapy Evaluation Low Complex 20 Mins Not listed in the file $227.80 $32.40 – $267.33
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $142.91
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $76.01
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $237
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $63.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $267.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $32.40
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $78.93
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $32.40
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $237
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $237
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HB Physical Therapy Evaluation Low Complex 20 Mins $268 Not listed in the file Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $495 $247.50 $29.19 – $491.13
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $287.10
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $95.46
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $85.91
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $90.08
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $97.37
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $417.46
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $85.20
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $84
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $151.11
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $333.11
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HB Physical Therapy Evaluation Mod Complex 30 Mins Not listed in the file $269.45 $38.25 – $280
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $142.91
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $89.72
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $280
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $74.76
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $267.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $38.25
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $93.16
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $38.25
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $280
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $280
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HB Physical Therapy Evaluation Mod Complex 30 Mins $317 Not listed in the file Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HB Physical Therapy Evaluation High Complex 45 Mins Not listed in the file $311.10 $44.22 – $323
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $142.91
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $103.74
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $323
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $86.45
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $267.33
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $44.22
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $107.72
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $44.22
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $323
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $323
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HB Physical Therapy Evaluation High Complex 45 Mins $366 Not listed in the file Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES $405 $202.50 $23.95 – $400.49
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $190.56
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $58.79
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $62.24
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $165.59
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $70.54
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $351.43
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $61.73
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $105.61
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $108.12
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $202.60
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HB Postadmit Brief Tx Ea 16min Not listed in the file $221.85 $31.47 – $393.38
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $210
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $206
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $31.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $216.72
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $31.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $216.72
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $210
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $210
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HB Psychotherapy Patient 30 Minutes Not listed in the file $221.85 $31.47 – $393.38
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $210
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $206
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $31.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $216.72
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $31.47
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $216.72
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $210
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $210
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES $306 $153 $30.90 – $528.58
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $252.56
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $91.37
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $82.23
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $219.47
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $93.20
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $463.70
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $95.94
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $119.68
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $91.37
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $226.84
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Ph Crisis Visit (1 Hr) Not listed in the file $454.75 $71.05 – $746
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $535
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $746
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $71.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $301.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $71.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $301.85
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $535
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $535
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HB Psychotherapy Patient 45 Minutes Not listed in the file $299.20 $42.50 – $393.38
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $283
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $304
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $42.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $301.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $42.50
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $301.85
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $283
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $283
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES $690 $345 $45.19 – $782.81
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $315.64
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $114.46
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $121.19
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $322.69
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $137.35
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $686.28
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $141.39
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $179.18
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $211.16
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $465.49
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Ph Crisis Visit (2 Hr) Not listed in the file $454.75 $71.05 – $837
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $535
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $746
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $71.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $402.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $71.05
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $402.48
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $535
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $535
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HB Ph Crisis Visit (3 Hr) Not listed in the file $506.60 $79.15 – $837
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $596
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $746
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $79.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $402.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $79.15
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $402.48
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $596
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $596
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $505 $252.50 $41.18 – $502.84
Family psychotherapy, without the patient: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $231.86
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $98.57
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $88.71
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $316.98
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $100.54
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $501.26
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $87.97
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $144.59
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $181.45
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $173.38
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HB Family Psychotherapy W/O Patient Present Not listed in the file $330.65 $47.01 – $393.38
Family psychotherapy, without the patient: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $313
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $304
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $47.01
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $319.92
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $47.01
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $319.92
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $313
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $313
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psytx w/o pt 50 min Not listed in the file $210.68 $215.76 – $438.88
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $236.07
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $227.37
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $438.88
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $390.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $390.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $297.80
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $221.56
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $241.87
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $221.56
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $525 $262.50 $49.43 – $524.35
Family psychotherapy, with the patient: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $159.25
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $102.34
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $92.11
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $247.19
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $104.39
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $444.35
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $91.34
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $150.24
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $160.85
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $115.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HB Family Psychotherapy W/Patient Present Not listed in the file $343.40 $48.74 – $393.38
Family psychotherapy, with the patient: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $228.16
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $325
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $205.34
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $304
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $48.74
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $319.92
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $48.74
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $319.92
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $325
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $325
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psytx w/pt 50 min Not listed in the file $210.68 $215.76 – $438.88
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $236.07
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $227.37
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $438.88
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $390.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $390.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $297.80
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $221.56
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $221.56
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $241.87
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $221.56
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: PR GROUP PSYCHOTHERAPY $40 $20 $13.96 – $142.48
Group psychotherapy: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $37.47
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $20.57
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $21.78
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $58.16
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $24.68
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $60.22
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $21.60
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $35.54
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $20.57
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $83.74
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HB Group Psychotherapy Not listed in the file $169.15 $24.04 – $417.26
Group psychotherapy: 10 of 39 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $131.35
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $160
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $118.22
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $417.26
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $24.04
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $159.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $24.04
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $159.95
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $160
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $160
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy Not listed in the file $120.59 $123.49 – $251.19
Group psychotherapy: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $135.12
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $130.13
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $251.19
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $223.49
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $223.49
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $170.45
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $126.81
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $126.81
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $138.44
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $126.81

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 lesion Not listed in the file $4,647.56 $4,759.57 – $9,681.46
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $5,207.59
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $5,015.58
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $9,681.46
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $8,613.72
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $8,613.72
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $6,569.27
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $4,887.57
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $4,887.57
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $5,335.60
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $4,887.57
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty Not listed in the file $15,239.31 $15,606.58 – $31,745.44
Total hip replacement: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $17,075.66
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $16,446.06
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $31,745.44
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $28,244.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $28,244.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $21,540.61
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $16,026.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $16,026.32
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $17,495.40
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $16,026.32
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty Not listed in the file $15,239.31 $15,606.58 – $31,745.44
Total knee replacement: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $17,075.66
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $16,446.06
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $31,745.44
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $28,244.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $28,244.32
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $21,540.61
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $16,026.32
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $16,026.32
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $17,495.40
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $16,026.32
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $840 $420 $119.31 – $819.13
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $408.20
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $140.36
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $126.32
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $558.07
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $143.17
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $819.13
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $125.27
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $290.81
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $140.36
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $363.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthrs kne srg mnisectmy m/l Not listed in the file $3,883.81 $3,977.41 – $8,090.48
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,351.82
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,191.36
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $8,090.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $7,198.20
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $7,198.20
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $5,489.73
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $4,084.39
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $4,084.39
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $4,458.79
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $4,084.39
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,450 $725 $124.63 – $1,420.62
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $463.14
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $249.81
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $224.83
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $961.36
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $254.81
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,420.62
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $262.30
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $407.84
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $437.08
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $358.23
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids Not listed in the file $7,026.75 $7,196.09 – $14,637.61
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $7,873.47
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $7,583.17
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $14,637.61
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $13,023.27
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $13,023.27
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $9,932.23
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $7,389.63
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $7,389.63
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $8,067.01
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $7,389.63
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $595 $297.50 $71.40 – $1,359.42
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $224.79
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $90.49
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $95.81
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $296.58
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $108.59
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $285.58
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $95.02
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $206.19
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $211.98
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $238.29
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy Transoral Diagnostic Not listed in the file $3,818.20 $542.36 – $4,229.30
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,331.36
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,614
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,198.23
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,229.30
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $542.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,159.33
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $542.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,109.47
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,614
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,614
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash Not listed in the file $1,076.58 $1,102.52 – $2,242.65
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,206.31
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,161.83
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,242.65
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,995.31
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,995.31
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,521.73
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,132.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,132.18
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,235.96
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,132.18
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $670 $335 $89.25 – $1,777.71
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $327.35
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $101.21
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $107.16
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $447.54
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $121.45
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $321.20
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $125.02
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $197.82
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $238.40
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $292.58
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Edg Transoral Biopsy Single/Multiple Not listed in the file $3,818.20 $542.36 – $4,229.30
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,331.36
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,614
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,198.23
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,229.30
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $542.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,159.33
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $542.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,109.47
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,614
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,614
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple Not listed in the file $1,076.58 $1,102.52 – $2,242.65
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,206.31
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,161.83
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,242.65
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,995.31
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,995.31
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,521.73
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,132.18
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,132.18
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,235.96
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,132.18
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,655 $827.50 $91.23 – $1,662.59
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $338.39
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $134.61
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $142.52
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $446.47
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $161.53
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $879.35
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $166.28
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $264.87
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $270.56
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $357.81
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy Flx Dx W/WO Collj Specimens Not listed in the file $3,819.90 $542.49 – $4,112.69
Colonoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,294.66
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,615
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,165.19
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,112.69
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $542.49
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,072.22
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $542.49
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,078.88
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,615
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,615
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy Not listed in the file $1,103.85 $1,130.45 – $2,299.45
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,236.86
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,191.25
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,299.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $2,045.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,045.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,560.27
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,160.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,160.85
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,267.26
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,160.85
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $2,090 $1,045 $142.80 – $2,041.98
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $368
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $145.47
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $154.03
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $649.30
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $174.56
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $548.73
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $152.74
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $337.91
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $346.20
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $648.71
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy W/Biopsy Single/Multiple Not listed in the file $4,973.35 $706.36 – $5,318.81
Colonoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,674.34
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $4,707
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,506.90
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $5,318.81
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,973.19
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,395.28
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $4,707
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $4,707
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy Not listed in the file $1,420.39 $1,454.63 – $2,958.86
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,591.55
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,532.87
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,958.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $2,007.71
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,493.75
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,630.67
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,493.75
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $2,195 $1,097.50 $129.79 – $2,148.59
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $601.11
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $183.19
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $193.97
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $821.81
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $219.83
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,025.98
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $226.30
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $429.11
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $436.91
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $536.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq Not listed in the file $4,973.35 $706.36 – $5,318.81
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,674.34
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $4,707
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,506.90
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $5,318.81
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,973.19
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,395.28
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $4,707
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $4,707
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal Not listed in the file $1,420.39 $1,454.63 – $2,958.86
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,591.55
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,532.87
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,958.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $2,007.71
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,493.75
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,630.67
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,493.75
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $1,245 $622.50 $126.15 – $1,224.17
Ultrasound of the lower bowel by endoscope: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $718.01
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $185.57
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $196.49
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $623.93
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $222.69
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $702.35
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $229.24
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $369.28
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $218.32
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $704.55
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colsc Flx Prox Splenic Flxr Ndsc US Xm Not listed in the file $4,973.35 $706.36 – $5,318.81
Ultrasound of the lower bowel by endoscope: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,674.34
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $4,707
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,506.90
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $5,318.81
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,973.19
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $706.36
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,395.28
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $4,707
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $4,707
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us Not listed in the file $1,420.39 $1,454.63 – $2,958.86
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,591.55
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,532.87
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,958.86
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,632.54
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $2,007.71
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,493.75
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,493.75
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,630.67
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,493.75
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PR COLON CA SCRN NOT HI RSK IND $1,655 $827.50 $134.81 – $1,663.60
Screening colonoscopy (not high risk): 10 of 32 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $514.52
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $158.60
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $142.74
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $597.91
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $161.77
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $880.57
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $141.55
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $312.02
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $270.94
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $506.81
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon Ca Scrn Not Hi Rsk Ind Not listed in the file $2,852.60 $405.17 – $4,112.69
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,294.66
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,700
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,165.19
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,112.69
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $405.17
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,072.22
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $405.17
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,078.88
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,700
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,700
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colon ca scrn not hi rsk ind Not listed in the file $1,103.85 $1,130.45 – $2,299.45
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,236.86
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,191.25
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,299.45
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $2,045.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,045.85
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,560.27
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,160.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,160.85
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,267.26
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,160.85
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY $3,270 $1,635 $294.77 – $3,168.65
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $1,215.29
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $595.37
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $535.83
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $2,144.26
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $607.28
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,545.27
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $531.37
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $1,096.74
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $595.37
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $1,289.31
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy Not listed in the file $7,175.95 $7,348.89 – $14,948.42
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $8,040.65
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $7,744.18
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $14,948.42
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $13,299.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $13,299.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $10,143.12
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $7,546.53
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $7,546.53
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $8,238.30
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $7,546.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $2,600 $1,300 $206.56 – $2,518.12
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $1,246.65
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $406.87
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $430.80
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $1,704.34
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $488.24
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,444.73
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $427.21
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $737.41
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $774.76
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $1,343.68
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr Not listed in the file $4,249.88 $4,352.30 – $8,853.04
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,761.99
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,586.41
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $8,853.04
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $7,876.66
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $7,876.66
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $6,007.16
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $4,469.36
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $4,469.36
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $4,879.05
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $4,469.36
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HB Prostate Needle Biopsy Any Approach Not listed in the file Not listed in the file $1,150.98 – $9,240.75
Prostate biopsy: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2,908.94
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $7,670
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,618.05
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $9,240.75
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $1,150.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $6,902.94
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $1,150.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $2,424.12
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $7,670
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $7,670
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad Not listed in the file $12,617.45 $12,921.53 – $26,283.76
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $14,137.86
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $13,616.57
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $26,283.76
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $23,384.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $23,384.99
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $17,834.62
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $13,269.05
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $13,269.05
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $14,485.38
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $13,269.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $1,135 $567.50 $116.36 – $5,915.50
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $552.53
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $165.79
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $175.55
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $564.86
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $198.95
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,108
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $204.80
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $332.07
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $195.05
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $638.77
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HB Hysteroscopy Bx Endometrium&/Polypc W/WO D&C Not listed in the file $12,465.25 $3,401.33 – $14,342.76
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,515.04
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $11,798
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,063.53
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $14,342.76
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $11,798
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $10,714.18
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $11,798
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $3,762.53
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $11,798
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $11,798
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy Not listed in the file $3,842.42 $3,935.02 – $8,004.25
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $4,305.43
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $4,146.68
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $8,004.25
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $7,121.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $7,121.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $5,431.22
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $4,040.85
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $4,040.85
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $4,411.26
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $4,040.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $485 $242.50 $55.11 – $1,216.57
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $183.07
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $86.26
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $77.63
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $323.01
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $87.99
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $479.15
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $76.99
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $167.42
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $173.44
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $325
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HB Plc Cath Interlaminar Lmbr/Sac W/Img Not listed in the file $3,048.95 $433.06 – $3,123.93
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $983.40
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,886
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $885.06
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $3,123.93
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $433.06
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $2,333.61
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $433.06
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $819.50
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,886
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,886
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac Not listed in the file $837.87 $858.06 – $1,745.39
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $938.83
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $904.22
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $1,745.39
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,552.90
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,552.90
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,184.32
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $881.14
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $881.14
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $961.91
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $881.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $545 $272.50 $45.08 – $1,165.56
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $174.20
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $96.25
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $86.63
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $270.40
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $98.18
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $456.73
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $101.06
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $159.74
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $81.81
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $185.84
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HB Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl Not listed in the file $3,951.65 $561.21 – $4,016.06
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,264.24
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $3,740
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,137.81
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $4,016.06
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $561.21
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $3,000.04
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $561.21
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,053.53
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $3,740
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $3,740
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file $1,049.86 $1,075.16 – $2,186.98
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $1,176.36
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $1,132.99
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $2,186.98
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,945.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,945.79
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $1,483.96
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $1,104.07
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $1,104.07
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $1,205.28
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $1,104.07
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery Not listed in the file $2,317.85 $2,373.71 – $4,828.39
Carpal tunnel release: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2,597.16
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,501.40
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $4,828.39
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $4,295.88
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $4,295.88
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $3,276.26
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $2,437.56
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $2,437.56
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $2,661
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $2,437.56
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: PR POST-CATARACT LASER SURGERY $1,615 $807.50 $116.59 – $1,585.09
Laser treatment of clouding after cataract surgery: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $870.75
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $264.96
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $238.46
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $1,011.88
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $270.26
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $1,482.23
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $278.21
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $437.32
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $225.22
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $1,005.35
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HB Post-Cataract Laser Surgery Not listed in the file $2,425.05 $344.48 – $2,474.71
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $779.03
  • AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) [1720] — AMERIGROUP (BSWNY ALTERNATE) [172001]: $2,296
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $701.13
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405], MVP COMMERCIAL PPO F: $2,474.71
  • EXCELLUS [2201] — EXCELLUS ESSENTIAL (NO MEDICAID) [220109]: $344.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,848.64
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS CHILD HEALTH PLUS [220108], EXCELLUS ESS Q 1 2 [220: $344.48
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $649.19
  • EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID [1706] — BLUE CHOICE OPTION MEDICAID [170601],: $2,296
  • EXCELLUS MEDICAID [1706] — EXCELLUS ESSENTIAL (W/ MEDICAID) [170604]: $2,296
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery Not listed in the file $652.84 $668.57 – $1,359.95
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $731.51
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $704.53
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $1,359.95
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $1,209.96
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $1,209.96
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $922.78
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $686.55
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $686.55
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $749.49
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $686.55
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file $2,739.35 $2,805.37 – $5,706.42
Cataract removal with lens implant: 10 of 16 insurance plan rates
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $3,069.44
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,956.27
  • CIGNA [5144] — CIGNA HEALTHCARE (POB 182223) [514405]: $5,706.42
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201] — EXCELLUS HIGH PERFORMANCE [220103]: $5,077.07
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS B: $5,077.07
  • EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS — EXCELLUS METAL TIERS [220102]: $3,872.04
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $2,880.82
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $2,880.82
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $3,144.89
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $2,880.82

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $11,870 $5,935 $1,509.54 – $11,474.09
Vaginal delivery, with care before and after: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $3,747.87
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2,078.59
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $1,870.73
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $5,817.45
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,120.16
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $9,752.98
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $2,182.52
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $3,510.51
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $4,153.29
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $9,324.42
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $13,190 $6,595 $1,509.54 – $12,704.53
Cesarean delivery (C-section), with care before and after: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $4,133.76
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2,310.97
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $2,079.87
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $6,416.42
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,357.19
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $7,289.01
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $2,062.54
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $3,881.02
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $2,310.97
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $6,215.10
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $12,435 $6,217.50 $1,509.54 – $11,975.38
Vaginal delivery after a previous C-section, with care before and after: 10 of 35 insurance plan rates
  • AETNA [2700] — AETNA [270002], AETNA CHICKERING [270001], AETNA UR [270003]: $4,602.95
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $2,176.20
  • CAPITAL DISTRICT PHYSICIANS (CDPHP) MEDICAID [1704] — CAPITAL DISTRICT PHYSICIANS MEDICAID [170401]: $1,958.58
  • CAPITAL DISTRICT PHYSICIANS HEALTH PLAN (CDPHP) [5149] — CAPITAL DISTRICT PHYSICIANS (CDPHP) [514901]: $8,121.43
  • CDPHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $2,219.72
  • CIGNA [5144] — CIGNA (DESMOINES IA) [514401], CIGNA HEALTHCARE (POB 182223): $10,179.07
  • ELDERPLAN [1316] — ELDERPLAN [131601]: $2,285.01
  • EMPIRE PLAN UHC [5180] — EMPIRE PLAN UHC [518001]: $3,680.11
  • EXCELLUS BC/BS [2201] — EXCELLUS METAL TIERS [220102],UNIVERA METAL TIERS INDIVIDUAL: $3,684.53
  • EXCELLUS BC/BS [2201], EXCELLUS FEDERAL [2202], BC/BS OUT OF — EXCELLUS BC/BS [220101],EXCELLUS UR [220105],EXCELLUS SIMPLY: $7,517.72

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 $109,457.17 $118,471.29 – $172,910.99
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $172,910.99
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $128,773.14
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $127,764.25
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $128,773.14
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $128,773.14
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $131,348.60
  • INDEPENDENT HEALTH MEDICARE [1305] — INDEPENDENT HEALTH MEDICARE [130501]: $128,773.14
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $128,773.14
  • MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] — MEDICARE BLUE CHOICE [130601]: $118,471.29
  • MVP MEDICARE [1307] — MVP MEDICARE [130701]: $128,773.14
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $45,116.62 – $64,653.38
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $49,039.81
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 $22,552.08 $24,409.31 – $34,093.31
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $34,093.31
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $26,531.86
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $25,917.41
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $26,531.86
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $26,531.86
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $27,062.49
  • INDEPENDENT HEALTH MEDICARE [1305] — INDEPENDENT HEALTH MEDICARE [130501]: $26,531.86
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $26,531.86
  • MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] — MEDICARE BLUE CHOICE [130601]: $24,409.31
  • MVP MEDICARE [1307] — MVP MEDICARE [130701]: $26,531.86
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 $28,221.89 $30,546.05 – $43,149.98
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $43,149.98
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $33,202.23
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $33,453.47
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $33,202.23
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $33,202.23
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $33,866.27
  • INDEPENDENT HEALTH MEDICARE [1305] — INDEPENDENT HEALTH MEDICARE [130501]: $33,202.23
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $33,202.23
  • MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] — MEDICARE BLUE CHOICE [130601]: $30,546.05
  • MVP MEDICARE [1307] — MVP MEDICARE [130701]: $33,202.23
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 $14,937 $16,167.10 – $21,929.37
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • AETNA [2700] — AETNA [270002]: $21,929.37
  • AETNA MEDICARE [1300] — AETNA MEDICARE [130001]: $17,572.94
  • CAPITAL DISTRICT PHP MEDICARE [1320] — CDPHP MEDICARE [132001]: $16,548.43
  • FIDELIS MEDICARE [1311] — FIDELIS MEDICARE [131101]: $17,572.94
  • HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] — HIGHMARK BCBS MEDICARE [130101]: $17,572.94
  • HUMANA MEDICARE [1312] — HUMANA MEDICARE [131201]: $17,924.40
  • INDEPENDENT HEALTH MEDICARE [1305] — INDEPENDENT HEALTH MEDICARE [130501]: $17,572.94
  • MARTINS POINT [1205] — US FAMILY PLAN AT MARTIN'S POINT [120501]: $17,572.94
  • MEDICARE BLUE CHOICE BLUE CROSS BLUE SHIELD [1306] — MEDICARE BLUE CHOICE [130601]: $16,167.10
  • MVP MEDICARE [1307] — MVP MEDICARE [130701]: $17,572.94

Source: Strong Memorial Hospital’s standard charges file (urmc.rochester.edu, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address601 Elmwood Ave, Rochester, NY 14642
CountyMonroe County
StateNew York
Phone(585) 275‑2121
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number330285
Name in Medicare recordsSTRONG MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(585) 275‑2100[4]
Official websiteurmc.rochester.edu
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. Strong Memorial Hospital - URMC — urmc.rochester.edu
  2. About Us - Strong Memorial Hospital — urmc.rochester.edu
  3. Emergency Department - Strong Memorial Hospital - URochester Medicine — urmc.rochester.edu
  4. Emergency Department - Strong Memorial Hospital - URochester Medicine — urmc.rochester.edu
  5. Interpreter Services - Strong Memorial Hospital - URochester Medicine — urmc.rochester.edu
  6. Disability Services - Strong Memorial Hospital - URochester Medicine — urmc.rochester.edu
  7. Visiting Information - Patients & Families - Strong Memorial Hospital - URochester Medicine — urmc.rochester.edu