Does Summa Health System have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Summa Health System. In a medical emergency, call 911.

Where is Summa Health System?

525 East Market Street, Akron, OH 44309, in Summit County, Ohio.

What is the phone number of Summa Health System?

(330) 375-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Summa Health System?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Summa Health System for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Summa Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.5667; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Summa Health System — Phone, Address, ER & Ratings

Quick answers

Does Summa Health System have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Summa Health System. In a medical emergency, call 911.
Where is Summa Health System?: 525 East Market Street, Akron, OH 44309, in Summit County, Ohio.
What is the phone number of Summa Health System?: (330) 375-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Summa Health System?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Summa Health System for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Summa Health System under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.5667; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[3]

Cancer Treatment/Oncology
Cardiovascular/Heart
Ear, Nose and Throat (ENT)
Endocrinology
Digestive Health/Gastroenterology
General Surgery
Interventional Radiology
Pulmonary/Lung
Maternity/Childbirth
Mental Health/Behavioral Health
Neurology/Neurosurgery
Plastic and Reconstructive Surgery
Primary Care and Family Medicine
Rehabilitation/Physical and Occupational Therapy
Senior Health
Urology
Weight Loss Management and Bariatric Surgery
Women's Health
Wound Care
Emergency Care
Home Care
Hospice
Imaging Services
Laboratory Services

Programs and centers^[3]

Diabetes Education

Emergency care (hospital website)^[3]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 1

Visiting and practical information

Visiting	General visiting hours 8 a.m.-10 p.m.; maternity has separate visitation rules. Guidelines may change, so check before visiting^[3]
Patient portal	MyChart

Doctors and clinicians (1,322)

1,322 doctors and other clinicians list Summa Health System as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,298 more: the button below opens the full list.

Other hospitals near Akron

All hospitals in Akron · Hospitals in Summit County · Hospitals near me

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 Summa Health System 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 hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	2 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	3 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	78%National average: 80%
“Always” got help as soon as they wanted	55%National average: 64%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	63%National average: 73%
Completed surveys	3,979Response rate: 18%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	1.246No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.874No different from the national benchmark
Surgical site infections after colon surgery	0.794No different from the national benchmark
Surgical site infections after abdominal hysterectomy	2.632Worse than the national benchmark
MRSA bloodstream infections	0.47No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	1.034No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.7%
Deaths within 30 days: heart failure patients	10.1%
Deaths within 30 days: pneumonia patients	12.7%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	8.2%
Deaths within 30 days: coronary bypass surgery (CABG)	3.5%
Serious complications (patient safety indicator PSI-90)	2.01Worse than the national rate
Complications after hip or knee replacement	3.5%

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	14.4%
Readmitted within 30 days: heart attack	15.3%
Readmitted within 30 days: heart failure	20.6%
Readmitted within 30 days: pneumonia	18.4%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	10.7%
Readmitted within 30 days: hip or knee replacement	5.2%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.5667Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Hospital Readmissions Reduction Program

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

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

Heart attack	1.1357More readmissions than expected
Heart failure	0.9880Fewer readmissions than expected
Pneumonia	1.0691More readmissions than expected
COPD (chronic lung disease)	0.9923Fewer readmissions than expected
Hip or knee replacement	1.0536More readmissions than expected
Coronary bypass surgery (CABG)	1.1053More readmissions than expected

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

Hospital Value-Based Purchasing Program

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

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

Total Performance Score	26.92 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	35.00 out of 100
Person and community engagement (patient survey)	26.00 out of 100
Safety (infections and sepsis care)	46.67 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio	1.02Above the national median hospital (1.00): Medicare spent more

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

ER wait times and Medicare ratings nearby

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

ER wait times in Akron Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Summa Health System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 84 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ov New Pt Level 3	$219	$219	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ov New Pt Level 4	$329	$329	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ov New Pt Level 5	$435	$435	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ov Est Pt Level 3	$178	$178	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Summary Conf 20-29Min	$243.50	$243.50	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ov Est Pt Level 4	$253	$253	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Summary Conf 30-39Min	$343.50	$343.50	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Sv Preventive Ov New 18-39 Yrs	$266	$266	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iv Preventive Ov New 18-39 Years	$266	$266	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Sv Preventive Ov New 40-64 Yrs	$236	$236	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Iv Preventive Ov New 40-64 Years	$236	$236	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$236.97 – $1,147.12
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Exchange: $387.39 Aetna — Medicare Managed Care Plan: $258.26 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $910.43 BCBS — Anthem Pathway Exchange: $405.71 Buckeye Health Plan — Ambetter Exchange: $477.78 Buckeye Health Plan — Medicare Managed Care Plan: $322.82 Caresource — Medicare Managed Care Plan: $271.17 Cigna — All Commercial Plans: $893.13 Cigna — Medicare Managed Care Plan: $266.01 Medical Mutual — ACA Exchange: $673.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Level 3 Emergency Exam	$1,667.25	$1,667.25	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc Ed Level 3 Emergency Exam M25	$1,667.25	$1,667.25	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$362.23 – $1,753.45
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Exchange: $592.14 Aetna — Medicare Managed Care Plan: $394.76 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1,391.65 BCBS — Anthem Pathway Exchange: $620.15 Buckeye Health Plan — Ambetter Exchange: $730.31 Buckeye Health Plan — Medicare Managed Care Plan: $493.45 Caresource — Medicare Managed Care Plan: $414.50 Cigna — All Commercial Plans: $1,365.20 Cigna — Medicare Managed Care Plan: $406.61 Medical Mutual — ACA Exchange: $1,029.09
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Level 4 Emergency Exam	$2,864.25	$2,864.25	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc Ed Level 4 Emergency Exam M25	$2,864.25	$2,864.25	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$516.98 – $2,502.58
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Exchange: $845.13 Aetna — Medicare Managed Care Plan: $563.42 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1,986.21 BCBS — Anthem Pathway Exchange: $885.09 Buckeye Health Plan — Ambetter Exchange: $1,042.32 Buckeye Health Plan — Medicare Managed Care Plan: $704.27 Caresource — Medicare Managed Care Plan: $591.59 Cigna — All Commercial Plans: $1,948.47 Cigna — Medicare Managed Care Plan: $580.32 Medical Mutual — ACA Exchange: $1,468.75
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed Level 5 Emergency Exam	$4,350.50	$4,350.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ed No Notify Trauma Level 1 W/O Cc	$16,665.50	$16,665.50	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$4.56 – $26.06
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $26.06 Aetna — Exchange: $12.69 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $4.56 BCBS — Anthem Pathway Exchange: $13.54 Buckeye Health Plan — Ambetter Exchange: $15.65 Buckeye Health Plan — Medicare Managed Care Plan: $10.58 Caresource — Medicare Managed Care Plan: $8.88 Cigna — All Commercial Plans: $14.89 Cigna — Medicare Managed Care Plan: $8.71 Medical Mutual — ACA Exchange: $15.06
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel	$5.19	$5.19	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$5.69 – $32.53
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $32.53 Aetna — Exchange: $15.84 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $5.69 BCBS — Anthem Pathway Exchange: $16.90 Buckeye Health Plan — Ambetter Exchange: $19.54 Buckeye Health Plan — Medicare Managed Care Plan: $13.20 Caresource — Medicare Managed Care Plan: $11.09 Cigna — All Commercial Plans: $18.59 Cigna — Medicare Managed Care Plan: $10.88 Medical Mutual — ACA Exchange: $18.80
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Met Panel	$8.07	$8.07	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$25.77 – $147.26
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $147.26 Aetna — Exchange: $71.72 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $25.77 BCBS — Anthem Pathway Exchange: $76.50 Buckeye Health Plan — Ambetter Exchange: $88.45 Buckeye Health Plan — Medicare Managed Care Plan: $59.76 Caresource — Medicare Managed Care Plan: $50.20 Cigna — All Commercial Plans: $84.15 Cigna — Medicare Managed Care Plan: $49.24 Medical Mutual — ACA Exchange: $85.10
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Obstetric Panel - Bundled Charge	$172.25	$172.25	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$7.22 – $41.23
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $41.23 Aetna — Exchange: $20.08 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $7.22 BCBS — Anthem Pathway Exchange: $21.42 Buckeye Health Plan — Ambetter Exchange: $24.77 Buckeye Health Plan — Medicare Managed Care Plan: $16.74 Caresource — Medicare Managed Care Plan: $14.06 Cigna — All Commercial Plans: $23.57 Cigna — Medicare Managed Care Plan: $13.79 Medical Mutual — ACA Exchange: $23.83
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$154.75	$154.75	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel	$3.14	$3.14	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$4.68 – $26.72
Kidney function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $26.72 Aetna — Exchange: $13.02 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $4.68 BCBS — Anthem Pathway Exchange: $13.89 Buckeye Health Plan — Ambetter Exchange: $16.06 Buckeye Health Plan — Medicare Managed Care Plan: $10.85 Caresource — Medicare Managed Care Plan: $9.11 Cigna — All Commercial Plans: $15.28 Cigna — Medicare Managed Care Plan: $8.94 Medical Mutual — ACA Exchange: $15.45
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Function Panel	$5.59	$5.59	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$4.40 – $25.18
Liver function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $25.18 Aetna — Exchange: $12.26 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $4.40 BCBS — Anthem Pathway Exchange: $13.07 Buckeye Health Plan — Ambetter Exchange: $15.11 Buckeye Health Plan — Medicare Managed Care Plan: $10.21 Caresource — Medicare Managed Care Plan: $8.58 Cigna — All Commercial Plans: $14.38 Cigna — Medicare Managed Care Plan: $8.42 Medical Mutual — ACA Exchange: $14.54
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel	$5.60	$5.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$1.71 – $9.78
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $9.78 Aetna — Exchange: $4.76 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1.71 BCBS — Anthem Pathway Exchange: $5.07 Buckeye Health Plan — Ambetter Exchange: $5.86 Buckeye Health Plan — Medicare Managed Care Plan: $3.96 Caresource — Medicare Managed Care Plan: $3.33 Cigna — All Commercial Plans: $5.58 Cigna — Medicare Managed Care Plan: $3.27 Medical Mutual — ACA Exchange: $5.64
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Complete	$77.50	$77.50	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$1.88 – $10.70
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $10.70 Aetna — Exchange: $5.22 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1.88 BCBS — Anthem Pathway Exchange: $5.57 Buckeye Health Plan — Ambetter Exchange: $6.44 Buckeye Health Plan — Medicare Managed Care Plan: $4.35 Caresource — Medicare Managed Care Plan: $3.65 Cigna — All Commercial Plans: $6.12 Cigna — Medicare Managed Care Plan: $3.58 Medical Mutual — ACA Exchange: $6.19
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urine Dipstick	$1.24	$1.24	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.21 – $6.93
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6.93 Aetna — Exchange: $3.38 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1.21 BCBS — Anthem Pathway Exchange: $3.60 Buckeye Health Plan — Ambetter Exchange: $4.16 Buckeye Health Plan — Medicare Managed Care Plan: $2.81 Caresource — Medicare Managed Care Plan: $2.36 Cigna — All Commercial Plans: $3.96 Cigna — Medicare Managed Care Plan: $2.32 Medical Mutual — ACA Exchange: $4
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Autom Urinalysis Wo Micro	$3.53	$3.53	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$9.91 – $56.63
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $56.63 Aetna — Exchange: $27.58 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $9.91 BCBS — Anthem Pathway Exchange: $29.42 Buckeye Health Plan — Ambetter Exchange: $34.02 Buckeye Health Plan — Medicare Managed Care Plan: $22.99 Caresource — Medicare Managed Care Plan: $19.31 Cigna — All Commercial Plans: $32.37 Cigna — Medicare Managed Care Plan: $18.94 Medical Mutual — ACA Exchange: $32.73
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$190.88	$190.88	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prostate Specific Antigen,Total - Psa	$148.75	$148.75	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$9.06 – $51.74
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $51.74 Aetna — Exchange: $25.20 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $9.06 BCBS — Anthem Pathway Exchange: $26.88 Buckeye Health Plan — Ambetter Exchange: $31.08 Buckeye Health Plan — Medicare Managed Care Plan: $21 Caresource — Medicare Managed Care Plan: $17.64 Cigna — All Commercial Plans: $29.57 Cigna — Medicare Managed Care Plan: $17.30 Medical Mutual — ACA Exchange: $29.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$196.25	$196.25	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Tsh Nbs	$183	$183	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$4.19 – $23.95
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $23.95 Aetna — Exchange: $11.66 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $4.19 BCBS — Anthem Pathway Exchange: $12.43 Buckeye Health Plan — Ambetter Exchange: $14.37 Buckeye Health Plan — Medicare Managed Care Plan: $9.71 Caresource — Medicare Managed Care Plan: $8.16 Cigna — All Commercial Plans: $13.68 Cigna — Medicare Managed Care Plan: $8 Medical Mutual — ACA Exchange: $13.83
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Compl Cbc W Plt W Autom Diff	$3.50	$3.50	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$3.49 – $19.94
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $19.94 Aetna — Exchange: $9.70 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3.49 BCBS — Anthem Pathway Exchange: $10.35 Buckeye Health Plan — Ambetter Exchange: $11.97 Buckeye Health Plan — Medicare Managed Care Plan: $8.09 Caresource — Medicare Managed Care Plan: $6.79 Cigna — All Commercial Plans: $11.39 Cigna — Medicare Managed Care Plan: $6.66 Medical Mutual — ACA Exchange: $11.52
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Compl Autom Cbc W Plt	$3.51	$3.51	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$2.31 – $13.21
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $13.21 Aetna — Exchange: $6.44 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $2.31 BCBS — Anthem Pathway Exchange: $6.86 Buckeye Health Plan — Ambetter Exchange: $7.94 Buckeye Health Plan — Medicare Managed Care Plan: $5.36 Caresource — Medicare Managed Care Plan: $4.50 Cigna — All Commercial Plans: $7.55 Cigna — Medicare Managed Care Plan: $4.42 Medical Mutual — ACA Exchange: $7.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$77	$77	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prothrombin Time	$66	$66	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$3.24 – $18.52
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $18.52 Aetna — Exchange: $9.02 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3.24 BCBS — Anthem Pathway Exchange: $9.62 Buckeye Health Plan — Ambetter Exchange: $11.12 Buckeye Health Plan — Medicare Managed Care Plan: $7.51 Caresource — Medicare Managed Care Plan: $6.31 Cigna — All Commercial Plans: $10.58 Cigna — Medicare Managed Care Plan: $6.19 Medical Mutual — ACA Exchange: $10.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Noncdm Charge Record	$82	$82	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Aptt	$1.68	$1.68	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$90.76 – $439.33
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $323.98 Aetna — Exchange: $148.36 Aetna — Medicare Managed Care Plan: $98.91 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $348.68 BCBS — Anthem Pathway Exchange: $155.38 Buckeye Health Plan — Ambetter Exchange: $182.98 Buckeye Health Plan — Medicare Managed Care Plan: $123.64 Caresource — Medicare Managed Care Plan: $103.85 Cigna — All Commercial Plans: $342.05 Cigna — Medicare Managed Care Plan: $101.88
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast	$1,945.75	$1,945.75	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$302.86 – $1,466.06
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,088.66 Aetna — Exchange: $495.09 Aetna — Medicare Managed Care Plan: $330.06 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1,163.56 BCBS — Anthem Pathway Exchange: $518.51 Buckeye Health Plan — Ambetter Exchange: $610.61 Buckeye Health Plan — Medicare Managed Care Plan: $412.58 Caresource — Medicare Managed Care Plan: $346.56 Cigna — All Commercial Plans: $1,141.45 Cigna — Medicare Managed Care Plan: $339.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain Combo - Mri Brain W Wo Contrast	$4,620.50	$4,620.50	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$75.55 – $365.70
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $98.02 Aetna — Exchange: $123.50 Aetna — Medicare Managed Care Plan: $82.33 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $290.25 BCBS — Anthem Pathway Exchange: $129.34 Buckeye Health Plan — Ambetter Exchange: $152.32 Buckeye Health Plan — Medicare Managed Care Plan: $102.92 Caresource — Medicare Managed Care Plan: $86.45 Cigna — All Commercial Plans: $284.73 Cigna — Medicare Managed Care Plan: $84.80
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$530	$530	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Radiologic Exam Chest 2 Views - Xr Chest 2 Views	$73.25	$73.25	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$90.76 – $439.33
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $162.23 Aetna — Exchange: $148.36 Aetna — Medicare Managed Care Plan: $98.91 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $348.68 BCBS — Anthem Pathway Exchange: $155.38 Buckeye Health Plan — Ambetter Exchange: $182.98 Buckeye Health Plan — Medicare Managed Care Plan: $123.64 Caresource — Medicare Managed Care Plan: $103.85 Cigna — All Commercial Plans: $342.05 Cigna — Medicare Managed Care Plan: $101.88
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views	$618.25	$618.25	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$207.13 – $1,002.67
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $624.87 Aetna — Exchange: $338.60 Aetna — Medicare Managed Care Plan: $225.74 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $795.78 BCBS — Anthem Pathway Exchange: $354.62 Buckeye Health Plan — Ambetter Exchange: $417.61 Buckeye Health Plan — Medicare Managed Care Plan: $282.17 Caresource — Medicare Managed Care Plan: $237.02 Cigna — All Commercial Plans: $780.66 Cigna — Medicare Managed Care Plan: $232.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast	$2,344.50	$2,344.50	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$152.27 – $778.32
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $778.32 Aetna — Exchange: $248.91 Aetna — Medicare Managed Care Plan: $165.94 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $585 BCBS — Anthem Pathway Exchange: $260.69 Buckeye Health Plan — Ambetter Exchange: $306.99 Buckeye Health Plan — Medicare Managed Care Plan: $207.43 Caresource — Medicare Managed Care Plan: $174.24 Cigna — All Commercial Plans: $573.88 Cigna — Medicare Managed Care Plan: $170.92
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast	$1,881.75	$1,881.75	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$207.13 – $1,002.67
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $704.20 Aetna — Exchange: $338.60 Aetna — Medicare Managed Care Plan: $225.74 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $795.78 BCBS — Anthem Pathway Exchange: $354.62 Buckeye Health Plan — Ambetter Exchange: $417.61 Buckeye Health Plan — Medicare Managed Care Plan: $282.17 Caresource — Medicare Managed Care Plan: $237.02 Cigna — All Commercial Plans: $780.66 Cigna — Medicare Managed Care Plan: $232.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Uni	$2,483	$2,483	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Hc Mri Jnt Of Lwr Extre W/O Dye Mri Any Jt Low Ext Wo Cont Bil	$4,226.68	$4,226.68	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$302.86 – $1,466.06
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $1,087.13 Aetna — Exchange: $495.09 Aetna — Medicare Managed Care Plan: $330.06 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1,163.56 BCBS — Anthem Pathway Exchange: $518.51 Buckeye Health Plan — Ambetter Exchange: $610.61 Buckeye Health Plan — Medicare Managed Care Plan: $412.58 Caresource — Medicare Managed Care Plan: $346.56 Cigna — All Commercial Plans: $1,141.45 Cigna — Medicare Managed Care Plan: $339.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast	$4,369.50	$4,369.50	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$90.76 – $439.33
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $354.79 Aetna — Exchange: $148.36 Aetna — Medicare Managed Care Plan: $98.91 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $348.68 BCBS — Anthem Pathway Exchange: $155.38 Buckeye Health Plan — Ambetter Exchange: $182.98 Buckeye Health Plan — Medicare Managed Care Plan: $123.64 Caresource — Medicare Managed Care Plan: $103.85 Cigna — All Commercial Plans: $342.05 Cigna — Medicare Managed Care Plan: $101.88
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abd W Image Doc Complt	$1,149	$1,149	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$90.76 – $439.33
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — All Commercial Plans: $394.19 Aetna — Exchange: $148.36 Aetna — Medicare Managed Care Plan: $98.91 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $348.68 BCBS — Anthem Pathway Exchange: $155.38 Buckeye Health Plan — Ambetter Exchange: $182.98 Buckeye Health Plan — Medicare Managed Care Plan: $123.64 Caresource — Medicare Managed Care Plan: $103.85 Cigna — All Commercial Plans: $342.05 Cigna — Medicare Managed Care Plan: $101.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ob Us >/= 14 Wks Sngl Fetus - Us Ob 14+ Weeks Single Or First Gest	$738.25	$738.25	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$90.76 – $439.33
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — All Commercial Plans: $388.33 Aetna — Exchange: $148.36 Aetna — Medicare Managed Care Plan: $98.91 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $348.68 BCBS — Anthem Pathway Exchange: $155.38 Buckeye Health Plan — Ambetter Exchange: $182.98 Buckeye Health Plan — Medicare Managed Care Plan: $123.64 Caresource — Medicare Managed Care Plan: $103.85 Cigna — All Commercial Plans: $342.05 Cigna — Medicare Managed Care Plan: $101.88
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Echography,Transvaginal - Us Pelvis Transvaginal	$956	$956	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$382.51
Diagnostic mammogram, one breast: rates for 1 insurance plan Aetna — All Commercial Plans: $382.51
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Dx Mammo Incl Cad Uni	$487.50	$487.50	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$72.22 – $184.18
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates Aetna — Exchange: $118.06 Aetna — Medicare Managed Care Plan: $78.71 Buckeye Health Plan — Ambetter Exchange: $145.61 Buckeye Health Plan — Medicare Managed Care Plan: $98.39 Caresource — Medicare Managed Care Plan: $82.65 Cigna — Medicare Managed Care Plan: $81.07 Medical Mutual — ACA Exchange: $72.22 Medical Mutual — MedFlex Other Commercial Plan: $104.32 Medical Mutual — SuperMed HMO/POS/PPO: $122.73 SummaCare — Excludes Community Choice All Commercial Plans: $184.18
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$488.97
Diagnostic mammogram, both breasts: rates for 1 insurance plan Aetna — All Commercial Plans: $488.97
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Dx Mammo Incl Cad Bil	$647	$647	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$92.68 – $236.34
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Exchange: $151.50 Aetna — Medicare Managed Care Plan: $101 Buckeye Health Plan — Ambetter Exchange: $186.85 Buckeye Health Plan — Medicare Managed Care Plan: $126.25 Caresource — Medicare Managed Care Plan: $106.05 Cigna — Medicare Managed Care Plan: $104.03 Medical Mutual — ACA Exchange: $92.68 Medical Mutual — MedFlex Other Commercial Plan: $133.87 Medical Mutual — SuperMed HMO/POS/PPO: $157.49 SummaCare — Excludes Community Choice All Commercial Plans: $236.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$404.40
Screening mammogram, both breasts: rates for 1 insurance plan Aetna — All Commercial Plans: $404.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Scr Mammo Bi Incl Cad	$531.50	$531.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$76.42 – $194.88
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Exchange: $124.92 Aetna — Medicare Managed Care Plan: $83.28 Buckeye Health Plan — Ambetter Exchange: $154.07 Buckeye Health Plan — Medicare Managed Care Plan: $104.10 Caresource — Medicare Managed Care Plan: $87.44 Cigna — Medicare Managed Care Plan: $85.78 Medical Mutual — ACA Exchange: $76.42 Medical Mutual — MedFlex Other Commercial Plan: $110.38 Medical Mutual — SuperMed HMO/POS/PPO: $129.86 SummaCare — Excludes Community Choice All Commercial Plans: $194.88

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$2,175 – $13,623.46
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $11,911 Aetna — Exchange: $4,600.68 Aetna — Medicare Managed Care Plan: $3,067.12 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $10,812.48 BCBS — Anthem Pathway Exchange: $4,818.24 Buckeye Health Plan — Ambetter Exchange: $5,674.17 Buckeye Health Plan — Medicare Managed Care Plan: $3,833.90 Caresource — Medicare Managed Care Plan: $3,220.47 Cigna — All Commercial Plans: $10,606.99 Cigna — Medicare Managed Care Plan: $3,159.13
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cc Left Hrt Cath W/Ventrclgrphy	$10,913	$10,913	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$2,157.30 – $32,776.27
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $11,911 Aetna — Exchange: $11,068.62 Aetna — Medicare Managed Care Plan: $7,379.08 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $26,013.41 BCBS — Anthem Pathway Exchange: $11,592.07 Buckeye Health Plan — Ambetter Exchange: $13,651.30 Buckeye Health Plan — Medicare Managed Care Plan: $9,223.85 Caresource — Medicare Managed Care Plan: $7,748.04 Cigna — All Commercial Plans: $25,519.03 Cigna — Medicare Managed Care Plan: $7,600.46
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cc Ep Comp Eval Rt W/O Arr Induc	$16,084.25	$16,084.25	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$2,415.70 – $109,838.27
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $11,911 Aetna — Exchange: $37,092.64 Aetna — Medicare Managed Care Plan: $24,728.43 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $87,174.90 BCBS — Anthem Pathway Exchange: $38,846.78 Buckeye Health Plan — Ambetter Exchange: $45,747.59 Buckeye Health Plan — Medicare Managed Care Plan: $30,910.54 Caresource — Medicare Managed Care Plan: $25,964.85 Cigna — All Commercial Plans: $85,518.14 Cigna — Medicare Managed Care Plan: $25,470.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Cc Ep And Ablate Afib By Pvi	$61,475.75	$61,475.75	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$745.48 – $3,608.66
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Aetna — Exchange: $1,218.65 Aetna — Medicare Managed Care Plan: $812.43 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $2,864.07 BCBS — Anthem Pathway Exchange: $1,276.28 Buckeye Health Plan — Ambetter Exchange: $1,503 Buckeye Health Plan — Medicare Managed Care Plan: $1,015.54 Caresource — Medicare Managed Care Plan: $853.06 Cigna — All Commercial Plans: $2,809.64 Cigna — Medicare Managed Care Plan: $836.81 Medical Mutual — ACA Exchange: $2,117.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomnography 4+ Addl Param	$7,753.50	$7,753.50	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$25.57 – $65.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Exchange: $41.80 Aetna — Medicare Managed Care Plan: $27.87 Buckeye Health Plan — Ambetter Exchange: $51.56 Buckeye Health Plan — Medicare Managed Care Plan: $34.84 Caresource — Medicare Managed Care Plan: $29.26 Cigna — Medicare Managed Care Plan: $28.71 Medical Mutual — ACA Exchange: $25.57 Medical Mutual — MedFlex Other Commercial Plan: $36.94 Medical Mutual — SuperMed HMO/POS/PPO: $43.46 SummaCare — Excludes Community Choice All Commercial Plans: $65.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Tx Proc Q15	$199.75	$199.75	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Hc Ot Therapeutic Exercises	$199.75	$199.75	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$86.12 – $219.63
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Exchange: $140.79 Aetna — Medicare Managed Care Plan: $93.86 Buckeye Health Plan — Ambetter Exchange: $173.64 Buckeye Health Plan — Medicare Managed Care Plan: $117.32 Caresource — Medicare Managed Care Plan: $98.55 Cigna — Medicare Managed Care Plan: $96.68 Medical Mutual — ACA Exchange: $86.12 Medical Mutual — MedFlex Other Commercial Plan: $124.40 Medical Mutual — SuperMed HMO/POS/PPO: $146.35 SummaCare — Excludes Community Choice All Commercial Plans: $219.63
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complex 20 Min	$745	$745	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$86.12 – $219.63
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Exchange: $140.79 Aetna — Medicare Managed Care Plan: $93.86 Buckeye Health Plan — Ambetter Exchange: $173.64 Buckeye Health Plan — Medicare Managed Care Plan: $117.32 Caresource — Medicare Managed Care Plan: $98.55 Cigna — Medicare Managed Care Plan: $96.68 Medical Mutual — ACA Exchange: $86.12 Medical Mutual — MedFlex Other Commercial Plan: $124.40 Medical Mutual — SuperMed HMO/POS/PPO: $146.35 SummaCare — Excludes Community Choice All Commercial Plans: $219.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complex 30 Min	$745	$745	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$86.12 – $219.63
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Exchange: $140.79 Aetna — Medicare Managed Care Plan: $93.86 Buckeye Health Plan — Ambetter Exchange: $173.64 Buckeye Health Plan — Medicare Managed Care Plan: $117.32 Caresource — Medicare Managed Care Plan: $98.55 Cigna — Medicare Managed Care Plan: $96.68 Medical Mutual — ACA Exchange: $86.12 Medical Mutual — MedFlex Other Commercial Plan: $124.40 Medical Mutual — SuperMed HMO/POS/PPO: $146.35 SummaCare — Excludes Community Choice All Commercial Plans: $219.63
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complex 45 Min	$745	$745	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$154.08 – $745.88
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates Aetna — Exchange: $251.89 Aetna — Medicare Managed Care Plan: $167.92 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $591.98 BCBS — Anthem Pathway Exchange: $263.80 Buckeye Health Plan — Ambetter Exchange: $310.66 Buckeye Health Plan — Medicare Managed Care Plan: $209.91 Caresource — Medicare Managed Care Plan: $176.32 Cigna — All Commercial Plans: $580.73 Cigna — Medicare Managed Care Plan: $172.96 Medical Mutual — ACA Exchange: $437.76
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Psytx W Pt 30 Mins	$203.50	$203.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Iop Psytx W Pt 30 Mins	$203.50	$203.50	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$154.08 – $745.88
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates Aetna — Exchange: $251.89 Aetna — Medicare Managed Care Plan: $167.92 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $591.98 BCBS — Anthem Pathway Exchange: $263.80 Buckeye Health Plan — Ambetter Exchange: $310.66 Buckeye Health Plan — Medicare Managed Care Plan: $209.91 Caresource — Medicare Managed Care Plan: $176.32 Cigna — All Commercial Plans: $580.73 Cigna — Medicare Managed Care Plan: $172.96 Medical Mutual — ACA Exchange: $437.76
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Psytx W Pt 45 Mins	$306	$306	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Iop Psytx W Pt 45 Mins	$306	$306	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$154.08 – $745.88
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates Aetna — Exchange: $251.89 Aetna — Medicare Managed Care Plan: $167.92 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $591.98 BCBS — Anthem Pathway Exchange: $263.80 Buckeye Health Plan — Ambetter Exchange: $310.66 Buckeye Health Plan — Medicare Managed Care Plan: $209.91 Caresource — Medicare Managed Care Plan: $176.32 Cigna — All Commercial Plans: $580.73 Cigna — Medicare Managed Care Plan: $172.96 Medical Mutual — ACA Exchange: $437.76
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Psytx W Pt 60 Mins	$331.25	$331.25	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Iop Psytx W Pt 60 Mins	$331.25	$331.25	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$154.08 – $745.88
Family psychotherapy, without the patient: 10 of 15 insurance plan rates Aetna — Exchange: $251.89 Aetna — Medicare Managed Care Plan: $167.92 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $591.98 BCBS — Anthem Pathway Exchange: $263.80 Buckeye Health Plan — Ambetter Exchange: $310.66 Buckeye Health Plan — Medicare Managed Care Plan: $209.91 Caresource — Medicare Managed Care Plan: $176.32 Cigna — All Commercial Plans: $580.73 Cigna — Medicare Managed Care Plan: $172.96 Medical Mutual — ACA Exchange: $437.76
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Family Psytx Wo Pt 50 Mins	$305	$305	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Iop Family Psytx Wo Pt 50 Mins	$305	$305	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$154.08 – $745.88
Family psychotherapy, with the patient: 10 of 15 insurance plan rates Aetna — Exchange: $251.89 Aetna — Medicare Managed Care Plan: $167.92 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $591.98 BCBS — Anthem Pathway Exchange: $263.80 Buckeye Health Plan — Ambetter Exchange: $310.66 Buckeye Health Plan — Medicare Managed Care Plan: $209.91 Caresource — Medicare Managed Care Plan: $176.32 Cigna — All Commercial Plans: $580.73 Cigna — Medicare Managed Care Plan: $172.96 Medical Mutual — ACA Exchange: $437.76
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Family Psytx W Pt 50 Mins	$231	$231	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Iop Family Psytx W Pt 50 Mins	$231	$231	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$88.19 – $426.91
Group psychotherapy: 10 of 15 insurance plan rates Aetna — Exchange: $144.17 Aetna — Medicare Managed Care Plan: $96.11 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $338.82 BCBS — Anthem Pathway Exchange: $150.99 Buckeye Health Plan — Ambetter Exchange: $177.81 Buckeye Health Plan — Medicare Managed Care Plan: $120.14 Caresource — Medicare Managed Care Plan: $100.92 Cigna — All Commercial Plans: $332.38 Cigna — Medicare Managed Care Plan: $98.99 Medical Mutual — ACA Exchange: $250.55
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Iop Group Psychotherapy	$339.75	$339.75	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chem Alcohol Iop Group Psytx	$339.75	$339.75	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$1,300 – $16,453.70
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $6,589 Aetna — Exchange: $5,556.45 Aetna — Medicare Managed Care Plan: $3,704.30 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $13,058.74 BCBS — Anthem Pathway Exchange: $5,819.22 Buckeye Health Plan — Ambetter Exchange: $6,852.96 Buckeye Health Plan — Medicare Managed Care Plan: $4,630.38 Caresource — Medicare Managed Care Plan: $3,889.52 Cigna — All Commercial Plans: $12,810.56 Cigna — Medicare Managed Care Plan: $3,815.43
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Removal Of Breast Lesion 1+	$5,042.25	$5,042.25	Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Removal Of Breast Lesion 1+	$10,599.50	$10,599.50	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$4,756 – $53,951.57
Total hip replacement: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $7,785 Aetna — Exchange: $18,219.57 Aetna — Medicare Managed Care Plan: $12,146.38 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $42,819.53 BCBS — Anthem Pathway Exchange: $19,081.19 Buckeye Health Plan — Ambetter Exchange: $22,470.81 Buckeye Health Plan — Medicare Managed Care Plan: $15,182.98 Caresource — Medicare Managed Care Plan: $12,753.70 Cigna — All Commercial Plans: $42,005.74 Cigna — Medicare Managed Care Plan: $12,510.77
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$4,756 – $53,951.57
Total knee replacement: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $7,785 Aetna — Exchange: $18,219.57 Aetna — Medicare Managed Care Plan: $12,146.38 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $42,819.53 BCBS — Anthem Pathway Exchange: $19,081.19 Buckeye Health Plan — Ambetter Exchange: $22,470.81 Buckeye Health Plan — Medicare Managed Care Plan: $15,182.98 Caresource — Medicare Managed Care Plan: $12,753.70 Cigna — All Commercial Plans: $42,005.74 Cigna — Medicare Managed Care Plan: $12,510.77
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$400 – $6,589
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans Aetna — All Commercial Plans: $6,589 Medical Mutual - ASC — ACA Exchange: $3,114 Medical Mutual - ASC — MedFlex Other Commercial Plan: $2,646.90 Medical Mutual - ASC — SuperMed HMO/POS/PPO: $3,114 Ohio Health Choice - ASC — Preferred Health Choice All Commercial Plans: $1,300 The Health Plan — HMO/POS/PPO: $2,454 UnitedHealthCare - ASC — All Commercial Plans: $400
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,600 – $13,749.82
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $8,091 Aetna — Exchange: $4,643.35 Aetna — Medicare Managed Care Plan: $3,095.56 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $10,912.76 BCBS — Anthem Pathway Exchange: $4,862.93 Buckeye Health Plan — Ambetter Exchange: $5,726.79 Buckeye Health Plan — Medicare Managed Care Plan: $3,869.46 Caresource — Medicare Managed Care Plan: $3,250.34 Cigna — All Commercial Plans: $10,705.37 Cigna — Medicare Managed Care Plan: $3,188.43
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$1,300 – $24,876.71
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $6,589 Aetna — Exchange: $8,400.92 Aetna — Medicare Managed Care Plan: $5,600.62 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $19,743.80 BCBS — Anthem Pathway Exchange: $8,798.21 Buckeye Health Plan — Ambetter Exchange: $10,361.14 Buckeye Health Plan — Medicare Managed Care Plan: $7,000.77 Caresource — Medicare Managed Care Plan: $5,880.65 Cigna — All Commercial Plans: $19,368.57 Cigna — Medicare Managed Care Plan: $5,768.63
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$750 – $3,811.39
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $3,163 Aetna — Exchange: $1,287.12 Aetna — Medicare Managed Care Plan: $858.08 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,024.97 BCBS — Anthem Pathway Exchange: $1,347.99 Buckeye Health Plan — Ambetter Exchange: $1,587.44 Buckeye Health Plan — Medicare Managed Care Plan: $1,072.60 Caresource — Medicare Managed Care Plan: $900.98 Cigna — All Commercial Plans: $2,967.48 Cigna — Medicare Managed Care Plan: $883.82
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Ugi Egd Dx W/Wo Coll/Wash	$1,650.25	$1,650.25	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ugi Egd Dx W/Wo Coll/Wash	$3,038.25	$3,038.25	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$787.36 – $5,050
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,287.12 Aetna — Medicare Managed Care Plan: $858.08 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,024.97 BCBS — Anthem Pathway Exchange: $1,347.99 Buckeye Health Plan — Ambetter Exchange: $1,587.44 Buckeye Health Plan — Medicare Managed Care Plan: $1,072.60 Caresource — Medicare Managed Care Plan: $900.98 Cigna — All Commercial Plans: $2,967.48 Cigna — Medicare Managed Care Plan: $883.82
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Ugi W Bx 1/Mx	$1,650.25	$1,650.25	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ugi W Bx 1/Mx	$2,918.25	$2,918.25	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$807.30 – $5,050
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,319.72 Aetna — Medicare Managed Care Plan: $879.81 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,101.59 BCBS — Anthem Pathway Exchange: $1,382.13 Buckeye Health Plan — Ambetter Exchange: $1,627.65 Buckeye Health Plan — Medicare Managed Care Plan: $1,099.76 Caresource — Medicare Managed Care Plan: $923.80 Cigna — All Commercial Plans: $3,042.65 Cigna — Medicare Managed Care Plan: $906.21
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Gi Colon/Diag (W Wo Brush)	$1,604.50	$1,604.50	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Gi Colon/Diag (W Wo Brush)	$3,113.50	$3,113.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$862.75 – $5,050
Colonoscopy with biopsy: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,698.17 Aetna — Medicare Managed Care Plan: $1,132.12 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,991.03 BCBS — Anthem Pathway Exchange: $1,778.48 Buckeye Health Plan — Ambetter Exchange: $2,094.41 Buckeye Health Plan — Medicare Managed Care Plan: $1,415.14 Caresource — Medicare Managed Care Plan: $1,188.72 Cigna — All Commercial Plans: $3,915.18 Cigna — Medicare Managed Care Plan: $1,166.08
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Colon Flex W Bx 1Mx	$2,075	$2,075	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Gi Colon Flex W Bx 1Mx	$3,065.50	$3,065.50	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$862.75 – $5,050
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,698.17 Aetna — Medicare Managed Care Plan: $1,132.12 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,991.03 BCBS — Anthem Pathway Exchange: $1,778.48 Buckeye Health Plan — Ambetter Exchange: $2,094.41 Buckeye Health Plan — Medicare Managed Care Plan: $1,415.14 Caresource — Medicare Managed Care Plan: $1,188.72 Cigna — All Commercial Plans: $3,915.18 Cigna — Medicare Managed Care Plan: $1,166.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Colon Flex W Rem Polyp Snare	$2,075	$2,075	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Gi Colon Flex W Rem Polyp Snare	$3,434	$3,434	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$990 – $5,050
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,698.17 Aetna — Medicare Managed Care Plan: $1,132.12 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,991.03 BCBS — Anthem Pathway Exchange: $1,778.48 Buckeye Health Plan — Ambetter Exchange: $2,094.41 Buckeye Health Plan — Medicare Managed Care Plan: $1,415.14 Caresource — Medicare Managed Care Plan: $1,188.72 Cigna — All Commercial Plans: $3,915.18 Cigna — Medicare Managed Care Plan: $1,166.08
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Gi Colonoscopy W/Endoscope Us	$4,916.75	$4,916.75	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$685 – $5,050
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $1,319.72 Aetna — Medicare Managed Care Plan: $879.81 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $3,101.59 BCBS — Anthem Pathway Exchange: $1,382.13 Buckeye Health Plan — Ambetter Exchange: $1,627.65 Buckeye Health Plan — Medicare Managed Care Plan: $1,099.76 Caresource — Medicare Managed Care Plan: $923.80 Cigna — All Commercial Plans: $3,042.65 Cigna — Medicare Managed Care Plan: $906.21
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Screen Colon No Risk	$1,604.50	$1,604.50	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Screen Colon No Risk	$6,175.25	$6,175.25	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$2,157.30 – $25,404.92
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $10,272 Aetna — Exchange: $8,579.30 Aetna — Medicare Managed Care Plan: $5,719.53 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $20,163.02 BCBS — Anthem Pathway Exchange: $8,985.02 Buckeye Health Plan — Ambetter Exchange: $10,581.14 Buckeye Health Plan — Medicare Managed Care Plan: $7,149.42 Caresource — Medicare Managed Care Plan: $6,005.51 Cigna — All Commercial Plans: $19,779.82 Cigna — Medicare Managed Care Plan: $5,891.12
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Laparoscopic Cholecystectomy	$9,377	$9,377	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$1,600 – $15,045.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $8,091 Aetna — Exchange: $5,081 Aetna — Medicare Managed Care Plan: $3,387.33 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $11,941.34 BCBS — Anthem Pathway Exchange: $5,321.29 Buckeye Health Plan — Ambetter Exchange: $6,266.57 Buckeye Health Plan — Medicare Managed Care Plan: $4,234.17 Caresource — Medicare Managed Care Plan: $3,556.70 Cigna — All Commercial Plans: $11,714.39 Cigna — Medicare Managed Care Plan: $3,488.95
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Prp I/Hern Init Reduc >5 Yr	$5,524.50	$5,524.50	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$990 – $5,050
Prostate biopsy: rates for 8 insurance plans Aetna — All Commercial Plans: $5,050 Medical Mutual - ASC — ACA Exchange: $3,114 Medical Mutual - ASC — MedFlex Other Commercial Plan: $2,646.90 Medical Mutual - ASC — SuperMed HMO/POS/PPO: $3,114 Ohio Health Choice - ASC — Preferred Health Choice All Commercial Plans: $1,100 SummaCare — Connect Exchange: $1,982 The Health Plan — HMO/POS/PPO: $1,914 UnitedHealthCare - ASC — All Commercial Plans: $990
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Bx Prostate Sing/Mult Any Appr	$3,146.75	$3,146.75	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Bx Prostate Sing/Mult Any Appr	$4,879.25	$4,879.25	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$3,227 – $44,669.40
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $10,272 Aetna — Exchange: $15,084.96 Aetna — Medicare Managed Care Plan: $10,056.64 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $35,452.58 BCBS — Anthem Pathway Exchange: $15,798.34 Buckeye Health Plan — Ambetter Exchange: $18,604.79 Buckeye Health Plan — Medicare Managed Care Plan: $12,570.80 Caresource — Medicare Managed Care Plan: $10,559.47 Cigna — All Commercial Plans: $34,778.81 Cigna — Medicare Managed Care Plan: $10,358.34
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$1,300 – $13,603.27
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $6,589 Aetna — Exchange: $4,593.86 Aetna — Medicare Managed Care Plan: $3,062.57 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $10,796.45 BCBS — Anthem Pathway Exchange: $4,811.10 Buckeye Health Plan — Ambetter Exchange: $5,665.76 Buckeye Health Plan — Medicare Managed Care Plan: $3,828.21 Caresource — Medicare Managed Care Plan: $3,215.70 Cigna — All Commercial Plans: $10,591.26 Cigna — Medicare Managed Care Plan: $3,154.45
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Hysteroscopy Biopsy	$5,488.75	$5,488.75	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$612.78 – $3,163
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $3,163 Aetna — Exchange: $1,001.73 Aetna — Medicare Managed Care Plan: $667.82 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $2,354.25 BCBS — Anthem Pathway Exchange: $1,049.10 Buckeye Health Plan — Ambetter Exchange: $1,235.46 Buckeye Health Plan — Medicare Managed Care Plan: $834.77 Caresource — Medicare Managed Care Plan: $701.21 Cigna — All Commercial Plans: $2,309.51 Cigna — Medicare Managed Care Plan: $687.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Inj Interlam Lmbr/Sac	$1,218.75	$1,218.75	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Interlam Lmbr/Sac	$2,688	$2,688	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$685 – $3,716.79
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $3,163 Aetna — Exchange: $1,255.17 Aetna — Medicare Managed Care Plan: $836.78 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $2,949.89 BCBS — Anthem Pathway Exchange: $1,314.53 Buckeye Health Plan — Ambetter Exchange: $1,548.04 Buckeye Health Plan — Medicare Managed Care Plan: $1,045.97 Caresource — Medicare Managed Care Plan: $878.62 Cigna — All Commercial Plans: $2,893.83 Cigna — Medicare Managed Care Plan: $861.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Inj Epidur Lumb/Sac 1 Lev Uni	$1,566.75	$1,566.75	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj Epidur Lumb/Sac 1 Lev Uni	$4,050.75	$4,050.75	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,100 – $8,205.87
Carpal tunnel release: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $2,771.14 Aetna — Medicare Managed Care Plan: $1,847.43 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $6,512.72 BCBS — Anthem Pathway Exchange: $2,902.19 Buckeye Health Plan — Ambetter Exchange: $3,417.74 Buckeye Health Plan — Medicare Managed Care Plan: $2,309.29 Caresource — Medicare Managed Care Plan: $1,939.80 Cigna — All Commercial Plans: $6,388.95 Cigna — Medicare Managed Care Plan: $1,902.85
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Carpal Tunnel Surgery	$3,032.25	$3,032.25	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$477.46 – $5,050
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $5,050 Aetna — Exchange: $780.51 Aetna — Medicare Managed Care Plan: $520.34 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $1,834.35 BCBS — Anthem Pathway Exchange: $817.42 Buckeye Health Plan — Ambetter Exchange: $962.63 Buckeye Health Plan — Medicare Managed Care Plan: $650.42 Caresource — Medicare Managed Care Plan: $546.36 Cigna — All Commercial Plans: $1,799.49 Cigna — Medicare Managed Care Plan: $535.95
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc After Cataract Laser Surgery	$965.50	$965.50	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Disc 2Nd Memb Catarac Laser Uni	$3,988.75	$3,988.75	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$1,925 – $10,272
Cataract removal with lens implant: 10 of 23 insurance plan rates Aetna — All Commercial Plans: $10,272 Aetna — Exchange: $3,275.07 Aetna — Medicare Managed Care Plan: $2,183.38 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $7,697.05 BCBS — Anthem Pathway Exchange: $3,429.95 Buckeye Health Plan — Ambetter Exchange: $4,039.25 Buckeye Health Plan — Medicare Managed Care Plan: $2,729.22 Caresource — Medicare Managed Care Plan: $2,292.55 Cigna — All Commercial Plans: $7,550.76 Cigna — Medicare Managed Care Plan: $2,248.88
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Asc Xcapsl Ctrc Rmvl W/O Ecp	$3,980.75	$3,980.75	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$2,435
Vaginal delivery, with care before and after: rates for 1 insurance plan SummaCare — Connect Exchange: $2,435
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$2,435
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan SummaCare — Connect Exchange: $2,435
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$2,435
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan SummaCare — Connect Exchange: $2,435

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$59,842.13 – $264,372.71
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 36 insurance plan rates Aetna — All Commercial Plans: $136,890.92 Aetna — Exchange: $102,052.65 Aetna — Medicare Managed Care Plan: $68,035.10 Aultcare — Medicare Managed Care Plan: $68,035.10 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $174,556.44 BCBS — Anthem Medicare Managed Care Plan: $68,035.10 BCBS — Anthem Pathway Exchange: $153,865.98 Buckeye Health Plan — Ambetter Exchange: $125,864.94 Buckeye Health Plan — Medicare Managed Care Plan: $71,436.86 Caresource — Medicare Managed Care Plan: $71,436.86
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$22,682.64 – $66,164.10
Spinal fusion (not neck), without major complications: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $51,887.31 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $66,164.10 Cigna — All Commercial Plans: $60,867.46 Medical Mutual — ACA Exchange: $35,423.10 Medical Mutual — MedFlex Other Commercial Plan: $51,302.05 Medical Mutual — SuperMed HMO/POS/PPO: $60,355.35 SummaCare — Connect Exchange: $22,682.64 UnitedHealthCare — All Commercial Plans: $55,545.21 Amish Church Fund — All Commercial Plans: 34.7% (a percentage in the contract, not a dollar amount) AultCare — All Commercial Plans: 48% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$11,691.99 – $51,653.27
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates Aetna — All Commercial Plans: $26,745.82 Aetna — Exchange: $20,199.24 Aetna — Medicare Managed Care Plan: $13,466.16 Aultcare — Medicare Managed Care Plan: $13,466.16 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $34,104.92 BCBS — Anthem Medicare Managed Care Plan: $13,466.16 BCBS — Anthem Pathway Exchange: $30,062.41 Buckeye Health Plan — Ambetter Exchange: $24,912.40 Buckeye Health Plan — Medicare Managed Care Plan: $14,139.47 Caresource — Medicare Managed Care Plan: $14,139.47
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$14,679.01 – $64,849.44
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates Aetna — All Commercial Plans: $33,578.73 Aetna — Exchange: $25,326.51 Aetna — Medicare Managed Care Plan: $16,884.34 Aultcare — Medicare Managed Care Plan: $16,884.34 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $42,817.91 BCBS — Anthem Medicare Managed Care Plan: $16,884.34 BCBS — Anthem Pathway Exchange: $37,742.64 Buckeye Health Plan — Ambetter Exchange: $31,236.03 Buckeye Health Plan — Medicare Managed Care Plan: $17,728.56 Caresource — Medicare Managed Care Plan: $17,728.56
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$7,432.52 – $32,835.65
Uterus and ovary surgery (not for cancer), without complications: 10 of 36 insurance plan rates Aetna — All Commercial Plans: $17,002.14 Aetna — Exchange: $13,392.84 Aetna — Medicare Managed Care Plan: $8,928.56 Aultcare — Medicare Managed Care Plan: $8,928.56 BCBS — Anthem Blue Access/Blue Preferred HMO/PPO: $21,680.28 BCBS — Anthem Medicare Managed Care Plan: $8,928.56 BCBS — Anthem Pathway Exchange: $19,110.48 Buckeye Health Plan — Ambetter Exchange: $16,517.84 Buckeye Health Plan — Medicare Managed Care Plan: $9,374.99 Caresource — Medicare Managed Care Plan: $9,374.99

Source: Summa Health System’s standard charges file (summahealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	525 East Market Street, Akron, OH 44309
County	Summit County
State	Ohio
Phone	(330) 375‑3000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	360020
Name in Medicare records	SUMMA HEALTH SYSTEM
Profile level	Medicare data + hospital website
Name on the hospital’s website	Summa Health System – Akron Campus
Official website	summahealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital

From the hospital’s website

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

Summa Health System - Akron Campus | Summa Akron Hospital Information — summahealth.org

Summa Health System

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[3]

Programs and centers^[3]

Emergency care (hospital website)^[3]

Visiting and practical information

Doctors and clinicians (1,322)

Main specialties

Doctors with a page on this site (1,322)

Other hospitals near Akron

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

Medicare payment programs

Hospital-Acquired Condition Reduction Program

Hospital Readmissions Reduction Program

Hospital Value-Based Purchasing Program

Medicare spending per patient (MSPB)

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Summa Health System

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[3]

Programs and centers[3]

Emergency care (hospital website)[3]

Visiting and practical information

Doctors and clinicians (1,322)

Main specialties

Doctors with a page on this site (1,322)

Other hospitals near Akron

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

Medicare payment programs

Hospital-Acquired Condition Reduction Program

Hospital Readmissions Reduction Program

Hospital Value-Based Purchasing Program

Medicare spending per patient (MSPB)

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[3]

Programs and centers^[3]

Emergency care (hospital website)^[3]