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Acute Care Hospital

Summa Western Reserve Hospital

Cuyahoga Falls, Ohio · Summit County · Emergency services listed

Summary

Summa Western Reserve Hospital is an acute care hospital in Cuyahoga Falls, Ohio. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 89 services, specialties and programs. Medicare lists 297 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
89Services listed

Quick answers

Does Summa Western Reserve Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Summa Western Reserve Hospital. In a medical emergency, call 911.
Where is Summa Western Reserve Hospital?
1900 23rd Street, Cuyahoga Falls, OH 44223, in Summit County, Ohio.
What is the phone number of Summa Western Reserve Hospital?
(330) 971-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Summa Western Reserve Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][7][11][12][16]

Conditions treated[13][15][17][18][19][20]

Treatments[8][9][12][14][15][17][18][19][20][21]

  • Echocardiogram
  • Stress testing
  • Holter monitor
  • Event monitor
  • Carotid ultrasound
  • Vein mapping
  • Radiofrequency ablation
  • Device implants
  • Minimally invasive spinal surgery
  • Platelet-rich plasma (PRP) therapy
  • Spinal cord stimulation
  • Nerve blocks
  • Sleep studies
  • Pulmonary function testing
  • Bronchoprovocation (methacholine) challenge
  • Arterial blood gas study
  • Six minute walk test
  • Lung cancer screening

Programs and centers[12][13][16][18][19]

  • Level III trauma center
  • Early Heart Attack Care (EHAC)
  • Lung Health Program
  • Center for Pain Medicine
  • Women's Imaging Center

Emergency care (hospital website)[4][5][6][7][16]

Emergency roomYes
Trauma designationLevel III

Visiting and practical information

ParkingFree valet parking at Western Reserve Hospital[18]
Interpreters and languagesInterpreter service free of charge if you do not speak the community's predominant language[10]

Doctors and clinicians (297)

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

Main specialties

Doctors with a page on this site (297)

And 273 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys332Response rate: 34%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)1.264No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.453No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients13.3%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients14.5%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.03No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure22%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)160 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)68%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 54 common services exactly as Summa Western Reserve Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PAT LEVEL 3 $582 $320.10 $151.32 – $276.45
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $197.88
  • AETNA - Commercial-Indemnity — Aetna: $197.88
  • AETNA - Commercial-POS — Aetna: $197.88
  • AETNA - Commercial-PPO — Aetna: $197.88
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $276.45
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $276.45
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $162.38
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $162.38
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $162.38
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $162.38
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: SP OV NEW PT LEVEL 3 $415 $228.25 $107.90 – $197.13
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $197.13
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $197.13
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $115.79
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $115.79
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $115.79
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $115.79
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $115.79
  • Summa Health Network - Commercial-PPO — Summa Health Network: $107.90
  • UMR - Commercial-PPO — United Healthcare: $157.70
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $157.70
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PT LEVEL 3 $611 $336.05 $158.86 – $290.23
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $290.23
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $290.23
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $170.47
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $170.47
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $170.47
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $170.47
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $170.47
  • Summa Health Network - Commercial-PPO — Summa Health Network: $158.86
  • UMR - Commercial-PPO — United Healthcare: $232.18
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $232.18
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: SP OV NEW PT LEVEL 4 $486 $267.30 $126.36 – $230.85
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $230.85
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $230.85
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $135.59
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $135.59
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $135.59
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $135.59
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $135.59
  • Summa Health Network - Commercial-PPO — Summa Health Network: $126.36
  • UMR - Commercial-PPO — United Healthcare: $184.68
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $184.68
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PT LEVEL 4 $716 $393.80 $186.16 – $340.10
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $340.10
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $340.10
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $199.76
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $199.76
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $199.76
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $199.76
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $199.76
  • Summa Health Network - Commercial-PPO — Summa Health Network: $186.16
  • UMR - Commercial-PPO — United Healthcare: $272.08
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $272.08
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PT LEVEL 5 $835 $459.25 $217.10 – $396.63
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $396.63
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $396.63
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $232.97
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • Summa Health Network - Commercial-PPO — Summa Health Network: $217.10
  • UMR - Commercial-PPO — United Healthcare: $317.30
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $317.30
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: SP OV NEW PT LEVEL 5 $568 $312.40 $147.68 – $269.80
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $269.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $269.80
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $158.47
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • Summa Health Network - Commercial-PPO — Summa Health Network: $147.68
  • UMR - Commercial-PPO — United Healthcare: $215.84
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $215.84
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PT LEVEL 5 $835 $459.25 $217.10 – $396.63
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $396.63
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $396.63
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $232.97
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $232.97
  • Summa Health Network - Commercial-PPO — Summa Health Network: $217.10
  • UMR - Commercial-PPO — United Healthcare: $317.30
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $317.30
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: OV NEW PT LEVEL 5 M25 $568 $312.40 $147.68 – $269.80
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $269.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $269.80
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $158.47
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $158.47
  • Summa Health Network - Commercial-PPO — Summa Health Network: $147.68
  • UMR - Commercial-PPO — United Healthcare: $215.84
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $215.84
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PAT LEVEL 3 $744 $409.20 $193.44 – $353.40
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $252.96
  • AETNA - Commercial-Indemnity — Aetna: $252.96
  • AETNA - Commercial-POS — Aetna: $252.96
  • AETNA - Commercial-PPO — Aetna: $252.96
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $353.40
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $353.40
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $207.58
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $207.58
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $207.58
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $207.58
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: SP OV EST PT LEVEL 3 $377 $207.35 $98.02 – $179.08
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $179.08
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $179.08
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $105.18
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $105.18
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $105.18
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $105.18
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $105.18
  • Summa Health Network - Commercial-PPO — Summa Health Network: $98.02
  • UMR - Commercial-PPO — United Healthcare: $143.26
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $143.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OV EST PT LEVEL 3 $556 $305.80 $144.56 – $264.10
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $264.10
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $264.10
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $155.12
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $155.12
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $155.12
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $155.12
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $155.12
  • Summa Health Network - Commercial-PPO — Summa Health Network: $144.56
  • UMR - Commercial-PPO — United Healthcare: $211.28
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $211.28
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PAT LEVEL 4 $975 $536.25 $253.50 – $463.13
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $331.50
  • AETNA - Commercial-Indemnity — Aetna: $331.50
  • AETNA - Commercial-POS — Aetna: $331.50
  • AETNA - Commercial-PPO — Aetna: $331.50
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $463.13
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $463.13
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $272.03
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $272.03
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $272.03
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $272.03
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: SP OV EST PT LEVEL 4 $440 $242 $114.40 – $209
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $209
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $209
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $122.76
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $122.76
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $122.76
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $122.76
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $122.76
  • Summa Health Network - Commercial-PPO — Summa Health Network: $114.40
  • UMR - Commercial-PPO — United Healthcare: $167.20
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $167.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OV EST PT LEVEL 4 $650 $357.50 $169 – $308.75
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $308.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $308.75
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $181.35
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $181.35
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $181.35
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $181.35
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $181.35
  • Summa Health Network - Commercial-PPO — Summa Health Network: $169
  • UMR - Commercial-PPO — United Healthcare: $247
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $247
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 $750 $412.50 $195 – $356.25
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $356.25
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $356.25
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $209.25
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $209.25
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $209.25
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $209.25
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $209.25
  • Summa Health Network - Commercial-PPO — Summa Health Network: $195
  • UMR - Commercial-PPO — United Healthcare: $285
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $285
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 $908 $499.40 $236.08 – $431.30
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $431.30
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $431.30
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $253.33
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $253.33
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $253.33
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $253.33
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $253.33
  • Summa Health Network - Commercial-PPO — Summa Health Network: $236.08
  • UMR - Commercial-PPO — United Healthcare: $345.04
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $345.04
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY SERVICE - LEVEL 3 $2,026 $1,114.30 $362.56 – $1,769
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $912
  • AETNA - Commercial-Indemnity — Aetna: $912
  • AETNA - Commercial-POS — Aetna: $912
  • AETNA - Commercial-PPO — Aetna: $912
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $362.56
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $957
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $631.58
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: EMERGENCY SERVICE LEVEL 3 M25 $2,026 $1,114.30 $362.56 – $1,769
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $912
  • AETNA - Commercial-Indemnity — Aetna: $912
  • AETNA - Commercial-POS — Aetna: $912
  • AETNA - Commercial-PPO — Aetna: $912
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $362.56
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $957
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $631.58
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $631.58
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY SERVICE - LEVEL 4 $3,291 $1,810.05 $554.19 – $2,289
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,061
  • AETNA - Commercial-Indemnity — Aetna: $1,061
  • AETNA - Commercial-POS — Aetna: $1,061
  • AETNA - Commercial-PPO — Aetna: $1,061
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $554.19
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,213
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $965.42
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: EMERGENCY SERVICE LEVEL 4 M25 $3,291 $1,810.05 $554.19 – $2,289
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,061
  • AETNA - Commercial-Indemnity — Aetna: $1,061
  • AETNA - Commercial-POS — Aetna: $1,061
  • AETNA - Commercial-PPO — Aetna: $1,061
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $554.19
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,213
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $965.42
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $965.42
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY SERVICE - LEVEL 5 $4,810 $2,645.50 $790.96 – $2,601
Emergency room visit (high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,310
  • AETNA - Commercial-Indemnity — Aetna: $1,310
  • AETNA - Commercial-POS — Aetna: $1,310
  • AETNA - Commercial-PPO — Aetna: $1,310
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $790.96
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,495
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $1,377.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: EMERGENCY SERVICE LEVEL 5 M25 $4,810 $2,645.50 $790.96 – $2,601
Emergency room visit (high): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,310
  • AETNA - Commercial-Indemnity — Aetna: $1,310
  • AETNA - Commercial-POS — Aetna: $1,310
  • AETNA - Commercial-PPO — Aetna: $1,310
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $790.96
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,495
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $1,377.86
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $1,377.86

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PROFILE $444 $244.20 $8.46 – $150.96
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $150.96
  • AETNA - Commercial-Indemnity — Aetna: $150.96
  • AETNA - Commercial-POS — Aetna: $150.96
  • AETNA - Commercial-PPO — Aetna: $150.96
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $11
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $8.46
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $8.46
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $8.46
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $8.46
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $519 $285.45 $10.56 – $176.46
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $176.46
  • AETNA - Commercial-Indemnity — Aetna: $176.46
  • AETNA - Commercial-POS — Aetna: $176.46
  • AETNA - Commercial-PPO — Aetna: $176.46
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $13.73
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $10.56
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $10.56
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $10.56
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $10.56
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PROFILE $448 $246.40 $13.39 – $152.32
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $152.32
  • AETNA - Commercial-Indemnity — Aetna: $152.32
  • AETNA - Commercial-POS — Aetna: $152.32
  • AETNA - Commercial-PPO — Aetna: $152.32
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $17.41
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $13.39
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $13.39
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $13.39
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $13.39
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $475 $261.25 $8.68 – $161.50
Kidney function panel: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $161.50
  • AETNA - Commercial-Indemnity — Aetna: $161.50
  • AETNA - Commercial-POS — Aetna: $161.50
  • AETNA - Commercial-PPO — Aetna: $161.50
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $11.28
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $8.68
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $8.68
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $8.68
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $8.68
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER/HEPATIC PROFILE $367 $201.85 $8.17 – $124.78
Liver function panel: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $124.78
  • AETNA - Commercial-Indemnity — Aetna: $124.78
  • AETNA - Commercial-POS — Aetna: $124.78
  • AETNA - Commercial-PPO — Aetna: $124.78
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $10.62
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $8.17
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $8.17
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $8.17
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $8.17
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS WITH MICRO $220 $121 $3.17 – $74.80
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $74.80
  • AETNA - Commercial-Indemnity — Aetna: $74.80
  • AETNA - Commercial-POS — Aetna: $74.80
  • AETNA - Commercial-PPO — Aetna: $74.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $4.12
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $3.17
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $3.17
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $3.17
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $3.17
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: SP URINALYSIS NON-AUTO W/O MICRO $108 $59.40 $3.48 – $36.72
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $36.72
  • AETNA - Commercial-Indemnity — Aetna: $36.72
  • AETNA - Commercial-POS — Aetna: $36.72
  • AETNA - Commercial-PPO — Aetna: $36.72
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $4.52
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: SPECIFIC GRAVITY - URINE $142 $78.10 $3.48 – $48.28
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $48.28
  • AETNA - Commercial-Indemnity — Aetna: $48.28
  • AETNA - Commercial-POS — Aetna: $48.28
  • AETNA - Commercial-PPO — Aetna: $48.28
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $4.52
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $3.48
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $147 $80.85 $2.25 – $49.98
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $49.98
  • AETNA - Commercial-Indemnity — Aetna: $49.98
  • AETNA - Commercial-POS — Aetna: $49.98
  • AETNA - Commercial-PPO — Aetna: $49.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $2.93
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS W/OUT MICRO $147 $80.85 $2.25 – $49.98
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $49.98
  • AETNA - Commercial-Indemnity — Aetna: $49.98
  • AETNA - Commercial-POS — Aetna: $49.98
  • AETNA - Commercial-PPO — Aetna: $49.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $2.93
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: PH URINE $147 $80.85 $2.25 – $49.98
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $49.98
  • AETNA - Commercial-Indemnity — Aetna: $49.98
  • AETNA - Commercial-POS — Aetna: $49.98
  • AETNA - Commercial-PPO — Aetna: $49.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $2.93
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2.25
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA $370 $203.50 $18.39 – $125.80
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $125.80
  • AETNA - Commercial-Indemnity — Aetna: $125.80
  • AETNA - Commercial-POS — Aetna: $125.80
  • AETNA - Commercial-PPO — Aetna: $125.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $23.91
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA, TOTAL $370 $203.50 $18.39 – $125.80
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $125.80
  • AETNA - Commercial-Indemnity — Aetna: $125.80
  • AETNA - Commercial-POS — Aetna: $125.80
  • AETNA - Commercial-PPO — Aetna: $125.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $23.91
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $18.39
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH- $414 $227.70 $16.80 – $140.76
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $140.76
  • AETNA - Commercial-Indemnity — Aetna: $140.76
  • AETNA - Commercial-POS — Aetna: $140.76
  • AETNA - Commercial-PPO — Aetna: $140.76
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $21.84
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $16.80
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $16.80
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $16.80
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $16.80
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC WITH DIFFERENTIAL $261 $143.55 $7.77 – $88.74
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $88.74
  • AETNA - Commercial-Indemnity — Aetna: $88.74
  • AETNA - Commercial-POS — Aetna: $88.74
  • AETNA - Commercial-PPO — Aetna: $88.74
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $10.10
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $7.77
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $7.77
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $7.77
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $7.77
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC WITHOUT DIFF $218 $119.90 $6.47 – $74.12
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $74.12
  • AETNA - Commercial-Indemnity — Aetna: $74.12
  • AETNA - Commercial-POS — Aetna: $74.12
  • AETNA - Commercial-PPO — Aetna: $74.12
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $8.41
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $6.47
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $6.47
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $6.47
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $6.47
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT) $174 $95.70 $4.29 – $59.16
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $59.16
  • AETNA - Commercial-Indemnity — Aetna: $59.16
  • AETNA - Commercial-POS — Aetna: $59.16
  • AETNA - Commercial-PPO — Aetna: $59.16
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $5.58
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME - no procedure $147 $80.85 $4.29 – $49.98
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $49.98
  • AETNA - Commercial-Indemnity — Aetna: $49.98
  • AETNA - Commercial-POS — Aetna: $49.98
  • AETNA - Commercial-PPO — Aetna: $49.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $5.58
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: POCT PROTHROMBIN TIME (PT) QW $147 $80.85 $4.29 – $49.98
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $49.98
  • AETNA - Commercial-Indemnity — Aetna: $49.98
  • AETNA - Commercial-POS — Aetna: $49.98
  • AETNA - Commercial-PPO — Aetna: $49.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $5.58
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $4.29
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIMEPTT $251 $138.05 $6.01 – $85.34
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $85.34
  • AETNA - Commercial-Indemnity — Aetna: $85.34
  • AETNA - Commercial-POS — Aetna: $85.34
  • AETNA - Commercial-PPO — Aetna: $85.34
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $7.81
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $6.01
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $6.01
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $6.01
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $6.01
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT BRAIN WO/ENHANCE $5,507 $3,028.85 $138.85 – $1,982.52
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,982.52
  • AETNA - Commercial-Indemnity — Aetna: $1,982.52
  • AETNA - Commercial-POS — Aetna: $1,982.52
  • AETNA - Commercial-PPO — Aetna: $1,982.52
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $138.85
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $968
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $241.88
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN W/WO CONT $13,570 $7,463.50 $463.36 – $4,885.20
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4,885.20
  • AETNA - Commercial-Indemnity — Aetna: $4,885.20
  • AETNA - Commercial-POS — Aetna: $4,885.20
  • AETNA - Commercial-PPO — Aetna: $4,885.20
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $463.36
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,512
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $807.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR EXAM CHEST 2 VIEWS $904 $497.20 $115.58 – $325.44
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $325.44
  • AETNA - Commercial-Indemnity — Aetna: $325.44
  • AETNA - Commercial-POS — Aetna: $325.44
  • AETNA - Commercial-PPO — Aetna: $325.44
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $115.58
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $201.35
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $201.35
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $201.35
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $201.35
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $201.35
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUMBAR SACRAL 4+ VIEWS $1,759 $967.45 $138.85 – $633.24
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $633.24
  • AETNA - Commercial-Indemnity — Aetna: $633.24
  • AETNA - Commercial-POS — Aetna: $633.24
  • AETNA - Commercial-PPO — Aetna: $633.24
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $138.85
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $241.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI SPIN CANAL LUMB WO CONT $7,855 $4,320.25 $316.90 – $2,827.80
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,827.80
  • AETNA - Commercial-Indemnity — Aetna: $2,827.80
  • AETNA - Commercial-POS — Aetna: $2,827.80
  • AETNA - Commercial-PPO — Aetna: $2,827.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $316.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,512
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $552.04
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W/ENHANCE $6,274 $3,450.70 $232.96 – $2,258.64
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,258.64
  • AETNA - Commercial-Indemnity — Aetna: $2,258.64
  • AETNA - Commercial-POS — Aetna: $2,258.64
  • AETNA - Commercial-PPO — Aetna: $2,258.64
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $232.96
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $968
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $405.82
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $405.82
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $405.82
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $405.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: MRI JT LOW EXT ANY WO CONT-B $15,711 $8,641.05 $316.90 – $5,655.96
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $5,655.96
  • AETNA - Commercial-Indemnity — Aetna: $5,655.96
  • AETNA - Commercial-POS — Aetna: $5,655.96
  • AETNA - Commercial-PPO — Aetna: $5,655.96
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $316.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,512
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $552.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MRI RT LOWER EXT JT WO $7,855 $4,320.25 $316.90 – $2,827.80
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,827.80
  • AETNA - Commercial-Indemnity — Aetna: $2,827.80
  • AETNA - Commercial-POS — Aetna: $2,827.80
  • AETNA - Commercial-PPO — Aetna: $2,827.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $316.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,512
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $552.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI LT LOWER EXT JT WO $7,855 $4,320.25 $316.90 – $2,827.80
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,827.80
  • AETNA - Commercial-Indemnity — Aetna: $2,827.80
  • AETNA - Commercial-POS — Aetna: $2,827.80
  • AETNA - Commercial-PPO — Aetna: $2,827.80
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $316.90
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,512
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $552.04
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $552.04
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN + PELVIS W/CONT $13,390 $7,364.50 $463.36 – $4,820.40
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4,820.40
  • AETNA - Commercial-Indemnity — Aetna: $4,820.40
  • AETNA - Commercial-POS — Aetna: $4,820.40
  • AETNA - Commercial-PPO — Aetna: $4,820.40
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $463.36
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $968
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $807.17
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $807.17
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ECHO ABD W/IMAGE DOC COMP $2,587 $1,422.85 $138.85 – $1,228.83
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $879.58
  • AETNA - Commercial-Indemnity — Aetna: $879.58
  • AETNA - Commercial-POS — Aetna: $879.58
  • AETNA - Commercial-PPO — Aetna: $879.58
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $138.85
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,228.83
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $241.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US OB US >= 14 WKS SNG FETUS $1,723 $947.65 $138.85 – $818.43
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $585.82
  • AETNA - Commercial-Indemnity — Aetna: $585.82
  • AETNA - Commercial-POS — Aetna: $585.82
  • AETNA - Commercial-PPO — Aetna: $585.82
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $138.85
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $818.43
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $241.88
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US ULTRASOUND TRANSVAGINAL $1,982 $1,090.10 $138.85 – $941.45
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $673.88
  • AETNA - Commercial-Indemnity — Aetna: $673.88
  • AETNA - Commercial-POS — Aetna: $673.88
  • AETNA - Commercial-PPO — Aetna: $673.88
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $138.85
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $941.45
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $241.88
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $241.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: DX MAM INCL CAD LT $690 $379.50 $179.40 – $234.60
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $234.60
  • AETNA - Commercial-Indemnity — Aetna: $234.60
  • AETNA - Commercial-POS — Aetna: $234.60
  • AETNA - Commercial-PPO — Aetna: $234.60
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $192.51
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • Summa Health Network - Commercial-PPO — Summa Health Network: $179.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: DX MAM INCL CAD RT $690 $379.50 $179.40 – $234.60
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $234.60
  • AETNA - Commercial-Indemnity — Aetna: $234.60
  • AETNA - Commercial-POS — Aetna: $234.60
  • AETNA - Commercial-PPO — Aetna: $234.60
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $192.51
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $192.51
  • Summa Health Network - Commercial-PPO — Summa Health Network: $179.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: DX MAM INCL CAD BIL $1,034 $568.70 $268.84 – $351.56
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $351.56
  • AETNA - Commercial-Indemnity — Aetna: $351.56
  • AETNA - Commercial-POS — Aetna: $351.56
  • AETNA - Commercial-PPO — Aetna: $351.56
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $288.49
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $288.49
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $288.49
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $288.49
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $288.49
  • Summa Health Network - Commercial-PPO — Summa Health Network: $268.84
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: SCR MAM BIL INCL CAD $708 $389.40 $184.08 – $240.72
Screening mammogram, both breasts: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $240.72
  • AETNA - Commercial-Indemnity — Aetna: $240.72
  • AETNA - Commercial-POS — Aetna: $240.72
  • AETNA - Commercial-PPO — Aetna: $240.72
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $197.53
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • Summa Health Network - Commercial-PPO — Summa Health Network: $184.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: SCR LT MAM S/P MASTECTOMY INCL CAD M52 $708 $389.40 $184.08 – $240.72
Screening mammogram, both breasts: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $240.72
  • AETNA - Commercial-Indemnity — Aetna: $240.72
  • AETNA - Commercial-POS — Aetna: $240.72
  • AETNA - Commercial-PPO — Aetna: $240.72
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $197.53
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • Summa Health Network - Commercial-PPO — Summa Health Network: $184.08
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: SCR RT MAM S/P MASTECTOMY INCL CAD M52 $708 $389.40 $184.08 – $240.72
Screening mammogram, both breasts: rates for 10 insurance plans
  • AETNA - Commercial-HMO — Aetna: $240.72
  • AETNA - Commercial-Indemnity — Aetna: $240.72
  • AETNA - Commercial-POS — Aetna: $240.72
  • AETNA - Commercial-PPO — Aetna: $240.72
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $197.53
  • MMO SUPERMED PLANS - Commercial-PPO — Medical Mutual of Ohio: $197.53
  • Summa Health Network - Commercial-PPO — Summa Health Network: $184.08

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $17,686 $9,727.30 $4,305.80 – $8,400.85
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $4,305.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $8,400.85
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $7,500.75
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $7,500.75
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $7,500.75
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $7,500.75
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $7,500.75
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $7,500.75
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $8,400.85
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $4,934.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: SL POLYSOMNOGRAPHY $12,601 $6,930.55 $1,140.54 – $5,985.48
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4,284.34
  • AETNA - Commercial-Indemnity — Aetna: $4,284.34
  • AETNA - Commercial-POS — Aetna: $4,284.34
  • AETNA - Commercial-PPO — Aetna: $4,284.34
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,140.54
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $5,985.48
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $1,986.83
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $1,986.83
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $1,986.83
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $1,986.83

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC PROCEDURE 15 MIN $304 $167.20 $79.04 – $237
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $103.36
  • AETNA - Commercial-Indemnity — Aetna: $103.36
  • AETNA - Commercial-POS — Aetna: $103.36
  • AETNA - Commercial-PPO — Aetna: $103.36
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $84.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC PROC 15 MIN IP CQ $304 $167.20 $79.04 – $237
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $103.36
  • AETNA - Commercial-Indemnity — Aetna: $103.36
  • AETNA - Commercial-POS — Aetna: $103.36
  • AETNA - Commercial-PPO — Aetna: $103.36
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $84.82
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT THERAPEUTIC PROCEDURE 15 MIN $304 $167.20 $79.04 – $237
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $103.36
  • AETNA - Commercial-Indemnity — Aetna: $103.36
  • AETNA - Commercial-POS — Aetna: $103.36
  • AETNA - Commercial-PPO — Aetna: $103.36
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $84.82
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $84.82
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEXITY $697 $383.35 $181.22 – $237
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $236.98
  • AETNA - Commercial-Indemnity — Aetna: $236.98
  • AETNA - Commercial-POS — Aetna: $236.98
  • AETNA - Commercial-PPO — Aetna: $236.98
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $194.46
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $194.46
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $194.46
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $194.46
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEXITY $711 $391.05 $184.86 – $241.74
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $241.74
  • AETNA - Commercial-Indemnity — Aetna: $241.74
  • AETNA - Commercial-POS — Aetna: $241.74
  • AETNA - Commercial-PPO — Aetna: $241.74
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $198.37
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $198.37
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $198.37
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $198.37
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEXITY $724 $398.20 $185 – $246.16
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $246.16
  • AETNA - Commercial-Indemnity — Aetna: $246.16
  • AETNA - Commercial-POS — Aetna: $246.16
  • AETNA - Commercial-PPO — Aetna: $246.16
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $185
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $185
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $202
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $202
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $202
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $202

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: ER EGD $4,773 $2,625.15 $1,204.62 – $2,267.18
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,622.82
  • AETNA - Commercial-Indemnity — Aetna: $1,622.82
  • AETNA - Commercial-POS — Aetna: $1,622.82
  • AETNA - Commercial-PPO — Aetna: $1,622.82
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,204.62
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,267.18
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,098.46
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD $4,916 $2,703.80 $1,204.62 – $2,098.46
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,204.62
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,098.46
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $1,371.56
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $1,371.56
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $1,371.56
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: ER EGD BIOPSY SINGLE/MULTIPLE $5,267 $2,896.85 $1,204.62 – $2,501.83
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $1,790.78
  • AETNA - Commercial-Indemnity — Aetna: $1,790.78
  • AETNA - Commercial-POS — Aetna: $1,790.78
  • AETNA - Commercial-PPO — Aetna: $1,790.78
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,204.62
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,501.83
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,098.46
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD W/BX $5,267 $2,896.85 $1,204.62 – $2,098.46
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,204.62
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,098.46
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,098.46
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $1,469.49
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $1,469.49
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $1,469.49
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY $6,514 $3,582.70 $1,235.13 – $2,151.62
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,235.13
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,151.62
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $1,817.41
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $1,817.41
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $1,817.41
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON/BX/POLYP W COLD FORCEP $6,670 $3,668.50 $1,589.33 – $2,768.62
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,589.33
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,768.62
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $1,860.93
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $1,860.93
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $1,860.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON/POLYP/SNARE $8,052 $4,428.60 $1,589.33 – $2,768.62
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,589.33
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,768.62
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,768.62
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $2,246.51
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $2,246.51
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $2,246.51
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY/SCREENING $5,303 $2,916.65 $1,235.13 – $2,151.62
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,235.13
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Commercial-PPO — Community Insurance Company: $2,151.62
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Community Insurance Company: $2,151.62
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $1,479.54
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $1,479.54
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $1,479.54
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $8,409 $4,624.95 $2,186.34 – $2,346.11
Prostate biopsy: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,633.30
  • AETNA - Commercial-Indemnity — Aetna: $2,633.30
  • AETNA - Commercial-POS — Aetna: $2,633.30
  • AETNA - Commercial-PPO — Aetna: $2,633.30
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $3,678.88
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $3,678.88
  • MEDICAL MUTUAL - Commercial-PPO — Medical Mutual of Ohio: $2,346.11
  • MEDICAL MUTUAL - Medicare-HMO — Medical Mutual of Ohio: $2,346.11
  • MEDICAL MUTUAL OF OHIO - Commercial-PPO — Medical Mutual of Ohio: $2,346.11
  • MEDICAL MUTUAL OF OHIO - Medicare Part A — Medical Mutual of Ohio: $2,346.11
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Lumbar/ Sacral Caudal Epidural with Imag $8,631 $4,747.05 $937.52 – $4,099.73
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,934.54
  • AETNA - Commercial-Indemnity — Aetna: $2,934.54
  • AETNA - Commercial-POS — Aetna: $2,934.54
  • AETNA - Commercial-PPO — Aetna: $2,934.54
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $937.52
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,099.73
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $1,633.18
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $1,633.18
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $1,633.18
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $1,633.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: CT INJ FORAMEN EPIDURAL L/S $5,895 $3,242.25 $1,174.72 – $2,800.13
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,004.30
  • AETNA - Commercial-Indemnity — Aetna: $2,004.30
  • AETNA - Commercial-POS — Aetna: $2,004.30
  • AETNA - Commercial-PPO — Aetna: $2,004.30
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,174.72
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,800.13
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,046.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: LUMBAR TRANSFORAMINAL INJ UNI $5,895 $3,242.25 $1,174.72 – $2,800.13
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,004.30
  • AETNA - Commercial-Indemnity — Aetna: $2,004.30
  • AETNA - Commercial-POS — Aetna: $2,004.30
  • AETNA - Commercial-PPO — Aetna: $2,004.30
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,174.72
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,800.13
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,046.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: LUMBAR TRANSFORAMINAL INJ BIL $11,797 $6,488.35 $1,174.72 – $5,603.58
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4,010.98
  • AETNA - Commercial-Indemnity — Aetna: $4,010.98
  • AETNA - Commercial-POS — Aetna: $4,010.98
  • AETNA - Commercial-PPO — Aetna: $4,010.98
  • CARESOURCE OHIO - Commercial-Indemnity — CareSource Ohio: $1,174.72
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $5,603.58
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-HMO — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-Indemnity — Community Insurance Company: $2,046.37
  • COMMUNITY INSURANCE COMPANY - Commercial-POS — Community Insurance Company: $2,046.37

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $40,158 – $42,855
Hip or knee replacement (major joint of the leg), without major complications: rates for 2 insurance plans
  • AETNA - Commercial-HMO — Aetna: $40,158
  • COMMUNITY INSURANCE COMPANY - Commercial-EPO — Community Insurance Company: $42,855

Source: Summa Western Reserve Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1900 23rd Street, Cuyahoga Falls, OH 44223
CountySummit County
StateOhio
Phone(330) 971‑7000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating3 of 5 stars
CMS Certification Number360150
Name in Medicare recordsSUMMA WESTERN RESERVE HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWestern Reserve Hospital
Official websitewesternreservehospital.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Western Reserve Hospital — westernreservehospital.org
  2. Emergency Map and Directions — westernreservehospital.org
  3. Emergency Medicine Staff | Western Reserve Hospital — westernreservehospital.org
  4. Emergency Services | Western Reserve Hospital — westernreservehospital.org
  5. Cardiovascular Services | Western Reserve Hospital — westernreservehospital.org
  6. Surgical Services | Western Reserve Hospital — westernreservehospital.org
  7. Interpreter Services | Western Reserve Hospital — westernreservehospital.org
  8. Behavioral Health Services | Western Reserve Hospital — westernreservehospital.org
  9. Women's Imaging Center | Western Reserve Hospital — westernreservehospital.org
  10. Heart Attack Symptoms | Western Reserve Hospital — westernreservehospital.org
  11. Patient Preparation | Western Reserve Hospital — westernreservehospital.org
  12. Electrophysiology Services | Western Reserve Hospital — westernreservehospital.org
  13. Level III Trauma Center | Western Reserve Hospital — westernreservehospital.org
  14. Neurosurgery | Western Reserve Hospital — westernreservehospital.org
  15. Pain Medicine Services | Western Reserve Hospital — westernreservehospital.org
  16. Pulmonology Services | Western Reserve Hospital — westernreservehospital.org
  17. Respiratory Services | Western Reserve Hospital — westernreservehospital.org
  18. Therapy | Western Reserve Hospital — westernreservehospital.org