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Acute Care Hospital

Summit Healthcare Regional Medical Center

Show Low, Arizona · Navajo County · Emergency services listed

Summary

Summit Healthcare Regional Medical Center is an acute care hospital in Show Low, Arizona. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 102 services, specialties and programs. Medicare lists 324 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(928) 537‑4375 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
324Doctors and clinicians
102Services listed

Quick answers

Does Summit Healthcare Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Summit Healthcare Regional Medical Center. In a medical emergency, call 911.
Where is Summit Healthcare Regional Medical Center?
2200 East Show Low Lake Road, Show Low, AZ 85901, in Navajo County, Arizona.
What is the phone number of Summit Healthcare Regional Medical Center?
(928) 537-4375, as listed by Medicare (CMS).
What is the Medicare star rating of Summit Healthcare Regional Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][9][14]

Conditions treated[9][14]

Treatments[4][6][8][9][11][12][14]

Procedures[6][9]

  • Hip replacement
  • Knee replacement
  • Shoulder surgery
  • Carotid endarterectomy
  • Tonsillectomy
  • Sinus surgery
  • Hysterectomy
  • Myomectomy
  • Cystoscopy
  • Ureteroscopy
  • Ankle arthroscopy
  • Surgical bypass
  • Nasal surgery
  • Ear tube placement
  • Epidural steroid injection
  • Spinal cord stimulation
  • Pulmonary function testing
  • Sleep study

Programs and centers[4][5][9][11][12][13][14]

  • Level II nursery
  • Woman and infant services
  • Safe Haven Infant Drop-Off
  • Medication-assisted treatment and peer support
  • Free Narcan distribution
  • EMS partnerships and First Responders Room
  • SANE program
  • Sleep lab
  • Cancer center
  • Therapy services for children
  • Lactation services

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

Patient portalFollow My Health

Recognition[5][13]

  • Primary Stroke Center
  • Certified Trauma Center
  • Pediatric Prepared Plus emergency care certification
  • Certified by Arizona Perinatal Trust (OB department)

Doctors and clinicians (324)

324 doctors and other clinicians list Summit Healthcare Regional Medical Center 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 (324)

And 300 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

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

Medicare quality data

What Summit Healthcare Regional Medical Center 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) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital59%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well69%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home81%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night53%National average: 60%
Completed surveys569Response rate: 19%

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)0.579No different from the national benchmark
Surgical site infections after colon surgery1.249No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections1.486No 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 patients11%
Deaths within 30 days: heart failure patients8.5%
Deaths within 30 days: pneumonia patients13.1%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients13.4%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.37No different from the national rate
Complications after hip or knee replacement4%

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 attack14.1%
Readmitted within 30 days: heart failure19.7%
Readmitted within 30 days: pneumonia15.5%
Readmitted within 30 days: COPD18.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.3%

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)183 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)66%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in ArizonaBest hospitals in Arizona

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Summit Healthcare Regional Medical Center 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 (hospital stay) · Hospital (facility) fee In the file: ANTEPARTUM LEVEL 3 - NEW PATIENT $976.30 $976.30 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: New PT office or other OP visit typically 30min $477.77 $477.77 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT E&M VISIT INTER LVL 3 - HOSP $434.97 $434.97 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ANTEPARTUM LEVEL 4 - NEW PATIENT $1,263.66 $1,263.66 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: New PT office or other OP visit typically 45min $477.77 $477.77 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT E&M VISIT MOD LVL 4 - HOSP $574.39 $574.39 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ANTEPARTUM LEVEL 5 - NEW PATIENT $2,306.57 $2,306.57 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: New PT office or other OP visit typically 60min $477.77 $477.77 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT E&M VISIT COMP LVL 5 - HOSP $1,048.44 $1,048.44 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ANTEPARTUM LEVEL 3 - EST PATIENT $889.32 $889.32 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient Visit Est - 15 min $40.27 $40.27 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PToffice or other op visit, typically 15 min $477.77 $477.77 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ANTEPARTUM LEVEL 4 - EST PATIENT $1,061.54 $1,061.54 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PToffice or other op visit, typically 25 min $477.77 $477.77 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PATIENT E&M VISIT MOD LVL 4 HOSP $482.52 $482.52 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION NEW/ESTAB PT 40 MIN $269.89 $269.89 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP CONSULT INTERMEDIATE 40 MIN $352.26 $352.26 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP CONSULT COMPLEX 60 MIN $522.11 $522.11 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $291.29 – $294.20
Emergency room visit (moderate): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $291.29
  • UnitedHealthCare — Medicare Managed Care Plan: $294.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL III $1,312.43 $1,312.43 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL III $174.50 $174.50 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $445.25 – $449.71
Emergency room visit (moderately high): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $445.25
  • UnitedHealthCare — Medicare Managed Care Plan: $449.71
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL IV / EXTENDED $2,054.29 $2,054.29 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL IV $331.04 $331.04 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $635.48 – $641.84
Emergency room visit (high): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $635.48
  • UnitedHealthCare — Medicare Managed Care Plan: $641.84
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEVEL V / COMPREHENSIVE $3,045.37 $3,045.37 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ER LEVEL V $487.52 $487.52 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $8.54
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.46
  • UnitedHealthCare — Medicare Managed Care Plan: $8.54
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $505.25 $505.25 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $60.18 $60.18 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $10.67
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $10.56
  • UnitedHealthCare — Medicare Managed Care Plan: $10.67
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $721.05 $721.05 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $72.16 $72.16 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $48.29
Obstetric blood test panel: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $47.81
  • UnitedHealthCare — Medicare Managed Care Plan: $48.29
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $13.52
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $13.39
  • UnitedHealthCare — Medicare Managed Care Plan: $13.52
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL $419.54 $419.54 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $152.98 $152.98 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $8.77
Kidney function panel: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.68
  • UnitedHealthCare — Medicare Managed Care Plan: $8.77
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $314.93 $314.93 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $141.11 $141.11 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $8.25
Liver function panel: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.17
  • UnitedHealthCare — Medicare Managed Care Plan: $8.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $150.08 $150.08 Not listed in the file
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $508.25 $508.25 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $3.20
Urine test (automated, with microscope): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.17
  • UnitedHealthCare — Medicare Managed Care Plan: $3.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS $212.85 $212.85 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS $130.69 $130.69 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $3.51
Urine test (manual, without microscope): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.48
  • UnitedHealthCare — Medicare Managed Care Plan: $3.51
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $2.27
Urine test (automated, without microscope): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $2.25
  • UnitedHealthCare — Medicare Managed Care Plan: $2.27
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE SPECIFIC GRAVITY $83.23 $83.23 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINE DIPSTICK $83.23 $83.23 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $18.57
PSA (prostate specific antigen) blood test: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $18.39
  • UnitedHealthCare — Medicare Managed Care Plan: $18.57
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC $209.18 $209.18 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC $252.49 $252.49 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $16.97
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $16.80
  • UnitedHealthCare — Medicare Managed Care Plan: $16.97
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH $472.23 $472.23 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $195.22 $195.22 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $7.85
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $7.77
  • UnitedHealthCare — Medicare Managed Care Plan: $7.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF CHARGE $201.95 $201.95 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/AUTO DIFF CHARGE $286.24 $286.24 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $6.53
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.47
  • UnitedHealthCare — Medicare Managed Care Plan: $6.53
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/ MANUAL DIFF $174.31 $174.31 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ MANUAL DIFF $62.40 $62.40 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $4.33
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $4.29
  • UnitedHealthCare — Medicare Managed Care Plan: $4.33
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/INR $126.56 $126.56 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/INR $52.15 $52.15 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $6.07
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.01
  • UnitedHealthCare — Medicare Managed Care Plan: $6.07
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $251.75 $251.75 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $215.14 $215.14 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $111.56 – $112.67
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.56
  • UnitedHealthCare — Medicare Managed Care Plan: $112.67
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD OR BRAIN W/O CONTRAST $2,596.07 $2,596.07 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD OR BRAIN W/O CONTRAST $2,596.07 $2,596.07 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $372.28 – $376
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $372.28
  • UnitedHealthCare — Medicare Managed Care Plan: $376
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W DYE $7,057.12 $7,057.12 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $92.86 – $93.79
Chest X-ray, 2 views: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $92.86
  • UnitedHealthCare — Medicare Managed Care Plan: $93.79
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $263.03 $263.03 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS $263.03 $263.03 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $111.56 – $112.67
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.56
  • UnitedHealthCare — Medicare Managed Care Plan: $112.67
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR SPINE OR 4 VIEWS $1,255.42 $1,255.42 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR SPINE OR 4 VIEWS $1,255.42 $1,255.42 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $254.61 – $257.15
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $254.61
  • UnitedHealthCare — Medicare Managed Care Plan: $257.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CONTRAST $6,450.12 $6,450.12 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $187.17 – $189.04
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $187.17
  • UnitedHealthCare — Medicare Managed Care Plan: $189.04
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $6,049.07 $6,049.07 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $254.61 – $257.15
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $254.61
  • UnitedHealthCare — Medicare Managed Care Plan: $257.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier RT In the file: MRI LOWER EXT JT W/O CONTRAST RT $5,825.58 $5,825.58 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: MRI LOWER EXT JT W/O CONTRAST LT $5,825.58 $5,825.58 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $372.28 – $376
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $372.28
  • UnitedHealthCare — Medicare Managed Care Plan: $376
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONTRAST $8,104.58 $8,104.58 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONTRAST $8,104.58 $8,104.58 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $111.56 – $112.67
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.56
  • UnitedHealthCare — Medicare Managed Care Plan: $112.67
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,864.73 $1,864.73 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,864.73 $1,864.73 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $111.56 – $112.67
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.56
  • UnitedHealthCare — Medicare Managed Care Plan: $112.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB COMPLETE OVER 14 WEEKS $847.59 $847.59 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMPLETE OVER 14 WEEKS $847.59 $847.59 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $111.56 – $112.67
Transvaginal ultrasound: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $111.56
  • UnitedHealthCare — Medicare Managed Care Plan: $112.67
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ENDOVAGINAL $1,382.64 $1,382.64 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ENDOVAGINAL $1,382.64 $1,382.64 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIGITAL DIAG RT UNI MAMMO $669.99 $669.99 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIGITAL DIAG LT UNI MAMMO $669.99 $669.99 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $83.47 – $84.30
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $83.47
  • UnitedHealthCare — Medicare Managed Care Plan: $84.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIGITAL DIAG BILAT MAMMO $836.63 $836.63 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $107.05 – $108.12
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $107.05
  • UnitedHealthCare — Medicare Managed Care Plan: $108.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GG In the file: MAMMO DIGITAL SCREEN BILAT TO DIAGNOSTIC $870.11 $870.11 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIGITAL SCREEN BILAT MAMMO $527.88 $527.88 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $88.32 – $89.20
Screening mammogram, both breasts: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $88.32
  • UnitedHealthCare — Medicare Managed Care Plan: $89.20
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 52 In the file: DIGITAL SCREEN ONE SIDE ONLY $527.88 $527.88 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,459.41 – $3,494
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,459.41
  • UnitedHealthCare — Medicare Managed Care Plan: $3,494
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CL LHC W/VENTRICULOGRAPHY S&I $13,158.60 $13,158.60 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $916.35 – $925.51
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $916.35
  • UnitedHealthCare — Medicare Managed Care Plan: $925.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 4 OR MORE PARAMETERS $5,979.81 $5,979.81 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 52 In the file: PSG LESS THAN 6 HRS $3,504.04 $3,504.04 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $28.59 – $28.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $28.59
  • UnitedHealthCare — Medicare Managed Care Plan: $28.88
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC EXERCISE 15 MINUTES $369.15 $369.15 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC EXERCISE 15 MINUTES $185.35 $185.35 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $96.39 – $97.35
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $96.39
  • UnitedHealthCare — Medicare Managed Care Plan: $97.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $514.01 $514.01 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $352.34 $352.34 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $96.39 – $97.35
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $96.39
  • UnitedHealthCare — Medicare Managed Care Plan: $97.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $588.62 $588.62 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $426.96 $426.96 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $96.39 – $97.35
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $96.39
  • UnitedHealthCare — Medicare Managed Care Plan: $97.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $501.58 $501.58 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $663.24 $663.24 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHTHERAPY NON MD 30 MIN $426.54 $426.54 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHTHERAPY NON MED 45 MIN $490.94 $490.94 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHTHERAPY NON MD 60 MIN $478.40 $478.40 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $108.40 – $109.49
Group psychotherapy: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $108.40
  • UnitedHealthCare — Medicare Managed Care Plan: $109.49
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY $471.03 $471.03 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $4,178.09 – $4,219.87
Removal of breast growth (open surgery): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,178.09
  • UnitedHealthCare — Medicare Managed Care Plan: $4,219.87
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $13,699.93 – $13,836.93
Total hip replacement: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $13,699.93
  • UnitedHealthCare — Medicare Managed Care Plan: $13,836.93
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $13,699.93 – $13,836.93
Total knee replacement: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $13,699.93
  • UnitedHealthCare — Medicare Managed Care Plan: $13,836.93
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,491.49 – $3,526.41
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,491.49
  • UnitedHealthCare — Medicare Managed Care Plan: $3,526.41
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $6,316.95 – $6,380.12
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,316.95
  • UnitedHealthCare — Medicare Managed Care Plan: $6,380.12
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $967.83 – $977.51
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $967.83
  • UnitedHealthCare — Medicare Managed Care Plan: $977.51
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $967.83 – $977.51
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $967.83
  • UnitedHealthCare — Medicare Managed Care Plan: $977.51
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $992.34 – $1,002.26
Colonoscopy (diagnostic): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $992.34
  • UnitedHealthCare — Medicare Managed Care Plan: $1,002.26
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,276.92 – $1,289.68
Colonoscopy with biopsy: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,276.92
  • UnitedHealthCare — Medicare Managed Care Plan: $1,289.68
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,276.92 – $1,289.68
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,276.92
  • UnitedHealthCare — Medicare Managed Care Plan: $1,289.68
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,276.92 – $1,289.68
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,276.92
  • UnitedHealthCare — Medicare Managed Care Plan: $1,289.68
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $992.34 – $1,002.26
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $992.34
  • UnitedHealthCare — Medicare Managed Care Plan: $1,002.26
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $6,451.08 – $6,515.59
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,451.08
  • UnitedHealthCare — Medicare Managed Care Plan: $6,515.59
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,820.58 – $3,858.79
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,820.58
  • UnitedHealthCare — Medicare Managed Care Plan: $3,858.79
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $11,342.91 – $11,456.34
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $11,342.91
  • UnitedHealthCare — Medicare Managed Care Plan: $11,456.34
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,454.28 – $3,488.82
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,454.28
  • UnitedHealthCare — Medicare Managed Care Plan: $3,488.82
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hysteroscopy Biopsy $667.78 $667.78 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $753.23 – $760.77
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $753.23
  • UnitedHealthCare — Medicare Managed Care Plan: $760.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC W IMG GDN $2,703.16 $2,703.16 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $943.81 – $953.24
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $943.81
  • UnitedHealthCare — Medicare Managed Care Plan: $953.24
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $3,316.47 $3,316.47 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,083.72 – $2,104.56
Carpal tunnel release: rates for 2 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,083.72
  • UnitedHealthCare — Medicare Managed Care Plan: $2,104.56
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Carpal Tunnel Release $3,144.95 $3,144.95 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $76,500.30 – $92,687.82
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $76,500.30
  • Banner Health Plan — Medicare Managed Care Plan: $76,500.30
  • BCBS — All Commercial Plans: $92,687.82
  • BCBS — Medicare Managed Care Plan: $76,500.30
  • BCBS — Neighborhood Network Other Commercial Plan: $92,687.82
  • Centene — Medicare Managed Care Plan: $76,500.30
  • Cigna — Medicare Managed Care Plan: $76,500.30
  • Gold Kidney Health Plan — Medicare Managed Care Plan: $76,500.30
  • HealthChoice — Medicare Managed Care Plan: $76,500.30
  • HealthNet — Medicare Managed Care Plan: $76,500.30
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 9 insurance plans
  • Aetna — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — ASO/HMO/POS: 90% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 95% (a percentage in the contract, not a dollar amount)
  • HealthNet — All Commercial Plans: 95% (a percentage in the contract, not a dollar amount)
  • Humana — All Commercial Plans: 80% (a percentage in the contract, not a dollar amount)
  • Marpai Health — ASO/PPO: 65% (a percentage in the contract, not a dollar amount)
  • UnitedHealthCare — All Commercial Plans: 65.4% (a percentage in the contract, not a dollar amount)
  • White Mountain Tribal Employee Health Plan — AFMC ASO/HMO/POS: 60% (a percentage in the contract, not a dollar amount)
  • White Mountain Tribal Employee Health Plan — Tall Tree Administrators ASO/HMO/POS: 60% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $15,141.68 – $24,918.85
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $15,141.68
  • Banner Health Plan — Medicare Managed Care Plan: $15,141.68
  • BCBS — All Commercial Plans: $24,918.85
  • BCBS — Medicare Managed Care Plan: $15,141.68
  • BCBS — Neighborhood Network Other Commercial Plan: $24,918.85
  • Centene — Medicare Managed Care Plan: $15,141.68
  • Cigna — Medicare Managed Care Plan: $15,141.68
  • Gold Kidney Health Plan — Medicare Managed Care Plan: $15,141.68
  • HealthChoice — Medicare Managed Care Plan: $15,141.68
  • HealthNet — Medicare Managed Care Plan: $15,141.68
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $18,985.15 – $19,665.48
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $18,985.15
  • Banner Health Plan — Medicare Managed Care Plan: $18,985.15
  • BCBS — All Commercial Plans: $19,665.48
  • BCBS — Medicare Managed Care Plan: $18,985.15
  • BCBS — Neighborhood Network Other Commercial Plan: $19,665.48
  • Centene — Medicare Managed Care Plan: $18,985.15
  • Cigna — Medicare Managed Care Plan: $18,985.15
  • Gold Kidney Health Plan — Medicare Managed Care Plan: $18,985.15
  • HealthChoice — Medicare Managed Care Plan: $18,985.15
  • HealthNet — Medicare Managed Care Plan: $18,985.15
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $9,873.79 – $10,139.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $10,039.49
  • Banner Health Plan — Medicare Managed Care Plan: $10,039.49
  • BCBS — All Commercial Plans: $9,873.79
  • BCBS — Medicare Managed Care Plan: $10,039.49
  • BCBS — Neighborhood Network Other Commercial Plan: $9,873.79
  • Centene — Medicare Managed Care Plan: $10,039.49
  • Cigna — Medicare Managed Care Plan: $10,039.49
  • Gold Kidney Health Plan — Medicare Managed Care Plan: $10,039.49
  • HealthChoice — Medicare Managed Care Plan: $10,039.49
  • HealthNet — Medicare Managed Care Plan: $10,039.49

Source: Summit Healthcare Regional Medical Center’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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
Address2200 East Show Low Lake Road, Show Low, AZ 85901
CountyNavajo County
StateArizona
Phone(928) 537‑4375
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number030062
Name in Medicare recordsSUMMIT HEALTHCARE REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitesummithealthcare.net
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Summit Healthcare — summithealthcare.net
  2. Emergency Department — summithealthcare.net
  3. Surgical Services — summithealthcare.net
  4. Orthopedic Rehabilitation - Summit Healthcare Regional Medical Center — summithealthcare.net
  5. Cardiopulmonary Department Show Low & Lakeside AZ — summithealthcare.net
  6. Therapy Services Show Low AZ - Therapy Procedures Lakeside — summithealthcare.net
  7. Therapy Services for Children Show Low & Lakeside AZ — summithealthcare.net
  8. Woman & Infant Services Show Low AZ - Obstetrics Lakeside AZ — summithealthcare.net
  9. Cancer Center Show Low AZ - Oncology Center Lakeside AZ — summithealthcare.net