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Acute Care Hospital

Tanner Medical Center Villa Rica

Villa Rica, Georgia · Carroll County · Emergency services listed

Summary

Tanner Medical Center Villa Rica is an acute care hospital in Villa Rica, Georgia. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 16 services, specialties and programs. Medicare lists 349 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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
16Services listed

Quick answers

Does Tanner Medical Center Villa Rica have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Tanner Medical Center Villa Rica. In a medical emergency, call 911.
Where is Tanner Medical Center Villa Rica?
601 Dallas Highway, Villa Rica, GA 30180, in Carroll County, Georgia.
What is the phone number of Tanner Medical Center Villa Rica?
(770) 456-3101, as listed by Medicare (CMS).
What is the Medicare star rating of Tanner Medical Center Villa Rica?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

Procedures[4]

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Stroke designationCertified Primary Stroke Center

Visiting and practical information

Patient portalTanner MyChart

Recognition[4]

  • Accredited Chest Pain Center
  • Certified Primary Stroke Center

Doctors and clinicians (349)

349 doctors and other clinicians list Tanner Medical Center Villa Rica 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 (349)

And 325 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 Tanner Medical Center Villa Rica reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean72%National average: 74%
Area around the room “always” quiet at night60%National average: 60%
Completed surveys466Response rate: 13%

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)1.656No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0No 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 infections0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.2%
Deaths within 30 days: heart failure patients9.7%
Deaths within 30 days: pneumonia patients16%
Deaths within 30 days: COPD patients10.4%
Deaths within 30 days: stroke patients12%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)1.05No 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 attack13.7%
Readmitted within 30 days: heart failure24.5%
Readmitted within 30 days: pneumonia19.5%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)76%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 75 common services exactly as Tanner Medical Center Villa Rica 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $252 $100.80 $71.13 – $85.36
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $72.55
  • Cigna — Medicare Advantage: $73.26
  • Clover Health — Medicare Advantage: $74.69
  • Kaiser — Commercial: $85.36
  • Kaiser — Medicare Advantage: $71.13
  • Pruitt Health Premier — Commercial: $78.24
  • United Healthcare — Veteran's Affairs Community: $71.13
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN $246 $98.40 $71.13 – $85.36
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $72.55
  • Cigna — Medicare Advantage: $73.26
  • Clover Health — Medicare Advantage: $74.69
  • Kaiser — Commercial: $85.36
  • Kaiser — Medicare Advantage: $71.13
  • Pruitt Health Premier — Commercial: $78.24
  • United Healthcare — Veteran's Affairs Community: $71.13
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN $148 $59.20 $71.13 – $85.36
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $72.55
  • Cigna — Medicare Advantage: $73.26
  • Clover Health — Medicare Advantage: $74.69
  • Kaiser — Commercial: $85.36
  • Kaiser — Medicare Advantage: $71.13
  • Pruitt Health Premier — Commercial: $78.24
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $150 $60 $116.06 – $139.27
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $118.38
  • Cigna — Medicare Advantage: $119.54
  • Clover Health — Medicare Advantage: $121.86
  • Kaiser — Commercial: $139.27
  • Kaiser — Medicare Advantage: $116.06
  • Pruitt Health Premier — Commercial: $127.67
  • United Healthcare — Veteran's Affairs Community: $116.06
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN $369 $147.60 $116.06 – $139.27
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $118.38
  • Cigna — Medicare Advantage: $119.54
  • Clover Health — Medicare Advantage: $121.86
  • Kaiser — Commercial: $139.27
  • Kaiser — Medicare Advantage: $116.06
  • Pruitt Health Premier — Commercial: $127.67
  • United Healthcare — Veteran's Affairs Community: $116.06
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN $323 $129.20 $116.06 – $139.27
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $118.38
  • Cigna — Medicare Advantage: $119.54
  • Clover Health — Medicare Advantage: $121.86
  • Kaiser — Commercial: $139.27
  • Kaiser — Medicare Advantage: $116.06
  • Pruitt Health Premier — Commercial: $127.67
  • United Healthcare — Veteran's Affairs Community: $116.06
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES $175 $70 $159.24 – $191.09
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $162.42
  • Cigna — Medicare Advantage: $164.02
  • Clover Health — Medicare Advantage: $167.20
  • Kaiser — Commercial: $191.09
  • Kaiser — Medicare Advantage: $159.24
  • Pruitt Health Premier — Commercial: $175.16
  • United Healthcare — Veteran's Affairs Community: $159.24
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN $343 $137.20 $159.24 – $191.09
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $162.42
  • Cigna — Medicare Advantage: $164.02
  • Clover Health — Medicare Advantage: $167.20
  • Kaiser — Commercial: $191.09
  • Kaiser — Medicare Advantage: $159.24
  • Pruitt Health Premier — Commercial: $175.16
  • United Healthcare — Veteran's Affairs Community: $159.24
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN $492 $196.80 $159.24 – $191.09
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $162.42
  • Cigna — Medicare Advantage: $164.02
  • Clover Health — Medicare Advantage: $167.20
  • Kaiser — Commercial: $191.09
  • Kaiser — Medicare Advantage: $159.24
  • Pruitt Health Premier — Commercial: $175.16
  • United Healthcare — Veteran's Affairs Community: $159.24
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $256 $102.40 $56.84 – $68.21
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $57.98
  • Cigna — Medicare Advantage: $58.55
  • Clover Health — Medicare Advantage: $59.68
  • Kaiser — Commercial: $68.21
  • Kaiser — Medicare Advantage: $56.84
  • Pruitt Health Premier — Commercial: $62.52
  • United Healthcare — Veteran's Affairs Community: $56.84
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN $123 $49.20 $56.84 – $68.21
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $57.98
  • Cigna — Medicare Advantage: $58.55
  • Clover Health — Medicare Advantage: $59.68
  • Kaiser — Commercial: $68.21
  • Kaiser — Medicare Advantage: $56.84
  • Pruitt Health Premier — Commercial: $62.52
  • United Healthcare — Veteran's Affairs Community: $56.84
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $104 $41.60 $56.84 – $68.21
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $57.98
  • Cigna — Medicare Advantage: $58.55
  • Clover Health — Medicare Advantage: $59.68
  • Kaiser — Commercial: $68.21
  • Kaiser — Medicare Advantage: $56.84
  • Pruitt Health Premier — Commercial: $62.52
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $323 $129.20 $83.71 – $100.45
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $85.38
  • Cigna — Medicare Advantage: $86.22
  • Clover Health — Medicare Advantage: $87.90
  • Kaiser — Commercial: $100.45
  • Kaiser — Medicare Advantage: $83.71
  • Pruitt Health Premier — Commercial: $92.08
  • United Healthcare — Veteran's Affairs Community: $83.71
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN $206 $82.40 $83.71 – $100.45
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $85.38
  • Cigna — Medicare Advantage: $86.22
  • Clover Health — Medicare Advantage: $87.90
  • Kaiser — Commercial: $100.45
  • Kaiser — Medicare Advantage: $83.71
  • Pruitt Health Premier — Commercial: $92.08
  • United Healthcare — Veteran's Affairs Community: $83.71
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $171 $68.40 $83.71 – $100.45
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $85.38
  • Cigna — Medicare Advantage: $86.22
  • Clover Health — Medicare Advantage: $87.90
  • Kaiser — Commercial: $100.45
  • Kaiser — Medicare Advantage: $83.71
  • Pruitt Health Premier — Commercial: $92.08
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION; TYPICALLY 40 MINUTES $120 $48 Not listed in the file
Office consultation with a specialist (moderate): 10 of 15 insurance plan rates
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway.Pathway X: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Cigna — Behavioral Health: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • First Health — Rental PPO: 89% (a percentage in the contract, not a dollar amount)
  • Galaxy Health — PPO: 95% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION; TYPICALLY 1 HOUR $150 $60 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 15 insurance plan rates
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway.Pathway X: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Cigna — Behavioral Health: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • First Health — Rental PPO: 89% (a percentage in the contract, not a dollar amount)
  • Galaxy Health — PPO: 95% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,237 $494.80 $120 – $326.95
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $277.91
  • Amerigroup — Medicaid CMO: $283
  • Cigna — Medicare Advantage: $280.63
  • Clover Health — Medicare Advantage: $286.08
  • Kaiser — Commercial: $326.95
  • Kaiser — Medicare Advantage: $272.46
  • PeachState — Medicaid CMO: $120
  • Pruitt Health Premier — Commercial: $299.71
  • United Healthcare — Veteran's Affairs Community: $272.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM $127 $50.80 $272.46 – $326.95
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $277.91
  • Amerigroup — Medicaid CMO: $283
  • Cigna — Medicare Advantage: $280.63
  • Clover Health — Medicare Advantage: $286.08
  • Kaiser — Commercial: $326.95
  • Kaiser — Medicare Advantage: $272.46
  • PeachState — Medicaid CMO: $120
  • Pruitt Health Premier — Commercial: $299.71
  • United Healthcare — Veteran's Affairs Community: $272.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,237 $494.80 $120 – $326.95
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $277.91
  • Amerigroup — Medicaid CMO: $283
  • Cigna — Medicare Advantage: $280.63
  • Clover Health — Medicare Advantage: $286.08
  • Kaiser — Commercial: $326.95
  • Kaiser — Medicare Advantage: $272.46
  • PeachState — Medicaid CMO: $120
  • Pruitt Health Premier — Commercial: $299.71
  • United Healthcare — Veteran's Affairs Community: $272.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,001 $800.40 $300 – $845
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $424.80
  • Amerigroup — Medicaid CMO: $845
  • Cigna — Medicare Advantage: $428.96
  • Clover Health — Medicare Advantage: $437.29
  • Kaiser — Commercial: $499.76
  • Kaiser — Medicare Advantage: $416.47
  • PeachState — Medicaid CMO: $300
  • Pruitt Health Premier — Commercial: $458.12
  • United Healthcare — Veteran's Affairs Community: $416.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM $241 $96.40 $416.47 – $845
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $424.80
  • Amerigroup — Medicaid CMO: $845
  • Cigna — Medicare Advantage: $428.96
  • Clover Health — Medicare Advantage: $437.29
  • Kaiser — Commercial: $499.76
  • Kaiser — Medicare Advantage: $416.47
  • PeachState — Medicaid CMO: $300
  • Pruitt Health Premier — Commercial: $458.12
  • United Healthcare — Veteran's Affairs Community: $416.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 24_25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,001 $800.40 $300 – $845
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $424.80
  • Amerigroup — Medicaid CMO: $845
  • Cigna — Medicare Advantage: $428.96
  • Clover Health — Medicare Advantage: $437.29
  • Kaiser — Commercial: $499.76
  • Kaiser — Medicare Advantage: $416.47
  • PeachState — Medicaid CMO: $300
  • Pruitt Health Premier — Commercial: $458.12
  • United Healthcare — Veteran's Affairs Community: $416.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $2,132 $852.80 $400 – $1,056
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $606.29
  • Amerigroup — Medicaid CMO: $1,056
  • Cigna — Medicare Advantage: $612.23
  • Clover Health — Medicare Advantage: $624.12
  • Kaiser — Commercial: $713.28
  • Kaiser — Medicare Advantage: $594.40
  • PeachState — Medicaid CMO: $400
  • Pruitt Health Premier — Commercial: $653.84
  • United Healthcare — Veteran's Affairs Community: $594.40
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $355 $142 $594.40 – $1,056
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $606.29
  • Amerigroup — Medicaid CMO: $1,056
  • Cigna — Medicare Advantage: $612.23
  • Clover Health — Medicare Advantage: $624.12
  • Kaiser — Commercial: $713.28
  • Kaiser — Medicare Advantage: $594.40
  • PeachState — Medicaid CMO: $400
  • Pruitt Health Premier — Commercial: $653.84
  • United Healthcare — Veteran's Affairs Community: $594.40
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $2,132 $852.80 $400 – $1,056
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $606.29
  • Amerigroup — Medicaid CMO: $1,056
  • Cigna — Medicare Advantage: $612.23
  • Clover Health — Medicare Advantage: $624.12
  • Kaiser — Commercial: $713.28
  • Kaiser — Medicare Advantage: $594.40
  • PeachState — Medicaid CMO: $400
  • Pruitt Health Premier — Commercial: $653.84
  • United Healthcare — Veteran's Affairs Community: $594.40
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $180 $72 $8.46 – $10.15
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.63
  • Cigna — Medicare Advantage: $8.71
  • Clover Health — Medicare Advantage: $8.88
  • Kaiser — Commercial: $10.15
  • Kaiser — Medicare Advantage: $8.46
  • Pruitt Health Premier — Commercial: $9.31
  • United Healthcare — Veteran's Affairs Community: $8.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $75 $30 $8.46 – $10.15
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.63
  • Cigna — Medicare Advantage: $8.71
  • Clover Health — Medicare Advantage: $8.88
  • Kaiser — Commercial: $10.15
  • Kaiser — Medicare Advantage: $8.46
  • Pruitt Health Premier — Commercial: $9.31
  • United Healthcare — Veteran's Affairs Community: $8.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $180 $72 $8.46 – $10.15
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.63
  • Cigna — Medicare Advantage: $8.71
  • Clover Health — Medicare Advantage: $8.88
  • Kaiser — Commercial: $10.15
  • Kaiser — Medicare Advantage: $8.46
  • Pruitt Health Premier — Commercial: $9.31
  • United Healthcare — Veteran's Affairs Community: $8.46
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $280 $112 $10.56 – $12.67
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $10.77
  • Cigna — Medicare Advantage: $10.88
  • Clover Health — Medicare Advantage: $11.09
  • Kaiser — Commercial: $12.67
  • Kaiser — Medicare Advantage: $10.56
  • Pruitt Health Premier — Commercial: $11.62
  • United Healthcare — Veteran's Affairs Community: $10.56
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $258 $103.20 $10.56 – $12.67
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $10.77
  • Cigna — Medicare Advantage: $10.88
  • Clover Health — Medicare Advantage: $11.09
  • Kaiser — Commercial: $12.67
  • Kaiser — Medicare Advantage: $10.56
  • Pruitt Health Premier — Commercial: $11.62
  • United Healthcare — Veteran's Affairs Community: $10.56
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $280 $112 $10.56 – $12.67
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $10.77
  • Cigna — Medicare Advantage: $10.88
  • Clover Health — Medicare Advantage: $11.09
  • Kaiser — Commercial: $12.67
  • Kaiser — Medicare Advantage: $10.56
  • Pruitt Health Premier — Commercial: $11.62
  • United Healthcare — Veteran's Affairs Community: $10.56
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC BLOOD TEST PANEL $292 $116.80 $47.81 – $57.37
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $48.77
  • Cigna — Medicare Advantage: $49.24
  • Clover Health — Medicare Advantage: $50.20
  • Kaiser — Commercial: $57.37
  • Kaiser — Medicare Advantage: $47.81
  • Pruitt Health Premier — Commercial: $52.59
  • United Healthcare — Veteran's Affairs Community: $47.81
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $578 $231.20 $47.81 – $57.37
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $48.77
  • Cigna — Medicare Advantage: $49.24
  • Clover Health — Medicare Advantage: $50.20
  • Kaiser — Commercial: $57.37
  • Kaiser — Medicare Advantage: $47.81
  • Pruitt Health Premier — Commercial: $52.59
  • United Healthcare — Veteran's Affairs Community: $47.81
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $164 $65.60 $13.39 – $16.07
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13.66
  • Cigna — Medicare Advantage: $13.79
  • Clover Health — Medicare Advantage: $14.06
  • Kaiser — Commercial: $16.07
  • Kaiser — Medicare Advantage: $13.39
  • Pruitt Health Premier — Commercial: $14.73
  • United Healthcare — Veteran's Affairs Community: $13.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $58 $23.20 $13.39 – $16.07
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13.66
  • Cigna — Medicare Advantage: $13.79
  • Clover Health — Medicare Advantage: $14.06
  • Kaiser — Commercial: $16.07
  • Kaiser — Medicare Advantage: $13.39
  • Pruitt Health Premier — Commercial: $14.73
  • United Healthcare — Veteran's Affairs Community: $13.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $164 $65.60 $13.39 – $16.07
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13.66
  • Cigna — Medicare Advantage: $13.79
  • Clover Health — Medicare Advantage: $14.06
  • Kaiser — Commercial: $16.07
  • Kaiser — Medicare Advantage: $13.39
  • Pruitt Health Premier — Commercial: $14.73
  • United Healthcare — Veteran's Affairs Community: $13.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $180 $72 $8.68 – $10.42
Kidney function panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.85
  • Cigna — Medicare Advantage: $8.94
  • Clover Health — Medicare Advantage: $9.11
  • Kaiser — Commercial: $10.42
  • Kaiser — Medicare Advantage: $8.68
  • Pruitt Health Premier — Commercial: $9.55
  • United Healthcare — Veteran's Affairs Community: $8.68
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $189 $75.60 $8.17 – $9.80
Liver function panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.33
  • Cigna — Medicare Advantage: $8.42
  • Clover Health — Medicare Advantage: $8.58
  • Kaiser — Commercial: $9.80
  • Kaiser — Medicare Advantage: $8.17
  • Pruitt Health Premier — Commercial: $8.99
  • United Healthcare — Veteran's Affairs Community: $8.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $218 $87.20 $8.17 – $9.80
Liver function panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.33
  • Cigna — Medicare Advantage: $8.42
  • Clover Health — Medicare Advantage: $8.58
  • Kaiser — Commercial: $9.80
  • Kaiser — Medicare Advantage: $8.17
  • Pruitt Health Premier — Commercial: $8.99
  • United Healthcare — Veteran's Affairs Community: $8.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: LIVER FUNCTION BLOOD TEST PANEL $189 $75.60 $8.17 – $9.80
Liver function panel: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $8.33
  • Cigna — Medicare Advantage: $8.42
  • Clover Health — Medicare Advantage: $8.58
  • Kaiser — Commercial: $9.80
  • Kaiser — Medicare Advantage: $8.17
  • Pruitt Health Premier — Commercial: $8.99
  • United Healthcare — Veteran's Affairs Community: $8.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $150 $60 $3.17 – $3.80
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3.23
  • Cigna — Medicare Advantage: $3.27
  • Clover Health — Medicare Advantage: $3.33
  • Kaiser — Commercial: $3.80
  • Kaiser — Medicare Advantage: $3.17
  • Pruitt Health Premier — Commercial: $3.49
  • United Healthcare — Veteran's Affairs Community: $3.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $71 $28.40 $3.17 – $3.80
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3.23
  • Cigna — Medicare Advantage: $3.27
  • Clover Health — Medicare Advantage: $3.33
  • Kaiser — Commercial: $3.80
  • Kaiser — Medicare Advantage: $3.17
  • Pruitt Health Premier — Commercial: $3.49
  • United Healthcare — Veteran's Affairs Community: $3.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $150 $60 $3.17 – $3.80
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3.23
  • Cigna — Medicare Advantage: $3.27
  • Clover Health — Medicare Advantage: $3.33
  • Kaiser — Commercial: $3.80
  • Kaiser — Medicare Advantage: $3.17
  • Pruitt Health Premier — Commercial: $3.49
  • United Healthcare — Veteran's Affairs Community: $3.17
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST $30 $12 $3.48 – $4.18
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3.55
  • Cigna — Medicare Advantage: $3.58
  • Clover Health — Medicare Advantage: $3.65
  • Kaiser — Commercial: $4.18
  • Kaiser — Medicare Advantage: $3.48
  • Pruitt Health Premier — Commercial: $3.83
  • United Healthcare — Veteran's Affairs Community: $3.48
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $55 $22 $3.48 – $4.18
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3.55
  • Cigna — Medicare Advantage: $3.58
  • Clover Health — Medicare Advantage: $3.65
  • Kaiser — Commercial: $4.18
  • Kaiser — Medicare Advantage: $3.48
  • Pruitt Health Premier — Commercial: $3.83
  • United Healthcare — Veteran's Affairs Community: $3.48
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $101 $40.40 $2.25 – $2.70
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $2.30
  • Cigna — Medicare Advantage: $2.32
  • Clover Health — Medicare Advantage: $2.36
  • Kaiser — Commercial: $2.70
  • Kaiser — Medicare Advantage: $2.25
  • Pruitt Health Premier — Commercial: $2.48
  • United Healthcare — Veteran's Affairs Community: $2.25
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $191 $76.40 $18.39 – $22.07
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $18.76
  • Cigna — Medicare Advantage: $18.94
  • Clover Health — Medicare Advantage: $19.31
  • Kaiser — Commercial: $22.07
  • Kaiser — Medicare Advantage: $18.39
  • Pruitt Health Premier — Commercial: $20.23
  • United Healthcare — Veteran's Affairs Community: $18.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $113 $45.20 $18.39 – $22.07
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $18.76
  • Cigna — Medicare Advantage: $18.94
  • Clover Health — Medicare Advantage: $19.31
  • Kaiser — Commercial: $22.07
  • Kaiser — Medicare Advantage: $18.39
  • Pruitt Health Premier — Commercial: $20.23
  • United Healthcare — Veteran's Affairs Community: $18.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $191 $76.40 $18.39 – $22.07
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $18.76
  • Cigna — Medicare Advantage: $18.94
  • Clover Health — Medicare Advantage: $19.31
  • Kaiser — Commercial: $22.07
  • Kaiser — Medicare Advantage: $18.39
  • Pruitt Health Premier — Commercial: $20.23
  • United Healthcare — Veteran's Affairs Community: $18.39
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $182 $72.80 $16.80 – $20.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $17.14
  • Cigna — Medicare Advantage: $17.30
  • Clover Health — Medicare Advantage: $17.64
  • Kaiser — Commercial: $20.16
  • Kaiser — Medicare Advantage: $16.80
  • Pruitt Health Premier — Commercial: $18.48
  • United Healthcare — Veteran's Affairs Community: $16.80
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $142 $56.80 $16.80 – $20.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $17.14
  • Cigna — Medicare Advantage: $17.30
  • Clover Health — Medicare Advantage: $17.64
  • Kaiser — Commercial: $20.16
  • Kaiser — Medicare Advantage: $16.80
  • Pruitt Health Premier — Commercial: $18.48
  • United Healthcare — Veteran's Affairs Community: $16.80
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $182 $72.80 $16.80 – $20.16
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $17.14
  • Cigna — Medicare Advantage: $17.30
  • Clover Health — Medicare Advantage: $17.64
  • Kaiser — Commercial: $20.16
  • Kaiser — Medicare Advantage: $16.80
  • Pruitt Health Premier — Commercial: $18.48
  • United Healthcare — Veteran's Affairs Community: $16.80
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $150 $60 $7.77 – $9.32
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $7.93
  • Cigna — Medicare Advantage: $8
  • Clover Health — Medicare Advantage: $8.16
  • Kaiser — Commercial: $9.32
  • Kaiser — Medicare Advantage: $7.77
  • Pruitt Health Premier — Commercial: $8.55
  • United Healthcare — Veteran's Affairs Community: $7.77
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $300 $120 $7.77 – $9.32
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $7.93
  • Cigna — Medicare Advantage: $8
  • Clover Health — Medicare Advantage: $8.16
  • Kaiser — Commercial: $9.32
  • Kaiser — Medicare Advantage: $7.77
  • Pruitt Health Premier — Commercial: $8.55
  • United Healthcare — Veteran's Affairs Community: $7.77
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $150 $60 $7.77 – $9.32
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $7.93
  • Cigna — Medicare Advantage: $8
  • Clover Health — Medicare Advantage: $8.16
  • Kaiser — Commercial: $9.32
  • Kaiser — Medicare Advantage: $7.77
  • Pruitt Health Premier — Commercial: $8.55
  • United Healthcare — Veteran's Affairs Community: $7.77
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $37 $14.80 $6.47 – $7.76
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.60
  • Cigna — Medicare Advantage: $6.66
  • Clover Health — Medicare Advantage: $6.79
  • Kaiser — Commercial: $7.76
  • Kaiser — Medicare Advantage: $6.47
  • Pruitt Health Premier — Commercial: $7.12
  • United Healthcare — Veteran's Affairs Community: $6.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $121 $48.40 $6.47 – $7.76
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.60
  • Cigna — Medicare Advantage: $6.66
  • Clover Health — Medicare Advantage: $6.79
  • Kaiser — Commercial: $7.76
  • Kaiser — Medicare Advantage: $6.47
  • Pruitt Health Premier — Commercial: $7.12
  • United Healthcare — Veteran's Affairs Community: $6.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $121 $48.40 $6.47 – $7.76
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.60
  • Cigna — Medicare Advantage: $6.66
  • Clover Health — Medicare Advantage: $6.79
  • Kaiser — Commercial: $7.76
  • Kaiser — Medicare Advantage: $6.47
  • Pruitt Health Premier — Commercial: $7.12
  • United Healthcare — Veteran's Affairs Community: $6.47
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $95 $38 $4.29 – $5.15
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $4.38
  • Cigna — Medicare Advantage: $4.42
  • Clover Health — Medicare Advantage: $4.50
  • Kaiser — Commercial: $5.15
  • Kaiser — Medicare Advantage: $4.29
  • Pruitt Health Premier — Commercial: $4.72
  • United Healthcare — Veteran's Affairs Community: $4.29
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $103 $41.20 $4.29 – $5.15
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $4.38
  • Cigna — Medicare Advantage: $4.42
  • Clover Health — Medicare Advantage: $4.50
  • Kaiser — Commercial: $5.15
  • Kaiser — Medicare Advantage: $4.29
  • Pruitt Health Premier — Commercial: $4.72
  • United Healthcare — Veteran's Affairs Community: $4.29
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME $95 $38 $4.29 – $5.15
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $4.38
  • Cigna — Medicare Advantage: $4.42
  • Clover Health — Medicare Advantage: $4.50
  • Kaiser — Commercial: $5.15
  • Kaiser — Medicare Advantage: $4.29
  • Pruitt Health Premier — Commercial: $4.72
  • United Healthcare — Veteran's Affairs Community: $4.29
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $105 $42 $6.01 – $7.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.13
  • Cigna — Medicare Advantage: $6.19
  • Clover Health — Medicare Advantage: $6.31
  • Kaiser — Commercial: $7.21
  • Kaiser — Medicare Advantage: $6.01
  • Pruitt Health Premier — Commercial: $6.61
  • United Healthcare — Veteran's Affairs Community: $6.01
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $49 $19.60 $6.01 – $7.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.13
  • Cigna — Medicare Advantage: $6.19
  • Clover Health — Medicare Advantage: $6.31
  • Kaiser — Commercial: $7.21
  • Kaiser — Medicare Advantage: $6.01
  • Pruitt Health Premier — Commercial: $6.61
  • United Healthcare — Veteran's Affairs Community: $6.01
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $105 $42 $6.01 – $7.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6.13
  • Cigna — Medicare Advantage: $6.19
  • Clover Health — Medicare Advantage: $6.31
  • Kaiser — Commercial: $7.21
  • Kaiser — Medicare Advantage: $6.01
  • Pruitt Health Premier — Commercial: $6.61
  • United Healthcare — Veteran's Affairs Community: $6.01
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $2,257 $902.80 $104.35 – $125.22
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
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 $87 $34.80 $104.35 – $125.22
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $2,257 $902.80 $104.35 – $125.22
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $6,824 $2,729.60 $348.22 – $417.86
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $355.18
  • Cigna — Medicare Advantage: $358.67
  • Clover Health — Medicare Advantage: $365.63
  • Kaiser — Commercial: $417.86
  • Kaiser — Medicare Advantage: $348.22
  • Pruitt Health Premier — Commercial: $383.04
  • United Healthcare — Veteran's Affairs Community: $348.22
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $6,824 $2,729.60 $348.22 – $417.86
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $355.18
  • Cigna — Medicare Advantage: $358.67
  • Clover Health — Medicare Advantage: $365.63
  • Kaiser — Commercial: $417.86
  • Kaiser — Medicare Advantage: $348.22
  • Pruitt Health Premier — Commercial: $383.04
  • United Healthcare — Veteran's Affairs Community: $348.22
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $554 $221.60 $86.86 – $104.23
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $88.60
  • Cigna — Medicare Advantage: $89.47
  • Clover Health — Medicare Advantage: $91.20
  • Kaiser — Commercial: $104.23
  • Kaiser — Medicare Advantage: $86.86
  • Pruitt Health Premier — Commercial: $95.55
  • United Healthcare — Veteran's Affairs Community: $86.86
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $22 $8.80 $86.86 – $104.23
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $88.60
  • Cigna — Medicare Advantage: $89.47
  • Clover Health — Medicare Advantage: $91.20
  • Kaiser — Commercial: $104.23
  • Kaiser — Medicare Advantage: $86.86
  • Pruitt Health Premier — Commercial: $95.55
  • United Healthcare — Veteran's Affairs Community: $86.86
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: X-RAY OF CHEST; 2 VIEWS $554 $221.60 $86.86 – $104.23
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $88.60
  • Cigna — Medicare Advantage: $89.47
  • Clover Health — Medicare Advantage: $91.20
  • Kaiser — Commercial: $104.23
  • Kaiser — Medicare Advantage: $86.86
  • Pruitt Health Premier — Commercial: $95.55
  • United Healthcare — Veteran's Affairs Community: $86.86
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $855 $342 $104.35 – $125.22
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS $463 $185.20 $104.35 – $125.22
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $4,122 $1,648.80 $238.15 – $285.78
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $242.91
  • Cigna — Medicare Advantage: $245.29
  • Clover Health — Medicare Advantage: $250.06
  • Kaiser — Commercial: $285.78
  • Kaiser — Medicare Advantage: $238.15
  • Pruitt Health Premier — Commercial: $261.96
  • United Healthcare — Veteran's Affairs Community: $238.15
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $3,996 $1,598.40 $175.07 – $210.08
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $178.57
  • Cigna — Medicare Advantage: $180.32
  • Clover Health — Medicare Advantage: $183.82
  • Kaiser — Commercial: $210.08
  • Kaiser — Medicare Advantage: $175.07
  • Pruitt Health Premier — Commercial: $192.58
  • United Healthcare — Veteran's Affairs Community: $175.07
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $4,596 $1,838.40 $175.07 – $210.08
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $178.57
  • Cigna — Medicare Advantage: $180.32
  • Clover Health — Medicare Advantage: $183.82
  • Kaiser — Commercial: $210.08
  • Kaiser — Medicare Advantage: $175.07
  • Pruitt Health Premier — Commercial: $192.58
  • United Healthcare — Veteran's Affairs Community: $175.07
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $4,676 $1,870.40 $238.15 – $285.78
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $242.91
  • Cigna — Medicare Advantage: $245.29
  • Clover Health — Medicare Advantage: $250.06
  • Kaiser — Commercial: $285.78
  • Kaiser — Medicare Advantage: $238.15
  • Pruitt Health Premier — Commercial: $261.96
  • United Healthcare — Veteran's Affairs Community: $238.15
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $5,205 $2,082 $238.15 – $285.78
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $242.91
  • Cigna — Medicare Advantage: $245.29
  • Clover Health — Medicare Advantage: $250.06
  • Kaiser — Commercial: $285.78
  • Kaiser — Medicare Advantage: $238.15
  • Pruitt Health Premier — Commercial: $261.96
  • United Healthcare — Veteran's Affairs Community: $238.15
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $4,676 $1,870.40 $238.15 – $285.78
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $242.91
  • Cigna — Medicare Advantage: $245.29
  • Clover Health — Medicare Advantage: $250.06
  • Kaiser — Commercial: $285.78
  • Kaiser — Medicare Advantage: $238.15
  • Pruitt Health Premier — Commercial: $261.96
  • United Healthcare — Veteran's Affairs Community: $238.15
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
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 $188 $75.20 $348.22 – $417.86
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $355.18
  • Cigna — Medicare Advantage: $358.67
  • Clover Health — Medicare Advantage: $365.63
  • Kaiser — Commercial: $417.86
  • Kaiser — Medicare Advantage: $348.22
  • Pruitt Health Premier — Commercial: $383.04
  • United Healthcare — Veteran's Affairs Community: $348.22
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $7,293 $2,917.20 $348.22 – $417.86
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $355.18
  • Cigna — Medicare Advantage: $358.67
  • Clover Health — Medicare Advantage: $365.63
  • Kaiser — Commercial: $417.86
  • Kaiser — Medicare Advantage: $348.22
  • Pruitt Health Premier — Commercial: $383.04
  • United Healthcare — Veteran's Affairs Community: $348.22
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $7,293 $2,917.20 $348.22 – $417.86
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $355.18
  • Cigna — Medicare Advantage: $358.67
  • Clover Health — Medicare Advantage: $365.63
  • Kaiser — Commercial: $417.86
  • Kaiser — Medicare Advantage: $348.22
  • Pruitt Health Premier — Commercial: $383.04
  • United Healthcare — Veteran's Affairs Community: $348.22
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $1,996 $798.40 $104.35 – $125.22
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $2,085 $834 $104.35 – $125.22
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $1,996 $798.40 $104.35 – $125.22
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $1,002 $400.80 $104.35 – $125.22
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $1,053 $421.20 $104.35 – $125.22
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $1,277 $510.80 $104.35 – $125.22
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $1,469 $587.60 $104.35 – $125.22
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $106.44
  • Cigna — Medicare Advantage: $107.48
  • Clover Health — Medicare Advantage: $109.57
  • Kaiser — Commercial: $125.22
  • Kaiser — Medicare Advantage: $104.35
  • Pruitt Health Premier — Commercial: $114.78
  • United Healthcare — Veteran's Affairs Community: $104.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $496 $198.40 $37.02 – $44.42
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $37.76
  • Cigna — Medicare Advantage: $38.13
  • Clover Health — Medicare Advantage: $38.87
  • Kaiser — Commercial: $44.42
  • Kaiser — Medicare Advantage: $37.02
  • Pruitt Health Premier — Commercial: $40.72
  • United Healthcare — Veteran's Affairs Community: $37.02
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $571 $228.40 $37.02 – $44.42
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $37.76
  • Cigna — Medicare Advantage: $38.13
  • Clover Health — Medicare Advantage: $38.87
  • Kaiser — Commercial: $44.42
  • Kaiser — Medicare Advantage: $37.02
  • Pruitt Health Premier — Commercial: $40.72
  • United Healthcare — Veteran's Affairs Community: $37.02
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ_LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $496 $198.40 $37.02 – $44.42
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $37.76
  • Cigna — Medicare Advantage: $38.13
  • Clover Health — Medicare Advantage: $38.87
  • Kaiser — Commercial: $44.42
  • Kaiser — Medicare Advantage: $37.02
  • Pruitt Health Premier — Commercial: $40.72
  • United Healthcare — Veteran's Affairs Community: $37.02
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $731 $292.40 $45.55 – $54.66
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $46.46
  • Cigna — Medicare Advantage: $46.92
  • Clover Health — Medicare Advantage: $47.83
  • Kaiser — Commercial: $54.66
  • Kaiser — Medicare Advantage: $45.55
  • Pruitt Health Premier — Commercial: $50.10
  • United Healthcare — Veteran's Affairs Community: $45.55
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $841 $336.40 $45.55 – $54.66
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $46.46
  • Cigna — Medicare Advantage: $46.92
  • Clover Health — Medicare Advantage: $47.83
  • Kaiser — Commercial: $54.66
  • Kaiser — Medicare Advantage: $45.55
  • Pruitt Health Premier — Commercial: $50.10
  • United Healthcare — Veteran's Affairs Community: $45.55
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $388 $155.20 $34.35 – $41.22
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $35.04
  • Cigna — Medicare Advantage: $35.38
  • Clover Health — Medicare Advantage: $36.07
  • Kaiser — Commercial: $41.22
  • Kaiser — Medicare Advantage: $34.35
  • Pruitt Health Premier — Commercial: $37.78
  • United Healthcare — Veteran's Affairs Community: $34.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $593 $237.20 $34.35 – $41.22
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $35.04
  • Cigna — Medicare Advantage: $35.38
  • Clover Health — Medicare Advantage: $36.07
  • Kaiser — Commercial: $41.22
  • Kaiser — Medicare Advantage: $34.35
  • Pruitt Health Premier — Commercial: $37.78
  • United Healthcare — Veteran's Affairs Community: $34.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SCREENING MAMMOGRAPHY $388 $155.20 $34.35 – $41.22
Screening mammogram, both breasts: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $35.04
  • Cigna — Medicare Advantage: $35.38
  • Clover Health — Medicare Advantage: $36.07
  • Kaiser — Commercial: $41.22
  • Kaiser — Medicare Advantage: $34.35
  • Pruitt Health Premier — Commercial: $37.78
  • United Healthcare — Veteran's Affairs Community: $34.35
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST $11,845 $4,738 $3,235.81 – $3,882.97
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,300.53
  • Cigna — Medicare Advantage: $3,332.88
  • Clover Health — Medicare Advantage: $3,397.60
  • Kaiser — Commercial: $3,882.97
  • Kaiser — Medicare Advantage: $3,235.81
  • Pruitt Health Premier — Commercial: $3,559.39
  • United Healthcare — Veteran's Affairs Community: $3,235.81
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION $10,971 $4,388.40 $7,784.92 – $9,341.90
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $7,940.62
  • Cigna — Medicare Advantage: $8,018.47
  • Clover Health — Medicare Advantage: $8,174.17
  • Kaiser — Commercial: $9,341.90
  • Kaiser — Medicare Advantage: $7,784.92
  • Pruitt Health Premier — Commercial: $8,563.41
  • United Healthcare — Veteran's Affairs Community: $7,784.92
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB $24,666 $9,866.40 $26,088.45 – $31,306.14
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $26,610.22
  • Cigna — Medicare Advantage: $26,871.10
  • Clover Health — Medicare Advantage: $27,392.87
  • Kaiser — Commercial: $31,306.14
  • Kaiser — Medicare Advantage: $26,088.45
  • Pruitt Health Premier — Commercial: $28,697.30
  • United Healthcare — Veteran's Affairs Community: $26,088.45
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $6,454 $2,581.60 $857.12 – $1,028.54
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $874.26
  • Cigna — Medicare Advantage: $882.83
  • Clover Health — Medicare Advantage: $899.98
  • Kaiser — Commercial: $1,028.54
  • Kaiser — Medicare Advantage: $857.12
  • Pruitt Health Premier — Commercial: $942.83
  • United Healthcare — Veteran's Affairs Community: $857.12
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $1,935 $774 $857.12 – $1,028.54
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $874.26
  • Cigna — Medicare Advantage: $882.83
  • Clover Health — Medicare Advantage: $899.98
  • Kaiser — Commercial: $1,028.54
  • Kaiser — Medicare Advantage: $857.12
  • Pruitt Health Premier — Commercial: $942.83
  • United Healthcare — Veteran's Affairs Community: $857.12
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $336.60 $134.64 $428.56 – $514.27
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $437.13
  • Cigna — Medicare Advantage: $441.42
  • Clover Health — Medicare Advantage: $449.99
  • Kaiser — Commercial: $514.27
  • Kaiser — Medicare Advantage: $428.56
  • Pruitt Health Premier — Commercial: $471.42
  • United Healthcare — Veteran's Affairs Community: $428.56
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $146 $58.40 $27.64 – $33.17
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $28.19
  • Cigna — Medicare Advantage: $28.47
  • Clover Health — Medicare Advantage: $29.02
  • Kaiser — Commercial: $33.17
  • Kaiser — Medicare Advantage: $27.64
  • Pruitt Health Premier — Commercial: $30.40
  • United Healthcare — Veteran's Affairs Community: $27.64
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $143 $57.20 $27.64 – $33.17
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $28.19
  • Cigna — Medicare Advantage: $28.47
  • Clover Health — Medicare Advantage: $29.02
  • Kaiser — Commercial: $33.17
  • Kaiser — Medicare Advantage: $27.64
  • Pruitt Health Premier — Commercial: $30.40
  • United Healthcare — Veteran's Affairs Community: $27.64
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $143 $57.20 $27.64 – $33.17
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $28.19
  • Cigna — Medicare Advantage: $28.47
  • Clover Health — Medicare Advantage: $29.02
  • Kaiser — Commercial: $33.17
  • Kaiser — Medicare Advantage: $27.64
  • Pruitt Health Premier — Commercial: $30.40
  • United Healthcare — Veteran's Affairs Community: $27.64
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $304 $121.60 $92.95 – $111.54
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $304 $121.60 $92.95 – $111.54
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $304 $121.60 $92.95 – $111.54
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $321 $128.40 $92.95 – $111.54
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_GZ In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $321 $128.40 $92.95 – $111.54
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $321 $128.40 $92.95 – $111.54
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.24
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $342 $136.80 $92.95 – $111.54
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.25
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $342 $136.80 $92.95 – $111.54
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $94.81
  • Cigna — Medicare Advantage: $95.74
  • Clover Health — Medicare Advantage: $97.60
  • Kaiser — Commercial: $111.54
  • Kaiser — Medicare Advantage: $92.95
  • Pruitt Health Premier — Commercial: $102.25
  • United Healthcare — Veteran's Affairs Community: $92.95
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES $239 $95.60 $177.16 – $212.59
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $180.70
  • Cigna — Medicare Advantage: $182.47
  • Clover Health — Medicare Advantage: $186.02
  • Kaiser — Commercial: $212.59
  • Kaiser — Medicare Advantage: $177.16
  • Pruitt Health Premier — Commercial: $194.88
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES $180 $72 $177.16 – $212.59
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $180.70
  • Cigna — Medicare Advantage: $182.47
  • Clover Health — Medicare Advantage: $186.02
  • Kaiser — Commercial: $212.59
  • Kaiser — Medicare Advantage: $177.16
  • Pruitt Health Premier — Commercial: $194.88
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES $486 $194.40 $177.16 – $460
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
  • Aetna — Medicare Advantage: $180.70
  • Amerigroup — Medicaid CMO: $400
  • Behavioral Health Systems — Commercial: $315
  • Cameron and Associates — Commercial Behavioral: $206
  • CareSource — Medicaid CMO: $380
  • Cigna — Behavioral Health: $347
  • Cigna — Medicare Advantage: $182.47
  • Clover Health — Medicare Advantage: $186.02
  • Kaiser — Commercial: $212.59
  • Kaiser — Medicare Advantage: $177.16
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN $227 $90.80 $177.16 – $212.59
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • Aetna — Medicare Advantage: $180.70
  • Cigna — Medicare Advantage: $182.47
  • Clover Health — Medicare Advantage: $186.02
  • Kaiser — Commercial: $212.59
  • Kaiser — Medicare Advantage: $177.16
  • Pruitt Health Premier — Commercial: $194.88
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN $333 $133.20 $177.16 – $212.59
Family psychotherapy, with the patient: 10 of 28 insurance plan rates
  • Aetna — Medicare Advantage: $180.70
  • Amerigroup — Medicaid CMO: $400
  • Behavioral Health Systems — Commercial: $315
  • Cameron and Associates — Commercial Behavioral: $206
  • CareSource — Medicaid CMO: $380
  • Cigna — Medicare Advantage: $182.47
  • Clover Health — Medicare Advantage: $186.02
  • Kaiser — Commercial: $212.59
  • Kaiser — Medicare Advantage: $177.16
  • Magellan — Summit.Pinnacle Behavioral Health: $217
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $17 $6.80 $101.40 – $121.68
Group psychotherapy: 10 of 28 insurance plan rates
  • Aetna — Medicare Advantage: $103.43
  • Amerigroup — Medicaid CMO: $441
  • Behavioral Health Systems — Commercial: $365
  • Cameron and Associates — Commercial Behavioral: $386
  • CareSource — Medicaid CMO: $450
  • Cigna — Medicare Advantage: $104.44
  • Clover Health — Medicare Advantage: $106.47
  • Kaiser — Commercial: $121.68
  • Kaiser — Medicare Advantage: $101.40
  • Magellan — Summit.Pinnacle Behavioral Health: $374

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $11,355 $4,542 $3,908.04 – $4,689.65
Removal of breast growth (open surgery): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,986.20
  • Cigna — Medicare Advantage: $4,025.28
  • Clover Health — Medicare Advantage: $4,103.44
  • Kaiser — Commercial: $4,689.65
  • Kaiser — Medicare Advantage: $3,908.04
  • Pruitt Health Premier — Commercial: $4,298.84
  • United Healthcare — Veteran's Affairs Community: $3,908.04
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $26,698 $10,679.20 $12,814.41 – $15,377.29
Total hip replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13,070.70
  • Cigna — Medicare Advantage: $13,198.84
  • Clover Health — Medicare Advantage: $13,455.13
  • Kaiser — Commercial: $15,377.29
  • Kaiser — Medicare Advantage: $12,814.41
  • Pruitt Health Premier — Commercial: $14,095.85
  • United Healthcare — Veteran's Affairs Community: $12,814.41
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $26,795 $10,718 $12,814.41 – $15,377.29
Total hip replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13,070.70
  • Cigna — Medicare Advantage: $13,198.84
  • Clover Health — Medicare Advantage: $13,455.13
  • Kaiser — Commercial: $15,377.29
  • Kaiser — Medicare Advantage: $12,814.41
  • Pruitt Health Premier — Commercial: $14,095.85
  • United Healthcare — Veteran's Affairs Community: $12,814.41
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $25,437 $10,174.80 $12,814.41 – $15,377.29
Total hip replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13,070.70
  • Cigna — Medicare Advantage: $13,198.84
  • Clover Health — Medicare Advantage: $13,455.13
  • Kaiser — Commercial: $15,377.29
  • Kaiser — Medicare Advantage: $12,814.41
  • Pruitt Health Premier — Commercial: $14,095.85
  • United Healthcare — Veteran's Affairs Community: $12,814.41
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $28,347 $11,338.80 $12,814.41 – $15,377.29
Total knee replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13,070.70
  • Cigna — Medicare Advantage: $13,198.84
  • Clover Health — Medicare Advantage: $13,455.13
  • Kaiser — Commercial: $15,377.29
  • Kaiser — Medicare Advantage: $12,814.41
  • Pruitt Health Premier — Commercial: $14,095.85
  • United Healthcare — Veteran's Affairs Community: $12,814.41
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $27,862 $11,144.80 $12,814.41 – $15,377.29
Total knee replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $13,070.70
  • Cigna — Medicare Advantage: $13,198.84
  • Clover Health — Medicare Advantage: $13,455.13
  • Kaiser — Commercial: $15,377.29
  • Kaiser — Medicare Advantage: $12,814.41
  • Pruitt Health Premier — Commercial: $14,095.85
  • United Healthcare — Veteran's Affairs Community: $12,814.41
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $4,790 $1,916 $148.07 – $177.68
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $151.03
  • Cigna — Medicare Advantage: $152.51
  • Clover Health — Medicare Advantage: $155.47
  • Kaiser — Commercial: $177.68
  • Kaiser — Medicare Advantage: $148.07
  • Pruitt Health Premier — Commercial: $162.88
  • United Healthcare — Veteran's Affairs Community: $148.07
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $11,344.50 $4,537.80 $3,265.82 – $3,918.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,331.14
  • Cigna — Medicare Advantage: $3,363.79
  • Clover Health — Medicare Advantage: $3,429.11
  • Kaiser — Commercial: $3,918.98
  • Kaiser — Medicare Advantage: $3,265.82
  • Pruitt Health Premier — Commercial: $3,592.40
  • United Healthcare — Veteran's Affairs Community: $3,265.82
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $4,043.66 $1,617.46 $3,265.82 – $3,918.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,331.14
  • Cigna — Medicare Advantage: $3,363.79
  • Clover Health — Medicare Advantage: $3,429.11
  • Kaiser — Commercial: $3,918.98
  • Kaiser — Medicare Advantage: $3,265.82
  • Pruitt Health Premier — Commercial: $3,592.40
  • United Healthcare — Veteran's Affairs Community: $3,265.82
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $3,897.60 $1,559.04 $3,265.82 – $3,918.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,331.14
  • Cigna — Medicare Advantage: $3,363.79
  • Clover Health — Medicare Advantage: $3,429.11
  • Kaiser — Commercial: $3,918.98
  • Kaiser — Medicare Advantage: $3,265.82
  • Pruitt Health Premier — Commercial: $3,592.40
  • United Healthcare — Veteran's Affairs Community: $3,265.82
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $2,802 $1,120.80 $905.27 – $1,086.32
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,910.50 $764.20 $905.27 – $1,086.32
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $3,360 $1,344 $905.27 – $1,086.32
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $3,715 $1,486 $905.27 – $1,086.32
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $3,271 $1,308.40 $905.27 – $1,086.32
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,107 $442.80 $905.27 – $1,086.32
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $923.38
  • Cigna — Medicare Advantage: $932.43
  • Clover Health — Medicare Advantage: $950.53
  • Kaiser — Commercial: $1,086.32
  • Kaiser — Medicare Advantage: $905.27
  • Pruitt Health Premier — Commercial: $995.80
  • United Healthcare — Veteran's Affairs Community: $905.27
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $5,318 $2,127.20 $928.20 – $1,113.84
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $946.76
  • Cigna — Medicare Advantage: $956.05
  • Clover Health — Medicare Advantage: $974.61
  • Kaiser — Commercial: $1,113.84
  • Kaiser — Medicare Advantage: $928.20
  • Pruitt Health Premier — Commercial: $1,021.02
  • United Healthcare — Veteran's Affairs Community: $928.20
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,425 $1,370 $928.20 – $1,113.84
Colonoscopy (diagnostic): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $946.76
  • Cigna — Medicare Advantage: $956.05
  • Clover Health — Medicare Advantage: $974.61
  • Kaiser — Commercial: $1,113.84
  • Kaiser — Medicare Advantage: $928.20
  • Pruitt Health Premier — Commercial: $1,021.02
  • United Healthcare — Veteran's Affairs Community: $928.20
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,306.50 $922.60 $1,194.38 – $1,433.26
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,009.50 $803.80 $1,194.38 – $1,433.26
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_PT In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,603.50 $1,041.40 $1,194.38 – $1,433.26
Colonoscopy with biopsy: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $6,920 $2,768 $1,194.38 – $1,433.26
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1,966.66 $786.66 $1,194.38 – $1,433.26
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $6,475 $2,590 $1,194.38 – $1,433.26
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,218.27
  • Cigna — Medicare Advantage: $1,230.21
  • Clover Health — Medicare Advantage: $1,254.10
  • Kaiser — Commercial: $1,433.26
  • Kaiser — Medicare Advantage: $1,194.38
  • Pruitt Health Premier — Commercial: $1,313.82
  • United Healthcare — Veteran's Affairs Community: $1,194.38
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $3,821 $1,528.40 $928.20 – $1,113.84
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $946.76
  • Cigna — Medicare Advantage: $956.05
  • Clover Health — Medicare Advantage: $974.61
  • Kaiser — Commercial: $1,113.84
  • Kaiser — Medicare Advantage: $928.20
  • Pruitt Health Premier — Commercial: $1,021.02
  • United Healthcare — Veteran's Affairs Community: $928.20
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $16,869 $6,747.60 $6,034.10 – $7,240.92
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6,154.78
  • Cigna — Medicare Advantage: $6,215.12
  • Clover Health — Medicare Advantage: $6,335.80
  • Kaiser — Commercial: $7,240.92
  • Kaiser — Medicare Advantage: $6,034.10
  • Pruitt Health Premier — Commercial: $6,637.51
  • United Healthcare — Veteran's Affairs Community: $6,034.10
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $15,899 $6,359.60 $3,573.63 – $4,288.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,645.10
  • Cigna — Medicare Advantage: $3,680.84
  • Clover Health — Medicare Advantage: $3,752.31
  • Kaiser — Commercial: $4,288.36
  • Kaiser — Medicare Advantage: $3,573.63
  • Pruitt Health Premier — Commercial: $3,930.99
  • United Healthcare — Veteran's Affairs Community: $3,573.63
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $11,829.50 $4,731.80 $6,059.42 – $7,271.30
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $6,180.61
  • Cigna — Medicare Advantage: $6,241.20
  • Clover Health — Medicare Advantage: $6,362.39
  • Kaiser — Commercial: $7,271.30
  • Kaiser — Medicare Advantage: $6,059.42
  • Pruitt Health Premier — Commercial: $6,665.36
  • United Healthcare — Veteran's Affairs Community: $6,059.42
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $24,532 $9,812.80 $3,573.63 – $4,288.36
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,645.10
  • Cigna — Medicare Advantage: $3,680.84
  • Clover Health — Medicare Advantage: $3,752.31
  • Kaiser — Commercial: $4,288.36
  • Kaiser — Medicare Advantage: $3,573.63
  • Pruitt Health Premier — Commercial: $3,930.99
  • United Healthcare — Veteran's Affairs Community: $3,573.63
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $4,802 $1,920.80 Not listed in the file
Prostate biopsy: 10 of 15 insurance plan rates
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — HMO,POS: 75% (a percentage in the contract, not a dollar amount)
  • Anthem — Pathway.Pathway X: 60% (a percentage in the contract, not a dollar amount)
  • Anthem — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Cigna — Behavioral Health: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • First Health — Rental PPO: 89% (a percentage in the contract, not a dollar amount)
  • Galaxy Health — PPO: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $7,222 $2,888.80 $3,231.01 – $3,877.21
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $3,295.63
  • Cigna — Medicare Advantage: $3,327.94
  • Clover Health — Medicare Advantage: $3,392.56
  • Kaiser — Commercial: $3,877.21
  • Kaiser — Medicare Advantage: $3,231.01
  • Pruitt Health Premier — Commercial: $3,554.11
  • United Healthcare — Veteran's Affairs Community: $3,231.01
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $1,631 $652.40 $704.55 – $845.46
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $718.64
  • Cigna — Medicare Advantage: $725.69
  • Clover Health — Medicare Advantage: $739.78
  • Kaiser — Commercial: $845.46
  • Kaiser — Medicare Advantage: $704.55
  • Pruitt Health Premier — Commercial: $775.01
  • United Healthcare — Veteran's Affairs Community: $704.55
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $2,149 $859.60 $882.80 – $1,059.36
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $900.46
  • Cigna — Medicare Advantage: $909.28
  • Clover Health — Medicare Advantage: $926.94
  • Kaiser — Commercial: $1,059.36
  • Kaiser — Medicare Advantage: $882.80
  • Pruitt Health Premier — Commercial: $971.08
  • United Healthcare — Veteran's Affairs Community: $882.80
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $7,863 $3,145.20 $1,949.03 – $2,338.84
Carpal tunnel release: 10 of 22 insurance plan rates
  • Aetna — Medicare Advantage: $1,988.01
  • Cigna — Medicare Advantage: $2,007.50
  • Clover Health — Medicare Advantage: $2,046.48
  • Kaiser — Commercial: $2,338.84
  • Kaiser — Medicare Advantage: $1,949.03
  • Pruitt Health Premier — Commercial: $2,143.93
  • United Healthcare — Veteran's Affairs Community: $1,949.03
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Commercial: 78% (a percentage in the contract, not a dollar amount)
  • Alliant Health Plans — Solocare Exchange: 60% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY Not listed in the file Not listed in the file $670 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $84,025.86
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $77,914.89
  • Cameron and Associates — Commercial Behavioral: $670 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna — Medicare Advantage: $78,678.76
  • Clover Health — Medicare Advantage: $80,206.51
  • Kaiser — Commercial: $76,387.15
  • Kaiser — Medicare Advantage: $76,387.15
  • MHNet — Commercial Behavioral Health: $1,392.74
  • Pruitt Health Premier — Commercial: $84,025.86
  • United Healthcare — Veteran's Affairs Community: $76,387.15
  • Aetna — Commercial: 78% (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 COMORBITY Not listed in the file Not listed in the file $670 – $21,165.07
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $19,625.79
  • Cameron and Associates — Commercial Behavioral: $670
  • Cigna — Medicare Advantage: $19,818.20
  • Clover Health — Medicare Advantage: $20,203.02
  • Kaiser — Commercial: $19,240.97
  • Kaiser — Medicare Advantage: $19,240.97
  • MHNet — Commercial Behavioral Health: $1,392.74
  • Pruitt Health Premier — Commercial: $21,165.07
  • United Healthcare — Veteran's Affairs Community: $19,240.97
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $670 – $25,266.19
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $23,428.65
  • Cameron and Associates — Commercial Behavioral: $670
  • Cigna — Medicare Advantage: $23,658.34
  • Clover Health — Medicare Advantage: $24,117.72
  • Kaiser — Commercial: $22,969.26
  • Kaiser — Medicare Advantage: $22,969.26
  • MHNet — Commercial Behavioral Health: $1,392.74
  • Pruitt Health Premier — Commercial: $25,266.19
  • United Healthcare — Veteran's Affairs Community: $22,969.26
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $670 – $15,656.87
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Advantage: $14,518.19
  • Cameron and Associates — Commercial Behavioral: $670
  • Cigna — Medicare Advantage: $14,660.53
  • Clover Health — Medicare Advantage: $14,945.20
  • Kaiser — Commercial: $14,233.52
  • Kaiser — Medicare Advantage: $14,233.52
  • MHNet — Commercial Behavioral Health: $1,392.74
  • Pruitt Health Premier — Commercial: $15,656.87
  • United Healthcare — Veteran's Affairs Community: $14,233.52
  • Aetna — Commercial: 78% (a percentage in the contract, not a dollar amount)

Source: Tanner Medical Center Villa Rica’s standard charges file (tanner.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 24, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address601 Dallas Highway, Villa Rica, GA 30180
CountyCarroll County
StateGeorgia
Phone(770) 456‑3101
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number110015
Name in Medicare recordsTANNER MEDICAL CENTER VILLA RICA
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(770) 812‑3000[4]
Official websitetanner.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. Tanner Medical Center/Villa Rica — tanner.org