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Acute Care Hospital

The General

Also listed as: Baton Rouge General - Mid City

Baton Rouge, Louisiana · E. Baton Rouge Parish · Emergency services listed

Summary

The General is an acute care hospital in Baton Rouge, Louisiana. Medicare data lists emergency services. Its official website lists 14 services, specialties and programs. Medicare lists 50 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
14Services listed

Quick answers

Does The General have an emergency room?
Yes. Medicare (CMS) data lists emergency services at The General. In a medical emergency, call 911.
Where is The General?
3600 Florida Blvd, Suite 2020, Baton Rouge, LA 70806, in E. Baton Rouge Parish, Louisiana.
What is the phone number of The General?
(225) 381-6393, as listed by Medicare (CMS).
What is the Medicare star rating of The General?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

  • Inpatient Rehabilitation
  • Advanced Wound Care and Hyperbarics
  • Sleep Center

Treatments[6]

Programs and centers[6]

  • Cancer center
  • Behavioral health unit
  • Inpatient rehabilitation
  • Outpatient rehabilitation and therapy
  • Pediatric rehabilitation
  • Outpatient wound clinic
  • Sleep center
  • Imaging and radiology
  • Outpatient laboratory services

Emergency care (hospital website)[4][6][8]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingGeneral visiting 8 a.m.-8 p.m.; Behavioral Health Unit has its own set hours; skilled nursing visits by appointment[5]
ParkingParking garage with a Level 1 Bridge Entrance at the Mid City campus[6]
Interpreters and languagesOn-demand interpreters 24/7 by phone or app at no cost (system-wide service)[7]

Doctors and clinicians (50)

50 doctors and other clinicians list The General 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 (50)

And 26 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 The General 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)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1074%National average: 72%
Would definitely recommend the hospital74%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them69%National average: 62%
Were given information about recovery at home78%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night78%National average: 60%
Completed surveys26Response rate: 5%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.227No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients14.2%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Too few cases to report
Complications after hip or knee replacementNot reported to Medicare

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 attackNot reported to Medicare
Readmitted within 30 days: heart failure23.2%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)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 74 common services exactly as The General lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN $203.85 $142.70 $49.74 – $175
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $108.04
  • BLUE CROSS — BCBS HMO: $64.77
  • BLUE CROSS — BLUE CROSS COMMUNITY: $49.74
  • BLUE CROSS — BLUE CROSS PPO: $67.87
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $156.96
  • GEHA — GEHA: $86.66
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $86.66
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $86.66
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $106
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P NEW LOW 30 MIN $203.85 $142.70 $49.74 – $175
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $108.04
  • BLUE CROSS — BCBS HMO: $64.77
  • BLUE CROSS — BLUE CROSS COMMUNITY: $49.74
  • BLUE CROSS — BLUE CROSS PPO: $67.87
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $156.96
  • GEHA — GEHA: $86.66
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $86.66
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $86.66
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $106
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN $246.25 $172.38 $54.20 – $189.61
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $130.51
  • BLUE CROSS — BCBS HMO: $70.57
  • BLUE CROSS — BLUE CROSS COMMUNITY: $54.20
  • BLUE CROSS — BLUE CROSS PPO: $73.95
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $189.61
  • GEHA — GEHA: $104.68
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $104.68
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $104.68
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $128.05
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P NEW MOD 45 MIN $246.25 $172.38 $54.20 – $189.61
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $130.51
  • BLUE CROSS — BCBS HMO: $70.57
  • BLUE CROSS — BLUE CROSS COMMUNITY: $54.20
  • BLUE CROSS — BLUE CROSS PPO: $73.95
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $189.61
  • GEHA — GEHA: $104.68
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $104.68
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $104.68
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $128.05
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN $280.15 $196.11 $59.79 – $215.72
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $148.48
  • BLUE CROSS — BCBS HMO: $77.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $59.79
  • BLUE CROSS — BLUE CROSS PPO: $81.56
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $215.72
  • GEHA — GEHA: $119.09
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $119.09
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $119.09
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $145.68
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P NEW HI 60 MIN $280.15 $196.11 $59.79 – $215.72
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $148.48
  • BLUE CROSS — BCBS HMO: $77.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $59.79
  • BLUE CROSS — BLUE CROSS PPO: $81.56
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $215.72
  • GEHA — GEHA: $119.09
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $119.09
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $119.09
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $145.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE O/P EST LOW 20 MIN $180 $126 $36.89 – $175
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $95.40
  • BLUE CROSS — BCBS HMO: $48.02
  • BLUE CROSS — BLUE CROSS COMMUNITY: $36.89
  • BLUE CROSS — BLUE CROSS PPO: $50.32
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $138.60
  • GEHA — GEHA: $76.52
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $76.52
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $76.52
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $93.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P EST LOW 20 MIN $180 $126 $36.89 – $175
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $95.40
  • BLUE CROSS — BCBS HMO: $48.02
  • BLUE CROSS — BLUE CROSS COMMUNITY: $36.89
  • BLUE CROSS — BLUE CROSS PPO: $50.32
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $138.60
  • GEHA — GEHA: $76.52
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $76.52
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $76.52
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $93.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE O/P EST MOD 30 MIN $204 $142.80 $46.38 – $175
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $108.12
  • BLUE CROSS — BCBS HMO: $60.39
  • BLUE CROSS — BLUE CROSS COMMUNITY: $46.38
  • BLUE CROSS — BLUE CROSS PPO: $63.28
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $157.08
  • GEHA — GEHA: $86.72
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $86.72
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $86.72
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $106.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · modifier 25 In the file: OFFICE O/P EST MOD 30 MIN $204 $142.80 $46.38 – $175
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $108.12
  • BLUE CROSS — BCBS HMO: $60.39
  • BLUE CROSS — BLUE CROSS COMMUNITY: $46.38
  • BLUE CROSS — BLUE CROSS PPO: $63.28
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $157.08
  • GEHA — GEHA: $86.72
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $86.72
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $86.72
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $106.08
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: INITIAL CONSULT NO F/U $179.75 $125.83 $41.92 – $175
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $95.27
  • BLUE CROSS — BCBS HMO: $54.58
  • BLUE CROSS — BLUE CROSS COMMUNITY: $41.92
  • BLUE CROSS — BLUE CROSS PPO: $57.20
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $138.41
  • GEHA — GEHA: $76.41
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $76.41
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $76.41
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $93.47
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: INITIAL CONSULT WITH F/U $217.15 $152.01 $45.82 – $175
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates
  • AETNA — AETNA_HMO: $115.09
  • BLUE CROSS — BCBS HMO: $59.65
  • BLUE CROSS — BLUE CROSS COMMUNITY: $45.82
  • BLUE CROSS — BLUE CROSS PPO: $62.51
  • CIGNA — CIGNA: $175
  • FIRST HEALTH — FIRST HEALTH: $167.21
  • GEHA — GEHA: $92.31
  • UNITED HEALTHCARE — COMMUNITY COFFEE: $92.31
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $92.31
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $112.92
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM $846.35 $592.45 $254.28 – $1,189.44
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $261.90
  • AETNA — AETNA_HMO: $1,006
  • BLUE CROSS — BCBS HMO: $1,153.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $948.48
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $254.28
  • BLUE CROSS — BLUE CROSS PPO: $1,189.44
  • CIGNA — CIGNA: $875
  • FIRST HEALTH — FIRST HEALTH: $651.69
  • GEHA — GEHA: $1,085
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $254.28
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: EMERGENCY DEPT VISIT LOW MDM $846.35 $592.45 $254.28 – $1,189.44
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $261.90
  • AETNA — AETNA_HMO: $1,006
  • BLUE CROSS — BCBS HMO: $1,153.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $948.48
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $254.28
  • BLUE CROSS — BLUE CROSS PPO: $1,189.44
  • CIGNA — CIGNA: $875
  • FIRST HEALTH — FIRST HEALTH: $651.69
  • GEHA — GEHA: $1,085
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $254.28
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 27 In the file: EMERGENCY DEPT VISIT LOW MDM $846.35 $592.45 $254.28 – $1,189.44
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $261.90
  • AETNA — AETNA_HMO: $1,006
  • BLUE CROSS — BCBS HMO: $1,153.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $948.48
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $254.28
  • BLUE CROSS — BLUE CROSS PPO: $1,189.44
  • CIGNA — CIGNA: $875
  • FIRST HEALTH — FIRST HEALTH: $651.69
  • GEHA — GEHA: $1,085
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $254.28
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM $1,488.80 $1,042.16 $388.67 – $2,200
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $400.34
  • AETNA — AETNA_HMO: $1,864
  • BLUE CROSS — BCBS HMO: $1,816.47
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,493.98
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $388.67
  • BLUE CROSS — BLUE CROSS PPO: $1,873.53
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,146.38
  • GEHA — GEHA: $1,718
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $388.67
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: EMERGENCY DEPT VISIT MOD MDM $1,488.80 $1,042.16 $377.83 – $2,200
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $389.16
  • AETNA — AETNA_HMO: $1,864
  • BLUE CROSS — BCBS HMO: $1,816.47
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,493.98
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $377.83
  • BLUE CROSS — BLUE CROSS PPO: $1,873.53
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,146.38
  • GEHA — GEHA: $1,718
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $377.83
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 27 In the file: EMERGENCY DEPT VISIT MOD MDM $1,488.80 $1,042.16 $388.67 – $2,200
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $400.34
  • AETNA — AETNA_HMO: $1,864
  • BLUE CROSS — BCBS HMO: $1,816.47
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,493.98
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $388.67
  • BLUE CROSS — BLUE CROSS PPO: $1,873.53
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,146.38
  • GEHA — GEHA: $1,718
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $388.67
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM $2,179.20 $1,525.44 $554.73 – $3,172
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $571.37
  • AETNA — AETNA_HMO: $3,172
  • BLUE CROSS — BCBS HMO: $2,605.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $2,142.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $554.73
  • BLUE CROSS — BLUE CROSS PPO: $2,686.87
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,677.98
  • GEHA — GEHA: $2,921
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $554.73
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: EMERGENCY DEPT VISIT HI MDM $2,179.20 $1,525.44 $554.73 – $3,172
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $571.37
  • AETNA — AETNA_HMO: $3,172
  • BLUE CROSS — BCBS HMO: $2,605.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $2,142.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $554.73
  • BLUE CROSS — BLUE CROSS PPO: $2,686.87
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,677.98
  • GEHA — GEHA: $2,921
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $554.73
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 27 In the file: EMERGENCY DEPT VISIT HI MDM $2,179.20 $1,525.44 $554.73 – $3,172
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $571.37
  • AETNA — AETNA_HMO: $3,172
  • BLUE CROSS — BCBS HMO: $2,605.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $2,142.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $554.73
  • BLUE CROSS — BLUE CROSS PPO: $2,686.87
  • CIGNA — CIGNA: $2,200
  • FIRST HEALTH — FIRST HEALTH: $1,677.98
  • GEHA — GEHA: $2,921
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $554.73

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL $220.45 $154.32 $4.23 – $169.75
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.71
  • AETNA — AETNA_HMO: $11.57
  • BLUE CROSS — BCBS HMO: $19.40
  • BLUE CROSS — BLUE CROSS COMMUNITY: $14.90
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.23
  • BLUE CROSS — BLUE CROSS PPO: $20.33
  • CIGNA — CIGNA: $8.69
  • FIRST HEALTH — FIRST HEALTH: $169.75
  • GEHA — GEHA: $8.46
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: BASIC METABOLIC PANEL $220.45 $154.32 $4.23 – $169.75
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.71
  • AETNA — AETNA_HMO: $11.57
  • BLUE CROSS — BCBS HMO: $19.40
  • BLUE CROSS — BLUE CROSS COMMUNITY: $14.90
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.23
  • BLUE CROSS — BLUE CROSS PPO: $20.33
  • CIGNA — CIGNA: $8.69
  • FIRST HEALTH — FIRST HEALTH: $169.75
  • GEHA — GEHA: $8.46
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier XE In the file: BASIC METABOLIC PANEL $220.45 $154.32 $4.23 – $169.75
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.71
  • AETNA — AETNA_HMO: $11.57
  • BLUE CROSS — BCBS HMO: $19.40
  • BLUE CROSS — BLUE CROSS COMMUNITY: $14.90
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.23
  • BLUE CROSS — BLUE CROSS PPO: $20.33
  • CIGNA — CIGNA: $8.69
  • FIRST HEALTH — FIRST HEALTH: $169.75
  • GEHA — GEHA: $8.46
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL $245.55 $171.89 $5.28 – $189.07
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $10.88
  • AETNA — AETNA_HMO: $14.44
  • BLUE CROSS — BCBS HMO: $24.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $18.60
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $5.28
  • BLUE CROSS — BLUE CROSS PPO: $25.38
  • CIGNA — CIGNA: $11.22
  • FIRST HEALTH — FIRST HEALTH: $189.07
  • GEHA — GEHA: $10.56
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $7.34
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 77 In the file: COMPREHENSIVE METABOLIC PANEL $245.55 $171.89 $5.28 – $189.07
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $10.88
  • AETNA — AETNA_HMO: $14.44
  • BLUE CROSS — BCBS HMO: $24.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $18.60
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $5.28
  • BLUE CROSS — BLUE CROSS PPO: $25.38
  • CIGNA — CIGNA: $11.22
  • FIRST HEALTH — FIRST HEALTH: $189.07
  • GEHA — GEHA: $10.56
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $7.34
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: COMPREHENSIVE METABOLIC PANEL $245.55 $171.89 $5.28 – $189.07
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $10.88
  • AETNA — AETNA_HMO: $14.44
  • BLUE CROSS — BCBS HMO: $24.22
  • BLUE CROSS — BLUE CROSS COMMUNITY: $18.60
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $5.28
  • BLUE CROSS — BLUE CROSS PPO: $25.38
  • CIGNA — CIGNA: $11.22
  • FIRST HEALTH — FIRST HEALTH: $189.07
  • GEHA — GEHA: $10.56
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $7.34
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL $220.10 $154.07 $23.91 – $169.48
Obstetric blood test panel: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $49.24
  • AETNA — AETNA_HMO: $65.37
  • BLUE CROSS — BCBS HMO: $109.65
  • BLUE CROSS — BLUE CROSS COMMUNITY: $84.22
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $23.91
  • BLUE CROSS — BLUE CROSS PPO: $114.90
  • CIGNA — CIGNA: $49.97
  • FIRST HEALTH — FIRST HEALTH: $169.48
  • GEHA — GEHA: $47.81
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $33.25
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $174.65 $122.26 $6.70 – $134.48
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $13.79
  • AETNA — AETNA_HMO: $18.31
  • BLUE CROSS — BCBS HMO: $30.71
  • BLUE CROSS — BLUE CROSS COMMUNITY: $23.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $6.70
  • BLUE CROSS — BLUE CROSS PPO: $32.18
  • CIGNA — CIGNA: $14.12
  • FIRST HEALTH — FIRST HEALTH: $134.48
  • GEHA — GEHA: $13.39
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $9.31
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier XU In the file: LIPID PANEL $174.65 $122.26 $6.70 – $134.48
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $13.79
  • AETNA — AETNA_HMO: $18.31
  • BLUE CROSS — BCBS HMO: $30.71
  • BLUE CROSS — BLUE CROSS COMMUNITY: $23.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $6.70
  • BLUE CROSS — BLUE CROSS PPO: $32.18
  • CIGNA — CIGNA: $14.12
  • FIRST HEALTH — FIRST HEALTH: $134.48
  • GEHA — GEHA: $13.39
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $9.31
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $156.95 $109.87 $4.34 – $120.85
Kidney function panel: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.94
  • AETNA — AETNA_HMO: $11.87
  • BLUE CROSS — BCBS HMO: $19.91
  • BLUE CROSS — BLUE CROSS COMMUNITY: $15.29
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.34
  • BLUE CROSS — BLUE CROSS PPO: $20.86
  • CIGNA — CIGNA: $9.05
  • FIRST HEALTH — FIRST HEALTH: $120.85
  • GEHA — GEHA: $8.68
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $6.04
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier 91 In the file: RENAL FUNCTION PANEL $156.95 $109.87 $4.34 – $120.85
Kidney function panel: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.94
  • AETNA — AETNA_HMO: $11.87
  • BLUE CROSS — BCBS HMO: $19.91
  • BLUE CROSS — BLUE CROSS COMMUNITY: $15.29
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.34
  • BLUE CROSS — BLUE CROSS PPO: $20.86
  • CIGNA — CIGNA: $9.05
  • FIRST HEALTH — FIRST HEALTH: $120.85
  • GEHA — GEHA: $8.68
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $6.04
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $162.05 $113.44 $4.09 – $124.78
Liver function panel: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.42
  • AETNA — AETNA_HMO: $11.18
  • BLUE CROSS — BCBS HMO: $18.74
  • BLUE CROSS — BLUE CROSS COMMUNITY: $14.39
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.09
  • BLUE CROSS — BLUE CROSS PPO: $19.63
  • CIGNA — CIGNA: $8.69
  • FIRST HEALTH — FIRST HEALTH: $124.78
  • GEHA — GEHA: $8.17
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.68
Liver function panel CPT 80076 · Inpatient or outpatient · modifier XU In the file: HEPATIC FUNCTION PANEL $162.05 $113.44 $4.09 – $124.78
Liver function panel: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8.42
  • AETNA — AETNA_HMO: $11.18
  • BLUE CROSS — BCBS HMO: $18.74
  • BLUE CROSS — BLUE CROSS COMMUNITY: $14.39
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $4.09
  • BLUE CROSS — BLUE CROSS PPO: $19.63
  • CIGNA — CIGNA: $8.69
  • FIRST HEALTH — FIRST HEALTH: $124.78
  • GEHA — GEHA: $8.17
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.68
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS WITH MICRO $83.45 $58.42 $1.59 – $64.26
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.27
  • AETNA — AETNA_HMO: $4.34
  • BLUE CROSS — BCBS HMO: $7.27
  • BLUE CROSS — BLUE CROSS COMMUNITY: $5.58
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.59
  • BLUE CROSS — BLUE CROSS PPO: $7.62
  • CIGNA — CIGNA: $3.26
  • FIRST HEALTH — FIRST HEALTH: $64.26
  • GEHA — GEHA: $3.17
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.20
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XE In the file: URINALYSIS WITH MICRO $83.45 $58.42 $1.59 – $64.26
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.27
  • AETNA — AETNA_HMO: $4.34
  • BLUE CROSS — BCBS HMO: $7.27
  • BLUE CROSS — BLUE CROSS COMMUNITY: $5.58
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.59
  • BLUE CROSS — BLUE CROSS PPO: $7.62
  • CIGNA — CIGNA: $3.26
  • FIRST HEALTH — FIRST HEALTH: $64.26
  • GEHA — GEHA: $3.17
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.20
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier XU In the file: URINALYSIS WITH MICRO $83.45 $58.42 $1.59 – $64.26
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.27
  • AETNA — AETNA_HMO: $4.34
  • BLUE CROSS — BCBS HMO: $7.27
  • BLUE CROSS — BLUE CROSS COMMUNITY: $5.58
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.59
  • BLUE CROSS — BLUE CROSS PPO: $7.62
  • CIGNA — CIGNA: $3.26
  • FIRST HEALTH — FIRST HEALTH: $64.26
  • GEHA — GEHA: $3.17
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE $33.70 $23.59 $1.74 – $25.95
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $3.58
  • AETNA — AETNA_HMO: $4.76
  • BLUE CROSS — BCBS HMO: $7.98
  • BLUE CROSS — BLUE CROSS COMMUNITY: $6.13
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.74
  • BLUE CROSS — BLUE CROSS PPO: $8.36
  • CIGNA — CIGNA: $3.62
  • FIRST HEALTH — FIRST HEALTH: $25.95
  • GEHA — GEHA: $3.48
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.42
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE $46.30 $32.41 $1.13 – $35.65
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $2.32
  • AETNA — AETNA_HMO: $3.07
  • BLUE CROSS — BCBS HMO: $5.16
  • BLUE CROSS — BLUE CROSS COMMUNITY: $3.96
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.13
  • BLUE CROSS — BLUE CROSS PPO: $5.41
  • CIGNA — CIGNA: $2.53
  • FIRST HEALTH — FIRST HEALTH: $35.65
  • GEHA — GEHA: $2.25
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $1.56
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier 59 In the file: URINALYSIS AUTO W/O SCOPE $46.30 $32.41 $1.13 – $35.65
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $2.32
  • AETNA — AETNA_HMO: $3.07
  • BLUE CROSS — BCBS HMO: $5.16
  • BLUE CROSS — BLUE CROSS COMMUNITY: $3.96
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.13
  • BLUE CROSS — BLUE CROSS PPO: $5.41
  • CIGNA — CIGNA: $2.53
  • FIRST HEALTH — FIRST HEALTH: $35.65
  • GEHA — GEHA: $2.25
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $1.56
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier XE In the file: URINALYSIS AUTO W/O SCOPE $46.30 $32.41 $1.13 – $35.65
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $2.32
  • AETNA — AETNA_HMO: $3.07
  • BLUE CROSS — BCBS HMO: $5.16
  • BLUE CROSS — BLUE CROSS COMMUNITY: $3.96
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1.13
  • BLUE CROSS — BLUE CROSS PPO: $5.41
  • CIGNA — CIGNA: $2.53
  • FIRST HEALTH — FIRST HEALTH: $35.65
  • GEHA — GEHA: $2.25
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $1.56
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $128.85 $90.20 $9.20 – $99.21
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $18.94
  • AETNA — AETNA_HMO: $25.14
  • BLUE CROSS — BCBS HMO: $42.18
  • BLUE CROSS — BLUE CROSS COMMUNITY: $32.39
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $9.20
  • BLUE CROSS — BLUE CROSS PPO: $44.19
  • CIGNA — CIGNA: $19.19
  • FIRST HEALTH — FIRST HEALTH: $99.21
  • GEHA — GEHA: $18.39
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $12.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE $162.55 $113.79 $8.40 – $125.16
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $17.30
  • AETNA — AETNA_HMO: $22.97
  • BLUE CROSS — BCBS HMO: $38.53
  • BLUE CROSS — BLUE CROSS COMMUNITY: $29.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $8.40
  • BLUE CROSS — BLUE CROSS PPO: $40.37
  • CIGNA — CIGNA: $17.75
  • FIRST HEALTH — FIRST HEALTH: $125.16
  • GEHA — GEHA: $16.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $11.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier XE In the file: ASSAY THYROID STIM HORMONE $162.55 $113.79 $8.40 – $125.16
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $17.30
  • AETNA — AETNA_HMO: $22.97
  • BLUE CROSS — BCBS HMO: $38.53
  • BLUE CROSS — BLUE CROSS COMMUNITY: $29.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $8.40
  • BLUE CROSS — BLUE CROSS PPO: $40.37
  • CIGNA — CIGNA: $17.75
  • FIRST HEALTH — FIRST HEALTH: $125.16
  • GEHA — GEHA: $16.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $11.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier 91 In the file: ASSAY THYROID STIM HORMONE $162.55 $113.79 $8.40 – $125.16
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $17.30
  • AETNA — AETNA_HMO: $22.97
  • BLUE CROSS — BCBS HMO: $38.53
  • BLUE CROSS — BLUE CROSS COMMUNITY: $29.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $8.40
  • BLUE CROSS — BLUE CROSS PPO: $40.37
  • CIGNA — CIGNA: $17.75
  • FIRST HEALTH — FIRST HEALTH: $125.16
  • GEHA — GEHA: $16.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $11.68
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH DIFFERENTIAL $100.70 $70.49 $3.89 – $77.54
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8
  • AETNA — AETNA_HMO: $10.62
  • BLUE CROSS — BCBS HMO: $14.54
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.17
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.89
  • BLUE CROSS — BLUE CROSS PPO: $15.24
  • CIGNA — CIGNA: $7.97
  • FIRST HEALTH — FIRST HEALTH: $77.54
  • GEHA — GEHA: $7.77
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: CBC WITH DIFFERENTIAL $100.70 $70.49 $3.89 – $77.54
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8
  • AETNA — AETNA_HMO: $10.62
  • BLUE CROSS — BCBS HMO: $14.54
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.17
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.89
  • BLUE CROSS — BLUE CROSS PPO: $15.24
  • CIGNA — CIGNA: $7.97
  • FIRST HEALTH — FIRST HEALTH: $77.54
  • GEHA — GEHA: $7.77
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 77 In the file: CBC WITH DIFFERENTIAL $100.70 $70.49 $3.89 – $77.54
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $8
  • AETNA — AETNA_HMO: $10.62
  • BLUE CROSS — BCBS HMO: $14.54
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.17
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.89
  • BLUE CROSS — BLUE CROSS PPO: $15.24
  • CIGNA — CIGNA: $7.97
  • FIRST HEALTH — FIRST HEALTH: $77.54
  • GEHA — GEHA: $7.77
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $5.40
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC WITHOUT DIFFERENTIAL $85.60 $59.92 $3.24 – $65.91
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.66
  • AETNA — AETNA_HMO: $8.85
  • BLUE CROSS — BCBS HMO: $14.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.40
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.24
  • BLUE CROSS — BLUE CROSS PPO: $15.55
  • CIGNA — CIGNA: $6.88
  • FIRST HEALTH — FIRST HEALTH: $65.91
  • GEHA — GEHA: $6.47
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier XU In the file: CBC WITHOUT DIFFERENTIAL $85.60 $59.92 $3.24 – $65.91
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.66
  • AETNA — AETNA_HMO: $8.85
  • BLUE CROSS — BCBS HMO: $14.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.40
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.24
  • BLUE CROSS — BLUE CROSS PPO: $15.55
  • CIGNA — CIGNA: $6.88
  • FIRST HEALTH — FIRST HEALTH: $65.91
  • GEHA — GEHA: $6.47
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.50
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 59 In the file: CBC WITHOUT DIFFERENTIAL $85.60 $59.92 $3.24 – $65.91
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.66
  • AETNA — AETNA_HMO: $8.85
  • BLUE CROSS — BCBS HMO: $14.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $11.40
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.24
  • BLUE CROSS — BLUE CROSS PPO: $15.55
  • CIGNA — CIGNA: $6.88
  • FIRST HEALTH — FIRST HEALTH: $65.91
  • GEHA — GEHA: $6.47
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT PROTHROMBIN TIME $60.20 $42.14 $2.15 – $46.35
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $4.42
  • AETNA — AETNA_HMO: $5.86
  • BLUE CROSS — BCBS HMO: $9.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $7.56
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $2.15
  • BLUE CROSS — BLUE CROSS PPO: $10.31
  • CIGNA — CIGNA: $4.34
  • FIRST HEALTH — FIRST HEALTH: $46.35
  • GEHA — GEHA: $4.29
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier 91 In the file: PT PROTHROMBIN TIME $60.20 $42.14 $2.15 – $46.35
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $4.42
  • AETNA — AETNA_HMO: $5.86
  • BLUE CROSS — BCBS HMO: $9.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $7.56
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $2.15
  • BLUE CROSS — BLUE CROSS PPO: $10.31
  • CIGNA — CIGNA: $4.34
  • FIRST HEALTH — FIRST HEALTH: $46.35
  • GEHA — GEHA: $4.29
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier XE In the file: PT PROTHROMBIN TIME $60.20 $42.14 $2.15 – $46.35
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $4.42
  • AETNA — AETNA_HMO: $5.86
  • BLUE CROSS — BCBS HMO: $9.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $7.56
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $2.15
  • BLUE CROSS — BLUE CROSS PPO: $10.31
  • CIGNA — CIGNA: $4.34
  • FIRST HEALTH — FIRST HEALTH: $46.35
  • GEHA — GEHA: $4.29
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $2.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT PARTIAL THROMB TIME $79.50 $55.65 $3.01 – $61.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.19
  • AETNA — AETNA_HMO: $8.22
  • BLUE CROSS — BCBS HMO: $13.78
  • BLUE CROSS — BLUE CROSS COMMUNITY: $10.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.01
  • BLUE CROSS — BLUE CROSS PPO: $14.44
  • CIGNA — CIGNA: $6.16
  • FIRST HEALTH — FIRST HEALTH: $61.22
  • GEHA — GEHA: $6.01
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 91 In the file: PTT PARTIAL THROMB TIME $79.50 $55.65 $3.01 – $61.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.19
  • AETNA — AETNA_HMO: $8.22
  • BLUE CROSS — BCBS HMO: $13.78
  • BLUE CROSS — BLUE CROSS COMMUNITY: $10.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.01
  • BLUE CROSS — BLUE CROSS PPO: $14.44
  • CIGNA — CIGNA: $6.16
  • FIRST HEALTH — FIRST HEALTH: $61.22
  • GEHA — GEHA: $6.01
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.18
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier XE In the file: PTT PARTIAL THROMB TIME $79.50 $55.65 $3.01 – $61.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $6.19
  • AETNA — AETNA_HMO: $8.22
  • BLUE CROSS — BCBS HMO: $13.78
  • BLUE CROSS — BLUE CROSS COMMUNITY: $10.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $3.01
  • BLUE CROSS — BLUE CROSS PPO: $14.44
  • CIGNA — CIGNA: $6.16
  • FIRST HEALTH — FIRST HEALTH: $61.22
  • GEHA — GEHA: $6.01
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $4.18

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: PET CT BRAIN W/O CONTRAST $1,193.15 $835.21 $66.93 – $1,866
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $918.73
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONTRAST $2,075.40 $1,452.78 $66.93 – $1,866
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $1,598.06
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 59 In the file: CT HEAD W/O CONTRAST $2,075.40 $1,452.78 $66.93 – $1,866
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $1,598.06
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI HEAD W/ & W/O CONTRAST $4,695.65 $3,286.96 $218.66 – $3,615.65
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $334.72
  • AETNA — AETNA_HMO: $542.40
  • BLUE CROSS — BCBS HMO: $875.73
  • BLUE CROSS — BLUE CROSS COMMUNITY: $672.63
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $324.97
  • BLUE CROSS — BLUE CROSS PPO: $917.66
  • CIGNA — CIGNA: $2,367
  • FIRST HEALTH — FIRST HEALTH: $3,615.65
  • GEHA — GEHA: $736.24
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $324.97
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS $321.10 $224.77 $20.30 – $247.25
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.49
  • AETNA — AETNA_HMO: $27.30
  • BLUE CROSS — BCBS HMO: $183.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $140.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $81.06
  • BLUE CROSS — BLUE CROSS PPO: $191.80
  • CIGNA — CIGNA: $85.56
  • FIRST HEALTH — FIRST HEALTH: $247.25
  • GEHA — GEHA: $161.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $81.06
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier XE In the file: X-RAY EXAM CHEST 2 VIEWS $321.10 $224.77 $20.30 – $247.25
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.49
  • AETNA — AETNA_HMO: $27.30
  • BLUE CROSS — BCBS HMO: $183.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $140.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $81.06
  • BLUE CROSS — BLUE CROSS PPO: $191.80
  • CIGNA — CIGNA: $85.56
  • FIRST HEALTH — FIRST HEALTH: $247.25
  • GEHA — GEHA: $161.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $81.06
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier XU In the file: X-RAY EXAM CHEST 2 VIEWS $321.10 $224.77 $20.30 – $247.25
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.49
  • AETNA — AETNA_HMO: $27.30
  • BLUE CROSS — BCBS HMO: $183.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $140.59
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $81.06
  • BLUE CROSS — BLUE CROSS PPO: $191.80
  • CIGNA — CIGNA: $85.56
  • FIRST HEALTH — FIRST HEALTH: $247.25
  • GEHA — GEHA: $161.80
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $81.06
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X LUMBOSACRAL MIN OF 4 VIEWS $492.30 $344.61 $34.80 – $379.07
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $44.19
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $143.45
  • FIRST HEALTH — FIRST HEALTH: $379.07
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XE In the file: X LUMBOSACRAL MIN OF 4 VIEWS $492.30 $344.61 $34.80 – $379.07
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $44.19
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $143.45
  • FIRST HEALTH — FIRST HEALTH: $379.07
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier XU In the file: X LUMBOSACRAL MIN OF 4 VIEWS $492.30 $344.61 $34.80 – $379.07
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $44.19
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $143.45
  • FIRST HEALTH — FIRST HEALTH: $379.07
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR W/O CONTRAST $2,765.05 $1,935.54 $133.15 – $2,367
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $228.92
  • AETNA — AETNA_HMO: $542.40
  • BLUE CROSS — BCBS HMO: $534.45
  • BLUE CROSS — BLUE CROSS COMMUNITY: $410.50
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $222.25
  • BLUE CROSS — BLUE CROSS PPO: $560.04
  • CIGNA — CIGNA: $2,367
  • FIRST HEALTH — FIRST HEALTH: $2,129.09
  • GEHA — GEHA: $460.26
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $222.25
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST $3,195.10 $2,236.57 $163.38 – $2,460.23
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $168.29
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $417.90
  • BLUE CROSS — BLUE CROSS COMMUNITY: $320.98
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $163.38
  • BLUE CROSS — BLUE CROSS PPO: $437.91
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $2,460.23
  • GEHA — GEHA: $357.10
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $163.38
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: PET CT PELVIS W CONTRAST $1,672.25 $1,170.58 $163.38 – $1,866
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $168.29
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $417.90
  • BLUE CROSS — BLUE CROSS COMMUNITY: $320.98
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $163.38
  • BLUE CROSS — BLUE CROSS PPO: $437.91
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $1,287.63
  • GEHA — GEHA: $357.10
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $163.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI LO EXT ANY JNT W/O BIL $3,817.10 $2,671.97 $138.78 – $2,939.17
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $505.09
  • AETNA — AETNA_HMO: $542.40
  • BLUE CROSS — BCBS HMO: $534.45
  • BLUE CROSS — BLUE CROSS COMMUNITY: $410.50
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $490.38
  • BLUE CROSS — BLUE CROSS PPO: $560.04
  • CIGNA — CIGNA: $2,367
  • FIRST HEALTH — FIRST HEALTH: $2,939.17
  • GEHA — GEHA: $460.26
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $490.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI LO EXT ANY JOINT W/O RT $3,161.85 $2,213.30 $138.78 – $2,434.62
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $222.54
  • AETNA — AETNA_HMO: $542.40
  • BLUE CROSS — BCBS HMO: $534.45
  • BLUE CROSS — BLUE CROSS COMMUNITY: $410.50
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $216.05
  • BLUE CROSS — BLUE CROSS PPO: $560.04
  • CIGNA — CIGNA: $2,367
  • FIRST HEALTH — FIRST HEALTH: $2,434.62
  • GEHA — GEHA: $460.26
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $216.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LO EXT ANY JOINT W/O LT $3,161.85 $2,213.30 $138.78 – $2,434.62
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $228.92
  • AETNA — AETNA_HMO: $542.40
  • BLUE CROSS — BCBS HMO: $534.45
  • BLUE CROSS — BLUE CROSS COMMUNITY: $410.50
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $222.25
  • BLUE CROSS — BLUE CROSS PPO: $560.04
  • CIGNA — CIGNA: $2,367
  • FIRST HEALTH — FIRST HEALTH: $2,434.62
  • GEHA — GEHA: $460.26
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $222.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS W $5,505.15 $3,853.61 $226.90 – $4,238.97
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $334.72
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $875.73
  • BLUE CROSS — BLUE CROSS COMMUNITY: $672.63
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $324.97
  • BLUE CROSS — BLUE CROSS PPO: $917.66
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $4,238.97
  • GEHA — GEHA: $736.24
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $324.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: PET CT ABDOMEN & PELVIS W CONTRAST $2,934.25 $2,053.98 $226.90 – $2,259.37
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $334.72
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $875.73
  • BLUE CROSS — BLUE CROSS COMMUNITY: $672.63
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $324.97
  • BLUE CROSS — BLUE CROSS PPO: $917.66
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $2,259.37
  • GEHA — GEHA: $736.24
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $324.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier XE In the file: CT ABDOMEN/PELVIS W $5,505.15 $3,853.61 $226.90 – $4,238.97
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $325.38
  • AETNA — AETNA_HMO: $289.28
  • BLUE CROSS — BCBS HMO: $875.73
  • BLUE CROSS — BLUE CROSS COMMUNITY: $672.63
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $315.90
  • BLUE CROSS — BLUE CROSS PPO: $917.66
  • CIGNA — CIGNA: $1,866
  • FIRST HEALTH — FIRST HEALTH: $4,238.97
  • GEHA — GEHA: $736.24
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $315.90
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMINAL COMPLETE $1,066.20 $746.34 $79.49 – $820.97
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $102.86
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $294.86
  • FIRST HEALTH — FIRST HEALTH: $820.97
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier XE In the file: US ABDOMINAL COMPLETE $1,066.20 $746.34 $79.49 – $820.97
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $102.86
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $294.86
  • FIRST HEALTH — FIRST HEALTH: $820.97
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB COMPLETE >14WKS $759.70 $531.79 $87.54 – $584.97
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $113.09
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $326.89
  • FIRST HEALTH — FIRST HEALTH: $584.97
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANS VAG/NON PREGNANT $582.35 $407.65 $85.40 – $448.41
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $110.86
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $324.44
  • FIRST HEALTH — FIRST HEALTH: $448.41
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier XE In the file: TRANS VAG/NON PREGNANT $582.35 $407.65 $85.40 – $448.41
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $110.86
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $324.44
  • FIRST HEALTH — FIRST HEALTH: $448.41
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier XU In the file: TRANS VAG/NON PREGNANT $582.35 $407.65 $85.40 – $448.41
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.30
  • AETNA — AETNA_HMO: $110.86
  • BLUE CROSS — BCBS HMO: $257.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $197.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.38
  • BLUE CROSS — BLUE CROSS PPO: $269.35
  • CIGNA — CIGNA: $324.44
  • FIRST HEALTH — FIRST HEALTH: $448.41
  • GEHA — GEHA: $217.94
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.38
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: DX MAMMO INCL CAD UNI $315.30 $220.71 $76.29 – $242.78
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $78.58
  • AETNA — AETNA_HMO: $116.65
  • BLUE CROSS — BCBS HMO: $190.93
  • BLUE CROSS — BLUE CROSS COMMUNITY: $146.64
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $76.29
  • BLUE CROSS — BLUE CROSS PPO: $200.07
  • CIGNA — CIGNA: $181.93
  • FIRST HEALTH — FIRST HEALTH: $242.78
  • GEHA — GEHA: $182.84
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $76.29
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: DX MAMMO INCL CAD UNI $315.30 $220.71 $76.29 – $242.78
Diagnostic mammogram, one breast: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $78.58
  • AETNA — AETNA_HMO: $116.65
  • BLUE CROSS — BCBS HMO: $190.93
  • BLUE CROSS — BLUE CROSS COMMUNITY: $146.64
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $76.29
  • BLUE CROSS — BLUE CROSS PPO: $200.07
  • CIGNA — CIGNA: $181.93
  • FIRST HEALTH — FIRST HEALTH: $242.78
  • GEHA — GEHA: $182.84
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $76.29
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI $389.60 $272.72 $97.89 – $299.99
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.83
  • AETNA — AETNA_HMO: $148.65
  • BLUE CROSS — BCBS HMO: $243.31
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.88
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.89
  • BLUE CROSS — BLUE CROSS PPO: $254.96
  • CIGNA — CIGNA: $224.80
  • FIRST HEALTH — FIRST HEALTH: $299.99
  • GEHA — GEHA: $233.78
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.89
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier XE In the file: DX MAMMO INCL CAD BI $389.60 $272.72 $97.89 – $299.99
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.83
  • AETNA — AETNA_HMO: $148.65
  • BLUE CROSS — BCBS HMO: $243.31
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.88
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.89
  • BLUE CROSS — BLUE CROSS PPO: $254.96
  • CIGNA — CIGNA: $224.80
  • FIRST HEALTH — FIRST HEALTH: $299.99
  • GEHA — GEHA: $233.78
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $97.89
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GA In the file: DX MAMMO INCL CAD BI $389.60 $272.72 $97.89 – $299.99
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — AETNA MEDICARE: $100.83
  • AETNA — AETNA_HMO: $148.65
  • BLUE CROSS — BCBS HMO: $243.31
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.88
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $97.89
  • BLUE CROSS — BLUE CROSS PPO: $254.96
  • CIGNA — CIGNA: $224.80
  • FIRST HEALTH — FIRST HEALTH: $299.99
  • GEHA — GEHA: $233.78
  • OPEN HEALTH CARE — OPEN HEALTH CARE CLINIC: $116.39
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA MAMMOGRAM DG SCREENING $342.30 $239.61 $80.72 – $263.57
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.14
  • AETNA — AETNA_HMO: $123.32
  • BLUE CROSS — BCBS HMO: $201.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $155.03
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $80.72
  • BLUE CROSS — BLUE CROSS PPO: $211.51
  • CIGNA — CIGNA: $197.51
  • FIRST HEALTH — FIRST HEALTH: $263.57
  • GEHA — GEHA: $193.30
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $80.72
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier XE In the file: MA MAMMOGRAM DG SCREENING $342.30 $239.61 $80.72 – $263.57
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.14
  • AETNA — AETNA_HMO: $123.32
  • BLUE CROSS — BCBS HMO: $201.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $155.03
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $80.72
  • BLUE CROSS — BLUE CROSS PPO: $211.51
  • CIGNA — CIGNA: $197.51
  • FIRST HEALTH — FIRST HEALTH: $263.57
  • GEHA — GEHA: $193.30
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $80.72
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier XU In the file: MA MAMMOGRAM DG SCREENING $342.30 $239.61 $80.72 – $263.57
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • AETNA — AETNA MEDICARE: $83.14
  • AETNA — AETNA_HMO: $123.32
  • BLUE CROSS — BCBS HMO: $201.84
  • BLUE CROSS — BLUE CROSS COMMUNITY: $155.03
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $80.72
  • BLUE CROSS — BLUE CROSS PPO: $211.51
  • CIGNA — CIGNA: $197.51
  • FIRST HEALTH — FIRST HEALTH: $263.57
  • GEHA — GEHA: $193.30
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $80.72

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: EP BASELINE WO INDUCING ARRHYTHMIA $15,254.85 $10,678.40 $6,386 – $32,659
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $7,274.45
  • AETNA — AETNA_HMO: $11,328
  • BLUE CROSS — BCBS HMO: $13,498.29
  • BLUE CROSS — BLUE CROSS COMMUNITY: $10,367.68
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $7,062.57
  • BLUE CROSS — BLUE CROSS PPO: $14,144.54
  • CIGNA — CIGNA: $32,659
  • FIRST HEALTH — FIRST HEALTH: $11,746.23
  • GEHA — GEHA: $11,437
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $7,062.57
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: TX ATRIAL FIB PULM VEIN ISOL $61,017.15 $42,712.01 $6,386 – $49,110.04
Heart rhythm study with ablation for atrial fibrillation: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $25,077.51
  • AETNA — AETNA_HMO: $11,328
  • BLUE CROSS — BCBS HMO: $46,866.25
  • BLUE CROSS — BLUE CROSS COMMUNITY: $35,996.73
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $24,347.10
  • BLUE CROSS — BLUE CROSS PPO: $49,110.04
  • CIGNA — CIGNA: $32,659
  • FIRST HEALTH — FIRST HEALTH: $46,983.21
  • GEHA — GEHA: $33,789
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $24,347.10
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: NOCTURNAL POLYSOMNOGRAPHY $4,375.50 $3,062.85 $799.91 – $3,839
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $823.90
  • AETNA — AETNA_HMO: $885.23
  • BLUE CROSS — BCBS HMO: $2,084.59
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,601.12
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $799.91
  • BLUE CROSS — BLUE CROSS PPO: $2,184.39
  • CIGNA — CIGNA: $2,524.66
  • FIRST HEALTH — FIRST HEALTH: $3,369.14
  • GEHA — GEHA: $3,839
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $799.91
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 52 In the file: NOCT POLYSOM MODIFIED $4,375.50 $3,062.85 $399.95 – $3,839
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $411.95
  • AETNA — AETNA_HMO: $885.23
  • BLUE CROSS — BCBS HMO: $1,042.30
  • BLUE CROSS — BLUE CROSS COMMUNITY: $800.56
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $399.95
  • BLUE CROSS — BLUE CROSS PPO: $1,092.20
  • CIGNA — CIGNA: $2,524.66
  • FIRST HEALTH — FIRST HEALTH: $3,369.14
  • GEHA — GEHA: $3,839
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $399.95

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISES $122.50 $85.75 $26.10 – $340
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $28.29
  • AETNA — AETNA_HMO: $29.81
  • BLUE CROSS — BCBS HMO: $75.42
  • BLUE CROSS — BLUE CROSS COMMUNITY: $75.42
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $27.47
  • BLUE CROSS — BLUE CROSS PPO: $75.42
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $94.33
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $27.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC PROCEDURE/15 MIN $122.50 $85.75 $27.47 – $340
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $28.29
  • AETNA — AETNA_HMO: $29.81
  • BLUE CROSS — BCBS HMO: $68.41
  • BLUE CROSS — BLUE CROSS COMMUNITY: $52.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $27.47
  • BLUE CROSS — BLUE CROSS PPO: $71.69
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $94.33
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $27.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: THERAPEUTIC PROCEDURE/15 MIN $140.90 $98.63 $27.47 – $340
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $28.29
  • AETNA — AETNA_HMO: $29.81
  • BLUE CROSS — BCBS HMO: $68.41
  • BLUE CROSS — BLUE CROSS COMMUNITY: $52.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $27.47
  • BLUE CROSS — BLUE CROSS PPO: $71.69
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $108.49
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $27.47
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $302.95 $212.07 $82.93 – $340
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $95.33
  • AETNA — AETNA_HMO: $82.93
  • BLUE CROSS — BCBS HMO: $186.53
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.53
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $92.55
  • BLUE CROSS — BLUE CROSS PPO: $186.53
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $233.27
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $92.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $352.95 $247.07 $82.93 – $340
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $95.33
  • AETNA — AETNA_HMO: $82.93
  • BLUE CROSS — BCBS HMO: $190.35
  • BLUE CROSS — BLUE CROSS COMMUNITY: $146.20
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $92.55
  • BLUE CROSS — BLUE CROSS PPO: $199.47
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $271.77
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $92.55
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $387.50 $271.25 $82.93 – $340
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $95.33
  • AETNA — AETNA_HMO: $82.93
  • BLUE CROSS — BCBS HMO: $238.58
  • BLUE CROSS — BLUE CROSS COMMUNITY: $238.58
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $92.55
  • BLUE CROSS — BLUE CROSS PPO: $238.58
  • CIGNA — CIGNA: $320
  • FIRST HEALTH — FIRST HEALTH: $298.38
  • GEHA — GEHA: $340
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $92.55
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHERAPY 30 MIN IOP $280.05 $196.04 $145.63 – $215.64
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $148.43
  • BLUE CROSS — BCBS HMO: $200.07
  • BLUE CROSS — BLUE CROSS COMMUNITY: $200.07
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $200.07
  • CIGNA — CIGNA: $185
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $185
  • FIRST HEALTH — FIRST HEALTH: $215.64
  • GEHA — GEHA: $190
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHERAPY 30 MIN PHP $280.05 $196.04 $145.63 – $300
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $148.43
  • BLUE CROSS — BCBS HMO: $200.07
  • BLUE CROSS — BLUE CROSS COMMUNITY: $200.07
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $200.07
  • CIGNA — CIGNA: $161.59
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $300
  • FIRST HEALTH — FIRST HEALTH: $215.64
  • GEHA — GEHA: $290
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES $280.05 $196.04 $78.93 – $215.64
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $78.93
  • BLUE CROSS — BCBS HMO: $200.07
  • BLUE CROSS — BLUE CROSS COMMUNITY: $200.07
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $200.07
  • CIGNA — CIGNA: $161.59
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $196.04
  • FIRST HEALTH — FIRST HEALTH: $215.64
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $165.33
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHERAPY 45 MIN IOP $296.40 $207.48 $154.13 – $228.23
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $157.09
  • BLUE CROSS — BCBS HMO: $211.75
  • BLUE CROSS — BLUE CROSS COMMUNITY: $211.75
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $211.75
  • CIGNA — CIGNA: $185
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $185
  • FIRST HEALTH — FIRST HEALTH: $228.23
  • GEHA — GEHA: $190
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHERAPY 45 MIN PHP $296.40 $207.48 $154.13 – $300
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $157.09
  • BLUE CROSS — BCBS HMO: $211.75
  • BLUE CROSS — BLUE CROSS COMMUNITY: $211.75
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $211.75
  • CIGNA — CIGNA: $171.02
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $300
  • FIRST HEALTH — FIRST HEALTH: $228.23
  • GEHA — GEHA: $290
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES $296.40 $207.48 $105.01 – $228.23
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $105.01
  • BLUE CROSS — BCBS HMO: $211.75
  • BLUE CROSS — BLUE CROSS COMMUNITY: $211.75
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $211.75
  • CIGNA — CIGNA: $171.02
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $207.48
  • FIRST HEALTH — FIRST HEALTH: $228.23
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $165.33
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYCHOTHERAPY 60 MIN IOP $366.80 $256.76 $165.33 – $282.44
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $194.40
  • BLUE CROSS — BCBS HMO: $262.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $262.04
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $262.04
  • CIGNA — CIGNA: $211.64
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $185
  • FIRST HEALTH — FIRST HEALTH: $282.44
  • GEHA — GEHA: $190
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYCHOTHERAPY 60 MIN PHP $366.80 $256.76 $165.33 – $300
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $194.40
  • BLUE CROSS — BCBS HMO: $262.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $262.04
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $262.04
  • CIGNA — CIGNA: $300
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $300
  • FIRST HEALTH — FIRST HEALTH: $282.44
  • GEHA — GEHA: $290
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES $366.80 $256.76 $157 – $282.44
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $157
  • BLUE CROSS — BCBS HMO: $262.04
  • BLUE CROSS — BLUE CROSS COMMUNITY: $262.04
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $262.04
  • CIGNA — CIGNA: $211.64
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $256.76
  • FIRST HEALTH — FIRST HEALTH: $282.44
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $165.33
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY THERAPY W/O PT PHP $374.85 $262.40 $165.33 – $300
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $198.67
  • BLUE CROSS — BCBS HMO: $267.79
  • BLUE CROSS — BLUE CROSS COMMUNITY: $267.79
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $267.79
  • CIGNA — CIGNA: $216.29
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $300
  • FIRST HEALTH — FIRST HEALTH: $288.63
  • GEHA — GEHA: $290
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY THERAPY WITHOUT PT IOP $374.85 $262.40 $165.33 – $288.63
Family psychotherapy, without the patient: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $198.67
  • BLUE CROSS — BCBS HMO: $267.79
  • BLUE CROSS — BLUE CROSS COMMUNITY: $267.79
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $267.79
  • CIGNA — CIGNA: $216.29
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $185
  • FIRST HEALTH — FIRST HEALTH: $288.63
  • GEHA — GEHA: $190
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY THERAPY WITHOUT PT OP $374.85 $262.40 $116.10 – $288.63
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $116.10
  • BLUE CROSS — BCBS HMO: $267.79
  • BLUE CROSS — BLUE CROSS COMMUNITY: $267.79
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $267.79
  • CIGNA — CIGNA: $216.29
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $262.40
  • FIRST HEALTH — FIRST HEALTH: $288.63
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $165.33
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY THERAPY WITH PT IOP $396.90 $277.83 $165.33 – $305.61
Family psychotherapy, with the patient: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $210.36
  • BLUE CROSS — BCBS HMO: $283.55
  • BLUE CROSS — BLUE CROSS COMMUNITY: $283.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $283.55
  • CIGNA — CIGNA: $229.01
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $185
  • FIRST HEALTH — FIRST HEALTH: $305.61
  • GEHA — GEHA: $190
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN $396.90 $277.83 $120.18 – $305.61
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $170.29
  • AETNA — AETNA_HMO: $120.18
  • BLUE CROSS — BCBS HMO: $283.55
  • BLUE CROSS — BLUE CROSS COMMUNITY: $283.55
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $165.33
  • BLUE CROSS — BLUE CROSS PPO: $283.55
  • CIGNA — CIGNA: $229.01
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $277.83
  • FIRST HEALTH — FIRST HEALTH: $305.61
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $165.33
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP THERAPY IOP $261.60 $183.12 $94.63 – $201.43
Group psychotherapy: 10 of 20 insurance plan rates
  • AETNA — AETNA MEDICARE: $97.47
  • AETNA — AETNA_HMO: $138.65
  • BLUE CROSS — BCBS HMO: $186.89
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.89
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $94.63
  • BLUE CROSS — BLUE CROSS PPO: $186.89
  • CIGNA — CIGNA: $183.12
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $183.12
  • FIRST HEALTH — FIRST HEALTH: $201.43
  • GEHA — GEHA: $190
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP THERAPY OP $261.60 $183.12 $52.38 – $201.43
Group psychotherapy: 10 of 16 insurance plan rates
  • AETNA — AETNA MEDICARE: $97.47
  • AETNA — AETNA_HMO: $52.38
  • BLUE CROSS — BCBS HMO: $186.89
  • BLUE CROSS — BLUE CROSS COMMUNITY: $186.89
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $94.63
  • BLUE CROSS — BLUE CROSS PPO: $186.89
  • CIGNA — CIGNA: $150.94
  • CIGNA — CIGNA BEHAVIORAL HEALTH: $183.12
  • FIRST HEALTH — FIRST HEALTH: $201.43
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $94.63

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,385.95 – $7,581
Removal of breast growth (open surgery): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,385.95 – $11,371.50
Removal of breast growth (open surgery): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier XU In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $3,385.95 – $7,581
Removal of breast growth (open surgery): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $4,199 – $28,599.79
Total knee replacement: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,145 – $14,375.82
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $3,047.83 – $8,488
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $2,819.39 – $11,656.79
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $515 – $4,206
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $435.10 – $4,206
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier XU In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $515 – $4,206
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $515 – $5,248
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $515 – $5,248
Colonoscopy (diagnostic): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PT In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $515 – $5,248
Colonoscopy (diagnostic): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $658.17 – $5,248
Colonoscopy with biopsy: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 74 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $574.05 – $5,248
Colonoscopy with biopsy: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $658.17 – $5,248
Colonoscopy with biopsy: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $658.17 – $5,248
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $658.17 – $5,248
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,060.21 – $5,248
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $207.34 – $5,248
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $3,749.65 – $11,616.37
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,335.10 – $8,488
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $4,282.73 – $12,732
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: MRI PROSTATE BIOPSY $3,943.45 $2,760.42 $1,136.38 – $5,248
Prostate biopsy: rates for 9 insurance plans
  • AETNA — AETNA_HMO: $3,685
  • BLUE CROSS — BCBS HMO: $4,062.87
  • BLUE CROSS — BLUE CROSS COMMUNITY: $3,120.59
  • BLUE CROSS — BLUE CROSS PPO: $4,257.39
  • CIGNA — CIGNA: $5,248
  • FIRST HEALTH — FIRST HEALTH: $3,036.46
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: $2,050.59
  • VERITY HEALTHNET — VERITY HEALTHNET: $1,136.38
  • VERITY HEALTHNET — VERITY LSU EMPLOYEES: $1,136.38
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $3,015.34 – $7,581
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: LUMBAR/SACRAL INJECTION $3,636.85 $2,545.80 $109.84 – $2,916
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $677.25
  • AETNA — AETNA_HMO: $1,172
  • BLUE CROSS — BCBS HMO: $1,433.49
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,101.03
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $657.52
  • BLUE CROSS — BLUE CROSS PPO: $1,502.12
  • CIGNA — CIGNA: $2,916
  • FIRST HEALTH — FIRST HEALTH: $2,800.37
  • GEHA — GEHA: $2,271
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $657.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · modifier 59 In the file: LUMBAR/SACRAL INJECTION $3,636.85 $2,545.80 $109.84 – $2,916
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $677.25
  • AETNA — AETNA_HMO: $1,172
  • BLUE CROSS — BCBS HMO: $1,433.49
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,101.03
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $657.52
  • BLUE CROSS — BLUE CROSS PPO: $1,502.12
  • CIGNA — CIGNA: $2,916
  • FIRST HEALTH — FIRST HEALTH: $2,800.37
  • GEHA — GEHA: $2,271
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $657.52
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: TRANSFORA EPIDURAL L/S $1,950.95 $1,365.67 $823.88 – $2,916
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $848.59
  • AETNA — AETNA_HMO: $1,172
  • BLUE CROSS — BCBS HMO: $1,862.36
  • BLUE CROSS — BLUE CROSS COMMUNITY: $1,430.43
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $823.88
  • BLUE CROSS — BLUE CROSS PPO: $1,951.52
  • CIGNA — CIGNA: $2,916
  • FIRST HEALTH — FIRST HEALTH: $1,502.23
  • GEHA — GEHA: $2,271
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $823.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: TRANSFORA EPIDURAL L/S BILAT $2,752.80 $1,926.96 $1,201.33 – $4,374
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates
  • AETNA — AETNA MEDICARE: $1,237.37
  • AETNA — AETNA_HMO: $1,758
  • BLUE CROSS — BCBS HMO: $2,793.54
  • BLUE CROSS — BLUE CROSS COMMUNITY: $2,145.65
  • BLUE CROSS — BLUE CROSS MEDICARE ADVANTAGE: $1,201.33
  • BLUE CROSS — BLUE CROSS PPO: $2,927.28
  • CIGNA — CIGNA: $4,374
  • FIRST HEALTH — FIRST HEALTH: $2,119.66
  • GEHA — GEHA: $3,406.50
  • HUMANA — HUMANA GOLD MEDICARE ADVANTAGE: $1,201.33
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,818.94 – $5,475
Carpal tunnel release: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,818.94 – $8,212.50
Carpal tunnel release: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier XU In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,818.94 – $5,475
Carpal tunnel release: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • VERITY HEALTHNET — VERITY HEALTH NET GHS EMPLOYEES: 52% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $13,138.58 – $49,140.26
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $16,509.63 – $51,874.13
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $7,776.90 – $20,578.06
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans
  • FIRST HEALTH — FIRST HEALTH: 77% (a percentage in the contract, not a dollar amount)
  • LOUISIANA ORGAN PROCUREMENT AGENCY — LA ORGAN PROCUREMENT AGENCY: 29.1% (a percentage in the contract, not a dollar amount)

Source: The General’s standard charges file (brgeneral.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 26, 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
Address3600 Florida Blvd, Suite 2020, Baton Rouge, LA 70806
ParishE. Baton Rouge Parish
StateLouisiana
Phone(225) 381‑6393
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number190316
Name in Medicare recordsTHE GENERAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(225) 387‑7000[4]
Name on the hospital’s websiteBaton Rouge General - Mid City
Official websitebrgeneral.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. Baton Rouge General - Mid City — brgeneral.org
  2. Visitation Guidelines — brgeneral.org
  3. Baton Rouge General - Mid City | Baton Rouge General — brgeneral.org
  4. Interpreting Services | Baton Rouge General — brgeneral.org
  5. Emergency Room — brgeneral.org