Does The Hospital of Central Connecticut have an emergency room?

Yes. Medicare (CMS) data lists emergency services at The Hospital of Central Connecticut. In a medical emergency, call 911.

Where is The Hospital of Central Connecticut?

100 Grand Street, New Britain, CT 06050, in Hartford County, Connecticut.

What is the phone number of The Hospital of Central Connecticut?

(860) 224-5011, as listed by Medicare (CMS).

What is the Medicare star rating of The Hospital of Central Connecticut?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

The Hospital of Central Connecticut

Quick answers

Does The Hospital of Central Connecticut have an emergency room?: Yes. Medicare (CMS) data lists emergency services at The Hospital of Central Connecticut. In a medical emergency, call 911.
Where is The Hospital of Central Connecticut?: 100 Grand Street, New Britain, CT 06050, in Hartford County, Connecticut.
What is the phone number of The Hospital of Central Connecticut?: (860) 224-5011, as listed by Medicare (CMS).
What is the Medicare star rating of The Hospital of Central Connecticut?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Bariatrics and weight loss surgery
Behavioral and mental health
Cancer care
Cardiology and heart care
Diabetes and endocrinology
Digestive health
Emergency room
Imaging
Maternity (Family BirthPlace)
Neuroscience
Orthopedics, joint and spine
Palliative care
Pain treatment
Physical therapy
Sleep care
Stroke
Urology and kidney
Women's health
Wound care

Programs and centers^[4]

Medication Assisted Treatment Close to Home (MATCH)

Emergency care (hospital website)^[4]

Emergency room	Yes
Trauma designation	Level III

Doctors and clinicians (953)

953 doctors and other clinicians list The Hospital of Central Connecticut as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 929 more: the button below opens the full list.

Other emergency rooms nearby

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

John Dempsey Hospital of the University of Connect…6.0 mi · Farmington, CT · Acute Care Hospital
Bristol Hospital7.8 mi · Bristol, CT · Acute Care Hospital
Midstate Medical Center7.8 mi · Meriden, CT · Acute Care Hospital
Connecticut Childrens Medical Center8.3 mi · Hartford, CT · Children's Hospital
Hartford Hospital8.3 mi · Hartford, CT · Acute Care Hospital

Other hospitals nearby

Hospital for Special Care2.0 mi · New Britain, CT · Long-Term Acute Care Hospital

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

Grandview Rehabilitation and Healthcare Center0.0 mi · New Britain, CT
Jerome Home1.0 mi · New Britain, CT · 5 of 5 stars
Monsignor Bojnowski Manor, Inc1.1 mi · New Britain, CT · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Athena Home Health & Hospice6.0 mi · Farmington, CT · 1 of 5 stars
Brighton Hospice Connecticut, LLC6.0 mi · Farmington, CT
Enhabit Hospice6.4 mi · Rocky Hill, CT

All hospice providers in the state →

Home health agencies

Berlin Visiting Nurse Association3.9 mi · Berlin, CT · 4 of 5 stars
Keepmehome3.9 mi · Berlin, CT
American Home Health, Inc5.5 mi · West Hartford, CT · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

Herald Square Dialysis LLC0.8 mi · New Britain, CT · 4 of 5 stars
DaVita New Britain Dialysis1.0 mi · New Britain, CT · 3 of 5 stars
DaVita Willard Avenue Dialysis3.3 mi · Newington, CT · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Central Connecticut Endoscopy Center, LLC3.9 mi · Plainville, CT
Connecticut Surgery Center, Limited Partnership6.0 mi · Farmington, CT
Orthopedic Associates Surgery Center, LLC6.4 mi · Rocky Hill, CT

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

Friendship Service Center of New Britain0.1 mi · New Britain, CT · Community health center
New Britain Family Health and Wellness Center0.2 mi · New Britain, CT · Community health center
W.Y.A. Community Mental Health Associates (CMHA)0.4 mi · New Britain, CT · Community health center

Clinics and urgent care

AFC Physicians of Connecticut, PC0.8 mi · New Britain, CT · Urgent care center
A Walk-In Medical Center3.3 mi · Newington, CT · Urgent care center
Medcare Express LLC3.3 mi · Newington, CT · Urgent care center

Pharmacies

Community Health Center, Inc.0.8 mi · New Britain, CT · Community/retail pharmacy
D2RX0.8 mi · New Britain, CT · Community/retail pharmacy
D2RX, LLC0.8 mi · New Britain, CT · Community/retail pharmacy

Assisted living nearby

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

Arbor Rose at Jerome Home1.0 mi · New Britain, CT
The Orchards at Southington, Inc.5.5 mi · Southington, CT
Brookdale Chatfield5.5 mi · West Hartford, CT
Arden Courts (Farmington)6.0 mi · Farmington, CT

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	64%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	66%National average: 74%
Area around the room “always” quiet at night	42%National average: 60%
Completed surveys	1,044Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.259Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.144Better than the national benchmark
Surgical site infections after colon surgery	0.554No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.515No different from the national benchmark
MRSA bloodstream infections	0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.165Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.7%
Deaths within 30 days: heart failure patients	12.4%
Deaths within 30 days: pneumonia patients	13%
Deaths within 30 days: COPD patients	7.4%
Deaths within 30 days: stroke patients	11%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.03No different from the national rate
Complications after hip or knee replacement	4.3%

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 attack	14.6%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	17.9%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.2%

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)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	173 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)	53%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Connecticut

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 Hospital of Central Connecticut 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

Service	Hospital charge	Cash price	Insurance 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	$205	$205	$111.79 – $375
New patient office visit (about 30–44 minutes): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $121.26 ANTHEM — ANTHEM INDIVIDUAL: $111.79 ANTHEM — ANTHEM MANAGED CARE: $122.75 CIGNA — CIGNA MANAGED CARE: $126.71 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $130.48 CONNECTICARE — CONNECTICARE MANAGED CARE: $135.67 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $130.07 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $375 UNITED — UNITED MANAGED CARE: $226
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 30 MINUTES - SYSTEM	$224.69	$224.69	$74.65
New patient office visit (about 30–44 minutes): rates for 6 insurance plans AETNA — AETNA MEDICARE: $74.65 ANTHEM — ANTHEM MEDICARE: $74.65 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $74.65 TUFTS — TUFTS MEDICARE: $74.65 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $74.65 WELLCARE — WELLCARE MEDICARE: $74.65
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 0 In the file: HC OFFICE OUTPATIENT NEW 30 MINUTES - SYSTEM	$224.69	$224.69	$126 – $259
New patient office visit (about 30–44 minutes): rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDIVIDUAL: 69.26% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM MANAGED CARE: 92.35% (a percentage in the contract, not a dollar amount) UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE O/P NEW MOD 45 MIN	$335	$335	$189.53 – $231.15
New patient office visit (about 45–59 minutes): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $206.49 ANTHEM — ANTHEM INDIVIDUAL: $189.53 ANTHEM — ANTHEM MANAGED CARE: $208.11 CIGNA — CIGNA MANAGED CARE: $206.05 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $221.06 CONNECTICARE — CONNECTICARE MANAGED CARE: $201.11 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $192.25 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $223.35 UNITED — UNITED MANAGED CARE: $231.15
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 45 MINUTES - SYSTEM	$372.30	$372.30	$122.02
New patient office visit (about 45–59 minutes): rates for 6 insurance plans AETNA — AETNA MEDICARE: $122.02 ANTHEM — ANTHEM MEDICARE: $122.02 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $122.02 TUFTS — TUFTS MEDICARE: $122.02 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $122.02 WELLCARE — WELLCARE MEDICARE: $122.02
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · modifier 0 In the file: HC OFFICE OUTPATIENT NEW 45 MINUTES - SYSTEM	$372.30	$372.30	$126 – $259
New patient office visit (about 45–59 minutes): rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDIVIDUAL: 69.26% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM MANAGED CARE: 92.35% (a percentage in the contract, not a dollar amount) UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: 100% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	$455	$455	$242.88 – $301.91
New patient office visit (about 60–74 minutes): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $268.95 ANTHEM — ANTHEM INDIVIDUAL: $242.88 ANTHEM — ANTHEM MANAGED CARE: $266.70 CIGNA — CIGNA MANAGED CARE: $280.42 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $282.85 CONNECTICARE — CONNECTICARE MANAGED CARE: $268.04 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $255.06 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $291.71 UNITED — UNITED MANAGED CARE: $301.91
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 60 MINUTES - SYSTEM	$423.37	$423.37	$167.61
New patient office visit (about 60–74 minutes): rates for 6 insurance plans AETNA — AETNA MEDICARE: $167.61 ANTHEM — ANTHEM MEDICARE: $167.61 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $167.61 TUFTS — TUFTS MEDICARE: $167.61 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $167.61 WELLCARE — WELLCARE MEDICARE: $167.61
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 0 In the file: HC OFFICE OUTPATIENT NEW 60 MINUTES - SYSTEM	$423.37	$423.37	$126 – $259
New patient office visit (about 60–74 minutes): rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDIVIDUAL: 69.26% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM MANAGED CARE: 92.35% (a percentage in the contract, not a dollar amount) UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT 15 MINUTES - SYSTEM	$293.46	$293.46	$59.80
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans AETNA — AETNA MEDICARE: $59.80 ANTHEM — ANTHEM MEDICARE: $59.80 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $59.80 TUFTS — TUFTS MEDICARE: $59.80 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $59.80 WELLCARE — WELLCARE MEDICARE: $59.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 0 In the file: HC OFFICE OUTPATIENT 15 MINUTES - SYSTEM	$293.46	$293.46	$126 – $259
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDIVIDUAL: 69.26% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM MANAGED CARE: 92.35% (a percentage in the contract, not a dollar amount) UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: 100% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT 25 MINUTES - SYSTEM	$497.13	$497.13	$87.98
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans AETNA — AETNA MEDICARE: $87.98 ANTHEM — ANTHEM MEDICARE: $87.98 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $87.98 TUFTS — TUFTS MEDICARE: $87.98 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $87.98 WELLCARE — WELLCARE MEDICARE: $87.98
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 0 In the file: HC OFFICE OUTPATIENT 25 MINUTES - SYSTEM	$497.13	$497.13	$126 – $259
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDIVIDUAL: 69.26% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM MANAGED CARE: 92.35% (a percentage in the contract, not a dollar amount) UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: 100% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$370	$370	$135.42 – $253.96
Office consultation with a specialist (moderate): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $151.11 ANTHEM — ANTHEM INDIVIDUAL: $157.85 ANTHEM — ANTHEM MANAGED CARE: $173.33 CIGNA — CIGNA MANAGED CARE: $135.42 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $198.89 CONNECTICARE — CONNECTICARE MANAGED CARE: $176.08 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $167.50 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $250 UNITED — UNITED MANAGED CARE: $253.96
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$500	$500	$206.37 – $313.66
Office consultation with a specialist (moderate to high): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $265.04 ANTHEM — ANTHEM INDIVIDUAL: $249.61 ANTHEM — ANTHEM MANAGED CARE: $274.09 CIGNA — CIGNA MANAGED CARE: $206.37 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $313.66 CONNECTICARE — CONNECTICARE MANAGED CARE: $260.07 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $248.72 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $268.68 UNITED — UNITED MANAGED CARE: $278.06
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	$285	$285	$143.68 – $197.22
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $155.56 ANTHEM — ANTHEM INDIVIDUAL: $179.61 ANTHEM — ANTHEM MANAGED CARE: $197.22 CIGNA — CIGNA MANAGED CARE: $143.68 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $171.99 CONNECTICARE — CONNECTICARE MANAGED CARE: $151.96 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $149.10 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $150.69 UNITED — UNITED MANAGED CARE: $162.83
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	$300	$300	$97.66 – $111.03
Emergency room visit (moderate): rates for 2 insurance plans AETNA — AETNA MANAGED CARE: $97.66 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $111.03
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - ED	$2,167	$2,167	Not listed in the file
Emergency room visit (moderate): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - URGENT CARE	$2,167	$2,167	Not listed in the file
Emergency room visit (moderate): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	$510	$510	$173.21 – $185.21
Emergency room visit (moderately high): rates for 2 insurance plans AETNA — AETNA MANAGED CARE: $185.21 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $173.21
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED	$3,483	$3,483	Not listed in the file
Emergency room visit (moderately high): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 0 In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED	$3,483	$3,483	$170.52 – $4,545
Emergency room visit (moderately high): 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $4,545 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $4,318 AETNA — AETNA MEDICARE: $174.78 ANTHEM — ANTHEM INDIVIDUAL: $3,381 ANTHEM — ANTHEM MANAGED CARE: $4,508 ANTHEM — ANTHEM MEDICARE: $170.52 CIGNA — CIGNA MANAGED CARE: $3,950 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $170.52 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $170.52 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $3,850
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	$735	$735	$269.65 – $273.32
Emergency room visit (high): rates for 2 insurance plans AETNA — AETNA MANAGED CARE: $273.32 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $269.65
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED	$4,646	$4,646	Not listed in the file
Emergency room visit (high): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 0 In the file: HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED	$4,646	$4,646	$243.37 – $4,545
Emergency room visit (high): 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $4,545 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $4,318 AETNA — AETNA MEDICARE: $249.46 ANTHEM — ANTHEM INDIVIDUAL: $3,381 ANTHEM — ANTHEM MANAGED CARE: $4,508 ANTHEM — ANTHEM MEDICARE: $243.37 CIGNA — CIGNA MANAGED CARE: $3,950 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $243.37 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $243.37 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $3,850

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$232	$232	$8.46
Basic metabolic panel (blood test): rates for 8 insurance plans AETNA — AETNA MEDICARE: $8.46 ANTHEM — ANTHEM MEDICARE: $8.46 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $8.46 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $8.46 TUFTS — TUFTS MEDICARE: $8.46 UNITED — UNITED MEDICARE: $8.46 WELLCARE — WELLCARE MEDICARE: $8.46 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 0 In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL	$232	$232	$8.04 – $11.63
Basic metabolic panel (blood test): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $8.46 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $8.04 ANTHEM — ANTHEM INDIVIDUAL: $8.72 ANTHEM — ANTHEM MANAGED CARE: $11.63 CIGNA — CIGNA MANAGED CARE: $8.47 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $8.46 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $9.15 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PANEL	$415	$415	$10.56
Comprehensive metabolic panel (blood test): rates for 8 insurance plans AETNA — AETNA MEDICARE: $10.56 ANTHEM — ANTHEM MEDICARE: $10.56 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $10.56 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $10.56 TUFTS — TUFTS MEDICARE: $10.56 UNITED — UNITED MEDICARE: $10.56 WELLCARE — WELLCARE MEDICARE: $10.56 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 0 In the file: HC COMPREHENSIVE METABOLIC PANEL	$415	$415	$10.03 – $14.53
Comprehensive metabolic panel (blood test): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $10.56 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $10.03 ANTHEM — ANTHEM INDIVIDUAL: $10.90 ANTHEM — ANTHEM MANAGED CARE: $14.53 CIGNA — CIGNA MANAGED CARE: $10.56 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $10.56 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $11.42 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL - LIPID PANEL	$118	$118	$13.39
Cholesterol panel (lipid panel): rates for 8 insurance plans AETNA — AETNA MEDICARE: $13.39 ANTHEM — ANTHEM MEDICARE: $13.39 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $13.39 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $13.39 TUFTS — TUFTS MEDICARE: $13.39 UNITED — UNITED MEDICARE: $13.39 WELLCARE — WELLCARE MEDICARE: $13.39 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 0 In the file: HC LIPID PANEL - LIPID PANEL	$118	$118	$12.72 – $18.42
Cholesterol panel (lipid panel): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $13.39 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $12.72 ANTHEM — ANTHEM INDIVIDUAL: $13.82 ANTHEM — ANTHEM MANAGED CARE: $18.42 CIGNA — CIGNA MANAGED CARE: $13.40 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $13.39 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $14.48 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$290	$290	$8.68
Kidney function panel: rates for 8 insurance plans AETNA — AETNA MEDICARE: $8.68 ANTHEM — ANTHEM MEDICARE: $8.68 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $8.68 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $8.68 TUFTS — TUFTS MEDICARE: $8.68 UNITED — UNITED MEDICARE: $8.68 WELLCARE — WELLCARE MEDICARE: $8.68 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier 0 In the file: HC RENAL FUNCTION PANEL	$290	$290	$8.25 – $11.94
Kidney function panel: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $8.68 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $8.25 ANTHEM — ANTHEM INDIVIDUAL: $8.96 ANTHEM — ANTHEM MANAGED CARE: $11.94 CIGNA — CIGNA MANAGED CARE: $8.69 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $8.68 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $9.38 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL	$213	$213	$8.17
Liver function panel: rates for 8 insurance plans AETNA — AETNA MEDICARE: $8.17 ANTHEM — ANTHEM MEDICARE: $8.17 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $8.17 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $8.17 TUFTS — TUFTS MEDICARE: $8.17 UNITED — UNITED MEDICARE: $8.17 WELLCARE — WELLCARE MEDICARE: $8.17 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier 0 In the file: HC HEPATIC FUNCTION PANEL	$213	$213	$7.76 – $11.23
Liver function panel: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $8.17 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $7.76 ANTHEM — ANTHEM INDIVIDUAL: $8.42 ANTHEM — ANTHEM MANAGED CARE: $11.23 CIGNA — CIGNA MANAGED CARE: $8.18 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $8.17 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $8.83 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$26.10	$26.10	$3.48
Urine test (manual, without microscope): rates for 8 insurance plans AETNA — AETNA MEDICARE: $3.48 ANTHEM — ANTHEM MEDICARE: $3.48 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $3.48 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $3.48 TUFTS — TUFTS MEDICARE: $3.48 UNITED — UNITED MEDICARE: $3.48 WELLCARE — WELLCARE MEDICARE: $3.48 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier 0 In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$26.10	$26.10	$2.64 – $3.76
Urine test (manual, without microscope): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $3.48 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $3.31 ANTHEM — ANTHEM INDIVIDUAL: $2.64 ANTHEM — ANTHEM MANAGED CARE: $3.52 CIGNA — CIGNA MANAGED CARE: $3.48 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $3.48 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $3.76 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18.68	$18.68	$2.25
Urine test (automated, without microscope): rates for 8 insurance plans AETNA — AETNA MEDICARE: $2.25 ANTHEM — ANTHEM MEDICARE: $2.25 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $2.25 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $2.25 TUFTS — TUFTS MEDICARE: $2.25 UNITED — UNITED MEDICARE: $2.25 WELLCARE — WELLCARE MEDICARE: $2.25 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 0 In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18.68	$18.68	$2.14 – $3.09
Urine test (automated, without microscope): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $2.25 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $2.14 ANTHEM — ANTHEM INDIVIDUAL: $2.32 ANTHEM — ANTHEM MANAGED CARE: $3.09 CIGNA — CIGNA MANAGED CARE: $2.25 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $2.25 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $2.43 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC SQ, PSA, POST PROSTATECTOMY	$97	$97	$18.39
PSA (prostate specific antigen) blood test: rates for 8 insurance plans AETNA — AETNA MEDICARE: $18.39 ANTHEM — ANTHEM MEDICARE: $18.39 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $18.39 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $18.39 TUFTS — TUFTS MEDICARE: $18.39 UNITED — UNITED MEDICARE: $18.39 WELLCARE — WELLCARE MEDICARE: $18.39 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · modifier 0 In the file: HC SQ, PSA, POST PROSTATECTOMY	$97	$97	$17.47 – $25.29
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $18.39 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $17.47 ANTHEM — ANTHEM INDIVIDUAL: $18.97 ANTHEM — ANTHEM MANAGED CARE: $25.29 CIGNA — CIGNA MANAGED CARE: $18.40 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $18.39 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $19.88 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH	$101	$101	$16.80
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans AETNA — AETNA MEDICARE: $16.80 ANTHEM — ANTHEM MEDICARE: $16.80 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $16.80 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $16.80 TUFTS — TUFTS MEDICARE: $16.80 UNITED — UNITED MEDICARE: $16.80 WELLCARE — WELLCARE MEDICARE: $16.80 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 0 In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH	$101	$101	$15.96 – $23.10
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $16.80 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $15.96 ANTHEM — ANTHEM INDIVIDUAL: $17.33 ANTHEM — ANTHEM MANAGED CARE: $23.10 CIGNA — CIGNA MANAGED CARE: $16.82 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $16.80 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $18.16 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$64.73	$64.73	$7.77
Complete blood count (CBC) with differential: rates for 8 insurance plans AETNA — AETNA MEDICARE: $7.77 ANTHEM — ANTHEM MEDICARE: $7.77 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $7.77 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $7.77 TUFTS — TUFTS MEDICARE: $7.77 UNITED — UNITED MEDICARE: $7.77 WELLCARE — WELLCARE MEDICARE: $7.77 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$47	$47	$7.77
Complete blood count (CBC) with differential: rates for 8 insurance plans AETNA — AETNA MEDICARE: $7.77 ANTHEM — ANTHEM MEDICARE: $7.77 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $7.77 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $7.77 TUFTS — TUFTS MEDICARE: $7.77 UNITED — UNITED MEDICARE: $7.77 WELLCARE — WELLCARE MEDICARE: $7.77 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier 0 In the file: HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$64.73	$64.73	$7.38 – $10.69
Complete blood count (CBC) with differential: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $7.77 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $7.38 ANTHEM — ANTHEM INDIVIDUAL: $8.02 ANTHEM — ANTHEM MANAGED CARE: $10.69 CIGNA — CIGNA MANAGED CARE: $7.78 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $7.77 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $8.40 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$39	$39	$6.47
Complete blood count (CBC), automated: rates for 8 insurance plans AETNA — AETNA MEDICARE: $6.47 ANTHEM — ANTHEM MEDICARE: $6.47 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $6.47 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $6.47 TUFTS — TUFTS MEDICARE: $6.47 UNITED — UNITED MEDICARE: $6.47 WELLCARE — WELLCARE MEDICARE: $6.47 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier 0 In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$39	$39	$6.15 – $8.89
Complete blood count (CBC), automated: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $6.47 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $6.15 ANTHEM — ANTHEM INDIVIDUAL: $6.67 ANTHEM — ANTHEM MANAGED CARE: $8.89 CIGNA — CIGNA MANAGED CARE: $6.48 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $6.47 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $6.99 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$32.78	$32.78	$4.29
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans AETNA — AETNA MEDICARE: $4.29 ANTHEM — ANTHEM MEDICARE: $4.29 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $4.29 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $4.29 TUFTS — TUFTS MEDICARE: $4.29 UNITED — UNITED MEDICARE: $4.29 WELLCARE — WELLCARE MEDICARE: $4.29 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 0 In the file: HC PROTHROMBIN TIME	$32.78	$32.78	$4.05 – $5.40
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $4.29 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $4.08 ANTHEM — ANTHEM INDIVIDUAL: $4.05 ANTHEM — ANTHEM MANAGED CARE: $5.40 CIGNA — CIGNA MANAGED CARE: $4.30 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $4.29 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $4.64 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$50.03	$50.03	$6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans AETNA — AETNA MEDICARE: $6.01 ANTHEM — ANTHEM MEDICARE: $6.01 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $6.01 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $6.01 TUFTS — TUFTS MEDICARE: $6.01 UNITED — UNITED MEDICARE: $6.01 WELLCARE — WELLCARE MEDICARE: $6.01 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD - LUPUS ANTICOAGULANT SCREEN W/ REFLEX	$50.03	$50.03	$6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans AETNA — AETNA MEDICARE: $6.01 ANTHEM — ANTHEM MEDICARE: $6.01 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $6.01 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $6.01 TUFTS — TUFTS MEDICARE: $6.01 UNITED — UNITED MEDICARE: $6.01 WELLCARE — WELLCARE MEDICARE: $6.01 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 0 In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$50.03	$50.03	$5.71 – $8.25
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $6.01 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $5.71 ANTHEM — ANTHEM INDIVIDUAL: $6.19 ANTHEM — ANTHEM MANAGED CARE: $8.25 CIGNA — CIGNA MANAGED CARE: $6.02 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $6.01 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $6.50 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT HEAD/BRAIN W/O CONTRAST MATERIAL	$827	$827	$42.72 – $316.40
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $217.05 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $206.20 AETNA — AETNA MEDICARE: $43.79 ANTHEM — ANTHEM INDIVIDUAL: $237.30 ANTHEM — ANTHEM MANAGED CARE: $316.40 ANTHEM — ANTHEM MEDICARE: $42.72 CIGNA — CIGNA MANAGED CARE: $176.21 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $277.92
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: HC CT HEAD/BRAIN W/O CONTRAST MATERIAL	$827	$827	Not listed in the file
CT scan of the head or brain, without contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$2,504	$2,504	$142.57 – $1,267.84
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $684.60 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $650.37 AETNA — AETNA MEDICARE: $146.14 ANTHEM — ANTHEM INDIVIDUAL: $968.01 ANTHEM — ANTHEM MANAGED CARE: $1,267.84 ANTHEM — ANTHEM MEDICARE: $142.57 CIGNA — CIGNA MANAGED CARE: $834.57 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $142.57 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $142.57 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $893.57
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$2,504	$2,504	Not listed in the file
MRI of the brain, before and after contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 0 In the file: HC CHEST 2 VIEWS, RADIOLOGIC EXAM	$374	$374	$35.56 – $118.90
Chest X-ray, 2 views: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $74.61 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $70.88 AETNA — AETNA MEDICARE: $36.45 ANTHEM — ANTHEM INDIVIDUAL: $62.41 ANTHEM — ANTHEM MANAGED CARE: $83.22 ANTHEM — ANTHEM MEDICARE: $35.56 CIGNA — CIGNA MANAGED CARE: $118.90 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $35.56 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $35.56 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $93.06
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 26 In the file: X-RAY EXAM CHEST 2 VIEWS	$68	$68	$15.48 – $23.52
Chest X-ray, 2 views: rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $15.48 ANTHEM — ANTHEM INDIVIDUAL: $18.36 ANTHEM — ANTHEM MANAGED CARE: $20.16 CIGNA — CIGNA MANAGED CARE: $20.44 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $20.31 CONNECTICARE — CONNECTICARE MANAGED CARE: $21.39 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $20.18 UNITED — UNITED MANAGED CARE: $23.52
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: HC CHEST 2 VIEWS, RADIOLOGIC EXAM	$374	$374	Not listed in the file
Chest X-ray, 2 views: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 0 In the file: HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$567	$567	$42.72 – $202.75
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $131.79 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $125.20 AETNA — AETNA MEDICARE: $43.79 ANTHEM — ANTHEM INDIVIDUAL: $105.15 ANTHEM — ANTHEM MANAGED CARE: $140.20 ANTHEM — ANTHEM MEDICARE: $42.72 CIGNA — CIGNA MANAGED CARE: $202.75 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $155.56
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$567	$567	Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$1,437	$1,437	$97.51 – $730.99
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $398.49 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $378.57 AETNA — AETNA MEDICARE: $99.95 ANTHEM — ANTHEM INDIVIDUAL: $558.12 ANTHEM — ANTHEM MANAGED CARE: $730.99 ANTHEM — ANTHEM MEDICARE: $97.51 CIGNA — CIGNA MANAGED CARE: $479.10 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $97.51 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $97.51 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $513.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$1,437	$1,437	Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT PELVIS W/CONTRAST MATERIAL	$2,192	$2,192	$71.68 – $813.30
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $557.13 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $529.27 AETNA — AETNA MEDICARE: $73.47 ANTHEM — ANTHEM INDIVIDUAL: $609.98 ANTHEM — ANTHEM MANAGED CARE: $813.30 ANTHEM — ANTHEM MEDICARE: $71.68 CIGNA — CIGNA MANAGED CARE: $466.83 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $71.68 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $71.68 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $738.04
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: HC CT PELVIS W/CONTRAST MATERIAL	$2,192	$2,192	Not listed in the file
CT scan of the pelvis, with contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 0 In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,619	$1,619	$97.51 – $838.88
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $457.83 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $434.94 AETNA — AETNA MEDICARE: $99.95 ANTHEM — ANTHEM INDIVIDUAL: $640.50 ANTHEM — ANTHEM MANAGED CARE: $838.88 ANTHEM — ANTHEM MEDICARE: $97.51 CIGNA — CIGNA MANAGED CARE: $539.55 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $97.51 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $97.51 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $583.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,619	$1,619	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 0 In the file: HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$2,778	$2,778	$142.57 – $1,020.02
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $699.57 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $664.59 AETNA — AETNA MEDICARE: $146.14 ANTHEM — ANTHEM INDIVIDUAL: $765.03 ANTHEM — ANTHEM MANAGED CARE: $1,020.02 ANTHEM — ANTHEM MEDICARE: $142.57 CIGNA — CIGNA MANAGED CARE: $591.71 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $142.57 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $142.57 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $922.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$2,778	$2,778	Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 0 In the file: HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$378	$378	$42.72 – $466.52
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $248.49 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $236.07 AETNA — AETNA MEDICARE: $43.79 ANTHEM — ANTHEM INDIVIDUAL: $182.68 ANTHEM — ANTHEM MANAGED CARE: $243.58 ANTHEM — ANTHEM MEDICARE: $42.72 CIGNA — CIGNA MANAGED CARE: $466.52 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $315.14
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$378	$378	Not listed in the file
Ultrasound of the abdomen, complete: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 0 In the file: HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$420	$420	$42.72 – $519.69
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $287.34 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $272.97 AETNA — AETNA MEDICARE: $43.79 ANTHEM — ANTHEM INDIVIDUAL: $205.49 ANTHEM — ANTHEM MANAGED CARE: $273.99 ANTHEM — ANTHEM MEDICARE: $42.72 CIGNA — CIGNA MANAGED CARE: $519.69 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $355.03
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier 26 In the file: OB US >= 14 WKS SNGL FETUS	$270	$270	$72.10 – $117.06
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $72.10 ANTHEM — ANTHEM INDIVIDUAL: $77.86 ANTHEM — ANTHEM MANAGED CARE: $85.50 CIGNA — CIGNA MANAGED CARE: $92.28 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $86.63 CONNECTICARE — CONNECTICARE MANAGED CARE: $94.47 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $93.90 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $105.45 UNITED — UNITED MANAGED CARE: $117.06
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$420	$420	Not listed in the file
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 0 In the file: HC ULTRASOUND TRANSVAGINAL	$413	$413	$42.72 – $501.31
Transvaginal ultrasound: 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $275.46 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $261.69 AETNA — AETNA MEDICARE: $43.79 ANTHEM — ANTHEM INDIVIDUAL: $200.76 ANTHEM — ANTHEM MANAGED CARE: $267.69 ANTHEM — ANTHEM MEDICARE: $42.72 CIGNA — CIGNA MANAGED CARE: $501.31 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $42.72 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $348.40
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier 26 In the file: TRANSVAGINAL US NON-OB	$238	$238	$46.28 – $81.36
Transvaginal ultrasound: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $49.48 ANTHEM — ANTHEM INDIVIDUAL: $46.28 ANTHEM — ANTHEM MANAGED CARE: $50.82 CIGNA — CIGNA MANAGED CARE: $63.93 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $60.46 CONNECTICARE — CONNECTICARE MANAGED CARE: $65.43 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $65.35 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $73.28 UNITED — UNITED MANAGED CARE: $81.36
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: HC ULTRASOUND TRANSVAGINAL	$413	$413	Not listed in the file
Transvaginal ultrasound: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 0 In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL	$407	$407	$209.15 – $534.04
Diagnostic mammogram, one breast: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $278.55 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $264.62 ANTHEM — ANTHEM INDIVIDUAL: $209.15 ANTHEM — ANTHEM MANAGED CARE: $278.87 CIGNA — CIGNA MANAGED CARE: $534.04 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $348.40 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $376.65 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL	$407	$407	$92.85
Diagnostic mammogram, one breast: rates for 8 insurance plans AETNA — AETNA MEDICARE: $92.85 ANTHEM — ANTHEM MEDICARE: $92.85 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $92.85 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $92.85 TUFTS — TUFTS MEDICARE: $92.85 UNITED — UNITED MEDICARE: $92.85 WELLCARE — WELLCARE MEDICARE: $92.85 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 0 In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL	$521	$521	$266.36 – $683.29
Diagnostic mammogram, both breasts: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $357.48 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $339.61 ANTHEM — ANTHEM INDIVIDUAL: $266.36 ANTHEM — ANTHEM MANAGED CARE: $355.15 CIGNA — CIGNA MANAGED CARE: $683.29 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $444.17 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $480.17 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL	$521	$521	$119.16
Diagnostic mammogram, both breasts: rates for 8 insurance plans AETNA — AETNA MEDICARE: $119.16 ANTHEM — ANTHEM MEDICARE: $119.16 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $119.16 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $119.16 TUFTS — TUFTS MEDICARE: $119.16 UNITED — UNITED MEDICARE: $119.16 WELLCARE — WELLCARE MEDICARE: $119.16 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 0 In the file: HC SCR MAMMO BI INCL CAD	$430	$430	$220.18 – $564.70
Screening mammogram, both breasts: rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $294.75 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $280.01 ANTHEM — ANTHEM INDIVIDUAL: $220.18 ANTHEM — ANTHEM MANAGED CARE: $293.58 CIGNA — CIGNA MANAGED CARE: $564.70 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $368.35 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $398.21 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: HC SCR MAMMO BI INCL CAD	$430	$430	$98.25
Screening mammogram, both breasts: rates for 8 insurance plans AETNA — AETNA MEDICARE: $98.25 ANTHEM — ANTHEM MEDICARE: $98.25 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $98.25 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $98.25 TUFTS — TUFTS MEDICARE: $98.25 UNITED — UNITED MEDICARE: $98.25 WELLCARE — WELLCARE MEDICARE: $98.25 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 0 In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$13,201.32	$13,201.32	$1,324.86 – $3,536.56
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $1,357.98 ANTHEM — ANTHEM MEDICARE: $1,324.86 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $1,324.86 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $1,324.86 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $3,271.31 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $3,536.56 TUFTS — TUFTS MEDICARE: $1,324.86 UNITED — UNITED MEDICARE: $1,324.86 WELLCARE — WELLCARE MEDICARE: $1,351.36 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier TC In the file: HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$13,201.32	$13,201.32	Not listed in the file
Left heart catheterization (diagnostic): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$54,545	$54,545	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · modifier 0 In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$54,545	$54,545	$4,351.63 – $81,065
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $10,948.64 ANTHEM — ANTHEM INDIVIDUAL: $47,250 ANTHEM — ANTHEM MANAGED CARE: $63,000 ANTHEM — ANTHEM MEDICARE: $10,681.60 CIGNA — CIGNA MANAGED CARE: $81,065 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $10,681.60 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $10,681.60 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $4,351.63 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $4,704.48 TUFTS — TUFTS MEDICARE: $10,681.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 0 In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$5,287.76	$5,287.76	$350.94 – $3,000
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates AETNA — AETNA MANAGED CARE: $3,000 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $2,850 AETNA — AETNA MEDICARE: $359.71 ANTHEM — ANTHEM MEDICARE: $350.94 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $350.94 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $350.94 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $2,775 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $3,000 TUFTS — TUFTS MEDICARE: $350.94 UNITED — UNITED MEDICARE: $350.94
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	$1,040	$1,040	$220.61 – $348.73
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $220.61 ANTHEM — ANTHEM INDIVIDUAL: $227.16 ANTHEM — ANTHEM MANAGED CARE: $249.44 CIGNA — CIGNA MANAGED CARE: $309.06 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $261.18 CONNECTICARE — CONNECTICARE MANAGED CARE: $348.73 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $331.20 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $278.30 UNITED — UNITED MANAGED CARE: $323.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier TC In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$5,287.76	$5,287.76	Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$123.12	$123.12	$30.48
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans AETNA — AETNA MEDICARE: $30.48 ANTHEM — ANTHEM MEDICARE: $30.48 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $30.48 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $30.48 TUFTS — TUFTS MEDICARE: $30.48 UNITED — UNITED MEDICARE: $30.48 WELLCARE — WELLCARE MEDICARE: $30.48 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier 0 In the file: HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$123.12	$123.12	$165 – $258
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $210 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $200 ANTHEM — ANTHEM INDIVIDUAL: $165 ANTHEM — ANTHEM MANAGED CARE: $220 CIGNA — CIGNA MANAGED CARE: $210 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $239 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $258 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN	$412.56	$412.56	$102.51
Physical therapy evaluation (low complexity): rates for 8 insurance plans AETNA — AETNA MEDICARE: $102.51 ANTHEM — ANTHEM MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $102.51 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $102.51 TUFTS — TUFTS MEDICARE: $102.51 UNITED — UNITED MEDICARE: $102.51 WELLCARE — WELLCARE MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL LOW COMPLEX 20 MIN	$412.56	$412.56	$165 – $258
Physical therapy evaluation (low complexity): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $210 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $200 ANTHEM — ANTHEM INDIVIDUAL: $165 ANTHEM — ANTHEM MANAGED CARE: $220 CIGNA — CIGNA MANAGED CARE: $210 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $239 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $258 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX 30 MIN	$412.56	$412.56	$102.51
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans AETNA — AETNA MEDICARE: $102.51 ANTHEM — ANTHEM MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $102.51 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $102.51 TUFTS — TUFTS MEDICARE: $102.51 UNITED — UNITED MEDICARE: $102.51 WELLCARE — WELLCARE MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL MOD COMPLEX 30 MIN	$412.56	$412.56	$165 – $258
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $210 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $200 ANTHEM — ANTHEM INDIVIDUAL: $165 ANTHEM — ANTHEM MANAGED CARE: $220 CIGNA — CIGNA MANAGED CARE: $210 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $239 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $258 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$412.56	$412.56	$102.51
Physical therapy evaluation (high complexity): rates for 8 insurance plans AETNA — AETNA MEDICARE: $102.51 ANTHEM — ANTHEM MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $102.51 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $102.51 TUFTS — TUFTS MEDICARE: $102.51 UNITED — UNITED MEDICARE: $102.51 WELLCARE — WELLCARE MEDICARE: $102.51 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier 0 In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$412.56	$412.56	$165 – $258
Physical therapy evaluation (high complexity): rates for 10 insurance plans AETNA — AETNA MANAGED CARE: $210 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $200 ANTHEM — ANTHEM INDIVIDUAL: $165 ANTHEM — ANTHEM MANAGED CARE: $220 CIGNA — CIGNA MANAGED CARE: $210 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $239 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $258 AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount) ANTHEM — ANTHEM INDEMNITY/TRADITIONAL: 73.69% (a percentage in the contract, not a dollar amount) UNITED — UNITED MANAGED CARE: 92.89% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYTX W PT 30 MINUTES	$270	$270	$49.16 – $174.95
Psychotherapy, 30 minutes: rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $96.68 ANTHEM — ANTHEM INDIVIDUAL: $49.16 ANTHEM — ANTHEM MANAGED CARE: $53.98 CIGNA — CIGNA MANAGED CARE: $174.95 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $141.31 CONNECTICARE — CONNECTICARE MANAGED CARE: $101.27 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $141.36 UNITED — UNITED MANAGED CARE: $164.36
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 30 MIN - SYSTEM	$329.60	$329.60	$72.54 – $259
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $74.35 ANTHEM — ANTHEM INDIVIDUAL: $133 ANTHEM — ANTHEM MANAGED CARE: $177 ANTHEM — ANTHEM MEDICARE: $72.54 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $72.54 TUFTS — TUFTS MEDICARE: $72.54 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $72.54
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	$355	$355	$73.74 – $231.23
Psychotherapy, 45 minutes: rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $128.30 ANTHEM — ANTHEM INDIVIDUAL: $73.74 ANTHEM — ANTHEM MANAGED CARE: $80.97 CIGNA — CIGNA MANAGED CARE: $231.23 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $211.77 CONNECTICARE — CONNECTICARE MANAGED CARE: $151.85 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $188.48 UNITED — UNITED MANAGED CARE: $219.15
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 45 MIN - SYSTEM	$259.52	$259.52	$72.54 – $295
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $74.35 ANTHEM — ANTHEM INDIVIDUAL: $221 ANTHEM — ANTHEM MANAGED CARE: $295 ANTHEM — ANTHEM MEDICARE: $72.54 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $72.54 TUFTS — TUFTS MEDICARE: $72.54 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $72.54
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYTX W PT 60 MINUTES	$525	$525	$111.28 – $341.30
Psychotherapy, 60 minutes: rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $188.45 ANTHEM — ANTHEM INDIVIDUAL: $111.28 ANTHEM — ANTHEM MANAGED CARE: $122.20 CIGNA — CIGNA MANAGED CARE: $341.30 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $319.87 CONNECTICARE — CONNECTICARE MANAGED CARE: $229.31 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $281.87 UNITED — UNITED MANAGED CARE: $327.73
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier 0 In the file: HC PSYCHOTHERAPY W/PT 60 MIN - SYSTEM	$519.03	$519.03	$72.54 – $295
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $74.35 ANTHEM — ANTHEM INDIVIDUAL: $221 ANTHEM — ANTHEM MANAGED CARE: $295 ANTHEM — ANTHEM MEDICARE: $72.54 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $72.54 TUFTS — TUFTS MEDICARE: $72.54 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $72.54
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYTX W/O PT 50 MIN	$385	$385	$78.86 – $264.76
Family psychotherapy, without the patient: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $138.72 ANTHEM — ANTHEM INDIVIDUAL: $78.86 ANTHEM — ANTHEM MANAGED CARE: $86.59 CIGNA — CIGNA MANAGED CARE: $249.32 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $228 CONNECTICARE — CONNECTICARE MANAGED CARE: $181.24 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $172.58 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $227.71 UNITED — UNITED MANAGED CARE: $264.76
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier 0 In the file: HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT	$256.23	$256.23	$72.54 – $295
Family psychotherapy, without the patient: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $74.35 ANTHEM — ANTHEM INDIVIDUAL: $221 ANTHEM — ANTHEM MANAGED CARE: $295 ANTHEM — ANTHEM MEDICARE: $72.54 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $72.54 TUFTS — TUFTS MEDICARE: $72.54 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $72.54
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYTX W/PT 50 MIN	$400	$400	$93.88 – $274.95
Family psychotherapy, with the patient: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $144.67 ANTHEM — ANTHEM INDIVIDUAL: $93.88 ANTHEM — ANTHEM MANAGED CARE: $103.09 CIGNA — CIGNA MANAGED CARE: $260.40 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $271.12 CONNECTICARE — CONNECTICARE MANAGED CARE: $217.02 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $207.48 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $236.47 UNITED — UNITED MANAGED CARE: $274.95
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier 0 In the file: HC FAMILY PSYCHOTHERAPY W/PT PRESENT 50 MIN - SYSTEM	$356.97	$356.97	$72.54 – $295
Family psychotherapy, with the patient: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $74.35 ANTHEM — ANTHEM INDIVIDUAL: $221 ANTHEM — ANTHEM MANAGED CARE: $295 ANTHEM — ANTHEM MEDICARE: $72.54 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $72.54 TUFTS — TUFTS MEDICARE: $72.54 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $72.54
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY	$95	$95	$28.68 – $83.58
Group psychotherapy: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $34.05 ANTHEM — ANTHEM INDIVIDUAL: $28.68 ANTHEM — ANTHEM MANAGED CARE: $31.49 CIGNA — CIGNA MANAGED CARE: $61.50 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $83.58 CONNECTICARE — CONNECTICARE MANAGED CARE: $59.87 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $57.74 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $55.94 UNITED — UNITED MANAGED CARE: $65.04
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 0 In the file: HC IOP GROUP 1/2 DAY	$220.10	$220.10	$41.52 – $671
Group psychotherapy: 10 of 14 insurance plan rates AETNA — AETNA MEDICARE: $42.55 ANTHEM — ANTHEM INDIVIDUAL: $503 ANTHEM — ANTHEM MANAGED CARE: $671 ANTHEM — ANTHEM MEDICARE: $41.52 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $403 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $41.52 TUFTS — TUFTS MEDICARE: $41.52 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $41.52 UNITED BH — UNITED BEHAVIORAL HEALTH MANAGED CARE: $588 WELLCARE — WELLCARE MEDICARE: $42.35
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 0 In the file: HC GROUP PSYCHOTHERAPY - SYSTEM	$220.10	$220.10	$41.52 – $259
Group psychotherapy: 10 of 14 insurance plan rates AETNA — AETNA MANAGED CARE: $259 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $246 AETNA — AETNA MEDICARE: $42.55 ANTHEM — ANTHEM INDIVIDUAL: $133 ANTHEM — ANTHEM MANAGED CARE: $177 ANTHEM — ANTHEM MEDICARE: $41.52 CIGNA BH — EVERNORTH/CIGNA BEHAVIORAL HEALTH MANAGED CARE: $126 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $41.52 TUFTS — TUFTS MEDICARE: $41.52 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $41.52

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	Not listed in the file
Removal of breast growth (open surgery): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 0 In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,600.10 – $1,640.10
Removal of breast growth (open surgery): 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $1,640.10 ANTHEM — ANTHEM MEDICARE: $1,600.10 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $1,600.10 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $1,600.10 TUFTS — TUFTS MEDICARE: $1,600.10 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $1,600.10 UNITED — UNITED MEDICARE: $1,600.10 WELLCARE — WELLCARE MEDICARE: $1,632.10 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY	$7,400	$7,400	$2,509.37 – $3,909.28
Total hip replacement: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $2,692.10 ANTHEM — ANTHEM INDIVIDUAL: $3,260.37 ANTHEM — ANTHEM MANAGED CARE: $3,580.11 CIGNA — CIGNA MANAGED CARE: $3,027.78 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $3,903.57 CONNECTICARE — CONNECTICARE MANAGED CARE: $3,113.58 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $2,509.37 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $3,909.28 UNITED — UNITED MANAGED CARE: $3,826.13
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	Not listed in the file
Total hip replacement: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · modifier 0 In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,246.70 – $34,000
Total hip replacement: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $5,377.87 ANTHEM — ANTHEM MEDICARE: $5,246.70 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $5,246.70 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $5,246.70 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $31,450 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $34,000 TUFTS — TUFTS MEDICARE: $5,246.70 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $5,246.70 UNITED — UNITED MEDICARE: $5,246.70 WELLCARE — WELLCARE MEDICARE: $5,351.64
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY	$7,390	$7,390	$2,690.60 – $4,170.18
Total knee replacement: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $2,690.60 ANTHEM — ANTHEM INDIVIDUAL: $3,495.57 ANTHEM — ANTHEM MANAGED CARE: $3,838.38 CIGNA — CIGNA MANAGED CARE: $3,022.81 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $4,170.18 CONNECTICARE — CONNECTICARE MANAGED CARE: $3,364.61 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $2,701.62 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $3,904.10 UNITED — UNITED MANAGED CARE: $4,082.38
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	Not listed in the file
Total knee replacement: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 0 In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$5,246.70 – $34,000
Total knee replacement: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $5,377.87 ANTHEM — ANTHEM MEDICARE: $5,246.70 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $5,246.70 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $5,246.70 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $31,450 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $34,000 TUFTS — TUFTS MEDICARE: $5,246.70 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $5,246.70 UNITED — UNITED MEDICARE: $5,246.70 WELLCARE — WELLCARE MEDICARE: $5,351.64
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION	$975	$975	$349.79 – $3,830.76
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $349.79 ANTHEM — ANTHEM INDIVIDUAL: $423.51 ANTHEM — ANTHEM MANAGED CARE: $465.04 CIGNA — CIGNA MANAGED CARE: $398.05 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $527.98 CONNECTICARE — CONNECTICARE MANAGED CARE: $1,536.68 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $1,235.97 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $3,830.76 UNITED — UNITED MANAGED CARE: $490.16
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	$3,175	$3,175	$1,297.31 – $1,640.95
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans ANTHEM — ANTHEM INDIVIDUAL: $1,306.07 ANTHEM — ANTHEM MANAGED CARE: $1,434.15 CIGNA — CIGNA MANAGED CARE: $1,297.31 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $1,640.95 CONNECTICARE — CONNECTICARE MANAGED CARE: $1,369.03 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $1,565.34 UNITED — UNITED MANAGED CARE: $1,532.05
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	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 0 In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,337.15 – $15,582
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates AETNA — AETNA MANAGED CARE: $15,582 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $14,803 AETNA — AETNA MEDICARE: $1,370.58 ANTHEM — ANTHEM MEDICARE: $1,337.15 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $1,337.15 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $1,337.15 TUFTS — TUFTS MEDICARE: $1,337.15 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $1,337.15 UNITED — UNITED MEDICARE: $1,337.15 WELLCARE — WELLCARE MEDICARE: $1,363.89
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH	$690	$690	$243.97 – $535.46
Upper GI endoscopy (diagnostic): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $243.97 ANTHEM — ANTHEM INDIVIDUAL: $487.64 ANTHEM — ANTHEM MANAGED CARE: $535.46 CIGNA — CIGNA MANAGED CARE: $263.01 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $326.30 CONNECTICARE — CONNECTICARE MANAGED CARE: $260.49 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $244.91 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $433.91 UNITED — UNITED MANAGED CARE: $423.18
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,288.29	$3,288.29	Not listed in the file
Upper GI endoscopy (diagnostic): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 0 In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,288.29	$3,288.29	$370.65 – $5,561
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $379.92 ANTHEM — ANTHEM MEDICARE: $370.65 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $370.65 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $370.65 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $370.65 UNITED — UNITED MEDICARE: $370.65 WELLCARE — WELLCARE MEDICARE: $378.07 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,288.29	$3,288.29	Not listed in the file
Upper GI endoscopy with biopsy: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 0 In the file: HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$3,288.29	$3,288.29	$370.65 – $5,561
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $379.92 ANTHEM — ANTHEM MEDICARE: $370.65 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $370.65 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $370.65 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $370.65 UNITED — UNITED MEDICARE: $370.65 WELLCARE — WELLCARE MEDICARE: $378.07 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS	$3,224.78	$3,224.78	Not listed in the file
Colonoscopy (diagnostic): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS	$3,224.78	$3,224.78	$380.04 – $5,561
Colonoscopy (diagnostic): 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $389.54 ANTHEM — ANTHEM MEDICARE: $380.04 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $380.04 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $380.04 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $380.04 UNITED — UNITED MEDICARE: $380.04 WELLCARE — WELLCARE MEDICARE: $387.64 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$4,213.56	$4,213.56	Not listed in the file
Colonoscopy with biopsy: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$4,213.56	$4,213.56	$489.02 – $5,561
Colonoscopy with biopsy: 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $501.25 ANTHEM — ANTHEM MEDICARE: $489.02 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $489.02 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $489.02 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $489.02 UNITED — UNITED MEDICARE: $489.02 WELLCARE — WELLCARE MEDICARE: $498.80 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ	$4,213.56	$4,213.56	Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 0 In the file: HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ	$4,213.56	$4,213.56	$489.02 – $5,561
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $501.25 ANTHEM — ANTHEM MEDICARE: $489.02 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $489.02 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $489.02 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $489.02 UNITED — UNITED MEDICARE: $489.02 WELLCARE — WELLCARE MEDICARE: $498.80 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC CRCTAL SRN-NOHRSK	$3,224.78	$3,224.78	Not listed in the file
Screening colonoscopy (not high risk): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 0 In the file: HC CRCTAL SRN-NOHRSK	$3,224.78	$3,224.78	$380.04 – $5,561
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $389.54 ANTHEM — ANTHEM MEDICARE: $380.04 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $380.04 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $380.04 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $5,144 MOLINA dba CONNECTICARE — MOLINA MANAGED CARE: $5,561 TUFTS — TUFTS MEDICARE: $380.04 UNITED — UNITED MEDICARE: $380.04 WELLCARE — WELLCARE MEDICARE: $387.64 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$3,820	$3,820	$1,175.69 – $2,358.09
Gallbladder removal by laparoscope: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $1,296.78 ANTHEM — ANTHEM INDIVIDUAL: $1,497.31 ANTHEM — ANTHEM MANAGED CARE: $1,644.15 CIGNA — CIGNA MANAGED CARE: $1,457.61 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $1,645.89 CONNECTICARE — CONNECTICARE MANAGED CARE: $1,262.98 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $1,175.69 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $2,358.09 UNITED — UNITED MANAGED CARE: $2,299.81
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	Not listed in the file
Gallbladder removal by laparoscope: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 0 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,470.59 – $2,532.35
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $2,532.35 ANTHEM — ANTHEM MEDICARE: $2,470.59 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $2,470.59 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $2,470.59 TUFTS — TUFTS MEDICARE: $2,470.59 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $2,470.59 UNITED — UNITED MEDICARE: $2,470.59 WELLCARE — WELLCARE MEDICARE: $2,520 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	$3,040	$3,040	$766.53 – $1,867.39
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $1,026.16 ANTHEM — ANTHEM INDIVIDUAL: $766.53 ANTHEM — ANTHEM MANAGED CARE: $841.70 CIGNA — CIGNA MANAGED CARE: $1,158.59 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $1,141.85 CONNECTICARE — CONNECTICARE MANAGED CARE: $893.76 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $840.05 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $1,867.39 UNITED — UNITED MANAGED CARE: $1,821.23
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	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 0 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,463.18 – $1,499.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $1,499.76 ANTHEM — ANTHEM MEDICARE: $1,463.18 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $1,463.18 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $1,463.18 TUFTS — TUFTS MEDICARE: $1,463.18 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $1,463.18 UNITED — UNITED MEDICARE: $1,463.18 WELLCARE — WELLCARE MEDICARE: $1,492.44 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	Not listed in the file
Prostate biopsy: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · modifier 0 In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$819.40 – $839.89
Prostate biopsy: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $839.89 ANTHEM — ANTHEM MEDICARE: $819.40 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $819.40 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $819.40 TUFTS — TUFTS MEDICARE: $819.40 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $819.40 UNITED — UNITED MEDICARE: $819.40 WELLCARE — WELLCARE MEDICARE: $835.79 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD	$6,725	$6,725	$2,939.22 – $4,297.45
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $2,939.22 ANTHEM — ANTHEM INDIVIDUAL: $3,747.76 ANTHEM — ANTHEM MANAGED CARE: $4,115.30 CIGNA — CIGNA MANAGED CARE: $3,004.50 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $4,297.45 CONNECTICARE — CONNECTICARE MANAGED CARE: $3,219.56 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $2,996.65 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $3,217.21 UNITED — UNITED MANAGED CARE: $3,723.65
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · modifier 0 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$4,344.03 – $4,452.63
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $4,452.63 ANTHEM — ANTHEM MEDICARE: $4,344.03 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $4,344.03 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $4,344.03 TUFTS — TUFTS MEDICARE: $4,344.03 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $4,344.03 UNITED — UNITED MEDICARE: $4,344.03 WELLCARE — WELLCARE MEDICARE: $4,430.91 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY	$1,315	$1,315	$449.45 – $796.88
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $449.45 ANTHEM — ANTHEM INDIVIDUAL: $546.17 ANTHEM — ANTHEM MANAGED CARE: $599.73 CIGNA — CIGNA MANAGED CARE: $502.20 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $796.88 CONNECTICARE — CONNECTICARE MANAGED CARE: $627.54 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $501.87 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $747.88 UNITED — UNITED MANAGED CARE: $680.73
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	Not listed in the file
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 0 In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,322.90 – $17,658
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates AETNA — AETNA MEDICARE: $1,355.97 ANTHEM — ANTHEM INDIVIDUAL: $13,244 ANTHEM — ANTHEM MANAGED CARE: $17,658 ANTHEM — ANTHEM MEDICARE: $1,322.90 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $1,322.90 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $1,322.90 TUFTS — TUFTS MEDICARE: $1,322.90 UNITED — UNITED BEHAVIORAL HEALTH MEDICARE: $1,322.90 UNITED — UNITED MEDICARE: $1,322.90 WELLCARE — WELLCARE MEDICARE: $1,349.35
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC	$635	$635	$210.84 – $314.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans AETNA — AETNA MANAGED CARE: $216.18 ANTHEM — ANTHEM INDIVIDUAL: $210.84 ANTHEM — ANTHEM MANAGED CARE: $231.52 CIGNA — CIGNA MANAGED CARE: $229.40 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $238.70 CONNECTICARE — CONNECTICARE MANAGED CARE: $242.86 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $314.95 UNITED — UNITED MANAGED CARE: $267.26
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,726.37	$3,726.37	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$4,295.78	$4,295.78	Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 0 In the file: HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$2,454.73	$2,454.73	$361.45 – $370.49
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $370.49 ANTHEM — ANTHEM MEDICARE: $361.45 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $361.45 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $361.45 TUFTS — TUFTS MEDICARE: $361.45 UNITED — UNITED MEDICARE: $361.45 WELLCARE — WELLCARE MEDICARE: $368.68 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount) AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$4,295.78	$4,295.78	$361.45 – $370.49
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates AETNA — AETNA MEDICARE: $370.49 ANTHEM — ANTHEM MEDICARE: $361.45 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $361.45 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $361.45 TUFTS — TUFTS MEDICARE: $361.45 UNITED — UNITED MEDICARE: $361.45 WELLCARE — WELLCARE MEDICARE: $368.68 AETNA — AETNA MANAGED CARE: 89.8% (a percentage in the contract, not a dollar amount) AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: 85% (a percentage in the contract, not a dollar amount) AETNA — AETNA SIGNATURE ADMINISTRATORS: 73.61% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY	$2,580	$2,580	$735.36 – $1,386.45
Carpal tunnel release: rates for 9 insurance plans AETNA — AETNA MANAGED CARE: $933.64 ANTHEM — ANTHEM INDIVIDUAL: $855.91 ANTHEM — ANTHEM MANAGED CARE: $939.85 CIGNA — CIGNA MANAGED CARE: $1,053.84 CONNECTICARE — CONNECTICARE EXCHANGE/MARKETPLACE: $1,051.48 CONNECTICARE — CONNECTICARE MANAGED CARE: $895.62 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: $735.36 OXFORD — UNITED MANAGED CARE - OXFORD ONLY: $1,386.45 UNITED — UNITED MANAGED CARE: $1,176.50
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNEL	$4,194.95	$4,194.95	Not listed in the file
Carpal tunnel release: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Carpal tunnel release: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC CATARACT REMOVAL INSERTION OF LENS	$7,208.39	$7,208.39	Not listed in the file
Cataract removal with lens implant: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC CATARACT REMOVAL INSERTION OF LENS LEFT	$7,343.95	$7,343.95	Not listed in the file
Cataract removal with lens implant: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC CATARACT REMOVAL INSERTION OF LENS RIGHT	$7,343.95	$7,343.95	Not listed in the file
Cataract removal with lens implant: rates for 1 insurance plan HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MANAGED CARE: 66.65% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$53,068.95	$53,068.95	$9,797.85 – $43,130
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates AETNA — AETNA MANAGED CARE: $43,130 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $40,973.50 AETNA — AETNA MEDICARE: $10,042.80 ANTHEM — ANTHEM INDIVIDUAL: $21,405 ANTHEM — ANTHEM MANAGED CARE: $28,540 ANTHEM — ANTHEM MEDICARE: $9,797.85 CIGNA — CIGNA MANAGED CARE: $21,450 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $28,000
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$77,302.29	$77,302.29	$9,797.85 – $41,914
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates AETNA — AETNA MANAGED CARE: $41,914 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $39,818.30 AETNA — AETNA MEDICARE: $10,042.80 ANTHEM — ANTHEM INDIVIDUAL: $21,405 ANTHEM — ANTHEM MANAGED CARE: $28,540 ANTHEM — ANTHEM MEDICARE: $9,797.85 CIGNA — CIGNA MANAGED CARE: $21,450 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $28,000
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	$51,059.79	$51,059.79	$9,797.85 – $37,856
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates AETNA — AETNA MANAGED CARE: $37,856 AETNA — AETNA MANAGED CARE - MIDDLESEX ONLY: $35,963.20 AETNA — AETNA MEDICARE: $10,042.80 ANTHEM — ANTHEM INDIVIDUAL: $21,405 ANTHEM — ANTHEM MANAGED CARE: $28,540 ANTHEM — ANTHEM MEDICARE: $9,797.85 CIGNA — CIGNA MANAGED CARE: $21,450 HEALTH NEW ENGLAND — HEALTH NEW ENGLAND MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA dba CONNECTICARE MEDICARE: $9,797.85 MOLINA dba CONNECTICARE — MOLINA EXCHANGE/MARKETPLACE: $28,000

Source: The Hospital of Central Connecticut’s standard charges file (hartfordhealthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	100 Grand Street, New Britain, CT 06050
County	Hartford County
State	Connecticut
Phone	(860) 224‑5011
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	070035
Name in Medicare records	THE HOSPITAL OF CENTRAL CONNECTICUT
Profile level	Medicare data + hospital website
Official website	thocc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

The Hospital of Central Connecticut — thocc.org