Does The Medical Center at Scottsville have an emergency room?

Yes. Medicare (CMS) data lists emergency services at The Medical Center at Scottsville. In a medical emergency, call 911.

Where is The Medical Center at Scottsville?

456 Burnley Road, Scottsville, KY 42164, in Allen County, Kentucky.

What is the phone number of The Medical Center at Scottsville?

(270) 622-2800, as listed by Medicare (CMS).

What is the Medicare star rating of The Medical Center at Scottsville?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

The Medical Center at Scottsville

Quick answers

Does The Medical Center at Scottsville have an emergency room?: Yes. Medicare (CMS) data lists emergency services at The Medical Center at Scottsville. In a medical emergency, call 911.
Where is The Medical Center at Scottsville?: 456 Burnley Road, Scottsville, KY 42164, in Allen County, Kentucky.
What is the phone number of The Medical Center at Scottsville?: (270) 622-2800, as listed by Medicare (CMS).
What is the Medicare star rating of The Medical Center at Scottsville?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][13][16]}

Acute care
Cardiopulmonary rehabilitation
Diagnostic imaging
Emergency department
Hospitalist program
Laboratory
Post-acute care (swing bed)
Primary care
Rehabilitation services
Respiratory care
Surgical services
General surgery
Orthopaedics and sports medicine
Urology
Cardiology
Pulmonology
Nephrology
Gastroenterology

Conditions treated^{[4][6][7][14]}

Treatments^{[9][10][11][12][14][17]}

CT scanning
Low-dose CT lung cancer screening
MRI
Ultrasound and echocardiogram
Laboratory testing (hematology, chemistry, urine and toxicology screens)
Transfusion testing
Mechanical ventilation
CPAP and BiPAP therapy
Oxygen assessment and therapy
Pulmonary function testing
Arterial blood gas sampling and analysis
Bronchodilator therapy
Physical therapy
Occupational therapy
Speech therapy
Swallow studies and therapy
Wound care
Hand therapy
Vestibular rehabilitation

Procedures^[10]

Ultrasound-guided thyroid and breast biopsies
Breast cancer surgery
Hemorrhoid surgery
Skin biopsies and excisions
Port placement for chemotherapy
Laparoscopic gallbladder surgery
Hernia repair
Appendectomy
Endoscopy
Podiatry surgery
Vasectomy
Cystoscopy
Prostate procedures
Ureteroscopy
Lithotripsy
Bladder biopsy

Programs and centers^{[4][6][7][8][9][12][13][14]}

Senior Perspectives
Emergency Department
Cardiopulmonary Rehabilitation
Hospitalist Program
Diagnostic Imaging
Laboratory
Respiratory Care

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Acute Stroke Ready Hospital (The Joint Commission)

Recognition^[4][6]

Acute Stroke Ready Hospital (The Joint Commission)
Get With The Guidelines Rural Stroke Award (American Heart Association) 2026

Doctors and clinicians (137)

137 doctors and other clinicians list The Medical Center at Scottsville 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 113 more: the button below opens the full list.

Other emergency rooms nearby

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

Tristar Greenview Regional Hospital19 mi · Bowling Green, KY · Acute Care Hospital
Macon Community Hospital20 mi · Lafayette, TN · Critical Access Hospital
The Medical Center (Bowling Green)20 mi · Bowling Green, KY · Acute Care Hospital
T J Samson Community Hospital24 mi · Glasgow, KY · Acute Care Hospital
Highpoint Health-Trousdale With Ascension Saint26 mi · Hartsville, TN · Critical Access Hospital

Other hospitals nearby

SMR Southern Kentucky, LLC dba Southern Kentucky R…19 mi · Bowling Green, KY · Inpatient Rehabilitation Hospital
Rivendell Behavioral Health Services19 mi · Bowling Green, KY · Psychiatric Hospital
Commonwealth Regional Specialty Hospital20 mi · Bowling Green, KY · 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

Cal Turner Rehab and Specialty Care0.0 mi · Scottsville, KY · 5 of 5 stars
Westmoreland Care & Rehab Ctr14 mi · Westmoreland, TN · 3 of 5 stars
Greenwood Rehabilitation and Healthcare Center16 mi · Bowling Green, KY · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Southern Kentucky15 mi · Bowling Green, KY · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Lifeline Health Care of Warren15 mi · Bowling Green, KY
Rainbow, LLC15 mi · Bowling Green, KY
The Medical Center Home Care Program15 mi · Bowling Green, KY · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Lost River Dialysis15 mi · Bowling Green, KY · 2 of 5 stars
Fresenius Medical Care Bowling Green Home Therapies15 mi · Bowling Green, KY · 2 of 5 stars
DaVita Dialysis of Warren County15 mi · Bowling Green, KY · 2 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.

Greenview Surgery Center15 mi · Bowling Green, KY
McPeak Surgery Center21 mi · Glasgow, KY

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

Alvaton Elementary Healthy Kids Clinic11 mi · Alvaton, KY · Community health center
Austin Tracy Healthy Kids Clinic11 mi · Lucas, KY · Community health center
Plano Elementary Healthy Kids Clinic14 mi · Bowling Green, KY · Community health center

Clinics and urgent care

Med Center Health Primary Care Scottsville2.1 mi · Scottsville, KY · Rural health clinic
T J Health Scottsville2.1 mi · Scottsville, KY · Rural health clinic
Bowling Green-Warren County Community Hospital Corporation15 mi · Bowling Green, KY · Urgent care center

Pharmacies

Bowling Green Warren County Community Hospital Corporation2.1 mi · Scottsville, KY · Pharmacy
Walgreen Co2.1 mi · Scottsville, KY · Pharmacy

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 Medical Center at Scottsville 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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

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

Complications and deaths

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

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

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Kentucky Best hospitals in Kentucky

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 46 common services exactly as The Medical Center at Scottsville 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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 3	$899	Not listed in the file	$188.79 – $731.34
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna — All Plans: $731.34 Aetna (Medicaid) — Aetna Better Health: $188.79 Aetna (Medicare) — All Plans: $188.79 Anthem — Blue Traditional, Blue Access and Blue Preferred: $494.69 Anthem — Pathway HMO: $650.17 Anthem — Pathway HPN: $671.37 Anthem — Pathway Transitions HMO: $494.69 Anthem (Medicaid) — Anthem Medicaid: $188.79 Anthem (Medicare) — All Plans: $188.79 Center Care — Center Care: $731.34
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 3	$1,079	Not listed in the file	$226.59 – $877.77
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna — All Plans: $877.77 Aetna (Medicaid) — Aetna Better Health: $226.59 Aetna (Medicare) — All Plans: $226.59 Anthem — Blue Traditional, Blue Access and Blue Preferred: $593.74 Anthem — Pathway HMO: $780.35 Anthem — Pathway HPN: $805.79 Anthem — Pathway Transitions HMO: $593.74 Anthem (Medicaid) — Anthem Medicaid: $226.59 Anthem (Medicare) — All Plans: $226.59 Center Care — Center Care: $877.77
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 3	$1,079	Not listed in the file	$520.46 – $893.52
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — All Plans: $786.59 Anthem — Blue Traditional, Blue Access and Blue Preferred: $611.26 Anthem — Pathway HMO: $803.38 Anthem — Pathway HPN: $829.57 Anthem — Pathway Transitions HMO: $611.26 Center Care — Center Care: $786.59 Center Care — Center Care Select: $893.52 Cigna — All Plans: $786.59 First Health — Work Comp: $520.46 HealthComp — Med Center Health Medical Plan: $893.52
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 4	$1,435	Not listed in the file	$301.35 – $1,167.37
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna — All Plans: $1,167.37 Aetna (Medicaid) — Aetna Better Health: $301.35 Aetna (Medicare) — All Plans: $301.35 Anthem — Blue Traditional, Blue Access and Blue Preferred: $789.64 Anthem — Pathway HMO: $1,037.81 Anthem — Pathway HPN: $1,071.65 Anthem — Pathway Transitions HMO: $789.64 Anthem (Medicaid) — Anthem Medicaid: $301.35 Anthem (Medicare) — All Plans: $301.35 Center Care — Center Care: $1,167.37
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 4	$1,722	Not listed in the file	$361.62 – $1,400.85
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna — All Plans: $1,400.85 Aetna (Medicaid) — Aetna Better Health: $361.62 Aetna (Medicare) — All Plans: $361.62 Anthem — Blue Traditional, Blue Access and Blue Preferred: $947.56 Anthem — Pathway HMO: $1,245.37 Anthem — Pathway HPN: $1,285.98 Anthem — Pathway Transitions HMO: $947.56 Anthem (Medicaid) — Anthem Medicaid: $361.62 Anthem (Medicare) — All Plans: $361.62 Center Care — Center Care: $1,400.85
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 4	$1,722	Not listed in the file	$830.61 – $1,425.99
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — All Plans: $1,255.34 Anthem — Blue Traditional, Blue Access and Blue Preferred: $975.53 Anthem — Pathway HMO: $1,282.13 Anthem — Pathway HPN: $1,323.93 Anthem — Pathway Transitions HMO: $975.53 Center Care — Center Care: $1,255.34 Center Care — Center Care Select: $1,425.99 Cigna — All Plans: $1,255.34 First Health — Work Comp: $830.61 HealthComp — Med Center Health Medical Plan: $1,425.99
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: OB ED VISIT LEVEL 5	$2,124	Not listed in the file	$446.04 – $1,727.87
Emergency room visit (high): 10 of 22 insurance plan rates Aetna — All Plans: $1,727.87 Aetna (Medicaid) — Aetna Better Health: $446.04 Aetna (Medicare) — All Plans: $446.04 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,168.77 Anthem — Pathway HMO: $1,536.10 Anthem — Pathway HPN: $1,586.19 Anthem — Pathway Transitions HMO: $1,168.77 Anthem (Medicaid) — Anthem Medicaid: $446.04 Anthem (Medicare) — All Plans: $446.04 Center Care — Center Care: $1,727.87
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LEVEL 5	$2,549	Not listed in the file	$535.29 – $2,073.61
Emergency room visit (high): 10 of 22 insurance plan rates Aetna — All Plans: $2,073.61 Aetna (Medicaid) — Aetna Better Health: $535.29 Aetna (Medicare) — All Plans: $535.29 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,402.64 Anthem — Pathway HMO: $1,843.47 Anthem — Pathway HPN: $1,903.58 Anthem — Pathway Transitions HMO: $1,402.64 Anthem (Medicaid) — Anthem Medicaid: $535.29 Anthem (Medicare) — All Plans: $535.29 Center Care — Center Care: $2,073.61
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LEVEL 5	$2,549	Not listed in the file	$1,229.51 – $2,110.83
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — All Plans: $1,858.22 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,444.03 Anthem — Pathway HMO: $1,897.87 Anthem — Pathway HPN: $1,959.76 Anthem — Pathway Transitions HMO: $1,444.03 Center Care — Center Care: $1,858.22 Center Care — Center Care Select: $2,110.83 Cigna — All Plans: $1,858.22 First Health — Work Comp: $1,229.51 HealthComp — Med Center Health Medical Plan: $2,110.83

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: BASIC METABOLIC PANEL	$32	Not listed in the file	$5.69 – $26.03
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — All Plans: $26.03 Aetna (Medicaid) — Aetna Better Health: $8.46 Aetna (Medicare) — All Plans: $6.72 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69 Anthem — Pathway HMO: $5.69 Anthem — Pathway HPN: $5.69 Anthem — Pathway Transitions HMO: $5.69 Anthem (Medicaid) — Anthem Medicaid: $8.46 Anthem (Medicare) — All Plans: $6.72 Center Care — Center Care: $26.03
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$32	Not listed in the file	$15.44 – $26.50
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — All Plans: $23.33 Anthem — Blue Traditional, Blue Access and Blue Preferred: $18.13 Anthem — Pathway HMO: $23.83 Anthem — Pathway HPN: $24.60 Anthem — Pathway Transitions HMO: $18.13 Center Care — Center Care: $23.33 Center Care — Center Care Select: $26.50 Cigna — All Plans: $23.33 First Health — Work Comp: $15.44 HealthComp — Med Center Health Medical Plan: $26.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP. METABOLIC PANEL	$40	Not listed in the file	$7.15 – $32.54
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna — All Plans: $32.54 Aetna (Medicaid) — Aetna Better Health: $10.56 Aetna (Medicare) — All Plans: $8.40 Anthem — Blue Traditional, Blue Access and Blue Preferred: $7.15 Anthem — Pathway HMO: $7.15 Anthem — Pathway HPN: $7.15 Anthem — Pathway Transitions HMO: $7.15 Anthem (Medicaid) — Anthem Medicaid: $10.56 Anthem (Medicare) — All Plans: $8.40 Center Care — Center Care: $32.54
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP. METABOLIC PANEL	$40	Not listed in the file	$19.29 – $33.12
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — All Plans: $29.16 Anthem — Blue Traditional, Blue Access and Blue Preferred: $22.66 Anthem — Pathway HMO: $29.78 Anthem — Pathway HPN: $30.75 Anthem — Pathway Transitions HMO: $22.66 Center Care — Center Care: $29.16 Center Care — Center Care Select: $33.12 Cigna — All Plans: $29.16 First Health — Work Comp: $19.29 HealthComp — Med Center Health Medical Plan: $33.12
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: PRENATAL GROUP	$178	Not listed in the file	$37.20 – $144.80
Obstetric blood test panel: 10 of 22 insurance plan rates Aetna — All Plans: $144.80 Aetna (Medicaid) — Aetna Better Health: $47.81 Aetna (Medicare) — All Plans: $37.38 Anthem — Blue Traditional, Blue Access and Blue Preferred: $53.28 Anthem — Pathway HMO: $53.28 Anthem — Pathway HPN: $53.28 Anthem — Pathway Transitions HMO: $53.28 Anthem (Medicaid) — Anthem Medicaid: $47.81 Anthem (Medicare) — All Plans: $37.38 Center Care — Center Care: $144.80
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: PRENATAL GROUP	$178	Not listed in the file	$85.86 – $147.40
Obstetric blood test panel: 10 of 12 insurance plan rates Aetna — All Plans: $129.76 Anthem — Blue Traditional, Blue Access and Blue Preferred: $100.84 Anthem — Pathway HMO: $132.53 Anthem — Pathway HPN: $136.85 Anthem — Pathway Transitions HMO: $100.84 Center Care — Center Care: $129.76 Center Care — Center Care Select: $147.40 Cigna — All Plans: $129.76 First Health — Work Comp: $85.86 HealthComp — Med Center Health Medical Plan: $147.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PNL	$112	Not listed in the file	$9.68 – $91.11
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — All Plans: $91.11 Aetna (Medicaid) — Aetna Better Health: $13.39 Aetna (Medicare) — All Plans: $23.52 Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68 Anthem — Pathway HMO: $9.68 Anthem — Pathway HPN: $9.68 Anthem — Pathway Transitions HMO: $9.68 Anthem (Medicaid) — Anthem Medicaid: $13.39 Anthem (Medicare) — All Plans: $23.52 Center Care — Center Care: $91.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$98	Not listed in the file	$9.68 – $79.72
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — All Plans: $79.72 Aetna (Medicaid) — Aetna Better Health: $13.39 Aetna (Medicare) — All Plans: $20.58 Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68 Anthem — Pathway HMO: $9.68 Anthem — Pathway HPN: $9.68 Anthem — Pathway Transitions HMO: $9.68 Anthem (Medicaid) — Anthem Medicaid: $13.39 Anthem (Medicare) — All Plans: $20.58 Center Care — Center Care: $79.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE	$50	Not listed in the file	$9.68 – $40.67
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna — All Plans: $40.67 Aetna (Medicaid) — Aetna Better Health: $13.39 Aetna (Medicare) — All Plans: $10.50 Anthem — Blue Traditional, Blue Access and Blue Preferred: $9.68 Anthem — Pathway HMO: $9.68 Anthem — Pathway HPN: $9.68 Anthem — Pathway Transitions HMO: $9.68 Anthem (Medicaid) — Anthem Medicaid: $13.39 Anthem (Medicare) — All Plans: $10.50 Center Care — Center Care: $40.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$33	Not listed in the file	$5.69 – $26.85
Kidney function panel: 10 of 22 insurance plan rates Aetna — All Plans: $26.85 Aetna (Medicaid) — Aetna Better Health: $8.68 Aetna (Medicare) — All Plans: $6.93 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69 Anthem — Pathway HMO: $5.69 Anthem — Pathway HPN: $5.69 Anthem — Pathway Transitions HMO: $5.69 Anthem (Medicaid) — Anthem Medicaid: $8.68 Anthem (Medicare) — All Plans: $6.93 Center Care — Center Care: $26.85
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$33	Not listed in the file	$15.92 – $27.33
Kidney function panel: 10 of 12 insurance plan rates Aetna — All Plans: $24.06 Anthem — Blue Traditional, Blue Access and Blue Preferred: $18.69 Anthem — Pathway HMO: $24.57 Anthem — Pathway HPN: $25.37 Anthem — Pathway Transitions HMO: $18.69 Center Care — Center Care: $24.06 Center Care — Center Care Select: $27.33 Cigna — All Plans: $24.06 First Health — Work Comp: $15.92 HealthComp — Med Center Health Medical Plan: $27.33
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL A	$31	Not listed in the file	$5.69 – $25.22
Liver function panel: 10 of 22 insurance plan rates Aetna — All Plans: $25.22 Aetna (Medicaid) — Aetna Better Health: $8.17 Aetna (Medicare) — All Plans: $6.51 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.69 Anthem — Pathway HMO: $5.69 Anthem — Pathway HPN: $5.69 Anthem — Pathway Transitions HMO: $5.69 Anthem (Medicaid) — Anthem Medicaid: $8.17 Anthem (Medicare) — All Plans: $6.51 Center Care — Center Care: $25.22
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL A	$31	Not listed in the file	$14.95 – $25.67
Liver function panel: 10 of 12 insurance plan rates Aetna — All Plans: $22.60 Anthem — Blue Traditional, Blue Access and Blue Preferred: $17.56 Anthem — Pathway HMO: $23.08 Anthem — Pathway HPN: $23.83 Anthem — Pathway Transitions HMO: $17.56 Center Care — Center Care: $22.60 Center Care — Center Care Select: $25.67 Cigna — All Plans: $22.60 First Health — Work Comp: $14.95 HealthComp — Med Center Health Medical Plan: $25.67
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: AUTOM UA W/ MICROSCOPY	$12	Not listed in the file	$2.47 – $9.76
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna — All Plans: $9.76 Aetna (Medicaid) — Aetna Better Health: $3.17 Aetna (Medicare) — All Plans: $2.52 Anthem — Blue Traditional, Blue Access and Blue Preferred: $2.69 Anthem — Pathway HMO: $2.69 Anthem — Pathway HPN: $2.69 Anthem — Pathway Transitions HMO: $2.69 Anthem (Medicaid) — Anthem Medicaid: $3.17 Anthem (Medicare) — All Plans: $2.52 Center Care — Center Care: $9.76
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: AUTOM UA W/ MICROSCOPY	$12	Not listed in the file	$5.79 – $9.94
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — All Plans: $8.75 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.80 Anthem — Pathway HMO: $8.93 Anthem — Pathway HPN: $9.23 Anthem — Pathway Transitions HMO: $6.80 Center Care — Center Care: $8.75 Center Care — Center Care Select: $9.94 Cigna — All Plans: $8.75 First Health — Work Comp: $5.79 HealthComp — Med Center Health Medical Plan: $9.94
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BLOOD,URINE, SCREEN	$9	Not listed in the file	$1.75 – $7.32
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — All Plans: $7.32 Aetna (Medicaid) — Aetna Better Health: $2.25 Aetna (Medicare) — All Plans: $1.89 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91 Anthem — Pathway HMO: $1.91 Anthem — Pathway HPN: $1.91 Anthem — Pathway Transitions HMO: $1.91 Anthem (Medicaid) — Anthem Medicaid: $2.25 Anthem (Medicare) — All Plans: $1.89 Center Care — Center Care: $7.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: MICRO-GLUCOSE,URINE SCREEN	$9	Not listed in the file	$1.75 – $7.32
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — All Plans: $7.32 Aetna (Medicaid) — Aetna Better Health: $2.25 Aetna (Medicare) — All Plans: $1.89 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91 Anthem — Pathway HMO: $1.91 Anthem — Pathway HPN: $1.91 Anthem — Pathway Transitions HMO: $1.91 Anthem (Medicaid) — Anthem Medicaid: $2.25 Anthem (Medicare) — All Plans: $1.89 Center Care — Center Care: $7.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: MICRO-KETONE,URINE SCREEN	$9	Not listed in the file	$1.75 – $7.32
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna — All Plans: $7.32 Aetna (Medicaid) — Aetna Better Health: $2.25 Aetna (Medicare) — All Plans: $1.89 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1.91 Anthem — Pathway HMO: $1.91 Anthem — Pathway HPN: $1.91 Anthem — Pathway Transitions HMO: $1.91 Anthem (Medicaid) — Anthem Medicaid: $2.25 Anthem (Medicare) — All Plans: $1.89 Center Care — Center Care: $7.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA,TOTAL	$69	Not listed in the file	$14.31 – $56.13
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — All Plans: $56.13 Aetna (Medicaid) — Aetna Better Health: $18.39 Aetna (Medicare) — All Plans: $14.49 Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64 Anthem — Pathway HMO: $15.64 Anthem — Pathway HPN: $15.64 Anthem — Pathway Transitions HMO: $15.64 Anthem (Medicaid) — Anthem Medicaid: $18.39 Anthem (Medicare) — All Plans: $14.49 Center Care — Center Care: $56.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA ULTRA SENSITIVE	$69	Not listed in the file	$14.31 – $56.13
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — All Plans: $56.13 Aetna (Medicaid) — Aetna Better Health: $18.39 Aetna (Medicare) — All Plans: $14.49 Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64 Anthem — Pathway HMO: $15.64 Anthem — Pathway HPN: $15.64 Anthem — Pathway Transitions HMO: $15.64 Anthem (Medicaid) — Anthem Medicaid: $18.39 Anthem (Medicare) — All Plans: $14.49 Center Care — Center Care: $56.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE SPECIFIC ANTIGEN	$69	Not listed in the file	$14.31 – $56.13
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna — All Plans: $56.13 Aetna (Medicaid) — Aetna Better Health: $18.39 Aetna (Medicare) — All Plans: $14.49 Anthem — Blue Traditional, Blue Access and Blue Preferred: $15.64 Anthem — Pathway HMO: $15.64 Anthem — Pathway HPN: $15.64 Anthem — Pathway Transitions HMO: $15.64 Anthem (Medicaid) — Anthem Medicaid: $18.39 Anthem (Medicare) — All Plans: $14.49 Center Care — Center Care: $56.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$71	Not listed in the file	$13.07 – $57.76
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — All Plans: $57.76 Aetna (Medicaid) — Aetna Better Health: $16.80 Aetna (Medicare) — All Plans: $14.91 Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28 Anthem — Pathway HMO: $14.28 Anthem — Pathway HPN: $14.28 Anthem — Pathway Transitions HMO: $14.28 Anthem (Medicaid) — Anthem Medicaid: $16.80 Anthem (Medicare) — All Plans: $14.91 Center Care — Center Care: $57.76
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH ULTRA SENSITIVE	$51	Not listed in the file	$10.71 – $41.49
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — All Plans: $41.49 Aetna (Medicaid) — Aetna Better Health: $16.80 Aetna (Medicare) — All Plans: $10.71 Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28 Anthem — Pathway HMO: $14.28 Anthem — Pathway HPN: $14.28 Anthem — Pathway Transitions HMO: $14.28 Anthem (Medicaid) — Anthem Medicaid: $16.80 Anthem (Medicare) — All Plans: $10.71 Center Care — Center Care: $41.49
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADE	$199	Not listed in the file	$13.07 – $161.89
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna — All Plans: $161.89 Aetna (Medicaid) — Aetna Better Health: $16.80 Aetna (Medicare) — All Plans: $41.79 Anthem — Blue Traditional, Blue Access and Blue Preferred: $14.28 Anthem — Pathway HMO: $14.28 Anthem — Pathway HPN: $14.28 Anthem — Pathway Transitions HMO: $14.28 Anthem (Medicaid) — Anthem Medicaid: $16.80 Anthem (Medicare) — All Plans: $41.79 Center Care — Center Care: $161.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTOMATED DIFF ONLY	$29	Not listed in the file	$6.05 – $23.59
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — All Plans: $23.59 Aetna (Medicaid) — Aetna Better Health: $7.77 Aetna (Medicare) — All Plans: $6.09 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61 Anthem — Pathway HMO: $6.61 Anthem — Pathway HPN: $6.61 Anthem — Pathway Transitions HMO: $6.61 Anthem (Medicaid) — Anthem Medicaid: $7.77 Anthem (Medicare) — All Plans: $6.09 Center Care — Center Care: $23.59
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HEMAT-CBC-INCLUDES DIFF	$29	Not listed in the file	$6.05 – $23.59
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — All Plans: $23.59 Aetna (Medicaid) — Aetna Better Health: $7.77 Aetna (Medicare) — All Plans: $6.09 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61 Anthem — Pathway HMO: $6.61 Anthem — Pathway HPN: $6.61 Anthem — Pathway Transitions HMO: $6.61 Anthem (Medicaid) — Anthem Medicaid: $7.77 Anthem (Medicare) — All Plans: $6.09 Center Care — Center Care: $23.59
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/ AUTOMATED DIFF ONLY	$29	Not listed in the file	$6.05 – $23.59
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna — All Plans: $23.59 Aetna (Medicaid) — Aetna Better Health: $7.77 Aetna (Medicare) — All Plans: $6.09 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6.61 Anthem — Pathway HMO: $6.61 Anthem — Pathway HPN: $6.61 Anthem — Pathway Transitions HMO: $6.61 Anthem (Medicaid) — Anthem Medicaid: $7.77 Anthem (Medicare) — All Plans: $6.09 Center Care — Center Care: $23.59
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMAT-BLOOD COUNT W/O DIFF	$24	Not listed in the file	$5.03 – $19.52
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Aetna — All Plans: $19.52 Aetna (Medicaid) — Aetna Better Health: $6.47 Aetna (Medicare) — All Plans: $5.04 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.50 Anthem — Pathway HMO: $5.50 Anthem — Pathway HPN: $5.50 Anthem — Pathway Transitions HMO: $5.50 Anthem (Medicaid) — Anthem Medicaid: $6.47 Anthem (Medicare) — All Plans: $5.04 Center Care — Center Care: $19.52
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMAT-BLOOD COUNT W/O DIFF	$24	Not listed in the file	$11.58 – $19.87
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — All Plans: $17.50 Anthem — Blue Traditional, Blue Access and Blue Preferred: $13.60 Anthem — Pathway HMO: $17.87 Anthem — Pathway HPN: $18.45 Anthem — Pathway Transitions HMO: $13.60 Center Care — Center Care: $17.50 Center Care — Center Care Select: $19.87 Cigna — All Plans: $17.50 First Health — Work Comp: $11.58 HealthComp — Med Center Health Medical Plan: $19.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR POC WKHL	$15	Not listed in the file	$3.15 – $12.20
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — All Plans: $12.20 Aetna (Medicaid) — Aetna Better Health: $4.29 Aetna (Medicare) — All Plans: $3.15 Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34 Anthem — Pathway HMO: $3.34 Anthem — Pathway HPN: $3.34 Anthem — Pathway Transitions HMO: $3.34 Anthem (Medicaid) — Anthem Medicaid: $4.29 Anthem (Medicare) — All Plans: $3.15 Center Care — Center Care: $12.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: INR POC	$15	Not listed in the file	$3.15 – $12.20
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — All Plans: $12.20 Aetna (Medicaid) — Aetna Better Health: $4.29 Aetna (Medicare) — All Plans: $3.15 Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34 Anthem — Pathway HMO: $3.34 Anthem — Pathway HPN: $3.34 Anthem — Pathway Transitions HMO: $3.34 Anthem (Medicaid) — Anthem Medicaid: $4.29 Anthem (Medicare) — All Plans: $3.15 Center Care — Center Care: $12.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PTINR PLUS POC	$90	Not listed in the file	$3.34 – $73.22
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — All Plans: $73.22 Aetna (Medicaid) — Aetna Better Health: $4.29 Aetna (Medicare) — All Plans: $18.90 Anthem — Blue Traditional, Blue Access and Blue Preferred: $3.34 Anthem — Pathway HMO: $3.34 Anthem — Pathway HPN: $3.34 Anthem — Pathway Transitions HMO: $3.34 Anthem (Medicaid) — Anthem Medicaid: $4.29 Anthem (Medicare) — All Plans: $18.90 Center Care — Center Care: $73.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: APTT	$23	Not listed in the file	$4.68 – $18.71
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — All Plans: $18.71 Aetna (Medicaid) — Aetna Better Health: $6.01 Aetna (Medicare) — All Plans: $4.83 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10 Anthem — Pathway HMO: $5.10 Anthem — Pathway HPN: $5.10 Anthem — Pathway Transitions HMO: $5.10 Anthem (Medicaid) — Anthem Medicaid: $6.01 Anthem (Medicare) — All Plans: $4.83 Center Care — Center Care: $18.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME	$27	Not listed in the file	$4.68 – $21.96
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — All Plans: $21.96 Aetna (Medicaid) — Aetna Better Health: $6.01 Aetna (Medicare) — All Plans: $5.67 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10 Anthem — Pathway HMO: $5.10 Anthem — Pathway HPN: $5.10 Anthem — Pathway Transitions HMO: $5.10 Anthem (Medicaid) — Anthem Medicaid: $6.01 Anthem (Medicare) — All Plans: $5.67 Center Care — Center Care: $21.96
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$31	Not listed in the file	$4.68 – $25.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna — All Plans: $25.22 Aetna (Medicaid) — Aetna Better Health: $6.01 Aetna (Medicare) — All Plans: $6.51 Anthem — Blue Traditional, Blue Access and Blue Preferred: $5.10 Anthem — Pathway HMO: $5.10 Anthem — Pathway HPN: $5.10 Anthem — Pathway Transitions HMO: $5.10 Anthem (Medicaid) — Anthem Medicaid: $6.01 Anthem (Medicare) — All Plans: $6.51 Center Care — Center Care: $25.22

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) In the file: C/T-HEAD W/O CONT	$1,693	Not listed in the file	$247.10 – $1,015.80
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna — All Plans: $600 Aetna (Medicaid) — Aetna Better Health: $355.53 Aetna (Medicare) — All Plans: $355.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $247.10 Anthem — Pathway HMO: $324.76 Anthem — Pathway HPN: $335.35 Anthem — Pathway Transitions HMO: $247.10 Anthem (Medicaid) — Anthem Medicaid: $355.53 Anthem (Medicare) — All Plans: $355.53 Center Care — Center Care: $600
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: C/T-HEAD W/O CONT	$1,693	Not listed in the file	$816.62 – $1,401.97
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — All Plans: $1,234.20 Anthem — Blue Traditional, Blue Access and Blue Preferred: $959.10 Anthem — Pathway HMO: $1,260.53 Anthem — Pathway HPN: $1,301.64 Anthem — Pathway Transitions HMO: $959.10 Center Care — Center Care: $1,234.20 Center Care — Center Care Select: $1,401.97 Cigna — All Plans: $1,234.20 First Health — Work Comp: $816.62 HealthComp — Med Center Health Medical Plan: $1,401.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI-BRAIN WO/C,FU W/C & SEQ	$3,350	Not listed in the file	$371 – $2,010
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — All Plans: $750 Aetna (Medicaid) — Aetna Better Health: $703.50 Aetna (Medicare) — All Plans: $703.50 Anthem — Blue Traditional, Blue Access and Blue Preferred: $371 Anthem — Pathway HMO: $487.60 Anthem — Pathway HPN: $503.50 Anthem — Pathway Transitions HMO: $371 Anthem (Medicaid) — Anthem Medicaid: $703.50 Anthem (Medicare) — All Plans: $703.50 Center Care — Center Care: $750
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI-BRAIN WO/C,FU W/C & SEQ	$3,350	Not listed in the file	$1,615.87 – $2,774.14
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — All Plans: $2,442.15 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,897.81 Anthem — Pathway HMO: $2,494.26 Anthem — Pathway HPN: $2,575.60 Anthem — Pathway Transitions HMO: $1,897.81 Center Care — Center Care: $2,442.15 Center Care — Center Care Select: $2,774.14 Cigna — All Plans: $2,442.15 First Health — Work Comp: $1,615.87 HealthComp — Med Center Health Medical Plan: $2,774.14
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY CHEST 2 VIEWS	$476	Not listed in the file	$99.96 – $387.23
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — All Plans: $387.23 Aetna (Medicaid) — Aetna Better Health: $99.96 Aetna (Medicare) — All Plans: $99.96 Anthem — Blue Traditional, Blue Access and Blue Preferred: $261.93 Anthem — Pathway HMO: $344.25 Anthem — Pathway HPN: $355.47 Anthem — Pathway Transitions HMO: $261.93 Anthem (Medicaid) — Anthem Medicaid: $99.96 Anthem (Medicare) — All Plans: $99.96 Center Care — Center Care: $387.23
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: X-RAY CHEST 2 VIEWS	$476	Not listed in the file	$229.60 – $394.18
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — All Plans: $347 Anthem — Blue Traditional, Blue Access and Blue Preferred: $269.66 Anthem — Pathway HMO: $354.41 Anthem — Pathway HPN: $365.97 Anthem — Pathway Transitions HMO: $269.66 Center Care — Center Care: $347 Center Care — Center Care Select: $394.18 Cigna — All Plans: $347 First Health — Work Comp: $229.60 HealthComp — Med Center Health Medical Plan: $394.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XRAY L-SPINE MIN 4 VIEWS	$951	Not listed in the file	$199.71 – $773.64
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna — All Plans: $773.64 Aetna (Medicaid) — Aetna Better Health: $199.71 Aetna (Medicare) — All Plans: $199.71 Anthem — Blue Traditional, Blue Access and Blue Preferred: $523.31 Anthem — Pathway HMO: $687.77 Anthem — Pathway HPN: $710.20 Anthem — Pathway Transitions HMO: $523.31 Anthem (Medicaid) — Anthem Medicaid: $199.71 Anthem (Medicare) — All Plans: $199.71 Center Care — Center Care: $773.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XRAY L-SPINE MIN 4 VIEWS	$951	Not listed in the file	$458.71 – $787.52
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Aetna — All Plans: $693.28 Anthem — Blue Traditional, Blue Access and Blue Preferred: $538.75 Anthem — Pathway HMO: $708.07 Anthem — Pathway HPN: $731.16 Anthem — Pathway Transitions HMO: $538.75 Center Care — Center Care: $693.28 Center Care — Center Care Select: $787.52 Cigna — All Plans: $693.28 First Health — Work Comp: $458.71 HealthComp — Med Center Health Medical Plan: $787.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI-L SPINE W/O CONTRAST	$2,824	Not listed in the file	$371 – $1,694.40
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna — All Plans: $750 Aetna (Medicaid) — Aetna Better Health: $593.04 Aetna (Medicare) — All Plans: $593.04 Anthem — Blue Traditional, Blue Access and Blue Preferred: $371 Anthem — Pathway HMO: $487.60 Anthem — Pathway HPN: $503.50 Anthem — Pathway Transitions HMO: $371 Anthem (Medicaid) — Anthem Medicaid: $593.04 Anthem (Medicare) — All Plans: $593.04 Center Care — Center Care: $750
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI-L SPINE W/O CONTRAST	$2,824	Not listed in the file	$1,362.16 – $2,338.55
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Aetna — All Plans: $2,058.70 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,599.82 Anthem — Pathway HMO: $2,102.63 Anthem — Pathway HPN: $2,171.19 Anthem — Pathway Transitions HMO: $1,599.82 Center Care — Center Care: $2,058.70 Center Care — Center Care Select: $2,338.55 Cigna — All Plans: $2,058.70 First Health — Work Comp: $1,362.16 HealthComp — Med Center Health Medical Plan: $2,338.55
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS WITH CONTRAST	$2,494	Not listed in the file	$247.10 – $1,496.40
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna — All Plans: $600 Aetna (Medicaid) — Aetna Better Health: $523.74 Aetna (Medicare) — All Plans: $523.74 Anthem — Blue Traditional, Blue Access and Blue Preferred: $247.10 Anthem — Pathway HMO: $324.76 Anthem — Pathway HPN: $335.35 Anthem — Pathway Transitions HMO: $247.10 Anthem (Medicaid) — Anthem Medicaid: $523.74 Anthem (Medicare) — All Plans: $523.74 Center Care — Center Care: $600
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS WITH CONTRAST	$2,494	Not listed in the file	$1,202.98 – $2,065.28
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Aetna — All Plans: $1,818.13 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,412.88 Anthem — Pathway HMO: $1,856.92 Anthem — Pathway HPN: $1,917.47 Anthem — Pathway Transitions HMO: $1,412.88 Center Care — Center Care: $1,818.13 Center Care — Center Care Select: $2,065.28 Cigna — All Plans: $1,818.13 First Health — Work Comp: $1,202.98 HealthComp — Med Center Health Medical Plan: $2,065.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LOW EXT ANY JT WO CON LEFT	$2,293	Not listed in the file	$371 – $1,375.80
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — All Plans: $750 Aetna (Medicaid) — Aetna Better Health: $481.53 Aetna (Medicare) — All Plans: $481.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $371 Anthem — Pathway HMO: $487.60 Anthem — Pathway HPN: $503.50 Anthem — Pathway Transitions HMO: $371 Anthem (Medicaid) — Anthem Medicaid: $481.53 Anthem (Medicare) — All Plans: $481.53 Center Care — Center Care: $750
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LOW EXT ANY JT WO CON RIGHT	$2,293	Not listed in the file	$371 – $1,375.80
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — All Plans: $750 Aetna (Medicaid) — Aetna Better Health: $481.53 Aetna (Medicare) — All Plans: $481.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $371 Anthem — Pathway HMO: $487.60 Anthem — Pathway HPN: $503.50 Anthem — Pathway Transitions HMO: $371 Anthem (Medicaid) — Anthem Medicaid: $481.53 Anthem (Medicare) — All Plans: $481.53 Center Care — Center Care: $750
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MR LOW EXT ANY JT WO CON LEFT	$2,293	Not listed in the file	$1,106.03 – $1,898.83
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — All Plans: $1,671.60 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,299.01 Anthem — Pathway HMO: $1,707.27 Anthem — Pathway HPN: $1,762.94 Anthem — Pathway Transitions HMO: $1,299.01 Center Care — Center Care: $1,671.60 Center Care — Center Care Select: $1,898.83 Cigna — All Plans: $1,671.60 First Health — Work Comp: $1,106.03 HealthComp — Med Center Health Medical Plan: $1,898.83
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ENTEROGRAPHY	$5,853	Not listed in the file	$247.10 – $3,511.80
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — All Plans: $600 Aetna (Medicaid) — Aetna Better Health: $1,229.13 Aetna (Medicare) — All Plans: $1,229.13 Anthem — Blue Traditional, Blue Access and Blue Preferred: $247.10 Anthem — Pathway HMO: $324.76 Anthem — Pathway HPN: $335.35 Anthem — Pathway Transitions HMO: $247.10 Anthem (Medicaid) — Anthem Medicaid: $1,229.13 Anthem (Medicare) — All Plans: $1,229.13 Center Care — Center Care: $600
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN/PELVIS W CONTRAST	$4,902	Not listed in the file	$247.10 – $2,941.20
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — All Plans: $600 Aetna (Medicaid) — Aetna Better Health: $1,029.42 Aetna (Medicare) — All Plans: $1,029.42 Anthem — Blue Traditional, Blue Access and Blue Preferred: $247.10 Anthem — Pathway HMO: $324.76 Anthem — Pathway HPN: $335.35 Anthem — Pathway Transitions HMO: $247.10 Anthem (Medicaid) — Anthem Medicaid: $1,029.42 Anthem (Medicare) — All Plans: $1,029.42 Center Care — Center Care: $600
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN/PELVIS W CONTRAST	$4,902	Not listed in the file	$2,364.48 – $4,059.35
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — All Plans: $3,573.56 Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,777.03 Anthem — Pathway HMO: $3,649.81 Anthem — Pathway HPN: $3,768.83 Anthem — Pathway Transitions HMO: $2,777.03 Center Care — Center Care: $3,573.56 Center Care — Center Care Select: $4,059.35 Cigna — All Plans: $3,573.56 First Health — Work Comp: $2,364.48 HealthComp — Med Center Health Medical Plan: $4,059.35
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMINAL COMPLETE	$2,231	Not listed in the file	$468.51 – $1,814.92
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — All Plans: $1,814.92 Aetna (Medicaid) — Aetna Better Health: $468.51 Aetna (Medicare) — All Plans: $468.51 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,227.65 Anthem — Pathway HMO: $1,613.49 Anthem — Pathway HPN: $1,666.10 Anthem — Pathway Transitions HMO: $1,227.65 Anthem (Medicaid) — Anthem Medicaid: $468.51 Anthem (Medicare) — All Plans: $468.51 Center Care — Center Care: $1,814.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMINAL COMPLETE	$2,231	Not listed in the file	$1,076.12 – $1,847.49
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Aetna — All Plans: $1,626.40 Anthem — Blue Traditional, Blue Access and Blue Preferred: $1,263.88 Anthem — Pathway HMO: $1,661.10 Anthem — Pathway HPN: $1,715.27 Anthem — Pathway Transitions HMO: $1,263.88 Center Care — Center Care: $1,626.40 Center Care — Center Care Select: $1,847.49 Cigna — All Plans: $1,626.40 First Health — Work Comp: $1,076.12 HealthComp — Med Center Health Medical Plan: $1,847.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG COMP - >14 WKS	$1,028	Not listed in the file	$215.88 – $836.28
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — All Plans: $836.28 Aetna (Medicaid) — Aetna Better Health: $215.88 Aetna (Medicare) — All Plans: $215.88 Anthem — Blue Traditional, Blue Access and Blue Preferred: $565.68 Anthem — Pathway HMO: $743.46 Anthem — Pathway HPN: $767.71 Anthem — Pathway Transitions HMO: $565.68 Anthem (Medicaid) — Anthem Medicaid: $215.88 Anthem (Medicare) — All Plans: $215.88 Center Care — Center Care: $836.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG COMP - >14 WKS	$1,028	Not listed in the file	$495.86 – $851.29
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — All Plans: $749.41 Anthem — Blue Traditional, Blue Access and Blue Preferred: $582.37 Anthem — Pathway HMO: $765.40 Anthem — Pathway HPN: $790.36 Anthem — Pathway Transitions HMO: $582.37 Center Care — Center Care: $749.41 Center Care — Center Care Select: $851.29 Cigna — All Plans: $749.41 First Health — Work Comp: $495.86 HealthComp — Med Center Health Medical Plan: $851.29
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US PELVIC TRANSVAGINAL	$1,254	Not listed in the file	$263.34 – $1,020.13
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — All Plans: $1,020.13 Aetna (Medicaid) — Aetna Better Health: $263.34 Aetna (Medicare) — All Plans: $263.34 Anthem — Blue Traditional, Blue Access and Blue Preferred: $690.04 Anthem — Pathway HMO: $906.91 Anthem — Pathway HPN: $936.48 Anthem — Pathway Transitions HMO: $690.04 Anthem (Medicaid) — Anthem Medicaid: $263.34 Anthem (Medicare) — All Plans: $263.34 Center Care — Center Care: $1,020.13
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US PELVIC TRANSVAGINAL	$1,254	Not listed in the file	$604.87 – $1,038.44
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — All Plans: $914.17 Anthem — Blue Traditional, Blue Access and Blue Preferred: $710.40 Anthem — Pathway HMO: $933.67 Anthem — Pathway HPN: $964.12 Anthem — Pathway Transitions HMO: $710.40 Center Care — Center Care: $914.17 Center Care — Center Care Select: $1,038.44 Cigna — All Plans: $914.17 First Health — Work Comp: $604.87 HealthComp — Med Center Health Medical Plan: $1,038.44
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO UNI RT	$370	Not listed in the file	$77.70 – $301
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Aetna — All Plans: $301 Aetna (Medicaid) — Aetna Better Health: $77.70 Aetna (Medicare) — All Plans: $77.70 Anthem — Blue Traditional, Blue Access and Blue Preferred: $203.60 Anthem — Pathway HMO: $267.59 Anthem — Pathway HPN: $276.31 Anthem — Pathway Transitions HMO: $203.60 Anthem (Medicaid) — Anthem Medicaid: $77.70 Anthem (Medicare) — All Plans: $77.70 Center Care — Center Care: $301
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO UNI LT	$370	Not listed in the file	$77.70 – $301
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Aetna — All Plans: $301 Aetna (Medicaid) — Aetna Better Health: $77.70 Aetna (Medicare) — All Plans: $77.70 Anthem — Blue Traditional, Blue Access and Blue Preferred: $203.60 Anthem — Pathway HMO: $267.59 Anthem — Pathway HPN: $276.31 Anthem — Pathway Transitions HMO: $203.60 Anthem (Medicaid) — Anthem Medicaid: $77.70 Anthem (Medicare) — All Plans: $77.70 Center Care — Center Care: $301
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIAG MAMMO ADDL VIEWS RT	$299	Not listed in the file	$62.79 – $243.24
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Aetna — All Plans: $243.24 Aetna (Medicaid) — Aetna Better Health: $62.79 Aetna (Medicare) — All Plans: $62.79 Anthem — Blue Traditional, Blue Access and Blue Preferred: $164.53 Anthem — Pathway HMO: $216.24 Anthem — Pathway HPN: $223.29 Anthem — Pathway Transitions HMO: $164.53 Anthem (Medicaid) — Anthem Medicaid: $62.79 Anthem (Medicare) — All Plans: $62.79 Center Care — Center Care: $243.24
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIAG ADDL VIEW MAMMO BI	$363	Not listed in the file	$76.23 – $295.30
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $295.30 Aetna (Medicaid) — Aetna Better Health: $76.23 Aetna (Medicare) — All Plans: $76.23 Anthem — Blue Traditional, Blue Access and Blue Preferred: $199.75 Anthem — Pathway HMO: $262.53 Anthem — Pathway HPN: $271.09 Anthem — Pathway Transitions HMO: $199.75 Anthem (Medicaid) — Anthem Medicaid: $76.23 Anthem (Medicare) — All Plans: $76.23 Center Care — Center Care: $295.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIAGNOSTIC MAMMO BILATERAL BI	$414	Not listed in the file	$86.94 – $336.79
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $336.79 Aetna (Medicaid) — Aetna Better Health: $86.94 Aetna (Medicare) — All Plans: $86.94 Anthem — Blue Traditional, Blue Access and Blue Preferred: $227.81 Anthem — Pathway HMO: $299.41 Anthem — Pathway HPN: $309.17 Anthem — Pathway Transitions HMO: $227.81 Anthem (Medicaid) — Anthem Medicaid: $86.94 Anthem (Medicare) — All Plans: $86.94 Center Care — Center Care: $336.79
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO BILAT ADDL	$463	Not listed in the file	$97.23 – $376.65
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $376.65 Aetna (Medicaid) — Aetna Better Health: $97.23 Aetna (Medicare) — All Plans: $97.23 Anthem — Blue Traditional, Blue Access and Blue Preferred: $254.78 Anthem — Pathway HMO: $334.85 Anthem — Pathway HPN: $345.77 Anthem — Pathway Transitions HMO: $254.78 Anthem (Medicaid) — Anthem Medicaid: $97.23 Anthem (Medicare) — All Plans: $97.23 Center Care — Center Care: $376.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMO BILATERAL	$372	Not listed in the file	$78.12 – $302.62
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $302.62 Aetna (Medicaid) — Aetna Better Health: $78.12 Aetna (Medicare) — All Plans: $78.12 Anthem — Blue Traditional, Blue Access and Blue Preferred: $204.70 Anthem — Pathway HMO: $269.03 Anthem — Pathway HPN: $277.81 Anthem — Pathway Transitions HMO: $204.70 Anthem (Medicaid) — Anthem Medicaid: $78.12 Anthem (Medicare) — All Plans: $78.12 Center Care — Center Care: $302.62
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREEN MAMMO UNI RT	$317	Not listed in the file	$66.57 – $257.88
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $257.88 Aetna (Medicaid) — Aetna Better Health: $66.57 Aetna (Medicare) — All Plans: $66.57 Anthem — Blue Traditional, Blue Access and Blue Preferred: $174.44 Anthem — Pathway HMO: $229.26 Anthem — Pathway HPN: $236.73 Anthem — Pathway Transitions HMO: $174.44 Anthem (Medicaid) — Anthem Medicaid: $66.57 Anthem (Medicare) — All Plans: $66.57 Center Care — Center Care: $257.88
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: SCREENING MAMMO UNI LT	$317	Not listed in the file	$66.57 – $257.88
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna — All Plans: $257.88 Aetna (Medicaid) — Aetna Better Health: $66.57 Aetna (Medicare) — All Plans: $66.57 Anthem — Blue Traditional, Blue Access and Blue Preferred: $174.44 Anthem — Pathway HMO: $229.26 Anthem — Pathway HPN: $236.73 Anthem — Pathway Transitions HMO: $174.44 Anthem (Medicaid) — Anthem Medicaid: $66.57 Anthem (Medicare) — All Plans: $66.57 Center Care — Center Care: $257.88

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATH-LV ONLY	$11,596	Not listed in the file	$2,435.16 – $9,433.35
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Aetna — All Plans: $9,433.35 Aetna (Medicaid) — Aetna Better Health: $2,435.16 Aetna (Medicare) — All Plans: $2,435.16 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6,380.93 Anthem — Pathway HMO: $8,386.37 Anthem — Pathway HPN: $8,659.83 Anthem — Pathway Transitions HMO: $6,380.93 Anthem (Medicaid) — Anthem Medicaid: $2,435.16 Anthem (Medicare) — All Plans: $2,435.16 Center Care — Center Care: $9,433.35
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HEART CATH-LV ONLY	$11,596	Not listed in the file	$5,593.33 – $9,602.65
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates Aetna — All Plans: $8,453.48 Anthem — Blue Traditional, Blue Access and Blue Preferred: $6,569.25 Anthem — Pathway HMO: $8,633.87 Anthem — Pathway HPN: $8,915.41 Anthem — Pathway Transitions HMO: $6,569.25 Center Care — Center Care: $8,453.48 Center Care — Center Care Select: $9,602.65 Cigna — All Plans: $8,453.48 First Health — Work Comp: $5,593.33 HealthComp — Med Center Health Medical Plan: $9,602.65
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EPS W/INDUC/ABL AFIB/PULM VEIN	$24,993	Not listed in the file	$5,248.53 – $20,331.81
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates Aetna — All Plans: $20,331.81 Aetna (Medicaid) — Aetna Better Health: $5,248.53 Aetna (Medicare) — All Plans: $5,248.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $13,752.90 Anthem — Pathway HMO: $18,075.24 Anthem — Pathway HPN: $18,664.65 Anthem — Pathway Transitions HMO: $13,752.90 Anthem (Medicaid) — Anthem Medicaid: $5,248.53 Anthem (Medicare) — All Plans: $5,248.53 Center Care — Center Care: $20,331.81
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EPS W/INDUC/ABL AFIB/PULM VEIN	$24,993	Not listed in the file	$12,055.37 – $20,696.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates Aetna — All Plans: $18,219.90 Anthem — Blue Traditional, Blue Access and Blue Preferred: $14,158.78 Anthem — Pathway HMO: $18,608.69 Anthem — Pathway HPN: $19,215.49 Anthem — Pathway Transitions HMO: $14,158.78 Center Care — Center Care: $18,219.90 Center Care — Center Care Select: $20,696.70 Cigna — All Plans: $18,219.90 First Health — Work Comp: $12,055.37 HealthComp — Med Center Health Medical Plan: $20,696.70
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM W/STAGING, W/TECH	$4,553	Not listed in the file	$956.13 – $3,703.87
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna — All Plans: $3,703.87 Aetna (Medicaid) — Aetna Better Health: $956.13 Aetna (Medicare) — All Plans: $956.13 Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,505.38 Anthem — Pathway HMO: $3,292.78 Anthem — Pathway HPN: $3,400.16 Anthem — Pathway Transitions HMO: $2,505.38 Anthem (Medicaid) — Anthem Medicaid: $956.13 Anthem (Medicare) — All Plans: $956.13 Center Care — Center Care: $3,703.87
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOM W/STAGING, W/TECH	$4,553	Not listed in the file	$2,196.14 – $3,770.34
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Aetna — All Plans: $3,319.14 Anthem — Blue Traditional, Blue Access and Blue Preferred: $2,579.32 Anthem — Pathway HMO: $3,389.96 Anthem — Pathway HPN: $3,500.51 Anthem — Pathway Transitions HMO: $2,579.32 Center Care — Center Care: $3,319.14 Center Care — Center Care Select: $3,770.34 Cigna — All Plans: $3,319.14 First Health — Work Comp: $2,196.14 HealthComp — Med Center Health Medical Plan: $3,770.34

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: OT-THERAPEUTIC EXERCISE 15 MIN	$147	Not listed in the file	$30.87 – $119.58
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — All Plans: $119.58 Aetna (Medicaid) — Aetna Better Health: $30.87 Aetna (Medicare) — All Plans: $30.87 Anthem — Blue Traditional, Blue Access and Blue Preferred: $80.89 Anthem — Pathway HMO: $106.31 Anthem — Pathway HPN: $109.78 Anthem — Pathway Transitions HMO: $80.89 Anthem (Medicaid) — Anthem Medicaid: $30.87 Anthem (Medicare) — All Plans: $30.87 Center Care — Center Care: $119.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OTA THERAP EXCERCISES 15 MIN	$107	Not listed in the file	$22.47 – $87.04
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — All Plans: $87.04 Aetna (Medicaid) — Aetna Better Health: $22.47 Aetna (Medicare) — All Plans: $22.47 Anthem — Blue Traditional, Blue Access and Blue Preferred: $58.88 Anthem — Pathway HMO: $77.38 Anthem — Pathway HPN: $79.91 Anthem — Pathway Transitions HMO: $58.88 Anthem (Medicaid) — Anthem Medicaid: $22.47 Anthem (Medicare) — All Plans: $22.47 Center Care — Center Care: $87.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: TH OT THER EXER	$124	Not listed in the file	$26.04 – $100.87
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna — All Plans: $100.87 Aetna (Medicaid) — Aetna Better Health: $26.04 Aetna (Medicare) — All Plans: $26.04 Anthem — Blue Traditional, Blue Access and Blue Preferred: $68.23 Anthem — Pathway HMO: $89.68 Anthem — Pathway HPN: $92.60 Anthem — Pathway Transitions HMO: $68.23 Anthem (Medicaid) — Anthem Medicaid: $26.04 Anthem (Medicare) — All Plans: $26.04 Center Care — Center Care: $100.87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN	$340	Not listed in the file	$71.40 – $276.59
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — All Plans: $276.59 Aetna (Medicaid) — Aetna Better Health: $71.40 Aetna (Medicare) — All Plans: $71.40 Anthem — Blue Traditional, Blue Access and Blue Preferred: $187.09 Anthem — Pathway HMO: $245.89 Anthem — Pathway HPN: $253.91 Anthem — Pathway Transitions HMO: $187.09 Anthem (Medicaid) — Anthem Medicaid: $71.40 Anthem (Medicare) — All Plans: $71.40 Center Care — Center Care: $276.59
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: WKU EVAL LOW COMPLEXITY	$279	Not listed in the file	$58.59 – $226.97
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — All Plans: $226.97 Aetna (Medicaid) — Aetna Better Health: $58.59 Aetna (Medicare) — All Plans: $58.59 Anthem — Blue Traditional, Blue Access and Blue Preferred: $153.53 Anthem — Pathway HMO: $201.78 Anthem — Pathway HPN: $208.36 Anthem — Pathway Transitions HMO: $153.53 Anthem (Medicaid) — Anthem Medicaid: $58.59 Anthem (Medicare) — All Plans: $58.59 Center Care — Center Care: $226.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL LOW	$247	Not listed in the file	$51.87 – $200.93
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna — All Plans: $200.93 Aetna (Medicaid) — Aetna Better Health: $51.87 Aetna (Medicare) — All Plans: $51.87 Anthem — Blue Traditional, Blue Access and Blue Preferred: $135.92 Anthem — Pathway HMO: $178.63 Anthem — Pathway HPN: $184.46 Anthem — Pathway Transitions HMO: $135.92 Anthem (Medicaid) — Anthem Medicaid: $51.87 Anthem (Medicare) — All Plans: $51.87 Center Care — Center Care: $200.93
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN	$340	Not listed in the file	$71.40 – $276.59
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — All Plans: $276.59 Aetna (Medicaid) — Aetna Better Health: $71.40 Aetna (Medicare) — All Plans: $71.40 Anthem — Blue Traditional, Blue Access and Blue Preferred: $187.09 Anthem — Pathway HMO: $245.89 Anthem — Pathway HPN: $253.91 Anthem — Pathway Transitions HMO: $187.09 Anthem (Medicaid) — Anthem Medicaid: $71.40 Anthem (Medicare) — All Plans: $71.40 Center Care — Center Care: $276.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: WKU EVAL MODERATE COMPLEXITY	$279	Not listed in the file	$58.59 – $226.97
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — All Plans: $226.97 Aetna (Medicaid) — Aetna Better Health: $58.59 Aetna (Medicare) — All Plans: $58.59 Anthem — Blue Traditional, Blue Access and Blue Preferred: $153.53 Anthem — Pathway HMO: $201.78 Anthem — Pathway HPN: $208.36 Anthem — Pathway Transitions HMO: $153.53 Anthem (Medicaid) — Anthem Medicaid: $58.59 Anthem (Medicare) — All Plans: $58.59 Center Care — Center Care: $226.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL MOD	$247	Not listed in the file	$51.87 – $200.93
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna — All Plans: $200.93 Aetna (Medicaid) — Aetna Better Health: $51.87 Aetna (Medicare) — All Plans: $51.87 Anthem — Blue Traditional, Blue Access and Blue Preferred: $135.92 Anthem — Pathway HMO: $178.63 Anthem — Pathway HPN: $184.46 Anthem — Pathway Transitions HMO: $135.92 Anthem (Medicaid) — Anthem Medicaid: $51.87 Anthem (Medicare) — All Plans: $51.87 Center Care — Center Care: $200.93
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	$340	Not listed in the file	$71.40 – $276.59
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — All Plans: $276.59 Aetna (Medicaid) — Aetna Better Health: $71.40 Aetna (Medicare) — All Plans: $71.40 Anthem — Blue Traditional, Blue Access and Blue Preferred: $187.09 Anthem — Pathway HMO: $245.89 Anthem — Pathway HPN: $253.91 Anthem — Pathway Transitions HMO: $187.09 Anthem (Medicaid) — Anthem Medicaid: $71.40 Anthem (Medicare) — All Plans: $71.40 Center Care — Center Care: $276.59
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: WKU EVAL HIGH COMPLEXITY	$279	Not listed in the file	$58.59 – $226.97
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — All Plans: $226.97 Aetna (Medicaid) — Aetna Better Health: $58.59 Aetna (Medicare) — All Plans: $58.59 Anthem — Blue Traditional, Blue Access and Blue Preferred: $153.53 Anthem — Pathway HMO: $201.78 Anthem — Pathway HPN: $208.36 Anthem — Pathway Transitions HMO: $153.53 Anthem (Medicaid) — Anthem Medicaid: $58.59 Anthem (Medicare) — All Plans: $58.59 Center Care — Center Care: $226.97
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: TELEHEALTH EVAL HIGH	$247	Not listed in the file	$51.87 – $200.93
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna — All Plans: $200.93 Aetna (Medicaid) — Aetna Better Health: $51.87 Aetna (Medicare) — All Plans: $51.87 Anthem — Blue Traditional, Blue Access and Blue Preferred: $135.92 Anthem — Pathway HMO: $178.63 Anthem — Pathway HPN: $184.46 Anthem — Pathway Transitions HMO: $135.92 Anthem (Medicaid) — Anthem Medicaid: $51.87 Anthem (Medicare) — All Plans: $51.87 Center Care — Center Care: $200.93
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 30 MIN	$167	Not listed in the file	$35.07 – $135.85
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $135.85 Aetna (Medicaid) — Aetna Better Health: $35.07 Aetna (Medicare) — All Plans: $35.07 Anthem — Blue Traditional, Blue Access and Blue Preferred: $91.90 Anthem — Pathway HMO: $120.78 Anthem — Pathway HPN: $124.71 Anthem — Pathway Transitions HMO: $91.90 Anthem (Medicaid) — Anthem Medicaid: $35.07 Anthem (Medicare) — All Plans: $35.07 Center Care — Center Care: $135.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 30 MINUTES	$167	Not listed in the file	$35.07 – $135.85
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $135.85 Aetna (Medicaid) — Aetna Better Health: $35.07 Aetna (Medicare) — All Plans: $35.07 Anthem — Blue Traditional, Blue Access and Blue Preferred: $91.90 Anthem — Pathway HMO: $120.78 Anthem — Pathway HPN: $124.71 Anthem — Pathway Transitions HMO: $91.90 Anthem (Medicaid) — Anthem Medicaid: $35.07 Anthem (Medicare) — All Plans: $35.07 Center Care — Center Care: $135.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: TH PSYTX PT&/FAMILY 30 MIN	$167	Not listed in the file	$35.07 – $135.85
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $135.85 Aetna (Medicaid) — Aetna Better Health: $35.07 Aetna (Medicare) — All Plans: $35.07 Anthem — Blue Traditional, Blue Access and Blue Preferred: $91.90 Anthem — Pathway HMO: $120.78 Anthem — Pathway HPN: $124.71 Anthem — Pathway Transitions HMO: $91.90 Anthem (Medicaid) — Anthem Medicaid: $35.07 Anthem (Medicare) — All Plans: $35.07 Center Care — Center Care: $135.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 45 MIN	$194	Not listed in the file	$40.74 – $157.82
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $157.82 Aetna (Medicaid) — Aetna Better Health: $40.74 Aetna (Medicare) — All Plans: $40.74 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.75 Anthem — Pathway HMO: $140.30 Anthem — Pathway HPN: $144.88 Anthem — Pathway Transitions HMO: $106.75 Anthem (Medicaid) — Anthem Medicaid: $40.74 Anthem (Medicare) — All Plans: $40.74 Center Care — Center Care: $157.82
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 45 MINUTES	$219	Not listed in the file	$45.99 – $178.16
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $178.16 Aetna (Medicaid) — Aetna Better Health: $45.99 Aetna (Medicare) — All Plans: $45.99 Anthem — Blue Traditional, Blue Access and Blue Preferred: $120.51 Anthem — Pathway HMO: $158.38 Anthem — Pathway HPN: $163.55 Anthem — Pathway Transitions HMO: $120.51 Anthem (Medicaid) — Anthem Medicaid: $45.99 Anthem (Medicare) — All Plans: $45.99 Center Care — Center Care: $178.16
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: TH PSYTX W PT 45 MIN	$219	Not listed in the file	$45.99 – $178.16
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $178.16 Aetna (Medicaid) — Aetna Better Health: $45.99 Aetna (Medicare) — All Plans: $45.99 Anthem — Blue Traditional, Blue Access and Blue Preferred: $120.51 Anthem — Pathway HMO: $158.38 Anthem — Pathway HPN: $163.55 Anthem — Pathway Transitions HMO: $120.51 Anthem (Medicaid) — Anthem Medicaid: $45.99 Anthem (Medicare) — All Plans: $45.99 Center Care — Center Care: $178.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIVIDUAL THERAPY 60 MINUTES	$193	Not listed in the file	$40.53 – $157.01
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Aetna — All Plans: $157.01 Aetna (Medicaid) — Aetna Better Health: $40.53 Aetna (Medicare) — All Plans: $40.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.20 Anthem — Pathway HMO: $139.58 Anthem — Pathway HPN: $144.13 Anthem — Pathway Transitions HMO: $106.20 Anthem (Medicaid) — Anthem Medicaid: $40.53 Anthem (Medicare) — All Plans: $40.53 Center Care — Center Care: $157.01
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: INDIVIDUAL THERAPY 60 MINUTES	$193	Not listed in the file	$93.09 – $159.82
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — All Plans: $140.70 Anthem — Blue Traditional, Blue Access and Blue Preferred: $109.34 Anthem — Pathway HMO: $143.70 Anthem — Pathway HPN: $148.39 Anthem — Pathway Transitions HMO: $109.34 Center Care — Center Care: $140.70 Center Care — Center Care Select: $159.82 Cigna — All Plans: $140.70 First Health — Work Comp: $93.09 HealthComp — Med Center Health Medical Plan: $159.82
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY WITHOUT PATIENT	$219	Not listed in the file	$45.99 – $178.16
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Aetna — All Plans: $178.16 Aetna (Medicaid) — Aetna Better Health: $45.99 Aetna (Medicare) — All Plans: $45.99 Anthem — Blue Traditional, Blue Access and Blue Preferred: $120.51 Anthem — Pathway HMO: $158.38 Anthem — Pathway HPN: $163.55 Anthem — Pathway Transitions HMO: $120.51 Anthem (Medicaid) — Anthem Medicaid: $45.99 Anthem (Medicare) — All Plans: $45.99 Center Care — Center Care: $178.16
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY THERAPY WITHOUT PATIENT	$219	Not listed in the file	$105.63 – $181.35
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — All Plans: $159.65 Anthem — Blue Traditional, Blue Access and Blue Preferred: $124.07 Anthem — Pathway HMO: $163.06 Anthem — Pathway HPN: $168.37 Anthem — Pathway Transitions HMO: $124.07 Center Care — Center Care: $159.65 Center Care — Center Care Select: $181.35 Cigna — All Plans: $159.65 First Health — Work Comp: $105.63 HealthComp — Med Center Health Medical Plan: $181.35
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1/2HR INT	$193	Not listed in the file	$40.53 – $157.01
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna — All Plans: $157.01 Aetna (Medicaid) — Aetna Better Health: $40.53 Aetna (Medicare) — All Plans: $40.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.20 Anthem — Pathway HMO: $139.58 Anthem — Pathway HPN: $144.13 Anthem — Pathway Transitions HMO: $106.20 Anthem (Medicaid) — Anthem Medicaid: $40.53 Anthem (Medicare) — All Plans: $40.53 Center Care — Center Care: $157.01
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1/2HR SUB	$193	Not listed in the file	$40.53 – $157.01
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna — All Plans: $157.01 Aetna (Medicaid) — Aetna Better Health: $40.53 Aetna (Medicare) — All Plans: $40.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.20 Anthem — Pathway HMO: $139.58 Anthem — Pathway HPN: $144.13 Anthem — Pathway Transitions HMO: $106.20 Anthem (Medicaid) — Anthem Medicaid: $40.53 Anthem (Medicare) — All Plans: $40.53 Center Care — Center Care: $157.01
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY-1HR INT	$219	Not listed in the file	$45.99 – $178.16
Family psychotherapy, with the patient: 10 of 22 insurance plan rates Aetna — All Plans: $178.16 Aetna (Medicaid) — Aetna Better Health: $45.99 Aetna (Medicare) — All Plans: $45.99 Anthem — Blue Traditional, Blue Access and Blue Preferred: $120.51 Anthem — Pathway HMO: $158.38 Anthem — Pathway HPN: $163.55 Anthem — Pathway Transitions HMO: $120.51 Anthem (Medicaid) — Anthem Medicaid: $45.99 Anthem (Medicare) — All Plans: $45.99 Center Care — Center Care: $178.16
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP THERAPY (50 MIN)	$194	Not listed in the file	$40.74 – $157.82
Group psychotherapy: 10 of 22 insurance plan rates Aetna — All Plans: $157.82 Aetna (Medicaid) — Aetna Better Health: $40.74 Aetna (Medicare) — All Plans: $40.74 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.75 Anthem — Pathway HMO: $140.30 Anthem — Pathway HPN: $144.88 Anthem — Pathway Transitions HMO: $106.75 Anthem (Medicaid) — Anthem Medicaid: $40.74 Anthem (Medicare) — All Plans: $40.74 Center Care — Center Care: $157.82
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY INITIAL	$193	Not listed in the file	$40.53 – $157.01
Group psychotherapy: 10 of 22 insurance plan rates Aetna — All Plans: $157.01 Aetna (Medicaid) — Aetna Better Health: $40.53 Aetna (Medicare) — All Plans: $40.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.20 Anthem — Pathway HMO: $139.58 Anthem — Pathway HPN: $144.13 Anthem — Pathway Transitions HMO: $106.20 Anthem (Medicaid) — Anthem Medicaid: $40.53 Anthem (Medicare) — All Plans: $40.53 Center Care — Center Care: $157.01
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY SUBSEQUENT	$193	Not listed in the file	$40.53 – $157.01
Group psychotherapy: 10 of 22 insurance plan rates Aetna — All Plans: $157.01 Aetna (Medicaid) — Aetna Better Health: $40.53 Aetna (Medicare) — All Plans: $40.53 Anthem — Blue Traditional, Blue Access and Blue Preferred: $106.20 Anthem — Pathway HMO: $139.58 Anthem — Pathway HPN: $144.13 Anthem — Pathway Transitions HMO: $106.20 Anthem (Medicaid) — Anthem Medicaid: $40.53 Anthem (Medicare) — All Plans: $40.53 Center Care — Center Care: $157.01

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: PROSTATE BIOPSY	$1,351	Not listed in the file	$283.71 – $1,099.04
Prostate biopsy: 10 of 22 insurance plan rates Aetna — All Plans: $1,099.04 Aetna (Medicaid) — Aetna Better Health: $283.71 Aetna (Medicare) — All Plans: $283.71 Anthem — Blue Traditional, Blue Access and Blue Preferred: $743.41 Anthem — Pathway HMO: $977.06 Anthem — Pathway HPN: $1,008.92 Anthem — Pathway Transitions HMO: $743.41 Anthem (Medicaid) — Anthem Medicaid: $283.71 Anthem (Medicare) — All Plans: $283.71 Center Care — Center Care: $1,099.04
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: PROSTATE BIOPSY	$1,351	Not listed in the file	$651.65 – $1,118.76
Prostate biopsy: 10 of 12 insurance plan rates Aetna — All Plans: $984.88 Anthem — Blue Traditional, Blue Access and Blue Preferred: $765.36 Anthem — Pathway HMO: $1,005.90 Anthem — Pathway HPN: $1,038.70 Anthem — Pathway Transitions HMO: $765.36 Center Care — Center Care: $984.88 Center Care — Center Care Select: $1,118.76 Cigna — All Plans: $984.88 First Health — Work Comp: $651.65 HealthComp — Med Center Health Medical Plan: $1,118.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC	$983	Not listed in the file	$206.43 – $799.67
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Aetna — All Plans: $799.67 Aetna (Medicaid) — Aetna Better Health: $206.43 Aetna (Medicare) — All Plans: $206.43 Anthem — Blue Traditional, Blue Access and Blue Preferred: $540.92 Anthem — Pathway HMO: $710.92 Anthem — Pathway HPN: $734.10 Anthem — Pathway Transitions HMO: $540.92 Anthem (Medicaid) — Anthem Medicaid: $206.43 Anthem (Medicare) — All Plans: $206.43 Center Care — Center Care: $799.67
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: NJX INTERLAMINAR LMBR/SAC	$983	Not listed in the file	$474.15 – $814.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — All Plans: $716.61 Anthem — Blue Traditional, Blue Access and Blue Preferred: $556.88 Anthem — Pathway HMO: $731.90 Anthem — Pathway HPN: $755.76 Anthem — Pathway Transitions HMO: $556.88 Center Care — Center Care: $716.61 Center Care — Center Care Select: $814.02 Cigna — All Plans: $716.61 First Health — Work Comp: $474.15 HealthComp — Med Center Health Medical Plan: $814.02

Source: The Medical Center at Scottsville’s standard charges file (medcenterhealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	456 Burnley Road, Scottsville, KY 42164
County	Allen County
State	Kentucky
Phone	(270) 622‑2800
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	181324
Name in Medicare records	THE MEDICAL CENTER AT SCOTTSVILLE
Profile level	Medicare data + hospital website
Official website	medcenterhealth.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 Medical Center at Scottsville — medcenterhealth.org
Emergency Department - The Medical Center at Scottsville — medcenterhealth.org
Emergency Department – Med Center Health — medcenterhealth.org
Cardiopulmonary Rehab – Med Center Health — medcenterhealth.org
Hospitalist Program – Med Center Health — medcenterhealth.org
Diagnostic Imaging – Med Center Health — medcenterhealth.org
Surgical Services – Med Center Health — medcenterhealth.org
Rehabilitation Services – Med Center Health — medcenterhealth.org
Laboratory – Med Center Health — medcenterhealth.org
Scottsville Services – Med Center Health — medcenterhealth.org
Respiratory Care – Med Center Health — medcenterhealth.org
Specialty Clinics – Med Center Health — medcenterhealth.org
The Medical Center at Scottsville Rehabilitation Services – Med Center Health — medcenterhealth.org