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Acute Care Hospital

The University of Chicago Medical Center

Chicago, Illinois · Cook County · Emergency services listed

Summary

The University of Chicago Medical Center is an acute care hospital in Chicago, Illinois. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 20 services, specialties and programs. Medicare lists 1,951 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(773) 702‑9785 Directions Website Medicare profile
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Exterior of The University of Chicago Medical Center
Photo: Crimsonmaroon ( talk ) ( Uploads ), Public domain, via Wikimedia Commons · source

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
811Beds (hospital website)
1,951Doctors and clinicians
20Services listed

Quick answers

Does The University of Chicago Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at The University of Chicago Medical Center. In a medical emergency, call 911.
Where is The University of Chicago Medical Center?
5841 South Maryland, Chicago, IL 60637, in Cook County, Illinois.
What is the phone number of The University of Chicago Medical Center?
(773) 702-9785, as listed by Medicare (CMS).
What is the Medicare star rating of The University of Chicago Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[6]

  • Burn injuries
  • Blunt trauma
  • Penetrating trauma (gunshot and stab wounds)

Treatments[6]

  • Trauma surgery
  • Acute care surgery
  • Critical care surgery

Programs and centers[8][9][12]

  • Burn Center
  • STEMI Center
  • VAD Center
  • Violence Recovery Program
  • University of Chicago Aeromedical Network (UCAN) helicopter and ground transport

Emergency care (hospital website)[9][11]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel 1
Stroke designationComprehensive Stroke Center

Visiting and practical information

ParkingValet, garage self-parking and street parking; prepaid discount parking cards available[4]
Patient portalMyChart

Doctors and clinicians (1,951)

1,951 doctors and other clinicians list The University of Chicago Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (1,951)

And 1,927 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital73%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean63%National average: 74%
Area around the room “always” quiet at night62%National average: 60%
Completed surveys1,902Response rate: 15%

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)0.592Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.474Better than the national benchmark
Surgical site infections after colon surgery0.907No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.702No different from the national benchmark
MRSA bloodstream infections0.557Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.528Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.8%
Deaths within 30 days: heart failure patients8.1%
Deaths within 30 days: pneumonia patients12.2%
Deaths within 30 days: COPD patients6.9%
Deaths within 30 days: stroke patients9.3%
Deaths within 30 days: coronary bypass surgery (CABG)1.3%
Serious complications (patient safety indicator PSI-90)0.85No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15.5%
Readmitted within 30 days: heart failure23.4%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD18.1%
Readmitted within 30 days: coronary bypass surgery10.7%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)295 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)12%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)45%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 ChicagoBest hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as The University of Chicago Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $85.14
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Bcbs — Ppo: $85.14
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 3 $479 $479 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 3-Pbb $479 $479 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $105.69
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Bcbs — Ppo: $105.69
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 4 $598 $598 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 4-Pbb $598 $598 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 5 $759 $759 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management New Patient Level 5-Pbb $759 $759 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Office/Outpatient New High Mdm 60 Minutes $472 $472 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $61.65
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Bcbs — Ppo: $61.65
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management Return Patient Level 3 $409 $409 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management Return Patient Level 3-Pbb $409 $409 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $85.14
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Bcbs — Ppo: $85.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management Return Patient Level 4 $479 $479 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Evaluation And Management Return Patient Level 4-Pbb $479 $479 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Attending Cosmetic Consult Cash-Csm,Pbb $100 $100 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Attending Cosmetic Consult Cash-Csm,Pbb $75 $75 Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes $318 $318 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes $463 $463 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Office Consultation Established Patient 40 Min $823 $823 Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Office Consultation Established Patient 40 Min-Pbb $823 $823 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Preventive Medicine Evaluation New Patient; 18-39 Years-Pbb $264 $264 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ocmc-Pre-Employment Exam, Intermediate $249 $249 Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ocmc-Pre-Employment Exam, Intermediate-Pbb $294 $294 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Preventive Medicine Evaluation New Patient; 40-64 Years-Pbb $315 $315 Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Initial Preventive Medicine New Patient 40-64Yrs-Pbb $722 $722 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $223.13 – $424.17
Emergency room visit (moderate): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $292.53
  • Ambetter — Exchange: $424.17
  • Bcbs — Ppo: $223.13
  • Oscar — All Commercial Plans: $336.41
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Department Evaluation And Management Level 3 $2,477 $2,477 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $346.44 – $648.36
Emergency room visit (moderately high): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $447.15
  • Ambetter — Exchange: $648.36
  • Bcbs — Ppo: $346.44
  • Oscar — All Commercial Plans: $514.22
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Department Evaluation And Management Level 4 $4,274 $4,274 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $543.14 – $925.36
Emergency room visit (high): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $638.18
  • Ambetter — Exchange: $925.36
  • Bcbs — Ppo: $543.14
  • Oscar — All Commercial Plans: $733.91
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Emergency Department Evaluation And Management Level 5 $5,099 $5,099 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $85.33
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $19.43
  • Aetna — Medicare Managed Care Plan: $8.46
  • Ambetter — Exchange: $12.27
  • Bcbs — Ppo: $38.17
  • Cigna — Hmo/Ppo: $85.33
  • Cigna — One Health Hmo: $17.82
  • Oscar — All Commercial Plans: $9.73
  • Unitedhealthcare — All Commercial Plans: $29.61
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel $379 $379 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel-Laf $81 $81 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $105.80
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $24.25
  • Aetna — Medicare Managed Care Plan: $10.56
  • Ambetter — Exchange: $15.31
  • Bcbs — Ppo: $49.91
  • Cigna — Hmo/Ppo: $105.80
  • Cigna — One Health Hmo: $22.28
  • Oscar — All Commercial Plans: $12.14
  • Unitedhealthcare — All Commercial Plans: $36.96
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Metabolic Panel $496 $496 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Metabolic Panel-Laf $101 $101 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $481.24
Obstetric blood test panel: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $109.76
  • Aetna — Medicare Managed Care Plan: $47.81
  • Ambetter — Exchange: $69.32
  • Bcbs — Ppo: $162.81
  • Cigna — Hmo/Ppo: $481.24
  • Cigna — One Health Hmo: $101.36
  • Oscar — All Commercial Plans: $54.98
  • Unitedhealthcare — All Commercial Plans: $167.34
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $136.52
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $30.74
  • Aetna — Medicare Managed Care Plan: $13.39
  • Ambetter — Exchange: $19.42
  • Bcbs — Ppo: $94.88
  • Cigna — Hmo/Ppo: $136.52
  • Cigna — One Health Hmo: $41.21
  • Oscar — All Commercial Plans: $15.40
  • Unitedhealthcare — All Commercial Plans: $46.87
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel $465 $465 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel-Laf $128 $128 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $88.74
Kidney function panel: rates for 7 insurance plans
  • Aetna — Hmo/Ppo: $19.94
  • Aetna — Medicare Managed Care Plan: $8.68
  • Ambetter — Exchange: $12.59
  • Cigna — Hmo/Ppo: $88.74
  • Cigna — One Health Hmo: $18.38
  • Oscar — All Commercial Plans: $9.98
  • Unitedhealthcare — All Commercial Plans: $30.38
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Function Panel $432 $432 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $81.91
Liver function panel: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $18.76
  • Aetna — Medicare Managed Care Plan: $8.17
  • Ambetter — Exchange: $11.85
  • Bcbs — Ppo: $38.17
  • Cigna — Hmo/Ppo: $81.91
  • Cigna — One Health Hmo: $17.27
  • Oscar — All Commercial Plans: $9.40
  • Unitedhealthcare — All Commercial Plans: $28.60
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel $330 $330 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $30.72
Urine test (automated, with microscope): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $7.28
  • Aetna — Medicare Managed Care Plan: $3.17
  • Ambetter — Exchange: $4.60
  • Bcbs — Ppo: $22.39
  • Cigna — Hmo/Ppo: $30.72
  • Cigna — One Health Hmo: $6.68
  • Oscar — All Commercial Plans: $3.65
  • Unitedhealthcare — All Commercial Plans: $11.10
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr $140 $140 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $34.13
Urine test (manual, without microscope): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $7.98
  • Aetna — Medicare Managed Care Plan: $3.48
  • Ambetter — Exchange: $5.05
  • Bcbs — Ppo: $16.01
  • Cigna — Hmo/Ppo: $34.13
  • Cigna — One Health Hmo: $5.57
  • Oscar — All Commercial Plans: $4
  • Unitedhealthcare — All Commercial Plans: $12.18
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis, By Dip Stick Or Tab Reagent; Non-Auto, W/Out Microscopy $116 $116 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $23.89
Urine test (automated, without microscope): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $5.18
  • Aetna — Medicare Managed Care Plan: $2.25
  • Ambetter — Exchange: $3.26
  • Bcbs — Ppo: $13.35
  • Cigna — Hmo/Ppo: $23.89
  • Cigna — One Health Hmo: $5.01
  • Oscar — All Commercial Plans: $2.59
  • Unitedhealthcare — All Commercial Plans: $7.88
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis, Auto, Without Microscopy $112 $112 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis, Auto, Without Microscopy-Laf $22 $22 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $184.30
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $42.22
  • Aetna — Medicare Managed Care Plan: $18.39
  • Ambetter — Exchange: $26.67
  • Bcbs — Ppo: $130.33
  • Cigna — Hmo/Ppo: $184.30
  • Cigna — One Health Hmo: $38.99
  • Oscar — All Commercial Plans: $21.15
  • Unitedhealthcare — All Commercial Plans: $64.37
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prostate Specific Antigen (Psa); Total $433 $433 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prostate Specific Antigen (Psa); Total-Laf $175 $175 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $170.65
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $38.58
  • Aetna — Medicare Managed Care Plan: $16.80
  • Ambetter — Exchange: $24.36
  • Bcbs — Ppo: $118.98
  • Cigna — Hmo/Ppo: $170.65
  • Cigna — One Health Hmo: $35.64
  • Oscar — All Commercial Plans: $19.32
  • Unitedhealthcare — All Commercial Plans: $58.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc T4 Newborn Screen $37 $37 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thyroid Stimulating Hormone (Tsh) $512 $512 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $78.50
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $17.84
  • Aetna — Medicare Managed Care Plan: $7.77
  • Ambetter — Exchange: $11.27
  • Bcbs — Ppo: $55.11
  • Cigna — Hmo/Ppo: $78.50
  • Cigna — One Health Hmo: $16.71
  • Oscar — All Commercial Plans: $8.94
  • Unitedhealthcare — All Commercial Plans: $27.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Complete Blood Count Platelet, Differential $281 $281 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Complete Blood Count Platelet, Differential-Laf $75 $75 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $64.85
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $14.87
  • Aetna — Medicare Managed Care Plan: $6.47
  • Ambetter — Exchange: $9.38
  • Bcbs — Ppo: $45.85
  • Cigna — Hmo/Ppo: $64.85
  • Cigna — One Health Hmo: $13.92
  • Oscar — All Commercial Plans: $7.44
  • Unitedhealthcare — All Commercial Plans: $22.65
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Blood Count; Complete (Cbc), Automated $230 $230 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Blood Count; Complete (Cbc), Automated-Laf $61 $61 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $44.37
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $9.86
  • Aetna — Medicare Managed Care Plan: $4.29
  • Ambetter — Exchange: $6.22
  • Bcbs — Ppo: $27.86
  • Cigna — Hmo/Ppo: $44.37
  • Cigna — One Health Hmo: $8.36
  • Oscar — All Commercial Plans: $4.93
  • Unitedhealthcare — All Commercial Plans: $15.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Protime Padua $180 $180 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Protime Padua-Laf $36 $36 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $61.43
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $13.80
  • Aetna — Medicare Managed Care Plan: $6.01
  • Ambetter — Exchange: $8.71
  • Bcbs — Ppo: $42.52
  • Cigna — Hmo/Ppo: $61.43
  • Cigna — One Health Hmo: $12.81
  • Oscar — All Commercial Plans: $6.91
  • Unitedhealthcare — All Commercial Plans: $21.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Partial Thromboplastin Time (Ptt) Hepcheck $216 $216 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Partial Thromboplastin Time (Ptt) $216 $216 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $112.03 – $772.14
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $727.35
  • Aetna — Medicare Managed Care Plan: $112.03
  • Ambetter — Exchange: $162.45
  • Bcbs — Ppo: $772.14
  • Oscar — All Commercial Plans: $128.84
  • Unitedhealthcare — All Commercial Plans: $326.91
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct, Head Or Brain; Without Contrast Material $2,610 $2,610 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $373.86 – $4,063.29
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $2,341.05
  • Aetna — Medicare Managed Care Plan: $373.86
  • Ambetter — Exchange: $542.10
  • Bcbs — Ppo: $4,063.29
  • Oscar — All Commercial Plans: $429.94
  • Unitedhealthcare — All Commercial Plans: $1,104.36
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri, Brain Without Contrast Material, Followed By Contrast Material $7,132 $7,132 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Pituitary, Without Contrast Material, Follow By Contrast Material $7,132 $7,132 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $93.26 – $242.70
Chest X-ray, 2 views: rates for 7 insurance plans
  • Aetna — Hmo/Ppo: $221.07
  • Aetna — Medicare Managed Care Plan: $93.26
  • Ambetter — Exchange: $135.22
  • Bcbs — Ppo: $102.76
  • Cigna — Hmo/Ppo: $241.93
  • Oscar — All Commercial Plans: $107.25
  • Unitedhealthcare — All Commercial Plans: $242.70
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc X-Ray Exam Chest 2 Views $681 $681 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $51.77 – $402.34
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $367.69
  • Aetna — Medicare Managed Care Plan: $112.03
  • Ambetter — Exchange: $162.45
  • Bcbs — Ppo: $149.73
  • Cigna — Hmo/Ppo: $402.34
  • Cigna — One Health Hmo: $51.77
  • Oscar — All Commercial Plans: $128.84
  • Unitedhealthcare — All Commercial Plans: $326.91
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Radiologic Examination, Spine, Lumbosacral; Minimum Of 4 Views $721 $721 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $255.69 – $2,028.71
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $1,343.83
  • Aetna — Medicare Managed Care Plan: $255.69
  • Ambetter — Exchange: $370.75
  • Bcbs — Ppo: $2,028.71
  • Oscar — All Commercial Plans: $294.04
  • Unitedhealthcare — All Commercial Plans: $690.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; Without Contrast Material $5,558 $5,558 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $187.96 – $1,849.82
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $1,849.82
  • Aetna — Medicare Managed Care Plan: $187.96
  • Ambetter — Exchange: $272.55
  • Bcbs — Ppo: $1,115.64
  • Oscar — All Commercial Plans: $216.16
  • Unitedhealthcare — All Commercial Plans: $535.65
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Computed Tomography, Pelvis; With Contrast Material(S) $2,903 $2,903 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $255.69 – $1,829.07
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $1,527.47
  • Aetna — Medicare Managed Care Plan: $255.69
  • Ambetter — Exchange: $370.75
  • Bcbs — Ppo: $1,829.07
  • Oscar — All Commercial Plans: $294.04
  • Unitedhealthcare — All Commercial Plans: $690.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; Without Contrast Material $4,638 $4,638 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $373.86 – $2,411.24
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Aetna — Hmo/Ppo: $2,411.24
  • Aetna — Medicare Managed Care Plan: $373.86
  • Ambetter — Exchange: $542.10
  • Bcbs — Ppo: $2,231.28
  • Oscar — All Commercial Plans: $429.94
  • Unitedhealthcare — All Commercial Plans: $1,104.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Computed Tomography, Abdomen And Pelvis; With Contrast Material(S) $5,839 $5,839 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $112.03 – $811.90
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $741.91
  • Aetna — Medicare Managed Care Plan: $112.03
  • Ambetter — Exchange: $162.45
  • Bcbs — Ppo: $322.95
  • Cigna — Hmo/Ppo: $811.90
  • Cigna — One Health Hmo: $129.72
  • Oscar — All Commercial Plans: $128.84
  • Unitedhealthcare — All Commercial Plans: $326.91
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete $2,716 $2,716 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete-Pbb $2,716 $2,716 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $112.03 – $917.31
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $838.23
  • Aetna — Medicare Managed Care Plan: $112.03
  • Ambetter — Exchange: $162.45
  • Bcbs — Ppo: $343.50
  • Cigna — Hmo/Ppo: $917.31
  • Cigna — One Health Hmo: $144.75
  • Oscar — All Commercial Plans: $128.84
  • Unitedhealthcare — All Commercial Plans: $326.91
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest $1,423 $1,423 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Us Preg Uterus After 1St Trimest 1/1St Gestation-Pbb $628 $628 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $112.03 – $897.23
Transvaginal ultrasound: rates for 8 insurance plans
  • Aetna — Hmo/Ppo: $819.92
  • Aetna — Medicare Managed Care Plan: $112.03
  • Ambetter — Exchange: $162.45
  • Bcbs — Ppo: $249.55
  • Cigna — Hmo/Ppo: $897.23
  • Cigna — One Health Hmo: $138.08
  • Oscar — All Commercial Plans: $128.84
  • Unitedhealthcare — All Commercial Plans: $326.91
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ultrasound, Transvaginal $1,063 $1,063 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ultrasound, Transvaginal-Pbb $1,063 $1,063 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $274.26 – $897.23
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Aetna — Hmo/Ppo: $819.92
  • Cigna — Hmo/Ppo: $897.23
  • Unitedhealthcare — All Commercial Plans: $274.26
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Unilateral, All Views $538 $538 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Diagnostic Mammography Including Computer-Aided Detection; Unilateral $538 $538 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $350.67 – $1,142.97
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Aetna — Hmo/Ppo: $1,044.45
  • Cigna — Hmo/Ppo: $1,142.97
  • Unitedhealthcare — All Commercial Plans: $350.67
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Bilateral, All Views $719 $719 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Diagnostic Mammography Including Computer-Aided Detection; Bilateral $719 $719 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $289.95 – $948.42
Screening mammogram, both breasts: rates for 3 insurance plans
  • Aetna — Hmo/Ppo: $866.75
  • Cigna — Hmo/Ppo: $948.42
  • Unitedhealthcare — All Commercial Plans: $289.95
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Screening Mammography, Producing Direct Digital Image, Bilateral, All Views $616 $616 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Screening Mammography, Bilateral Include Cad $614 $614 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,474.11 – $22,280
Left heart catheterization (diagnostic): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,474.11
  • Ambetter — Exchange: $5,037.47
  • Oscar — All Commercial Plans: $3,995.23
  • Unitedhealthcare — All Commercial Plans: $22,280
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc L Hrt Cath Incl Intrprcdrl Inj(S) Ventriculography,Imgng Supervision & Intrprtn, When Perf $15,764 $15,764 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $8,358.26 – $24,760
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $8,358.26
  • Ambetter — Exchange: $12,119.48
  • Oscar — All Commercial Plans: $9,612
  • Unitedhealthcare — All Commercial Plans: $24,760
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Ep Evaluation With Atrial Pacing And Recording, Without Induction Of Arrythmia $10,387 $10,387 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $8,361.28 – $66,129
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna — Medicare Managed Care Plan: $28,009.82
  • Ambetter — Exchange: $40,614.23
  • Bcbs — Ppo: $8,361.28
  • Oscar — All Commercial Plans: $32,211.29
  • Unitedhealthcare — All Commercial Plans: $66,129
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Ep Evaluation Transeptal Atrial Fibrillation Pulmonary Vein Isolation $85,340 $85,340 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $920.24 – $1,334.35
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $920.24
  • Ambetter — Exchange: $1,334.35
  • Bcbs — Ppo: $1,160.88
  • Oscar — All Commercial Plans: $1,058.28
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Polysomnography; Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Attended By A Technologist $7,842 $7,842 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Research Polysomnography With Physician Interpretation $600 $600 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $29.67 – $82.21
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $29.67
  • Ambetter — Exchange: $43.02
  • Bcbs — Ppo: $82.21
  • Oscar — All Commercial Plans: $34.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Therapuetic Exercise Ea 15M $223 $223 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Research High Intensity Walking Protocol $100 $100 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $98.89 – $255.42
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $98.89
  • Ambetter — Exchange: $143.39
  • Bcbs — Ppo: $255.42
  • Oscar — All Commercial Plans: $113.72
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Physical Therapy Evaluation Low Complex 20 Min $304 $304 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $99.73 – $255.42
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $99.73
  • Ambetter — Exchange: $144.61
  • Bcbs — Ppo: $255.42
  • Oscar — All Commercial Plans: $114.69
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Physical Therapy Evaluation Moderate Complex 30 Min $434 $434 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $94.04 – $255.42
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $94.04
  • Ambetter — Exchange: $136.36
  • Bcbs — Ppo: $255.42
  • Oscar — All Commercial Plans: $108.15
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Physical Therapy High Complex 45 Min $434 $434 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $190.21 – $275.80
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $190.21
  • Ambetter — Exchange: $275.80
  • Oscar — All Commercial Plans: $218.74
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Psychotherapy W/Patient 30 Minutes-Pbb $170 $170 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy, 30 Minutes With Patient And/Or Family Member-Pbb $215 $215 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $190.21 – $275.80
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $190.21
  • Ambetter — Exchange: $275.80
  • Oscar — All Commercial Plans: $218.74
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Psychotherapy W/Patient 45 Minutes-Pbb $225 $225 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Psychotherapy W/Patient 45 Minutes-Pbb,Telmd $225 $225 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $190.21 – $275.80
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $190.21
  • Ambetter — Exchange: $275.80
  • Oscar — All Commercial Plans: $218.74
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Psychotherapy W/Patient 60 Minutes-Pbb $307 $307 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy, 60 Minutes With Patient And/Or Family Member-Pbb $400 $400 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $190.21 – $275.80
Family psychotherapy, without the patient: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $190.21
  • Ambetter — Exchange: $275.80
  • Oscar — All Commercial Plans: $218.74
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Family Psychotherapy W/O Patient Present 50 Mins-Pbb $230 $230 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy (Without Patient Present) $435 $435 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $190.21 – $275.80
Family psychotherapy, with the patient: rates for 3 insurance plans
  • Aetna — Medicare Managed Care Plan: $190.21
  • Ambetter — Exchange: $275.80
  • Oscar — All Commercial Plans: $218.74
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Family Psychotherapy W/Patient Present 50 Mins-Pbb $283 $283 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present) $541 $541 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $108.87 – $157.85
Group psychotherapy: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $108.87
  • Ambetter — Exchange: $157.85
  • Bcbs — Ppo: $126.24
  • Oscar — All Commercial Plans: $125.20
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Group Psychotherapy-Pbb $94 $94 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Group Psychotherapy $435 $435 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $4,195.85 – $11,000
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $4,195.85
  • Ambetter — Exchange: $6,083.99
  • Oscar — All Commercial Plans: $4,825.23
  • Unitedhealthcare — All Commercial Plans: $11,000
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion-Pbb $4,446 $4,446 Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Removal Of Breast Lesion 1+-Pbb $11,340 $11,340 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $13,758.17 – $36,418
Total hip replacement: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $13,758.17
  • Ambetter — Exchange: $19,949.35
  • Oscar — All Commercial Plans: $15,821.89
  • Unitedhealthcare — All Commercial Plans: $36,418
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $13,758.17 – $36,418
Total knee replacement: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $13,758.17
  • Ambetter — Exchange: $19,949.35
  • Oscar — All Commercial Plans: $15,821.89
  • Unitedhealthcare — All Commercial Plans: $36,418
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $3,399
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Unitedhealthcare — All Commercial Plans: $3,399
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,506.34 – $14,227
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,506.34
  • Ambetter — Exchange: $5,084.19
  • Oscar — All Commercial Plans: $4,032.29
  • Unitedhealthcare — All Commercial Plans: $14,227
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $6,343.80 – $11,000
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,343.80
  • Ambetter — Exchange: $9,198.51
  • Oscar — All Commercial Plans: $7,295.37
  • Unitedhealthcare — All Commercial Plans: $11,000
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $971.94 – $7,272
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $971.94
  • Ambetter — Exchange: $1,409.32
  • Oscar — All Commercial Plans: $1,117.73
  • Unitedhealthcare — All Commercial Plans: $7,272
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Esophagogastroduodenoscopy Transoral Diagnostic-Gast $2,216 $2,216 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Esophagogastroduodenoscopy Transoral Diagnostic-Pbb $2,216 $2,216 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $971.94 – $7,272
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $971.94
  • Ambetter — Exchange: $1,409.32
  • Oscar — All Commercial Plans: $1,117.73
  • Unitedhealthcare — All Commercial Plans: $7,272
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Egd Transoral Biopsy Single/Multiple-Gast $2,569 $2,569 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Egd Transoral Biopsy Single/Multiple-Pbb $2,569 $2,569 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $996.56 – $3,970
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $996.56
  • Ambetter — Exchange: $1,445.01
  • Oscar — All Commercial Plans: $1,146.04
  • Unitedhealthcare — All Commercial Plans: $3,970
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Gast $2,790 $2,790 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colonoscopy Flx Dx W/Collj Spec When Pfrmd-Pbb $2,790 $2,790 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,282.34 – $3,970
Colonoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,282.34
  • Ambetter — Exchange: $1,859.40
  • Oscar — All Commercial Plans: $1,474.69
  • Unitedhealthcare — All Commercial Plans: $3,970
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colonoscopy W/Biopsy Single/Multiple-Gast $289 $289 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colonoscopy W/Biopsy Single/Multiple-Pbb $3,064 $3,064 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,282.34 – $3,970
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,282.34
  • Ambetter — Exchange: $1,859.40
  • Oscar — All Commercial Plans: $1,474.69
  • Unitedhealthcare — All Commercial Plans: $3,970
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Gast $3,949 $3,949 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq-Pbb $3,949 $3,949 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,282.34 – $7,272
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $1,282.34
  • Ambetter — Exchange: $1,859.40
  • Oscar — All Commercial Plans: $1,474.69
  • Unitedhealthcare — All Commercial Plans: $7,272
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Gast $2,138 $2,138 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux-Pbb $2,138 $2,138 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $996.56 – $3,970
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $996.56
  • Ambetter — Exchange: $1,445.01
  • Oscar — All Commercial Plans: $1,146.04
  • Unitedhealthcare — All Commercial Plans: $3,970
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk $5,441 $5,441 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colorectal Ca Screen Avg-Risk-Gast $2,939 $2,939 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $6,478.50 – $24,760
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $6,478.50
  • Ambetter — Exchange: $9,393.82
  • Oscar — All Commercial Plans: $7,450.27
  • Unitedhealthcare — All Commercial Plans: $24,760
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,836.82 – $14,227
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,836.82
  • Ambetter — Exchange: $5,563.39
  • Oscar — All Commercial Plans: $4,412.35
  • Unitedhealthcare — All Commercial Plans: $14,227
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $7,272
Prostate biopsy: rates for 1 insurance plan
  • Unitedhealthcare — All Commercial Plans: $7,272
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach $6,194 $6,194 Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach-Pbb $6,194 $6,194 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $11,391.13 – $36,418
Prostate removal by laparoscope (radical prostatectomy): rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $11,391.13
  • Ambetter — Exchange: $16,517.13
  • Oscar — All Commercial Plans: $13,099.80
  • Unitedhealthcare — All Commercial Plans: $36,418
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,468.96 – $11,000
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $3,468.96
  • Ambetter — Exchange: $5,030
  • Oscar — All Commercial Plans: $3,989.31
  • Unitedhealthcare — All Commercial Plans: $11,000
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C $20,948 $20,948 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Hysteroscopy Bx Endometrium&/Polypc W/Wo D&C-Pbb $7,864 $7,864 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $756.44 – $5,007
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $756.44
  • Ambetter — Exchange: $1,096.83
  • Oscar — All Commercial Plans: $869.90
  • Unitedhealthcare — All Commercial Plans: $5,007
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Injections Interlaminar Lumbar/Sacral With Imaging Guidance $8,188 $8,188 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $947.82 – $5,007
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $947.82
  • Ambetter — Exchange: $1,374.34
  • Oscar — All Commercial Plans: $1,089.99
  • Unitedhealthcare — All Commercial Plans: $5,007
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level $5,519 $5,519 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level-Pbb $1,211 $1,211 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,092.58 – $11,000
Carpal tunnel release: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,092.58
  • Ambetter — Exchange: $3,034.24
  • Oscar — All Commercial Plans: $2,406.46
  • Unitedhealthcare — All Commercial Plans: $11,000
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel $6,437 $6,437 Not listed in the file
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel-Pbb $6,437 $6,437 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $589.39 – $5,007
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $589.39
  • Ambetter — Exchange: $854.61
  • Oscar — All Commercial Plans: $677.80
  • Unitedhealthcare — All Commercial Plans: $5,007
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Discission Of Secondary Membranous Cataract; Laser Surgery $5,356 $5,356 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,473.11 – $11,000
Cataract removal with lens implant: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $2,473.11
  • Ambetter — Exchange: $3,586.01
  • Oscar — All Commercial Plans: $2,844.07
  • Unitedhealthcare — All Commercial Plans: $11,000

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $93,181.17 – $202,562.66
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna — Hmo/Ppo: $197,857.13
  • Aetna — Medicare Managed Care Plan: $113,632.95
  • Ambetter — Exchange: $164,767.78
  • Bcbs — Blue Community - Mmai Medicare/Medicaid Managed Care Plan: $113,632.95
  • Bcbs — Medicare Managed Care Plan: $113,632.95
  • Bcbs — Ppo: $192,153.76
  • Cigna — Hmo/Ppo: $190,764.60
  • Cigna — One Health Hmo: $93,181.17
  • Coventry Health Care — Medicare Managed Care Plan: $113,632.95
  • Essence Healthcare — Medicare Managed Care Plan: $113,632.95
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • Aetna — Il Preferred Other Commercial Plan: 33% (a percentage in the contract, not a dollar amount)
  • Local Union 697 — All Commercial Plans: 50% (a percentage in the contract, not a dollar amount)
  • Multiplan — All Commercial Plans: 80% (a percentage in the contract, not a dollar amount)
  • Prairie States — All Commercial Plans: 65% (a percentage in the contract, not a dollar amount)
  • Professional Benefit Administrator — All Commercial Plans: 85% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $18,372.77 – $39,939.80
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna — Hmo/Ppo: $39,012
  • Aetna — Medicare Managed Care Plan: $23,272.34
  • Ambetter — Exchange: $33,744.89
  • Bcbs — Blue Community - Mmai Medicare/Medicaid Managed Care Plan: $23,272.34
  • Bcbs — Medicare Managed Care Plan: $23,272.34
  • Bcbs — Ppo: $37,887.45
  • Cigna — Hmo/Ppo: $37,613.55
  • Cigna — One Health Hmo: $18,372.77
  • Coventry Health Care — Medicare Managed Care Plan: $23,272.34
  • Essence Healthcare — Medicare Managed Care Plan: $23,272.34
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $23,253.38 – $50,549.56
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • Aetna — Hmo/Ppo: $49,375.29
  • Aetna — Medicare Managed Care Plan: $29,167.60
  • Ambetter — Exchange: $42,293.02
  • Bcbs — Blue Community - Mmai Medicare/Medicaid Managed Care Plan: $29,167.60
  • Bcbs — Medicare Managed Care Plan: $29,167.60
  • Bcbs — Ppo: $47,952.01
  • Cigna — Hmo/Ppo: $47,605.35
  • Cigna — One Health Hmo: $23,253.38
  • Coventry Health Care — Medicare Managed Care Plan: $29,167.60
  • Essence Healthcare — Medicare Managed Care Plan: $29,167.60
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $11,817.67 – $25,689.93
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • Aetna — Hmo/Ppo: $25,093.16
  • Aetna — Medicare Managed Care Plan: $15,354.47
  • Ambetter — Exchange: $22,263.98
  • Bcbs — Blue Community - Mmai Medicare/Medicaid Managed Care Plan: $15,354.47
  • Bcbs — Medicare Managed Care Plan: $15,354.47
  • Bcbs — Ppo: $24,369.83
  • Cigna — Hmo/Ppo: $24,193.65
  • Cigna — One Health Hmo: $11,817.67
  • Coventry Health Care — Medicare Managed Care Plan: $15,354.47
  • Essence Healthcare — Medicare Managed Care Plan: $15,354.47

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

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

Hospital information

Hospital typeAcute Care Hospital
Address5841 South Maryland, Chicago, IL 60637
CountyCook County
StateIllinois
Phone(773) 702‑9785
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number140088
Name in Medicare recordsTHE UNIVERSITY OF CHICAGO MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(773) 702‑1000[10]
Name on the hospital’s websiteUChicago Medicine Center for Care and Discovery (Hyde Park)
Official websiteuchicagomedicine.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. UChicago Medicine Center for Care and Discovery - Hyde Park — uchicagomedicine.org
  2. UChicago Medicine at a Glance — uchicagomedicine.org
  3. Trauma & Emergency Services - UChicago Medicine — uchicagomedicine.org
  4. University of Chicago Medicine Aeromedical Network - UChicago Medicine — uchicagomedicine.org
  5. Chicago South Emergency Medical Services (EMS) System - UChicago Medicine — uchicagomedicine.org
  6. Phone Number Directory - Contact Numbers - UChicago Medicine — uchicagomedicine.org
  7. Choosing Where To Go For Care - UChicago Medicine — uchicagomedicine.org
  8. Five years after launching Level 1 adult trauma center, UChicago Medicine set to exceed 18,800 adult trauma patients - U — uchicagomedicine.org