Does The Women's Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at The Women's Hospital. In a medical emergency, call 911.

Where is The Women's Hospital?

4199 Gateway Blvd, Newburgh, IN 47630, in Warrick County, Indiana.

What is the phone number of The Women's Hospital?

(812) 842-4200, as listed by Medicare (CMS).

What is the Medicare star rating of The Women's Hospital?

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

The Women's Hospital — Newburgh, IN

Quick answers

Does The Women's Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at The Women's Hospital. In a medical emergency, call 911.
Where is The Women's Hospital?: 4199 Gateway Blvd, Newburgh, IN 47630, in Warrick County, Indiana.
What is the phone number of The Women's Hospital?: (812) 842-4200, as listed by Medicare (CMS).
What is the Medicare star rating of The Women's Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][7][9][12][14][16]}

Women's services
Fertility care (Boston IVF)
Maternal-fetal medicine
Obstetrics and gynecology
Gynecologic surgery
Reproductive endocrinology
Gynecologic oncology
Genetic counseling

Conditions treated^{[4][13][14][16][17]}

Uterine fibroids
Infertility
Gynecologic cancer
Breast cancer
Pregnancy complications
High-risk pregnancy

Treatments^{[4][6][9][11][12][14]}

Breastfeeding services
Fibroid ablation (radiofrequency, incisionless)
Chemotherapy
Infusion therapy
Radiation therapy
Interstim therapy
Fertility treatment (IVF)

Procedures^[9]

Hysterectomy (open and laparoscopic)
Myomectomy
Endometrial ablation
Hysteroscopy
Cystoscopy
Bladder suspension
Bladder repair surgery
Vaginal repair surgery
Vaginal suspension
Tubal ligation
Diagnostic laparoscopy
Single incision laparoscopic surgery
Robotic-assisted surgery (when possible)
Plastic and reconstructive surgery

Programs and centers^{[4][5][10][11][12][13][14][15]}

Obstetrical (OB/GYN) Emergency Department, staffed around the clock
Enhanced Recovery After Surgery (ERAS)
Women's Cancer Center
Multidisciplinary Breast Cancer Care Team
Multidisciplinary Gynecologic Cancer Care Team
High Risk Breast Program
Oncology Genetic Counseling
Newborn care
Breastfeeding services
Pre-admission (maternal care advisor)
Boston IVF fertility program
Web Nursery

Emergency care (hospital website)^[16]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Open visitation daily 1-7 PM (excludes NICU and laboring patients); admitted patients may designate three visitors aged 16+^[7]
Interpreters and languages	Interpreter arranged for pre-admission appointments if English is not the primary language; call 812-842-4170^[15]

Doctors and clinicians (265)

265 doctors and other clinicians list The Women's Hospital 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 241 more: the button below opens the full list.

Other emergency rooms nearby

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

Deaconess Hospital Inc3.3 mi · Evansville, IN · Acute Care Hospital
Ascension St Vincent Evansville3.3 mi · Evansville, IN · Acute Care Hospital
Ascension St Vincent Warrick11 mi · Boonville, IN · Critical Access Hospital
Deaconess Henderson Hospital11 mi · Henderson, KY · Acute Care Hospital
Owensboro Health Regional Hospital25 mi · Owensboro, KY · Acute Care Hospital

Other hospitals nearby

Evansville State Hospital3.1 mi · Evansville, IN · Psychiatric Hospital
Encompass Health Deaconess Rehabilitation Hospital5.6 mi · Newburgh, IN · Inpatient Rehabilitation Hospital
Brentwood Meadows LLC6.3 mi · Newburgh, IN · Psychiatric Hospital
Select Specialty Hospital-Evansville6.7 mi · Evansville, IN · 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

Hamilton Pointe Health and Rehab0.4 mi · Newburgh, IN · 2 of 5 stars
Majestic Care of Newburgh1.0 mi · Newburgh, IN · 2 of 5 stars
Brickyard Healthcare - Woodlands Care Center1.7 mi · Newburgh, IN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Aseracare Hospice1.8 mi · Evansville, IN · 3 of 5 stars
Compassus - Southwestern Indiana1.8 mi · Evansville, IN
Gentiva I1.8 mi · Evansville, IN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Angels Care Home Health1.8 mi · Evansville, IN · 4 of 5 stars
Ascension at Home1.8 mi · Evansville, IN
Deaconess Home Health, LLC1.8 mi · Evansville, IN · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita East Evansville Dialysis4.3 mi · Evansville, IN · 3 of 5 stars
DaVita Newburgh Dialysis5.6 mi · Newburgh, IN · 3 of 5 stars
DaVita Freedom Dialysis5.7 mi · Evansville, IN · 3 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.

Advanced Surgical Institute of Evansville1.8 mi · Evansville, IN
Eye Care Surgery Center of Evansville LLC1.8 mi · Evansville, IN
Valley Surgery Center1.8 mi · Evansville, IN

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

ECHO John Street Woodson Homeless Health Clinic6.1 mi · Evansville, IN · Community health center
ECHO Division Street Family Clinic6.5 mi · Evansville, IN · Community health center
ECHO Pediatric and Prenatal Clinic6.6 mi · Evansville, IN · Community health center

Clinics and urgent care

Deaconess Clinic Ft. Branch20 mi · Fort Branch, IN · Rural health clinic
Spencer County Clinic20 mi · Rockport, IN · Rural health clinic
Access Medical Clinic Indiana23 mi · Oakland City, IN · Rural health clinic

Pharmacies

Costco Wholesale Corporation1.8 mi · Evansville, IN · Community/retail pharmacy
Evvrx LLC1.8 mi · Evansville, IN · Community/retail pharmacy
Hook-Superx LLC1.8 mi · Evansville, IN · Community/retail pharmacy

Assisted living nearby

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

Walnut Creek Memory Care1.8 mi · Evansville, IN
Oasis Assisted Living, Inc4.3 mi · Evansville, IN
Bell Oaks Place5.6 mi · Newburgh, IN
Cedarhurst of Newburgh5.6 mi · Newburgh, IN

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 Women's Hospital 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	82%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	84%National average: 74%
Area around the room “always” quiet at night	65%National average: 60%
Completed surveys	567Response rate: 17%

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)	0.706No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	0.509No different from the national benchmark
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.99No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
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.

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	130 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Too few cases to report

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 Indiana Best hospitals in Indiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as The Women's Hospital 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 →

$ 50 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99205= RVU --> BILL 99203	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health IL — Managed Medicaid: $55.95 Aetna Better Health KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National/Zelis - Freedom Plan — Commercial: $104.78 Ambetter IN — Commercial: $86.07 Amish — Commercial: $87.15 Anthem — Medicare Advantage: $74.84 Anthem HIP — Managed Medicaid: $102.93 Anthem IN — Managed Medicaid: $102.93
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99204= RVU --> BILL 99203	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health IL — Managed Medicaid: $55.95 Aetna Better Health KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National/Zelis - Freedom Plan — Commercial: $104.78 Ambetter IN — Commercial: $86.07 Amish — Commercial: $87.15 Anthem — Medicare Advantage: $74.84 Anthem HIP — Managed Medicaid: $102.93 Anthem IN — Managed Medicaid: $102.93
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244=RVU--> BILL 99203	$249	$87.15	$55.95 – $149.94
New patient office visit (about 30–44 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $149.94 Aetna Better Health IL — Managed Medicaid: $55.95 Aetna Better Health KY — Managed Medicaid: $60.57 Alliance Coal — Commercial: $103.28 Allied National/Zelis - Freedom Plan — Commercial: $104.78 Ambetter IN — Commercial: $86.07 Amish — Commercial: $87.15 Anthem — Medicare Advantage: $74.84 Anthem HIP — Managed Medicaid: $102.93 Anthem IN — Managed Medicaid: $102.93
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$369	$129.15	$90.81 – $221.40
New patient office visit (about 45–59 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $213.35 Aetna Better Health IL — Managed Medicaid: $90.81 Aetna Better Health KY — Managed Medicaid: $102.79 Alliance Coal — Commercial: $168.58 Allied National/Zelis - Freedom Plan — Commercial: $171.02 Ambetter IN — Commercial: $140.48 Amish — Commercial: $129.15 Anthem — Medicare Advantage: $122.16 Anthem HIP — Managed Medicaid: $154.76 Anthem IN — Managed Medicaid: $154.76
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$451	$157.85	$123.49 – $270.60
New patient office visit (about 60–74 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $270.33 Aetna Better Health IL — Managed Medicaid: $123.49 Aetna Better Health KY — Managed Medicaid: $131.98 Alliance Coal — Commercial: $229.04 Allied National/Zelis - Freedom Plan — Commercial: $232.36 Ambetter IN — Commercial: $190.87 Amish — Commercial: $157.85 Anthem — Medicare Advantage: $165.97 Anthem HIP — Managed Medicaid: $204.08 Anthem IN — Managed Medicaid: $204.08
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99214= RVU --> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health IL — Managed Medicaid: $44.67 Aetna Better Health KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National/Zelis - Freedom Plan — Commercial: $84.87 Ambetter IN — Commercial: $69.71 Amish — Commercial: $59.50 Anthem — Medicare Advantage: $60.62 Anthem HIP — Managed Medicaid: $84.31 Anthem IN — Managed Medicaid: $84.31
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99215= RVU --> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health IL — Managed Medicaid: $44.67 Aetna Better Health KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National/Zelis - Freedom Plan — Commercial: $84.87 Ambetter IN — Commercial: $69.71 Amish — Commercial: $59.50 Anthem — Medicare Advantage: $60.62 Anthem HIP — Managed Medicaid: $84.31 Anthem IN — Managed Medicaid: $84.31
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR MEDICAID- 99244 RVU--> BILL 99213	$170	$59.50	$40.36 – $102.65
Established patient office visit (about 20–29 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $102.65 Aetna Better Health IL — Managed Medicaid: $44.67 Aetna Better Health KY — Managed Medicaid: $40.36 Alliance Coal — Commercial: $83.66 Allied National/Zelis - Freedom Plan — Commercial: $84.87 Ambetter IN — Commercial: $69.71 Amish — Commercial: $59.50 Anthem — Medicare Advantage: $60.62 Anthem HIP — Managed Medicaid: $84.31 Anthem IN — Managed Medicaid: $84.31
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$248	$86.80	$61.98 – $148.80
Established patient office visit (about 30–39 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $146 Aetna Better Health IL — Managed Medicaid: $65.79 Aetna Better Health KY — Managed Medicaid: $61.98 Alliance Coal — Commercial: $123.11 Allied National/Zelis - Freedom Plan — Commercial: $124.89 Ambetter IN — Commercial: $102.59 Amish — Commercial: $86.80 Anthem — Medicare Advantage: $89.21 Anthem HIP — Managed Medicaid: $119.13 Anthem IN — Managed Medicaid: $119.13
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$250	$87.50	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $178.55
Office consultation with a specialist (moderate): 10 of 54 insurance plan rates Aetna — Commercial: $178.55 Aetna Better Health IL — Managed Medicaid: $51.30 Aetna Better Health KY — Managed Medicaid: $76.53 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish — Commercial: $87.50 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Pathway — HMO/PPO/Traditional: $106.19 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $106.19
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$365	$127.75	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $252.75
Office consultation with a specialist (moderate to high): 10 of 54 insurance plan rates Aetna — Commercial: $252.75 Aetna Better Health IL — Managed Medicaid: $71.40 Aetna Better Health KY — Managed Medicaid: $121.37 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish — Commercial: $127.75 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Pathway — HMO/PPO/Traditional: $162.17 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $162.17
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$135	$47.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $171.62
Preventive checkup, new patient, age 18–39: 10 of 62 insurance plan rates Aetna — Commercial: $171.62 Aetna Better Health IL — Managed Medicaid: $32.15 Aetna Better Health KY — Managed Medicaid: $77.60 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish — Commercial: $47.25 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem HIP — Managed Medicaid: $120.02 Anthem IN — Managed Medicaid: $120.02
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $131.20
Preventive checkup, new patient, age 18–39: 10 of 54 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem HIP — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Pathway — HMO/PPO/Traditional: $131.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$135	$47.25	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $241.68
Preventive checkup, new patient, age 40–64: 10 of 62 insurance plan rates Aetna — Commercial: $202.11 Aetna Better Health IL — Managed Medicaid: $66.40 Aetna Better Health KY — Managed Medicaid: $93.99 Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Amish — Commercial: $47.25 Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem HIP — Managed Medicaid: $138.60 Anthem IN — Managed Medicaid: $138.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee · modifier 52 In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $241.68
Preventive checkup, new patient, age 40–64: 10 of 54 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Allied National/Zelis - Freedom Plan — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter IN — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem HIP — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem IN Pathway — HMO/PPO/Traditional: $241.68
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT LOW MDM	$212	$74.20	$47.40 – $127.20
Emergency room visit (moderate): 10 of 62 insurance plan rates Aetna — Commercial: $106.61 Aetna Better Health IL — Managed Medicaid: $49.16 Aetna Better Health KY — Managed Medicaid: $47.40 Alliance Coal — Commercial: $89.29 Allied National/Zelis - Freedom Plan — Commercial: $90.58 Ambetter IN — Commercial: $74.40 Amish — Commercial: $74.20 Anthem — Medicare Advantage: $64.70 Anthem HIP — Managed Medicaid: $65.36 Anthem IN — Managed Medicaid: $65.36
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$760.08	$448.45	$101.73 – $2,558
Emergency room visit (moderate): 10 of 50 insurance plan rates Aetna — Commercial: $506.21 Aetna Better Health KY — Managed Medicaid: $174.82 Alliance Coal — Commercial: $526.89 Allied National/Zelis - Freedom Plan — Commercial: $623.08 Ambetter IN — Commercial: $394.20 Amish — Commercial: $101.73 Anthem — Medicare Advantage: $254.32 Anthem IN Pathway — HMO/PPO/Traditional: $931.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $745.23 Anthem Pathway Essentials — Commercial: $254.32
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT 99283	$760.08	$448.45	$380.04 – $646.07
Emergency room visit (moderate): rates for 8 insurance plans Center Care — Commercial: $592.86 EncoreCombined — Commercial: $532.06 First Health/Coventry — Commercial: $562.46 Healthlink — HMO: $608.06 Healthlink — PPO: $646.07 IU Health — Medicare Advantage: $380.04 Self Pay — Self Pay: $448.45 United Healthcare VACCN — Commercial: $608.06
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT MODERATE MDM	$315	$110.25	$74.05 – $200
Emergency room visit (moderately high): 10 of 62 insurance plan rates Aetna — Commercial: $164.74 Aetna Better Health IL — Managed Medicaid: $83.69 Aetna Better Health KY — Managed Medicaid: $74.05 Alliance Coal — Commercial: $152.05 Allied National/Zelis - Freedom Plan — Commercial: $154.25 Ambetter IN — Commercial: $126.71 Amish — Commercial: $110.25 Anthem — Medicare Advantage: $110.18 Anthem HIP — Managed Medicaid: $111.23 Anthem IN — Managed Medicaid: $111.23
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$1,097.96	$647.80	$157.92 – $2,558
Emergency room visit (moderately high): 10 of 50 insurance plan rates Aetna — Commercial: $731.24 Aetna Better Health KY — Managed Medicaid: $252.53 Alliance Coal — Commercial: $761.11 Allied National/Zelis - Freedom Plan — Commercial: $967.24 Ambetter IN — Commercial: $611.92 Amish — Commercial: $157.92 Anthem — Medicare Advantage: $394.79 Anthem IN Pathway — HMO/PPO/Traditional: $1,446.07 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $1,156.83 Anthem Pathway Essentials — Commercial: $394.79
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT 99284	$1,097.96	$647.80	$548.98 – $933.27
Emergency room visit (moderately high): rates for 8 insurance plans Center Care — Commercial: $856.41 EncoreCombined — Commercial: $768.57 First Health/Coventry — Commercial: $812.49 Healthlink — HMO: $878.37 Healthlink — PPO: $933.27 IU Health — Medicare Advantage: $548.98 Self Pay — Self Pay: $647.80 United Healthcare VACCN — Commercial: $878.37
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ED VISIT HIGH MDM	$469	$164.15	$116.04 – $290
Emergency room visit (high): 10 of 62 insurance plan rates Aetna — Commercial: $251.41 Aetna Better Health IL — Managed Medicaid: $121.28 Aetna Better Health KY — Managed Medicaid: $116.04 Alliance Coal — Commercial: $220.37 Allied National/Zelis - Freedom Plan — Commercial: $223.57 Ambetter IN — Commercial: $183.64 Amish — Commercial: $164.15 Anthem — Medicare Advantage: $159.69 Anthem HIP — Managed Medicaid: $161.20 Anthem IN — Managed Medicaid: $161.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,780.29	$1,050.38	$229.01 – $2,558
Emergency room visit (high): 10 of 50 insurance plan rates Aetna — Commercial: $1,185.67 Aetna Better Health KY — Managed Medicaid: $409.47 Alliance Coal — Commercial: $1,234.10 Allied National/Zelis - Freedom Plan — Commercial: $1,402.70 Ambetter IN — Commercial: $887.42 Amish — Commercial: $229.01 Anthem — Medicare Advantage: $572.53 Anthem IN Pathway — HMO/PPO/Traditional: $2,097.09 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $1,677.64 Anthem Pathway Essentials — Commercial: $572.53
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT 99285	$1,780.29	$1,050.38	$890.15 – $1,513.25
Emergency room visit (high): rates for 8 insurance plans Center Care — Commercial: $1,388.63 EncoreCombined — Commercial: $1,246.20 First Health/Coventry — Commercial: $1,317.41 Healthlink — HMO: $1,424.23 Healthlink — PPO: $1,513.25 IU Health — Medicare Advantage: $890.15 Self Pay — Self Pay: $1,050.37 United Healthcare VACCN — Commercial: $1,424.23

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$49	$17.15	$3.47 – $29.40
Basic metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Commercial: $14.03 Aetna Better Health IL — Managed Medicaid: $8.28 Aetna Better Health KY — Managed Medicaid: $8.46 Alliance Coal — Commercial: $8.88 Allied National/Zelis - Freedom Plan — Commercial: $11.84 Ambetter IN — Commercial: $9.73 Amish — Commercial: $17.15 Anthem — Medicare Advantage: $8.46 Anthem HIP — Managed Medicaid: $8.46 Anthem IN — Managed Medicaid: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC QUICK CHEM	$497.59	$293.58	$3.38 – $422.95
Basic metabolic panel (blood test): 10 of 58 insurance plan rates Aetna — Commercial: $16.50 Aetna Better Health KY — Managed Medicaid: $114.45 Alliance Coal — Commercial: $344.93 Allied National/Zelis - Freedom Plan — Commercial: $20.73 Ambetter IN — Commercial: $13.11 Amish — Commercial: $3.38 Anthem — Medicare Advantage: $8.46 Anthem HIP — Managed Medicaid: $8.46 Anthem IN — Managed Medicaid: $8.46 Anthem IN Pathway — HMO/PPO/Traditional: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEM8 (ISTAT)	$474.05	$279.69	$3.38 – $402.94
Basic metabolic panel (blood test): 10 of 58 insurance plan rates Aetna — Commercial: $16.50 Aetna Better Health KY — Managed Medicaid: $109.03 Alliance Coal — Commercial: $328.61 Allied National/Zelis - Freedom Plan — Commercial: $20.73 Ambetter IN — Commercial: $13.11 Amish — Commercial: $3.38 Anthem — Medicare Advantage: $8.46 Anthem HIP — Managed Medicaid: $8.46 Anthem IN — Managed Medicaid: $8.46 Anthem IN Pathway — HMO/PPO/Traditional: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$78	$27.30	$5 – $46.80
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Commercial: $18.91 Aetna Better Health IL — Managed Medicaid: $10.36 Aetna Better Health KY — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Allied National/Zelis - Freedom Plan — Commercial: $14.78 Ambetter IN — Commercial: $12.14 Amish — Commercial: $27.30 Anthem — Medicare Advantage: $10.56 Anthem HIP — Managed Medicaid: $10.56 Anthem IN — Managed Medicaid: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL	$67	$23.45	$5 – $40.20
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Commercial: $18.91 Aetna Better Health IL — Managed Medicaid: $10.36 Aetna Better Health KY — Managed Medicaid: $10.56 Alliance Coal — Commercial: $11.09 Allied National/Zelis - Freedom Plan — Commercial: $14.78 Ambetter IN — Commercial: $12.14 Amish — Commercial: $23.45 Anthem — Medicare Advantage: $10.56 Anthem HIP — Managed Medicaid: $10.56 Anthem IN — Managed Medicaid: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PROFILE	$690.86	$407.61	$4.22 – $587.23
Comprehensive metabolic panel (blood test): 10 of 58 insurance plan rates Aetna — Commercial: $20.59 Aetna Better Health KY — Managed Medicaid: $158.90 Alliance Coal — Commercial: $478.90 Allied National/Zelis - Freedom Plan — Commercial: $25.87 Ambetter IN — Commercial: $16.37 Amish — Commercial: $4.22 Anthem — Medicare Advantage: $10.56 Anthem HIP — Managed Medicaid: $10.56 Anthem IN — Managed Medicaid: $10.56 Anthem IN Pathway — HMO/PPO/Traditional: $10.56
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	$19.12 – $117.13
Obstetric blood test panel: 10 of 41 insurance plan rates Aetna — Commercial: $93.23 Allied National/Zelis - Freedom Plan — Commercial: $117.13 Ambetter IN — Commercial: $74.11 Amish — Commercial: $19.12 Anthem — Medicare Advantage: $47.81 Anthem HIP — Managed Medicaid: $47.81 Anthem IN — Managed Medicaid: $47.81 Anthem IN Pathway — HMO/PPO/Traditional: $47.81 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $47.81 Anthem IN Pathways for Aging — Managed Medicaid: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$74.11
Obstetric blood test panel: rates for 2 insurance plans EncoreCombined — Commercial: $74.11 EncorePrime — Commercial: $74.11
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG LIPID PANEL	$89	$31.15	$6.02 – $53.40
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna — Commercial: $26.74 Aetna Better Health IL — Managed Medicaid: $9.37 Aetna Better Health KY — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Allied National/Zelis - Freedom Plan — Commercial: $18.75 Ambetter IN — Commercial: $15.40 Amish — Commercial: $31.15 Anthem — Medicare Advantage: $13.39 Anthem HIP — Managed Medicaid: $13.39 Anthem IN — Managed Medicaid: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE	$89	$31.15	$6.02 – $53.40
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna — Commercial: $26.74 Aetna Better Health IL — Managed Medicaid: $9.37 Aetna Better Health KY — Managed Medicaid: $13.39 Alliance Coal — Commercial: $14.06 Allied National/Zelis - Freedom Plan — Commercial: $18.75 Ambetter IN — Commercial: $15.40 Amish — Commercial: $31.15 Anthem — Medicare Advantage: $13.39 Anthem HIP — Managed Medicaid: $13.39 Anthem IN — Managed Medicaid: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE CORONARY RISK	$392.71	$231.70	$5.36 – $333.80
Cholesterol panel (lipid panel): 10 of 58 insurance plan rates Aetna — Commercial: $26.11 Aetna Better Health KY — Managed Medicaid: $90.32 Alliance Coal — Commercial: $272.23 Allied National/Zelis - Freedom Plan — Commercial: $32.81 Ambetter IN — Commercial: $20.75 Amish — Commercial: $5.36 Anthem — Medicare Advantage: $13.39 Anthem HIP — Managed Medicaid: $13.39 Anthem IN — Managed Medicaid: $13.39 Anthem IN Pathway — HMO/PPO/Traditional: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL PROFILE	$45	$15.75	$4.11 – $27
Kidney function panel: 10 of 61 insurance plan rates Aetna — Commercial: $15.76 Aetna Better Health IL — Managed Medicaid: $8.52 Aetna Better Health KY — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Allied National/Zelis - Freedom Plan — Commercial: $12.15 Ambetter IN — Commercial: $9.98 Amish — Commercial: $15.75 Anthem — Medicare Advantage: $8.68 Anthem HIP — Managed Medicaid: $8.68 Anthem IN — Managed Medicaid: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL	$54	$18.90	$4.11 – $32.40
Kidney function panel: 10 of 61 insurance plan rates Aetna — Commercial: $15.76 Aetna Better Health IL — Managed Medicaid: $8.52 Aetna Better Health KY — Managed Medicaid: $8.68 Alliance Coal — Commercial: $9.11 Allied National/Zelis - Freedom Plan — Commercial: $12.15 Ambetter IN — Commercial: $9.98 Amish — Commercial: $18.90 Anthem — Medicare Advantage: $8.68 Anthem HIP — Managed Medicaid: $8.68 Anthem IN — Managed Medicaid: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PROFILE	$368.23	$217.26	$3.47 – $313
Kidney function panel: 10 of 58 insurance plan rates Aetna — Commercial: $16.93 Aetna Better Health KY — Managed Medicaid: $84.69 Alliance Coal — Commercial: $255.26 Allied National/Zelis - Freedom Plan — Commercial: $21.27 Ambetter IN — Commercial: $13.45 Amish — Commercial: $3.47 Anthem — Medicare Advantage: $8.68 Anthem HIP — Managed Medicaid: $8.68 Anthem IN — Managed Medicaid: $8.68 Anthem IN Pathway — HMO/PPO/Traditional: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC (LIVER) FUNCTION PANEL	$46	$16.10	$2.99 – $27.60
Liver function panel: 10 of 61 insurance plan rates Aetna — Commercial: $13.57 Aetna Better Health IL — Managed Medicaid: $7.98 Aetna Better Health KY — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Allied National/Zelis - Freedom Plan — Commercial: $11.44 Ambetter IN — Commercial: $9.40 Amish — Commercial: $16.10 Anthem — Medicare Advantage: $8.17 Anthem HIP — Managed Medicaid: $8.17 Anthem IN — Managed Medicaid: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL	$46	$16.10	$2.99 – $27.60
Liver function panel: 10 of 61 insurance plan rates Aetna — Commercial: $13.57 Aetna Better Health IL — Managed Medicaid: $7.98 Aetna Better Health KY — Managed Medicaid: $8.17 Alliance Coal — Commercial: $8.58 Allied National/Zelis - Freedom Plan — Commercial: $11.44 Ambetter IN — Commercial: $9.40 Amish — Commercial: $16.10 Anthem — Medicare Advantage: $8.17 Anthem HIP — Managed Medicaid: $8.17 Anthem IN — Managed Medicaid: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIVER HEPATIC PROFILE	$477.07	$281.48	$3.27 – $405.51
Liver function panel: 10 of 58 insurance plan rates Aetna — Commercial: $15.93 Aetna Better Health KY — Managed Medicaid: $109.73 Alliance Coal — Commercial: $330.70 Allied National/Zelis - Freedom Plan — Commercial: $20.02 Ambetter IN — Commercial: $12.66 Amish — Commercial: $3.27 Anthem — Medicare Advantage: $8.17 Anthem HIP — Managed Medicaid: $8.17 Anthem IN — Managed Medicaid: $8.17 Anthem IN Pathway — HMO/PPO/Traditional: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$23	$8.05	$2.35 – $13.80
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna — Commercial: $5.77 Aetna Better Health IL — Managed Medicaid: $5.72 Aetna Better Health KY — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Allied National/Zelis - Freedom Plan — Commercial: $4.44 Ambetter IN — Commercial: $3.65 Amish — Commercial: $8.05 Anthem — Medicare Advantage: $3.17 Anthem HIP — Managed Medicaid: $3.17 Anthem IN — Managed Medicaid: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS (UA)	$23	$8.05	$2.35 – $13.80
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna — Commercial: $5.77 Aetna Better Health IL — Managed Medicaid: $5.72 Aetna Better Health KY — Managed Medicaid: $3.17 Alliance Coal — Commercial: $3.33 Allied National/Zelis - Freedom Plan — Commercial: $4.44 Ambetter IN — Commercial: $3.65 Amish — Commercial: $8.05 Anthem — Medicare Advantage: $3.17 Anthem HIP — Managed Medicaid: $3.17 Anthem IN — Managed Medicaid: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS W MICRO	$127.38	$75.16	$1.27 – $108.27
Urine test (automated, with microscope): 10 of 58 insurance plan rates Aetna — Commercial: $6.18 Aetna Better Health KY — Managed Medicaid: $10.08 Alliance Coal — Commercial: $88.30 Allied National/Zelis - Freedom Plan — Commercial: $7.77 Ambetter IN — Commercial: $4.91 Amish — Commercial: $1.27 Anthem — Medicare Advantage: $3.17 Anthem HIP — Managed Medicaid: $3.17 Anthem IN — Managed Medicaid: $3.17 Anthem IN Pathway — HMO/PPO/Traditional: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK CHEMISTRIES	$18	$6.30	$2.09 – $10.80
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health IL — Managed Medicaid: $5.20 Aetna Better Health KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National/Zelis - Freedom Plan — Commercial: $4.87 Ambetter IN — Commercial: $4 Amish — Commercial: $6.30 Anthem — Medicare Advantage: $3.48 Anthem HIP — Managed Medicaid: $3.48 Anthem IN — Managed Medicaid: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK SPECIFIC GRAVITY	$18	$6.30	$2.09 – $10.80
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health IL — Managed Medicaid: $5.20 Aetna Better Health KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National/Zelis - Freedom Plan — Commercial: $4.87 Ambetter IN — Commercial: $4 Amish — Commercial: $6.30 Anthem — Medicare Advantage: $3.48 Anthem HIP — Managed Medicaid: $3.48 Anthem IN — Managed Medicaid: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT URINE QUALITATIVE DIPSTICK CREATININE	$18	$6.30	$2.09 – $10.80
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna — Commercial: $4.84 Aetna Better Health IL — Managed Medicaid: $5.20 Aetna Better Health KY — Managed Medicaid: $3.48 Alliance Coal — Commercial: $3.65 Allied National/Zelis - Freedom Plan — Commercial: $4.87 Ambetter IN — Commercial: $4 Amish — Commercial: $6.30 Anthem — Medicare Advantage: $3.48 Anthem HIP — Managed Medicaid: $3.48 Anthem IN — Managed Medicaid: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$18	$6.30	$1.66 – $10.80
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna — Commercial: $4.09 Aetna Better Health IL — Managed Medicaid: $3.44 Aetna Better Health KY — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Allied National/Zelis - Freedom Plan — Commercial: $3.15 Ambetter IN — Commercial: $2.59 Amish — Commercial: $6.30 Anthem — Medicare Advantage: $2.25 Anthem HIP — Managed Medicaid: $2.25 Anthem IN — Managed Medicaid: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT KETONE, URINE	$18	$6.30	$1.66 – $10.80
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna — Commercial: $4.09 Aetna Better Health IL — Managed Medicaid: $3.44 Aetna Better Health KY — Managed Medicaid: $2.25 Alliance Coal — Commercial: $2.36 Allied National/Zelis - Freedom Plan — Commercial: $3.15 Ambetter IN — Commercial: $2.59 Amish — Commercial: $6.30 Anthem — Medicare Advantage: $2.25 Anthem HIP — Managed Medicaid: $2.25 Anthem IN — Managed Medicaid: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UROBILINOGEN	$111.71	$65.91	$0.90 – $94.95
Urine test (automated, without microscope): 10 of 58 insurance plan rates Aetna — Commercial: $4.39 Aetna Better Health KY — Managed Medicaid: $25.69 Alliance Coal — Commercial: $77.44 Allied National/Zelis - Freedom Plan — Commercial: $5.51 Ambetter IN — Commercial: $3.49 Amish — Commercial: $0.90 Anthem — Medicare Advantage: $2.25 Anthem HIP — Managed Medicaid: $2.25 Anthem IN — Managed Medicaid: $2.25 Anthem IN Pathway — HMO/PPO/Traditional: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL	$50	$17.50	$10.42 – $33.39
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Commercial: $33.39 Aetna Better Health IL — Managed Medicaid: $13.20 Aetna Better Health KY — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Allied National/Zelis - Freedom Plan — Commercial: $25.75 Ambetter IN — Commercial: $21.15 Amish — Commercial: $17.50 Anthem — Medicare Advantage: $18.39 Anthem HIP — Managed Medicaid: $18.39 Anthem IN — Managed Medicaid: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: PSA TOTAL, DIAGNOSTIC	$120	$42	$10.42 – $72
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Commercial: $33.39 Aetna Better Health IL — Managed Medicaid: $13.20 Aetna Better Health KY — Managed Medicaid: $18.39 Alliance Coal — Commercial: $19.31 Allied National/Zelis - Freedom Plan — Commercial: $25.75 Ambetter IN — Commercial: $21.15 Amish — Commercial: $42 Anthem — Medicare Advantage: $18.39 Anthem HIP — Managed Medicaid: $18.39 Anthem IN — Managed Medicaid: $18.39
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	$7.36 – $45.06
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates Aetna — Commercial: $35.86 Allied National/Zelis - Freedom Plan — Commercial: $45.06 Ambetter IN — Commercial: $28.50 Amish — Commercial: $7.36 Anthem — Medicare Advantage: $18.39 Anthem HIP — Managed Medicaid: $18.39 Anthem IN — Managed Medicaid: $18.39 Anthem IN Pathway — HMO/PPO/Traditional: $18.39 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $18.39 Anthem IN Pathways for Aging — Managed Medicaid: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT THYROID STIMULATING HORMONE (TSH)	$96	$33.60	$7.95 – $57.60
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna — Commercial: $30.48 Aetna Better Health IL — Managed Medicaid: $16.42 Aetna Better Health KY — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Allied National/Zelis - Freedom Plan — Commercial: $23.52 Ambetter IN — Commercial: $19.32 Amish — Commercial: $33.60 Anthem — Medicare Advantage: $16.80 Anthem HIP — Managed Medicaid: $16.80 Anthem IN — Managed Medicaid: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$96	$33.60	$7.95 – $57.60
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna — Commercial: $30.48 Aetna Better Health IL — Managed Medicaid: $16.42 Aetna Better Health KY — Managed Medicaid: $16.80 Alliance Coal — Commercial: $17.64 Allied National/Zelis - Freedom Plan — Commercial: $23.52 Ambetter IN — Commercial: $19.32 Amish — Commercial: $33.60 Anthem — Medicare Advantage: $16.80 Anthem HIP — Managed Medicaid: $16.80 Anthem IN — Managed Medicaid: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH THIRD GENERATION	$390.37	$230.32	$6.72 – $331.81
Thyroid stimulating hormone (TSH) test: 10 of 58 insurance plan rates Aetna — Commercial: $32.76 Aetna Better Health KY — Managed Medicaid: $89.79 Alliance Coal — Commercial: $270.60 Allied National/Zelis - Freedom Plan — Commercial: $41.16 Ambetter IN — Commercial: $26.04 Amish — Commercial: $6.72 Anthem — Medicare Advantage: $16.80 Anthem HIP — Managed Medicaid: $16.80 Anthem IN — Managed Medicaid: $16.80 Anthem IN Pathway — HMO/PPO/Traditional: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$39	$13.65	$3.68 – $23.40
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health IL — Managed Medicaid: $5.74 Aetna Better Health KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National/Zelis - Freedom Plan — Commercial: $10.88 Ambetter IN — Commercial: $8.94 Amish — Commercial: $13.65 Anthem — Medicare Advantage: $7.77 Anthem HIP — Managed Medicaid: $7.77 Anthem IN — Managed Medicaid: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: MANUAL DIFFERENTIAL	$39	$13.65	$3.68 – $23.40
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health IL — Managed Medicaid: $5.74 Aetna Better Health KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National/Zelis - Freedom Plan — Commercial: $10.88 Ambetter IN — Commercial: $8.94 Amish — Commercial: $13.65 Anthem — Medicare Advantage: $7.77 Anthem HIP — Managed Medicaid: $7.77 Anthem IN — Managed Medicaid: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W MANUAL DIFFERENTIAL	$39	$13.65	$3.68 – $23.40
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Commercial: $14.13 Aetna Better Health IL — Managed Medicaid: $5.74 Aetna Better Health KY — Managed Medicaid: $7.77 Alliance Coal — Commercial: $8.16 Allied National/Zelis - Freedom Plan — Commercial: $10.88 Ambetter IN — Commercial: $8.94 Amish — Commercial: $13.65 Anthem — Medicare Advantage: $7.77 Anthem HIP — Managed Medicaid: $7.77 Anthem IN — Managed Medicaid: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED	$38	$13.30	$2.11 – $22.80
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health IL — Managed Medicaid: $2.11 Aetna Better Health KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National/Zelis - Freedom Plan — Commercial: $9.06 Ambetter IN — Commercial: $7.44 Amish — Commercial: $13.30 Anthem — Medicare Advantage: $6.47 Anthem HIP — Managed Medicaid: $6.47 Anthem IN — Managed Medicaid: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W AUTO DIFF	$39	$13.65	$2.11 – $23.40
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health IL — Managed Medicaid: $2.11 Aetna Better Health KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National/Zelis - Freedom Plan — Commercial: $9.06 Ambetter IN — Commercial: $7.44 Amish — Commercial: $13.65 Anthem — Medicare Advantage: $6.47 Anthem HIP — Managed Medicaid: $6.47 Anthem IN — Managed Medicaid: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: POCT CBC W AUTO DIFF	$39	$13.65	$2.11 – $23.40
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna — Commercial: $11.76 Aetna Better Health IL — Managed Medicaid: $2.11 Aetna Better Health KY — Managed Medicaid: $6.47 Alliance Coal — Commercial: $6.79 Allied National/Zelis - Freedom Plan — Commercial: $9.06 Ambetter IN — Commercial: $7.44 Amish — Commercial: $13.65 Anthem — Medicare Advantage: $6.47 Anthem HIP — Managed Medicaid: $6.47 Anthem IN — Managed Medicaid: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG PROTHROMBIN TIME	$26	$9.10	$2.91 – $15.60
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna — Commercial: $7.27 Aetna Better Health IL — Managed Medicaid: $3.82 Aetna Better Health KY — Managed Medicaid: $4.29 Alliance Coal — Commercial: $4.50 Allied National/Zelis - Freedom Plan — Commercial: $6.01 Ambetter IN — Commercial: $4.93 Amish — Commercial: $9.10 Anthem — Medicare Advantage: $4.29 Anthem HIP — Managed Medicaid: $4.29 Anthem IN — Managed Medicaid: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$120.78	$71.27	$1.72 – $102.66
Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates Aetna — Commercial: $8.37 Aetna Better Health KY — Managed Medicaid: $27.78 Alliance Coal — Commercial: $83.72 Allied National/Zelis - Freedom Plan — Commercial: $10.51 Ambetter IN — Commercial: $6.65 Amish — Commercial: $1.72 Anthem — Medicare Advantage: $4.29 Anthem HIP — Managed Medicaid: $4.29 Anthem IN — Managed Medicaid: $4.29 Anthem IN Pathway — HMO/PPO/Traditional: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME NON CLIA	$120.78	$71.27	$1.72 – $102.66
Blood clotting time test (prothrombin time, PT): 10 of 58 insurance plan rates Aetna — Commercial: $8.37 Aetna Better Health KY — Managed Medicaid: $27.78 Alliance Coal — Commercial: $83.72 Allied National/Zelis - Freedom Plan — Commercial: $10.51 Ambetter IN — Commercial: $6.65 Amish — Commercial: $1.72 Anthem — Medicare Advantage: $4.29 Anthem HIP — Managed Medicaid: $4.29 Anthem IN — Managed Medicaid: $4.29 Anthem IN Pathway — HMO/PPO/Traditional: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$33	$11.55	$2.97 – $19.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Commercial: $10.91 Aetna Better Health IL — Managed Medicaid: $5.88 Aetna Better Health KY — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Allied National/Zelis - Freedom Plan — Commercial: $8.41 Ambetter IN — Commercial: $6.91 Amish — Commercial: $11.55 Anthem — Medicare Advantage: $6.01 Anthem HIP — Managed Medicaid: $6.01 Anthem IN — Managed Medicaid: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: APTT	$33	$11.55	$2.97 – $19.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Commercial: $10.91 Aetna Better Health IL — Managed Medicaid: $5.88 Aetna Better Health KY — Managed Medicaid: $6.01 Alliance Coal — Commercial: $6.31 Allied National/Zelis - Freedom Plan — Commercial: $8.41 Ambetter IN — Commercial: $6.91 Amish — Commercial: $11.55 Anthem — Medicare Advantage: $6.01 Anthem HIP — Managed Medicaid: $6.01 Anthem IN — Managed Medicaid: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL	$207.12	$122.21	$2.40 – $176.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 58 insurance plan rates Aetna — Commercial: $11.72 Aetna Better Health KY — Managed Medicaid: $47.64 Alliance Coal — Commercial: $143.58 Allied National/Zelis - Freedom Plan — Commercial: $14.72 Ambetter IN — Commercial: $9.32 Amish — Commercial: $2.40 Anthem — Medicare Advantage: $6.01 Anthem HIP — Managed Medicaid: $6.01 Anthem IN — Managed Medicaid: $6.01 Anthem IN Pathway — HMO/PPO/Traditional: $6.01

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 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT HEAD/BRAIN W/O CONTRAST MATERIAL	$627	$219.45	$36.59 – $376.20
CT scan of the head or brain, without contrast: 10 of 62 insurance plan rates Aetna — Commercial: $131.33 Aetna Better Health IL — Managed Medicaid: $38.60 Aetna Better Health KY — Managed Medicaid: $36.59 Alliance Coal — Commercial: $51.57 Allied National/Zelis - Freedom Plan — Commercial: $52.32 Ambetter IN — Commercial: $42.98 Amish — Commercial: $219.45 Anthem — Medicare Advantage: $37.37 Anthem HIP — Managed Medicaid: $37.52 Anthem IN — Managed Medicaid: $37.52
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,906.44	$1,124.80	$39.20 – $1,620.47
CT scan of the head or brain, without contrast: 10 of 58 insurance plan rates Aetna — Commercial: $1,269.69 Aetna Better Health KY — Managed Medicaid: $438.48 Alliance Coal — Commercial: $1,321.54 Allied National/Zelis - Freedom Plan — Commercial: $240.10 Ambetter IN — Commercial: $151.90 Amish — Commercial: $39.20 Anthem — Medicare Advantage: $98 Anthem HIP — Managed Medicaid: $56.64 Anthem IN — Managed Medicaid: $56.64 Anthem IN Pathway — HMO/PPO/Traditional: $358.96
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$1,906.44	$1,124.80	$953.22 – $1,620.47
CT scan of the head or brain, without contrast: rates for 8 insurance plans Center Care — Commercial: $1,487.02 EncoreCombined — Commercial: $1,334.51 First Health/Coventry — Commercial: $1,410.77 Healthlink — HMO: $1,525.15 Healthlink — PPO: $1,620.47 IU Health — Medicare Advantage: $953.22 Self Pay — Self Pay: $1,124.80 United Healthcare VACCN — Commercial: $1,525.15
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$6,237.50	$3,680.13	$137.12 – $5,301.88
MRI of the brain, before and after contrast: 10 of 58 insurance plan rates Aetna — Commercial: $4,154.18 Aetna Better Health KY — Managed Medicaid: $1,434.63 Alliance Coal — Commercial: $4,323.84 Allied National/Zelis - Freedom Plan — Commercial: $839.86 Ambetter IN — Commercial: $531.34 Amish — Commercial: $137.12 Anthem — Medicare Advantage: $342.80 Anthem HIP — Managed Medicaid: $193.88 Anthem IN — Managed Medicaid: $193.88 Anthem IN Pathway — HMO/PPO/Traditional: $1,255.60
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$1,969	$689.15	$101.04 – $1,378.30
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna — Commercial: $1,378.30 Alliance Coal — Commercial: $259.20 Allied National/Zelis - Freedom Plan — Commercial: $1,181.40 Amish — Commercial: $689.15 Center Care — Commercial: $259.20 Chamber Care — TruConnect: $101.04 Cigna — Commercial: $259.20 ClaimDoc — Commercial: $293.76 Claritev (formerly PHCS/Mulitplan) — Commercial: $302.40 EncoreCombined — Commercial: $472.98
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&W/O CONTRAST	$6,237.50	$3,680.13	$3,118.75 – $5,301.88
MRI of the brain, before and after contrast: rates for 8 insurance plans Center Care — Commercial: $4,865.25 EncoreCombined — Commercial: $4,366.25 First Health/Coventry — Commercial: $4,615.75 Healthlink — HMO: $4,990 Healthlink — PPO: $5,301.88 IU Health — Medicare Advantage: $3,118.75 Self Pay — Self Pay: $3,680.13 United Healthcare VACCN — Commercial: $4,990
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$126	$44.10	$7.03 – $75.60
Chest X-ray, 2 views: 10 of 62 insurance plan rates Aetna — Commercial: $15.04 Aetna Better Health IL — Managed Medicaid: $7.03 Aetna Better Health KY — Managed Medicaid: $8.69 Alliance Coal — Commercial: $13.33 Allied National/Zelis - Freedom Plan — Commercial: $13.52 Ambetter IN — Commercial: $11.11 Amish — Commercial: $44.10 Anthem — Medicare Advantage: $9.66 Anthem HIP — Managed Medicaid: $9.78 Anthem IN — Managed Medicaid: $9.78
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$517.44	$305.29	$32.40 – $439.82
Chest X-ray, 2 views: 10 of 58 insurance plan rates Aetna — Commercial: $344.62 Aetna Better Health KY — Managed Medicaid: $119.01 Alliance Coal — Commercial: $358.69 Allied National/Zelis - Freedom Plan — Commercial: $198.45 Ambetter IN — Commercial: $125.55 Amish — Commercial: $32.40 Anthem — Medicare Advantage: $81 Anthem HIP — Managed Medicaid: $62.12 Anthem IN — Managed Medicaid: $62.12 Anthem IN Pathway — HMO/PPO/Traditional: $296.68
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$517.44	$305.29	$258.72 – $439.82
Chest X-ray, 2 views: rates for 8 insurance plans Center Care — Commercial: $403.60 EncoreCombined — Commercial: $362.21 First Health/Coventry — Commercial: $382.91 Healthlink — HMO: $413.95 Healthlink — PPO: $439.82 IU Health — Medicare Advantage: $258.72 Self Pay — Self Pay: $305.29 United Healthcare VACCN — Commercial: $413.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$158	$55.30	$11.69 – $94.80
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates Aetna — Commercial: $89.31 Aetna Better Health IL — Managed Medicaid: $37.90 Aetna Better Health KY — Managed Medicaid: $38.13 Alliance Coal — Commercial: $64.72 Allied National/Zelis - Freedom Plan — Commercial: $65.66 Ambetter IN — Commercial: $53.93 Amish — Commercial: $77.35 Anthem — Medicare Advantage: $46.90 Anthem HIP — Managed Medicaid: $47.47 Anthem IN — Managed Medicaid: $47.47
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	$23.45 – $358.96
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $240.10 Ambetter IN — Commercial: $151.90 Amish — Commercial: $39.20 Anthem — Medicare Advantage: $98 Anthem HIP — Managed Medicaid: $23.45 Anthem IN — Managed Medicaid: $23.45 Anthem IN Pathway — HMO/PPO/Traditional: $358.96 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $287.16 Anthem IN Pathways for Aging — Managed Medicaid: $23.45 Anthem Pathway Essentials — Commercial: $98
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$18.95 – $67.32
X-ray of the lower spine, at least 4 views: 10 of 57 insurance plan rates Aetna — Commercial: $67.32 Aetna Better Health IL — Managed Medicaid: $18.95 Aetna Better Health KY — Managed Medicaid: $24.79 Alliance Coal — Commercial: $48.37 Allied National/Zelis - Freedom Plan — Commercial: $49.07 Ambetter IN — Commercial: $40.31 Anthem — Medicare Advantage: $35.05 Anthem HIP — Managed Medicaid: $35.78 Anthem IN — Managed Medicaid: $35.78 Anthem IN Pathway — HMO/PPO/Traditional: $42
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$1,638	$573.30	$63.56 – $982.80
MRI of the lower back (lumbar spine), without contrast: 10 of 62 insurance plan rates Aetna — Commercial: $230.06 Aetna Better Health IL — Managed Medicaid: $67.91 Aetna Better Health KY — Managed Medicaid: $63.56 Alliance Coal — Commercial: $89.81 Allied National/Zelis - Freedom Plan — Commercial: $91.11 Ambetter IN — Commercial: $74.84 Amish — Commercial: $573.30 Anthem — Medicare Advantage: $65.08 Anthem HIP — Managed Medicaid: $65.73 Anthem IN — Managed Medicaid: $65.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$4,874.68	$2,876.07	$87.37 – $4,143.48
MRI of the lower back (lumbar spine), without contrast: 10 of 58 insurance plan rates Aetna — Commercial: $3,246.54 Aetna Better Health KY — Managed Medicaid: $1,121.18 Alliance Coal — Commercial: $3,379.13 Allied National/Zelis - Freedom Plan — Commercial: $535.13 Ambetter IN — Commercial: $338.55 Amish — Commercial: $87.37 Anthem — Medicare Advantage: $218.42 Anthem HIP — Managed Medicaid: $117.33 Anthem IN — Managed Medicaid: $117.33 Anthem IN Pathway — HMO/PPO/Traditional: $800.02
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$4,874.68	$2,876.07	$2,437.34 – $4,143.48
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Center Care — Commercial: $3,802.25 EncoreCombined — Commercial: $3,412.28 First Health/Coventry — Commercial: $3,607.26 Healthlink — HMO: $3,899.74 Healthlink — PPO: $4,143.48 IU Health — Medicare Advantage: $2,437.34 Self Pay — Self Pay: $2,876.06 United Healthcare VACCN — Commercial: $3,899.74
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT PELVIS W/CONTRAST MATERIAL	$805	$281.75	$49.66 – $483
CT scan of the pelvis, with contrast: 10 of 62 insurance plan rates Aetna — Commercial: $132.75 Aetna Better Health IL — Managed Medicaid: $75.29 Aetna Better Health KY — Managed Medicaid: $49.66 Alliance Coal — Commercial: $70.15 Allied National/Zelis - Freedom Plan — Commercial: $71.16 Ambetter IN — Commercial: $58.45 Amish — Commercial: $281.75 Anthem — Medicare Advantage: $50.83 Anthem HIP — Managed Medicaid: $51.31 Anthem IN — Managed Medicaid: $51.31
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,044.86	$1,206.47	$65.51 – $1,738.13
CT scan of the pelvis, with contrast: 10 of 58 insurance plan rates Aetna — Commercial: $1,361.88 Aetna Better Health KY — Managed Medicaid: $470.32 Alliance Coal — Commercial: $1,417.50 Allied National/Zelis - Freedom Plan — Commercial: $401.24 Ambetter IN — Commercial: $253.84 Amish — Commercial: $65.51 Anthem — Medicare Advantage: $163.77 Anthem HIP — Managed Medicaid: $123.28 Anthem IN — Managed Medicaid: $123.28 Anthem IN Pathway — HMO/PPO/Traditional: $599.88
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W/CONTRAST	$2,044.86	$1,206.47	$1,022.43 – $1,738.13
CT scan of the pelvis, with contrast: rates for 8 insurance plans Center Care — Commercial: $1,594.99 EncoreCombined — Commercial: $1,431.40 First Health/Coventry — Commercial: $1,513.20 Healthlink — HMO: $1,635.89 Healthlink — PPO: $1,738.13 IU Health — Medicare Advantage: $1,022.43 Self Pay — Self Pay: $1,206.47 United Healthcare VACCN — Commercial: $1,635.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$3,627.28	$2,140.10	$87.37 – $3,083.19
MRI of a leg joint (such as the knee), without contrast: 10 of 58 insurance plan rates Aetna — Commercial: $2,415.77 Aetna Better Health KY — Managed Medicaid: $834.27 Alliance Coal — Commercial: $2,514.43 Allied National/Zelis - Freedom Plan — Commercial: $535.13 Ambetter IN — Commercial: $338.55 Amish — Commercial: $87.37 Anthem — Medicare Advantage: $218.42 Anthem HIP — Managed Medicaid: $129.47 Anthem IN — Managed Medicaid: $129.47 Anthem IN Pathway — HMO/PPO/Traditional: $800.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$1,232	$431.20	$60.11 – $862.40
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — Commercial: $862.40 Alliance Coal — Commercial: $165 Allied National/Zelis - Freedom Plan — Commercial: $739.20 Amish — Commercial: $96.25 Center Care — Commercial: $165 Chamber Care — TruConnect: $60.11 Cigna — Commercial: $739.20 ClaimDoc — Commercial: $837.76 Claritev (formerly PHCS/Mulitplan) — Commercial: $192.50 EncoreCombined — Commercial: $300.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$3,627.28	$2,140.10	$1,813.64 – $3,083.19
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Center Care — Commercial: $2,829.28 EncoreCombined — Commercial: $2,539.10 First Health/Coventry — Commercial: $2,684.19 Healthlink — HMO: $2,901.82 Healthlink — PPO: $3,083.19 IU Health — Medicare Advantage: $1,813.64 Self Pay — Self Pay: $2,140.10 United Healthcare VACCN — Commercial: $2,901.82
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$320	$112	$57.95 – $449.16
CT scan of the abdomen and pelvis, with contrast: 10 of 62 insurance plan rates Aetna — Commercial: $148.64 Aetna Better Health IL — Managed Medicaid: $57.95 Aetna Better Health KY — Managed Medicaid: $77.44 Alliance Coal — Commercial: $110.57 Allied National/Zelis - Freedom Plan — Commercial: $112.17 Ambetter IN — Commercial: $92.14 Amish — Commercial: $112 Anthem — Medicare Advantage: $80.12 Anthem HIP — Managed Medicaid: $80.35 Anthem IN — Managed Medicaid: $80.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,587.86	$2,116.84	$137.12 – $3,049.68
CT scan of the abdomen and pelvis, with contrast: 10 of 58 insurance plan rates Aetna — Commercial: $2,389.51 Aetna Better Health KY — Managed Medicaid: $825.21 Alliance Coal — Commercial: $2,487.10 Allied National/Zelis - Freedom Plan — Commercial: $839.86 Ambetter IN — Commercial: $531.34 Amish — Commercial: $137.12 Anthem — Medicare Advantage: $342.80 Anthem HIP — Managed Medicaid: $162.17 Anthem IN — Managed Medicaid: $162.17 Anthem IN Pathway — HMO/PPO/Traditional: $1,255.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,587.86	$2,116.84	$1,793.93 – $3,049.68
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Center Care — Commercial: $2,798.53 EncoreCombined — Commercial: $2,511.50 First Health/Coventry — Commercial: $2,655.02 Healthlink — HMO: $2,870.29 Healthlink — PPO: $3,049.68 IU Health — Medicare Advantage: $1,793.93 Self Pay — Self Pay: $2,116.84 United Healthcare VACCN — Commercial: $2,870.29
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$243	$85.05	$26.56 – $167.93
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates Aetna — Commercial: $69.02 Aetna Better Health IL — Managed Medicaid: $26.56 Aetna Better Health KY — Managed Medicaid: $34.91 Alliance Coal — Commercial: $48.96 Allied National/Zelis - Freedom Plan — Commercial: $49.67 Ambetter IN — Commercial: $40.80 Amish — Commercial: $85.05 Anthem — Medicare Advantage: $35.48 Anthem HIP — Managed Medicaid: $35.61 Anthem IN — Managed Medicaid: $35.61
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,090.30	$643.28	$39.20 – $926.76
Ultrasound of the abdomen, complete: 10 of 58 insurance plan rates Aetna — Commercial: $726.14 Aetna Better Health KY — Managed Medicaid: $250.77 Alliance Coal — Commercial: $755.80 Allied National/Zelis - Freedom Plan — Commercial: $240.10 Ambetter IN — Commercial: $151.90 Amish — Commercial: $39.20 Anthem — Medicare Advantage: $98 Anthem HIP — Managed Medicaid: $70.27 Anthem IN — Managed Medicaid: $70.27 Anthem IN Pathway — HMO/PPO/Traditional: $358.96
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,090.30	$643.28	$545.15 – $926.76
Ultrasound of the abdomen, complete: rates for 8 insurance plans Center Care — Commercial: $850.43 EncoreCombined — Commercial: $763.21 First Health/Coventry — Commercial: $806.82 Healthlink — HMO: $872.24 Healthlink — PPO: $926.76 IU Health — Medicare Advantage: $545.15 Self Pay — Self Pay: $643.28 United Healthcare VACCN — Commercial: $872.24
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$443	$155.05	$44.22 – $274.21
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates Aetna — Commercial: $274.21 Aetna Better Health IL — Managed Medicaid: $87.72 Aetna Better Health KY — Managed Medicaid: $99.62 Alliance Coal — Commercial: $167.73 Allied National/Zelis - Freedom Plan — Commercial: $170.16 Ambetter IN — Commercial: $139.77 Amish — Commercial: $155.05 Anthem — Medicare Advantage: $121.54 Anthem HIP — Managed Medicaid: $124.54 Anthem IN — Managed Medicaid: $124.54
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$1,399.43	$825.67	$39.20 – $1,189.52
Pregnancy ultrasound (after the first trimester): 10 of 58 insurance plan rates Aetna — Commercial: $932.02 Aetna Better Health KY — Managed Medicaid: $176.93 Alliance Coal — Commercial: $970.08 Allied National/Zelis - Freedom Plan — Commercial: $240.10 Ambetter IN — Commercial: $151.90 Amish — Commercial: $39.20 Anthem — Medicare Advantage: $98 Anthem HIP — Managed Medicaid: $67.54 Anthem IN — Managed Medicaid: $67.54 Anthem IN Pathway — HMO/PPO/Traditional: $358.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$769.25	$453.86	$384.63 – $653.86
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Center Care — Commercial: $1,091.56 EncoreCombined — Commercial: $979.60 First Health/Coventry — Commercial: $569.25 Healthlink — HMO: $1,119.54 Healthlink — PPO: $1,189.52 IU Health — Medicare Advantage: $699.72 Self Pay — Self Pay: $453.86 United Healthcare VACCN — Commercial: $615.40
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$205	$71.75	$30.62 – $171.95
Transvaginal ultrasound: 10 of 62 insurance plan rates Aetna — Commercial: $170.75 Aetna Better Health IL — Managed Medicaid: $76.76 Aetna Better Health KY — Managed Medicaid: $71.37 Alliance Coal — Commercial: $146.71 Allied National/Zelis - Freedom Plan — Commercial: $148.83 Ambetter IN — Commercial: $122.26 Amish — Commercial: $71.75 Anthem — Medicare Advantage: $106.31 Anthem HIP — Managed Medicaid: $109.13 Anthem IN — Managed Medicaid: $109.13
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$611.81	$360.97	$39.20 – $520.04
Transvaginal ultrasound: 10 of 58 insurance plan rates Aetna — Commercial: $407.47 Aetna Better Health KY — Managed Medicaid: $234.83 Alliance Coal — Commercial: $707.76 Allied National/Zelis - Freedom Plan — Commercial: $240.10 Ambetter IN — Commercial: $151.90 Amish — Commercial: $39.20 Anthem — Medicare Advantage: $98 Anthem HIP — Managed Medicaid: $64.08 Anthem IN — Managed Medicaid: $64.08 Anthem IN Pathway — HMO/PPO/Traditional: $358.96
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL	$1,021	$602.39	$510.50 – $867.85
Transvaginal ultrasound: rates for 8 insurance plans Center Care — Commercial: $796.38 EncoreCombined — Commercial: $714.70 First Health/Coventry — Commercial: $452.74 Healthlink — HMO: $816.80 Healthlink — PPO: $520.04 IU Health — Medicare Advantage: $305.91 Self Pay — Self Pay: $602.39 United Healthcare VACCN — Commercial: $816.80
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$543.57	$320.71	$35.91 – $462.03
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates Aetna — Commercial: $362.02 Aetna Better Health KY — Managed Medicaid: $125.02 Alliance Coal — Commercial: $376.80 Anthem HIP — Managed Medicaid: $65.56 Anthem IN — Managed Medicaid: $65.56 Anthem IN Pathway — HMO/PPO/Traditional: $35.91 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $35.91 Anthem IN Pathways for Aging — Managed Medicaid: $65.56 Caresource HIP — Managed Medicaid: $65.56 Caresource IN — Managed Medicaid: $65.56
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$165	$57.75	$33 – $181
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Aetna — Commercial: $115.50 Alliance Coal — Commercial: $99 Allied National/Zelis - Freedom Plan — Commercial: $99 Amish — Commercial: $57.75 Center Care — Commercial: $99 Chamber Care — TruConnect: $35.91 Cigna — Commercial: $99 ClaimDoc — Commercial: $112.20 Claritev (formerly PHCS/Mulitplan) — Commercial: $115.50 EncoreCombined — Commercial: $181
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$543.57	$320.71	$271.79 – $462.03
Diagnostic mammogram, one breast: rates for 8 insurance plans Center Care — Commercial: $423.98 EncoreCombined — Commercial: $380.50 First Health/Coventry — Commercial: $402.24 Healthlink — HMO: $434.86 Healthlink — PPO: $462.03 IU Health — Medicare Advantage: $271.79 Self Pay — Self Pay: $320.71 United Healthcare VACCN — Commercial: $434.86
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$543.57	$320.71	$44.10 – $462.03
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates Aetna — Commercial: $362.02 Aetna Better Health KY — Managed Medicaid: $125.02 Alliance Coal — Commercial: $376.80 Anthem HIP — Managed Medicaid: $83.89 Anthem IN — Managed Medicaid: $83.89 Anthem IN Pathway — HMO/PPO/Traditional: $44.10 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $44.10 Anthem IN Pathways for Aging — Managed Medicaid: $83.89 Caresource HIP — Managed Medicaid: $83.89 Caresource IN — Managed Medicaid: $83.89
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$200	$70	$40 – $228.88
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates Aetna — Commercial: $140 Alliance Coal — Commercial: $120 Allied National/Zelis - Freedom Plan — Commercial: $120 Amish — Commercial: $70 Center Care — Commercial: $120 Chamber Care — TruConnect: $44.10 Cigna — Commercial: $120 ClaimDoc — Commercial: $136 Claritev (formerly PHCS/Mulitplan) — Commercial: $140 EncoreCombined — Commercial: $228.88
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$543.57	$320.71	$271.79 – $462.03
Diagnostic mammogram, both breasts: rates for 8 insurance plans Center Care — Commercial: $423.98 EncoreCombined — Commercial: $380.50 First Health/Coventry — Commercial: $402.24 Healthlink — HMO: $434.86 Healthlink — PPO: $462.03 IU Health — Medicare Advantage: $271.79 Self Pay — Self Pay: $320.71 United Healthcare VACCN — Commercial: $434.86
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$744.62	$439.33	$69.28 – $632.93
Screening mammogram, both breasts: 10 of 37 insurance plan rates Aetna — Commercial: $495.92 Aetna Better Health KY — Managed Medicaid: $171.26 Alliance Coal — Commercial: $516.17 Anthem HIP — Managed Medicaid: $69.28 Anthem IN — Managed Medicaid: $69.28 Anthem IN Pathway — HMO/PPO/Traditional: $263 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $263 Anthem IN Pathways for Aging — Managed Medicaid: $69.28 Caresource HIP — Managed Medicaid: $69.28 Caresource IN — Managed Medicaid: $69.28
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$144	$50.40	$28.80 – $184.60
Screening mammogram, both breasts: 10 of 21 insurance plan rates Aetna — Commercial: $100.80 Alliance Coal — Commercial: $86.40 Allied National/Zelis - Freedom Plan — Commercial: $86.40 Amish — Commercial: $50.40 Center Care — Commercial: $86.40 Chamber Care — TruConnect: $33.67 Cigna — Commercial: $86.40 ClaimDoc — Commercial: $97.92 Claritev (formerly PHCS/Mulitplan) — Commercial: $100.80 EncoreCombined — Commercial: $184.60
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$744.62	$439.33	$372.31 – $632.93
Screening mammogram, both breasts: rates for 8 insurance plans Center Care — Commercial: $580.80 EncoreCombined — Commercial: $521.23 First Health/Coventry — Commercial: $551.02 Healthlink — HMO: $595.70 Healthlink — PPO: $632.93 IU Health — Medicare Advantage: $372.31 Self Pay — Self Pay: $439.33 United Healthcare VACCN — Commercial: $595.70

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$82	$28.70	$12.97 – $49.20
Electrocardiogram (ECG/EKG) with reading: 10 of 62 insurance plan rates Aetna — Commercial: $45.96 Aetna Better Health IL — Managed Medicaid: $13.64 Aetna Better Health KY — Managed Medicaid: $21.79 Alliance Coal — Commercial: $17.90 Allied National/Zelis - Freedom Plan — Commercial: $18.16 Ambetter IN — Commercial: $14.92 Amish — Commercial: $28.70 Anthem — Medicare Advantage: $12.97 Anthem HIP — Managed Medicaid: $13.13 Anthem IN — Managed Medicaid: $13.13
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$704	$246.40	$162.24 – $1,056.28
Left heart catheterization (diagnostic): 10 of 62 insurance plan rates Aetna — Commercial: $361.79 Aetna Better Health IL — Managed Medicaid: $162.24 Aetna Better Health KY — Managed Medicaid: $227.27 Alliance Coal — Commercial: $283.04 Allied National/Zelis - Freedom Plan — Commercial: $287.14 Ambetter IN — Commercial: $235.86 Amish — Commercial: $246.40 Anthem — Medicare Advantage: $205.10 Anthem HIP — Managed Medicaid: $207.34 Anthem IN — Managed Medicaid: $207.34
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	$1,161.82 – $10,806
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $7,116.17 Ambetter IN — Commercial: $4,502.07 Amish — Commercial: $1,161.82 Anthem — Medicare Advantage: $2,904.56 Anthem IN Pathway — HMO/PPO/Traditional: $10,638.90 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $8,510.98 Anthem Pathway Essentials — Commercial: $2,904.56 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,962.65 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2,962.65 Caresource — Medicare Advantage: $2,904.56
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$162.24 – $417.49
Left heart catheterization (diagnostic): 10 of 57 insurance plan rates Aetna — Commercial: $361.79 Aetna Better Health IL — Managed Medicaid: $162.24 Aetna Better Health KY — Managed Medicaid: $227.27 Alliance Coal — Commercial: $283.04 Allied National/Zelis - Freedom Plan — Commercial: $287.14 Ambetter IN — Commercial: $235.86 Anthem — Medicare Advantage: $205.10 Anthem HIP — Managed Medicaid: $207.34 Anthem IN — Managed Medicaid: $207.34 Anthem IN Pathway — HMO/PPO/Traditional: $345.36
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$1,783	$624.05	$404.56 – $1,461.54
Heart rhythm study (electrophysiology evaluation): 10 of 62 insurance plan rates Aetna — Commercial: $1,461.54 Aetna Better Health IL — Managed Medicaid: $452.87 Aetna Better Health KY — Managed Medicaid: $697.01 Alliance Coal — Commercial: $986.24 Allied National/Zelis - Freedom Plan — Commercial: $1,000.54 Ambetter IN — Commercial: $821.87 Amish — Commercial: $591.15 Anthem — Medicare Advantage: $714.67 Anthem HIP — Managed Medicaid: $714.67 Anthem IN — Managed Medicaid: $714.67
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$2,662.74 – $24,382.94
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $16,309.31 Ambetter IN — Commercial: $10,318.13 Amish — Commercial: $2,662.74 Anthem — Medicare Advantage: $6,656.86 Anthem IN Pathway — HMO/PPO/Traditional: $24,382.94 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $19,506.03 Anthem Pathway Essentials — Commercial: $6,656.86 Blue Cross Blue Shield of Illinois — Medicare Advantage: $6,790 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $6,790 Caresource — Medicare Advantage: $6,656.86
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$262.66 – $771.15
Heart rhythm study (electrophysiology evaluation): 10 of 57 insurance plan rates Aetna — Commercial: $771.15 Aetna Better Health IL — Managed Medicaid: $262.66 Aetna Better Health KY — Managed Medicaid: $487.01 Alliance Coal — Commercial: $459.54 Allied National/Zelis - Freedom Plan — Commercial: $466.20 Ambetter IN — Commercial: $382.95 Anthem — Medicare Advantage: $333 Anthem HIP — Managed Medicaid: $337.13 Anthem IN — Managed Medicaid: $337.13 Anthem IN Pathway — HMO/PPO/Traditional: $601.70
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,860	$1,001	$709.43 – $1,957.98
Heart rhythm study with ablation for atrial fibrillation: 10 of 62 insurance plan rates Aetna — Commercial: $1,732.98 Aetna Better Health IL — Managed Medicaid: $709.43 Aetna Better Health KY — Managed Medicaid: $877.43 Alliance Coal — Commercial: $1,125.72 Allied National/Zelis - Freedom Plan — Commercial: $1,142.04 Ambetter IN — Commercial: $938.10 Amish — Commercial: $1,001 Anthem — Medicare Advantage: $815.74 Anthem HIP — Managed Medicaid: $824.01 Anthem IN — Managed Medicaid: $824.01
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$8,468.10 – $77,542.97
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $51,867.09 Ambetter IN — Commercial: $32,813.87 Amish — Commercial: $8,468.10 Anthem — Medicare Advantage: $21,170.24 Anthem IN Pathway — HMO/PPO/Traditional: $77,542.97 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $62,033.34 Anthem Pathway Essentials — Commercial: $21,170.24 Blue Cross Blue Shield of Illinois — Medicare Advantage: $21,593.64 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $21,593.64 Caresource — Medicare Advantage: $21,170.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$525	$183.75	$131.83 – $1,084.94
Sleep study (overnight, in a sleep lab): 10 of 62 insurance plan rates Aetna — Commercial: $1,084.94 Aetna Better Health IL — Managed Medicaid: $398.94 Aetna Better Health KY — Managed Medicaid: $542.42 Alliance Coal — Commercial: $778.17 Allied National/Zelis - Freedom Plan — Commercial: $789.45 Ambetter IN — Commercial: $648.47 Amish — Commercial: $787.50 Anthem — Medicare Advantage: $563.89 Anthem HIP — Managed Medicaid: $568.11 Anthem IN — Managed Medicaid: $568.11
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	$372.78 – $3,413.59
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $2,283.28 Ambetter IN — Commercial: $1,444.52 Amish — Commercial: $372.78 Anthem — Medicare Advantage: $931.95 Anthem HIP — Managed Medicaid: $912.79 Anthem IN — Managed Medicaid: $912.79 Anthem IN Pathway — HMO/PPO/Traditional: $3,413.59 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,730.83 Anthem IN Pathways for Aging — Managed Medicaid: $912.79 Anthem Pathway Essentials — Commercial: $931.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$78.55 – $221.70
Sleep study (overnight, in a sleep lab): 10 of 57 insurance plan rates Aetna — Commercial: $209.80 Aetna Better Health IL — Managed Medicaid: $78.55 Aetna Better Health KY — Managed Medicaid: $130.12 Alliance Coal — Commercial: $149.95 Allied National/Zelis - Freedom Plan — Commercial: $152.12 Ambetter IN — Commercial: $124.96 Anthem — Medicare Advantage: $108.66 Anthem HIP — Managed Medicaid: $109.86 Anthem IN — Managed Medicaid: $109.86 Anthem IN Pathway — HMO/PPO/Traditional: $119.97

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: PR THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$65	$22.75	$19.41 – $48.69
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 62 insurance plan rates Aetna — Commercial: $48.69 Aetna Better Health IL — Managed Medicaid: $19.41 Aetna Better Health KY — Managed Medicaid: $20.90 Alliance Coal — Commercial: $28.92 Allied National/Zelis - Freedom Plan — Commercial: $38.56 Ambetter IN — Commercial: $31.67 Amish — Commercial: $22.75 Anthem — Medicare Advantage: $27.54 Anthem HIP — Managed Medicaid: $27.57 Anthem IN — Managed Medicaid: $27.57
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT THERAPEUTIC EXERCISE 15 MIN	$124.38	$73.39	$28.61 – $105.72
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates Aetna — Commercial: $82.84 Aetna Better Health KY — Managed Medicaid: $28.61 Alliance Coal — Commercial: $86.22 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $97.02 Chamber Care — TruConnect: $87.07 Cigna — Commercial: $89.55 Claritev (formerly PHCS/Mulitplan) — Commercial: $85.82 EncoreCombined — Commercial: $87.07
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT THERAPEUTIC EXERCISE 15 MIN	$124.38	$73.39	$28.61 – $139.74
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates Aetna — Commercial: $82.84 Aetna Better Health KY — Managed Medicaid: $28.61 Alliance Coal — Commercial: $86.22 Anthem IN Pathway — HMO/PPO/Traditional: $139.74 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $111.79 Center Care — Commercial: $97.02 Chamber Care — TruConnect: $87.07 Cigna — Commercial: $89.55 Claritev (formerly PHCS/Mulitplan) — Commercial: $85.82 EncoreCombined — Commercial: $87.07
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$238	$83.30	$47.60 – $166.60
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Aetna — Commercial: $166.60 Alliance Coal — Commercial: $142.80 Allied National/Zelis - Freedom Plan — Commercial: $142.80 Amish — Commercial: $83.30 Center Care — Commercial: $142.80 Chamber Care — TruConnect: $141.35 Cigna — Commercial: $142.80 ClaimDoc — Commercial: $161.84 Claritev (formerly PHCS/Mulitplan) — Commercial: $166.60 EncoreCombined — Commercial: $124.54
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 15 MIN LOW COMPLX	$92	$54.28	$21.16 – $84.05
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates Aetna — Commercial: $61.27 Aetna Better Health KY — Managed Medicaid: $21.16 Alliance Coal — Commercial: $63.77 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $71.76 Chamber Care — TruConnect: $64.40 Cigna — Commercial: $66.24 Claritev (formerly PHCS/Mulitplan) — Commercial: $63.48 EncoreCombined — Commercial: $64.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 45 MIN LOW COMPLX	$275.97	$162.83	$63.47 – $234.57
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates Aetna — Commercial: $183.80 Aetna Better Health KY — Managed Medicaid: $63.47 Alliance Coal — Commercial: $191.30 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $215.26 Chamber Care — TruConnect: $193.18 Cigna — Commercial: $198.70 Claritev (formerly PHCS/Mulitplan) — Commercial: $190.42 EncoreCombined — Commercial: $193.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$240	$84	$48 – $168
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Aetna — Commercial: $168 Alliance Coal — Commercial: $144 Allied National/Zelis - Freedom Plan — Commercial: $144 Amish — Commercial: $84 Center Care — Commercial: $144 Chamber Care — TruConnect: $141.35 Cigna — Commercial: $144 ClaimDoc — Commercial: $163.20 Claritev (formerly PHCS/Mulitplan) — Commercial: $168 EncoreCombined — Commercial: $124.54
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 105 MIN MOD COMPLX	$643.94	$379.93	$67.24 – $547.35
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates Aetna — Commercial: $428.86 Aetna Better Health KY — Managed Medicaid: $148.11 Alliance Coal — Commercial: $446.38 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $502.27 Chamber Care — TruConnect: $450.76 Cigna — Commercial: $463.64 Claritev (formerly PHCS/Mulitplan) — Commercial: $444.32 EncoreCombined — Commercial: $450.76
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 15 MIN MOD COMPLEX	$92	$54.28	$21.16 – $84.05
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates Aetna — Commercial: $61.27 Aetna Better Health KY — Managed Medicaid: $21.16 Alliance Coal — Commercial: $63.77 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $71.76 Chamber Care — TruConnect: $64.40 Cigna — Commercial: $66.24 Claritev (formerly PHCS/Mulitplan) — Commercial: $63.48 EncoreCombined — Commercial: $64.40
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$248	$86.80	$49.60 – $173.60
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna — Commercial: $173.60 Alliance Coal — Commercial: $148.80 Allied National/Zelis - Freedom Plan — Commercial: $148.80 Amish — Commercial: $86.80 Center Care — Commercial: $148.80 Chamber Care — TruConnect: $141.35 Cigna — Commercial: $148.80 ClaimDoc — Commercial: $168.64 Claritev (formerly PHCS/Mulitplan) — Commercial: $173.60 EncoreCombined — Commercial: $124.54
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 15 MIN HIGH COMPLEX	$92	$54.28	$21.16 – $84.05
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates Aetna — Commercial: $61.27 Aetna Better Health KY — Managed Medicaid: $21.16 Alliance Coal — Commercial: $63.77 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $71.76 Chamber Care — TruConnect: $64.40 Cigna — Commercial: $66.24 Claritev (formerly PHCS/Mulitplan) — Commercial: $63.48 EncoreCombined — Commercial: $64.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVALUATION 60 MIN HIGH COMPLEX	$367.96	$217.10	$67.24 – $312.77
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates Aetna — Commercial: $245.06 Aetna Better Health KY — Managed Medicaid: $84.63 Alliance Coal — Commercial: $255.07 Anthem IN Pathway — HMO/PPO/Traditional: $84.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $67.24 Center Care — Commercial: $287.01 Chamber Care — TruConnect: $257.57 Cigna — Commercial: $264.93 Claritev (formerly PHCS/Mulitplan) — Commercial: $253.89 EncoreCombined — Commercial: $257.57
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 30 MINUTES	$159	$55.65	$46.94 – $114.59
Psychotherapy, 30 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $108.02 Aetna Better Health IL — Managed Medicaid: $46.98 Aetna Better Health KY — Managed Medicaid: $46.94 Alliance Coal — Commercial: $93.36 Allied National/Zelis - Freedom Plan — Commercial: $94.71 Ambetter IN — Commercial: $77.80 Amish — Commercial: $55.65 Anthem — Medicare Advantage: $67.65 Anthem HIP — Managed Medicaid: $74.78 Anthem IN — Managed Medicaid: $74.78
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	$56.85 – $520.56
Psychotherapy, 30 minutes: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $348.19 Ambetter IN — Commercial: $220.29 Amish — Commercial: $56.85 Anthem — Medicare Advantage: $142.12 Anthem IN Pathway — HMO/PPO/Traditional: $520.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $416.44 Anthem Pathway Essentials — Commercial: $142.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $144.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $144.96 Caresource — Medicare Advantage: $142.12
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 45 MINUTES	$188	$65.80	$62.03 – $152.79
Psychotherapy, 45 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $140.32 Aetna Better Health IL — Managed Medicaid: $62.03 Aetna Better Health KY — Managed Medicaid: $62.66 Alliance Coal — Commercial: $123.21 Allied National/Zelis - Freedom Plan — Commercial: $124.99 Ambetter IN — Commercial: $102.67 Amish — Commercial: $65.80 Anthem — Medicare Advantage: $89.28 Anthem HIP — Managed Medicaid: $98.73 Anthem IN — Managed Medicaid: $98.73
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	$56.85 – $520.56
Psychotherapy, 45 minutes: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $348.19 Ambetter IN — Commercial: $220.29 Amish — Commercial: $56.85 Anthem — Medicare Advantage: $142.12 Anthem IN Pathway — HMO/PPO/Traditional: $520.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $416.44 Anthem Pathway Essentials — Commercial: $142.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $144.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $144.96 Caresource — Medicare Advantage: $142.12
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 60 MINUTES	$298	$104.30	$91.58 – $228.92
Psychotherapy, 60 minutes: 10 of 62 insurance plan rates Aetna — Commercial: $205.59 Aetna Better Health IL — Managed Medicaid: $91.58 Aetna Better Health KY — Managed Medicaid: $93.67 Alliance Coal — Commercial: $182.28 Allied National/Zelis - Freedom Plan — Commercial: $184.93 Ambetter IN — Commercial: $151.90 Amish — Commercial: $104.30 Anthem — Medicare Advantage: $132.09 Anthem HIP — Managed Medicaid: $145.54 Anthem IN — Managed Medicaid: $145.54
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	$56.85 – $520.56
Psychotherapy, 60 minutes: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $348.19 Ambetter IN — Commercial: $220.29 Amish — Commercial: $56.85 Anthem — Medicare Advantage: $142.12 Anthem IN Pathway — HMO/PPO/Traditional: $520.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $416.44 Anthem Pathway Essentials — Commercial: $142.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $144.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $144.96 Caresource — Medicare Advantage: $142.12
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$243	$85.05	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $184.65
Family psychotherapy, without the patient: 10 of 62 insurance plan rates Aetna — Commercial: $137.84 Aetna Better Health IL — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health KY — Managed Medicaid: $75.73 Alliance Coal — Commercial: $133.10 Allied National/Zelis - Freedom Plan — Commercial: $135.03 Ambetter IN — Commercial: $110.92 Amish — Commercial: $85.05 Anthem — Medicare Advantage: $96.45 Anthem HIP — Managed Medicaid: $93.87 Anthem IN — Managed Medicaid: $93.87
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	$56.85 – $520.56
Family psychotherapy, without the patient: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $348.19 Ambetter IN — Commercial: $220.29 Amish — Commercial: $56.85 Anthem — Medicare Advantage: $142.12 Anthem IN Pathway — HMO/PPO/Traditional: $520.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $416.44 Anthem Pathway Essentials — Commercial: $142.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $144.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $144.96 Caresource — Medicare Advantage: $142.12
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$236	$82.60	$69.80 – $191.94
Family psychotherapy, with the patient: 10 of 62 insurance plan rates Aetna — Commercial: $146.20 Aetna Better Health IL — Managed Medicaid: $69.80 Aetna Better Health KY — Managed Medicaid: $78.18 Alliance Coal — Commercial: $138.84 Allied National/Zelis - Freedom Plan — Commercial: $140.85 Ambetter IN — Commercial: $115.70 Amish — Commercial: $82.60 Anthem — Medicare Advantage: $100.61 Anthem HIP — Managed Medicaid: $98.37 Anthem IN — Managed Medicaid: $98.37
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	$56.85 – $520.56
Family psychotherapy, with the patient: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $348.19 Ambetter IN — Commercial: $220.29 Amish — Commercial: $56.85 Anthem — Medicare Advantage: $142.12 Anthem IN Pathway — HMO/PPO/Traditional: $520.56 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $416.44 Anthem Pathway Essentials — Commercial: $142.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $144.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $144.96 Caresource — Medicare Advantage: $142.12
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: PR GROUP PSYCHOTHERAPY	$120	$42	$18.82 – $72
Group psychotherapy: 10 of 62 insurance plan rates Aetna — Commercial: $43.73 Aetna Better Health IL — Managed Medicaid: $33.70 Aetna Better Health KY — Managed Medicaid: $18.82 Alliance Coal — Commercial: $32.73 Allied National/Zelis - Freedom Plan — Commercial: $33.21 Ambetter IN — Commercial: $27.28 Amish — Commercial: $42 Anthem — Medicare Advantage: $23.72 Anthem HIP — Managed Medicaid: $23.07 Anthem IN — Managed Medicaid: $23.07
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	$31.78 – $291.02
Group psychotherapy: 10 of 26 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $194.65 Ambetter IN — Commercial: $123.15 Amish — Commercial: $31.78 Anthem — Medicare Advantage: $79.45 Anthem IN Pathway — HMO/PPO/Traditional: $291.02 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $232.81 Anthem Pathway Essentials — Commercial: $79.45 Blue Cross Blue Shield of Illinois — Medicare Advantage: $81.04 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $81.04 Caresource — Medicare Advantage: $79.45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,895	$663.25	$263.73 – $1,137
Removal of breast growth (open surgery): 10 of 62 insurance plan rates Aetna — Commercial: $724.73 Aetna Better Health IL — Managed Medicaid: $292.39 Aetna Better Health KY — Managed Medicaid: $263.73 Alliance Coal — Commercial: $517.29 Allied National/Zelis - Freedom Plan — Commercial: $524.79 Ambetter IN — Commercial: $431.08 Amish — Commercial: $663.25 Anthem — Medicare Advantage: $374.85 Anthem HIP — Managed Medicaid: $468.98 Anthem IN — Managed Medicaid: $468.98
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	$1,359.06 – $12,444.97
Removal of breast growth (open surgery): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $8,324.22 Ambetter IN — Commercial: $5,266.34 Amish — Commercial: $1,359.06 Anthem — Medicare Advantage: $3,397.64 Anthem IN Pathway — HMO/PPO/Traditional: $12,444.97 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $9,955.81 Anthem Pathway Essentials — Commercial: $3,397.64 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,465.59 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,465.59 Caresource — Medicare Advantage: $3,397.64
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$6,157	$2,154.95	$1,154.08 – $4,055.24
Total hip replacement: 10 of 62 insurance plan rates Aetna — Commercial: $4,055.24 Aetna Better Health IL — Managed Medicaid: $1,271.96 Aetna Better Health KY — Managed Medicaid: $1,300.74 Alliance Coal — Commercial: $1,592.63 Allied National/Zelis - Freedom Plan — Commercial: $1,615.71 Ambetter IN — Commercial: $1,327.19 Amish — Commercial: $2,154.95 Anthem — Medicare Advantage: $1,154.08 Anthem HIP — Managed Medicaid: $1,158.64 Anthem IN — Managed Medicaid: $1,158.64
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	$4,692.54 – $42,969.94
Total hip replacement: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $28,741.81 Ambetter IN — Commercial: $18,183.59 Amish — Commercial: $4,692.54 Anthem — Medicare Advantage: $11,731.35 Anthem IN Pathway — HMO/PPO/Traditional: $42,969.94 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $34,375.38 Anthem Pathway Essentials — Commercial: $11,731.35 Blue Cross Blue Shield of Illinois — Medicare Advantage: $11,965.98 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $11,965.98 Caresource — Medicare Advantage: $11,731.35
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$6,094	$2,132.90	$1,152.73 – $4,049.89
Total knee replacement: 10 of 62 insurance plan rates Aetna — Commercial: $4,049.89 Aetna Better Health IL — Managed Medicaid: $1,269.86 Aetna Better Health KY — Managed Medicaid: $1,373.97 Alliance Coal — Commercial: $1,590.77 Allied National/Zelis - Freedom Plan — Commercial: $1,613.82 Ambetter IN — Commercial: $1,325.64 Amish — Commercial: $2,132.90 Anthem — Medicare Advantage: $1,152.73 Anthem HIP — Managed Medicaid: $1,157.11 Anthem IN — Managed Medicaid: $1,157.11
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	$4,692.54 – $42,969.94
Total knee replacement: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $28,741.81 Ambetter IN — Commercial: $18,183.59 Amish — Commercial: $4,692.54 Anthem — Medicare Advantage: $11,731.35 Anthem IN Pathway — HMO/PPO/Traditional: $42,969.94 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $34,375.38 Anthem Pathway Essentials — Commercial: $11,731.35 Blue Cross Blue Shield of Illinois — Medicare Advantage: $11,965.98 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $11,965.98 Caresource — Medicare Advantage: $11,731.35
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$3,876	$1,356.60	$152.82 – $2,325.60
Shoulder arthroscopy: shaving of shoulder bone: 10 of 62 insurance plan rates Aetna — Commercial: $536.66 Aetna Better Health IL — Managed Medicaid: $169.85 Aetna Better Health KY — Managed Medicaid: $610.22 Alliance Coal — Commercial: $210.89 Allied National/Zelis - Freedom Plan — Commercial: $213.95 Ambetter IN — Commercial: $175.74 Amish — Commercial: $1,356.60 Anthem — Medicare Advantage: $152.82 Anthem HIP — Managed Medicaid: $153.33 Anthem IN — Managed Medicaid: $153.33
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$3,019 – $3,481
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans United Healthcare — Commercial: $3,481 United Healthcare Nexus — Commercial: $3,019
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$3,400	$1,190	$494.35 – $2,040
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 62 insurance plan rates Aetna — Commercial: $1,736.21 Aetna Better Health IL — Managed Medicaid: $534.49 Aetna Better Health KY — Managed Medicaid: $519.01 Alliance Coal — Commercial: $682.20 Allied National/Zelis - Freedom Plan — Commercial: $692.09 Ambetter IN — Commercial: $568.50 Amish — Commercial: $1,190 Anthem — Medicare Advantage: $494.35 Anthem HIP — Managed Medicaid: $496.06 Anthem IN — Managed Medicaid: $496.06
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,154.08 – $10,567.99
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $7,068.74 Ambetter IN — Commercial: $4,472.06 Amish — Commercial: $1,154.08 Anthem — Medicare Advantage: $2,885.20 Anthem IN Pathway — HMO/PPO/Traditional: $10,567.99 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $8,454.25 Anthem Pathway Essentials — Commercial: $2,885.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,942.90 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2,942.90 Caresource — Medicare Advantage: $2,885.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$1,200	$420	$200.07 – $720
Removal of tonsils and adenoids (under age 12): 10 of 62 insurance plan rates Aetna — Commercial: $699.79 Aetna Better Health IL — Managed Medicaid: $200.07 Aetna Better Health KY — Managed Medicaid: $209.24 Alliance Coal — Commercial: $368.68 Allied National/Zelis - Freedom Plan — Commercial: $374.02 Ambetter IN — Commercial: $307.23 Amish — Commercial: $420 Anthem — Medicare Advantage: $267.16 Anthem HIP — Managed Medicaid: $269.23 Anthem IN — Managed Medicaid: $269.23
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	$2,087.99 – $19,119.86
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $12,788.95 Ambetter IN — Commercial: $8,090.97 Amish — Commercial: $2,087.99 Anthem — Medicare Advantage: $5,219.98 Anthem IN Pathway — HMO/PPO/Traditional: $19,119.86 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $15,295.64 Anthem Pathway Essentials — Commercial: $5,219.98 Blue Cross Blue Shield of Illinois — Medicare Advantage: $5,324.38 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $5,324.38 Caresource — Medicare Advantage: $5,219.98
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$905	$316.75	$110.31 – $543
Upper GI endoscopy (diagnostic): 10 of 62 insurance plan rates Aetna — Commercial: $539.29 Aetna Better Health IL — Managed Medicaid: $118.42 Aetna Better Health KY — Managed Medicaid: $159.52 Alliance Coal — Commercial: $152.23 Allied National/Zelis - Freedom Plan — Commercial: $154.43 Ambetter IN — Commercial: $126.86 Amish — Commercial: $316.75 Anthem — Medicare Advantage: $110.31 Anthem HIP — Managed Medicaid: $262.16 Anthem IN — Managed Medicaid: $262.16
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	$323.20 – $5,242
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,979.62 Ambetter IN — Commercial: $1,252.42 Amish — Commercial: $323.20 Anthem — Medicare Advantage: $808.01 Anthem IN Pathway — HMO/PPO/Traditional: $2,959.60 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,367.64 Anthem Pathway Essentials — Commercial: $808.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $824.17 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $824.17 Caresource — Medicare Advantage: $808.01
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,300	$455	$124.21 – $780
Upper GI endoscopy with biopsy: 10 of 62 insurance plan rates Aetna — Commercial: $608.93 Aetna Better Health IL — Managed Medicaid: $133.93 Aetna Better Health KY — Managed Medicaid: $179.22 Alliance Coal — Commercial: $171.41 Allied National/Zelis - Freedom Plan — Commercial: $173.89 Ambetter IN — Commercial: $142.84 Amish — Commercial: $455 Anthem — Medicare Advantage: $124.21 Anthem HIP — Managed Medicaid: $342.36 Anthem IN — Managed Medicaid: $342.36
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	$323.20 – $5,242
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,979.62 Ambetter IN — Commercial: $1,252.42 Amish — Commercial: $323.20 Anthem — Medicare Advantage: $808.01 Anthem IN Pathway — HMO/PPO/Traditional: $2,959.60 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,367.64 Anthem Pathway Essentials — Commercial: $808.01 Blue Cross Blue Shield of Illinois — Medicare Advantage: $824.17 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $824.17 Caresource — Medicare Advantage: $808.01
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$1,269	$444.15	$165.58 – $761.40
Colonoscopy (diagnostic): 10 of 62 insurance plan rates Aetna — Commercial: $759.37 Aetna Better Health IL — Managed Medicaid: $178.60 Aetna Better Health KY — Managed Medicaid: $176.59 Alliance Coal — Commercial: $228.50 Allied National/Zelis - Freedom Plan — Commercial: $231.81 Ambetter IN — Commercial: $190.42 Amish — Commercial: $444.15 Anthem — Medicare Advantage: $165.58 Anthem HIP — Managed Medicaid: $309.95 Anthem IN — Managed Medicaid: $309.95
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	$325.87 – $5,242
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,995.94 Ambetter IN — Commercial: $1,262.74 Amish — Commercial: $325.87 Anthem — Medicare Advantage: $814.67 Anthem IN Pathway — HMO/PPO/Traditional: $2,984 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,387.16 Anthem Pathway Essentials — Commercial: $814.67 Blue Cross Blue Shield of Illinois — Medicare Advantage: $830.96 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $830.96 Caresource — Medicare Advantage: $814.67
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$243.96
Colonoscopy (diagnostic): rates for 2 insurance plans EncoreCombined — Commercial: $243.96 EncorePrime — Commercial: $243.96
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$1,517	$530.95	$180.09 – $910.20
Colonoscopy with biopsy: 10 of 62 insurance plan rates Aetna — Commercial: $818.41 Aetna Better Health IL — Managed Medicaid: $193.80 Aetna Better Health KY — Managed Medicaid: $191.77 Alliance Coal — Commercial: $248.52 Allied National/Zelis - Freedom Plan — Commercial: $252.13 Ambetter IN — Commercial: $207.10 Amish — Commercial: $530.95 Anthem — Medicare Advantage: $180.09 Anthem HIP — Managed Medicaid: $394.97 Anthem IN — Managed Medicaid: $394.97
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	$420.75 – $5,242
Colonoscopy with biopsy: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $2,577.08 Ambetter IN — Commercial: $1,630.40 Amish — Commercial: $420.75 Anthem — Medicare Advantage: $1,051.87 Anthem IN Pathway — HMO/PPO/Traditional: $3,852.83 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $3,082.21 Anthem Pathway Essentials — Commercial: $1,051.87 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,072.91 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,072.91 Caresource — Medicare Advantage: $1,051.87
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$1,698	$594.30	$227.59 – $1,102.62
Colonoscopy with removal of polyps (snare): 10 of 62 insurance plan rates Aetna — Commercial: $1,102.62 Aetna Better Health IL — Managed Medicaid: $245.44 Aetna Better Health KY — Managed Medicaid: $243.98 Alliance Coal — Commercial: $314.07 Allied National/Zelis - Freedom Plan — Commercial: $318.63 Ambetter IN — Commercial: $261.73 Amish — Commercial: $594.30 Anthem — Medicare Advantage: $227.59 Anthem HIP — Managed Medicaid: $414.24 Anthem IN — Managed Medicaid: $414.24
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	$420.75 – $5,242
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $2,577.08 Ambetter IN — Commercial: $1,630.40 Amish — Commercial: $420.75 Anthem — Medicare Advantage: $1,051.87 Anthem IN Pathway — HMO/PPO/Traditional: $3,852.83 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $3,082.21 Anthem Pathway Essentials — Commercial: $1,051.87 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,072.91 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,072.91 Caresource — Medicare Advantage: $1,051.87
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	$1,202	$420.70	$204 – $721.20
Ultrasound of the lower bowel by endoscope: 10 of 62 insurance plan rates Aetna — Commercial: $539.04 Aetna Better Health IL — Managed Medicaid: $204 Aetna Better Health KY — Managed Medicaid: $247.04 Alliance Coal — Commercial: $318.82 Allied National/Zelis - Freedom Plan — Commercial: $323.44 Ambetter IN — Commercial: $265.68 Amish — Commercial: $420.70 Anthem — Medicare Advantage: $231.03 Anthem HIP — Managed Medicaid: $233.27 Anthem IN — Managed Medicaid: $233.27
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	$420.75 – $5,242
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $2,577.08 Ambetter IN — Commercial: $1,630.40 Amish — Commercial: $420.75 Anthem — Medicare Advantage: $1,051.87 Anthem IN Pathway — HMO/PPO/Traditional: $3,852.83 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $3,082.21 Anthem Pathway Essentials — Commercial: $1,051.87 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,072.91 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,072.91 Caresource — Medicare Advantage: $1,051.87
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$709	$248.15	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $425.40
Screening colonoscopy (not high risk): 10 of 62 insurance plan rates Aetna — Commercial: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna Better Health IL — Managed Medicaid: $179.05 Aetna Better Health KY — Managed Medicaid: $150.28 Alliance Coal — Commercial: $228.72 Allied National/Zelis - Freedom Plan — Commercial: $232.04 Ambetter IN — Commercial: $190.60 Amish — Commercial: $248.15 Anthem — Medicare Advantage: $165.74 Anthem HIP — Managed Medicaid: $310.11 Anthem IN — Managed Medicaid: $310.11
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	$330.84 – $3,911
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $2,026.40 Ambetter IN — Commercial: $1,282.01 Amish — Commercial: $330.84 Anthem — Medicare Advantage: $827.10 Anthem IN Pathway — HMO/PPO/Traditional: $2,984 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,387.16 Anthem Pathway Essentials — Commercial: $827.10 Blue Cross Blue Shield of Illinois — Medicare Advantage: $843.64 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $843.64 Caresource — Medicare Advantage: $827.10
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$181.19
Screening colonoscopy (not high risk): rates for 2 insurance plans EncoreCombined — Commercial: $181.19 EncorePrime — Commercial: $181.19
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$2,906	$1,017.10	$522.64 – $1,961.76
Gallbladder removal by laparoscope: 10 of 62 insurance plan rates Aetna — Commercial: $1,961.76 Aetna Better Health IL — Managed Medicaid: $647.90 Aetna Better Health KY — Managed Medicaid: $522.64 Alliance Coal — Commercial: $810.94 Allied National/Zelis - Freedom Plan — Commercial: $822.70 Ambetter IN — Commercial: $675.79 Amish — Commercial: $1,017.10 Anthem — Medicare Advantage: $587.64 Anthem HIP — Managed Medicaid: $590.35 Anthem IN — Managed Medicaid: $590.35
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	$2,057.26 – $18,838.46
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $12,600.72 Ambetter IN — Commercial: $7,971.88 Amish — Commercial: $2,057.26 Anthem — Medicare Advantage: $5,143.15 Anthem IN Pathway — HMO/PPO/Traditional: $18,838.46 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $15,070.52 Anthem Pathway Essentials — Commercial: $5,143.15 Blue Cross Blue Shield of Illinois — Medicare Advantage: $5,246.01 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $5,246.01 Caresource — Medicare Advantage: $5,143.15
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,761	$616.35	$350.04 – $1,177.15
Groin (inguinal) hernia repair, age 5 or older: 10 of 62 insurance plan rates Aetna — Commercial: $1,177.15 Aetna Better Health IL — Managed Medicaid: $387.05 Aetna Better Health KY — Managed Medicaid: $350.04 Alliance Coal — Commercial: $644.93 Allied National/Zelis - Freedom Plan — Commercial: $654.28 Ambetter IN — Commercial: $537.44 Amish — Commercial: $616.35 Anthem — Medicare Advantage: $467.34 Anthem HIP — Managed Medicaid: $469.18 Anthem IN — Managed Medicaid: $469.18
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	$1,233.53 – $11,295.49
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $7,555.36 Ambetter IN — Commercial: $4,779.92 Amish — Commercial: $1,233.53 Anthem — Medicare Advantage: $3,083.82 Anthem IN Pathway — HMO/PPO/Traditional: $11,295.49 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $9,036.24 Anthem Pathway Essentials — Commercial: $3,083.82 Blue Cross Blue Shield of Illinois — Medicare Advantage: $3,145.50 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $3,145.50 Caresource — Medicare Advantage: $3,083.82
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$667	$233.45	$69.83 – $400.20
Prostate biopsy: 10 of 62 insurance plan rates Aetna — Commercial: $304.12 Aetna Better Health IL — Managed Medicaid: $113.60 Aetna Better Health KY — Managed Medicaid: $69.83 Alliance Coal — Commercial: $161.92 Allied National/Zelis - Freedom Plan — Commercial: $164.26 Ambetter IN — Commercial: $134.93 Amish — Commercial: $233.45 Anthem — Medicare Advantage: $117.33 Anthem HIP — Managed Medicaid: $220.22 Anthem IN — Managed Medicaid: $220.22
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Outpatient Services: CPT/HCPCS	Not listed in the file	Not listed in the file	$726.22 – $6,650.01
Prostate biopsy: 10 of 23 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $4,448.07 Ambetter IN — Commercial: $2,814.09 Amish — Commercial: $726.22 Anthem — Medicare Advantage: $1,815.54 Anthem Pathway Essentials — Commercial: $1,815.54 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,851.85 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,851.85 Caresource — Medicare Advantage: $1,815.54 Caresource Marketplace (Just4Me) — Commercial: $2,723.31 ClaimDoc — Commercial: $2,632.53
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APC Pricing: CPT/HCPCS	Not listed in the file	Not listed in the file	$726.22 – $6,650.01
Prostate biopsy: rates for 2 insurance plans Anthem IN Pathway — HMO/PPO/Traditional: $6,650.01 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $5,319.92
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	$7,100	$2,485	$990.55 – $4,260
Prostate removal by laparoscope (radical prostatectomy): 10 of 62 insurance plan rates Aetna — Commercial: $3,316.09 Aetna Better Health IL — Managed Medicaid: $990.55 Aetna Better Health KY — Managed Medicaid: $1,223.28 Alliance Coal — Commercial: $1,496.50 Allied National/Zelis - Freedom Plan — Commercial: $1,518.19 Ambetter IN — Commercial: $1,247.08 Amish — Commercial: $2,485 Anthem — Medicare Advantage: $1,084.42 Anthem HIP — Managed Medicaid: $1,090.81 Anthem IN — Managed Medicaid: $1,090.81
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$3,670.18 – $33,608.05
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $22,479.83 Ambetter IN — Commercial: $14,221.93 Amish — Commercial: $3,670.18 Anthem — Medicare Advantage: $9,175.44 Anthem IN Pathway — HMO/PPO/Traditional: $33,608.05 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $26,885.99 Anthem Pathway Essentials — Commercial: $9,175.44 Blue Cross Blue Shield of Illinois — Medicare Advantage: $9,358.95 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $9,358.95 Caresource — Medicare Advantage: $9,175.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$4,200	$1,470	$160.70 – $2,520
Hysteroscopy with biopsy of the uterus lining: 10 of 62 insurance plan rates Aetna — Commercial: $1,643.56 Aetna Better Health IL — Managed Medicaid: $160.70 Aetna Better Health KY — Managed Medicaid: $213.26 Alliance Coal — Commercial: $286.29 Allied National/Zelis - Freedom Plan — Commercial: $290.44 Ambetter IN — Commercial: $238.58 Amish — Commercial: $1,470 Anthem — Medicare Advantage: $207.46 Anthem HIP — Managed Medicaid: $1,194.51 Anthem IN — Managed Medicaid: $1,194.51
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	$1,114.69 – $10,207.30
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $6,827.46 Ambetter IN — Commercial: $4,319.42 Amish — Commercial: $1,114.69 Anthem — Medicare Advantage: $2,786.72 Anthem IN Pathway — HMO/PPO/Traditional: $10,207.30 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $8,165.70 Anthem Pathway Essentials — Commercial: $2,786.72 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,842.45 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2,842.45 Caresource — Medicare Advantage: $2,786.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$670	$234.50	$67.44 – $402
Spinal injection, lower back (epidural), with imaging guidance: 10 of 62 insurance plan rates Aetna — Commercial: $384.67 Aetna Better Health IL — Managed Medicaid: $67.44 Aetna Better Health KY — Managed Medicaid: $81.33 Alliance Coal — Commercial: $125.18 Allied National/Zelis - Freedom Plan — Commercial: $126.99 Ambetter IN — Commercial: $104.32 Amish — Commercial: $234.50 Anthem — Medicare Advantage: $90.71 Anthem HIP — Managed Medicaid: $236.30 Anthem IN — Managed Medicaid: $236.30
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	$246.57 – $3,911
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,510.23 Ambetter IN — Commercial: $955.45 Amish — Commercial: $246.57 Anthem — Medicare Advantage: $616.42 Anthem HIP — Managed Medicaid: $507.19 Anthem IN — Managed Medicaid: $507.19 Anthem IN Pathway — HMO/PPO/Traditional: $2,257.82 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $1,806.23 Anthem IN Pathways for Aging — Managed Medicaid: $507.19 Anthem Pathway Essentials — Commercial: $616.42
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$730	$255.50	$88.25 – $438
Nerve root injection, lower back, with imaging guidance: 10 of 62 insurance plan rates Aetna — Commercial: $431.74 Aetna Better Health IL — Managed Medicaid: $88.25 Aetna Better Health KY — Managed Medicaid: $149.91 Alliance Coal — Commercial: $140.54 Allied National/Zelis - Freedom Plan — Commercial: $142.58 Ambetter IN — Commercial: $117.12 Amish — Commercial: $255.50 Anthem — Medicare Advantage: $101.84 Anthem HIP — Managed Medicaid: $225.68 Anthem IN — Managed Medicaid: $225.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$324.98 – $3,911
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,990.53 Ambetter IN — Commercial: $1,259.31 Amish — Commercial: $324.98 Anthem — Medicare Advantage: $812.46 Anthem IN Pathway — HMO/PPO/Traditional: $2,975.89 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $2,380.67 Anthem Pathway Essentials — Commercial: $812.46 Blue Cross Blue Shield of Illinois — Medicare Advantage: $828.71 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $828.71 Caresource — Medicare Advantage: $812.46
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,935	$677.25	$284.77 – $1,161
Carpal tunnel release: 10 of 62 insurance plan rates Aetna — Commercial: $1,113.95 Aetna Better Health IL — Managed Medicaid: $429.10 Aetna Better Health KY — Managed Medicaid: $284.77 Alliance Coal — Commercial: $553.19 Allied National/Zelis - Freedom Plan — Commercial: $561.20 Ambetter IN — Commercial: $460.99 Amish — Commercial: $677.25 Anthem — Medicare Advantage: $400.86 Anthem HIP — Managed Medicaid: $408.83 Anthem IN — Managed Medicaid: $408.83
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	$688.41 – $7,419
Carpal tunnel release: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $4,216.52 Ambetter IN — Commercial: $2,667.60 Amish — Commercial: $688.41 Anthem — Medicare Advantage: $1,721.03 Anthem IN Pathway — HMO/PPO/Traditional: $6,303.81 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $5,042.96 Anthem Pathway Essentials — Commercial: $1,721.03 Blue Cross Blue Shield of Illinois — Medicare Advantage: $1,755.45 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $1,755.45 Caresource — Medicare Advantage: $1,721.03
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY	$1,314	$459.90	$192.76 – $788.40
Laser treatment of clouding after cataract surgery: 10 of 62 insurance plan rates Aetna — Commercial: $621.06 Aetna Better Health IL — Managed Medicaid: $291.12 Aetna Better Health KY — Managed Medicaid: $192.76 Alliance Coal — Commercial: $387.31 Allied National/Zelis - Freedom Plan — Commercial: $392.92 Ambetter IN — Commercial: $322.76 Amish — Commercial: $459.90 Anthem — Medicare Advantage: $280.66 Anthem HIP — Managed Medicaid: $306.46 Anthem IN — Managed Medicaid: $306.46
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	$207.25 – $3,911
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $1,269.39 Ambetter IN — Commercial: $803.09 Amish — Commercial: $207.25 Anthem — Medicare Advantage: $518.12 Anthem IN Pathway — HMO/PPO/Traditional: $1,897.79 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $1,518.20 Anthem Pathway Essentials — Commercial: $518.12 Blue Cross Blue Shield of Illinois — Medicare Advantage: $528.48 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $528.48 Caresource — Medicare Advantage: $518.12
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$3,841	$1,344.35	$424.10 – $2,304.60
Cataract removal with lens implant: 10 of 62 insurance plan rates Aetna — Commercial: $1,401.17 Aetna Better Health IL — Managed Medicaid: $511.61 Aetna Better Health KY — Managed Medicaid: $424.10 Alliance Coal — Commercial: $678.71 Allied National/Zelis - Freedom Plan — Commercial: $688.55 Ambetter IN — Commercial: $565.59 Amish — Commercial: $1,344.35 Anthem — Medicare Advantage: $491.82 Anthem HIP — Managed Medicaid: $498.17 Anthem IN — Managed Medicaid: $498.17
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$830.88 – $7,608.43
Cataract removal with lens implant: 10 of 29 insurance plan rates Allied National/Zelis - Freedom Plan — Commercial: $5,089.14 Ambetter IN — Commercial: $3,219.66 Amish — Commercial: $830.88 Anthem — Medicare Advantage: $2,077.20 Anthem IN Pathway — HMO/PPO/Traditional: $7,608.43 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $6,086.64 Anthem Pathway Essentials — Commercial: $2,077.20 Blue Cross Blue Shield of Illinois — Medicare Advantage: $2,118.74 Blue Cross Blue Shield of Illinois Dual — Dual Medicare/Medicaid: $2,118.74 Caresource — Medicare Advantage: $2,077.20

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$6,700	$2,345	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,020
Vaginal delivery, with care before and after: 10 of 62 insurance plan rates Aetna — Commercial: $3,550.05 Aetna Better Health IL — Managed Medicaid: $1,840.25 Aetna Better Health KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $2,929.59 Allied National/Zelis - Freedom Plan — Commercial: $2,972.05 Ambetter IN — Commercial: $2,441.32 Amish — Commercial: $2,345 Anthem — Medicare Advantage: $2,122.89 Anthem HIP — Managed Medicaid: $2,152.43 Anthem IN — Managed Medicaid: $2,152.43
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$7,200	$2,520	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,320
Cesarean delivery (C-section), with care before and after: 10 of 62 insurance plan rates Aetna — Commercial: $4,057.18 Aetna Better Health IL — Managed Medicaid: $2,046.31 Aetna Better Health KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,232.14 Allied National/Zelis - Freedom Plan — Commercial: $3,278.98 Ambetter IN — Commercial: $2,693.45 Amish — Commercial: $2,520 Anthem — Medicare Advantage: $2,342.13 Anthem HIP — Managed Medicaid: $2,376.66 Anthem IN — Managed Medicaid: $2,376.66
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$6,026	$2,109.10	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,831.96
Vaginal delivery after a previous C-section, with care before and after: 10 of 62 insurance plan rates Aetna — Commercial: $2,847.16 Aetna Better Health IL — Managed Medicaid: $1,938.17 Aetna Better Health KY — Managed Medicaid: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Alliance Coal — Commercial: $3,045.18 Allied National/Zelis - Freedom Plan — Commercial: $3,089.31 Ambetter IN — Commercial: $2,537.65 Amish — Commercial: $2,109.10 Anthem — Medicare Advantage: $2,206.65 Anthem HIP — Managed Medicaid: $2,239.04 Anthem IN — Managed Medicaid: $2,239.04

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$34,472.54 – $211,144.28
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 42 insurance plan rates Aetna — Commercial: $97,922.61 Aetna Better Health KY — Managed Medicaid: $74,846.88 Alliance Coal — Commercial: $117,174.67 Allied National/Zelis - Freedom Plan — Commercial: $211,144.28 Ambetter IN — Commercial: $137,890.14 Amish — Commercial: $34,472.54 Anthem — Medicare Advantage: $86,181.34 Anthem IN Pathway — HMO/PPO/Traditional: $157,156.76 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $125,725.41 Anthem Pathway Essentials — Commercial: $86,181.34
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	$8,653.76 – $53,004.26
Hip or knee replacement (major joint of the leg), without major complications: 10 of 42 insurance plan rates Aetna — Commercial: $19,132.17 Aetna Better Health KY — Managed Medicaid: $14,623.62 Alliance Coal — Commercial: $22,893.65 Allied National/Zelis - Freedom Plan — Commercial: $53,004.26 Ambetter IN — Commercial: $34,615.02 Amish — Commercial: $8,653.76 Anthem — Medicare Advantage: $21,634.39 Anthem IN Pathway — HMO/PPO/Traditional: $30,705.37 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $24,564.29 Anthem Pathway Essentials — Commercial: $21,634.39
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	$10,255.44 – $62,814.57
Neck (cervical) spinal fusion, without complications: 10 of 42 insurance plan rates Aetna — Commercial: $24,019.98 Aetna Better Health KY — Managed Medicaid: $18,359.61 Alliance Coal — Commercial: $28,742.42 Allied National/Zelis - Freedom Plan — Commercial: $62,814.57 Ambetter IN — Commercial: $41,021.76 Amish — Commercial: $10,255.44 Anthem — Medicare Advantage: $25,638.60 Anthem IN Pathway — HMO/PPO/Traditional: $38,549.85 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $30,839.88 Anthem Pathway Essentials — Commercial: $25,638.60
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	$6,369.77 – $39,014.85
Uterus and ovary surgery (not for cancer), without complications: 10 of 44 insurance plan rates Aetna — Commercial: $12,162.19 Aetna Better Health KY — Managed Medicaid: $9,296.14 Alliance Coal — Commercial: $14,553.34 Allied National/Zelis - Freedom Plan — Commercial: $39,014.85 Ambetter IN — Commercial: $25,479.09 Amish — Commercial: $6,369.77 Anthem — Medicare Advantage: $15,924.43 Anthem IN Pathway — HMO/PPO/Traditional: $19,519.20 Anthem IN Pathway X/KY Pathway & Pathway X — HMO: $15,615.36 Anthem Pathway Essentials — Commercial: $15,924.43

Source: The Women's Hospital’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	4199 Gateway Blvd, Newburgh, IN 47630
County	Warrick County
State	Indiana
Phone	(812) 842‑4200
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	150149
Name in Medicare records	THE WOMEN'S HOSPITAL
Profile level	Medicare data + hospital website
Official website	deaconess.com
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 Women's Hospital - Deaconess — deaconess.com
Obstetrical Emergency Department — deaconess.com
Fibroid Treatment — deaconess.com
Visitors - The Women's Hospital | Deaconess — deaconess.com
Gynecological Surgery - Women's Services | Deaconess — deaconess.com
Recovery After Surgery - Gynecological Surgery | Deaconess — deaconess.com
Fertility Care - Women's Services | Deaconess — deaconess.com
About Us - Fertility Care | Deaconess — deaconess.com
Women's Services - Deaconess Women's Hospital | Deaconess — deaconess.com
Women's Cancer Services - Women's Services | Deaconess — deaconess.com
Pre-Admission - Pregnancy Care | Deaconess — deaconess.com
Obstetrical Emergency Department - Pregnancy Care | Deaconess — deaconess.com
Contact Us - Fertility Care | Deaconess — deaconess.com

The Women's Hospital

Summary

Profile from official sources

At a glance