Does Ty Cobb Regional Medical Center, LLC have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ty Cobb Regional Medical Center, LLC. In a medical emergency, call 911.

Where is Ty Cobb Regional Medical Center, LLC?

367 Clear Creek Parkway, Lavonia, GA 30553, in Franklin County, Georgia.

What is the phone number of Ty Cobb Regional Medical Center, LLC?

(706) 356-7800, as listed by Medicare (CMS).

What is the Medicare star rating of Ty Cobb Regional Medical Center, LLC?

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

Ty Cobb Regional Medical Center, LLC

Quick answers

Does Ty Cobb Regional Medical Center, LLC have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ty Cobb Regional Medical Center, LLC. In a medical emergency, call 911.
Where is Ty Cobb Regional Medical Center, LLC?: 367 Clear Creek Parkway, Lavonia, GA 30553, in Franklin County, Georgia.
What is the phone number of Ty Cobb Regional Medical Center, LLC?: (706) 356-7800, as listed by Medicare (CMS).
What is the Medicare star rating of Ty Cobb Regional Medical Center, LLC?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cardiology
Spine care
Stroke
Respiratory therapy
Critical care
Surgical services
Imaging and diagnostic services
Rehabilitation

Programs and centers^[4]

Critical care unit
Surgical services
Imaging and diagnostic services
Rehab services
Wellness center
Telehealth services

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting 7 AM-7 PM daily; 1 overnight visitor when capacity permits; children 12+ (exceptions)^[5]
Parking	Free parking in the front lot near the fountain; visitors after hours use the Emergency Center entrance^[4]

Doctors and clinicians (253)

253 doctors and other clinicians list Ty Cobb Regional Medical Center, LLC 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 229 more: the button below opens the full list.

Other emergency rooms nearby

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

Stephens County Hospital18 mi · Toccoa, GA · Acute Care Hospital
Prisma Health Oconee Memorial Hospital18 mi · Seneca, SC · Acute Care Hospital
Anmed Health25 mi · Anderson, SC · Acute Care Hospital
Northeast Georgia Medical Center Habersham29 mi · Demorest, GA · Acute Care Hospital
Mountain Lakes Medical Center36 mi · Clayton, GA · Critical Access Hospital

Other hospitals nearby

Elbert Memorial Hospital26 mi · Elberton, GA · Critical Access Hospital
Anmed Health Rehabilitation Hospital27 mi · Anderson, SC · Inpatient Rehabilitation 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

Hartwell Health and Rehabilitation11 mi · Hartwell, GA · 2 of 5 stars
Brown Health and Rehabilitation11 mi · Royston, GA · 4 of 5 stars
Hart Care Center11 mi · Hartwell, GA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Amedisys Hospice16 mi · Toccoa, GA · 4 of 5 stars
Gentiva20 mi · Anderson, SC
Prisma Health Hospice of the Foothills23 mi · Seneca, SC · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Tugaloo Home Health Agency, An Amedisys Company0.0 mi · Lavonia, GA · 4 of 5 stars
Enhabit Home Health11 mi · Hartwell, GA

All home health agencies in the state →

Dialysis facilities

DaVita Lake Hartwell Dialysis11 mi · Hartwell, GA · 2 of 5 stars
Lake Hartwell Kidney Center11 mi · Hartwell, GA
USRC Royston13 mi · Royston, GA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Blue Ridge Surgery Center16 mi · Seneca, SC
EHA Surgery Center16 mi · Seneca, SC
Synergy Spine Center, PA16 mi · Seneca, SC

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

MedLink Hartwell11 mi · Hartwell, GA · Community health center
MedLink Royston11 mi · Royston, GA · Community health center
MedLink Hartwell Family Foot Care12 mi · Hartwell, GA · Community health center

Clinics and urgent care

Hartwell Family Clinc11 mi · Hartwell, GA · Rural health clinic
Reddy Urgent Care-Hartwell LLC11 mi · Hartwell, GA · Urgent care center
Reddy Urgent Care - Royston LLC13 mi · Royston, GA · Urgent care center

Pharmacies

Walgreen Co0.0 mi · Lavonia, GA · Pharmacy
Mays Clinic Pharmacy7.6 mi · Fair Play, SC · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ty Cobb Regional Medical Center, LLC 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	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	80%National average: 80%
Staff “always” explained medicines before giving them	66%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	70%National average: 60%
Completed surveys	239Response rate: 14%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	11.6%
Deaths within 30 days: pneumonia patients	13.4%
Deaths within 30 days: COPD patients	7.8%
Deaths within 30 days: stroke patients	11.5%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	19.8%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	104 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	85%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 55 common services exactly as Ty Cobb Regional Medical Center, LLC 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 →

$ 2 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 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$263	$263	$84.99 – $236.70
New patient office visit (about 45–59 minutes): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $113.74 AETNA — AETNA: $164.66 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.74 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $113.74 AETNA MEDICARE TRANSPLANT — MEDICARE: $113.74 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $167.09 ALIGN SENIOR CARE — MEDICARE: $113.74 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $113.74 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $113.74 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $167.09
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient New Moderate Level	$285	$285	$90.81 – $256.50
New patient office visit (about 45–59 minutes): 10 of 741 insurance plan rates AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $113.74 AETNA MEDICARE TRANSPLANT — MEDICARE: $113.74 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $167.09 ALIGN SENIOR CARE — MEDICARE: $113.74 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $113.74 AMBETTER — AMBETTER: $153.90 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $167.09 ANDRIE INC — WORKERS COMP: $116.06 AURORA SPECIAL NEEDS — MEDICARE: $113.74 BCCP — MEDICAID: $167.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$191	$191	$61.77 – $171.90
Established patient office visit (about 30–39 minutes): 10 of 741 insurance plan rates AETNA — AETNA: $99.37 AETNA DOMESTIC — AETNA: $99.37 AETNA MEDICAID — MEDICAID: $115.71 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $82.04 AETNA MEDICARE TRANSPLANT — MEDICARE: $82.04 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $115.71 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.71 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $115.71 ALLY ALIGN CARE ADV — MEDICARE: $82.04 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $82.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$207	$207	$65.79 – $186.30
Established patient office visit (about 30–39 minutes): 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $99.37 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $82.04 AETNA MEDICARE TRANSPLANT — MEDICARE: $82.04 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.71 ALIGN SENIOR CARE — MEDICARE: $82.04 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $82.04 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $115.71 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $82.04 ALLY ALIGN CARE ADV — MEDICARE: $82.04 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $82.04
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee · modifier AS In the file: PR Visit Office Outpatient Established Moderate Level\|ASSISTANT AT SURGERY SERVICE	$33.12	$33.12	$8.37 – $33.12
Established patient office visit (about 30–39 minutes): 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $15.90 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.13 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $13.13 AETNA MEDICARE TRANSPLANT — MEDICARE: $13.13 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $18.51 ALIGN SENIOR CARE — MEDICARE: $13.13 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $13.13 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $13.13 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $13.13 ALLY ALIGN CARE ADV — MEDICARE: $13.13
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3	$692	$449.80	$124.21 – $1,314.89
Emergency room visit (moderate): 10 of 107 insurance plan rates AETNA — AETNA: $429.04 AETNA — AETNA MARKETPLACE: $478.43 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,314.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $239.12 AMBETTER — AMBETTER MARKETPLACE: $256.46 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $225 BCBS GENERIC — ANTHEM BCBS PPO: $1,314.89 BCN DOMESTIC — ANTHEM BCBS PPO: $1,314.89 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,314.89 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,314.89
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 Sane_Safe	$692	$449.80	$124.21 – $1,314.89
Emergency room visit (moderate): 10 of 107 insurance plan rates AETNA — AETNA: $429.04 AETNA — AETNA MARKETPLACE: $478.43 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,314.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $239.12 AMBETTER — AMBETTER MARKETPLACE: $256.46 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $225 BCBS GENERIC — ANTHEM BCBS PPO: $1,314.89 BCN DOMESTIC — ANTHEM BCBS PPO: $1,314.89 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,314.89 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,314.89
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3 OB Triage	$692	$449.80	$124.21 – $1,314.89
Emergency room visit (moderate): 10 of 107 insurance plan rates AETNA — AETNA: $429.04 AETNA — AETNA MARKETPLACE: $478.43 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,314.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $239.12 AMBETTER — AMBETTER MARKETPLACE: $256.46 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $225 BCBS GENERIC — ANTHEM BCBS PPO: $1,314.89 BCN DOMESTIC — ANTHEM BCBS PPO: $1,314.89 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,314.89 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,314.89
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$240	$240	$76.68 – $216
Emergency room visit (moderately high): 10 of 741 insurance plan rates AETNA — AETNA: $167.20 AETNA DOMESTIC — AETNA: $167.20 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $116.48 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $121.98 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $121.98 ALIGN SENIOR CARE — MEDICARE: $116.48 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $116.48 ALLY ALIGN CARE ADV — MEDICARE: $116.48 AMBETTER — AMBETTER: $157.61 AMERICAN HEALTH PLAN — MEDICARE: $116.48
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$76.68 – $227.70
Emergency room visit (moderately high): 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $167.20 AETNA MEDICAID — MEDICAID: $121.98 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $116.48 AETNA MEDICARE TRANSPLANT — MEDICARE: $116.48 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $121.98 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $116.48 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $116.48 ALLY ALIGN CARE ADV — MEDICARE: $116.48 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $116.48 AMERICAN HEALTH PLAN — MEDICARE: $116.48
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$1,135	$737.75	$203.73 – $2,009.93
Emergency room visit (moderately high): 10 of 107 insurance plan rates AETNA — AETNA: $703.70 AETNA — AETNA MARKETPLACE: $731.31 AETNA DOMESTIC — ANTHEM BCBS PPO: $2,009.93 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $365.51 AMBETTER — AMBETTER MARKETPLACE: $392.01 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $315 BCBS GENERIC — ANTHEM BCBS PPO: $2,009.93 BCN DOMESTIC — ANTHEM BCBS PPO: $2,009.93 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2,009.93 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2,009.93
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 OB Triage	$1,678	$1,090.70	$298.33 – $2,868.61
Emergency room visit (high): 10 of 107 insurance plan rates AETNA — AETNA: $1,040.36 AETNA — AETNA MARKETPLACE: $1,043.75 AETNA DOMESTIC — ANTHEM BCBS PPO: $2,868.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $521.67 AMBETTER — AMBETTER MARKETPLACE: $559.49 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $298.33 BCBS GENERIC — ANTHEM BCBS PPO: $2,868.61 BCN DOMESTIC — ANTHEM BCBS PPO: $2,868.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2,868.61 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2,868.61
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5 Sane_Safe	$1,678	$1,090.70	$298.33 – $2,868.61
Emergency room visit (high): 10 of 107 insurance plan rates AETNA — AETNA: $1,040.36 AETNA — AETNA MARKETPLACE: $1,043.75 AETNA DOMESTIC — ANTHEM BCBS PPO: $2,868.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $521.67 AMBETTER — AMBETTER MARKETPLACE: $559.49 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $298.33 BCBS GENERIC — ANTHEM BCBS PPO: $2,868.61 BCN DOMESTIC — ANTHEM BCBS PPO: $2,868.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2,868.61 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2,868.61
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5	$1,678	$1,090.70	$298.33 – $2,868.61
Emergency room visit (high): 10 of 107 insurance plan rates AETNA — AETNA: $1,040.36 AETNA — AETNA MARKETPLACE: $1,043.75 AETNA DOMESTIC — ANTHEM BCBS PPO: $2,868.61 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $521.67 AMBETTER — AMBETTER MARKETPLACE: $559.49 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $298.33 BCBS GENERIC — ANTHEM BCBS PPO: $2,868.61 BCN DOMESTIC — ANTHEM BCBS PPO: $2,868.61 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2,868.61 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2,868.61

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Basic Metabolic Panel (Calcium Total)	$152	$98.80	$8.29 – $129.20
Basic metabolic panel (blood test): 10 of 107 insurance plan rates AETNA — AETNA: $12.34 AETNA — AETNA MARKETPLACE: $16.92 AETNA DOMESTIC — ANTHEM BCBS PPO: $8.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.46 AMBETTER — AMBETTER MARKETPLACE: $8.63 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.65 BCBS GENERIC — ANTHEM BCBS PPO: $8.46 BCN DOMESTIC — ANTHEM BCBS PPO: $8.46 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $8.46 BLUE CARE NETWORK — ANTHEM BCBS PPO: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$162	$105.30	$8.29 – $137.70
Basic metabolic panel (blood test): 10 of 107 insurance plan rates AETNA — AETNA: $12.34 AETNA — AETNA MARKETPLACE: $16.92 AETNA DOMESTIC — ANTHEM BCBS PPO: $8.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.46 AMBETTER — AMBETTER MARKETPLACE: $8.63 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.65 BCBS GENERIC — ANTHEM BCBS PPO: $8.46 BCN DOMESTIC — ANTHEM BCBS PPO: $8.46 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $8.46 BLUE CARE NETWORK — ANTHEM BCBS PPO: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$190	$123.50	$10.35 – $161.50
Comprehensive metabolic panel (blood test): 10 of 107 insurance plan rates AETNA — AETNA: $15.42 AETNA — AETNA MARKETPLACE: $21.12 AETNA DOMESTIC — ANTHEM BCBS PPO: $10.56 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10.56 AMBETTER — AMBETTER MARKETPLACE: $10.77 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $13.29 BCBS GENERIC — ANTHEM BCBS PPO: $10.56 BCN DOMESTIC — ANTHEM BCBS PPO: $10.56 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $10.56 BLUE CARE NETWORK — ANTHEM BCBS PPO: $10.56
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Obstetric Panel	$159	$103.35	$28.08 – $135.15
Obstetric blood test panel: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $95.62 AETNA DOMESTIC — ANTHEM BCBS PPO: $47.81 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $47.79 AMBETTER — AMBETTER MARKETPLACE: $48.77 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $28.08 BCBS GENERIC — ANTHEM BCBS PPO: $47.81 BCN DOMESTIC — ANTHEM BCBS PPO: $47.81 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $47.81 BLUE CARE NETWORK — ANTHEM BCBS PPO: $47.81 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$148	$96.20	$13.12 – $125.80
Cholesterol panel (lipid panel): 10 of 107 insurance plan rates AETNA — AETNA: $19.54 AETNA — AETNA MARKETPLACE: $26.78 AETNA DOMESTIC — ANTHEM BCBS PPO: $13.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $13.38 AMBETTER — AMBETTER MARKETPLACE: $13.66 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $16.85 BCBS GENERIC — ANTHEM BCBS PPO: $13.39 BCN DOMESTIC — ANTHEM BCBS PPO: $13.39 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $13.39 BLUE CARE NETWORK — ANTHEM BCBS PPO: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$163	$105.95	$8.51 – $138.55
Kidney function panel: 10 of 107 insurance plan rates AETNA — AETNA: $12.67 AETNA — AETNA MARKETPLACE: $17.36 AETNA DOMESTIC — ANTHEM BCBS PPO: $8.68 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.68 AMBETTER — AMBETTER MARKETPLACE: $8.85 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.92 BCBS GENERIC — ANTHEM BCBS PPO: $8.68 BCN DOMESTIC — ANTHEM BCBS PPO: $8.68 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $8.68 BLUE CARE NETWORK — ANTHEM BCBS PPO: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$128	$83.20	$8.01 – $108.80
Liver function panel: 10 of 107 insurance plan rates AETNA — AETNA: $11.92 AETNA — AETNA MARKETPLACE: $16.34 AETNA DOMESTIC — ANTHEM BCBS PPO: $8.17 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $8.17 AMBETTER — AMBETTER MARKETPLACE: $8.33 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $10.28 BCBS GENERIC — ANTHEM BCBS PPO: $8.17 BCN DOMESTIC — ANTHEM BCBS PPO: $8.17 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $8.17 BLUE CARE NETWORK — ANTHEM BCBS PPO: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$76	$49.40	$3.11 – $64.60
Urine test (automated, with microscope): 10 of 107 insurance plan rates AETNA — AETNA: $4.61 AETNA — AETNA MARKETPLACE: $6.34 AETNA DOMESTIC — ANTHEM BCBS PPO: $3.17 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.17 AMBETTER — AMBETTER MARKETPLACE: $3.23 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $3.99 BCBS GENERIC — ANTHEM BCBS PPO: $3.17 BCN DOMESTIC — ANTHEM BCBS PPO: $3.17 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $3.17 BLUE CARE NETWORK — ANTHEM BCBS PPO: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	Not listed in the file	$356.20	$3.11 – $6.34
Urine test (automated, with microscope): 10 of 98 insurance plan rates AETNA — AETNA: $4.61 AETNA — AETNA MARKETPLACE: $6.34 AETNA DOMESTIC — ANTHEM BCBS PPO: $3.17 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.17 AMBETTER — AMBETTER MARKETPLACE: $3.23 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $3.99 BCBS GENERIC — ANTHEM BCBS PPO: $3.17 BCN DOMESTIC — ANTHEM BCBS PPO: $3.17 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $3.17 BLUE CARE NETWORK — ANTHEM BCBS PPO: $3.17
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$63	$40.95	$2.21 – $53.55
Urine test (automated, without microscope): 10 of 107 insurance plan rates AETNA — AETNA: $3.28 AETNA — AETNA MARKETPLACE: $4.50 AETNA DOMESTIC — ANTHEM BCBS PPO: $2.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.25 AMBETTER — AMBETTER MARKETPLACE: $2.30 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $2.83 BCBS GENERIC — ANTHEM BCBS PPO: $2.25 BCN DOMESTIC — ANTHEM BCBS PPO: $2.25 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2.25 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	Not listed in the file	$492.70	$2.21 – $4.50
Urine test (automated, without microscope): 10 of 98 insurance plan rates AETNA — AETNA: $3.28 AETNA — AETNA MARKETPLACE: $4.50 AETNA DOMESTIC — ANTHEM BCBS PPO: $2.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.25 AMBETTER — AMBETTER MARKETPLACE: $2.30 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $2.83 BCBS GENERIC — ANTHEM BCBS PPO: $2.25 BCN DOMESTIC — ANTHEM BCBS PPO: $2.25 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $2.25 BLUE CARE NETWORK — ANTHEM BCBS PPO: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde Prostate Specific Antigen Total	$122	$79.30	$18.02 – $103.70
PSA (prostate specific antigen) blood test: 10 of 107 insurance plan rates AETNA — AETNA: $26.84 AETNA — AETNA MARKETPLACE: $36.78 AETNA DOMESTIC — ANTHEM BCBS PPO: $18.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.38 AMBETTER — AMBETTER MARKETPLACE: $18.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS PPO: $18.39 BCN DOMESTIC — ANTHEM BCBS PPO: $18.39 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $18.39 BLUE CARE NETWORK — ANTHEM BCBS PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 1012090 Prostate Specific Antigen Total	$35	$22.75	$18.02 – $36.78
PSA (prostate specific antigen) blood test: 10 of 107 insurance plan rates AETNA — AETNA: $26.84 AETNA — AETNA MARKETPLACE: $36.78 AETNA DOMESTIC — ANTHEM BCBS PPO: $18.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.38 AMBETTER — AMBETTER MARKETPLACE: $18.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS PPO: $18.39 BCN DOMESTIC — ANTHEM BCBS PPO: $18.39 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $18.39 BLUE CARE NETWORK — ANTHEM BCBS PPO: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prostate Specific Antigen Total	$122	$79.30	$18.02 – $103.70
PSA (prostate specific antigen) blood test: 10 of 107 insurance plan rates AETNA — AETNA: $26.84 AETNA — AETNA MARKETPLACE: $36.78 AETNA DOMESTIC — ANTHEM BCBS PPO: $18.39 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $18.38 AMBETTER — AMBETTER MARKETPLACE: $18.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.13 BCBS GENERIC — ANTHEM BCBS PPO: $18.39 BCN DOMESTIC — ANTHEM BCBS PPO: $18.39 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $18.39 BLUE CARE NETWORK — ANTHEM BCBS PPO: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$123	$79.95	$16.46 – $104.55
Thyroid stimulating hormone (TSH) test: 10 of 107 insurance plan rates AETNA — AETNA: $24.51 AETNA — AETNA MARKETPLACE: $33.60 AETNA DOMESTIC — ANTHEM BCBS PPO: $16.80 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $16.79 AMBETTER — AMBETTER MARKETPLACE: $17.14 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $21.12 BCBS GENERIC — ANTHEM BCBS PPO: $16.80 BCN DOMESTIC — ANTHEM BCBS PPO: $16.80 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $16.80 BLUE CARE NETWORK — ANTHEM BCBS PPO: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POCT Cbc Automated/Differential Wbc Automated	$100	$65	$7.61 – $85
Complete blood count (CBC) with differential: 10 of 107 insurance plan rates AETNA — AETNA: $11.35 AETNA — AETNA MARKETPLACE: $15.54 AETNA DOMESTIC — ANTHEM BCBS PPO: $7.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.77 AMBETTER — AMBETTER MARKETPLACE: $7.93 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $9.77 BCBS GENERIC — ANTHEM BCBS PPO: $7.77 BCN DOMESTIC — ANTHEM BCBS PPO: $7.77 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $7.77 BLUE CARE NETWORK — ANTHEM BCBS PPO: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$106	$68.90	$7.61 – $90.10
Complete blood count (CBC) with differential: 10 of 107 insurance plan rates AETNA — AETNA: $11.35 AETNA — AETNA MARKETPLACE: $15.54 AETNA DOMESTIC — ANTHEM BCBS PPO: $7.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.77 AMBETTER — AMBETTER MARKETPLACE: $7.93 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $9.77 BCBS GENERIC — ANTHEM BCBS PPO: $7.77 BCN DOMESTIC — ANTHEM BCBS PPO: $7.77 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $7.77 BLUE CARE NETWORK — ANTHEM BCBS PPO: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated Intrauterine	$79	$51.35	$6.34 – $67.15
Complete blood count (CBC), automated: 10 of 107 insurance plan rates AETNA — AETNA: $9.45 AETNA — AETNA MARKETPLACE: $12.94 AETNA DOMESTIC — ANTHEM BCBS PPO: $6.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.47 AMBETTER — AMBETTER MARKETPLACE: $6.60 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $8.14 BCBS GENERIC — ANTHEM BCBS PPO: $6.47 BCN DOMESTIC — ANTHEM BCBS PPO: $6.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $6.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$85	$55.25	$6.34 – $72.25
Complete blood count (CBC), automated: 10 of 107 insurance plan rates AETNA — AETNA: $9.45 AETNA — AETNA MARKETPLACE: $12.94 AETNA DOMESTIC — ANTHEM BCBS PPO: $6.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.47 AMBETTER — AMBETTER MARKETPLACE: $6.60 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $8.14 BCBS GENERIC — ANTHEM BCBS PPO: $6.47 BCN DOMESTIC — ANTHEM BCBS PPO: $6.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $6.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated	Not listed in the file	$447.20	$6.34 – $12.94
Complete blood count (CBC), automated: 10 of 98 insurance plan rates AETNA — AETNA: $9.45 AETNA — AETNA MARKETPLACE: $12.94 AETNA DOMESTIC — ANTHEM BCBS PPO: $6.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.47 AMBETTER — AMBETTER MARKETPLACE: $6.60 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $8.14 BCBS GENERIC — ANTHEM BCBS PPO: $6.47 BCN DOMESTIC — ANTHEM BCBS PPO: $6.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $6.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$55	$35.75	$4.20 – $46.75
Blood clotting time test (prothrombin time, PT): 10 of 107 insurance plan rates AETNA — AETNA: $5.73 AETNA — AETNA MARKETPLACE: $8.58 AETNA DOMESTIC — ANTHEM BCBS PPO: $4.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $4.29 AMBETTER — AMBETTER MARKETPLACE: $4.38 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $4.94 BCBS GENERIC — ANTHEM BCBS PPO: $4.29 BCN DOMESTIC — ANTHEM BCBS PPO: $4.29 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4.29 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt)	$73	$47.45	$5.89 – $62.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 107 insurance plan rates AETNA — AETNA: $8.76 AETNA — AETNA MARKETPLACE: $12.02 AETNA DOMESTIC — ANTHEM BCBS PPO: $6.01 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.01 AMBETTER — AMBETTER MARKETPLACE: $6.13 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $7.54 BCBS GENERIC — ANTHEM BCBS PPO: $6.01 BCN DOMESTIC — ANTHEM BCBS PPO: $6.01 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $6.01 BLUE CARE NETWORK — ANTHEM BCBS PPO: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 2500780 Thromboplastin Time Partial (Ptt)	$73	$47.45	$5.89 – $62.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 107 insurance plan rates AETNA — AETNA: $8.76 AETNA — AETNA MARKETPLACE: $12.02 AETNA DOMESTIC — ANTHEM BCBS PPO: $6.01 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $6.01 AMBETTER — AMBETTER MARKETPLACE: $6.13 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $7.54 BCBS GENERIC — ANTHEM BCBS PPO: $6.01 BCN DOMESTIC — ANTHEM BCBS PPO: $6.01 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $6.01 BLUE CARE NETWORK — ANTHEM BCBS PPO: $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 · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$1,795	$1,166.75	$89.78 – $1,525.75
CT scan of the head or brain, without contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $319.13 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58
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	Not listed in the file	$1,166.75	$89.78 – $550
CT scan of the head or brain, without contrast: 10 of 94 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AL — ANTHEM BCBS PPO: $503.58
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$2,575	$1,673.75	$299.61 – $2,188.75
MRI of the brain, before and after contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $611.45 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,680.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $305.60 AMBETTER — AMBETTER MARKETPLACE: $327.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $563.52 BCBS GENERIC — ANTHEM BCBS PPO: $1,680.47 BCN DOMESTIC — ANTHEM BCBS PPO: $1,680.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,680.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,680.47 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,680.47
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$312	$202.80	$52.97 – $419.19
Chest X-ray, 2 views: 10 of 107 insurance plan rates AETNA — AETNA: $193.44 AETNA — AETNA MARKETPLACE: $152.52 AETNA DOMESTIC — ANTHEM BCBS PPO: $419.19 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76.23 AMBETTER — AMBETTER MARKETPLACE: $81.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $55.47 BCBS GENERIC — ANTHEM BCBS PPO: $419.19 BCN DOMESTIC — ANTHEM BCBS PPO: $419.19 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $419.19 BLUE CARE NETWORK — ANTHEM BCBS PPO: $419.19
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Xr Chest 2 Views	Not listed in the file	$202.80	$52.97 – $419.19
Chest X-ray, 2 views: 10 of 92 insurance plan rates AETNA — AETNA MARKETPLACE: $152.52 AETNA DOMESTIC — ANTHEM BCBS PPO: $419.19 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76.23 AMBETTER — AMBETTER MARKETPLACE: $81.76 BCBS GENERIC — ANTHEM BCBS PPO: $419.19 BCN DOMESTIC — ANTHEM BCBS PPO: $419.19 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $419.19 BLUE CARE NETWORK — ANTHEM BCBS PPO: $419.19 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $419.19 BLUE CROSS - AL — ANTHEM BCBS PPO: $419.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$330	$214.50	$58.67 – $503.58
X-ray of the lower spine, at least 4 views: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $58.67 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$1,899	$1,234.35	$204.91 – $1,614.15
MRI of the lower back (lumbar spine), without contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $418.18 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,149.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $209.01 AMBETTER — AMBETTER MARKETPLACE: $224.16 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $365.40 BCBS GENERIC — ANTHEM BCBS PPO: $1,149.30 BCN DOMESTIC — ANTHEM BCBS PPO: $1,149.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,149.30 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,149.30 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,149.30
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Pelvis W/Contrast	$1,701	$1,105.65	$150.63 – $1,445.85
CT scan of the pelvis, with contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $307.41 AETNA DOMESTIC — ANTHEM BCBS PPO: $844.89 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $153.65 AMBETTER — AMBETTER MARKETPLACE: $164.79 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $302.42 BCBS GENERIC — ANTHEM BCBS PPO: $844.89 BCN DOMESTIC — ANTHEM BCBS PPO: $844.89 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $844.89 BLUE CARE NETWORK — ANTHEM BCBS PPO: $844.89 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $844.89
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt	$1,441	$936.65	$204.91 – $1,224.85
MRI of a leg joint (such as the knee), without contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $418.18 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,149.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $209.01 AMBETTER — AMBETTER MARKETPLACE: $224.16 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BCBS GENERIC — ANTHEM BCBS PPO: $1,149.30 BCN DOMESTIC — ANTHEM BCBS PPO: $1,149.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,149.30 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,149.30 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,149.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$2,162	$1,405.30	$204.91 – $1,837.70
MRI of a leg joint (such as the knee), without contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $418.18 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,149.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $209.01 AMBETTER — AMBETTER MARKETPLACE: $224.16 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BCBS GENERIC — ANTHEM BCBS PPO: $1,149.30 BCN DOMESTIC — ANTHEM BCBS PPO: $1,149.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,149.30 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,149.30 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,149.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$1,441	$936.65	$204.91 – $1,224.85
MRI of a leg joint (such as the knee), without contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $418.18 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,149.30 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $209.01 AMBETTER — AMBETTER MARKETPLACE: $224.16 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $359.82 BCBS GENERIC — ANTHEM BCBS PPO: $1,149.30 BCN DOMESTIC — ANTHEM BCBS PPO: $1,149.30 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,149.30 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,149.30 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,149.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$3,265	$2,122.25	$299.61 – $2,775.25
CT scan of the abdomen and pelvis, with contrast: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $611.45 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,680.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $305.60 AMBETTER — AMBETTER MARKETPLACE: $327.76 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $580.48 BCBS GENERIC — ANTHEM BCBS PPO: $1,680.47 BCN DOMESTIC — ANTHEM BCBS PPO: $1,680.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,680.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,680.47 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,680.47
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	Not listed in the file	$2,694.18	$299.61 – $1,680.47
CT scan of the abdomen and pelvis, with contrast: 10 of 94 insurance plan rates AETNA — AETNA MARKETPLACE: $611.45 AETNA DOMESTIC — ANTHEM BCBS PPO: $1,680.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $305.60 AMBETTER — AMBETTER MARKETPLACE: $327.76 BCBS GENERIC — ANTHEM BCBS PPO: $1,680.47 BCN DOMESTIC — ANTHEM BCBS PPO: $1,680.47 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $1,680.47 BLUE CARE NETWORK — ANTHEM BCBS PPO: $1,680.47 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $1,680.47 BLUE CROSS - AL — ANTHEM BCBS PPO: $1,680.47
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$686	$445.90	$89.78 – $583.10
Ultrasound of the abdomen, complete: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $121.96 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation	$804	$522.60	$89.78 – $683.40
Pregnancy ultrasound (after the first trimester): 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $142.94 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$379	$246.35	$67.38 – $503.58
Transvaginal ultrasound: 10 of 104 insurance plan rates AETNA — AETNA MARKETPLACE: $183.23 AETNA DOMESTIC — ANTHEM BCBS PPO: $503.58 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.58 AMBETTER — AMBETTER MARKETPLACE: $98.22 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $67.38 BCBS GENERIC — ANTHEM BCBS PPO: $503.58 BCN DOMESTIC — ANTHEM BCBS PPO: $503.58 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $503.58 BLUE CARE NETWORK — ANTHEM BCBS PPO: $503.58 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $503.58
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$307	$199.55	$54.58 – $260.95
Diagnostic mammogram, one breast: 10 of 107 insurance plan rates AETNA — AETNA: $190.34 AETNA — AETNA MARKETPLACE: $153.94 AETNA DOMESTIC — ANTHEM BCBS PPO: $76.97 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76.97 AMBETTER — AMBETTER MARKETPLACE: $78.51 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $54.58 BCBS GENERIC — ANTHEM BCBS PPO: $76.97 BCN DOMESTIC — ANTHEM BCBS PPO: $76.97 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $76.97 BLUE CARE NETWORK — ANTHEM BCBS PPO: $76.97
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$307	$199.55	$54.58 – $260.95
Diagnostic mammogram, one breast: 10 of 107 insurance plan rates AETNA — AETNA: $190.34 AETNA — AETNA MARKETPLACE: $153.94 AETNA DOMESTIC — ANTHEM BCBS PPO: $76.97 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $76.97 AMBETTER — AMBETTER MARKETPLACE: $78.51 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $54.58 BCBS GENERIC — ANTHEM BCBS PPO: $76.97 BCN DOMESTIC — ANTHEM BCBS PPO: $76.97 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $76.97 BLUE CARE NETWORK — ANTHEM BCBS PPO: $76.97
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$499	$324.35	$88.72 – $424.15
Diagnostic mammogram, both breasts: 10 of 107 insurance plan rates AETNA — AETNA: $309.38 AETNA — AETNA MARKETPLACE: $197.64 AETNA DOMESTIC — ANTHEM BCBS PPO: $98.82 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $98.82 AMBETTER — AMBETTER MARKETPLACE: $100.80 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $88.72 BCBS GENERIC — ANTHEM BCBS PPO: $98.82 BCN DOMESTIC — ANTHEM BCBS PPO: $98.82 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $98.82 BLUE CARE NETWORK — ANTHEM BCBS PPO: $98.82
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$361	$234.65	$64.18 – $306.85
Screening mammogram, both breasts: 10 of 107 insurance plan rates AETNA — AETNA: $223.82 AETNA — AETNA MARKETPLACE: $162.88 AETNA DOMESTIC — ANTHEM BCBS PPO: $81.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.44 AMBETTER — AMBETTER MARKETPLACE: $83.07 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $64.18 BCBS GENERIC — ANTHEM BCBS PPO: $81.44 BCN DOMESTIC — ANTHEM BCBS PPO: $81.44 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $81.44 BLUE CARE NETWORK — ANTHEM BCBS PPO: $81.44
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$361	$234.65	$64.18 – $306.85
Screening mammogram, both breasts: 10 of 107 insurance plan rates AETNA — AETNA: $223.82 AETNA — AETNA MARKETPLACE: $162.88 AETNA DOMESTIC — ANTHEM BCBS PPO: $81.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $81.44 AMBETTER — AMBETTER MARKETPLACE: $83.07 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $64.18 BCBS GENERIC — ANTHEM BCBS PPO: $81.44 BCN DOMESTIC — ANTHEM BCBS PPO: $81.44 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $81.44 BLUE CARE NETWORK — ANTHEM BCBS PPO: $81.44

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	$45	$45	$11.11 – $45
Electrocardiogram (ECG/EKG) with reading: 10 of 740 insurance plan rates AETNA DOMESTIC — AETNA: $34.78 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $14.23 AETNA MEDICARE TRANSPLANT — MEDICARE: $14.23 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $25.09 ALIGN SENIOR CARE — MEDICARE: $14.23 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14.23 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $14.23 ALLY ALIGN CARE ADV — MEDICARE: $14.23 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $14.23 AMERICAN HEALTH PLAN — MEDICARE: $14.23
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Ecg 12 Lead Interpretation & Report	Not listed in the file	$50.92	$11.11 – $50.92
Electrocardiogram (ECG/EKG) with reading: 10 of 740 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $14.23 AETNA — AETNA: $34.78 AETNA DOMESTIC — AETNA: $34.78 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $14.23 AETNA MEDICARE TRANSPLANT — MEDICARE: $14.23 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $25.09 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $25.09 ALIGN SENIOR CARE — MEDICARE: $14.23 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $14.23 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $14.23
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years	$4,174	$2,713.10	$737.48 – $4,136.44
Sleep study (overnight, in a sleep lab): 10 of 107 insurance plan rates AETNA — AETNA: $2,587.88 AETNA — AETNA MARKETPLACE: $1,505.06 AETNA DOMESTIC — ANTHEM BCBS PPO: $4,136.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $752.23 AMBETTER — AMBETTER MARKETPLACE: $806.78 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $742.10 BCBS GENERIC — ANTHEM BCBS PPO: $4,136.44 BCN DOMESTIC — ANTHEM BCBS PPO: $4,136.44 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4,136.44 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4,136.44

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 · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$134	$87.10	$20.67 – $450
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 107 insurance plan rates AETNA — AETNA: $83.08 AETNA — AETNA MARKETPLACE: $55.56 AETNA DOMESTIC — ANTHEM BCBS PPO: $27.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.77 AMBETTER — AMBETTER MARKETPLACE: $28.34 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.82 BCBS GENERIC — ANTHEM BCBS PPO: $27.78 BCN DOMESTIC — ANTHEM BCBS PPO: $27.78 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $27.78 BLUE CARE NETWORK — ANTHEM BCBS PPO: $27.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$134	$87.10	$20.67 – $450
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 107 insurance plan rates AETNA — AETNA: $83.08 AETNA — AETNA MARKETPLACE: $55.56 AETNA DOMESTIC — ANTHEM BCBS PPO: $27.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.77 AMBETTER — AMBETTER MARKETPLACE: $28.34 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $23.82 BCBS GENERIC — ANTHEM BCBS PPO: $27.78 BCN DOMESTIC — ANTHEM BCBS PPO: $27.78 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $27.78 BLUE CARE NETWORK — ANTHEM BCBS PPO: $27.78
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier CO In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes\|CO	$134	$87.10	$20.67 – $450
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 90 insurance plan rates AETNA — AETNA MARKETPLACE: $55.56 AETNA DOMESTIC — ANTHEM BCBS PPO: $27.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $27.77 AMBETTER — AMBETTER MARKETPLACE: $28.34 BCBS GENERIC — ANTHEM BCBS PPO: $27.78 BCN DOMESTIC — ANTHEM BCBS PPO: $27.78 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $27.78 BLUE CARE NETWORK — ANTHEM BCBS PPO: $27.78 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $27.78 BLUE CROSS - AL — ANTHEM BCBS PPO: $27.78
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$249	$161.85	$44.27 – $450
Physical therapy evaluation (low complexity): 10 of 107 insurance plan rates AETNA — AETNA: $154.38 AETNA — AETNA MARKETPLACE: $186.82 AETNA DOMESTIC — ANTHEM BCBS PPO: $93.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $93.37 AMBETTER — AMBETTER MARKETPLACE: $95.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $44.27 BCBS GENERIC — ANTHEM BCBS PPO: $93.41 BCN DOMESTIC — ANTHEM BCBS PPO: $93.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $93.41 BLUE CARE NETWORK — ANTHEM BCBS PPO: $93.41
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$279	$181.35	$49.60 – $450
Physical therapy evaluation (moderate complexity): 10 of 107 insurance plan rates AETNA — AETNA: $172.98 AETNA — AETNA MARKETPLACE: $186.82 AETNA DOMESTIC — ANTHEM BCBS PPO: $93.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $93.37 AMBETTER — AMBETTER MARKETPLACE: $95.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $49.60 BCBS GENERIC — ANTHEM BCBS PPO: $93.41 BCN DOMESTIC — ANTHEM BCBS PPO: $93.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $93.41 BLUE CARE NETWORK — ANTHEM BCBS PPO: $93.41
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation High Complexity Patient/Family	$286	$185.90	$50.85 – $450
Physical therapy evaluation (high complexity): 10 of 107 insurance plan rates AETNA — AETNA: $177.32 AETNA — AETNA MARKETPLACE: $186.82 AETNA DOMESTIC — ANTHEM BCBS PPO: $93.41 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $93.37 AMBETTER — AMBETTER MARKETPLACE: $95.28 AMERIGROUP MEDICAID — AMERIGROUP MEDICAID: $50.85 BCBS GENERIC — ANTHEM BCBS PPO: $93.41 BCN DOMESTIC — ANTHEM BCBS PPO: $93.41 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $93.41 BLUE CARE NETWORK — ANTHEM BCBS PPO: $93.41

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH)	Not listed in the file	$32,955.93	$11,025.75 – $61,842.42
Total hip replacement: 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $22,501.54 AETNA DOMESTIC — ANTHEM BCBS PPO: $61,842.42 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,246.27 AMBETTER — AMBETTER MARKETPLACE: $12,061.79 BCBS GENERIC — ANTHEM BCBS PPO: $61,842.42 BCN DOMESTIC — ANTHEM BCBS PPO: $61,842.42 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $61,842.42 BLUE CARE NETWORK — ANTHEM BCBS PPO: $61,842.42 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $61,842.42 BLUE CROSS - AL — ANTHEM BCBS PPO: $61,842.42
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH)	Not listed in the file	$33,426.87	$11,025.75 – $61,842.42
Total knee replacement: 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $22,501.54 AETNA DOMESTIC — ANTHEM BCBS PPO: $61,842.42 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $11,246.27 AMBETTER — AMBETTER MARKETPLACE: $12,061.79 BCBS GENERIC — ANTHEM BCBS PPO: $61,842.42 BCN DOMESTIC — ANTHEM BCBS PPO: $61,842.42 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $61,842.42 BLUE CARE NETWORK — ANTHEM BCBS PPO: $61,842.42 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $61,842.42 BLUE CROSS - AL — ANTHEM BCBS PPO: $61,842.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH)	Not listed in the file	$16,334.53	$2,809.97 – $15,760.85
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $5,734.63 AETNA DOMESTIC — ANTHEM BCBS PPO: $15,760.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,866.17 AMBETTER — AMBETTER MARKETPLACE: $3,074.01 BCBS GENERIC — ANTHEM BCBS PPO: $15,760.85 BCN DOMESTIC — ANTHEM BCBS PPO: $15,760.85 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $15,760.85 BLUE CARE NETWORK — ANTHEM BCBS PPO: $15,760.85 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $15,760.85 BLUE CROSS - AL — ANTHEM BCBS PPO: $15,760.85
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing	Not listed in the file	$5,196.46	$142.04 – $4,368.83
Upper GI endoscopy (diagnostic): 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $1,589.62 AETNA DOMESTIC — ANTHEM BCBS PPO: $4,368.83 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $794.49 AMBETTER — AMBETTER MARKETPLACE: $852.10 BCBS GENERIC — ANTHEM BCBS PPO: $4,368.83 BCN DOMESTIC — ANTHEM BCBS PPO: $4,368.83 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4,368.83 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4,368.83 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $4,368.83 BLUE CROSS - AL — ANTHEM BCBS PPO: $4,368.83
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$1,030	$1,030	$43.67 – $927
Upper GI endoscopy with biopsy: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $59.46 AETNA — AETNA: $115.07 AETNA DOMESTIC — AETNA: $115.07 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $59.46 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $59.46 AETNA MEDICARE TRANSPLANT — MEDICARE: $59.46 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $77.61 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $77.61 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $77.61
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Egd Flexible Transoral W/ Biopsy Single/Multiple	$301	$301	$43.67 – $270.90
Upper GI endoscopy with biopsy: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $59.46 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $59.46 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $59.46 AETNA MEDICARE TRANSPLANT — MEDICARE: $59.46 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $77.61 ALIGN SENIOR CARE — MEDICARE: $59.46 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $59.46 ALLY ALIGN CARE ADV — MEDICARE: $59.46
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH)	Not listed in the file	$5,274.46	$159.87 – $4,368.83
Upper GI endoscopy with biopsy: 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $1,589.62 AETNA DOMESTIC — ANTHEM BCBS PPO: $4,368.83 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $794.49 AMBETTER — AMBETTER MARKETPLACE: $852.10 BCBS GENERIC — ANTHEM BCBS PPO: $4,368.83 BCN DOMESTIC — ANTHEM BCBS PPO: $4,368.83 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4,368.83 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4,368.83 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $4,368.83 BLUE CROSS - AL — ANTHEM BCBS PPO: $4,368.83
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	$625	$625	$58.36 – $562.50
Colonoscopy (diagnostic): 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $146.15 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.61 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.61 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $107.34 ALIGN SENIOR CARE — MEDICARE: $79.61 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLY ALIGN CARE ADV — MEDICARE: $79.61 AMBETTER — AMBETTER: $107.71 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $107.34
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible Diagnostic W Collection Specimen Brushing/Washing	Not listed in the file	$590.94	$58.36 – $531.85
Colonoscopy (diagnostic): 10 of 741 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.61 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.61 ALIGN SENIOR CARE — MEDICARE: $79.61 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.61 ALLY ALIGN CARE ADV — MEDICARE: $79.61 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $79.61 AMERICAN HEALTH PLAN — MEDICARE: $79.61 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $107.34 AMERIHEALTH MEDICARE — MEDICARE: $79.61
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flexible Dx W/Collection of Specimen(S) by Brushing/Washing (Restricted Method II CAH)	Not listed in the file	$5,196.75	$221.11 – $4,479.51
Colonoscopy (diagnostic): 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $1,629.88 AETNA DOMESTIC — ANTHEM BCBS PPO: $4,479.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $814.61 AMBETTER — AMBETTER MARKETPLACE: $873.68 BCBS GENERIC — ANTHEM BCBS PPO: $4,479.51 BCN DOMESTIC — ANTHEM BCBS PPO: $4,479.51 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4,479.51 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4,479.51 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $4,479.51 BLUE CROSS - AL — ANTHEM BCBS PPO: $4,479.51
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	$1,314	$1,314	$63.48 – $1,182.60
Colonoscopy with biopsy: 10 of 741 insurance plan rates AETNA — AETNA: $174.80 AETNA DOMESTIC — AETNA: $174.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.87 AETNA MEDICARE TRANSPLANT — MEDICARE: $85.87 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $115.86 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.86 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $85.87 ALLY ALIGN CARE ADV — MEDICARE: $85.87 AMBETTER — AMBETTER: $116.18 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $85.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Biopsy Single/Multiple	Not listed in the file	$1,314	$63.48 – $600.14
Colonoscopy with biopsy: 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $174.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $85.87 AETNA MEDICARE TRANSPLANT — MEDICARE: $85.87 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $115.86 ALIGN SENIOR CARE — MEDICARE: $85.87 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $85.87 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $85.87 ALLY ALIGN CARE ADV — MEDICARE: $85.87 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $85.87 AMERICAN HEALTH PLAN — MEDICARE: $85.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flexible With Biopsy Single/Multiple (Restricted Method II CAH)	Not listed in the file	$4,601.84	$238.66 – $5,764.06
Colonoscopy with biopsy: 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $2,097.28 AETNA DOMESTIC — ANTHEM BCBS PPO: $5,764.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,048.22 AMBETTER — AMBETTER MARKETPLACE: $1,124.23 BCBS GENERIC — ANTHEM BCBS PPO: $5,764.06 BCN DOMESTIC — ANTHEM BCBS PPO: $5,764.06 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $5,764.06 BLUE CARE NETWORK — ANTHEM BCBS PPO: $5,764.06 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $5,764.06 BLUE CROSS - AL — ANTHEM BCBS PPO: $5,764.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$1,748	$1,748	$79.98 – $1,573.20
Colonoscopy with removal of polyps (snare): 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $207.69 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.06 AETNA MEDICARE TRANSPLANT — MEDICARE: $108.06 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $153.63 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $108.06 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $108.06 ALLY ALIGN CARE ADV — MEDICARE: $108.06 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $108.06 AMERICAN HEALTH PLAN — MEDICARE: $108.06 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $153.63
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonoscopy Flexible With Removal Tumor/Polyp/Other Lesion by Snare Tech	$551	$551	$79.98 – $495.90
Colonoscopy with removal of polyps (snare): 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $108.06 AETNA — AETNA: $207.69 AETNA MEDICAID — MEDICAID: $153.63 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $108.06 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $108.06 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $153.63 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $153.63 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $108.06 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $153.63 ALLY ALIGN CARE ADV — MEDICARE: $108.06
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colon Flex W/Rem Tumor(S)/Polyp(S)/Other Lesion(S) by Snare Tech (Restricted Method II CAH)	Not listed in the file	$4,009.82	$316.47 – $5,764.06
Colonoscopy with removal of polyps (snare): 10 of 93 insurance plan rates AETNA — AETNA MARKETPLACE: $2,097.28 AETNA DOMESTIC — ANTHEM BCBS PPO: $5,764.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,048.22 AMBETTER — AMBETTER MARKETPLACE: $1,124.23 BCBS GENERIC — ANTHEM BCBS PPO: $5,764.06 BCN DOMESTIC — ANTHEM BCBS PPO: $5,764.06 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $5,764.06 BLUE CARE NETWORK — ANTHEM BCBS PPO: $5,764.06 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $5,764.06 BLUE CROSS - AL — ANTHEM BCBS PPO: $5,764.06
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	$451	$451	$58.47 – $405.90
Screening colonoscopy (not high risk): 10 of 472 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.80 AETNA — AETNA: $146.15 AETNA DOMESTIC — AETNA: $146.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.80 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.80 ALIGN SENIOR CARE — MEDICARE: $79.80 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Colonscopy Colorectal Cancer Screening Non High Risk Patient	Not listed in the file	$580.37	$58.47 – $522.33
Screening colonoscopy (not high risk): 10 of 472 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $79.80 AETNA — AETNA: $146.15 AETNA DOMESTIC — AETNA: $146.15 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $79.80 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $79.80 AETNA MEDICARE TRANSPLANT — MEDICARE: $79.80 ALIGN SENIOR CARE — MEDICARE: $79.80 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $79.80 ALLY ALIGN CARE ADV — MEDICARE: $79.80
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Colorectal Cancer Screening Non High Risk Patient (Restricted Method II CAH)	Not listed in the file	$3,045.28	$798.64 – $4,479.51
Screening colonoscopy (not high risk): 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $1,629.88 AETNA DOMESTIC — ANTHEM BCBS PPO: $4,479.51 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $814.61 AMBETTER — AMBETTER MARKETPLACE: $873.68 BCBS GENERIC — ANTHEM BCBS PPO: $4,479.51 BCN DOMESTIC — ANTHEM BCBS PPO: $4,479.51 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $4,479.51 BLUE CARE NETWORK — ANTHEM BCBS PPO: $4,479.51 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $4,479.51 BLUE CROSS - AL — ANTHEM BCBS PPO: $4,479.51
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$3,611	$3,611	$213.64 – $3,249.90
Gallbladder removal by laparoscope: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $307.17 AETNA — AETNA: $477.84 AETNA MEDICAID — MEDICAID: $298.54 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $307.17 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $298.54 ALIGN SENIOR CARE — MEDICARE: $307.17 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $298.54 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $307.17 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $298.54 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $307.17
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Laparoscopy Surgical Cholecystectomy	$1,451	$1,451	$31.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,305.90
Gallbladder removal by laparoscope: 10 of 741 insurance plan rates AETNA — AETNA: $477.84 AETNA DOMESTIC — AETNA: $477.84 AETNA MEDICAID — MEDICAID: $298.54 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $307.17 AETNA MEDICARE TRANSPLANT — MEDICARE: $307.17 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $307.17 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $298.54 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $307.17 ALLY ALIGN CARE ADV — MEDICARE: $307.17 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $307.17
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH)	Not listed in the file	$19,429.85	$5,191.85 – $29,120.60
Gallbladder removal by laparoscope: 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $10,595.61 AETNA DOMESTIC — ANTHEM BCBS PPO: $29,120.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $5,295.69 AMBETTER — AMBETTER MARKETPLACE: $5,679.70 BCBS GENERIC — ANTHEM BCBS PPO: $29,120.60 BCN DOMESTIC — ANTHEM BCBS PPO: $29,120.60 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $29,120.60 BLUE CARE NETWORK — ANTHEM BCBS PPO: $29,120.60 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $29,120.60 BLUE CROSS - AL — ANTHEM BCBS PPO: $29,120.60
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH)	Not listed in the file	$14,401.82	$3,074.82 – $17,246.38
Groin (inguinal) hernia repair, age 5 or older: 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $6,275.14 AETNA DOMESTIC — ANTHEM BCBS PPO: $17,246.38 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3,136.32 AMBETTER — AMBETTER MARKETPLACE: $3,363.74 BCBS GENERIC — ANTHEM BCBS PPO: $17,246.38 BCN DOMESTIC — ANTHEM BCBS PPO: $17,246.38 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $17,246.38 BLUE CARE NETWORK — ANTHEM BCBS PPO: $17,246.38 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $17,246.38 BLUE CROSS - AL — ANTHEM BCBS PPO: $17,246.38
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PR Rem Cataract Extracapsular Insert Intraocular Lens Prosth Man/Mech Tech	Not listed in the file	$6,948.11	$1,981.94 – $11,116.52
Cataract removal with lens implant: 10 of 91 insurance plan rates AETNA — AETNA MARKETPLACE: $4,044.78 AETNA DOMESTIC — ANTHEM BCBS PPO: $11,116.52 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,021.58 AMBETTER — AMBETTER MARKETPLACE: $2,168.17 BCBS GENERIC — ANTHEM BCBS PPO: $11,116.52 BCN DOMESTIC — ANTHEM BCBS PPO: $11,116.52 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $11,116.52 BLUE CARE NETWORK — ANTHEM BCBS PPO: $11,116.52 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $11,116.52 BLUE CROSS - AL — ANTHEM BCBS PPO: $11,116.52

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$4,647	$4,647	$908.68 – $4,182.30
Vaginal delivery, with care before and after: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,084.86 AETNA — AETNA: $1,248 AETNA MEDICAID — MEDICAID: $1,235.44 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,084.86 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,235.44 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,235.44 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,084.86 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,235.44 AMBETTER — AMBETTER: $1,467.88 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $1,235.44
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care Vaginal Delivery and Pp Care	$5,277	$5,277	$908.68 – $4,749.30
Vaginal delivery, with care before and after: 10 of 741 insurance plan rates AETNA — AETNA: $1,248 AETNA DOMESTIC — AETNA: $1,248 AETNA MEDICAID — MEDICAID: $1,235.44 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $1,084.86 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,235.44 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,235.44 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,235.44 AMERICAN HEALTH PLAN — MEDICARE: $1,084.86 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $1,235.44 AMERIHEALTH CARITAS MEDICAID — MEDICAID: $1,235.44
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$5,133	$5,133	$1,002.29 – $4,619.70
Cesarean delivery (C-section), with care before and after: 10 of 741 insurance plan rates AETNA DOMESTIC — AETNA: $1,410.18 AETNA MEDICAID — MEDICAID: $1,376.20 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $1,376.20 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,376.20 AMBETTER — AMBETTER: $1,647.46 AMERICAN HEALTH PLAN — MEDICARE: $1,217.58 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $1,376.20 AMERIHEALTH MEDICARE — MEDICARE: $1,217.58 AMISH MENNONITE — MEDICAID: $1,376.20 ANDRIE INC — WORKERS COMP: $1,242.43
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care	$5,860	$5,860	$1,002.29 – $5,274
Cesarean delivery (C-section), with care before and after: 10 of 741 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $1,217.58 AETNA — AETNA: $1,410.18 AETNA MEDICAID — MEDICAID: $1,376.20 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID: $1,376.20 ALIGN SENIOR CARE — MEDICARE: $1,217.58 ALLWELL MEDICAID ADVANTAGE — MEDICAID: $1,376.20 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $1,217.58 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID: $1,376.20 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $1,217.58 ALLY ALIGN CARE ADV — MEDICARE: $1,217.58
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee · modifier 80 In the file: PR Routine Obstetric Care Incl Antepartum Care/C-Section & Postpartum Care\|ASSISTANT SURGEON	$937.60	$937.60	$37.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $937.60
Cesarean delivery (C-section), with care before and after: 10 of 741 insurance plan rates AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $194.81 AETNA MEDICARE TRANSPLANT — MEDICARE: $194.81 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID: $220.19 ALIGN SENIOR CARE — MEDICARE: $194.81 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $194.81 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $194.81 ALLY ALIGN CARE ADV — MEDICARE: $194.81 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $194.81 AMERICAN HEALTH PLAN — MEDICARE: $194.81 AMERIGROUP MEDICAID — WELLPOINT MEDICAID: $220.19

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$40,110.28	$1,535 – $22,833.22
Hip or knee replacement (major joint of the leg), without major complications: 10 of 97 insurance plan rates AETNA — AETNA: $4,115 AETNA — AETNA MARKETPLACE: $18,413.89 AETNA DOMESTIC — ANTHEM BCBS PPO: $3,752 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $14,725.22 AMBETTER — AMBETTER MARKETPLACE: $16,228.95 BCBS GENERIC — ANTHEM BCBS PPO: $3,752 BCN DOMESTIC — ANTHEM BCBS PPO: $3,752 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $3,752 BLUE CARE NETWORK — ANTHEM BCBS PPO: $3,752 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $3,752
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	$16,926.24	$1,250 – $16,088.86
Uterus and ovary surgery (not for cancer), without complications: 10 of 99 insurance plan rates AETNA — AETNA: $4,115 AETNA — AETNA MARKETPLACE: $12,974.89 AETNA DOMESTIC — ANTHEM BCBS PPO: $3,752 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $10,375.76 AMBETTER — AMBETTER MARKETPLACE: $10,438.72 BCBS GENERIC — ANTHEM BCBS PPO: $3,752 BCN DOMESTIC — ANTHEM BCBS PPO: $3,752 BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS — ANTHEM BCBS PPO: $3,752 BLUE CARE NETWORK — ANTHEM BCBS PPO: $3,752 BLUE CROSS - AK (PREMERA) — ANTHEM BCBS PPO: $3,752

Source: Ty Cobb Regional Medical Center, LLC’s standard charges file (hpt.trinity-health.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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	367 Clear Creek Parkway, Lavonia, GA 30553
County	Franklin County
State	Georgia
Phone	(706) 356‑7800
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	110027
Name in Medicare records	TY COBB REGIONAL MEDICAL CENTER, LLC
Profile level	Medicare data + hospital website
Name on the hospital’s website	St. Mary's Sacred Heart Hospital
Official website	stmaryshealthcaresystem.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

St. Mary's Sacred Heart Hospital — stmaryshealthcaresystem.org
Visitor Information | St. Mary's Health Care System — stmaryshealthcaresystem.org