Does UH Regional Hospitals have an emergency room?

Yes. Medicare (CMS) data lists emergency services at UH Regional Hospitals. In a medical emergency, call 911.

Where is UH Regional Hospitals?

13207 Ravenna Road, Chardon, OH 44024, in Geauga County, Ohio.

What is the phone number of UH Regional Hospitals?

(440) 285-6246, as listed by Medicare (CMS).

What is the Medicare star rating of UH Regional Hospitals?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to UH Regional Hospitals for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for UH Regional Hospitals under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2947; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

UH Regional Hospitals — Phone, Address & ER

Quick answers

Does UH Regional Hospitals have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UH Regional Hospitals. In a medical emergency, call 911.
Where is UH Regional Hospitals?: 13207 Ravenna Road, Chardon, OH 44024, in Geauga County, Ohio.
What is the phone number of UH Regional Hospitals?: (440) 285-6246, as listed by Medicare (CMS).
What is the Medicare star rating of UH Regional Hospitals?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to UH Regional Hospitals for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for UH Regional Hospitals under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2947; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[6][8]

Emergency medicine
Cardiology (cath lab, UH Harrington Heart & Vascular Institute)
Women's health
Wound care
Behavioral health
Cardiopulmonary rehabilitation
Intensive care

Programs and centers^[6][7]

Chest Pain Center accreditation
Primary Stroke Center certification
Accredited Breast Center

Emergency care (hospital website)^[6][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III (adult)
Stroke designation	Certified Primary Stroke Center

Recognition^[6][7]

Level III Adult Trauma Center
Accredited Chest Pain Center
Certified Primary Stroke Center
Accredited Breast Center

Doctors and clinicians (641)

641 doctors and other clinicians list UH Regional Hospitals 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 617 more: the button below opens the full list.

Other emergency rooms nearby

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

Lake Health11 mi · Concord, OH · Acute Care Hospital
Hillcrest Hospital12 mi · Mayfield Heights, OH · Acute Care Hospital
Lake Health Beachwood Medical Center16 mi · Beachwood, OH · Acute Care Hospital
University Hospitals Ahuja Medical Center16 mi · Beachwood, OH · Acute Care Hospital
South Pointe Hospital18 mi · Warrensville Heights, OH · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Chardon

Windsor Laurelwood Center for Behavorial Medicine15 mi · Willoughby, OH · Psychiatric Hospital
University Hospitals Rehabilitation Hospital17 mi · Beachwood, OH · Inpatient Rehabilitation Hospital

Hospitals in Geauga County · Hospitals near me

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

Chardon Woods2.1 mi · Chardon, OH · 4 of 5 stars
Mapleview Country Villa3.4 mi · Chardon, OH · 4 of 5 stars
Burton Health Care Center4.0 mi · Burton, OH · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Ohio Living Hospice - Greater Cleveland12 mi · Willoughby, OH · 2 of 5 stars
AHC Home Health of Cleveland LLC14 mi · Mayfield Heights, OH
Constellation Hospice15 mi · Mayfield Village, OH

All hospice providers in the state →

Home health agencies

Enhanced Rehabilitation Services, Inc6.9 mi · Chesterland, OH · 4 of 5 stars
Ohman Family Living at Home9.8 mi · Chagrin Falls, OH · 4 of 5 stars
Ohio Living Home Health Greater Cleveland12 mi · Willoughby, OH · 3.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Center for Dialysis Care at Heather Hill4.8 mi · Chardon, OH · 3 of 5 stars
Center for Dialysis Care, Painesville13 mi · Painesville, OH · 2 of 5 stars
DaVita Auburn Road Dialysis13 mi · Painesville, OH · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Chardon Surgery Center4.8 mi · Chardon, OH
Endoscopy Center at Bainbridge9.8 mi · Chagrin Falls, OH
Willoughby Surgery Center12 mi · Willoughby, OH

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

Crossroads Health Mentor Avenue13 mi · Mentor, OH · Community health center
Signature Health New Willoughby Clinic14 mi · Willoughby, OH · Community health center
Signature Health Painesville Health Center15 mi · Painesville, OH · Community health center

Clinics and urgent care

University Hospitals Urgent Care, LLC13 mi · Concord Township, OH · Urgent care center
University Primary Care Practices, Inc.16 mi · Solon, OH · Urgent care center
University Hospitals Urgent Care, LLC17 mi · Beachwood, OH · Urgent care center

Pharmacies

Donnelly Pharmacy Services Inc4.8 mi · Chardon, OH · Community/retail pharmacy
Marc Glassman Inc4.8 mi · Chardon, OH · Community/retail pharmacy
Rehabilitation Hospital at Heather Hill Pharmacy4.8 mi · Chardon, OH · Pharmacy

Assisted living nearby

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

Ohman Family Living at Holly4.2 mi · Newbury, OH
Jennings at Notre Dame Village4.8 mi · Chardon, OH
Maplewood at Chardon4.8 mi · Chardon, OH
The Residence of Chardon4.8 mi · Chardon, OH

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 UH Regional Hospitals 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	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	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	4 of 5 stars
Restfulness of Environment	3 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	75%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	80%National average: 80%
“Always” got help as soon as they wanted	71%National average: 64%
Staff “always” explained medicines before giving them	65%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	78%National average: 73%
Completed surveys	1,543Response rate: 31%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0.669No different from the national benchmark
MRSA bloodstream infections	0.848No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.184Better than the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12%
Deaths within 30 days: heart failure patients	11.5%
Deaths within 30 days: pneumonia patients	14.7%
Deaths within 30 days: COPD patients	8%
Deaths within 30 days: stroke patients	11.1%
Serious complications (patient safety indicator PSI-90)	0.82No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	15.3%
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	20.5%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	19.9%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	190 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)	49%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for UH Regional Hospitals, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	0.2947Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack	1.0083More readmissions than expected
Heart failure	0.8968Fewer readmissions than expected
Pneumonia	1.0334More readmissions than expected
COPD (chronic lung disease)	0.9646Fewer readmissions than expected
No result published	Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	30.96 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	22.50 out of 100
Person and community engagement (patient survey)	58.00 out of 100
Safety (infections and sepsis care)	33.33 out of 100
Efficiency and cost reduction (Medicare spending)	10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.98Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 Ohio Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as UH Regional Hospitals 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.

Show the prices of 87 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN	Not listed in the file	Not listed in the file	$112.50 – $202.50
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $112.50 Ambetter — Commercial: $202.50 Anthem — Medicare Advantage: $112.50 CareSource — Marketplace: $202.50 Cigna — Medicare Advantage: $112.50 Devoted Health — Medicare Advantage: $112.50 Humana — Medicare Advantage: $112.50 Medical Mutual of Ohio — Medicare Advantage: $112.50 Molina — Medicare Advantage: $112.50 Paramount — Medicare Advantage: $115.87
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$170.25 – $306.44
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $170.25 Ambetter — Commercial: $306.44 Anthem — Medicare Advantage: $170.25 CareSource — Marketplace: $306.44 Cigna — Medicare Advantage: $170.25 Devoted Health — Medicare Advantage: $170.25 Humana — Medicare Advantage: $170.25 Medical Mutual of Ohio — Medicare Advantage: $170.25 Molina — Medicare Advantage: $170.25 Paramount — Medicare Advantage: $175.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$227.52 – $409.54
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $227.52 Ambetter — Commercial: $409.54 Anthem — Medicare Advantage: $227.52 CareSource — Marketplace: $409.54 Cigna — Medicare Advantage: $227.52 Devoted Health — Medicare Advantage: $227.52 Humana — Medicare Advantage: $227.52 Medical Mutual of Ohio — Medicare Advantage: $227.52 Molina — Medicare Advantage: $227.52 Paramount — Medicare Advantage: $234.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 3	$168	$126	$32 – $163.75
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $90.97 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $163.75 Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Blue Access Commercial: $93.07 Anthem — Medicare Advantage: $90.97 Anthem — Tiered/Pathway Commercial: $85.68 Anthem — Traditional Commercial: $94.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT EST LEVEL 3	$168	$126	$32 – $163.75
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $90.97 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $163.75 Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Blue Access Commercial: $93.07 Anthem — Medicare Advantage: $90.97 Anthem — Tiered/Pathway Commercial: $85.68 Anthem — Traditional Commercial: $94.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 3	$168	$126	$65.02 – $900
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Traditional Commercial: $105.50 Beech Street — Commercial: $134.40 Buckeye Plain Ministries — Fund: $77.28 Century Health Network — Commercial: $142.80 Christian Healthcare Ministries — Fund: $84 Cigna — PPO Commercial: $93.24 First Health — Commercial: $139.44 Fortified Provider Network — Commercial: $151.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 4	$197	$147.75	$32 – $233.70
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $129.83 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $233.70 Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Blue Access Commercial: $109.14 Anthem — Medicare Advantage: $129.83 Anthem — Tiered/Pathway Commercial: $100.47 Anthem — Traditional Commercial: $111.11
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT EST LEVEL 4	$197	$147.75	$32 – $233.70
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $129.83 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $233.70 Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Blue Access Commercial: $109.14 Anthem — Medicare Advantage: $129.83 Anthem — Tiered/Pathway Commercial: $100.47 Anthem — Traditional Commercial: $111.11
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 4	$197	$147.75	$76.24 – $900
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Traditional Commercial: $123.72 Beech Street — Commercial: $157.60 Buckeye Plain Ministries — Fund: $90.62 Century Health Network — Commercial: $167.45 Christian Healthcare Ministries — Fund: $98.50 Cigna — PPO Commercial: $109.34 First Health — Commercial: $163.51 Fortified Provider Network — Commercial: $177.30
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$108.35 – $195.03
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $108.35 Ambetter — Commercial: $195.03 Anthem — Medicare Advantage: $108.35 CareSource — Marketplace: $195.03 Cigna — Medicare Advantage: $108.35 Devoted Health — Medicare Advantage: $108.35 Humana — Medicare Advantage: $108.35 Medical Mutual of Ohio — Medicare Advantage: $108.35 Molina — Medicare Advantage: $108.35 Paramount — Medicare Advantage: $111.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$155.34 – $279.62
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $155.34 Ambetter — Commercial: $279.62 Anthem — Medicare Advantage: $155.34 CareSource — Marketplace: $279.62 Cigna — Medicare Advantage: $155.34 Devoted Health — Medicare Advantage: $155.34 Humana — Medicare Advantage: $155.34 Medical Mutual of Ohio — Medicare Advantage: $155.34 Molina — Medicare Advantage: $155.34 Paramount — Medicare Advantage: $160
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$223	$167.25	$32 – $231.94
Preventive checkup, new patient, age 18–39: 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $128.85 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $231.94 Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Blue Access Commercial: $123.54 Anthem — Medicare Advantage: $128.85 Anthem — Tiered/Pathway Commercial: $113.73 Anthem — Traditional Commercial: $125.77
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$223	$167.25	$86.30 – $900
Preventive checkup, new patient, age 18–39: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Traditional Commercial: $140.04 Beech Street — Commercial: $178.40 Buckeye Plain Ministries — Fund: $102.58 Century Health Network — Commercial: $189.55 Christian Healthcare Ministries — Fund: $111.50 Cigna — PPO Commercial: $123.77 First Health — Commercial: $185.09 Fortified Provider Network — Commercial: $200.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$223	$167.25	$32 – $268.84
Preventive checkup, new patient, age 40–64: 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $149.35 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $268.84 Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Blue Access Commercial: $123.54 Anthem — Medicare Advantage: $149.35 Anthem — Tiered/Pathway Commercial: $113.73 Anthem — Traditional Commercial: $125.77
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$223	$167.25	$86.30 – $900
Preventive checkup, new patient, age 40–64: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Traditional Commercial: $140.04 Beech Street — Commercial: $178.40 Buckeye Plain Ministries — Fund: $102.58 Century Health Network — Commercial: $189.55 Christian Healthcare Ministries — Fund: $111.50 Cigna — PPO Commercial: $123.77 First Health — Commercial: $185.09 Fortified Provider Network — Commercial: $200.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,134	$850.50	$258.26 – $2,204
Emergency room visit (moderate): 10 of 52 insurance plan rates Aetna — Commercial: $1,476 Aetna — Medicare Advantage: $258.26 Aetna — OPN Commercial: $1,329 Ambetter — Commercial: $464.86 Amish Aid Community Plan — Fund: $521.64 Amish Church Fund and Workers Aid Plan — Fund: $521.64 Anthem — Blue Access Commercial: $512 Anthem — Medicare Advantage: $258.26 Anthem — Tiered/Pathway Commercial: $461 Anthem — Traditional Commercial: $639.58
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,134	$850.50	$438.86 – $1,020.60
Emergency room visit (moderate): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $521.64 Amish Church Fund and Workers Aid Plan — Fund: $521.64 Anthem — Traditional Commercial: $712.15 Beech Street — Commercial: $907.20 Buckeye Plain Ministries — Fund: $521.64 Century Health Network — Commercial: $963.90 Christian Healthcare Ministries — Fund: $567 Cigna — PPO Commercial: $629.37 First Health — Commercial: $941.22 Fortified Provider Network — Commercial: $1,020.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,779	$1,334.25	$394.76 – $2,392
Emergency room visit (moderately high): 10 of 52 insurance plan rates Aetna — Commercial: $1,612 Aetna — Medicare Advantage: $394.76 Aetna — OPN Commercial: $1,451 Ambetter — Commercial: $710.57 Amish Aid Community Plan — Fund: $818.34 Amish Church Fund and Workers Aid Plan — Fund: $818.34 Anthem — Blue Access Commercial: $1,294 Anthem — Medicare Advantage: $394.76 Anthem — Tiered/Pathway Commercial: $1,166 Anthem — Traditional Commercial: $1,003.36
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,779	$1,334.25	$688.47 – $1,601.10
Emergency room visit (moderately high): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $818.34 Amish Church Fund and Workers Aid Plan — Fund: $818.34 Anthem — Traditional Commercial: $1,117.21 Beech Street — Commercial: $1,423.20 Buckeye Plain Ministries — Fund: $818.34 Century Health Network — Commercial: $1,512.15 Christian Healthcare Ministries — Fund: $889.50 Cigna — PPO Commercial: $987.35 First Health — Commercial: $1,476.57 Fortified Provider Network — Commercial: $1,601.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$2,796	$2,097	$563.42 – $4,160
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $1,286.16 Amish Church Fund and Workers Aid Plan — Fund: $1,286.16 Anthem — Blue Access Commercial: $1,924 Anthem — Medicare Advantage: $563.42 Anthem — Tiered/Pathway Commercial: $1,731 Anthem — Traditional Commercial: $1,576.94
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRAUMA ACTIVATION EVALUATION W/O NOTICE	$2,025	$1,518.75	$528.53 – $4,160
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $931.50 Amish Church Fund and Workers Aid Plan — Fund: $931.50 Anthem — Blue Access Commercial: $1,924 Anthem — Medicare Advantage: $563.42 Anthem — Tiered/Pathway Commercial: $1,731 Anthem — Traditional Commercial: $1,142.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRAUMA FULL ACTIVATION W/O NOTICE	$5,512	$4,134	$563.42 – $4,960.80
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $2,535.52 Amish Church Fund and Workers Aid Plan — Fund: $2,535.52 Anthem — Blue Access Commercial: $1,924 Anthem — Medicare Advantage: $563.42 Anthem — Tiered/Pathway Commercial: $1,731 Anthem — Traditional Commercial: $3,108.77

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$164	$123	$3.47 – $147.60
Basic metabolic panel (blood test): 10 of 52 insurance plan rates Aetna — Commercial: $20.31 Aetna — Medicare Advantage: $8.46 Aetna — OPN Commercial: $18.28 Ambetter — Commercial: $15.23 Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Blue Access Commercial: $3.47 Anthem — Medicare Advantage: $8.46 Anthem — Tiered/Pathway Commercial: $3.47 Anthem — Traditional Commercial: $92.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$164	$123	$63.47 – $900
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Traditional Commercial: $102.99 Beech Street — Commercial: $131.20 Buckeye Plain Ministries — Fund: $75.44 Century Health Network — Commercial: $139.40 Christian Healthcare Ministries — Fund: $82 Cigna — PPO Commercial: $91.02 First Health — Commercial: $136.12 Fortified Provider Network — Commercial: $147.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$264	$198	$5 – $237.60
Comprehensive metabolic panel (blood test): 10 of 52 insurance plan rates Aetna — Commercial: $25.35 Aetna — Medicare Advantage: $10.56 Aetna — OPN Commercial: $22.82 Ambetter — Commercial: $19.01 Amish Aid Community Plan — Fund: $121.44 Amish Church Fund and Workers Aid Plan — Fund: $121.44 Anthem — Blue Access Commercial: $5 Anthem — Medicare Advantage: $10.56 Anthem — Tiered/Pathway Commercial: $5 Anthem — Traditional Commercial: $148.90
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$264	$198	$102.17 – $900
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $121.44 Amish Church Fund and Workers Aid Plan — Fund: $121.44 Anthem — Traditional Commercial: $165.79 Beech Street — Commercial: $211.20 Buckeye Plain Ministries — Fund: $121.44 Century Health Network — Commercial: $224.40 Christian Healthcare Ministries — Fund: $132 Cigna — PPO Commercial: $146.52 First Health — Commercial: $219.12 Fortified Provider Network — Commercial: $237.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $114.75
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna — Commercial: $114.75 Aetna — Medicare Advantage: $47.81 Aetna — OPN Commercial: $103.28 Ambetter — Commercial: $86.06 Anthem — Blue Access Commercial: $88.80 Anthem — Medicare Advantage: $47.81 Anthem — Tiered/Pathway Commercial: $88.80 CareSource — Marketplace: $86.06 Cigna — Medicare Advantage: $47.81 Devoted Health — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$191	$143.25	$6.02 – $171.90
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates Aetna — Commercial: $32.13 Aetna — Medicare Advantage: $13.39 Aetna — OPN Commercial: $28.92 Ambetter — Commercial: $24.10 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Blue Access Commercial: $6.02 Anthem — Medicare Advantage: $13.39 Anthem — Tiered/Pathway Commercial: $6.02 Anthem — Traditional Commercial: $107.72
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3	$61	$45.75	$6.02 – $59
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates Aetna — Commercial: $32.13 Aetna — Medicare Advantage: $13.39 Aetna — OPN Commercial: $28.92 Ambetter — Commercial: $24.10 Amish Aid Community Plan — Fund: $28.06 Amish Church Fund and Workers Aid Plan — Fund: $28.06 Anthem — Blue Access Commercial: $6.02 Anthem — Medicare Advantage: $13.39 Anthem — Tiered/Pathway Commercial: $6.02 Anthem — Traditional Commercial: $34.40
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$191	$143.25	$73.92 – $900
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Traditional Commercial: $119.95 Beech Street — Commercial: $152.80 Buckeye Plain Ministries — Fund: $87.86 Century Health Network — Commercial: $162.35 Christian Healthcare Ministries — Fund: $95.50 Cigna — PPO Commercial: $106.01 First Health — Commercial: $158.53 Fortified Provider Network — Commercial: $171.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$251	$188.25	$4.11 – $225.90
Kidney function panel: 10 of 52 insurance plan rates Aetna — Commercial: $20.82 Aetna — Medicare Advantage: $8.68 Aetna — OPN Commercial: $18.74 Ambetter — Commercial: $15.62 Amish Aid Community Plan — Fund: $115.46 Amish Church Fund and Workers Aid Plan — Fund: $115.46 Anthem — Blue Access Commercial: $4.11 Anthem — Medicare Advantage: $8.68 Anthem — Tiered/Pathway Commercial: $4.11 Anthem — Traditional Commercial: $141.56
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$251	$188.25	$97.14 – $900
Kidney function panel: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $115.46 Amish Church Fund and Workers Aid Plan — Fund: $115.46 Anthem — Traditional Commercial: $157.63 Beech Street — Commercial: $200.80 Buckeye Plain Ministries — Fund: $115.46 Century Health Network — Commercial: $213.35 Christian Healthcare Ministries — Fund: $125.50 Cigna — PPO Commercial: $139.31 First Health — Commercial: $208.33 Fortified Provider Network — Commercial: $225.90
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$189	$141.75	$2.99 – $170.10
Liver function panel: 10 of 52 insurance plan rates Aetna — Commercial: $19.62 Aetna — Medicare Advantage: $8.17 Aetna — OPN Commercial: $17.66 Ambetter — Commercial: $14.71 Amish Aid Community Plan — Fund: $86.94 Amish Church Fund and Workers Aid Plan — Fund: $86.94 Anthem — Blue Access Commercial: $2.99 Anthem — Medicare Advantage: $8.17 Anthem — Tiered/Pathway Commercial: $2.99 Anthem — Traditional Commercial: $106.60
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$189	$141.75	$73.14 – $900
Liver function panel: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $86.94 Amish Church Fund and Workers Aid Plan — Fund: $86.94 Anthem — Traditional Commercial: $118.69 Beech Street — Commercial: $151.20 Buckeye Plain Ministries — Fund: $86.94 Century Health Network — Commercial: $160.65 Christian Healthcare Ministries — Fund: $94.50 Cigna — PPO Commercial: $104.90 First Health — Commercial: $156.87 Fortified Provider Network — Commercial: $170.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$164	$123	$3.17 – $147.60
Urine test (automated, with microscope): 10 of 52 insurance plan rates Aetna — Commercial: $7.62 Aetna — Medicare Advantage: $3.17 Aetna — OPN Commercial: $6.86 Ambetter — Commercial: $5.71 Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Blue Access Commercial: $3.90 Anthem — Medicare Advantage: $3.17 Anthem — Tiered/Pathway Commercial: $3.90 Anthem — Traditional Commercial: $92.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$164	$123	$63.47 – $900
Urine test (automated, with microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Traditional Commercial: $102.99 Beech Street — Commercial: $131.20 Buckeye Plain Ministries — Fund: $75.44 Century Health Network — Commercial: $139.40 Christian Healthcare Ministries — Fund: $82 Cigna — PPO Commercial: $91.02 First Health — Commercial: $136.12 Fortified Provider Network — Commercial: $147.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$46	$34.50	$2.77 – $59
Urine test (manual, without microscope): 10 of 52 insurance plan rates Aetna — Commercial: $8.34 Aetna — Medicare Advantage: $3.48 Aetna — OPN Commercial: $7.51 Ambetter — Commercial: $6.26 Amish Aid Community Plan — Fund: $21.16 Amish Church Fund and Workers Aid Plan — Fund: $21.16 Anthem — Blue Access Commercial: $2.77 Anthem — Medicare Advantage: $3.48 Anthem — Tiered/Pathway Commercial: $2.77 Anthem — Traditional Commercial: $25.94
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$46	$34.50	$17.80 – $900
Urine test (manual, without microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $21.16 Amish Church Fund and Workers Aid Plan — Fund: $21.16 Anthem — Traditional Commercial: $28.89 Beech Street — Commercial: $36.80 Buckeye Plain Ministries — Fund: $21.16 Century Health Network — Commercial: $39.10 Christian Healthcare Ministries — Fund: $23 Cigna — PPO Commercial: $25.53 First Health — Commercial: $38.18 Fortified Provider Network — Commercial: $41.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$83	$62.25	$1.06 – $74.70
Urine test (automated, without microscope): 10 of 52 insurance plan rates Aetna — Commercial: $5.40 Aetna — Medicare Advantage: $2.25 Aetna — OPN Commercial: $4.86 Ambetter — Commercial: $4.05 Amish Aid Community Plan — Fund: $38.18 Amish Church Fund and Workers Aid Plan — Fund: $38.18 Anthem — Blue Access Commercial: $1.06 Anthem — Medicare Advantage: $2.25 Anthem — Tiered/Pathway Commercial: $1.06 Anthem — Traditional Commercial: $46.81
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$83	$62.25	$32.12 – $900
Urine test (automated, without microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $38.18 Amish Church Fund and Workers Aid Plan — Fund: $38.18 Anthem — Traditional Commercial: $52.12 Beech Street — Commercial: $66.40 Buckeye Plain Ministries — Fund: $38.18 Century Health Network — Commercial: $70.55 Christian Healthcare Ministries — Fund: $41.50 Cigna — PPO Commercial: $46.07 First Health — Commercial: $68.89 Fortified Provider Network — Commercial: $74.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$170	$127.50	$8.70 – $153
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates Aetna — Commercial: $44.13 Aetna — Medicare Advantage: $18.39 Aetna — OPN Commercial: $39.72 Ambetter — Commercial: $33.10 Amish Aid Community Plan — Fund: $78.20 Amish Church Fund and Workers Aid Plan — Fund: $78.20 Anthem — Blue Access Commercial: $8.70 Anthem — Medicare Advantage: $18.39 Anthem — Tiered/Pathway Commercial: $8.70 Anthem — Traditional Commercial: $95.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$170	$127.50	$65.79 – $900
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $78.20 Amish Church Fund and Workers Aid Plan — Fund: $78.20 Anthem — Traditional Commercial: $106.76 Beech Street — Commercial: $136 Buckeye Plain Ministries — Fund: $78.20 Century Health Network — Commercial: $144.50 Christian Healthcare Ministries — Fund: $85 Cigna — PPO Commercial: $94.35 First Health — Commercial: $141.10 Fortified Provider Network — Commercial: $153
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$182	$136.50	$7.95 – $163.80
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates Aetna — Commercial: $40.32 Aetna — Medicare Advantage: $16.80 Aetna — OPN Commercial: $36.29 Ambetter — Commercial: $30.24 Amish Aid Community Plan — Fund: $83.72 Amish Church Fund and Workers Aid Plan — Fund: $83.72 Anthem — Blue Access Commercial: $7.95 Anthem — Medicare Advantage: $16.80 Anthem — Tiered/Pathway Commercial: $7.95 Anthem — Traditional Commercial: $102.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$182	$136.50	$70.43 – $900
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $83.72 Amish Church Fund and Workers Aid Plan — Fund: $83.72 Anthem — Traditional Commercial: $114.30 Beech Street — Commercial: $145.60 Buckeye Plain Ministries — Fund: $83.72 Century Health Network — Commercial: $154.70 Christian Healthcare Ministries — Fund: $91 Cigna — PPO Commercial: $101.01 First Health — Commercial: $151.06 Fortified Provider Network — Commercial: $163.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$139	$104.25	$3.68 – $125.10
Complete blood count (CBC) with differential: 10 of 52 insurance plan rates Aetna — Commercial: $18.66 Aetna — Medicare Advantage: $7.77 Aetna — OPN Commercial: $16.79 Ambetter — Commercial: $13.99 Amish Aid Community Plan — Fund: $63.94 Amish Church Fund and Workers Aid Plan — Fund: $63.94 Anthem — Blue Access Commercial: $3.68 Anthem — Medicare Advantage: $7.77 Anthem — Tiered/Pathway Commercial: $3.68 Anthem — Traditional Commercial: $78.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$139	$104.25	$53.79 – $900
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $63.94 Amish Church Fund and Workers Aid Plan — Fund: $63.94 Anthem — Traditional Commercial: $87.29 Beech Street — Commercial: $111.20 Buckeye Plain Ministries — Fund: $63.94 Century Health Network — Commercial: $118.15 Christian Healthcare Ministries — Fund: $69.50 Cigna — PPO Commercial: $77.15 First Health — Commercial: $115.37 Fortified Provider Network — Commercial: $125.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$121	$90.75	$3.06 – $108.90
Complete blood count (CBC), automated: 10 of 52 insurance plan rates Aetna — Commercial: $15.54 Aetna — Medicare Advantage: $6.47 Aetna — OPN Commercial: $13.99 Ambetter — Commercial: $11.65 Amish Aid Community Plan — Fund: $55.66 Amish Church Fund and Workers Aid Plan — Fund: $55.66 Anthem — Blue Access Commercial: $3.06 Anthem — Medicare Advantage: $6.47 Anthem — Tiered/Pathway Commercial: $3.06 Anthem — Traditional Commercial: $68.24
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$121	$90.75	$46.83 – $900
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $55.66 Amish Church Fund and Workers Aid Plan — Fund: $55.66 Anthem — Traditional Commercial: $75.99 Beech Street — Commercial: $96.80 Buckeye Plain Ministries — Fund: $55.66 Century Health Network — Commercial: $102.85 Christian Healthcare Ministries — Fund: $60.50 Cigna — PPO Commercial: $67.16 First Health — Commercial: $100.43 Fortified Provider Network — Commercial: $108.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$92	$69	$4.29 – $82.80
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates Aetna — Commercial: $10.29 Aetna — Medicare Advantage: $4.29 Aetna — OPN Commercial: $9.26 Ambetter — Commercial: $7.72 Amish Aid Community Plan — Fund: $42.32 Amish Church Fund and Workers Aid Plan — Fund: $42.32 Anthem — Blue Access Commercial: $5.13 Anthem — Medicare Advantage: $4.29 Anthem — Tiered/Pathway Commercial: $5.13 Anthem — Traditional Commercial: $51.89
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$92	$69	$35.60 – $900
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $42.32 Amish Church Fund and Workers Aid Plan — Fund: $42.32 Anthem — Traditional Commercial: $57.78 Beech Street — Commercial: $73.60 Buckeye Plain Ministries — Fund: $42.32 Century Health Network — Commercial: $78.20 Christian Healthcare Ministries — Fund: $46 Cigna — PPO Commercial: $51.06 First Health — Commercial: $76.36 Fortified Provider Network — Commercial: $82.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$104	$78	$6.01 – $93.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates Aetna — Commercial: $14.43 Aetna — Medicare Advantage: $6.01 Aetna — OPN Commercial: $12.99 Ambetter — Commercial: $10.82 Amish Aid Community Plan — Fund: $47.84 Amish Church Fund and Workers Aid Plan — Fund: $47.84 Anthem — Blue Access Commercial: $7.80 Anthem — Medicare Advantage: $6.01 Anthem — Tiered/Pathway Commercial: $7.80 Anthem — Traditional Commercial: $58.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$104	$78	$40.25 – $900
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $47.84 Amish Church Fund and Workers Aid Plan — Fund: $47.84 Anthem — Traditional Commercial: $65.31 Beech Street — Commercial: $83.20 Buckeye Plain Ministries — Fund: $47.84 Century Health Network — Commercial: $88.40 Christian Healthcare Ministries — Fund: $52 Cigna — PPO Commercial: $57.72 First Health — Commercial: $86.32 Fortified Provider Network — Commercial: $93.60

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,676	$1,257	$98.91 – $1,898
CT scan of the head or brain, without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $770.96 Amish Church Fund and Workers Aid Plan — Fund: $770.96 Anthem — Blue Access Commercial: $936 Anthem — Medicare Advantage: $98.91 Anthem — Tiered/Pathway Commercial: $842 Anthem — Traditional Commercial: $945.26
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,676	$1,257	$648.61 – $1,508.40
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $770.96 Amish Church Fund and Workers Aid Plan — Fund: $770.96 Anthem — Traditional Commercial: $1,052.53 Beech Street — Commercial: $1,340.80 Buckeye Plain Ministries — Fund: $770.96 Century Health Network — Commercial: $1,424.60 Christian Healthcare Ministries — Fund: $838 Cigna — PPO Commercial: $930.18 First Health — Commercial: $1,391.08 Fortified Provider Network — Commercial: $1,508.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,127	$2,345.25	$330.06 – $2,814.30
MRI of the brain, before and after contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $330.06 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $594.11 Amish Aid Community Plan — Fund: $1,438.42 Amish Church Fund and Workers Aid Plan — Fund: $1,438.42 Anthem — Blue Access Commercial: $1,561 Anthem — Medicare Advantage: $330.06 Anthem — Tiered/Pathway Commercial: $1,406 Anthem — Traditional Commercial: $1,763.63
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,127	$2,345.25	$900 – $2,814.30
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,438.42 Amish Church Fund and Workers Aid Plan — Fund: $1,438.42 Anthem — Traditional Commercial: $1,963.76 Beech Street — Commercial: $2,501.60 Buckeye Plain Ministries — Fund: $1,438.42 Century Health Network — Commercial: $2,657.95 Christian Healthcare Ministries — Fund: $1,563.50 Cigna — PPO Commercial: $1,735.49 First Health — Commercial: $2,595.41 Fortified Provider Network — Commercial: $2,814.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$488	$366	$57.43 – $439.20
Chest X-ray, 2 views: 10 of 52 insurance plan rates Aetna — Commercial: $63.81 Aetna — Medicare Advantage: $82.33 Aetna — OPN Commercial: $57.43 Ambetter — Commercial: $148.20 Amish Aid Community Plan — Fund: $224.48 Amish Church Fund and Workers Aid Plan — Fund: $224.48 Anthem — Blue Access Commercial: $270.35 Anthem — Medicare Advantage: $82.33 Anthem — Tiered/Pathway Commercial: $248.88 Anthem — Traditional Commercial: $275.23
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$488	$366	$188.86 – $900
Chest X-ray, 2 views: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $224.48 Amish Church Fund and Workers Aid Plan — Fund: $224.48 Anthem — Traditional Commercial: $306.46 Beech Street — Commercial: $390.40 Buckeye Plain Ministries — Fund: $224.48 Century Health Network — Commercial: $414.80 Christian Healthcare Ministries — Fund: $244 Cigna — PPO Commercial: $270.84 First Health — Commercial: $405.04 Fortified Provider Network — Commercial: $439.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$731	$548.25	$97.55 – $657.90
X-ray of the lower spine, at least 4 views: 10 of 52 insurance plan rates Aetna — Commercial: $108.39 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $97.55 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $336.26 Amish Church Fund and Workers Aid Plan — Fund: $336.26 Anthem — Blue Access Commercial: $404.97 Anthem — Medicare Advantage: $98.91 Anthem — Tiered/Pathway Commercial: $372.81 Anthem — Traditional Commercial: $412.28
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$731	$548.25	$282.90 – $900
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $336.26 Amish Church Fund and Workers Aid Plan — Fund: $336.26 Anthem — Traditional Commercial: $459.07 Beech Street — Commercial: $584.80 Buckeye Plain Ministries — Fund: $336.26 Century Health Network — Commercial: $621.35 Christian Healthcare Ministries — Fund: $365.50 Cigna — PPO Commercial: $405.71 First Health — Commercial: $606.73 Fortified Provider Network — Commercial: $657.90
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 - MRI COMPLETE SPINE WO CONTRAST	$3,021	$2,265.75	$225.74 – $2,718.90
MRI of the lower back (lumbar spine), without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $225.74 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $406.32 Amish Aid Community Plan — Fund: $1,389.66 Amish Church Fund and Workers Aid Plan — Fund: $1,389.66 Anthem — Blue Access Commercial: $1,561 Anthem — Medicare Advantage: $225.74 Anthem — Tiered/Pathway Commercial: $1,406 Anthem — Traditional Commercial: $1,703.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST	$3,021	$2,265.75	$900 – $2,718.90
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,389.66 Amish Church Fund and Workers Aid Plan — Fund: $1,389.66 Anthem — Traditional Commercial: $1,897.19 Beech Street — Commercial: $2,416.80 Buckeye Plain Ministries — Fund: $1,389.66 Century Health Network — Commercial: $2,567.85 Christian Healthcare Ministries — Fund: $1,510.50 Cigna — PPO Commercial: $1,676.66 First Health — Commercial: $2,507.43 Fortified Provider Network — Commercial: $2,718.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,281	$1,710.75	$165.94 – $2,052.90
CT scan of the pelvis, with contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $165.94 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $298.70 Amish Aid Community Plan — Fund: $1,049.26 Amish Church Fund and Workers Aid Plan — Fund: $1,049.26 Anthem — Blue Access Commercial: $936 Anthem — Medicare Advantage: $165.94 Anthem — Tiered/Pathway Commercial: $842 Anthem — Traditional Commercial: $1,286.48
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,281	$1,710.75	$882.75 – $2,052.90
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,049.26 Amish Church Fund and Workers Aid Plan — Fund: $1,049.26 Anthem — Traditional Commercial: $1,432.47 Beech Street — Commercial: $1,824.80 Buckeye Plain Ministries — Fund: $1,049.26 Century Health Network — Commercial: $1,938.85 Christian Healthcare Ministries — Fund: $1,140.50 Cigna — PPO Commercial: $1,265.96 First Health — Commercial: $1,893.23 Fortified Provider Network — Commercial: $2,052.90
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 ANY JT LOWER EXTREM W/O CONTRAST MATRL	$3,505	$2,628.75	$225.74 – $3,154.50
MRI of a leg joint (such as the knee), without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $225.74 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $406.32 Amish Aid Community Plan — Fund: $1,612.30 Amish Church Fund and Workers Aid Plan — Fund: $1,612.30 Anthem — Blue Access Commercial: $1,561 Anthem — Medicare Advantage: $225.74 Anthem — Tiered/Pathway Commercial: $1,406 Anthem — Traditional Commercial: $1,976.82
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$3,505	$2,628.75	$900 – $3,154.50
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,612.30 Amish Church Fund and Workers Aid Plan — Fund: $1,612.30 Anthem — Traditional Commercial: $2,201.14 Beech Street — Commercial: $2,804 Buckeye Plain Ministries — Fund: $1,612.30 Century Health Network — Commercial: $2,979.25 Christian Healthcare Ministries — Fund: $1,752.50 Cigna — PPO Commercial: $1,945.28 First Health — Commercial: $2,909.15 Fortified Provider Network — Commercial: $3,154.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,325	$2,493.75	$330.06 – $2,992.50
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $330.06 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $594.11 Amish Aid Community Plan — Fund: $1,529.50 Amish Church Fund and Workers Aid Plan — Fund: $1,529.50 Anthem — Blue Access Commercial: $936 Anthem — Medicare Advantage: $330.06 Anthem — Tiered/Pathway Commercial: $842 Anthem — Traditional Commercial: $1,875.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,325	$2,493.75	$900 – $2,992.50
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,529.50 Amish Church Fund and Workers Aid Plan — Fund: $1,529.50 Anthem — Traditional Commercial: $2,088.10 Beech Street — Commercial: $2,660 Buckeye Plain Ministries — Fund: $1,529.50 Century Health Network — Commercial: $2,826.25 Christian Healthcare Ministries — Fund: $1,662.50 Cigna — PPO Commercial: $1,845.38 First Health — Commercial: $2,759.75 Fortified Provider Network — Commercial: $2,992.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	$1,493	$1,119.75	$98.91 – $1,343.70
Ultrasound of the abdomen, complete: 10 of 52 insurance plan rates Aetna — Commercial: $214.95 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $193.46 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $686.78 Amish Church Fund and Workers Aid Plan — Fund: $686.78 Anthem — Blue Access Commercial: $827.12 Anthem — Medicare Advantage: $98.91 Anthem — Tiered/Pathway Commercial: $761.43 Anthem — Traditional Commercial: $842.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	$1,493	$1,119.75	$577.79 – $1,343.70
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $686.78 Amish Church Fund and Workers Aid Plan — Fund: $686.78 Anthem — Traditional Commercial: $937.60 Beech Street — Commercial: $1,194.40 Buckeye Plain Ministries — Fund: $686.78 Century Health Network — Commercial: $1,269.05 Christian Healthcare Ministries — Fund: $746.50 Cigna — PPO Commercial: $828.62 First Health — Commercial: $1,239.19 Fortified Provider Network — Commercial: $1,343.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,156	$867	$98.91 – $1,040.40
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates Aetna — Commercial: $243.15 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $218.84 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $531.76 Amish Church Fund and Workers Aid Plan — Fund: $531.76 Anthem — Blue Access Commercial: $640.42 Anthem — Medicare Advantage: $98.91 Anthem — Tiered/Pathway Commercial: $589.56 Anthem — Traditional Commercial: $651.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,156	$867	$447.37 – $1,040.40
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $531.76 Amish Church Fund and Workers Aid Plan — Fund: $531.76 Anthem — Traditional Commercial: $725.97 Beech Street — Commercial: $924.80 Buckeye Plain Ministries — Fund: $531.76 Century Health Network — Commercial: $982.60 Christian Healthcare Ministries — Fund: $578 Cigna — PPO Commercial: $641.58 First Health — Commercial: $959.48 Fortified Provider Network — Commercial: $1,040.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,170	$877.50	$98.91 – $1,053
Transvaginal ultrasound: 10 of 52 insurance plan rates Aetna — Commercial: $237.69 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $213.92 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $538.20 Amish Church Fund and Workers Aid Plan — Fund: $538.20 Anthem — Blue Access Commercial: $648.18 Anthem — Medicare Advantage: $98.91 Anthem — Tiered/Pathway Commercial: $596.70 Anthem — Traditional Commercial: $659.88
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,170	$877.50	$452.79 – $1,053
Transvaginal ultrasound: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $538.20 Amish Church Fund and Workers Aid Plan — Fund: $538.20 Anthem — Traditional Commercial: $734.76 Beech Street — Commercial: $936 Buckeye Plain Ministries — Fund: $538.20 Century Health Network — Commercial: $994.50 Christian Healthcare Ministries — Fund: $585 Cigna — PPO Commercial: $649.35 First Health — Commercial: $971.10 Fortified Provider Network — Commercial: $1,053
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$670	$502.50	$115.62 – $603
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $115.62 Aetna — OPN Commercial: $206 Ambetter — Commercial: $208.12 Amish Aid Community Plan — Fund: $308.20 Amish Church Fund and Workers Aid Plan — Fund: $308.20 Anthem — Blue Access Commercial: $157 Anthem — Medicare Advantage: $115.62 Anthem — Tiered/Pathway Commercial: $142 Anthem — Traditional Commercial: $377.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$670	$502.50	$259.29 – $900
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $308.20 Amish Church Fund and Workers Aid Plan — Fund: $308.20 Anthem — Traditional Commercial: $420.76 Beech Street — Commercial: $536 Buckeye Plain Ministries — Fund: $308.20 Century Health Network — Commercial: $569.50 Christian Healthcare Ministries — Fund: $335 Cigna — PPO Commercial: $371.85 First Health — Commercial: $556.10 Fortified Provider Network — Commercial: $603
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$874	$655.50	$129 – $786.60
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $146.43 Aetna — OPN Commercial: $206 Ambetter — Commercial: $263.57 Amish Aid Community Plan — Fund: $402.04 Amish Church Fund and Workers Aid Plan — Fund: $402.04 Anthem — Blue Access Commercial: $157 Anthem — Medicare Advantage: $146.43 Anthem — Tiered/Pathway Commercial: $142 Anthem — Traditional Commercial: $492.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$874	$655.50	$338.24 – $900
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $402.04 Amish Church Fund and Workers Aid Plan — Fund: $402.04 Anthem — Traditional Commercial: $548.87 Beech Street — Commercial: $699.20 Buckeye Plain Ministries — Fund: $402.04 Century Health Network — Commercial: $742.90 Christian Healthcare Ministries — Fund: $437 Cigna — PPO Commercial: $485.07 First Health — Commercial: $725.42 Fortified Provider Network — Commercial: $786.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$679	$509.25	$117.58 – $611.10
Screening mammogram, both breasts: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $117.58 Aetna — OPN Commercial: $206 Ambetter — Commercial: $211.64 Amish Aid Community Plan — Fund: $312.34 Amish Church Fund and Workers Aid Plan — Fund: $312.34 Anthem — Blue Access Commercial: $157 Anthem — Medicare Advantage: $117.58 Anthem — Tiered/Pathway Commercial: $142 Anthem — Traditional Commercial: $382.96
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$679	$509.25	$262.77 – $900
Screening mammogram, both breasts: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $312.34 Amish Church Fund and Workers Aid Plan — Fund: $312.34 Anthem — Traditional Commercial: $426.41 Beech Street — Commercial: $543.20 Buckeye Plain Ministries — Fund: $312.34 Century Health Network — Commercial: $577.15 Christian Healthcare Ministries — Fund: $339.50 Cigna — PPO Commercial: $376.85 First Health — Commercial: $563.57 Fortified Provider Network — Commercial: $611.10

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.59 – $26.25
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $14.59 Ambetter — Commercial: $26.25 Anthem — Medicare Advantage: $14.59 CareSource — Marketplace: $26.25 Cigna — Medicare Advantage: $14.59 Devoted Health — Medicare Advantage: $14.59 Humana — Medicare Advantage: $14.59 Medical Mutual of Ohio — Medicare Advantage: $14.59 Molina — Medicare Advantage: $14.59 Paramount — Medicare Advantage: $15.02
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$16,227	$12,170.25	$3,067.12 – $17,103
Left heart catheterization (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $10,823.41 Aetna — Medicare Advantage: $3,067.12 Aetna — OPN Commercial: $9,736.20 Ambetter — Commercial: $5,520.81 Amish Aid Community Plan — Fund: $7,464.42 Amish Church Fund and Workers Aid Plan — Fund: $7,464.42 Anthem — Blue Access Commercial: $16,262 Anthem — Medicare Advantage: $3,067.12 Anthem — Tiered/Pathway Commercial: $14,637 Anthem — Traditional Commercial: $9,152.03
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$16,227	$12,170.25	$900 – $14,604.30
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $7,464.42 Amish Church Fund and Workers Aid Plan — Fund: $7,464.42 Anthem — Traditional Commercial: $10,190.56 Beech Street — Commercial: $12,981.60 Buckeye Plain Ministries — Fund: $7,464.42 Century Health Network — Commercial: $13,792.95 Christian Healthcare Ministries — Fund: $8,113.50 Cigna — PPO Commercial: $9,005.99 First Health — Commercial: $13,468.41 Fortified Provider Network — Commercial: $14,604.30
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	$5,765.83 – $8,278
Left heart catheterization (diagnostic): rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,450.70 United Healthcare — Commercial: $6,551.70 United Healthcare — Nexus Commercial: $5,765.83
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$7,500	$5,625	$1,957.50 – $13,282.35
Heart rhythm study (electrophysiology evaluation): 10 of 52 insurance plan rates Aetna — Commercial: $5,002.50 Aetna — Medicare Advantage: $7,379.08 Aetna — OPN Commercial: $4,500 Ambetter — Commercial: $13,282.35 Amish Aid Community Plan — Fund: $3,450 Amish Church Fund and Workers Aid Plan — Fund: $3,450 Anthem — Blue Access Commercial: $4,155 Anthem — Medicare Advantage: $7,379.08 Anthem — Tiered/Pathway Commercial: $3,825 Anthem — Traditional Commercial: $4,230
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$7,500	$5,625	$900 – $6,750
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,450 Amish Church Fund and Workers Aid Plan — Fund: $3,450 Anthem — Traditional Commercial: $4,710 Beech Street — Commercial: $6,000 Buckeye Plain Ministries — Fund: $3,450 Century Health Network — Commercial: $6,375 Christian Healthcare Ministries — Fund: $3,750 Cigna — PPO Commercial: $4,162.50 First Health — Commercial: $6,225 Fortified Provider Network — Commercial: $6,750
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,450.70 – $9,352.66
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,450.70 United Healthcare — Commercial: $9,352.66 United Healthcare — Nexus Commercial: $8,230.60
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$38,933	$29,199.75	$10,161.51 – $44,511.17
Heart rhythm study with ablation for atrial fibrillation: 10 of 52 insurance plan rates Aetna — Commercial: $25,968.31 Aetna — Medicare Advantage: $24,728.43 Aetna — OPN Commercial: $23,359.80 Ambetter — Commercial: $44,511.17 Amish Aid Community Plan — Fund: $17,909.18 Amish Church Fund and Workers Aid Plan — Fund: $17,909.18 Anthem — Blue Access Commercial: $21,568.88 Anthem — Medicare Advantage: $24,728.43 Anthem — Tiered/Pathway Commercial: $19,855.83 Anthem — Traditional Commercial: $21,958.21
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$38,933	$29,199.75	$900 – $35,039.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $17,909.18 Amish Church Fund and Workers Aid Plan — Fund: $17,909.18 Anthem — Traditional Commercial: $24,449.92 Beech Street — Commercial: $31,146.40 Buckeye Plain Ministries — Fund: $17,909.18 Century Health Network — Commercial: $33,093.05 Christian Healthcare Ministries — Fund: $19,466.50 Cigna — PPO Commercial: $21,607.82 First Health — Commercial: $32,314.39 Fortified Provider Network — Commercial: $35,039.70
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	$7,450.70 – $20,269.70
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,450.70 United Healthcare — Commercial: $20,269.70 United Healthcare — Nexus Commercial: $17,837.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,094	$6,070.50	$812.43 – $7,284.60
Sleep study (overnight, in a sleep lab): 10 of 52 insurance plan rates Aetna — Commercial: $5,398.70 Aetna — Medicare Advantage: $812.43 Aetna — OPN Commercial: $4,856.40 Ambetter — Commercial: $1,462.38 Amish Aid Community Plan — Fund: $3,723.24 Amish Church Fund and Workers Aid Plan — Fund: $3,723.24 Anthem — Blue Access Commercial: $4,484.08 Anthem — Medicare Advantage: $812.43 Anthem — Tiered/Pathway Commercial: $4,127.94 Anthem — Traditional Commercial: $4,565.02
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,094	$6,070.50	$900 – $7,284.60
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,723.24 Amish Church Fund and Workers Aid Plan — Fund: $3,723.24 Anthem — Traditional Commercial: $5,083.03 Beech Street — Commercial: $6,475.20 Buckeye Plain Ministries — Fund: $3,723.24 Century Health Network — Commercial: $6,879.90 Christian Healthcare Ministries — Fund: $4,047 Cigna — PPO Commercial: $4,492.17 First Health — Commercial: $6,718.02 Fortified Provider Network — Commercial: $7,284.60

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Blue Access Commercial: $88 Anthem — Medicare Advantage: $27.87 Anthem — Tiered/Pathway Commercial: $79 Anthem — Traditional Commercial: $107.72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Blue Access Commercial: $88 Anthem — Medicare Advantage: $27.87 Anthem — Tiered/Pathway Commercial: $79 Anthem — Traditional Commercial: $107.72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Blue Access Commercial: $105.81 Anthem — Medicare Advantage: $27.87 Anthem — Tiered/Pathway Commercial: $97.41 Anthem — Traditional Commercial: $107.72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$352	$264	$91.87 – $316.80
Physical therapy evaluation (low complexity): 10 of 52 insurance plan rates Aetna — Commercial: $234.78 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $211.20 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Blue Access Commercial: $183 Anthem — Medicare Advantage: $93.86 Anthem — Tiered/Pathway Commercial: $166 Anthem — Traditional Commercial: $198.53
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$352	$264	$136.22 – $900
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Traditional Commercial: $221.06 Beech Street — Commercial: $281.60 Buckeye Plain Ministries — Fund: $161.92 Century Health Network — Commercial: $299.20 Christian Healthcare Ministries — Fund: $176 Cigna — PPO Commercial: $195.36 First Health — Commercial: $292.16 Fortified Provider Network — Commercial: $316.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$352	$264	$91.87 – $316.80
Physical therapy evaluation (moderate complexity): 10 of 52 insurance plan rates Aetna — Commercial: $234.78 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $211.20 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Blue Access Commercial: $183 Anthem — Medicare Advantage: $93.86 Anthem — Tiered/Pathway Commercial: $166 Anthem — Traditional Commercial: $198.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$352	$264	$136.22 – $900
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Traditional Commercial: $221.06 Beech Street — Commercial: $281.60 Buckeye Plain Ministries — Fund: $161.92 Century Health Network — Commercial: $299.20 Christian Healthcare Ministries — Fund: $176 Cigna — PPO Commercial: $195.36 First Health — Commercial: $292.16 Fortified Provider Network — Commercial: $316.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$396	$297	$93.86 – $356.40
Physical therapy evaluation (high complexity): 10 of 52 insurance plan rates Aetna — Commercial: $264.13 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $237.60 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Blue Access Commercial: $183 Anthem — Medicare Advantage: $93.86 Anthem — Tiered/Pathway Commercial: $166 Anthem — Traditional Commercial: $223.34
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$396	$297	$153.25 – $900
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Traditional Commercial: $248.69 Beech Street — Commercial: $316.80 Buckeye Plain Ministries — Fund: $182.16 Century Health Network — Commercial: $336.60 Christian Healthcare Ministries — Fund: $198 Cigna — PPO Commercial: $219.78 First Health — Commercial: $328.68 Fortified Provider Network — Commercial: $356.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL	$258	$193.50	$67.34 – $302.26
Psychotherapy, 30 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $172.09 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $154.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Blue Access Commercial: $142.93 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $131.58 Anthem — Traditional Commercial: $145.51
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$258	$193.50	$67.34 – $302.26
Psychotherapy, 30 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $172.09 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $154.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Blue Access Commercial: $142.93 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $131.58 Anthem — Traditional Commercial: $145.51
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL	$258	$193.50	$99.85 – $900
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Traditional Commercial: $162.02 Beech Street — Commercial: $206.40 Buckeye Plain Ministries — Fund: $118.68 Century Health Network — Commercial: $219.30 Christian Healthcare Ministries — Fund: $129 Cigna — PPO Commercial: $143.19 First Health — Commercial: $214.14 Fortified Provider Network — Commercial: $232.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL	$356	$267	$92.92 – $320.40
Psychotherapy, 45 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $237.45 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $213.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Blue Access Commercial: $197.22 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $181.56 Anthem — Traditional Commercial: $200.78
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$356	$267	$92.92 – $320.40
Psychotherapy, 45 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $237.45 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $213.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Blue Access Commercial: $197.22 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $181.56 Anthem — Traditional Commercial: $200.78
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$356	$267	$137.77 – $900
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Traditional Commercial: $223.57 Beech Street — Commercial: $284.80 Buckeye Plain Ministries — Fund: $163.76 Century Health Network — Commercial: $302.60 Christian Healthcare Ministries — Fund: $178 Cigna — PPO Commercial: $197.58 First Health — Commercial: $295.48 Fortified Provider Network — Commercial: $320.40
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL	$438	$328.50	$114.32 – $394.20
Psychotherapy, 60 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $292.15 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $262.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Blue Access Commercial: $242.65 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $223.38 Anthem — Traditional Commercial: $247.03
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$438	$328.50	$114.32 – $394.20
Psychotherapy, 60 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $292.15 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $262.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Blue Access Commercial: $242.65 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $223.38 Anthem — Traditional Commercial: $247.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$438	$328.50	$169.51 – $900
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Traditional Commercial: $275.06 Beech Street — Commercial: $350.40 Buckeye Plain Ministries — Fund: $201.48 Century Health Network — Commercial: $372.30 Christian Healthcare Ministries — Fund: $219 Cigna — PPO Commercial: $243.09 First Health — Commercial: $363.54 Fortified Provider Network — Commercial: $394.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$413	$309.75	$107.79 – $371.70
Family psychotherapy, without the patient: 10 of 52 insurance plan rates Aetna — Commercial: $275.47 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $247.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $189.98 Amish Church Fund and Workers Aid Plan — Fund: $189.98 Anthem — Blue Access Commercial: $228.80 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $210.63 Anthem — Traditional Commercial: $232.93
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$413	$309.75	$159.83 – $900
Family psychotherapy, without the patient: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $189.98 Amish Church Fund and Workers Aid Plan — Fund: $189.98 Anthem — Traditional Commercial: $259.36 Beech Street — Commercial: $330.40 Buckeye Plain Ministries — Fund: $189.98 Century Health Network — Commercial: $351.05 Christian Healthcare Ministries — Fund: $206.50 Cigna — PPO Commercial: $229.22 First Health — Commercial: $342.79 Fortified Provider Network — Commercial: $371.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$396	$297	$103.36 – $356.40
Family psychotherapy, with the patient: 10 of 52 insurance plan rates Aetna — Commercial: $264.13 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $237.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Blue Access Commercial: $219.38 Anthem — Medicare Advantage: $167.92 Anthem — Tiered/Pathway Commercial: $201.96 Anthem — Traditional Commercial: $223.34
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$396	$297	$153.25 – $900
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Traditional Commercial: $248.69 Beech Street — Commercial: $316.80 Buckeye Plain Ministries — Fund: $182.16 Century Health Network — Commercial: $336.60 Christian Healthcare Ministries — Fund: $198 Cigna — PPO Commercial: $219.78 First Health — Commercial: $328.68 Fortified Provider Network — Commercial: $356.40
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL	$93	$69.75	$24.27 – $173
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $62.03 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $55.80 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $42.78 Amish Church Fund and Workers Aid Plan — Fund: $42.78 Anthem — Blue Access Commercial: $51.52 Anthem — Medicare Advantage: $96.11 Anthem — Tiered/Pathway Commercial: $47.43 Anthem — Traditional Commercial: $52.45
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC	$322	$241.50	$84.04 – $289.80
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $214.77 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $193.20 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $148.12 Amish Church Fund and Workers Aid Plan — Fund: $148.12 Anthem — Blue Access Commercial: $178.39 Anthem — Medicare Advantage: $96.11 Anthem — Tiered/Pathway Commercial: $164.22 Anthem — Traditional Commercial: $181.61
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY	$93	$69.75	$24.27 – $224
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $62.03 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $55.80 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $42.78 Amish Church Fund and Workers Aid Plan — Fund: $42.78 Anthem — Blue Access Commercial: $51.52 Anthem — Medicare Advantage: $96.11 Anthem — Tiered/Pathway Commercial: $47.43 Anthem — Traditional Commercial: $52.45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$4,939	$3,704.25	$1,289.08 – $6,667.74
Removal of breast growth (open surgery): 10 of 52 insurance plan rates Aetna — Commercial: $3,294.31 Aetna — Medicare Advantage: $3,704.30 Aetna — OPN Commercial: $2,963.40 Ambetter — Commercial: $6,667.74 Amish Aid Community Plan — Fund: $2,271.94 Amish Church Fund and Workers Aid Plan — Fund: $2,271.94 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $3,704.30 Anthem — Tiered/Pathway Commercial: $3,705 Anthem — Traditional Commercial: $2,785.60
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$4,939	$3,704.25	$900 – $4,445.10
Removal of breast growth (open surgery): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $2,271.94 Amish Church Fund and Workers Aid Plan — Fund: $2,271.94 Anthem — Traditional Commercial: $3,101.69 Beech Street — Commercial: $3,951.20 Buckeye Plain Ministries — Fund: $2,271.94 Century Health Network — Commercial: $4,198.15 Christian Healthcare Ministries — Fund: $2,469.50 Cigna — PPO Commercial: $2,741.15 First Health — Commercial: $4,099.37 Fortified Provider Network — Commercial: $4,445.10
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	$3,626.76 – $4,208
Removal of breast growth (open surgery): rates for 4 insurance plans Aetna — Commercial: $4,208 Aetna — OPN Commercial: $3,786.35 United Healthcare — Commercial: $4,121.61 United Healthcare — Nexus Commercial: $3,626.76
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	$6,117.15 – $26,149
Total hip replacement: 10 of 26 insurance plan rates Aetna — Commercial: $6,797 Aetna — Medicare Advantage: $12,146.38 Aetna — OPN Commercial: $6,117.15 Ambetter — Commercial: $21,863.49 Anthem — Blue Access Commercial: $26,149 Anthem — Medicare Advantage: $12,146.38 Anthem — Tiered/Pathway Commercial: $23,534 CareSource — Marketplace: $21,863.49 Cigna — Medicare Advantage: $12,146.38 Cigna — OAP Commercial: $26,000
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	$10,974.83 – $26,149
Total knee replacement: 10 of 26 insurance plan rates Aetna — Commercial: $22,445 Aetna — Medicare Advantage: $12,146.38 Aetna — OPN Commercial: $20,199 Ambetter — Commercial: $21,863.49 Anthem — Blue Access Commercial: $26,149 Anthem — Medicare Advantage: $12,146.38 Anthem — Tiered/Pathway Commercial: $23,534 CareSource — Marketplace: $21,863.49 Cigna — Medicare Advantage: $12,146.38 Cigna — OAP Commercial: $24,000
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	$145.14 – $14,033.19
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates Aetna — Commercial: $4,208 Aetna — Medicare Advantage: $145.14 Aetna — OPN Commercial: $3,786.35 Ambetter — Commercial: $261.26 Anthem — Blue Access Commercial: $2,499 Anthem — Medicare Advantage: $145.14 Anthem — Tiered/Pathway Commercial: $2,248 CareSource — Marketplace: $261.26 Cigna — Medicare Advantage: $145.14 Cigna — OAP Commercial: $3,100
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,693.60 – $9,486.09
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates Aetna — Commercial: $5,095 Aetna — Medicare Advantage: $3,095.56 Aetna — OPN Commercial: $4,586.27 Ambetter — Commercial: $5,572.02 Anthem — Blue Access Commercial: $7,031 Anthem — Medicare Advantage: $3,095.56 Anthem — Tiered/Pathway Commercial: $6,328 CareSource — Marketplace: $5,572.02 Cigna — Medicare Advantage: $3,095.56 Cigna — OAP Commercial: $3,500
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	$2,453.36 – $10,081.11
Removal of tonsils and adenoids (under age 12): 10 of 27 insurance plan rates Aetna — Commercial: $4,208 Aetna — Medicare Advantage: $5,600.62 Aetna — OPN Commercial: $3,786.35 Ambetter — Commercial: $10,081.11 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $5,600.62 Anthem — Tiered/Pathway Commercial: $3,705 CareSource — Marketplace: $10,081.11 Cigna — Medicare Advantage: $5,600.62 Cigna — OAP Commercial: $3,100
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,353	$2,514.75	$858.08 – $3,382
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $858.08 Aetna — OPN Commercial: $2,361.56 Ambetter — Commercial: $1,544.54 Amish Aid Community Plan — Fund: $1,542.38 Amish Church Fund and Workers Aid Plan — Fund: $1,542.38 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $858.08 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,891.09
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,353	$2,514.75	$900 – $3,017.70
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,542.38 Amish Church Fund and Workers Aid Plan — Fund: $1,542.38 Anthem — Traditional Commercial: $2,105.68 Beech Street — Commercial: $2,682.40 Buckeye Plain Ministries — Fund: $1,542.38 Century Health Network — Commercial: $2,850.05 Christian Healthcare Ministries — Fund: $1,676.50 Cigna — PPO Commercial: $1,860.92 First Health — Commercial: $2,782.99 Fortified Provider Network — Commercial: $3,017.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,286	$2,464.50	$857.65 – $3,710
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $858.08 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $1,544.54 Amish Aid Community Plan — Fund: $1,511.56 Amish Church Fund and Workers Aid Plan — Fund: $1,511.56 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $858.08 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,853.30
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,286	$2,464.50	$900 – $2,957.40
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,511.56 Amish Church Fund and Workers Aid Plan — Fund: $1,511.56 Anthem — Traditional Commercial: $2,063.61 Beech Street — Commercial: $2,628.80 Buckeye Plain Ministries — Fund: $1,511.56 Century Health Network — Commercial: $2,793.10 Christian Healthcare Ministries — Fund: $1,643 Cigna — PPO Commercial: $1,823.73 First Health — Commercial: $2,727.38 Fortified Provider Network — Commercial: $2,957.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,470	$2,602.50	$879.81 – $3,710
Colonoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $879.81 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $1,583.66 Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $879.81 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,957.08
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,470	$2,602.50	$900 – $3,123
Colonoscopy (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Traditional Commercial: $2,179.16 Beech Street — Commercial: $2,776 Buckeye Plain Ministries — Fund: $1,596.20 Century Health Network — Commercial: $2,949.50 Christian Healthcare Ministries — Fund: $1,735 Cigna — PPO Commercial: $1,925.85 First Health — Commercial: $2,880.10 Fortified Provider Network — Commercial: $3,123
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,384	$2,538	$883.22 – $3,710
Colonoscopy with biopsy: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,556.64 Amish Church Fund and Workers Aid Plan — Fund: $1,556.64 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $1,132.12 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,908.58
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,384	$2,538	$900 – $3,045.60
Colonoscopy with biopsy: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,556.64 Amish Church Fund and Workers Aid Plan — Fund: $1,556.64 Anthem — Traditional Commercial: $2,125.15 Beech Street — Commercial: $2,707.20 Buckeye Plain Ministries — Fund: $1,556.64 Century Health Network — Commercial: $2,876.40 Christian Healthcare Ministries — Fund: $1,692 Cigna — PPO Commercial: $1,878.12 First Health — Commercial: $2,808.72 Fortified Provider Network — Commercial: $3,045.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$3,297	$2,472.75	$860.52 – $3,710
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,516.62 Amish Church Fund and Workers Aid Plan — Fund: $1,516.62 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $1,132.12 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,859.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$3,297	$2,472.75	$900 – $2,967.30
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,516.62 Amish Church Fund and Workers Aid Plan — Fund: $1,516.62 Anthem — Traditional Commercial: $2,070.52 Beech Street — Commercial: $2,637.60 Buckeye Plain Ministries — Fund: $1,516.62 Century Health Network — Commercial: $2,802.45 Christian Healthcare Ministries — Fund: $1,648.50 Cigna — PPO Commercial: $1,829.84 First Health — Commercial: $2,736.51 Fortified Provider Network — Commercial: $2,967.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,268	$3,201	$1,113.95 – $3,841.20
Ultrasound of the lower bowel by endoscope: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,963.28 Amish Church Fund and Workers Aid Plan — Fund: $1,963.28 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $1,132.12 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $2,407.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,268	$3,201	$900 – $3,841.20
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,963.28 Amish Church Fund and Workers Aid Plan — Fund: $1,963.28 Anthem — Traditional Commercial: $2,680.30 Beech Street — Commercial: $3,414.40 Buckeye Plain Ministries — Fund: $1,963.28 Century Health Network — Commercial: $3,627.80 Christian Healthcare Ministries — Fund: $2,134 Cigna — PPO Commercial: $2,368.74 First Health — Commercial: $3,542.44 Fortified Provider Network — Commercial: $3,841.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,470	$2,602.50	$879.81 – $3,710
Screening colonoscopy (not high risk): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $879.81 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $1,583.66 Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $879.81 Anthem — Tiered/Pathway Commercial: $3,043 Anthem — Traditional Commercial: $1,957.08
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,470	$2,602.50	$900 – $3,123
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Traditional Commercial: $2,179.16 Beech Street — Commercial: $2,776 Buckeye Plain Ministries — Fund: $1,596.20 Century Health Network — Commercial: $2,949.50 Christian Healthcare Ministries — Fund: $1,735 Cigna — PPO Commercial: $1,925.85 First Health — Commercial: $2,880.10 Fortified Provider Network — Commercial: $3,123
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	$5,160 – $11,612
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates Aetna — Commercial: $5,958 Aetna — Medicare Advantage: $5,719.53 Aetna — OPN Commercial: $5,361.79 Ambetter — Commercial: $10,295.16 Anthem — Blue Access Commercial: $5,733 Anthem — Medicare Advantage: $5,719.53 Anthem — Tiered/Pathway Commercial: $5,160 CareSource — Marketplace: $10,295.16 Cigna — Medicare Advantage: $5,719.53 Cigna — OAP Commercial: $8,000
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	$2,693.60 – $6,598
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates Aetna — Commercial: $5,095 Aetna — Medicare Advantage: $3,387.33 Aetna — OPN Commercial: $4,586.27 Ambetter — Commercial: $6,097.20 Anthem — Blue Access Commercial: $5,145 Anthem — Medicare Advantage: $3,387.33 Anthem — Tiered/Pathway Commercial: $4,631 CareSource — Marketplace: $6,097.20 Cigna — Medicare Advantage: $3,387.33 Cigna — OAP Commercial: $3,500
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,815.48 – $3,710
Prostate biopsy: rates for 9 insurance plans Aetna — Commercial: $3,710 Aetna — OPN Commercial: $3,338.65 Anthem — Blue Access Commercial: $3,382 Anthem — Tiered/Pathway Commercial: $3,043 Medical Mutual of Ohio — MedFlex Commercial: $3,219 Medical Mutual of Ohio — NAS Commercial: $3,219 United Healthcare — Commercial: $2,063.43 United Healthcare — Nexus Commercial: $1,815.48 University Health Employee Plan (Contigo) — Commercial: $1,857.44
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$4,631 – $19,739
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates Aetna — Commercial: $5,958 Aetna — Medicare Advantage: $10,056.64 Aetna — OPN Commercial: $5,361.79 Ambetter — Commercial: $18,101.96 Anthem — Blue Access Commercial: $5,145 Anthem — Medicare Advantage: $10,056.64 Anthem — Tiered/Pathway Commercial: $4,631 CareSource — Marketplace: $18,101.96 Cigna — Medicare Advantage: $10,056.64 Devoted Health — Medicare Advantage: $10,056.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX	$6,814	$5,110.50	$1,778.45 – $6,132.60
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates Aetna — Commercial: $4,544.94 Aetna — Medicare Advantage: $3,062.57 Aetna — OPN Commercial: $4,088.40 Ambetter — Commercial: $5,512.63 Amish Aid Community Plan — Fund: $3,134.44 Amish Church Fund and Workers Aid Plan — Fund: $3,134.44 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $3,062.57 Anthem — Tiered/Pathway Commercial: $3,705 Anthem — Traditional Commercial: $3,843.10
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX	$6,814	$5,110.50	$900 – $6,132.60
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,134.44 Amish Church Fund and Workers Aid Plan — Fund: $3,134.44 Anthem — Traditional Commercial: $4,279.19 Beech Street — Commercial: $5,451.20 Buckeye Plain Ministries — Fund: $3,134.44 Century Health Network — Commercial: $5,791.90 Christian Healthcare Ministries — Fund: $3,407 Cigna — PPO Commercial: $3,781.77 First Health — Commercial: $5,655.62 Fortified Provider Network — Commercial: $6,132.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,626.76 – $4,208
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Aetna — Commercial: $4,208 Aetna — OPN Commercial: $3,786.35 United Healthcare — Commercial: $4,121.61 United Healthcare — Nexus Commercial: $3,626.76
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,591	$1,943.25	$667.82 – $2,623
Spinal injection, lower back (epidural), with imaging guidance: 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $667.82 Aetna — OPN Commercial: $2,361.56 Ambetter — Commercial: $1,202.07 Amish Aid Community Plan — Fund: $1,191.86 Amish Church Fund and Workers Aid Plan — Fund: $1,191.86 Anthem — Blue Access Commercial: $1,435.41 Anthem — Medicare Advantage: $667.82 Anthem — Tiered/Pathway Commercial: $1,321.41 Anthem — Traditional Commercial: $1,461.32
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,591	$1,943.25	$900 – $2,331.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,191.86 Amish Church Fund and Workers Aid Plan — Fund: $1,191.86 Anthem — Traditional Commercial: $1,627.15 Beech Street — Commercial: $2,072.80 Buckeye Plain Ministries — Fund: $1,191.86 Century Health Network — Commercial: $2,202.35 Christian Healthcare Ministries — Fund: $1,295.50 Cigna — PPO Commercial: $1,438.01 First Health — Commercial: $2,150.53 Fortified Provider Network — Commercial: $2,331.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,224	$1,668	$580.46 – $2,623
Nerve root injection, lower back, with imaging guidance: 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $836.78 Aetna — OPN Commercial: $2,361.56 Ambetter — Commercial: $1,506.20 Amish Aid Community Plan — Fund: $1,023.04 Amish Church Fund and Workers Aid Plan — Fund: $1,023.04 Anthem — Blue Access Commercial: $2,462 Anthem — Medicare Advantage: $836.78 Anthem — Tiered/Pathway Commercial: $2,215 Anthem — Traditional Commercial: $1,254.34
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,224	$1,668	$860.69 – $2,001.60
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,023.04 Amish Church Fund and Workers Aid Plan — Fund: $1,023.04 Anthem — Traditional Commercial: $1,396.67 Beech Street — Commercial: $1,779.20 Buckeye Plain Ministries — Fund: $1,023.04 Century Health Network — Commercial: $1,890.40 Christian Healthcare Ministries — Fund: $1,112 Cigna — PPO Commercial: $1,234.32 First Health — Commercial: $1,845.92 Fortified Provider Network — Commercial: $2,001.60
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	$1,847.43 – $5,490
Carpal tunnel release: 10 of 27 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,847.43 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $3,325.37 Anthem — Blue Access Commercial: $3,382 Anthem — Medicare Advantage: $1,847.43 Anthem — Tiered/Pathway Commercial: $3,043 CareSource — Marketplace: $3,325.37 Cigna — Medicare Advantage: $1,847.43 Cigna — OAP Commercial: $2,690
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER	$1,999	$1,499.25	$520.34 – $3,710
Laser treatment of clouding after cataract surgery: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $520.34 Aetna — OPN Commercial: $3,338.65 Ambetter — Commercial: $936.61 Amish Aid Community Plan — Fund: $919.54 Amish Church Fund and Workers Aid Plan — Fund: $919.54 Anthem — Blue Access Commercial: $2,499 Anthem — Medicare Advantage: $520.34 Anthem — Tiered/Pathway Commercial: $2,248 Anthem — Traditional Commercial: $1,127.44
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER	$1,999	$1,499.25	$773.61 – $1,799.10
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $919.54 Amish Church Fund and Workers Aid Plan — Fund: $919.54 Anthem — Traditional Commercial: $1,255.37 Beech Street — Commercial: $1,599.20 Buckeye Plain Ministries — Fund: $919.54 Century Health Network — Commercial: $1,699.15 Christian Healthcare Ministries — Fund: $999.50 Cigna — PPO Commercial: $1,109.45 First Health — Commercial: $1,659.17 Fortified Provider Network — Commercial: $1,799.10
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	$2,183.38 – $8,000
Cataract removal with lens implant: 10 of 27 insurance plan rates Aetna — Commercial: $7,947 Aetna — Medicare Advantage: $2,183.38 Aetna — OPN Commercial: $7,152.59 Ambetter — Commercial: $3,930.08 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $2,183.38 Anthem — Tiered/Pathway Commercial: $3,705 CareSource — Marketplace: $3,930.08 Cigna — Medicare Advantage: $2,183.38 Cigna — OAP Commercial: $8,000

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,162.78 – $4,117
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,162.78 Ambetter — Commercial: $3,893.01 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $2,162.78 Anthem — Tiered/Pathway Commercial: $3,705 CareSource — Marketplace: $3,893.01 Cigna — Medicare Advantage: $2,162.78 Devoted Health — Medicare Advantage: $2,162.78 Humana — Medicare Advantage: $2,162.78 Medical Mutual of Ohio — Medicare Advantage: $2,162.78
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,418.69 – $4,353.65
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,418.69 Ambetter — Commercial: $4,353.65 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $2,418.69 Anthem — Tiered/Pathway Commercial: $3,705 CareSource — Marketplace: $4,353.65 Cigna — Medicare Advantage: $2,418.69 Devoted Health — Medicare Advantage: $2,418.69 Humana — Medicare Advantage: $2,418.69 Medical Mutual of Ohio — Medicare Advantage: $2,418.69
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,279.90 – $4,117
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,279.90 Ambetter — Commercial: $4,103.82 Anthem — Blue Access Commercial: $4,117 Anthem — Medicare Advantage: $2,279.90 Anthem — Tiered/Pathway Commercial: $3,705 CareSource — Marketplace: $4,103.82 Cigna — Medicare Advantage: $2,279.90 Devoted Health — Medicare Advantage: $2,279.90 Humana — Medicare Advantage: $2,279.90 Medical Mutual of Ohio — Medicare Advantage: $2,279.90

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	$50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $165,153
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter — Commercial: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CareSource — Marketplace: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devoted Health — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medical Mutual of Ohio — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Molina — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Paramount — Medicare Advantage: $52.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $54,589
Spinal fusion (not neck), without major complications: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter — Commercial: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CareSource — Marketplace: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devoted Health — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medical Mutual of Ohio — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Molina — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Paramount — Medicare Advantage: $52.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $41,784
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Aetna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter — Commercial: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Blue Access Commercial: $26,149 Anthem — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Tiered/Pathway Commercial: $23,534 CareSource — Marketplace: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devoted Health — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medical Mutual of Ohio — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $36,037
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates Aetna — Commercial: $29,950 Aetna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Aetna — OPN Commercial: $27,478 Ambetter — Commercial: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Blue Access Commercial: $21,564 Anthem — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Tiered/Pathway Commercial: $18,733 CareSource — Marketplace: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devoted Health — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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	$50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Ambetter — Commercial: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Anthem — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) CareSource — Marketplace: $91.21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Cigna — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Devoted Health — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Humana — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Medical Mutual of Ohio — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Molina — Medicare Advantage: $50.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Paramount — Medicare Advantage: $52.19 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Source: UH Regional Hospitals’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 July 14, 2026; retrieved November 5, 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	13207 Ravenna Road, Chardon, OH 44024
County	Geauga County
State	Ohio
Phone	(440) 285‑6246
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	360075
Name in Medicare records	UH REGIONAL HOSPITALS
Profile level	Medicare data + hospital website
Name on the hospital’s website	UH Geauga Medical Center, a campus of UH Regional Hospitals
Official website	uhhospitals.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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 2026-11-02.

Emergency Room — uhhospitals.org
UH Geauga Medical Center - Chardon Ohio — ww2.uhhospitals.org
UH Geauga Campus Map — uhhospitals.org

UH Regional Hospitals

Summary

Profile from official sources

At a glance