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Acute Care Hospital

Union General Hospital

Blairsville, Georgia · Union County · Emergency services listed

Summary

Union General Hospital is an acute care hospital in Blairsville, Georgia. Its official website lists an emergency room (Medicare data does not list emergency services). CMS overall star rating: 3 of 5 stars. Its official website lists 20 services, specialties and programs. Medicare lists 443 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Exterior of Union General Hospital
Photo: Harrison Keely, CC BY 4.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
45Beds (hospital website)
20Services listed

Quick answers

Does Union General Hospital have an emergency room?
Yes. The hospital’s official website lists an emergency room at Union General Hospital. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Union General Hospital?
35 Hospital Road, Blairsville, GA 30512, in Union County, Georgia.
What is the phone number of Union General Hospital?
(706) 745-2111, as listed by Medicare (CMS).
What is the Medicare star rating of Union General Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[8][10][11]

Conditions treated[4][8][9]

Treatments[9][10]

  • MRI
  • CT scan
  • Mammography
  • Ultrasound
  • Nuclear medicine
  • PET scan
  • Bone density testing
  • Echocardiogram
  • Blood transfusion
  • IV therapy

Procedures[11]

  • Cesarean section

Programs and centers[6][7][11]

  • Cardiopulmonary rehabilitation
  • Labor and delivery
  • Medical/surgical inpatient unit

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalPatient Portal

Recognition[4]

  • Chest Pain Center Accreditation (American College of Cardiology)
  • Heart Failure Accreditation (American College of Cardiology)

Doctors and clinicians (443)

443 doctors and other clinicians list Union General Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (443)

And 419 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital75%National average: 71%
Nurses “always” communicated well75%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night58%National average: 60%
Completed surveys423Response rate: 22%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.399No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients17.1%
Deaths within 30 days: COPD patients7.6%
Deaths within 30 days: stroke patients11.7%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.92No different from the national rate
Complications after hip or knee replacement3.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure20.9%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: COPD19%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)165 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)72%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 59 common services exactly as Union General Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 EM DETAIL LOW COMPLEX NEW PT CHARGE $225 $112.50 $35.44 – $191.25
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $191.25
  • AETNA HEALTH, INC. — FIRST HEALTH: $191.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $157.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $159.19
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $159.19
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $163.26
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $36.13
  • CIGNA HEALTHCARE — CIGNA: $152.10
  • UNITED HEALTHCARE — UMR EMPLOYEE: $90
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 NEW PATIENT LEVEL 3 CHARGE $375 $187.50 $59.07 – $318.75
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: $318.75
  • AETNA HEALTH, INC. — FIRST HEALTH: $318.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $262.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $60.22
  • CIGNA HEALTHCARE — CIGNA: $253.50
  • UNITED HEALTHCARE — UMR EMPLOYEE: $150
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $232.13
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $166.76
  • WELLCARE — WELCARE MEDICAID: $59.07
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 NEW PATIENT; LEVEL III CHARGE $375 $187.50 $59.07 – $318.75
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: $318.75
  • AETNA HEALTH, INC. — FIRST HEALTH: $318.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $262.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $60.22
  • CIGNA HEALTHCARE — CIGNA: $253.50
  • UNITED HEALTHCARE — UMR EMPLOYEE: $150
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $166.76
  • WELLCARE — WELCARE MEDICAID: $59.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 EM COMPREHENS MODCOMPX NEW PT CHARGE $381 $190.50 $53.12 – $323.85
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $323.85
  • AETNA HEALTH, INC. — FIRST HEALTH: $323.85
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $266.70
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $53.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $269.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $269.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $276.45
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $61.18
  • CIGNA HEALTHCARE — CIGNA: $257.56
  • UNITED HEALTHCARE — UMR EMPLOYEE: $152.40
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 NEW PATIENT LEVEL 4 CHARGE $500 $250 $69.72 – $425
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: $425
  • AETNA HEALTH, INC. — FIRST HEALTH: $425
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $350
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $69.72
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $80.29
  • CIGNA HEALTHCARE — CIGNA: $338
  • UNITED HEALTHCARE — UMR EMPLOYEE: $200
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $309.50
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $222.35
  • WELLCARE — WELCARE MEDICAID: $78.76
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 NEW PATIENT; LEVEL IV CHARGE $500 $250 $78.76 – $425
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: $425
  • AETNA HEALTH, INC. — FIRST HEALTH: $425
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $350
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $80.29
  • CIGNA HEALTHCARE — CIGNA: $338
  • UNITED HEALTHCARE — UMR EMPLOYEE: $200
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $222.35
  • WELLCARE — WELCARE MEDICAID: $78.76
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 EM COMPREHENS HI COMPLX NEW PT CHARGE $495 $247.50 $69.02 – $420.75
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $420.75
  • AETNA HEALTH, INC. — FIRST HEALTH: $420.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $346.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $69.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $350.21
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $350.21
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $359.17
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $79.50
  • CIGNA HEALTHCARE — CIGNA: $334.62
  • UNITED HEALTHCARE — UMR EMPLOYEE: $198
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 NEW PATIENT LEVEL 5 CHARGE $625 $312.50 $87.15 – $531.25
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: $531.25
  • AETNA HEALTH, INC. — FIRST HEALTH: $531.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $437.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $87.15
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $100.37
  • CIGNA HEALTHCARE — CIGNA: $422.50
  • UNITED HEALTHCARE — UMR EMPLOYEE: $250
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $386.88
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $277.94
  • WELLCARE — WELCARE MEDICAID: $98.46
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 NEW PATIENT; LEVEL V CHARGE $625 $312.50 $98.46 – $531.25
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: $531.25
  • AETNA HEALTH, INC. — FIRST HEALTH: $531.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $437.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $100.37
  • CIGNA HEALTHCARE — CIGNA: $422.50
  • UNITED HEALTHCARE — UMR EMPLOYEE: $250
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $277.94
  • WELLCARE — WELCARE MEDICAID: $98.46
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 EM EXP PROB LOWCOMPLX ESTAB PT CHARGE $150 $75 $23.63 – $127.50
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $127.50
  • AETNA HEALTH, INC. — FIRST HEALTH: $127.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $105
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $106.13
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $106.13
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $108.84
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $24.09
  • CIGNA HEALTHCARE — CIGNA: $101.40
  • UNITED HEALTHCARE — UMR EMPLOYEE: $60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 ESTABLISHED PATIENT LEVEL 3 CHARGE $300 $150 $47.26 – $255
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: $255
  • AETNA HEALTH, INC. — FIRST HEALTH: $255
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $210
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $48.17
  • CIGNA HEALTHCARE — CIGNA: $202.80
  • UNITED HEALTHCARE — UMR EMPLOYEE: $120
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $185.70
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $133.41
  • WELLCARE — WELCARE MEDICAID: $47.26
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 ESTABLISHED PATIENT LEVEL III CHARGE $300 $150 $47.26 – $255
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: $255
  • AETNA HEALTH, INC. — FIRST HEALTH: $255
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $210
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $48.17
  • CIGNA HEALTHCARE — CIGNA: $202.80
  • UNITED HEALTHCARE — UMR EMPLOYEE: $120
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $133.41
  • WELLCARE — WELCARE MEDICAID: $47.26
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 EM DETAIL MOD COMPLX ESTAB PT CHARGE $230 $115 $36.24 – $195.50
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $195.50
  • AETNA HEALTH, INC. — FIRST HEALTH: $195.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $161
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $162.73
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $162.73
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $166.89
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $36.94
  • CIGNA HEALTHCARE — CIGNA: $155.48
  • UNITED HEALTHCARE — UMR EMPLOYEE: $92
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 ESTABLISHED PATIENT LEVEL 4 CHARGE $400 $200 $63.02 – $340
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: $340
  • AETNA HEALTH, INC. — FIRST HEALTH: $340
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $280
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $85.61
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $64.24
  • CIGNA HEALTHCARE — CIGNA: $270.40
  • UNITED HEALTHCARE — UMR EMPLOYEE: $160
  • UNITED HEALTHCARE — UNITED HEALTHCARE: $247.60
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $177.88
  • WELLCARE — WELCARE MEDICAID: $63.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 ESTABLISHED PATIENT LEVEL IV CHARGE $400 $200 $63.02 – $340
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: $340
  • AETNA HEALTH, INC. — FIRST HEALTH: $340
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $280
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $64.24
  • CIGNA HEALTHCARE — CIGNA: $270.40
  • UNITED HEALTHCARE — UMR EMPLOYEE: $160
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: $177.88
  • WELLCARE — WELCARE MEDICAID: $63.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - FAC ED Level 3 - Room Charge $400.20 $200.10 $160.08 – $340.17
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $340.17
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $261.32
  • AETNA HEALTH, INC. — FIRST HEALTH: $340.17
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $280.14
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $264.32
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $256.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $290.39
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.86
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: 99283 - FAC ED Level 3 - Room Charge $400.20 $200.10 $160.08 – $340.17
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $340.17
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $261.32
  • AETNA HEALTH, INC. — FIRST HEALTH: $340.17
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $280.14
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $264.32
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $256.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $290.39
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.86
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 59 In the file: 99283 - FAC ED Level 3 - Room Charge $400.20 $200.10 $160.08 – $340.17
Emergency room visit (moderate): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $340.17
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $261.32
  • AETNA HEALTH, INC. — FIRST HEALTH: $340.17
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $280.14
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $264.32
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $256.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $283.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $290.39
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.86
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - FAC ED Level 4 Room Charge $767.05 $383.53 $306.82 – $660.09
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $651.99
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $399.45
  • AETNA HEALTH, INC. — FIRST HEALTH: $651.99
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $536.94
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $370.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $391.62
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $556.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $660.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: 99284 - FAC ED Level 4 Room Charge $767.05 $383.53 $306.82 – $660.09
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $651.99
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $399.45
  • AETNA HEALTH, INC. — FIRST HEALTH: $651.99
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $536.94
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $370.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $391.62
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $556.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $660.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier Q3 In the file: 99284 - FAC ED Level 4 Room Charge $767.05 $383.53 $306.82 – $660.09
Emergency room visit (moderately high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $651.99
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $399.45
  • AETNA HEALTH, INC. — FIRST HEALTH: $651.99
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $536.94
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $370.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $391.62
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $542.69
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $556.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $660.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - FAC ED Level 5 - Room Charge $1,067.20 $533.60 $171.38 – $907.12
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $907.12
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $570.11
  • AETNA HEALTH, INC. — FIRST HEALTH: $907.12
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $747.04
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $469.90
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $558.93
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $774.36
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $171.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: 99285 - FAC ED Level 5 - Room Charge $1,067.20 $533.60 $171.38 – $907.12
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $907.12
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $570.11
  • AETNA HEALTH, INC. — FIRST HEALTH: $907.12
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $747.04
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $469.90
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $558.93
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $774.36
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $171.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 59 In the file: 99285 - FAC ED Level 5 - Room Charge $1,067.20 $533.60 $171.38 – $907.12
Emergency room visit (high): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $907.12
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $570.11
  • AETNA HEALTH, INC. — FIRST HEALTH: $907.12
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $747.04
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $469.90
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $558.93
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $755.04
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $774.36
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $171.38

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP Standard $82 $41 $4.35 – $69.70
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $69.70
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.63
  • AETNA HEALTH, INC. — FIRST HEALTH: $69.70
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $57.40
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.35
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $59.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier 91 In the file: BMP Standard $82 $41 $4.35 – $69.70
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $69.70
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.63
  • AETNA HEALTH, INC. — FIRST HEALTH: $69.70
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $57.40
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.35
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $59.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier ET In the file: BMP Standard $82 $41 $4.35 – $69.70
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $69.70
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.63
  • AETNA HEALTH, INC. — FIRST HEALTH: $69.70
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $57.40
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.35
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $59.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel Standard $130 $65 $5.42 – $110.50
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $110.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $10.77
  • AETNA HEALTH, INC. — FIRST HEALTH: $110.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $91
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $5.42
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $10.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $94.33
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 91 In the file: Comprehensive Metabolic Panel Standard $130 $65 $5.42 – $110.50
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $110.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $10.77
  • AETNA HEALTH, INC. — FIRST HEALTH: $110.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $91
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $5.42
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $10.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $94.33
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier Q3 In the file: Comprehensive Metabolic Panel Standard $130 $65 $5.42 – $110.50
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $110.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $10.77
  • AETNA HEALTH, INC. — FIRST HEALTH: $110.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $91
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $5.42
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $10.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $91.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $94.33
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $11.09
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel Standard $68 $34 $6.89 – $57.80
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $13.66
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $6.89
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $13.39
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier 59 In the file: Lipid Panel Standard $68 $34 $6.89 – $57.80
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $13.66
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $6.89
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $13.39
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier GA In the file: Lipid Panel Standard $68 $34 $6.89 – $57.80
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $6.89
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $14.06
  • CIGNA HEALTHCARE — CIGNA: $45.97
  • UNITED HEALTHCARE — UMR EMPLOYEE: $27.20
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Panel Standard $82 $41 $4.46 – $69.70
Kidney function panel: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $69.70
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.85
  • AETNA HEALTH, INC. — FIRST HEALTH: $69.70
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $57.40
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.68
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.02
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $59.50
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $9.11
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Function Panel Standard $97 $48.50 $4.20 – $82.45
Liver function panel: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $82.45
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.33
  • AETNA HEALTH, INC. — FIRST HEALTH: $82.45
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $67.90
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.17
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $68.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $68.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $70.38
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.58
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 59 In the file: Hepatic Function Panel Standard $97 $48.50 $4.20 – $82.45
Liver function panel: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $82.45
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $8.33
  • AETNA HEALTH, INC. — FIRST HEALTH: $82.45
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $67.90
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $8.17
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $68.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $68.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $70.38
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.58
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Dipstick Only Standard $39.10 $19.55 $1.15 – $33.24
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $33.24
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $2.30
  • AETNA HEALTH, INC. — FIRST HEALTH: $33.24
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $27.37
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $1.15
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $2.25
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $27.66
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $27.66
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $28.37
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL $85 $42.50 $9.45 – $72.25
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $72.25
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $18.76
  • AETNA HEALTH, INC. — FIRST HEALTH: $72.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $59.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $9.45
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $18.39
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $61.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone $85 $42.50 $8.63 – $72.25
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $72.25
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $17.14
  • AETNA HEALTH, INC. — FIRST HEALTH: $72.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $59.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $8.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $16.80
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $61.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier ET In the file: Thyroid Stimulating Hormone $85 $42.50 $8.63 – $72.25
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $72.25
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $17.14
  • AETNA HEALTH, INC. — FIRST HEALTH: $72.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $59.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $8.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $16.80
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $61.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier GA In the file: Thyroid Stimulating Hormone $85 $42.50 $8.63 – $72.25
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $72.25
  • AETNA HEALTH, INC. — FIRST HEALTH: $72.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $59.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $8.63
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $60.14
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $61.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $17.64
  • CIGNA HEALTHCARE — CIGNA: $57.46
  • UNITED HEALTHCARE — UMR EMPLOYEE: $34
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Manual Diff. $72.45 $36.23 $4 – $61.58
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $7.93
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $7.77
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: CBC w/ Manual Diff. $72.45 $36.23 $4 – $61.58
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $7.93
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $7.77
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 91 In the file: CBC w/ Manual Diff. $72.45 $36.23 $4 – $61.58
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $7.93
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $4
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $7.77
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.16
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC w/Manual Diff Standard $72.45 $36.23 $3.33 – $61.58
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.60
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.33
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.47
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.79
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier 25 In the file: CBC w/Manual Diff Standard $72.45 $36.23 $3.33 – $61.58
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.60
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.33
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.47
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.79
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier ET In the file: CBC w/Manual Diff Standard $72.45 $36.23 $3.33 – $61.58
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.60
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.33
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.47
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime/PTT $72.45 $36.23 $2.20 – $61.58
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $4.38
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $2.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $4.29
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier ET In the file: Protime/PTT $72.45 $36.23 $2.20 – $61.58
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $61.58
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $4.38
  • AETNA HEALTH, INC. — FIRST HEALTH: $61.58
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $50.72
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $2.20
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $4.29
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $51.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $52.57
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT $68 $34 $3.08 – $57.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.13
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.08
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.01
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier ET In the file: PTT $68 $34 $3.08 – $57.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.13
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.08
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.01
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier 91 In the file: PTT $68 $34 $3.08 – $57.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $57.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $6.13
  • AETNA HEALTH, INC. — FIRST HEALTH: $57.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $47.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $3.08
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $6.01
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $48.11
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $49.34
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $6.31

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE $1,386 $693 $98.12 – $1,178.10
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,178.10
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,178.10
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $970.20
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $193.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,005.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $222.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier ME In the file: CT HEAD/BRAIN W/O DYE $1,386 $693 $98.12 – $1,178.10
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,178.10
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,178.10
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $970.20
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $193.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,005.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $222.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 25 In the file: CT HEAD/BRAIN W/O DYE $1,386 $693 $98.12 – $1,178.10
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,178.10
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,178.10
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $970.20
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $193.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $980.60
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,005.68
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $222.57
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE $2,488 $1,244 $327.43 – $2,114.80
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $2,114.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $333.98
  • AETNA HEALTH, INC. — FIRST HEALTH: $2,114.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,741.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $526.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $327.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,760.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,760.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,805.29
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $399.54
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views $82.90 $41.45 $11.56 – $82.90
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $70.47
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $82.90
  • AETNA HEALTH, INC. — FIRST HEALTH: $70.47
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $58.03
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $11.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.68
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $60.15
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $13.31
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 59 In the file: XR Chest 2 Views $82.90 $41.45 $11.56 – $82.90
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $70.47
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $82.90
  • AETNA HEALTH, INC. — FIRST HEALTH: $70.47
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $58.03
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $11.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.68
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $60.15
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $13.31
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: XR Chest 2 Views $82.90 $41.45 $11.56 – $82.90
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $70.47
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $82.90
  • AETNA HEALTH, INC. — FIRST HEALTH: $70.47
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $58.03
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $11.56
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.68
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $58.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $60.15
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $13.31
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral Min 4 Views $595.35 $297.68 $83.01 – $506.05
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $506.05
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $506.05
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $416.75
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $83.01
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $421.21
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $421.21
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $431.99
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $95.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar w/o Cont $1,984.50 $992.25 $223.94 – $1,686.83
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,686.83
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $228.42
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,686.83
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,389.15
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $343.86
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $223.94
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,439.95
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier ME In the file: MRI Spine Lumbar w/o Cont $1,984.50 $992.25 $223.94 – $1,686.83
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,686.83
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $228.42
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,686.83
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,389.15
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $343.86
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $223.94
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,439.95
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Cont $2,268 $1,134 $164.62 – $1,927.80
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,927.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $167.91
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,927.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,587.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $316.24
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $164.62
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,604.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,604.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,645.66
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $364.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 59 In the file: CT Pelvis w/ Cont $2,268 $1,134 $164.62 – $1,927.80
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,927.80
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $167.91
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,927.80
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,587.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $316.24
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $164.62
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,604.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,604.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,645.66
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $364.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI JNT OF LWR EXTRE W/O DYE $1,984.50 $992.25 $223.94 – $1,686.83
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,686.83
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $228.42
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,686.83
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,389.15
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $343.86
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $223.94
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,439.95
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI Ankle w/o Cont Rt $1,984.50 $992.25 $223.94 – $1,686.83
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,686.83
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $228.42
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,686.83
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,389.15
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $343.86
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $223.94
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,439.95
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI JNT OF LWR EXTRE W/O DYE $1,984.50 $992.25 $223.94 – $1,686.83
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $1,686.83
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $228.42
  • AETNA HEALTH, INC. — FIRST HEALTH: $1,686.83
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,389.15
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $343.86
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $223.94
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,404.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,439.95
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $318.69
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen +Pelvis w/ Cont $2,370 $1,185 $327.43 – $2,014.50
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $2,014.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $333.98
  • AETNA HEALTH, INC. — FIRST HEALTH: $2,014.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,659
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $330.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $327.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,719.67
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $380.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier ME In the file: CT Abdomen +Pelvis w/ Cont $2,370 $1,185 $327.43 – $2,014.50
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $2,014.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $333.98
  • AETNA HEALTH, INC. — FIRST HEALTH: $2,014.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,659
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $330.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $327.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,719.67
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $380.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier Q3 In the file: CT Abdomen +Pelvis w/ Cont $2,370 $1,185 $327.43 – $2,014.50
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $2,014.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $333.98
  • AETNA HEALTH, INC. — FIRST HEALTH: $2,014.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,659
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $330.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $327.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,676.78
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,719.67
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $380.59
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Comp $959.70 $479.85 $98.12 – $815.75
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $815.75
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $815.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $671.79
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $133.81
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $678.99
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $678.99
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $696.36
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $154.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US Pregnant Complete $598 $299 $83.39 – $508.30
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $508.30
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $508.30
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $418.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $83.39
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $423.09
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $423.09
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $433.91
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $96.03
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Pelvic Non-OB Ltd $598 $299 $83.39 – $508.30
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $508.30
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $508.30
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $418.60
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $83.39
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.12
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $423.09
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $423.09
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $433.91
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $96.03
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: DX MAMMO INCL CAD UNI $218.40 $109.20 $30.46 – $185.64
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $185.64
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $78.51
  • AETNA HEALTH, INC. — FIRST HEALTH: $185.64
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $152.88
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $30.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $76.97
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $154.52
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $154.52
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $158.47
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $35.07
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: DX MAMMO INCL CAD UNI $218.40 $109.20 $30.46 – $185.64
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $185.64
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $78.51
  • AETNA HEALTH, INC. — FIRST HEALTH: $185.64
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $152.88
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $30.46
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $76.97
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $154.52
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $154.52
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $158.47
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $35.07
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DX MAMMO INCL CAD BI $231 $115.50 $32.21 – $196.35
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $196.35
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $100.80
  • AETNA HEALTH, INC. — FIRST HEALTH: $196.35
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $161.70
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $32.21
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $98.82
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $163.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $163.43
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $167.61
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $37.10
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MA Routine Screen Digital Bil. $212.10 $106.05 $29.57 – $180.29
Screening mammogram, both breasts: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $180.29
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $83.07
  • AETNA HEALTH, INC. — FIRST HEALTH: $180.29
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $148.47
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $29.57
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.44
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $153.90
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $34.06
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier LT In the file: MA Routine Screen Implant Lt. $212.10 $106.05 $29.57 – $180.29
Screening mammogram, both breasts: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $180.29
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $83.07
  • AETNA HEALTH, INC. — FIRST HEALTH: $180.29
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $148.47
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $29.57
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.44
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $153.90
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $34.06
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier RT In the file: MA Routine Screen Implant Rt. $212.10 $106.05 $29.57 – $180.29
Screening mammogram, both breasts: 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $180.29
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $83.07
  • AETNA HEALTH, INC. — FIRST HEALTH: $180.29
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $148.47
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $29.57
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $81.44
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $150.06
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $153.90
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $34.06

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: 95810 INITIAL SLEEP STUDY $2,415 $1,207.50 $336.73 – $2,052.75
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $2,052.75
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $822.08
  • AETNA HEALTH, INC. — FIRST HEALTH: $2,052.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $1,690.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $336.73
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $805.96
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $1,708.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $1,708.61
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $1,752.32
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $387.82

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT Therapeutic Exercise Rehab Units $50 $25 $6.98 – $42.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $42.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $28.19
  • AETNA HEALTH, INC. — FIRST HEALTH: $42.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $35
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $6.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $27.64
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $35.38
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $35.38
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $36.28
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Therapeutic Exercise Time $50 $25 $6.98 – $42.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $42.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $28.19
  • AETNA HEALTH, INC. — FIRST HEALTH: $42.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $35
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $6.98
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $27.64
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $35.38
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $35.38
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $36.28
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $8.03
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Low Complexity Units $235 $117.50 $32.76 – $199.75
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $199.75
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $94.81
  • AETNA HEALTH, INC. — FIRST HEALTH: $199.75
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $164.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $32.76
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $92.95
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $166.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $166.26
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $170.52
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $37.74
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Moderate Complexity Units $245 $122.50 $34.16 – $208.25
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $208.25
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $94.81
  • AETNA HEALTH, INC. — FIRST HEALTH: $208.25
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $171.50
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $34.16
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $92.95
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $173.34
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $173.34
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $177.77
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $39.34
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $270 $135 $37.65 – $229.50
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $229.50
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $94.81
  • AETNA HEALTH, INC. — FIRST HEALTH: $229.50
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $189
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $37.65
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $92.95
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $191.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $191.03
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $195.91
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $43.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: 90832 PSYCHOTHERAPY, 30 MIN W PATIENT $291 $145.50 $45.85 – $247.35
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • AETNA HEALTH, INC. — AETNA: $247.35
  • AETNA HEALTH, INC. — AETNA GOLDEN CHOICE: $169.92
  • AETNA HEALTH, INC. — FIRST HEALTH: $247.35
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: $203.70
  • AMERIGROUP COMMUNITY CARE — AMERIGROUP MEDICAID: $60.52
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BC GENERIC MEDICARE ADVANTAGE: $166.59
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: $205.88
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: $205.88
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: $211.15
  • CARESOURCE NETWORK PARTNERS, LLC. — CARE SOURCE MEDICAID: $46.74

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $2,896.59 – $17,657.82
Total hip replacement: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,890.08 – $17,618.15
Total knee replacement: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,890.08 – $17,618.15
Total knee replacement: rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $804.58 – $4,904.75
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · modifier 59 In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $804.58 – $4,904.75
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,604.98 – $9,784.10
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 50 In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,604.98 – $9,784.10
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,354.08 – $8,254.58
Removal of tonsils and adenoids (under age 12): rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $170.14 – $1,037.14
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $170.14 – $1,037.14
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 59 In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $274.82 – $1,675.32
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $312.51 – $1,905.08
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $312.51 – $1,905.08
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 74 In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $154.95 – $944.59
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $170.52 – $1,039.50
Colonoscopy (diagnostic): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $170.52 – $1,039.50
Colonoscopy (diagnostic): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 74 In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $170.52 – $1,039.50
Colonoscopy (diagnostic): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $125.52 – $1,123.09
Colonoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $125.52 – $1,123.09
Colonoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 59 In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $125.52 – $1,123.09
Colonoscopy with biopsy: rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $482.56 – $2,941.73
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $163.36 – $1,145.55
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $482.56 – $2,941.73
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $171.33 – $1,044.42
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier KX In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $171.33 – $1,044.42
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,592.76 – $9,709.56
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,570.71 – $9,575.12
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 74 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,570.71 – $9,575.12
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,570.71 – $9,575.12
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,593.73 – $9,715.49
Prostate biopsy: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,492.20 – $9,096.56
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 59 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,492.20 – $9,096.56
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 74 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,492.20 – $9,096.56
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $889.95 – $5,425.21
Carpal tunnel release: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,188.18 – $7,243.23
Cataract removal with lens implant: rates for 9 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD HMO: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PLACE OF SERVICE: 70.75% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE MEDICAID: 44.47% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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 $1,600 – $37,263.27
Hip or knee replacement (major joint of the leg), without major complications: rates for 7 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $1,600 – $25,083.72
Uterus and ovary surgery (not for cancer), without complications: rates for 7 insurance plans
  • AETNA HEALTH, INC. — AETNA: 85% (a percentage in the contract, not a dollar amount)
  • AETNA HEALTH, INC. — FIRST HEALTH: 85% (a percentage in the contract, not a dollar amount)
  • ALLIANT HEALTH PLAN — ALLIANT HEALTH PLAN: 70% (a percentage in the contract, not a dollar amount)
  • BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GA, INC. — BLUE CROSS BLUE SHIELD PPO: 72.56% (a percentage in the contract, not a dollar amount)
  • CIGNA HEALTHCARE — CIGNA: 67.6% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UMR EMPLOYEE: 40% (a percentage in the contract, not a dollar amount)
  • UNITED HEALTHCARE — UNITED HEALTHCARE: 61.9% (a percentage in the contract, not a dollar amount)

Source: Union General Hospital’s standard charges file (uniongeneralhealthsystem.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address35 Hospital Road, Blairsville, GA 30512
CountyUnion County
StateGeorgia
Phone(706) 745‑2111
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number110051
Name in Medicare recordsUNION GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteuniongeneralhealthsystem.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Union General Hospital — uniongeneralhealthsystem.com
  2. Emergency Medicine — uniongeneralhealthsystem.com
  3. Medical/Surgical Inpatient Unit - Union General Health System — uniongeneralhealthsystem.com
  4. Cardiopulmonary Rehabilitation - Union General Health System — uniongeneralhealthsystem.com
  5. Cardiology - Union General Health System — uniongeneralhealthsystem.com
  6. Outpatient Care - Union General Health System — uniongeneralhealthsystem.com
  7. Radiology - Union General Health System — uniongeneralhealthsystem.com
  8. Labor & Delivery - Union General Health System — uniongeneralhealthsystem.com