Does Union Hospital of Cecil County have an emergency room?

Yes. The hospital’s official website lists an emergency room at Union Hospital of Cecil County. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Union Hospital of Cecil County?

106 Bow Street, Elkton, MD 21921, in Cecil County, Maryland.

What is the phone number of Union Hospital of Cecil County?

(410) 392-7009, as listed by Medicare (CMS).

What is the Medicare star rating of Union Hospital of Cecil County?

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

Union Hospital of Cecil County — Elkton, MD

Quick answers

Does Union Hospital of Cecil County have an emergency room?: Yes. The hospital’s official website lists an emergency room at Union Hospital of Cecil County. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Union Hospital of Cecil County?: 106 Bow Street, Elkton, MD 21921, in Cecil County, Maryland.
What is the phone number of Union Hospital of Cecil County?: (410) 392-7009, as listed by Medicare (CMS).
What is the Medicare star rating of Union Hospital of Cecil County?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6][7]

Behavioral health (outpatient and inpatient)
Breast health
Cancer care
Cardiology
Ear, nose and throat
Emergency medicine
Endocrinology
Gastroenterology
Interventional radiology
Imaging services
Joint replacement
Laboratory services
Neurology
Palliative care
Primary care
Pulmonary and respiratory services
Stroke care
General surgery
Urgent care
Urology
Vascular surgery
Women's health
Wound care

Conditions treated^[6][7]

Stroke
Hernia (hiatal, ventral, umbilical, inguinal, incisional, recurrent)
Hemorrhoids
Anal fistula
Abscess

Treatments^[4][5][7]

Wound care and skin grafts
Palliative care
Sexual assault forensic examination and care

Procedures^[7]

Abdominal wall reconstruction
Anorectal surgery
Appendix surgery
Breast surgery
Colonoscopy
Upper endoscopy
Colorectal surgery
Gallbladder surgery
Gastrointestinal surgery
Hernia repair (minimally invasive and open)
Tunneled vascular access

Programs and centers^[4][5][6]

Primary Stroke Center program
Sexual Assault Response Team (forensic nurse examiners)
Breast Health Center
Cancer Program
Joint Replacement Center
Lung Health Program
Wound care program

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Visiting	Inpatients at Union Hospital may have visitors daily 9 a.m.-8 p.m.; ICU visitors must be 16+, other acute units 12+^[8]
Interpreters and languages	Language access phone lines listed for Arabic, Haitian Creole, Korean, Mandarin and Spanish^[4][8]
Patient portal	ChristianaCare MyChart

Recognition^[5][6]

Primary Stroke Center (Maryland MIEMSS)

Doctors and clinicians (697)

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

Main specialties

And 673 more: the button below opens the full list.

Other emergency rooms nearby

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

Christiana Hospital10 mi · Newark, DE · Acute Care Hospital
Rockford Center11 mi · Newark, DE · Psychiatric Hospital
Wilmington VA Medical Center15 mi · Wilmington, DE · Federal/VA Acute Care Hospital
St Francis Hospital17 mi · Wilmington, DE · Acute Care Hospital
Nemours Children's Hospital, Delaware19 mi · Wilmington, DE · Children's Hospital

Other hospitals nearby

Meadowwood Behavioral Health System11 mi · New Castle, DE · Psychiatric Hospital
Encompass Health Rehab Hospital of Middletown11 mi · Middletown, DE · Inpatient Rehabilitation Hospital
VA Maryland Healthcare System - Perry Point13 mi · Perry Point, MD · Federal/VA Acute Care Hospital
Delaware Psychiatric Center15 mi · New Castle, DE · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Laurelwood Healthcare Center0.5 mi · Elkton, MD · 2 of 5 stars
Elkton Nursing and Rehabilitation Center1.3 mi · Elkton, MD · 1 of 5 stars
Exceptional Care for Children4.6 mi · Newark, DE · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Delaware Hospice - North Division5.4 mi · Newark, DE · 4 of 5 stars
ChristianaCare Accentcare Hosp & Palliative Care7.8 mi · Newark, DE · 2 of 5 stars
Heartland Hospice7.8 mi · Newark, DE

All hospice providers in the state →

Home health agencies

Amedisys Home Health of Maryland LLC2.0 mi · Elkton, MD
Aveanna Healthcare5.4 mi · Newark, DE
Ijn Health Systems, LLC5.4 mi · Newark, DE

All home health agencies in the state →

Dialysis facilities

FMC - Elkton2.0 mi · Elkton, MD · 1 of 5 stars
FKC Christiana5.4 mi · Newark, DE · 2 of 5 stars
Innovative Renal Care Newark5.4 mi · Newark, DE · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Clearway Surgery Center of Elkton2.0 mi · Elkton, MD
Delmar Surgical Center2.0 mi · Elkton, MD
Upper Bay Surgery Center, LLC2.0 mi · Elkton, MD

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

West Cecil Health Center-Cecil County Health Department0.2 mi · Elkton, MD · Community health center
Westside Family Healthcare - Bear / New Castle6.5 mi · Bear, DE · Community health center
Westside Family Healthcare - Newark6.8 mi · Newark, DE · Community health center

Clinics and urgent care

Christiana Care Quality Partners2.0 mi · Elkton, MD · Urgent care center
MNR Industries, LLC2.0 mi · Elkton, MD · Urgent care center
Christiana Care Quality Partners5.4 mi · Newark, DE · Urgent care center

Pharmacies

Acme Markets Inc2.0 mi · Elkton, MD · Community/retail pharmacy
HPC Health LLC2.0 mi · Elkton, MD · Pharmacy
Maryland CVS Pharmacy, L.L.C.2.0 mi · Elkton, MD · Community/retail pharmacy

Assisted living nearby

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

Abbey Manor at Elkton I2.0 mi · Elkton, MD
Abbey Manor at Elkton II2.0 mi · Elkton, MD
Caraway Assisted Living I2.0 mi · Elkton, MD
Caraway Assisted Living II2.0 mi · Elkton, MD

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 Hospital of Cecil County 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 hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	64%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	50%National average: 60%
Completed surveys	960Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.532No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.343Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	13%
Deaths within 30 days: heart failure patients	11.1%
Deaths within 30 days: pneumonia patients	15.5%
Deaths within 30 days: COPD patients	9.1%
Deaths within 30 days: stroke patients	8.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.9No different from the national rate
Complications after hip or knee replacement	4.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	19.8%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

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)	228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	55%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Maryland Best hospitals in Maryland

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Union Hospital of Cecil County 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$280.24 – $884.96
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $412.98 Aetna — Medicare Managed Care Plan: $303.84 Ambetter — All Commercial Plans: $442.48 Amerihealth — Caritas Next Other Commercial Plan: $471.98 Amerihealth — Medicare Managed Care Plan: $318.59 Bcbs — Highmark All Commercial Plans: $435.25 Bcbs — Highmark Health Options Medicare Managed Care Plan: $302.36 Bcbs — Highmark Medicare Managed Care Plan: $280.24 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $324.49 Healthspring — Medicare Managed Care Plan: $294.99
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES LEVEL 3	$1,050.43	$1,050.43	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES,LEVEL 3,L&D TRIAGE	$1,050.43	$1,050.43	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$428.36 – $1,352.72
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $631.27 Aetna — Medicare Managed Care Plan: $464.43 Ambetter — All Commercial Plans: $676.36 Amerihealth — Caritas Next Other Commercial Plan: $721.45 Amerihealth — Medicare Managed Care Plan: $486.98 Bcbs — Highmark All Commercial Plans: $665.31 Bcbs — Highmark Health Options Medicare Managed Care Plan: $462.18 Bcbs — Highmark Medicare Managed Care Plan: $428.36 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $496 Healthspring — Medicare Managed Care Plan: $450.91
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES LEVEL 4	$1,781.45	$1,781.45	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES,LEVEL 4,L&D TRIAGE	$1,781.45	$1,781.45	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$611.37 – $1,930.65
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $900.97 Aetna — Medicare Managed Care Plan: $662.86 Ambetter — All Commercial Plans: $965.32 Amerihealth — Caritas Next Other Commercial Plan: $1,029.68 Amerihealth — Medicare Managed Care Plan: $695.03 Bcbs — Highmark All Commercial Plans: $949.56 Bcbs — Highmark Health Options Medicare Managed Care Plan: $659.64 Bcbs — Highmark Medicare Managed Care Plan: $611.37 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $707.90 Healthspring — Medicare Managed Care Plan: $643.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES LEVEL 5	$2,610.33	$2,610.33	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED SERVICES,LEVEL 5,L&D TRIAGE	$2,610.33	$2,610.33	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$5.50 – $25.38
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $9.39 Aetna — Medicare Managed Care Plan: $8.71 Ambetter — All Commercial Plans: $11 Amerihealth — Caritas Next Other Commercial Plan: $8.46 Amerihealth — Medicare Managed Care Plan: $9.14 Bcbs — Highmark All Commercial Plans: $12.48 Bcbs — Highmark Health Options Medicare Managed Care Plan: $8.67 Bcbs — Highmark Medicare Managed Care Plan: $8.04 Cigna — All Commercial Plans: $5.50 First Health — Delaware Medicaid Managed Care Plan: $9.31
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BMP, BASIC METABOLIC PANEL,CALCIUM,TOTAL	$326.39	$326.39	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$6.86 – $31.68
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $11.72 Aetna — Medicare Managed Care Plan: $10.88 Ambetter — All Commercial Plans: $13.73 Amerihealth — Caritas Next Other Commercial Plan: $10.56 Amerihealth — Medicare Managed Care Plan: $11.40 Bcbs — Highmark All Commercial Plans: $15.58 Bcbs — Highmark Health Options Medicare Managed Care Plan: $10.82 Bcbs — Highmark Medicare Managed Care Plan: $10.03 Cigna — All Commercial Plans: $6.86 First Health — Delaware Medicaid Managed Care Plan: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP COMPREHENSIVE MET PANEL	$105.23	$105.23	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$31.08 – $143.43
Obstetric blood test panel: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $53.07 Aetna — Medicare Managed Care Plan: $49.24 Ambetter — All Commercial Plans: $62.15 Amerihealth — Caritas Next Other Commercial Plan: $47.81 Amerihealth — Medicare Managed Care Plan: $51.63 Bcbs — Highmark All Commercial Plans: $70.54 Bcbs — Highmark Health Options Medicare Managed Care Plan: $49.01 Bcbs — Highmark Medicare Managed Care Plan: $45.42 Cigna — All Commercial Plans: $31.08 First Health — Delaware Medicaid Managed Care Plan: $52.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$8.70 – $40.17
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $14.86 Aetna — Medicare Managed Care Plan: $13.79 Ambetter — All Commercial Plans: $17.41 Amerihealth — Caritas Next Other Commercial Plan: $13.39 Amerihealth — Medicare Managed Care Plan: $14.46 Bcbs — Highmark All Commercial Plans: $19.76 Bcbs — Highmark Health Options Medicare Managed Care Plan: $13.72 Bcbs — Highmark Medicare Managed Care Plan: $12.72 Cigna — All Commercial Plans: $8.70 First Health — Delaware Medicaid Managed Care Plan: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL	$181.71	$181.71	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$5.64 – $26.04
Kidney function panel: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $9.63 Aetna — Medicare Managed Care Plan: $8.94 Ambetter — All Commercial Plans: $11.28 Amerihealth — Caritas Next Other Commercial Plan: $8.68 Amerihealth — Medicare Managed Care Plan: $9.37 Bcbs — Highmark All Commercial Plans: $12.81 Bcbs — Highmark Health Options Medicare Managed Care Plan: $8.90 Bcbs — Highmark Medicare Managed Care Plan: $8.25 Cigna — All Commercial Plans: $5.64 First Health — Delaware Medicaid Managed Care Plan: $9.55
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$412.36	$412.36	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$5.31 – $24.51
Liver function panel: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $9.07 Aetna — Medicare Managed Care Plan: $8.42 Ambetter — All Commercial Plans: $10.62 Amerihealth — Caritas Next Other Commercial Plan: $8.17 Amerihealth — Medicare Managed Care Plan: $8.82 Bcbs — Highmark All Commercial Plans: $12.05 Bcbs — Highmark Health Options Medicare Managed Care Plan: $8.37 Bcbs — Highmark Medicare Managed Care Plan: $7.76 Cigna — All Commercial Plans: $5.31 First Health — Delaware Medicaid Managed Care Plan: $8.99
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$309.61	$309.61	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.06 – $9.51
Urine test (automated, with microscope): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $3.52 Aetna — Medicare Managed Care Plan: $3.27 Ambetter — All Commercial Plans: $4.12 Amerihealth — Caritas Next Other Commercial Plan: $3.17 Amerihealth — Medicare Managed Care Plan: $3.42 Bcbs — Highmark All Commercial Plans: $4.68 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3.25 Bcbs — Highmark Medicare Managed Care Plan: $3.01 Cigna — All Commercial Plans: $2.06 First Health — Delaware Medicaid Managed Care Plan: $3.49
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: UA,AUTOMATED WITH MICROSCOPY	$51.04	$51.04	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.26 – $10.44
Urine test (manual, without microscope): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $3.86 Aetna — Medicare Managed Care Plan: $3.58 Ambetter — All Commercial Plans: $4.52 Amerihealth — Caritas Next Other Commercial Plan: $3.48 Amerihealth — Medicare Managed Care Plan: $3.76 Bcbs — Highmark All Commercial Plans: $5.13 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3.57 Bcbs — Highmark Medicare Managed Care Plan: $3.31 Cigna — All Commercial Plans: $2.26 First Health — Delaware Medicaid Managed Care Plan: $3.83
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: 81002 URINALYSIS,DIP STICK,NON-AUTOM	$37.05	$37.05	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: MYOGLOBIN SCREEN,URINE	$37.05	$37.05	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.46 – $6.75
Urine test (automated, without microscope): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $2.50 Aetna — Medicare Managed Care Plan: $2.32 Ambetter — All Commercial Plans: $2.92 Amerihealth — Caritas Next Other Commercial Plan: $2.25 Amerihealth — Medicare Managed Care Plan: $2.43 Bcbs — Highmark All Commercial Plans: $3.32 Bcbs — Highmark Health Options Medicare Managed Care Plan: $2.31 Bcbs — Highmark Medicare Managed Care Plan: $2.14 Cigna — All Commercial Plans: $1.46 First Health — Delaware Medicaid Managed Care Plan: $2.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS, AUTOMATED,WO MICRO	$41.24	$41.24	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: POC UA MACROSCOPIC	$41.24	$41.24	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$11.95 – $55.17
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $20.41 Aetna — Medicare Managed Care Plan: $18.94 Ambetter — All Commercial Plans: $23.91 Amerihealth — Caritas Next Other Commercial Plan: $18.39 Amerihealth — Medicare Managed Care Plan: $19.86 Bcbs — Highmark All Commercial Plans: $27.13 Bcbs — Highmark Health Options Medicare Managed Care Plan: $18.85 Bcbs — Highmark Medicare Managed Care Plan: $17.47 Cigna — All Commercial Plans: $11.95 First Health — Delaware Medicaid Managed Care Plan: $20.23
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSAU PROSTATE SPECIFIC ANTIGEN ULTRASENSATIVE, SERUM	$34.59	$34.59	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA,TOTAL	$243.21	$243.21	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$10.92 – $50.40
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $18.65 Aetna — Medicare Managed Care Plan: $17.30 Ambetter — All Commercial Plans: $21.84 Amerihealth — Caritas Next Other Commercial Plan: $16.80 Amerihealth — Medicare Managed Care Plan: $18.14 Bcbs — Highmark All Commercial Plans: $24.79 Bcbs — Highmark Health Options Medicare Managed Care Plan: $17.22 Bcbs — Highmark Medicare Managed Care Plan: $15.96 Cigna — All Commercial Plans: $10.92 First Health — Delaware Medicaid Managed Care Plan: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$174.73	$174.73	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HMD- TSH	$78.28	$78.28	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$5.05 – $23.31
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $8.62 Aetna — Medicare Managed Care Plan: $8 Ambetter — All Commercial Plans: $10.10 Amerihealth — Caritas Next Other Commercial Plan: $7.77 Amerihealth — Medicare Managed Care Plan: $8.39 Bcbs — Highmark All Commercial Plans: $11.46 Bcbs — Highmark Health Options Medicare Managed Care Plan: $7.96 Bcbs — Highmark Medicare Managed Care Plan: $7.38 Cigna — All Commercial Plans: $5.05 First Health — Delaware Medicaid Managed Care Plan: $8.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC,AUTOMATED,DIFFERENTIAL WBC	$110.43	$110.43	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$4.21 – $19.41
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $7.18 Aetna — Medicare Managed Care Plan: $6.66 Ambetter — All Commercial Plans: $8.41 Amerihealth — Caritas Next Other Commercial Plan: $6.47 Amerihealth — Medicare Managed Care Plan: $6.99 Bcbs — Highmark All Commercial Plans: $9.55 Bcbs — Highmark Health Options Medicare Managed Care Plan: $6.63 Bcbs — Highmark Medicare Managed Care Plan: $6.15 Cigna — All Commercial Plans: $4.21 First Health — Delaware Medicaid Managed Care Plan: $7.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HGB & HCT	$71.28	$71.28	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/O DIFF	$83.18	$83.18	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$2.79 – $12.87
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4.76 Aetna — Medicare Managed Care Plan: $4.42 Ambetter — All Commercial Plans: $5.58 Amerihealth — Caritas Next Other Commercial Plan: $4.29 Amerihealth — Medicare Managed Care Plan: $4.63 Bcbs — Highmark All Commercial Plans: $6.33 Bcbs — Highmark Health Options Medicare Managed Care Plan: $4.40 Bcbs — Highmark Medicare Managed Care Plan: $4.08 Cigna — All Commercial Plans: $2.79 First Health — Delaware Medicaid Managed Care Plan: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PRO TIME	$71.28	$71.28	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTIME,HEPARIN EX	$115.33	$115.33	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$3.91 – $18.03
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $6.67 Aetna — Medicare Managed Care Plan: $6.19 Ambetter — All Commercial Plans: $7.81 Amerihealth — Caritas Next Other Commercial Plan: $6.01 Amerihealth — Medicare Managed Care Plan: $6.49 Bcbs — Highmark All Commercial Plans: $8.87 Bcbs — Highmark Health Options Medicare Managed Care Plan: $6.16 Bcbs — Highmark Medicare Managed Care Plan: $5.71 Cigna — All Commercial Plans: $3.91 First Health — Delaware Medicaid Managed Care Plan: $6.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: SILICA CLOTTING TIME	$109.01	$109.01	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT	$115.33	$115.33	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$107.33 – $338.93
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $158.17 Aetna — Medicare Managed Care Plan: $116.36 Ambetter — All Commercial Plans: $169.46 Amerihealth — Caritas Next Other Commercial Plan: $180.76 Amerihealth — Medicare Managed Care Plan: $122.01 Bcbs — Highmark All Commercial Plans: $166.69 Bcbs — Highmark Health Options Medicare Managed Care Plan: $115.80 Bcbs — Highmark Medicare Managed Care Plan: $107.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $124.27 Cigna — All Commercial Plans: $193.48
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT,HEAD/BRAIN,WO CONTRAST GLR	$914.15	$914.15	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CT,HEAD/BRAIN,WO CONTRAST PFR	$192.90	$192.90	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$358.15 – $1,131.01
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $527.80 Aetna — Medicare Managed Care Plan: $388.31 Ambetter — All Commercial Plans: $565.50 Amerihealth — Caritas Next Other Commercial Plan: $603.21 Amerihealth — Medicare Managed Care Plan: $407.16 Bcbs — Highmark All Commercial Plans: $556.27 Bcbs — Highmark Health Options Medicare Managed Care Plan: $386.43 Bcbs — Highmark Medicare Managed Care Plan: $358.15 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $414.70 Cigna — All Commercial Plans: $659.16
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI,BRAIN,W/WO CONTRAST GLR	$4,709.08	$4,709.08	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: MRI,BRAIN,W/WO CONTRAST PFR	$538.86	$538.86	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$89.34 – $282.13
Chest X-ray, 2 views: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $131.66 Aetna — Medicare Managed Care Plan: $96.86 Ambetter — All Commercial Plans: $141.06 Amerihealth — Caritas Next Other Commercial Plan: $150.47 Amerihealth — Medicare Managed Care Plan: $101.57 Bcbs — Highmark All Commercial Plans: $138.76 Bcbs — Highmark Health Options Medicare Managed Care Plan: $96.39 Bcbs — Highmark Medicare Managed Care Plan: $89.34 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $103.45 Cigna — All Commercial Plans: $137.77
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XRAY,CHEST,2 VIEWS,FRONTAL/LATERAL GLR	$173.32	$173.32	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: XRAY,CHEST,2 VIEWS,FRONTAL/LATERAL PFR	$51.04	$51.04	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$107.33 – $338.93
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $158.17 Aetna — Medicare Managed Care Plan: $116.36 Ambetter — All Commercial Plans: $169.46 Amerihealth — Caritas Next Other Commercial Plan: $180.76 Amerihealth — Medicare Managed Care Plan: $122.01 Bcbs — Highmark All Commercial Plans: $166.69 Bcbs — Highmark Health Options Medicare Managed Care Plan: $115.80 Bcbs — Highmark Medicare Managed Care Plan: $107.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $124.27 Cigna — All Commercial Plans: $193.48
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XRAY,SPINE,LUMBOSACRAL,MINIMUM 4 VIEWS GLR	$248.80	$248.80	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: XRAY,SPINE,LUMBOSACRAL,MINIMUM 4 VIEWS PFR	$74.08	$74.08	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$244.95 – $773.52
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $360.98 Aetna — Medicare Managed Care Plan: $265.58 Ambetter — All Commercial Plans: $386.76 Amerihealth — Caritas Next Other Commercial Plan: $412.54 Amerihealth — Medicare Managed Care Plan: $278.47 Bcbs — Highmark All Commercial Plans: $380.44 Bcbs — Highmark Health Options Medicare Managed Care Plan: $264.29 Bcbs — Highmark Medicare Managed Care Plan: $244.95 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $283.62 Cigna — All Commercial Plans: $402.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI,SPINAL,LUMBAR,WO CONTRAST GLR	$3,045.73	$3,045.73	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: MRI,SPINAL,LUMBAR,WO CONTRAST PFR	$339.66	$339.66	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$180.07 – $568.63
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $265.36 Aetna — Medicare Managed Care Plan: $195.23 Ambetter — All Commercial Plans: $284.32 Amerihealth — Caritas Next Other Commercial Plan: $303.27 Amerihealth — Medicare Managed Care Plan: $204.71 Bcbs — Highmark All Commercial Plans: $279.67 Bcbs — Highmark Health Options Medicare Managed Care Plan: $194.28 Bcbs — Highmark Medicare Managed Care Plan: $180.07 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $208.50 Cigna — All Commercial Plans: $314.56
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT,PELVIS,W CONTRAST GLR	$1,719.25	$1,719.25	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CT,PELVIS,W CONTRAST PFR	$265.58	$265.58	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$244.95 – $773.52
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $360.98 Aetna — Medicare Managed Care Plan: $265.58 Ambetter — All Commercial Plans: $386.76 Amerihealth — Caritas Next Other Commercial Plan: $412.54 Amerihealth — Medicare Managed Care Plan: $278.47 Bcbs — Highmark All Commercial Plans: $380.44 Bcbs — Highmark Health Options Medicare Managed Care Plan: $264.29 Bcbs — Highmark Medicare Managed Care Plan: $244.95 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $283.62 Cigna — All Commercial Plans: $402.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI,LOWER EXTREM,ANY JNT,WO CON,LT GLR	$2,729.15	$2,729.15	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MRI,LOWER EXTREM,ANY JNT,WO CON,RT GLR	$2,729.15	$2,729.15	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$358.15 – $1,131.01
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $527.80 Aetna — Medicare Managed Care Plan: $388.31 Ambetter — All Commercial Plans: $565.50 Amerihealth — Caritas Next Other Commercial Plan: $603.21 Amerihealth — Medicare Managed Care Plan: $407.16 Bcbs — Highmark All Commercial Plans: $556.27 Bcbs — Highmark Health Options Medicare Managed Care Plan: $386.43 Bcbs — Highmark Medicare Managed Care Plan: $358.15 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $414.70 Cigna — All Commercial Plans: $659.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT,ABDOMEN/PELVIS,W CONTRAST GLR	$2,311.90	$2,311.90	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: CT,ABDOMEN/PELVIS,W CONTRAST PFR	$415.15	$415.15	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$107.33 – $338.93
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $158.17 Aetna — Medicare Managed Care Plan: $116.36 Ambetter — All Commercial Plans: $169.46 Amerihealth — Caritas Next Other Commercial Plan: $180.76 Amerihealth — Medicare Managed Care Plan: $122.01 Bcbs — Highmark All Commercial Plans: $166.69 Bcbs — Highmark Health Options Medicare Managed Care Plan: $115.80 Bcbs — Highmark Medicare Managed Care Plan: $107.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $124.27 Cigna — All Commercial Plans: $193.48
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US,ABDOMINAL,W IMAGE DOCUM,COMPLETE GLR	$689.80	$689.80	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: US,ABDOMINAL,W IMAGE DOCUM,COMPLETE PFR	$185.91	$185.91	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$107.33 – $338.93
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Aetna — All Commercial Plans: $158.17 Aetna — Medicare Managed Care Plan: $116.36 Ambetter — All Commercial Plans: $169.46 Amerihealth — Caritas Next Other Commercial Plan: $180.76 Amerihealth — Medicare Managed Care Plan: $122.01 Bcbs — Highmark All Commercial Plans: $166.69 Bcbs — Highmark Health Options Medicare Managed Care Plan: $115.80 Bcbs — Highmark Medicare Managed Care Plan: $107.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $124.27 Cigna — All Commercial Plans: $193.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US,PREGN,TRANSABDO,>1ST TRIM,1ST GES GLR	$733.83	$733.83	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: US,PREGN,TRANSABDO,>1ST TRIM,1ST GES PFR	$229.23	$229.23	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$107.33 – $338.93
Transvaginal ultrasound: 10 of 14 insurance plan rates Aetna — All Commercial Plans: $158.17 Aetna — Medicare Managed Care Plan: $116.36 Ambetter — All Commercial Plans: $169.46 Amerihealth — Caritas Next Other Commercial Plan: $180.76 Amerihealth — Medicare Managed Care Plan: $122.01 Bcbs — Highmark All Commercial Plans: $166.69 Bcbs — Highmark Health Options Medicare Managed Care Plan: $115.80 Bcbs — Highmark Medicare Managed Care Plan: $107.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $124.27 Cigna — All Commercial Plans: $193.48
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US,TRANSVAGINAL,NON-OB GLR	$409.55	$409.55	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier 26 In the file: US,TRANSVAGINAL,NON-OB PFR	$160.05	$160.05	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$154.47 – $158.67
Diagnostic mammogram, one breast: rates for 2 insurance plans Cigna — All Commercial Plans: $154.47 Unitedhealthcare — All Commercial Plans: $158.67
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$80.85 – $255.33
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $119.15 Aetna — Medicare Managed Care Plan: $87.66 Ambetter — All Commercial Plans: $127.66 Amerihealth — Caritas Next Other Commercial Plan: $136.18 Amerihealth — Medicare Managed Care Plan: $91.92 Bcbs — Highmark All Commercial Plans: $131.29 Bcbs — Highmark Health Options Medicare Managed Care Plan: $87.24 Bcbs — Highmark Medicare Managed Care Plan: $80.85 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $93.62 Healthspring — Medicare Managed Care Plan: $85.11
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier GGLT In the file: MAMMOGRAM,DIA,DIG,CAD,UNI,AFT SCREEN,LT GLR	$339.66	$339.66	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$196.91 – $202.27
Diagnostic mammogram, both breasts: rates for 2 insurance plans Cigna — All Commercial Plans: $196.91 Unitedhealthcare — All Commercial Plans: $202.27
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM,DIAGNOSTIC,DIGITAL,CAD,BIL GLR	$395.57	$395.57	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM,DIAGNOSTIC,DIGITAL,BILATERAL PFR	$192.56	$192.56	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$163.31 – $167.14
Screening mammogram, both breasts: rates for 2 insurance plans Cigna — All Commercial Plans: $163.31 Unitedhealthcare — All Commercial Plans: $167.14
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM,SCREENING,DIGITAL,CAD,BILAT GLR	$649.95	$649.95	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM,SCREENING,DIGITAL,CAD,UNI GLR	$519.28	$519.28	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,328.16 – $10,509.98
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $4,904.66 Aetna — Medicare Managed Care Plan: $3,608.43 Ambetter — All Commercial Plans: $5,254.99 Amerihealth — Caritas Next Other Commercial Plan: $5,605.32 Amerihealth — Medicare Managed Care Plan: $3,783.59 Bcbs — Highmark All Commercial Plans: $5,169.16 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3,590.91 Bcbs — Highmark Medicare Managed Care Plan: $3,328.16 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $3,853.66 Healthspring — Medicare Managed Care Plan: $3,503.33
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HEART CATH,LT,W/VENTRIC,S&I	$16,038.68	$16,038.68	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$8,007.12 – $25,285.64
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $11,799.97 Aetna — Medicare Managed Care Plan: $8,681.40 Ambetter — All Commercial Plans: $12,642.82 Amerihealth — Caritas Next Other Commercial Plan: $13,485.68 Amerihealth — Medicare Managed Care Plan: $9,102.83 Bcbs — Highmark All Commercial Plans: $12,436.32 Bcbs — Highmark Health Options Medicare Managed Care Plan: $8,639.26 Bcbs — Highmark Medicare Managed Care Plan: $8,007.12 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $9,271.40 Healthspring — Medicare Managed Care Plan: $8,428.55
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$26,833.08 – $84,736.03
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $39,543.48 Aetna — Medicare Managed Care Plan: $29,092.70 Ambetter — All Commercial Plans: $42,368.02 Amerihealth — Caritas Next Other Commercial Plan: $45,192.55 Amerihealth — Medicare Managed Care Plan: $30,504.97 Bcbs — Highmark All Commercial Plans: $41,676.01 Bcbs — Highmark Health Options Medicare Managed Care Plan: $28,951.48 Bcbs — Highmark Medicare Managed Care Plan: $26,833.08 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $31,069.88 Healthspring — Medicare Managed Care Plan: $28,245.34
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: EP STUDY,COM,TRNSSEP CA,IND ARR,ABL AFIB	$115,469.28	$115,469.28	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: EP & ABLATE AF, ARRHYT, INC REC, MAP & ICE	$115,469.28	$115,469.28	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$881.58 – $2,783.94
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,299.17 Aetna — Medicare Managed Care Plan: $955.82 Ambetter — All Commercial Plans: $1,391.97 Amerihealth — Caritas Next Other Commercial Plan: $1,484.77 Amerihealth — Medicare Managed Care Plan: $1,002.22 Bcbs — Highmark All Commercial Plans: $1,369.23 Bcbs — Highmark Health Options Medicare Managed Care Plan: $951.18 Bcbs — Highmark Medicare Managed Care Plan: $881.58 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,020.78 Healthspring — Medicare Managed Care Plan: $927.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNIOGRAPHY,=> 4 PARAMETERS,>AGE 6 GLB	$4,509.20	$4,509.20	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier 52 In the file: POLYSOMNIOGRAPHY,<6 HRS,=> 4 PARAM,>AGE 6 GLB	$3,616.72	$3,616.72	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$27.49 – $86.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $40.52 Aetna — Medicare Managed Care Plan: $29.81 Ambetter — All Commercial Plans: $43.41 Amerihealth — Caritas Next Other Commercial Plan: $46.30 Amerihealth — Medicare Managed Care Plan: $31.26 Bcbs — Highmark All Commercial Plans: $44.64 Bcbs — Highmark Health Options Medicare Managed Care Plan: $29.66 Bcbs — Highmark Medicare Managed Care Plan: $27.49 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $31.83 Healthspring — Medicare Managed Care Plan: $28.94
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES,EACH 15 MIN,PT	$164.93	$164.93	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: THERAPEUTIC EXERCISES,EACH 15 MIN,OT	$164.93	$164.93	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$92.65 – $292.59
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $136.54 Aetna — Medicare Managed Care Plan: $100.46 Ambetter — All Commercial Plans: $146.30 Amerihealth — Caritas Next Other Commercial Plan: $156.05 Amerihealth — Medicare Managed Care Plan: $105.33 Bcbs — Highmark All Commercial Plans: $150.45 Bcbs — Highmark Health Options Medicare Managed Care Plan: $99.97 Bcbs — Highmark Medicare Managed Care Plan: $92.65 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $107.28 Healthspring — Medicare Managed Care Plan: $97.53
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: EVALUATION,PT,LOW COMPLEXITY	$510.19	$510.19	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP95 In the file: TELEHEALTH EVALUATION,PT,LOW COMPLEXITY	$510.19	$510.19	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$92.65 – $292.59
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $136.54 Aetna — Medicare Managed Care Plan: $100.46 Ambetter — All Commercial Plans: $146.30 Amerihealth — Caritas Next Other Commercial Plan: $156.05 Amerihealth — Medicare Managed Care Plan: $105.33 Bcbs — Highmark All Commercial Plans: $150.45 Bcbs — Highmark Health Options Medicare Managed Care Plan: $99.97 Bcbs — Highmark Medicare Managed Care Plan: $92.65 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $107.28 Healthspring — Medicare Managed Care Plan: $97.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: EVALUATION,PT,MODERATE COMPLEXITY	$510.19	$510.19	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP95 In the file: TELEHEALTH EVALUATION,PT,MODERATE COMPLEXITY	$510.19	$510.19	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$92.65 – $292.59
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $136.54 Aetna — Medicare Managed Care Plan: $100.46 Ambetter — All Commercial Plans: $146.30 Amerihealth — Caritas Next Other Commercial Plan: $156.05 Amerihealth — Medicare Managed Care Plan: $105.33 Bcbs — Highmark All Commercial Plans: $150.45 Bcbs — Highmark Health Options Medicare Managed Care Plan: $99.97 Bcbs — Highmark Medicare Managed Care Plan: $92.65 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $107.28 Healthspring — Medicare Managed Care Plan: $97.53
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: EVALUATION,PT,HIGH COMPLEXITY	$510.19	$510.19	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,019.58 – $12,693.40
Removal of breast growth (open surgery): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $5,923.59 Aetna — Medicare Managed Care Plan: $4,358.07 Ambetter — All Commercial Plans: $6,346.70 Amerihealth — Caritas Next Other Commercial Plan: $6,769.81 Amerihealth — Medicare Managed Care Plan: $4,569.62 Bcbs — Highmark All Commercial Plans: $6,243.04 Bcbs — Highmark Health Options Medicare Managed Care Plan: $4,336.91 Bcbs — Highmark Medicare Managed Care Plan: $4,019.58 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $4,654.25 Healthspring — Medicare Managed Care Plan: $4,231.13
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$13,180.17 – $41,621.58
Total hip replacement: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $19,423.40 Aetna — Medicare Managed Care Plan: $14,290.08 Ambetter — All Commercial Plans: $20,810.79 Amerihealth — Caritas Next Other Commercial Plan: $22,198.18 Amerihealth — Medicare Managed Care Plan: $14,983.77 Bcbs — Highmark All Commercial Plans: $20,470.88 Bcbs — Highmark Health Options Medicare Managed Care Plan: $14,220.71 Bcbs — Highmark Medicare Managed Care Plan: $13,180.17 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $15,261.25 Healthspring — Medicare Managed Care Plan: $13,873.86
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$13,180.17 – $41,621.58
Total knee replacement: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $19,423.40 Aetna — Medicare Managed Care Plan: $14,290.08 Ambetter — All Commercial Plans: $20,810.79 Amerihealth — Caritas Next Other Commercial Plan: $22,198.18 Amerihealth — Medicare Managed Care Plan: $14,983.77 Bcbs — Highmark All Commercial Plans: $20,470.88 Bcbs — Highmark Health Options Medicare Managed Care Plan: $14,220.71 Bcbs — Highmark Medicare Managed Care Plan: $13,180.17 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $15,261.25 Healthspring — Medicare Managed Care Plan: $13,873.86
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,359.03 – $10,607.46
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $4,950.15 Aetna — Medicare Managed Care Plan: $3,641.90 Ambetter — All Commercial Plans: $5,303.73 Amerihealth — Caritas Next Other Commercial Plan: $5,657.31 Amerihealth — Medicare Managed Care Plan: $3,818.69 Bcbs — Highmark All Commercial Plans: $5,217.10 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3,624.22 Bcbs — Highmark Medicare Managed Care Plan: $3,359.03 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $3,889.40 Healthspring — Medicare Managed Care Plan: $3,535.82
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$6,077.29 – $19,191.43
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $8,956 Aetna — Medicare Managed Care Plan: $6,589.06 Ambetter — All Commercial Plans: $9,595.72 Amerihealth — Caritas Next Other Commercial Plan: $10,235.43 Amerihealth — Medicare Managed Care Plan: $6,908.91 Bcbs — Highmark All Commercial Plans: $9,438.99 Bcbs — Highmark Health Options Medicare Managed Care Plan: $6,557.07 Bcbs — Highmark Medicare Managed Care Plan: $6,077.29 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $7,036.86 Healthspring — Medicare Managed Care Plan: $6,397.14
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$931.11 – $2,940.35
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,372.16 Aetna — Medicare Managed Care Plan: $1,009.52 Ambetter — All Commercial Plans: $1,470.17 Amerihealth — Caritas Next Other Commercial Plan: $1,568.18 Amerihealth — Medicare Managed Care Plan: $1,058.52 Bcbs — Highmark All Commercial Plans: $1,446.16 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,004.62 Bcbs — Highmark Medicare Managed Care Plan: $931.11 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,078.13 Healthspring — Medicare Managed Care Plan: $980.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$931.11 – $2,940.35
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,372.16 Aetna — Medicare Managed Care Plan: $1,009.52 Ambetter — All Commercial Plans: $1,470.17 Amerihealth — Caritas Next Other Commercial Plan: $1,568.18 Amerihealth — Medicare Managed Care Plan: $1,058.52 Bcbs — Highmark All Commercial Plans: $1,446.16 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,004.62 Bcbs — Highmark Medicare Managed Care Plan: $931.11 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,078.13 Healthspring — Medicare Managed Care Plan: $980.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$954.69 – $3,014.82
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,406.92 Aetna — Medicare Managed Care Plan: $1,035.09 Ambetter — All Commercial Plans: $1,507.41 Amerihealth — Caritas Next Other Commercial Plan: $1,607.90 Amerihealth — Medicare Managed Care Plan: $1,085.33 Bcbs — Highmark All Commercial Plans: $1,482.79 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,030.06 Bcbs — Highmark Medicare Managed Care Plan: $954.69 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,105.43 Healthspring — Medicare Managed Care Plan: $1,004.94
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,228.47 – $3,879.38
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,810.38 Aetna — Medicare Managed Care Plan: $1,331.92 Ambetter — All Commercial Plans: $1,939.69 Amerihealth — Caritas Next Other Commercial Plan: $2,069 Amerihealth — Medicare Managed Care Plan: $1,396.58 Bcbs — Highmark All Commercial Plans: $1,908.01 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,325.45 Bcbs — Highmark Medicare Managed Care Plan: $1,228.47 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,422.44 Healthspring — Medicare Managed Care Plan: $1,293.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,228.47 – $3,879.38
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,810.38 Aetna — Medicare Managed Care Plan: $1,331.92 Ambetter — All Commercial Plans: $1,939.69 Amerihealth — Caritas Next Other Commercial Plan: $2,069 Amerihealth — Medicare Managed Care Plan: $1,396.58 Bcbs — Highmark All Commercial Plans: $1,908.01 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,325.45 Bcbs — Highmark Medicare Managed Care Plan: $1,228.47 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,422.44 Healthspring — Medicare Managed Care Plan: $1,293.13
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,228.47 – $3,879.38
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,810.38 Aetna — Medicare Managed Care Plan: $1,331.92 Ambetter — All Commercial Plans: $1,939.69 Amerihealth — Caritas Next Other Commercial Plan: $2,069 Amerihealth — Medicare Managed Care Plan: $1,396.58 Bcbs — Highmark All Commercial Plans: $1,908.01 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,325.45 Bcbs — Highmark Medicare Managed Care Plan: $1,228.47 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,422.44 Healthspring — Medicare Managed Care Plan: $1,293.13
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$954.69 – $3,014.82
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,406.92 Aetna — Medicare Managed Care Plan: $1,035.09 Ambetter — All Commercial Plans: $1,507.41 Amerihealth — Caritas Next Other Commercial Plan: $1,607.90 Amerihealth — Medicare Managed Care Plan: $1,085.33 Bcbs — Highmark All Commercial Plans: $1,482.79 Bcbs — Highmark Health Options Medicare Managed Care Plan: $1,030.06 Bcbs — Highmark Medicare Managed Care Plan: $954.69 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,105.43 Healthspring — Medicare Managed Care Plan: $1,004.94
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,206.33 – $19,598.93
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $9,146.17 Aetna — Medicare Managed Care Plan: $6,728.97 Ambetter — All Commercial Plans: $9,799.46 Amerihealth — Caritas Next Other Commercial Plan: $10,452.76 Amerihealth — Medicare Managed Care Plan: $7,055.61 Bcbs — Highmark All Commercial Plans: $9,639.41 Bcbs — Highmark Health Options Medicare Managed Care Plan: $6,696.30 Bcbs — Highmark Medicare Managed Care Plan: $6,206.33 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $7,186.27 Healthspring — Medicare Managed Care Plan: $6,532.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,675.63 – $11,607.26
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $5,416.72 Aetna — Medicare Managed Care Plan: $3,985.16 Ambetter — All Commercial Plans: $5,803.63 Amerihealth — Caritas Next Other Commercial Plan: $6,190.54 Amerihealth — Medicare Managed Care Plan: $4,178.61 Bcbs — Highmark All Commercial Plans: $5,708.84 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3,965.81 Bcbs — Highmark Medicare Managed Care Plan: $3,675.63 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $4,256 Healthspring — Medicare Managed Care Plan: $3,869.09
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$10,912.57 – $34,460.74
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $16,081.68 Aetna — Medicare Managed Care Plan: $11,831.52 Ambetter — All Commercial Plans: $17,230.37 Amerihealth — Caritas Next Other Commercial Plan: $18,379.06 Amerihealth — Medicare Managed Care Plan: $12,405.87 Bcbs — Highmark All Commercial Plans: $16,948.94 Bcbs — Highmark Health Options Medicare Managed Care Plan: $11,774.09 Bcbs — Highmark Medicare Managed Care Plan: $10,912.57 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $12,635.60 Healthspring — Medicare Managed Care Plan: $11,486.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,323.23 – $10,494.40
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $4,897.39 Aetna — Medicare Managed Care Plan: $3,603.08 Ambetter — All Commercial Plans: $5,247.20 Amerihealth — Caritas Next Other Commercial Plan: $5,597.01 Amerihealth — Medicare Managed Care Plan: $3,777.98 Bcbs — Highmark All Commercial Plans: $5,161.50 Bcbs — Highmark Health Options Medicare Managed Care Plan: $3,585.59 Bcbs — Highmark Medicare Managed Care Plan: $3,323.23 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $3,847.95 Healthspring — Medicare Managed Care Plan: $3,498.13
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: 58558 HYSTERSCOPY,SX,W SAMP ENDO GLBP	$4,112.93	$4,112.93	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$724.66 – $2,288.39
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,067.91 Aetna — Medicare Managed Care Plan: $785.68 Ambetter — All Commercial Plans: $1,144.19 Amerihealth — Caritas Next Other Commercial Plan: $1,220.47 Amerihealth — Medicare Managed Care Plan: $823.82 Bcbs — Highmark All Commercial Plans: $1,125.51 Bcbs — Highmark Health Options Medicare Managed Care Plan: $781.87 Bcbs — Highmark Medicare Managed Care Plan: $724.66 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $839.08 Healthspring — Medicare Managed Care Plan: $762.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: NJX DX/TX SB INTRLM LMB/SAC IMG GDN	$1,253.80	$1,253.80	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: NJX DX/TX SB INTRLM LMB/SAC IMG GDN GLP	$1,253.80	$1,253.80	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$908 – $2,867.36
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $1,338.10 Aetna — Medicare Managed Care Plan: $984.46 Ambetter — All Commercial Plans: $1,433.68 Amerihealth — Caritas Next Other Commercial Plan: $1,529.26 Amerihealth — Medicare Managed Care Plan: $1,032.25 Bcbs — Highmark All Commercial Plans: $1,410.26 Bcbs — Highmark Health Options Medicare Managed Care Plan: $979.68 Bcbs — Highmark Medicare Managed Care Plan: $908 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $1,051.37 Healthspring — Medicare Managed Care Plan: $955.79
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJECT ANESTH/STEROID TRANSFORAMINAL EPIDURAL W/IMG SGL LVL LUM/SACR NR	$1,218.17	$1,218.17	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJECT ANESTH/STEROID TRANSFORAMINAL EPIDURAL W/IMG SGL LVL LUM/SACR	$1,218.17	$1,218.17	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,004.66 – $6,330.52
Carpal tunnel release: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $2,954.24 Aetna — Medicare Managed Care Plan: $2,173.48 Ambetter — All Commercial Plans: $3,165.26 Amerihealth — Caritas Next Other Commercial Plan: $3,376.28 Amerihealth — Medicare Managed Care Plan: $2,278.99 Bcbs — Highmark All Commercial Plans: $3,113.56 Bcbs — Highmark Health Options Medicare Managed Care Plan: $2,162.93 Bcbs — Highmark Medicare Managed Care Plan: $2,004.66 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $2,321.19 Healthspring — Medicare Managed Care Plan: $2,110.17
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$564.63 – $1,783.03
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $832.08 Aetna — Medicare Managed Care Plan: $612.17 Ambetter — All Commercial Plans: $891.52 Amerihealth — Caritas Next Other Commercial Plan: $950.95 Amerihealth — Medicare Managed Care Plan: $641.89 Bcbs — Highmark All Commercial Plans: $876.95 Bcbs — Highmark Health Options Medicare Managed Care Plan: $609.20 Bcbs — Highmark Medicare Managed Care Plan: $564.63 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $653.78 Healthspring — Medicare Managed Care Plan: $594.34
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: LASER SURGERY, RT	$1,536.14	$1,536.14	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: DISCISSION SECONDARY MEMBRANOUS CATARACT,LASER SURGERY, LT	$1,536.14	$1,536.14	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,369.21 – $7,481.71
Cataract removal with lens implant: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $3,491.46 Aetna — Medicare Managed Care Plan: $2,568.72 Ambetter — All Commercial Plans: $3,740.85 Amerihealth — Caritas Next Other Commercial Plan: $3,990.24 Amerihealth — Medicare Managed Care Plan: $2,693.42 Bcbs — Highmark All Commercial Plans: $3,679.75 Bcbs — Highmark Health Options Medicare Managed Care Plan: $2,556.25 Bcbs — Highmark Medicare Managed Care Plan: $2,369.21 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $2,743.29 Healthspring — Medicare Managed Care Plan: $2,493.90

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$82,986.58 – $234,279.47
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 15 insurance plan rates Aetna — Medicare Managed Care Plan: $89,974.92 Amerihealth — Medicare Managed Care Plan: $94,342.63 Bcbs — Highmark All Commercial Plans: $234,279.47 Bcbs — Highmark Health Options Medicare Managed Care Plan: $89,538.15 Bcbs — Highmark Medicare Managed Care Plan: $82,986.58 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $96,089.72 Healthspring — Medicare Managed Care Plan: $87,354.29 Ibc — Medicare Managed Care Plan: $87,354.29 Jefferson Health Plan — Health Partners Medicaid Managed Care/Aca Plan: $229,895.80 Jefferson Health Plan — Health Partners Medicare Managed Care Plan: $91,722
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Ambetter — All Commercial Plans: 91% (a percentage in the contract, not a dollar amount) Amerihealth — Caritas Next Other Commercial Plan: 94% (a percentage in the contract, not a dollar amount) Unitedhealthcare — All Commercial Plans: 91% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$16,717.18 – $46,193.49
Hip or knee replacement (major joint of the leg), without major complications: 10 of 15 insurance plan rates Aetna — Medicare Managed Care Plan: $18,124.94 Amerihealth — Medicare Managed Care Plan: $19,004.79 Bcbs — Highmark All Commercial Plans: $46,193.49 Bcbs — Highmark Health Options Medicare Managed Care Plan: $18,036.96 Bcbs — Highmark Medicare Managed Care Plan: $16,717.18 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $19,356.73 Healthspring — Medicare Managed Care Plan: $17,597.03 Ibc — Medicare Managed Care Plan: $17,597.03 Jefferson Health Plan — Health Partners Medicaid Managed Care/Aca Plan: $45,329.15 Jefferson Health Plan — Health Partners Medicare Managed Care Plan: $18,476.88
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$21,040.70 – $58,464.50
Neck (cervical) spinal fusion, without complications: 10 of 15 insurance plan rates Aetna — Medicare Managed Care Plan: $22,812.54 Amerihealth — Medicare Managed Care Plan: $23,919.95 Bcbs — Highmark All Commercial Plans: $58,464.50 Bcbs — Highmark Health Options Medicare Managed Care Plan: $22,701.80 Bcbs — Highmark Medicare Managed Care Plan: $21,040.69 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $24,362.91 Healthspring — Medicare Managed Care Plan: $22,148.10 Ibc — Medicare Managed Care Plan: $22,148.10 Jefferson Health Plan — Health Partners Medicaid Managed Care/Aca Plan: $57,370.55 Jefferson Health Plan — Health Partners Medicare Managed Care Plan: $23,255.50
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$10,910.31 – $29,156.45
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates Aetna — Medicare Managed Care Plan: $11,829.08 Amerihealth — Medicare Managed Care Plan: $12,403.30 Bcbs — Highmark Health Options Medicare Managed Care Plan: $11,771.65 Bcbs — Highmark Medicare Managed Care Plan: $10,910.31 Bcbs — Highmark Wholecare Medicare Managed Care Plan: $12,632.99 Healthspring — Medicare Managed Care Plan: $11,484.54 Ibc — Medicare Managed Care Plan: $11,484.54 Jefferson Health Plan — Health Partners Medicaid Managed Care/Aca Plan: $29,156.45 Jefferson Health Plan — Health Partners Medicare Managed Care Plan: $12,058.77 Unitedhealthcare — Medicare Managed Care Plan: $11,714.23

Source: Union Hospital of Cecil County’s standard charges file (documents.christianacare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	106 Bow Street, Elkton, MD 21921
County	Cecil County
State	Maryland
Phone	(410) 392‑7009
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	210032
Name in Medicare records	UNION HOSPITAL OF CECIL COUNTY
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(410) 398‑4000^[4]
Name on the hospital’s website	Union Hospital
Official website	christianacare.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Union Hospital | ChristianaCare — christianacare.org
Emergency Department – ChristianaCare Cecil County — uhcc.com
Stroke Center – ChristianaCare Cecil County — uhcc.com
Surgical Services – ChristianaCare Cecil County — uhcc.com
Visiting a Patient | ChristianaCare — christianacare.org

Union Hospital of Cecil County

Summary

Profile from official sources

At a glance