Does University Hospitals Ahuja Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University Hospitals Ahuja Medical Center. In a medical emergency, call 911.

Where is University Hospitals Ahuja Medical Center?

3999 Richmond Road, Beachwood, OH 44122, in Cuyahoga County, Ohio.

What is the phone number of University Hospitals Ahuja Medical Center?

(216) 593-5511, as listed by Medicare (CMS).

What is the Medicare star rating of University Hospitals Ahuja Medical Center?

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

University Hospitals Ahuja Medical Center

Quick answers

Does University Hospitals Ahuja Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University Hospitals Ahuja Medical Center. In a medical emergency, call 911.
Where is University Hospitals Ahuja Medical Center?: 3999 Richmond Road, Beachwood, OH 44122, in Cuyahoga County, Ohio.
What is the phone number of University Hospitals Ahuja Medical Center?: (216) 593-5511, as listed by Medicare (CMS).
What is the Medicare star rating of University Hospitals Ahuja Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Emergency medicine

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Patient portal	UH MyChart

Doctors and clinicians (989)

989 doctors and other clinicians list University Hospitals Ahuja Medical Center 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 965 more: the button below opens the full list.

Other emergency rooms nearby

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

Lake Health Beachwood Medical Center0.9 mi · Beachwood, OH · Acute Care Hospital
South Pointe Hospital2.1 mi · Warrensville Heights, OH · Acute Care Hospital
Marymount Hospital5.5 mi · Garfield Heights, OH · Acute Care Hospital
Hillcrest Hospital5.8 mi · Mayfield Heights, OH · Acute Care Hospital
UH Cleveland Medical Center6.9 mi · Cleveland, OH · Acute Care Hospital

Other hospitals nearby

University Hospitals Rehabilitation Hospital1.0 mi · Beachwood, OH · Inpatient Rehabilitation Hospital
Highland Springs1.3 mi · Beachwood, OH · Psychiatric Hospital
Regency Hospital of Cleveland East2.3 mi · Warrensville HTS, OH · Long-Term Acute Care Hospital
Grace Hospital4.3 mi · Bedford, OH · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Beachwood Pointe Care Center1.1 mi · Beachwood, OH · 2 of 5 stars
Daughters of Miriam Center for Nursing & Rehabilit1.4 mi · Beachwood, OH · 2 of 5 stars
Shaker Gardens Nursing and Rehabilitation Center2.1 mi · Shaker Heights, OH · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Emunah Hospice LLC1.5 mi · Beachwood, OH
Harmony Hospice Care1.5 mi · Beachwood, OH · 2 of 5 stars
Menorah Life Hospice LLC1.5 mi · Beachwood, OH

All hospice providers in the state →

Home health agencies

Diamonds & Pearls Health Services LLC1.5 mi · Beachwood, OH
Greater Cleveland Home Health Care, Inc1.5 mi · Beachwood, OH
Health Care Bridge, Inc1.5 mi · Beachwood, OH

All home health agencies in the state →

Dialysis facilities

Center for Dialysis Care Beachwood Home Care LLC1.5 mi · Beachwood, OH · 1 of 5 stars
Center for Dialysis Care, Beachwood1.5 mi · Beachwood, OH · 2 of 5 stars
Center for Dialysis Care, Shaker1.5 mi · Shaker Heights, OH · 1 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.

Cleveland East Vascular Care LLC1.5 mi · Beachwood, OH
Northeast Ohio Surgery Center1.5 mi · Orange Village, OH
Brainard Surgery Center LLC3.6 mi · Lyndhurst, OH

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Signature Health Beachwood Clinic1.0 mi · Beachwood, OH · Community health center
Signature Health, Inc.1.5 mi · Beachwood, OH · Community health center
Signature Health Maple Heights Health Center3.1 mi · Maple Heights, OH · Community health center

Clinics and urgent care

University Hospitals Urgent Care, LLC1.5 mi · Beachwood, OH · Urgent care center
University Primary Care Practices, Inc.5.5 mi · Solon, OH · Urgent care center
Nextdoor Urgent Care LLC5.5 mi · South Euclid, OH · Urgent care center

Pharmacies

Barron Chagrin Drug, Inc.1.5 mi · Beachwood, OH · Pharmacy
Lee Silsby Compounding Pharmacy LLC1.5 mi · Beachwood, OH · Pharmacy
Ohio CVS Stores, L.L.C.1.5 mi · Woodmere, OH · Pharmacy

Assisted living nearby

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

Beachwood Commons Al1.5 mi · Beachwood, OH
Deer Creek Lodge1.5 mi · Beachwood, OH
Eden Vista Beachwood1.5 mi · Beachwood, OH
Resorts at Daughters of Miriam1.5 mi · Beachwood, OH

About the Medicare star rating

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

Medicare quality data

What University Hospitals Ahuja Medical Center 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	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	55%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	63%National average: 74%
Area around the room “always” quiet at night	52%National average: 60%
Completed surveys	1,851Response rate: 26%

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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.519No different from the national benchmark
Surgical site infections after colon surgery	1.329No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	2.606No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.356Better 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	11.4%
Deaths within 30 days: heart failure patients	9.2%
Deaths within 30 days: pneumonia patients	12.7%
Deaths within 30 days: COPD patients	9.2%
Deaths within 30 days: stroke patients	13.1%
Deaths within 30 days: coronary bypass surgery (CABG)	1.9%
Serious complications (patient safety indicator PSI-90)	0.84No different from the national rate
Complications after hip or knee replacement	5.8%

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	21.8%
Readmitted within 30 days: pneumonia	19.3%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	10.3%
Readmitted within 30 days: hip or knee replacement	6.3%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	244 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	48%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 Ohio Best hospitals in Ohio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as University Hospitals Ahuja Medical Center 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)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN	Not listed in the file	Not listed in the file	$112.50 – $202.50
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $112.50 Ambetter — Commercial: $202.50 Anthem — Medicare Advantage: $112.50 CareSource — Marketplace: $202.50 Cigna — Medicare Advantage: $112.50 Devoted Health — Medicare Advantage: $112.50 Humana — Medicare Advantage: $112.50 Medical Mutual of Ohio — Medicare Advantage: $112.50 Molina — Medicare Advantage: $112.50 Paramount — Medicare Advantage: $115.87
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$170.25 – $306.44
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $170.25 Ambetter — Commercial: $306.44 Anthem — Medicare Advantage: $170.25 CareSource — Marketplace: $306.44 Cigna — Medicare Advantage: $170.25 Devoted Health — Medicare Advantage: $170.25 Humana — Medicare Advantage: $170.25 Medical Mutual of Ohio — Medicare Advantage: $170.25 Molina — Medicare Advantage: $170.25 Paramount — Medicare Advantage: $175.35
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$227.52 – $409.54
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $227.52 Ambetter — Commercial: $409.54 Anthem — Medicare Advantage: $227.52 CareSource — Marketplace: $409.54 Cigna — Medicare Advantage: $227.52 Devoted Health — Medicare Advantage: $227.52 Humana — Medicare Advantage: $227.52 Medical Mutual of Ohio — Medicare Advantage: $227.52 Molina — Medicare Advantage: $227.52 Paramount — Medicare Advantage: $234.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 3	$168	$126	$32 – $163.75
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $90.97 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $163.75 Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Commercial: $99.46 Anthem — Medicare Advantage: $90.97 Anthem — Pathway Commercial: $90.22 Anthem — Traditional: $106.85
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT EST LEVEL 3	$168	$126	$32 – $163.75
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $90.97 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $163.75 Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Commercial: $99.46 Anthem — Medicare Advantage: $90.97 Anthem — Pathway Commercial: $90.22 Anthem — Traditional: $106.85
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 3	$168	$126	$60.82 – $900
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $77.28 Amish Church Fund and Workers Aid Plan — Fund: $77.28 Anthem — Traditional: $112.06 Beech Street — Commercial: $134.40 Buckeye Plain Ministries — Fund: $77.28 Century Health Network — Commercial: $142.80 Christian Healthcare Ministries — Fund: $84 Cigna — PPO Commercial: $93.24 First Health — Commercial: $139.44 Fortified Provider Network — Commercial: $151.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 4	$197	$147.75	$32 – $233.70
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $129.83 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $233.70 Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Commercial: $116.62 Anthem — Medicare Advantage: $129.83 Anthem — Pathway Commercial: $105.79 Anthem — Traditional: $125.29
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT EST LEVEL 4	$197	$147.75	$32 – $233.70
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $129.83 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $233.70 Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Commercial: $116.62 Anthem — Medicare Advantage: $129.83 Anthem — Pathway Commercial: $105.79 Anthem — Traditional: $125.29
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE OUTPATIENT VISIT NEW LEVEL 4	$197	$147.75	$71.31 – $900
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $90.62 Amish Church Fund and Workers Aid Plan — Fund: $90.62 Anthem — Traditional: $131.40 Beech Street — Commercial: $157.60 Buckeye Plain Ministries — Fund: $90.62 Century Health Network — Commercial: $167.45 Christian Healthcare Ministries — Fund: $98.50 Cigna — PPO Commercial: $109.34 First Health — Commercial: $163.51 Fortified Provider Network — Commercial: $177.30
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$108.35 – $195.03
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $108.35 Ambetter — Commercial: $195.03 Anthem — Medicare Advantage: $108.35 CareSource — Marketplace: $195.03 Cigna — Medicare Advantage: $108.35 Devoted Health — Medicare Advantage: $108.35 Humana — Medicare Advantage: $108.35 Medical Mutual of Ohio — Medicare Advantage: $108.35 Molina — Medicare Advantage: $108.35 Paramount — Medicare Advantage: $111.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$155.34 – $279.62
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates Aetna — Medicare Advantage: $155.34 Ambetter — Commercial: $279.62 Anthem — Medicare Advantage: $155.34 CareSource — Marketplace: $279.62 Cigna — Medicare Advantage: $155.34 Devoted Health — Medicare Advantage: $155.34 Humana — Medicare Advantage: $155.34 Medical Mutual of Ohio — Medicare Advantage: $155.34 Molina — Medicare Advantage: $155.34 Paramount — Medicare Advantage: $160
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$223	$167.25	$32 – $231.94
Preventive checkup, new patient, age 18–39: 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $128.85 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $231.94 Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Commercial: $132.02 Anthem — Medicare Advantage: $128.85 Anthem — Pathway Commercial: $119.75 Anthem — Traditional: $141.83
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,18-39	$223	$167.25	$80.73 – $900
Preventive checkup, new patient, age 18–39: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Traditional: $148.74 Beech Street — Commercial: $178.40 Buckeye Plain Ministries — Fund: $102.58 Century Health Network — Commercial: $189.55 Christian Healthcare Ministries — Fund: $111.50 Cigna — PPO Commercial: $123.77 First Health — Commercial: $185.09 Fortified Provider Network — Commercial: $200.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$223	$167.25	$32 – $268.84
Preventive checkup, new patient, age 40–64: 10 of 51 insurance plan rates Aetna — Commercial: $50.27 Aetna — Medicare Advantage: $149.35 Aetna — OPN Commercial: $45.25 Ambetter — Commercial: $268.84 Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Commercial: $132.02 Anthem — Medicare Advantage: $149.35 Anthem — Pathway Commercial: $119.75 Anthem — Traditional: $141.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PREVENTIVE VISIT,NEW,40-64	$223	$167.25	$80.73 – $900
Preventive checkup, new patient, age 40–64: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $102.58 Amish Church Fund and Workers Aid Plan — Fund: $102.58 Anthem — Traditional: $148.74 Beech Street — Commercial: $178.40 Buckeye Plain Ministries — Fund: $102.58 Century Health Network — Commercial: $189.55 Christian Healthcare Ministries — Fund: $111.50 Cigna — PPO Commercial: $123.77 First Health — Commercial: $185.09 Fortified Provider Network — Commercial: $200.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,134	$850.50	$250.61 – $2,232
Emergency room visit (moderate): 10 of 52 insurance plan rates Aetna — Commercial: $1,476 Aetna — Medicare Advantage: $258.26 Aetna — OPN Commercial: $1,329 Ambetter — Commercial: $464.86 Amish Aid Community Plan — Fund: $521.64 Amish Church Fund and Workers Aid Plan — Fund: $521.64 Anthem — Commercial: $506 Anthem — Medicare Advantage: $258.26 Anthem — Pathway Commercial: $456 Anthem — Traditional: $721.22
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,134	$850.50	$410.51 – $1,020.60
Emergency room visit (moderate): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $521.64 Amish Church Fund and Workers Aid Plan — Fund: $521.64 Anthem — Traditional: $756.38 Beech Street — Commercial: $907.20 Buckeye Plain Ministries — Fund: $521.64 Century Health Network — Commercial: $963.90 Christian Healthcare Ministries — Fund: $567 Cigna — PPO Commercial: $629.37 First Health — Commercial: $941.22 Fortified Provider Network — Commercial: $1,020.60
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,779	$1,334.25	$393.16 – $2,392
Emergency room visit (moderately high): 10 of 52 insurance plan rates Aetna — Commercial: $1,612 Aetna — Medicare Advantage: $394.76 Aetna — OPN Commercial: $1,451 Ambetter — Commercial: $710.57 Amish Aid Community Plan — Fund: $818.34 Amish Church Fund and Workers Aid Plan — Fund: $818.34 Anthem — Commercial: $1,278 Anthem — Medicare Advantage: $394.76 Anthem — Pathway Commercial: $1,151 Anthem — Traditional: $1,131.44
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,779	$1,334.25	$644 – $1,601.10
Emergency room visit (moderately high): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $818.34 Amish Church Fund and Workers Aid Plan — Fund: $818.34 Anthem — Traditional: $1,186.59 Beech Street — Commercial: $1,423.20 Buckeye Plain Ministries — Fund: $818.34 Century Health Network — Commercial: $1,512.15 Christian Healthcare Ministries — Fund: $889.50 Cigna — PPO Commercial: $987.35 First Health — Commercial: $1,476.57 Fortified Provider Network — Commercial: $1,601.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$2,796	$2,097	$563.42 – $4,160
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $1,286.16 Amish Church Fund and Workers Aid Plan — Fund: $1,286.16 Anthem — Commercial: $1,900 Anthem — Medicare Advantage: $563.42 Anthem — Pathway Commercial: $1,710 Anthem — Traditional: $1,778.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRAUMA ACTIVATION EVALUATION W/O NOTICE	$2,025	$1,518.75	$447.53 – $4,160
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $931.50 Amish Church Fund and Workers Aid Plan — Fund: $931.50 Anthem — Commercial: $1,900 Anthem — Medicare Advantage: $563.42 Anthem — Pathway Commercial: $1,710 Anthem — Traditional: $1,287.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRAUMA FULL ACTIVATION W/O NOTICE	$5,512	$4,134	$563.42 – $4,960.80
Emergency room visit (high): 10 of 52 insurance plan rates Aetna — Commercial: $3,170 Aetna — Medicare Advantage: $563.42 Aetna — OPN Commercial: $2,853 Ambetter — Commercial: $1,014.15 Amish Aid Community Plan — Fund: $2,535.52 Amish Church Fund and Workers Aid Plan — Fund: $2,535.52 Anthem — Commercial: $1,900 Anthem — Medicare Advantage: $563.42 Anthem — Pathway Commercial: $1,710 Anthem — Traditional: $3,505.63

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$164	$123	$3.47 – $147.60
Basic metabolic panel (blood test): 10 of 52 insurance plan rates Aetna — Commercial: $20.31 Aetna — Medicare Advantage: $8.46 Aetna — OPN Commercial: $18.28 Ambetter — Commercial: $15.23 Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Commercial: $3.47 Anthem — Medicare Advantage: $8.46 Anthem — Pathway Commercial: $3.47 Anthem — Traditional: $104.30
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$164	$123	$59.37 – $900
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Traditional: $109.39 Beech Street — Commercial: $131.20 Buckeye Plain Ministries — Fund: $75.44 Century Health Network — Commercial: $139.40 Christian Healthcare Ministries — Fund: $82 Cigna — PPO Commercial: $91.02 First Health — Commercial: $136.12 Fortified Provider Network — Commercial: $147.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$264	$198	$5 – $237.60
Comprehensive metabolic panel (blood test): 10 of 52 insurance plan rates Aetna — Commercial: $25.35 Aetna — Medicare Advantage: $10.56 Aetna — OPN Commercial: $22.82 Ambetter — Commercial: $19.01 Amish Aid Community Plan — Fund: $121.44 Amish Church Fund and Workers Aid Plan — Fund: $121.44 Anthem — Commercial: $5 Anthem — Medicare Advantage: $10.56 Anthem — Pathway Commercial: $5 Anthem — Traditional: $167.90
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$264	$198	$95.57 – $900
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $121.44 Amish Church Fund and Workers Aid Plan — Fund: $121.44 Anthem — Traditional: $176.09 Beech Street — Commercial: $211.20 Buckeye Plain Ministries — Fund: $121.44 Century Health Network — Commercial: $224.40 Christian Healthcare Ministries — Fund: $132 Cigna — PPO Commercial: $146.52 First Health — Commercial: $219.12 Fortified Provider Network — Commercial: $237.60
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.81 – $114.75
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna — Commercial: $114.75 Aetna — Medicare Advantage: $47.81 Aetna — OPN Commercial: $103.28 Ambetter — Commercial: $86.06 Anthem — Commercial: $88.80 Anthem — Medicare Advantage: $47.81 Anthem — Pathway Commercial: $88.80 CareSource — Marketplace: $86.06 Cigna — Medicare Advantage: $47.81 Devoted Health — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$191	$143.25	$6.02 – $171.90
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates Aetna — Commercial: $32.13 Aetna — Medicare Advantage: $13.39 Aetna — OPN Commercial: $28.92 Ambetter — Commercial: $24.10 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Commercial: $6.02 Anthem — Medicare Advantage: $13.39 Anthem — Pathway Commercial: $6.02 Anthem — Traditional: $121.48
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPOPROTEIN METABOLISM PROFILE - MAYO - 1 OF 3	$61	$45.75	$6.02 – $57
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates Aetna — Commercial: $32.13 Aetna — Medicare Advantage: $13.39 Aetna — OPN Commercial: $28.92 Ambetter — Commercial: $24.10 Amish Aid Community Plan — Fund: $28.06 Amish Church Fund and Workers Aid Plan — Fund: $28.06 Anthem — Commercial: $6.02 Anthem — Medicare Advantage: $13.39 Anthem — Pathway Commercial: $6.02 Anthem — Traditional: $38.80
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$191	$143.25	$69.14 – $900
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Traditional: $127.40 Beech Street — Commercial: $152.80 Buckeye Plain Ministries — Fund: $87.86 Century Health Network — Commercial: $162.35 Christian Healthcare Ministries — Fund: $95.50 Cigna — PPO Commercial: $106.01 First Health — Commercial: $158.53 Fortified Provider Network — Commercial: $171.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$251	$188.25	$4.11 – $225.90
Kidney function panel: 10 of 52 insurance plan rates Aetna — Commercial: $20.82 Aetna — Medicare Advantage: $8.68 Aetna — OPN Commercial: $18.74 Ambetter — Commercial: $15.62 Amish Aid Community Plan — Fund: $115.46 Amish Church Fund and Workers Aid Plan — Fund: $115.46 Anthem — Commercial: $4.11 Anthem — Medicare Advantage: $8.68 Anthem — Pathway Commercial: $4.11 Anthem — Traditional: $159.64
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$251	$188.25	$90.86 – $900
Kidney function panel: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $115.46 Amish Church Fund and Workers Aid Plan — Fund: $115.46 Anthem — Traditional: $167.42 Beech Street — Commercial: $200.80 Buckeye Plain Ministries — Fund: $115.46 Century Health Network — Commercial: $213.35 Christian Healthcare Ministries — Fund: $125.50 Cigna — PPO Commercial: $139.31 First Health — Commercial: $208.33 Fortified Provider Network — Commercial: $225.90
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$189	$141.75	$2.99 – $170.10
Liver function panel: 10 of 52 insurance plan rates Aetna — Commercial: $19.62 Aetna — Medicare Advantage: $8.17 Aetna — OPN Commercial: $17.66 Ambetter — Commercial: $14.71 Amish Aid Community Plan — Fund: $86.94 Amish Church Fund and Workers Aid Plan — Fund: $86.94 Anthem — Commercial: $2.99 Anthem — Medicare Advantage: $8.17 Anthem — Pathway Commercial: $2.99 Anthem — Traditional: $120.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$189	$141.75	$68.42 – $900
Liver function panel: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $86.94 Amish Church Fund and Workers Aid Plan — Fund: $86.94 Anthem — Traditional: $126.06 Beech Street — Commercial: $151.20 Buckeye Plain Ministries — Fund: $86.94 Century Health Network — Commercial: $160.65 Christian Healthcare Ministries — Fund: $94.50 Cigna — PPO Commercial: $104.90 First Health — Commercial: $156.87 Fortified Provider Network — Commercial: $170.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$164	$123	$3.17 – $147.60
Urine test (automated, with microscope): 10 of 52 insurance plan rates Aetna — Commercial: $7.62 Aetna — Medicare Advantage: $3.17 Aetna — OPN Commercial: $6.86 Ambetter — Commercial: $5.71 Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Commercial: $3.90 Anthem — Medicare Advantage: $3.17 Anthem — Pathway Commercial: $3.90 Anthem — Traditional: $104.30
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE - BUNDLED CHARGE	$164	$123	$59.37 – $900
Urine test (automated, with microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $75.44 Amish Church Fund and Workers Aid Plan — Fund: $75.44 Anthem — Traditional: $109.39 Beech Street — Commercial: $131.20 Buckeye Plain Ministries — Fund: $75.44 Century Health Network — Commercial: $139.40 Christian Healthcare Ministries — Fund: $82 Cigna — PPO Commercial: $91.02 First Health — Commercial: $136.12 Fortified Provider Network — Commercial: $147.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$46	$34.50	$2.77 – $57
Urine test (manual, without microscope): 10 of 52 insurance plan rates Aetna — Commercial: $8.34 Aetna — Medicare Advantage: $3.48 Aetna — OPN Commercial: $7.51 Ambetter — Commercial: $6.26 Amish Aid Community Plan — Fund: $21.16 Amish Church Fund and Workers Aid Plan — Fund: $21.16 Anthem — Commercial: $2.77 Anthem — Medicare Advantage: $3.48 Anthem — Pathway Commercial: $2.77 Anthem — Traditional: $29.26
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$46	$34.50	$16.65 – $900
Urine test (manual, without microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $21.16 Amish Church Fund and Workers Aid Plan — Fund: $21.16 Anthem — Traditional: $30.68 Beech Street — Commercial: $36.80 Buckeye Plain Ministries — Fund: $21.16 Century Health Network — Commercial: $39.10 Christian Healthcare Ministries — Fund: $23 Cigna — PPO Commercial: $25.53 First Health — Commercial: $38.18 Fortified Provider Network — Commercial: $41.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$83	$62.25	$1.06 – $74.70
Urine test (automated, without microscope): 10 of 52 insurance plan rates Aetna — Commercial: $5.40 Aetna — Medicare Advantage: $2.25 Aetna — OPN Commercial: $4.86 Ambetter — Commercial: $4.05 Amish Aid Community Plan — Fund: $38.18 Amish Church Fund and Workers Aid Plan — Fund: $38.18 Anthem — Commercial: $1.06 Anthem — Medicare Advantage: $2.25 Anthem — Pathway Commercial: $1.06 Anthem — Traditional: $52.79
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$83	$62.25	$30.05 – $900
Urine test (automated, without microscope): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $38.18 Amish Church Fund and Workers Aid Plan — Fund: $38.18 Anthem — Traditional: $55.36 Beech Street — Commercial: $66.40 Buckeye Plain Ministries — Fund: $38.18 Century Health Network — Commercial: $70.55 Christian Healthcare Ministries — Fund: $41.50 Cigna — PPO Commercial: $46.07 First Health — Commercial: $68.89 Fortified Provider Network — Commercial: $74.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$170	$127.50	$8.70 – $153
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates Aetna — Commercial: $44.13 Aetna — Medicare Advantage: $18.39 Aetna — OPN Commercial: $39.72 Ambetter — Commercial: $33.10 Amish Aid Community Plan — Fund: $78.20 Amish Church Fund and Workers Aid Plan — Fund: $78.20 Anthem — Commercial: $8.70 Anthem — Medicare Advantage: $18.39 Anthem — Pathway Commercial: $8.70 Anthem — Traditional: $108.12
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$170	$127.50	$61.54 – $900
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $78.20 Amish Church Fund and Workers Aid Plan — Fund: $78.20 Anthem — Traditional: $113.39 Beech Street — Commercial: $136 Buckeye Plain Ministries — Fund: $78.20 Century Health Network — Commercial: $144.50 Christian Healthcare Ministries — Fund: $85 Cigna — PPO Commercial: $94.35 First Health — Commercial: $141.10 Fortified Provider Network — Commercial: $153
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$182	$136.50	$7.95 – $163.80
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates Aetna — Commercial: $40.32 Aetna — Medicare Advantage: $16.80 Aetna — OPN Commercial: $36.29 Ambetter — Commercial: $30.24 Amish Aid Community Plan — Fund: $83.72 Amish Church Fund and Workers Aid Plan — Fund: $83.72 Anthem — Commercial: $7.95 Anthem — Medicare Advantage: $16.80 Anthem — Pathway Commercial: $7.95 Anthem — Traditional: $115.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$182	$136.50	$65.88 – $900
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $83.72 Amish Church Fund and Workers Aid Plan — Fund: $83.72 Anthem — Traditional: $121.39 Beech Street — Commercial: $145.60 Buckeye Plain Ministries — Fund: $83.72 Century Health Network — Commercial: $154.70 Christian Healthcare Ministries — Fund: $91 Cigna — PPO Commercial: $101.01 First Health — Commercial: $151.06 Fortified Provider Network — Commercial: $163.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$139	$104.25	$3.68 – $125.10
Complete blood count (CBC) with differential: 10 of 52 insurance plan rates Aetna — Commercial: $18.66 Aetna — Medicare Advantage: $7.77 Aetna — OPN Commercial: $16.79 Ambetter — Commercial: $13.99 Amish Aid Community Plan — Fund: $63.94 Amish Church Fund and Workers Aid Plan — Fund: $63.94 Anthem — Commercial: $3.68 Anthem — Medicare Advantage: $7.77 Anthem — Pathway Commercial: $3.68 Anthem — Traditional: $88.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$139	$104.25	$50.32 – $900
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $63.94 Amish Church Fund and Workers Aid Plan — Fund: $63.94 Anthem — Traditional: $92.71 Beech Street — Commercial: $111.20 Buckeye Plain Ministries — Fund: $63.94 Century Health Network — Commercial: $118.15 Christian Healthcare Ministries — Fund: $69.50 Cigna — PPO Commercial: $77.15 First Health — Commercial: $115.37 Fortified Provider Network — Commercial: $125.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$121	$90.75	$3.06 – $108.90
Complete blood count (CBC), automated: 10 of 52 insurance plan rates Aetna — Commercial: $15.54 Aetna — Medicare Advantage: $6.47 Aetna — OPN Commercial: $13.99 Ambetter — Commercial: $11.65 Amish Aid Community Plan — Fund: $55.66 Amish Church Fund and Workers Aid Plan — Fund: $55.66 Anthem — Commercial: $3.06 Anthem — Medicare Advantage: $6.47 Anthem — Pathway Commercial: $3.06 Anthem — Traditional: $76.96
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$121	$90.75	$43.80 – $900
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $55.66 Amish Church Fund and Workers Aid Plan — Fund: $55.66 Anthem — Traditional: $80.71 Beech Street — Commercial: $96.80 Buckeye Plain Ministries — Fund: $55.66 Century Health Network — Commercial: $102.85 Christian Healthcare Ministries — Fund: $60.50 Cigna — PPO Commercial: $67.16 First Health — Commercial: $100.43 Fortified Provider Network — Commercial: $108.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$92	$69	$4.29 – $82.80
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates Aetna — Commercial: $10.29 Aetna — Medicare Advantage: $4.29 Aetna — OPN Commercial: $9.26 Ambetter — Commercial: $7.72 Amish Aid Community Plan — Fund: $42.32 Amish Church Fund and Workers Aid Plan — Fund: $42.32 Anthem — Commercial: $5.13 Anthem — Medicare Advantage: $4.29 Anthem — Pathway Commercial: $5.13 Anthem — Traditional: $58.51
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$92	$69	$33.30 – $900
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $42.32 Amish Church Fund and Workers Aid Plan — Fund: $42.32 Anthem — Traditional: $61.36 Beech Street — Commercial: $73.60 Buckeye Plain Ministries — Fund: $42.32 Century Health Network — Commercial: $78.20 Christian Healthcare Ministries — Fund: $46 Cigna — PPO Commercial: $51.06 First Health — Commercial: $76.36 Fortified Provider Network — Commercial: $82.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$104	$78	$6.01 – $93.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates Aetna — Commercial: $14.43 Aetna — Medicare Advantage: $6.01 Aetna — OPN Commercial: $12.99 Ambetter — Commercial: $10.82 Amish Aid Community Plan — Fund: $47.84 Amish Church Fund and Workers Aid Plan — Fund: $47.84 Anthem — Commercial: $7.80 Anthem — Medicare Advantage: $6.01 Anthem — Pathway Commercial: $7.80 Anthem — Traditional: $66.14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$104	$78	$37.65 – $900
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $47.84 Amish Church Fund and Workers Aid Plan — Fund: $47.84 Anthem — Traditional: $69.37 Beech Street — Commercial: $83.20 Buckeye Plain Ministries — Fund: $47.84 Century Health Network — Commercial: $88.40 Christian Healthcare Ministries — Fund: $52 Cigna — PPO Commercial: $57.72 First Health — Commercial: $86.32 Fortified Provider Network — Commercial: $93.60

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,676	$1,257	$98.91 – $1,898
CT scan of the head or brain, without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Commercial: $1,041 Anthem — Medicare Advantage: $98.91 Anthem — Pathway Commercial: $937 Anthem — Traditional: $1,065.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,676	$1,257	$600 – $1,508.40
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Traditional: $1,117.89 Beech Street — Commercial: $1,340.80 Buckeye Plain Ministries — Fund: $600 Century Health Network — Commercial: $1,424.60 Christian Healthcare Ministries — Fund: $838 Cigna — PPO Commercial: $930.18 First Health — Commercial: $1,391.08 Fortified Provider Network — Commercial: $1,508.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,127	$2,345.25	$330.06 – $2,814.30
MRI of the brain, before and after contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $330.06 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $594.11 Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Commercial: $1,726 Anthem — Medicare Advantage: $330.06 Anthem — Pathway Commercial: $1,553 Anthem — Traditional: $1,988.77
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,127	$2,345.25	$800 – $2,814.30
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Traditional: $2,085.71 Beech Street — Commercial: $2,501.60 Buckeye Plain Ministries — Fund: $800 Century Health Network — Commercial: $2,657.95 Christian Healthcare Ministries — Fund: $1,563.50 Cigna — PPO Commercial: $1,735.49 First Health — Commercial: $2,595.41 Fortified Provider Network — Commercial: $2,814.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$488	$366	$57.43 – $439.20
Chest X-ray, 2 views: 10 of 52 insurance plan rates Aetna — Commercial: $63.81 Aetna — Medicare Advantage: $82.33 Aetna — OPN Commercial: $57.43 Ambetter — Commercial: $148.20 Amish Aid Community Plan — Fund: $224.48 Amish Church Fund and Workers Aid Plan — Fund: $224.48 Anthem — Commercial: $288.90 Anthem — Medicare Advantage: $82.33 Anthem — Pathway Commercial: $262.06 Anthem — Traditional: $310.37
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS	$488	$366	$176.66 – $900
Chest X-ray, 2 views: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $224.48 Amish Church Fund and Workers Aid Plan — Fund: $224.48 Anthem — Traditional: $325.50 Beech Street — Commercial: $390.40 Buckeye Plain Ministries — Fund: $224.48 Century Health Network — Commercial: $414.80 Christian Healthcare Ministries — Fund: $244 Cigna — PPO Commercial: $270.84 First Health — Commercial: $405.04 Fortified Provider Network — Commercial: $439.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$731	$548.25	$97.55 – $657.90
X-ray of the lower spine, at least 4 views: 10 of 52 insurance plan rates Aetna — Commercial: $108.39 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $97.55 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $336.26 Amish Church Fund and Workers Aid Plan — Fund: $336.26 Anthem — Commercial: $432.75 Anthem — Medicare Advantage: $98.91 Anthem — Pathway Commercial: $392.55 Anthem — Traditional: $464.92
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$731	$548.25	$264.62 – $900
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $336.26 Amish Church Fund and Workers Aid Plan — Fund: $336.26 Anthem — Traditional: $487.58 Beech Street — Commercial: $584.80 Buckeye Plain Ministries — Fund: $336.26 Century Health Network — Commercial: $621.35 Christian Healthcare Ministries — Fund: $365.50 Cigna — PPO Commercial: $405.71 First Health — Commercial: $606.73 Fortified Provider Network — Commercial: $657.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST	$3,021	$2,265.75	$225.74 – $2,718.90
MRI of the lower back (lumbar spine), without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $225.74 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $406.32 Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Commercial: $1,726 Anthem — Medicare Advantage: $225.74 Anthem — Pathway Commercial: $1,553 Anthem — Traditional: $1,921.36
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI, LUMBAR SPINE - MRI COMPLETE SPINE WO CONTRAST	$3,021	$2,265.75	$800 – $2,718.90
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Traditional: $2,015.01 Beech Street — Commercial: $2,416.80 Buckeye Plain Ministries — Fund: $800 Century Health Network — Commercial: $2,567.85 Christian Healthcare Ministries — Fund: $1,510.50 Cigna — PPO Commercial: $1,676.66 First Health — Commercial: $2,507.43 Fortified Provider Network — Commercial: $2,718.90
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,281	$1,710.75	$165.94 – $2,052.90
CT scan of the pelvis, with contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $165.94 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $298.70 Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Commercial: $1,041 Anthem — Medicare Advantage: $165.94 Anthem — Pathway Commercial: $937 Anthem — Traditional: $1,450.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,281	$1,710.75	$600 – $2,052.90
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Traditional: $1,521.43 Beech Street — Commercial: $1,824.80 Buckeye Plain Ministries — Fund: $600 Century Health Network — Commercial: $1,938.85 Christian Healthcare Ministries — Fund: $1,140.50 Cigna — PPO Commercial: $1,265.96 First Health — Commercial: $1,893.23 Fortified Provider Network — Commercial: $2,052.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$3,505	$2,628.75	$225.74 – $3,154.50
MRI of a leg joint (such as the knee), without contrast: 10 of 52 insurance plan rates Aetna — Commercial: $2,326 Aetna — Medicare Advantage: $225.74 Aetna — OPN Commercial: $2,093 Ambetter — Commercial: $406.32 Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Commercial: $1,726 Anthem — Medicare Advantage: $225.74 Anthem — Pathway Commercial: $1,553 Anthem — Traditional: $2,229.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$3,505	$2,628.75	$800 – $3,154.50
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $800 Amish Church Fund and Workers Aid Plan — Fund: $800 Anthem — Traditional: $2,337.84 Beech Street — Commercial: $2,804 Buckeye Plain Ministries — Fund: $800 Century Health Network — Commercial: $2,979.25 Christian Healthcare Ministries — Fund: $1,752.50 Cigna — PPO Commercial: $1,945.28 First Health — Commercial: $2,909.15 Fortified Provider Network — Commercial: $3,154.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,325	$2,493.75	$330.06 – $2,992.50
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates Aetna — Commercial: $1,898 Aetna — Medicare Advantage: $330.06 Aetna — OPN Commercial: $1,708 Ambetter — Commercial: $594.11 Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Commercial: $1,041 Anthem — Medicare Advantage: $330.06 Anthem — Pathway Commercial: $937 Anthem — Traditional: $2,114.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$3,325	$2,493.75	$600 – $2,992.50
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $600 Amish Church Fund and Workers Aid Plan — Fund: $600 Anthem — Traditional: $2,217.78 Beech Street — Commercial: $2,660 Buckeye Plain Ministries — Fund: $600 Century Health Network — Commercial: $2,826.25 Christian Healthcare Ministries — Fund: $1,662.50 Cigna — PPO Commercial: $1,845.38 First Health — Commercial: $2,759.75 Fortified Provider Network — Commercial: $2,992.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	$1,493	$1,119.75	$98.91 – $1,343.70
Ultrasound of the abdomen, complete: 10 of 52 insurance plan rates Aetna — Commercial: $214.95 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $193.46 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $415 Amish Church Fund and Workers Aid Plan — Fund: $415 Anthem — Commercial: $883.86 Anthem — Medicare Advantage: $98.91 Anthem — Pathway Commercial: $801.74 Anthem — Traditional: $949.55
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN	$1,493	$1,119.75	$540.47 – $1,343.70
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $686.78 Amish Church Fund and Workers Aid Plan — Fund: $686.78 Anthem — Traditional: $995.83 Beech Street — Commercial: $1,194.40 Buckeye Plain Ministries — Fund: $686.78 Century Health Network — Commercial: $1,269.05 Christian Healthcare Ministries — Fund: $746.50 Cigna — PPO Commercial: $828.62 First Health — Commercial: $1,239.19 Fortified Provider Network — Commercial: $1,343.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,156	$867	$98.91 – $1,040.40
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates Aetna — Commercial: $243.15 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $218.84 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $415 Amish Church Fund and Workers Aid Plan — Fund: $415 Anthem — Commercial: $684.35 Anthem — Medicare Advantage: $98.91 Anthem — Pathway Commercial: $620.77 Anthem — Traditional: $735.22
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,156	$867	$418.47 – $1,040.40
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $531.76 Amish Church Fund and Workers Aid Plan — Fund: $531.76 Anthem — Traditional: $771.05 Beech Street — Commercial: $924.80 Buckeye Plain Ministries — Fund: $531.76 Century Health Network — Commercial: $982.60 Christian Healthcare Ministries — Fund: $578 Cigna — PPO Commercial: $641.58 First Health — Commercial: $959.48 Fortified Provider Network — Commercial: $1,040.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,170	$877.50	$98.91 – $1,053
Transvaginal ultrasound: 10 of 52 insurance plan rates Aetna — Commercial: $237.69 Aetna — Medicare Advantage: $98.91 Aetna — OPN Commercial: $213.92 Ambetter — Commercial: $178.03 Amish Aid Community Plan — Fund: $415 Amish Church Fund and Workers Aid Plan — Fund: $415 Anthem — Commercial: $692.64 Anthem — Medicare Advantage: $98.91 Anthem — Pathway Commercial: $628.29 Anthem — Traditional: $744.12
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHOGRAPHY,TRANSVAGINAL - US PELVIS TRANSVAGINAL	$1,170	$877.50	$423.54 – $1,053
Transvaginal ultrasound: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $538.20 Amish Church Fund and Workers Aid Plan — Fund: $538.20 Anthem — Traditional: $780.39 Beech Street — Commercial: $936 Buckeye Plain Ministries — Fund: $538.20 Century Health Network — Commercial: $994.50 Christian Healthcare Ministries — Fund: $585 Cigna — PPO Commercial: $649.35 First Health — Commercial: $971.10 Fortified Provider Network — Commercial: $1,053
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$670	$502.50	$115.62 – $603
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $115.62 Aetna — OPN Commercial: $206 Ambetter — Commercial: $208.12 Amish Aid Community Plan — Fund: $308.20 Amish Church Fund and Workers Aid Plan — Fund: $308.20 Anthem — Commercial: $156 Anthem — Medicare Advantage: $115.62 Anthem — Pathway Commercial: $140 Anthem — Traditional: $426.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$670	$502.50	$242.54 – $900
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $308.20 Amish Church Fund and Workers Aid Plan — Fund: $308.20 Anthem — Traditional: $446.89 Beech Street — Commercial: $536 Buckeye Plain Ministries — Fund: $308.20 Century Health Network — Commercial: $569.50 Christian Healthcare Ministries — Fund: $335 Cigna — PPO Commercial: $371.85 First Health — Commercial: $556.10 Fortified Provider Network — Commercial: $603
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$874	$655.50	$129 – $786.60
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $146.43 Aetna — OPN Commercial: $206 Ambetter — Commercial: $263.57 Amish Aid Community Plan — Fund: $402.04 Amish Church Fund and Workers Aid Plan — Fund: $402.04 Anthem — Commercial: $156 Anthem — Medicare Advantage: $146.43 Anthem — Pathway Commercial: $140 Anthem — Traditional: $555.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$874	$655.50	$316.39 – $900
Diagnostic mammogram, both breasts: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $402.04 Amish Church Fund and Workers Aid Plan — Fund: $402.04 Anthem — Traditional: $582.96 Beech Street — Commercial: $699.20 Buckeye Plain Ministries — Fund: $402.04 Century Health Network — Commercial: $742.90 Christian Healthcare Ministries — Fund: $437 Cigna — PPO Commercial: $485.07 First Health — Commercial: $725.42 Fortified Provider Network — Commercial: $786.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$679	$509.25	$117.58 – $611.10
Screening mammogram, both breasts: 10 of 52 insurance plan rates Aetna — Commercial: $228 Aetna — Medicare Advantage: $117.58 Aetna — OPN Commercial: $206 Ambetter — Commercial: $211.64 Amish Aid Community Plan — Fund: $140 Amish Church Fund and Workers Aid Plan — Fund: $140 Anthem — Commercial: $156 Anthem — Medicare Advantage: $117.58 Anthem — Pathway Commercial: $140 Anthem — Traditional: $431.84
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$679	$509.25	$245.80 – $900
Screening mammogram, both breasts: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $312.34 Amish Church Fund and Workers Aid Plan — Fund: $312.34 Anthem — Traditional: $452.89 Beech Street — Commercial: $543.20 Buckeye Plain Ministries — Fund: $312.34 Century Health Network — Commercial: $577.15 Christian Healthcare Ministries — Fund: $339.50 Cigna — PPO Commercial: $376.85 First Health — Commercial: $563.57 Fortified Provider Network — Commercial: $611.10

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.59 – $26.25
Electrocardiogram (ECG/EKG) with reading: 10 of 17 insurance plan rates Aetna — Medicare Advantage: $14.59 Ambetter — Commercial: $26.25 Anthem — Medicare Advantage: $14.59 CareSource — Marketplace: $26.25 Cigna — Medicare Advantage: $14.59 Devoted Health — Medicare Advantage: $14.59 Humana — Medicare Advantage: $14.59 Medical Mutual of Ohio — Medicare Advantage: $14.59 Molina — Medicare Advantage: $14.59 Paramount — Medicare Advantage: $15.02
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$16,227	$12,170.25	$3,067.12 – $17,739
Left heart catheterization (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $10,823.41 Aetna — Medicare Advantage: $3,067.12 Aetna — OPN Commercial: $9,736.20 Ambetter — Commercial: $5,520.81 Amish Aid Community Plan — Fund: $10,500 Amish Church Fund and Workers Aid Plan — Fund: $10,500 Anthem — Commercial: $15,965 Anthem — Medicare Advantage: $3,067.12 Anthem — Pathway Commercial: $17,739 Anthem — Traditional: $10,320.37
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$16,227	$12,170.25	$900 – $14,604.30
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $7,464.42 Amish Church Fund and Workers Aid Plan — Fund: $7,464.42 Anthem — Traditional: $10,823.41 Beech Street — Commercial: $12,981.60 Buckeye Plain Ministries — Fund: $7,464.42 Century Health Network — Commercial: $13,792.95 Christian Healthcare Ministries — Fund: $8,113.50 Cigna — PPO Commercial: $9,005.99 First Health — Commercial: $13,468.41 Fortified Provider Network — Commercial: $14,604.30
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$6,317.40 – $8,278
Left heart catheterization (diagnostic): rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,233.69 United Healthcare — Commercial: $7,178.92 United Healthcare — Nexus Commercial: $6,317.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$7,500	$5,625	$1,657.50 – $13,901
Heart rhythm study (electrophysiology evaluation): 10 of 52 insurance plan rates Aetna — Commercial: $5,002.50 Aetna — Medicare Advantage: $7,379.08 Aetna — OPN Commercial: $4,500 Ambetter — Commercial: $13,282.35 Amish Aid Community Plan — Fund: $3,450 Amish Church Fund and Workers Aid Plan — Fund: $3,450 Anthem — Commercial: $4,440 Anthem — Medicare Advantage: $7,379.08 Anthem — Pathway Commercial: $4,027.50 Anthem — Traditional: $4,770
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$7,500	$5,625	$900 – $6,750
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,450 Amish Church Fund and Workers Aid Plan — Fund: $3,450 Anthem — Traditional: $5,002.50 Beech Street — Commercial: $6,000 Buckeye Plain Ministries — Fund: $3,450 Century Health Network — Commercial: $6,375 Christian Healthcare Ministries — Fund: $3,750 Cigna — PPO Commercial: $4,162.50 First Health — Commercial: $6,225 Fortified Provider Network — Commercial: $6,750
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,233.69 – $10,244.65
Heart rhythm study (electrophysiology evaluation): rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,233.69 United Healthcare — Commercial: $10,244.65 United Healthcare — Nexus Commercial: $9,015.41
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$38,933	$29,199.75	$8,604.19 – $44,511.17
Heart rhythm study with ablation for atrial fibrillation: 10 of 52 insurance plan rates Aetna — Commercial: $25,968.31 Aetna — Medicare Advantage: $24,728.43 Aetna — OPN Commercial: $23,359.80 Ambetter — Commercial: $44,511.17 Amish Aid Community Plan — Fund: $17,909.18 Amish Church Fund and Workers Aid Plan — Fund: $17,909.18 Anthem — Commercial: $23,048.34 Anthem — Medicare Advantage: $24,728.43 Anthem — Pathway Commercial: $20,907.02 Anthem — Traditional: $24,761.39
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$38,933	$29,199.75	$900 – $35,039.70
Heart rhythm study with ablation for atrial fibrillation: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $17,909.18 Amish Church Fund and Workers Aid Plan — Fund: $17,909.18 Anthem — Traditional: $25,968.31 Beech Street — Commercial: $31,146.40 Buckeye Plain Ministries — Fund: $17,909.18 Century Health Network — Commercial: $33,093.05 Christian Healthcare Ministries — Fund: $19,466.50 Cigna — PPO Commercial: $21,607.82 First Health — Commercial: $32,314.39 Fortified Provider Network — Commercial: $35,039.70
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$7,233.69 – $19,607.81
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans Aetna — Commercial: $8,278 Aetna — OPN Commercial: $7,233.69 United Healthcare — Commercial: $19,607.81 United Healthcare — Nexus Commercial: $17,254.41
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,094	$6,070.50	$812.43 – $7,284.60
Sleep study (overnight, in a sleep lab): 10 of 52 insurance plan rates Aetna — Commercial: $5,398.70 Aetna — Medicare Advantage: $812.43 Aetna — OPN Commercial: $4,856.40 Ambetter — Commercial: $1,462.38 Amish Aid Community Plan — Fund: $3,723.24 Amish Church Fund and Workers Aid Plan — Fund: $3,723.24 Anthem — Commercial: $4,791.65 Anthem — Medicare Advantage: $812.43 Anthem — Pathway Commercial: $4,346.48 Anthem — Traditional: $5,147.78
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$8,094	$6,070.50	$900 – $7,284.60
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,723.24 Amish Church Fund and Workers Aid Plan — Fund: $3,723.24 Anthem — Traditional: $5,398.70 Beech Street — Commercial: $6,475.20 Buckeye Plain Ministries — Fund: $3,723.24 Century Health Network — Commercial: $6,879.90 Christian Healthcare Ministries — Fund: $4,047 Cigna — PPO Commercial: $4,492.17 First Health — Commercial: $6,718.02 Fortified Provider Network — Commercial: $7,284.60

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $85 Amish Church Fund and Workers Aid Plan — Fund: $85 Anthem — Commercial: $87 Anthem — Medicare Advantage: $27.87 Anthem — Pathway Commercial: $78 Anthem — Traditional: $121.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $85 Amish Church Fund and Workers Aid Plan — Fund: $85 Anthem — Commercial: $87 Anthem — Medicare Advantage: $27.87 Anthem — Pathway Commercial: $78 Anthem — Traditional: $121.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AT THERAPEUTIC EXERCISES	$191	$143.25	$27.87 – $171.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates Aetna — Commercial: $127.40 Aetna — Medicare Advantage: $27.87 Aetna — OPN Commercial: $114.60 Ambetter — Commercial: $50.17 Amish Aid Community Plan — Fund: $87.86 Amish Church Fund and Workers Aid Plan — Fund: $87.86 Anthem — Commercial: $113.07 Anthem — Medicare Advantage: $27.87 Anthem — Pathway Commercial: $102.57 Anthem — Traditional: $121.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$352	$264	$77.79 – $316.80
Physical therapy evaluation (low complexity): 10 of 52 insurance plan rates Aetna — Commercial: $234.78 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $211.20 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $123 Amish Church Fund and Workers Aid Plan — Fund: $123 Anthem — Commercial: $182 Anthem — Medicare Advantage: $93.86 Anthem — Pathway Commercial: $164 Anthem — Traditional: $223.87
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$352	$264	$127.42 – $900
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Traditional: $234.78 Beech Street — Commercial: $281.60 Buckeye Plain Ministries — Fund: $161.92 Century Health Network — Commercial: $299.20 Christian Healthcare Ministries — Fund: $176 Cigna — PPO Commercial: $195.36 First Health — Commercial: $292.16 Fortified Provider Network — Commercial: $316.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$352	$264	$77.79 – $316.80
Physical therapy evaluation (moderate complexity): 10 of 52 insurance plan rates Aetna — Commercial: $234.78 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $211.20 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $123 Amish Church Fund and Workers Aid Plan — Fund: $123 Anthem — Commercial: $182 Anthem — Medicare Advantage: $93.86 Anthem — Pathway Commercial: $164 Anthem — Traditional: $223.87
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$352	$264	$127.42 – $900
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $161.92 Amish Church Fund and Workers Aid Plan — Fund: $161.92 Anthem — Traditional: $234.78 Beech Street — Commercial: $281.60 Buckeye Plain Ministries — Fund: $161.92 Century Health Network — Commercial: $299.20 Christian Healthcare Ministries — Fund: $176 Cigna — PPO Commercial: $195.36 First Health — Commercial: $292.16 Fortified Provider Network — Commercial: $316.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$396	$297	$87.52 – $356.40
Physical therapy evaluation (high complexity): 10 of 52 insurance plan rates Aetna — Commercial: $264.13 Aetna — Medicare Advantage: $93.86 Aetna — OPN Commercial: $237.60 Ambetter — Commercial: $168.94 Amish Aid Community Plan — Fund: $123 Amish Church Fund and Workers Aid Plan — Fund: $123 Anthem — Commercial: $182 Anthem — Medicare Advantage: $93.86 Anthem — Pathway Commercial: $164 Anthem — Traditional: $251.86
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$396	$297	$143.35 – $900
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Traditional: $264.13 Beech Street — Commercial: $316.80 Buckeye Plain Ministries — Fund: $182.16 Century Health Network — Commercial: $336.60 Christian Healthcare Ministries — Fund: $198 Cigna — PPO Commercial: $219.78 First Health — Commercial: $328.68 Fortified Provider Network — Commercial: $356.40
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL	$258	$193.50	$57.02 – $302.26
Psychotherapy, 30 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $172.09 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $154.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Commercial: $152.74 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $138.55 Anthem — Traditional: $164.09
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$258	$193.50	$57.02 – $302.26
Psychotherapy, 30 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $172.09 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $154.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Commercial: $152.74 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $138.55 Anthem — Traditional: $164.09
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES VIRTUAL	$258	$193.50	$93.40 – $900
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $118.68 Amish Church Fund and Workers Aid Plan — Fund: $118.68 Anthem — Traditional: $172.09 Beech Street — Commercial: $206.40 Buckeye Plain Ministries — Fund: $118.68 Century Health Network — Commercial: $219.30 Christian Healthcare Ministries — Fund: $129 Cigna — PPO Commercial: $143.19 First Health — Commercial: $214.14 Fortified Provider Network — Commercial: $232.20
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL	$356	$267	$78.68 – $320.40
Psychotherapy, 45 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $237.45 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $213.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Commercial: $210.75 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $191.17 Anthem — Traditional: $226.42
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$356	$267	$78.68 – $320.40
Psychotherapy, 45 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $237.45 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $213.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Commercial: $210.75 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $191.17 Anthem — Traditional: $226.42
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 45 MINUTES VIRTUAL	$356	$267	$128.87 – $900
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $163.76 Amish Church Fund and Workers Aid Plan — Fund: $163.76 Anthem — Traditional: $237.45 Beech Street — Commercial: $284.80 Buckeye Plain Ministries — Fund: $163.76 Century Health Network — Commercial: $302.60 Christian Healthcare Ministries — Fund: $178 Cigna — PPO Commercial: $197.58 First Health — Commercial: $295.48 Fortified Provider Network — Commercial: $320.40
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL	$438	$328.50	$96.80 – $394.20
Psychotherapy, 60 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $292.15 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $262.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Commercial: $259.30 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $235.21 Anthem — Traditional: $278.57
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$438	$328.50	$96.80 – $394.20
Psychotherapy, 60 minutes: 10 of 52 insurance plan rates Aetna — Commercial: $292.15 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $262.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Commercial: $259.30 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $235.21 Anthem — Traditional: $278.57
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 60 MINUTES VIRTUAL	$438	$328.50	$158.56 – $900
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $201.48 Amish Church Fund and Workers Aid Plan — Fund: $201.48 Anthem — Traditional: $292.15 Beech Street — Commercial: $350.40 Buckeye Plain Ministries — Fund: $201.48 Century Health Network — Commercial: $372.30 Christian Healthcare Ministries — Fund: $219 Cigna — PPO Commercial: $243.09 First Health — Commercial: $363.54 Fortified Provider Network — Commercial: $394.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$413	$309.75	$91.27 – $371.70
Family psychotherapy, without the patient: 10 of 52 insurance plan rates Aetna — Commercial: $275.47 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $247.80 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $189.98 Amish Church Fund and Workers Aid Plan — Fund: $189.98 Anthem — Commercial: $244.50 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $221.78 Anthem — Traditional: $262.67
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$413	$309.75	$149.51 – $900
Family psychotherapy, without the patient: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $189.98 Amish Church Fund and Workers Aid Plan — Fund: $189.98 Anthem — Traditional: $275.47 Beech Street — Commercial: $330.40 Buckeye Plain Ministries — Fund: $189.98 Century Health Network — Commercial: $351.05 Christian Healthcare Ministries — Fund: $206.50 Cigna — PPO Commercial: $229.22 First Health — Commercial: $342.79 Fortified Provider Network — Commercial: $371.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$396	$297	$87.52 – $356.40
Family psychotherapy, with the patient: 10 of 52 insurance plan rates Aetna — Commercial: $264.13 Aetna — Medicare Advantage: $167.92 Aetna — OPN Commercial: $237.60 Ambetter — Commercial: $302.26 Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Commercial: $234.43 Anthem — Medicare Advantage: $167.92 Anthem — Pathway Commercial: $212.65 Anthem — Traditional: $251.86
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$396	$297	$143.35 – $900
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $182.16 Amish Church Fund and Workers Aid Plan — Fund: $182.16 Anthem — Traditional: $264.13 Beech Street — Commercial: $316.80 Buckeye Plain Ministries — Fund: $182.16 Century Health Network — Commercial: $336.60 Christian Healthcare Ministries — Fund: $198 Cigna — PPO Commercial: $219.78 First Health — Commercial: $328.68 Fortified Provider Network — Commercial: $356.40
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC VIRTUAL	$93	$69.75	$20.55 – $173
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $62.03 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $55.80 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $42.78 Amish Church Fund and Workers Aid Plan — Fund: $42.78 Anthem — Commercial: $55.06 Anthem — Medicare Advantage: $96.11 Anthem — Pathway Commercial: $49.94 Anthem — Traditional: $59.15
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC	$322	$241.50	$71.16 – $289.80
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $214.77 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $193.20 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $148.12 Amish Church Fund and Workers Aid Plan — Fund: $148.12 Anthem — Commercial: $190.62 Anthem — Medicare Advantage: $96.11 Anthem — Pathway Commercial: $172.91 Anthem — Traditional: $204.79
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY	$93	$69.75	$20.55 – $224
Group psychotherapy: 10 of 52 insurance plan rates Aetna — Commercial: $62.03 Aetna — Medicare Advantage: $96.11 Aetna — OPN Commercial: $55.80 Ambetter — Commercial: $173 Amish Aid Community Plan — Fund: $42.78 Amish Church Fund and Workers Aid Plan — Fund: $42.78 Anthem — Commercial: $55.06 Anthem — Medicare Advantage: $96.11 Anthem — Pathway Commercial: $49.94 Anthem — Traditional: $59.15

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$4,939	$3,704.25	$1,091.52 – $8,271
Removal of breast growth (open surgery): 10 of 52 insurance plan rates Aetna — Commercial: $3,294.31 Aetna — Medicare Advantage: $3,704.30 Aetna — OPN Commercial: $2,963.40 Ambetter — Commercial: $6,667.74 Amish Aid Community Plan — Fund: $2,271.94 Amish Church Fund and Workers Aid Plan — Fund: $2,271.94 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $3,704.30 Anthem — Pathway Commercial: $4,066 Anthem — Traditional: $3,141.20
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$4,939	$3,704.25	$900 – $4,445.10
Removal of breast growth (open surgery): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $2,271.94 Amish Church Fund and Workers Aid Plan — Fund: $2,271.94 Anthem — Traditional: $3,294.31 Beech Street — Commercial: $3,951.20 Buckeye Plain Ministries — Fund: $2,271.94 Century Health Network — Commercial: $4,198.15 Christian Healthcare Ministries — Fund: $2,469.50 Cigna — PPO Commercial: $2,741.15 First Health — Commercial: $4,099.37 Fortified Provider Network — Commercial: $4,445.10
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,676.07 – $4,514.53
Removal of breast growth (open surgery): rates for 4 insurance plans Aetna — Commercial: $4,208 Aetna — OPN Commercial: $3,676.07 United Healthcare — Commercial: $4,514.53 United Healthcare — Nexus Commercial: $3,972.41
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	$5,938.98 – $27,372
Total hip replacement: 10 of 27 insurance plan rates Aetna — Commercial: $6,797 Aetna — Medicare Advantage: $12,146.38 Aetna — OPN Commercial: $5,938.98 Ambetter — Commercial: $21,863.49 Anthem — Commercial: $24,635 Anthem — Medicare Advantage: $12,146.38 Anthem — Pathway Commercial: $27,372 CareSource — Marketplace: $21,863.49 Cigna — Medicare Advantage: $12,146.38 Cigna — OAP Commercial: $26,000
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,020.20 – $27,530
Total knee replacement: 10 of 28 insurance plan rates Aetna — Commercial: $22,445 Aetna — Medicare Advantage: $12,146.38 Aetna — OPN Commercial: $19,611.20 Ambetter — Commercial: $21,863.49 Anthem — Commercial: $24,635 Anthem — Medicare Advantage: $12,146.38 Anthem — Pathway Commercial: $27,372 CareSource — Marketplace: $21,863.49 Cigna — Medicare Advantage: $12,146.38 Cigna — OAP Commercial: $24,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$145.14 – $13,574.07
Shoulder arthroscopy: shaving of shoulder bone: 10 of 28 insurance plan rates Aetna — Commercial: $4,208 Aetna — Medicare Advantage: $145.14 Aetna — OPN Commercial: $3,676.07 Ambetter — Commercial: $261.26 Anthem — Commercial: $2,222 Anthem — Medicare Advantage: $145.14 Anthem — Pathway Commercial: $2,469 CareSource — Marketplace: $261.26 Cigna — Medicare Advantage: $145.14 Cigna — OAP Commercial: $3,100
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$2,693.60 – $9,707
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates Aetna — Commercial: $5,095 Aetna — Medicare Advantage: $3,095.56 Aetna — OPN Commercial: $4,452.69 Ambetter — Commercial: $5,572.02 Anthem — Commercial: $6,252 Anthem — Medicare Advantage: $3,095.56 Anthem — Pathway Commercial: $6,946 CareSource — Marketplace: $5,572.02 Cigna — Medicare Advantage: $3,095.56 Cigna — OAP Commercial: $3,500
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$2,453.36 – $10,081.11
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates Aetna — Commercial: $4,208 Aetna — Medicare Advantage: $5,600.62 Aetna — OPN Commercial: $3,676.07 Ambetter — Commercial: $10,081.11 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $5,600.62 Anthem — Pathway Commercial: $4,066 CareSource — Marketplace: $10,081.11 Cigna — Medicare Advantage: $5,600.62 Cigna — OAP Commercial: $3,100
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,353	$2,514.75	$741.01 – $3,963
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $858.08 Aetna — OPN Commercial: $2,292.78 Ambetter — Commercial: $1,544.54 Amish Aid Community Plan — Fund: $1,385 Amish Church Fund and Workers Aid Plan — Fund: $1,385 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $858.08 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,132.51
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,353	$2,514.75	$900 – $3,017.70
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,542.38 Amish Church Fund and Workers Aid Plan — Fund: $1,542.38 Anthem — Traditional: $2,236.45 Beech Street — Commercial: $2,682.40 Buckeye Plain Ministries — Fund: $1,542.38 Century Health Network — Commercial: $2,850.05 Christian Healthcare Ministries — Fund: $1,676.50 Cigna — PPO Commercial: $1,860.92 First Health — Commercial: $2,782.99 Fortified Provider Network — Commercial: $3,017.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,286	$2,464.50	$726.21 – $3,963
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $858.08 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $1,544.54 Amish Aid Community Plan — Fund: $1,511.56 Amish Church Fund and Workers Aid Plan — Fund: $1,511.56 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $858.08 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,089.90
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$3,286	$2,464.50	$900 – $2,957.40
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,511.56 Amish Church Fund and Workers Aid Plan — Fund: $1,511.56 Anthem — Traditional: $2,191.76 Beech Street — Commercial: $2,628.80 Buckeye Plain Ministries — Fund: $1,511.56 Century Health Network — Commercial: $2,793.10 Christian Healthcare Ministries — Fund: $1,643 Cigna — PPO Commercial: $1,823.73 First Health — Commercial: $2,727.38 Fortified Provider Network — Commercial: $2,957.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,470	$2,602.50	$766.87 – $3,963
Colonoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $879.81 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $1,583.66 Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $879.81 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,206.92
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$3,470	$2,602.50	$900 – $3,123
Colonoscopy (diagnostic): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Traditional: $2,314.49 Beech Street — Commercial: $2,776 Buckeye Plain Ministries — Fund: $1,596.20 Century Health Network — Commercial: $2,949.50 Christian Healthcare Ministries — Fund: $1,735 Cigna — PPO Commercial: $1,925.85 First Health — Commercial: $2,880.10 Fortified Provider Network — Commercial: $3,123
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,384	$2,538	$747.86 – $3,963
Colonoscopy with biopsy: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,385 Amish Church Fund and Workers Aid Plan — Fund: $1,385 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $1,132.12 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,152.22
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$3,384	$2,538	$900 – $3,045.60
Colonoscopy with biopsy: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,556.64 Amish Church Fund and Workers Aid Plan — Fund: $1,556.64 Anthem — Traditional: $2,257.13 Beech Street — Commercial: $2,707.20 Buckeye Plain Ministries — Fund: $1,556.64 Century Health Network — Commercial: $2,876.40 Christian Healthcare Ministries — Fund: $1,692 Cigna — PPO Commercial: $1,878.12 First Health — Commercial: $2,808.72 Fortified Provider Network — Commercial: $3,045.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$3,297	$2,472.75	$728.64 – $3,963
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,516.62 Amish Church Fund and Workers Aid Plan — Fund: $1,516.62 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $1,132.12 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,096.89
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$3,297	$2,472.75	$900 – $2,967.30
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,516.62 Amish Church Fund and Workers Aid Plan — Fund: $1,516.62 Anthem — Traditional: $2,199.10 Beech Street — Commercial: $2,637.60 Buckeye Plain Ministries — Fund: $1,516.62 Century Health Network — Commercial: $2,802.45 Christian Healthcare Ministries — Fund: $1,648.50 Cigna — PPO Commercial: $1,829.84 First Health — Commercial: $2,736.51 Fortified Provider Network — Commercial: $2,967.30
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,268	$3,201	$943.23 – $3,963
Ultrasound of the lower bowel by endoscope: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,132.12 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $2,037.81 Amish Aid Community Plan — Fund: $1,963.28 Amish Church Fund and Workers Aid Plan — Fund: $1,963.28 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $1,132.12 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,714.45
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,268	$3,201	$900 – $3,841.20
Ultrasound of the lower bowel by endoscope: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,963.28 Amish Church Fund and Workers Aid Plan — Fund: $1,963.28 Anthem — Traditional: $2,846.76 Beech Street — Commercial: $3,414.40 Buckeye Plain Ministries — Fund: $1,963.28 Century Health Network — Commercial: $3,627.80 Christian Healthcare Ministries — Fund: $2,134 Cigna — PPO Commercial: $2,368.74 First Health — Commercial: $3,542.44 Fortified Provider Network — Commercial: $3,841.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,470	$2,602.50	$766.87 – $3,710
Screening colonoscopy (not high risk): 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $879.81 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $1,583.66 Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $879.81 Anthem — Pathway Commercial: $3,340 Anthem — Traditional: $2,206.92
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$3,470	$2,602.50	$900 – $3,123
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,596.20 Amish Church Fund and Workers Aid Plan — Fund: $1,596.20 Anthem — Traditional: $2,314.49 Beech Street — Commercial: $2,776 Buckeye Plain Ministries — Fund: $1,596.20 Century Health Network — Commercial: $2,949.50 Christian Healthcare Ministries — Fund: $1,735 Cigna — PPO Commercial: $1,925.85 First Health — Commercial: $2,880.10 Fortified Provider Network — Commercial: $3,123
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,097 – $13,901
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates Aetna — Commercial: $5,958 Aetna — Medicare Advantage: $5,719.53 Aetna — OPN Commercial: $5,205.62 Ambetter — Commercial: $10,295.16 Anthem — Commercial: $5,097 Anthem — Medicare Advantage: $5,719.53 Anthem — Pathway Commercial: $5,664 CareSource — Marketplace: $10,295.16 Cigna — Medicare Advantage: $5,719.53 Cigna — OAP Commercial: $8,000
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,693.60 – $9,707
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates Aetna — Commercial: $5,095 Aetna — Medicare Advantage: $3,387.33 Aetna — OPN Commercial: $4,452.69 Ambetter — Commercial: $6,097.20 Anthem — Commercial: $4,574 Anthem — Medicare Advantage: $3,387.33 Anthem — Pathway Commercial: $5,083 CareSource — Marketplace: $6,097.20 Cigna — Medicare Advantage: $3,387.33 Cigna — OAP Commercial: $3,500
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,857.44 – $3,963
Prostate biopsy: rates for 10 insurance plans Aetna — Commercial: $3,710 Aetna — OPN Commercial: $3,241.41 Anthem — Commercial: $3,006 Anthem — Pathway Commercial: $3,340 Medical Mutual of Ohio — MedFlex Commercial: $3,963 Medical Mutual of Ohio — NAS Commercial: $3,963 Medical Mutual of Ohio — SuperMed Commercial: $3,963 United Healthcare — Commercial: $2,259.89 United Healthcare — Nexus Commercial: $1,988.83 University Health Employee Plan (Contigo) — Commercial: $1,857.44
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$4,574 – $24,126
Prostate removal by laparoscope (radical prostatectomy): 10 of 26 insurance plan rates Aetna — Commercial: $5,958 Aetna — Medicare Advantage: $10,056.64 Aetna — OPN Commercial: $5,205.62 Ambetter — Commercial: $18,101.96 Anthem — Commercial: $4,574 Anthem — Medicare Advantage: $10,056.64 Anthem — Pathway Commercial: $5,083 CareSource — Marketplace: $18,101.96 Cigna — Medicare Advantage: $10,056.64 Devoted Health — Medicare Advantage: $10,056.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX	$6,814	$5,110.50	$1,505.89 – $8,271
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates Aetna — Commercial: $4,544.94 Aetna — Medicare Advantage: $3,062.57 Aetna — OPN Commercial: $4,088.40 Ambetter — Commercial: $5,512.63 Amish Aid Community Plan — Fund: $3,134.44 Amish Church Fund and Workers Aid Plan — Fund: $3,134.44 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $3,062.57 Anthem — Pathway Commercial: $4,066 Anthem — Traditional: $4,333.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY,W/ENDO BX	$6,814	$5,110.50	$900 – $6,132.60
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $3,134.44 Amish Church Fund and Workers Aid Plan — Fund: $3,134.44 Anthem — Traditional: $4,544.94 Beech Street — Commercial: $5,451.20 Buckeye Plain Ministries — Fund: $3,134.44 Century Health Network — Commercial: $5,791.90 Christian Healthcare Ministries — Fund: $3,407 Cigna — PPO Commercial: $3,781.77 First Health — Commercial: $5,655.62 Fortified Provider Network — Commercial: $6,132.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,676.07 – $4,514.53
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Aetna — Commercial: $4,208 Aetna — OPN Commercial: $3,676.07 United Healthcare — Commercial: $4,514.53 United Healthcare — Nexus Commercial: $3,972.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,591	$1,943.25	$572.61 – $2,758
Spinal injection, lower back (epidural), with imaging guidance: 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $667.82 Aetna — OPN Commercial: $2,292.78 Ambetter — Commercial: $1,202.07 Amish Aid Community Plan — Fund: $1,191.86 Amish Church Fund and Workers Aid Plan — Fund: $1,191.86 Anthem — Commercial: $1,533.87 Anthem — Medicare Advantage: $667.82 Anthem — Pathway Commercial: $1,391.37 Anthem — Traditional: $1,647.88
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$2,591	$1,943.25	$900 – $2,331.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,191.86 Amish Church Fund and Workers Aid Plan — Fund: $1,191.86 Anthem — Traditional: $1,728.20 Beech Street — Commercial: $2,072.80 Buckeye Plain Ministries — Fund: $1,191.86 Century Health Network — Commercial: $2,202.35 Christian Healthcare Ministries — Fund: $1,295.50 Cigna — PPO Commercial: $1,438.01 First Health — Commercial: $2,150.53 Fortified Provider Network — Commercial: $2,331.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,224	$1,668	$491.50 – $2,758
Nerve root injection, lower back, with imaging guidance: 10 of 52 insurance plan rates Aetna — Commercial: $2,623 Aetna — Medicare Advantage: $836.78 Aetna — OPN Commercial: $2,292.78 Ambetter — Commercial: $1,506.20 Amish Aid Community Plan — Fund: $1,023.04 Amish Church Fund and Workers Aid Plan — Fund: $1,023.04 Anthem — Commercial: $2,189 Anthem — Medicare Advantage: $836.78 Anthem — Pathway Commercial: $2,432 Anthem — Traditional: $1,414.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,224	$1,668	$805.09 – $2,001.60
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $1,023.04 Amish Church Fund and Workers Aid Plan — Fund: $1,023.04 Anthem — Traditional: $1,483.41 Beech Street — Commercial: $1,779.20 Buckeye Plain Ministries — Fund: $1,023.04 Century Health Network — Commercial: $1,890.40 Christian Healthcare Ministries — Fund: $1,112 Cigna — PPO Commercial: $1,234.32 First Health — Commercial: $1,845.92 Fortified Provider Network — Commercial: $2,001.60
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,847.43 – $8,271
Carpal tunnel release: 10 of 28 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $1,847.43 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $3,325.37 Anthem — Commercial: $3,006 Anthem — Medicare Advantage: $1,847.43 Anthem — Pathway Commercial: $3,340 CareSource — Marketplace: $3,325.37 Cigna — Medicare Advantage: $1,847.43 Cigna — OAP Commercial: $2,690
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER	$1,999	$1,499.25	$441.78 – $3,710
Laser treatment of clouding after cataract surgery: 10 of 52 insurance plan rates Aetna — Commercial: $3,710 Aetna — Medicare Advantage: $520.34 Aetna — OPN Commercial: $3,241.41 Ambetter — Commercial: $936.61 Amish Aid Community Plan — Fund: $919.54 Amish Church Fund and Workers Aid Plan — Fund: $919.54 Anthem — Commercial: $2,222 Anthem — Medicare Advantage: $520.34 Anthem — Pathway Commercial: $2,469 Anthem — Traditional: $1,271.36
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DISCISSION,2ND CATARACT,LASER	$1,999	$1,499.25	$723.64 – $1,799.10
Laser treatment of clouding after cataract surgery: 10 of 21 insurance plan rates Amish Aid Community Plan — Fund: $919.54 Amish Church Fund and Workers Aid Plan — Fund: $919.54 Anthem — Traditional: $1,333.33 Beech Street — Commercial: $1,599.20 Buckeye Plain Ministries — Fund: $919.54 Century Health Network — Commercial: $1,699.15 Christian Healthcare Ministries — Fund: $999.50 Cigna — PPO Commercial: $1,109.45 First Health — Commercial: $1,659.17 Fortified Provider Network — Commercial: $1,799.10
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,183.38 – $8,271
Cataract removal with lens implant: 10 of 28 insurance plan rates Aetna — Commercial: $7,947 Aetna — Medicare Advantage: $2,183.38 Aetna — OPN Commercial: $6,944.26 Ambetter — Commercial: $3,930.08 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $2,183.38 Anthem — Pathway Commercial: $4,066 CareSource — Marketplace: $3,930.08 Cigna — Medicare Advantage: $2,183.38 Cigna — OAP Commercial: $8,000

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,162.78 – $4,066
Vaginal delivery, with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,162.78 Ambetter — Commercial: $3,893.01 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $2,162.78 Anthem — Pathway Commercial: $4,066 CareSource — Marketplace: $3,893.01 Cigna — Medicare Advantage: $2,162.78 Devoted Health — Medicare Advantage: $2,162.78 Humana — Medicare Advantage: $2,162.78 Medical Mutual of Ohio — Medicare Advantage: $2,162.78
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,418.69 – $4,353.65
Cesarean delivery (C-section), with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,418.69 Ambetter — Commercial: $4,353.65 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $2,418.69 Anthem — Pathway Commercial: $4,066 CareSource — Marketplace: $4,353.65 Cigna — Medicare Advantage: $2,418.69 Devoted Health — Medicare Advantage: $2,418.69 Humana — Medicare Advantage: $2,418.69 Medical Mutual of Ohio — Medicare Advantage: $2,418.69
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,279.90 – $4,103.82
Vaginal delivery after a previous C-section, with care before and after: 10 of 19 insurance plan rates Aetna — Medicare Advantage: $2,279.90 Ambetter — Commercial: $4,103.82 Anthem — Commercial: $3,659 Anthem — Medicare Advantage: $2,279.90 Anthem — Pathway Commercial: $4,066 CareSource — Marketplace: $4,103.82 Cigna — Medicare Advantage: $2,279.90 Devoted Health — Medicare Advantage: $2,279.90 Humana — Medicare Advantage: $2,279.90 Medical Mutual of Ohio — Medicare Advantage: $2,279.90

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$67,094.76 – $159,880.30
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates Aetna — Commercial: $134,718.94 Aetna — Medicare Advantage: $67,094.76 Aetna — OPN Commercial: $121,257.81 Ambetter — Commercial: $120,770.57 Anthem — Commercial: $134,572.20 Anthem — Medicare Advantage: $67,094.76 Anthem — Pathway Commercial: $121,111.06 AultCare — Commercial: $122,001.30 CareSource — Marketplace: $120,770.57 Cigna — Medicare Advantage: $67,094.76
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	$13,827.24 – $40,427
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates Aetna — Commercial: $26,562.88 Aetna — Medicare Advantage: $13,827.24 Aetna — OPN Commercial: $23,908.72 Ambetter — Commercial: $24,889.03 Anthem — Commercial: $26,533.95 Anthem — Medicare Advantage: $13,827.24 Anthem — Pathway Commercial: $23,879.78 AultCare — Commercial: $24,055.31 CareSource — Marketplace: $24,889.03 Cigna — Medicare Advantage: $13,827.24
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	$17,302.49 – $39,898.17
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates Aetna — Commercial: $30,350 Aetna — Medicare Advantage: $17,302.49 Aetna — OPN Commercial: $26,677 Ambetter — Commercial: $31,144.48 Anthem — Commercial: $33,582.52 Anthem — Medicare Advantage: $17,302.49 Anthem — Pathway Commercial: $30,223.29 AultCare — Commercial: $30,445.45 CareSource — Marketplace: $31,144.48 Cigna — Medicare Advantage: $17,302.49
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	$9,159.66 – $20,276.76
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates Aetna — Commercial: $17,085.68 Aetna — Medicare Advantage: $9,159.66 Aetna — OPN Commercial: $15,378.48 Ambetter — Commercial: $16,487.39 Anthem — Commercial: $17,067.07 Anthem — Medicare Advantage: $9,159.66 Anthem — Pathway Commercial: $15,359.87 AultCare — Commercial: $15,472.77 CareSource — Marketplace: $16,487.39 Cigna — Medicare Advantage: $9,159.66

Source: University Hospitals Ahuja Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 14, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3999 Richmond Road, Beachwood, OH 44122
County	Cuyahoga County
State	Ohio
Phone	(216) 593‑5511
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	360359
Name in Medicare records	UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	UH Ahuja Medical Center
Official website	uhhospitals.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, 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 2026-11-02.

Emergency Room in Beachwood, OH | UH Ahuja Medical Center Emergency Services & Treatment | University Hospitals — uhhospitals.org