Does University of Louisville Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University of Louisville Hospital. In a medical emergency, call 911.

Where is University of Louisville Hospital?

530 South Jackson Street, Louisville, KY 40202, in Jefferson County, Kentucky.

What is the phone number of University of Louisville Hospital?

(502) 562-3000, as listed by Medicare (CMS).

What is the Medicare star rating of University of Louisville Hospital?

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

University of Louisville Hospital

Quick answers

Does University of Louisville Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of Louisville Hospital. In a medical emergency, call 911.
Where is University of Louisville Hospital?: 530 South Jackson Street, Louisville, KY 40202, in Jefferson County, Kentucky.
What is the phone number of University of Louisville Hospital?: (502) 562-3000, as listed by Medicare (CMS).
What is the Medicare star rating of University of Louisville Hospital?: 1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][12][15][17]}

Burn Center
Cancer care
Radiology
Hospital Medicine
Trauma
Stroke
Orthopedics
Heart care
Lung care
Digestive services and endoscopy
Psychiatric care
Mental and behavioral health
High-risk obstetrics
Surgery
Inpatient rehab
Emergency care

Conditions treated^{[4][5][10][12][16]}

Stroke
Burn injuries
Traumatic injuries
Blood cancers
Brain and spine cancer
Breast cancer
Lung cancer
Substance use disorder

Treatments^{[4][6][7][8][12][15][16]}

Robotic surgery
Bone marrow transplant
Stem cell transplant
CAR T-cell therapy
Tumor infiltrating lymphocyte (TIL) therapy
Art therapy
Peer support

Procedures^[4][17]

Robotic surgery (da Vinci)
Sexual assault forensic examinations
Chemical and biological decontamination

Programs and centers^{[4][6][9][10][11][12][15][16][17]}

Burn Center
Trauma Program Support and Resources
Blood Cancers, Cellular Therapeutics and Transplant (BCT) Program
Center for Women & Infants
SAFE Services
First Care (minor illness and injury area in the ED)
Outpatient Trauma Clinic
Traumatic Injury Support Group
Caregiver Hour
Trauma Survivors Network
Trauma facility dog (Roo)
Addiction Program Social Workers
Brown Cancer Center (UofL Health)

Emergency care (hospital website)^{[4][5][12][17]}

Emergency room	Yes
Trauma designation	Level I
Stroke designation	Nationally accredited stroke center

Visiting and practical information

Visiting	Main entrance 5:30 a.m.-9 p.m. (6 a.m.-9 p.m. weekends/holidays); pedway and ED entrances open 24 hours for visitors^[13]
Parking	UofL Hospital Parking Garage, 522-524 S. Jackson St. Attendant on duty; free weekend parking 11 p.m.-6 a.m. Fri-Mon^[14]

Recognition^[4][5]

Get With The Guidelines – Stroke quality achievement award (2026)
American College of Surgeons verified Level I Trauma Center

Doctors and clinicians (780)

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

Main specialties

And 756 more: the button below opens the full list.

Other emergency rooms nearby

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

UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital0.2 mi · Louisville, KY · Acute Care Hospital
Norton Hospitals, Inc0.4 mi · Louisville, KY · Acute Care Hospital
Louisville VA Medical Center3.1 mi · Louisville, KY · Federal/VA Acute Care Hospital
Wellstone Regional Hospital5.8 mi · Jeffersonville, IN · Psychiatric Hospital
Baptist Health Louisville5.9 mi · Louisville, KY · Acute Care Hospital

Other hospitals nearby

Kindred Hospital Louisville0.9 mi · Louisville, KY · Long-Term Acute Care Hospital
Brightwell Behavioral Health5.0 mi · Clarksville, IN · Psychiatric Hospital
PAM Health Rehabilitation Hospital of Greater Indi…5.6 mi · Clarksville, IN · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Home of the Innocents0.8 mi · Louisville, KY · 2 of 5 stars
Kindred Hospital - Louisville0.9 mi · Louisville, KY · 2 of 5 stars
River Oaks Health & Rehabilitation0.9 mi · Louisville, KY · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hosparus, Inc3.8 mi · Louisville, KY · 4 of 5 stars
Hosparus Southern Indiana6.1 mi · New Albany, IN · 4 of 5 stars
Interim Healthcare Hospice of Lawrenceburg6.1 mi · New Albany, IN

All hospice providers in the state →

Home health agencies

Common Spirit Health at Home4.6 mi · Clarksville, IN · 4 of 5 stars
Baptist Health Home Care Ky, LLC dba Baptist Home Health Care4.9 mi · Louisville, KY
Centerwell Home Health4.9 mi · Louisville, KY

All home health agencies in the state →

Dialysis facilities

American Kidney Center0.5 mi · Louisville, KY · 1 of 5 stars
DaVita West Broadway Dialysis0.5 mi · Louisville, KY · 3 of 5 stars
FMC - Louisville0.5 mi · Louisville, KY · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Louisville Surgery Center0.5 mi · Louisville, KY
Louisville Endoscopy Center2.3 mi · Louisville, KY
Dental Surgicenter of Louisville, LLC3.8 mi · Louisville, KY

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

Phoenix Health Center for the Homeless0.3 mi · Louisville, KY · Community health center
Family Health Center-East Broadway0.5 mi · Louisville, KY · Community health center
Family Health Centers, Inc. - Wayside Hotel Louisville0.6 mi · Louisville, KY · Community health center

Clinics and urgent care

American Current Care P.A.0.5 mi · Louisville, KY · Urgent care center
Norton Enterprises, Inc.0.5 mi · Louisville, KY · Urgent care center
American Current Care P.A .1.1 mi · Louisville, KY · Urgent care center

Pharmacies

Family Health Centers Inc0.5 mi · Louisville, KY · Community/retail pharmacy
Norton Hospitals Inc0.5 mi · Louisville, KY · Community/retail pharmacy
Tower Pharmaceuticals, LLC0.5 mi · Louisville, KY · Community/retail pharmacy

Assisted living nearby

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

Twin Brook Assisted Living3.8 mi · Louisville, KY
Grove Pointe Assisted Living4.4 mi · Masonic Home, KY
Belmont Village4.9 mi · Louisville, KY
Belmont Village4.9 mi · Louisville, KY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 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	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	72%National average: 80%
Doctors “always” communicated well	74%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	73%National average: 74%
Area around the room “always” quiet at night	46%National average: 60%
Completed surveys	2,237Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.594No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.851No different from the national benchmark
Surgical site infections after colon surgery	1.588No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.564No different from the national benchmark
MRSA bloodstream infections	1.276No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.362Better 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	12.5%
Deaths within 30 days: heart failure patients	12%
Deaths within 30 days: pneumonia patients	18.7%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	11.3%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.91No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	19.4%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	21%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	198 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	68%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 Louisville Best hospitals in Louisville

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as University of Louisville Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

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 OUTPT NEW LVL 3	$277	$66.48	$46.54 – $277
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $46.65 Anthem — IN Medicaid: $277 Anthem — KY Pathway PPO/HMO: $46.54 Anthem — PPO/HMO: $50.14 Anthem — Traditional: $50.14 Corvel — Commercial: $277 CSHN — Commercial: $180.05 Devoted — Medicare Advantage: $83.10 Encore — Commercial: $193.90 Health Smart — Commercial: $207.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 3	$277	$66.48	$46.54 – $277
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $46.65 Anthem — IN Medicaid: $277 Anthem — KY Pathway PPO/HMO: $46.54 Anthem — PPO/HMO: $50.14 Anthem — Traditional: $50.14 Corvel — Commercial: $277 CSHN — Commercial: $180.05 Devoted — Medicare Advantage: $83.10 Encore — Commercial: $193.90 Health Smart — Commercial: $207.75
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LVL 3	$277	$66.48	$46.54 – $277
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $46.65 Anthem — IN Medicaid: $277 Anthem — KY Pathway PPO/HMO: $46.54 Anthem — PPO/HMO: $50.14 Anthem — Traditional: $50.14 Corvel — Commercial: $277 CSHN — Commercial: $180.05 Devoted — Medicare Advantage: $83.10 Encore — Commercial: $193.90 Health Smart — Commercial: $207.75
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OUTPT NEW LVL 4	$384	$92.16	$64.51 – $384
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $64.67 Anthem — IN Medicaid: $384 Anthem — KY Pathway PPO/HMO: $64.51 Anthem — PPO/HMO: $69.50 Anthem — Traditional: $69.50 Corvel — Commercial: $384 CSHN — Commercial: $249.60 Devoted — Medicare Advantage: $115.20 Encore — Commercial: $268.80 Health Smart — Commercial: $288
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 4	$384	$92.16	$64.51 – $384
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $64.67 Anthem — IN Medicaid: $384 Anthem — KY Pathway PPO/HMO: $64.51 Anthem — PPO/HMO: $69.50 Anthem — Traditional: $69.50 Corvel — Commercial: $384 CSHN — Commercial: $249.60 Devoted — Medicare Advantage: $115.20 Encore — Commercial: $268.80 Health Smart — Commercial: $288
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LVL 4	$384	$92.16	$64.51 – $384
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $64.67 Anthem — IN Medicaid: $384 Anthem — KY Pathway PPO/HMO: $64.51 Anthem — PPO/HMO: $69.50 Anthem — Traditional: $69.50 Corvel — Commercial: $384 CSHN — Commercial: $249.60 Devoted — Medicare Advantage: $115.20 Encore — Commercial: $268.80 Health Smart — Commercial: $288
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OUTPT NEW LVL 5	$460	$110.40	$77.28 – $460
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $77.46 Anthem — IN Medicaid: $460 Anthem — KY Pathway PPO/HMO: $77.28 Anthem — PPO/HMO: $83.26 Anthem — Traditional: $83.26 Corvel — Commercial: $460 CSHN — Commercial: $299 Devoted — Medicare Advantage: $138 Encore — Commercial: $322 Health Smart — Commercial: $345
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEVEL 5	$460	$110.40	$77.28 – $460
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $77.46 Anthem — IN Medicaid: $460 Anthem — KY Pathway PPO/HMO: $77.28 Anthem — PPO/HMO: $83.26 Anthem — Traditional: $83.26 Corvel — Commercial: $460 CSHN — Commercial: $299 Devoted — Medicare Advantage: $138 Encore — Commercial: $322 Health Smart — Commercial: $345
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE VISIT NEW LVL 5	$460	$110.40	$77.28 – $460
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $77.46 Anthem — IN Medicaid: $460 Anthem — KY Pathway PPO/HMO: $77.28 Anthem — PPO/HMO: $83.26 Anthem — Traditional: $83.26 Corvel — Commercial: $460 CSHN — Commercial: $299 Devoted — Medicare Advantage: $138 Encore — Commercial: $322 Health Smart — Commercial: $345
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED LEVEL 3	$236	$56.64	$39.65 – $236
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $39.74 Anthem — IN Medicaid: $236 Anthem — KY Pathway PPO/HMO: $39.65 Anthem — PPO/HMO: $42.72 Anthem — Traditional: $42.72 Corvel — Commercial: $236 CSHN — Commercial: $153.40 Devoted — Medicare Advantage: $70.80 Encore — Commercial: $165.20 Health Smart — Commercial: $177
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PATIENT VISIT LEVEL 3 ENDO	$236	$56.64	$39.65 – $236
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $39.74 Anthem — IN Medicaid: $236 Anthem — KY Pathway PPO/HMO: $39.65 Anthem — PPO/HMO: $42.72 Anthem — Traditional: $42.72 Corvel — Commercial: $236 CSHN — Commercial: $153.40 Devoted — Medicare Advantage: $70.80 Encore — Commercial: $165.20 Health Smart — Commercial: $177
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 3	$236	$56.64	$39.65 – $236
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $39.74 Anthem — IN Medicaid: $236 Anthem — KY Pathway PPO/HMO: $39.65 Anthem — PPO/HMO: $42.72 Anthem — Traditional: $42.72 Corvel — Commercial: $236 CSHN — Commercial: $153.40 Devoted — Medicare Advantage: $70.80 Encore — Commercial: $165.20 Health Smart — Commercial: $177
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED LEVEL 4	$281	$67.44	$47.21 – $281
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $47.32 Anthem — IN Medicaid: $281 Anthem — KY Pathway PPO/HMO: $47.21 Anthem — PPO/HMO: $50.86 Anthem — Traditional: $50.86 Corvel — Commercial: $281 CSHN — Commercial: $182.65 Devoted — Medicare Advantage: $84.30 Encore — Commercial: $196.70 Health Smart — Commercial: $210.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PATIENT VISIT LEVEL 4 ENDO	$281	$67.44	$47.21 – $281
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $47.32 Anthem — IN Medicaid: $281 Anthem — KY Pathway PPO/HMO: $47.21 Anthem — PPO/HMO: $50.86 Anthem — Traditional: $50.86 Corvel — Commercial: $281 CSHN — Commercial: $182.65 Devoted — Medicare Advantage: $84.30 Encore — Commercial: $196.70 Health Smart — Commercial: $210.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEVEL 4	$281	$67.44	$47.21 – $281
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $47.32 Anthem — IN Medicaid: $281 Anthem — KY Pathway PPO/HMO: $47.21 Anthem — PPO/HMO: $50.86 Anthem — Traditional: $50.86 Corvel — Commercial: $281 CSHN — Commercial: $182.65 Devoted — Medicare Advantage: $84.30 Encore — Commercial: $196.70 Health Smart — Commercial: $210.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$184	$44.16	$30.91 – $184
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $30.99 Anthem — IN Medicaid: $184 Anthem — KY Pathway PPO/HMO: $30.91 Anthem — PPO/HMO: $33.30 Anthem — Traditional: $33.30 Corvel — Commercial: $184 CSHN — Commercial: $119.60 Devoted — Medicare Advantage: $55.20 Encore — Commercial: $128.80 Health Smart — Commercial: $138
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$184	$44.16	$50.82 – $184
Office consultation with a specialist (moderate): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $73.64 Anthem — PPO/HMO: $79.18 Anthem — Traditional: $79.18 Corvel — Commercial: $184 CSHN — Commercial: $184 Devoted — Medicare Advantage: $55.20 Encore — Commercial: $128.80 Health Smart — Commercial: $138 Multiplan — Commercial: $121.44 Multiplan — Workers Comp: $165.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$207	$49.68	$34.78 – $207
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $34.86 Anthem — IN Medicaid: $207 Anthem — KY Pathway PPO/HMO: $34.78 Anthem — PPO/HMO: $37.47 Anthem — Traditional: $37.47 Corvel — Commercial: $207 CSHN — Commercial: $134.55 Devoted — Medicare Advantage: $62.10 Encore — Commercial: $144.90 Health Smart — Commercial: $155.25
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$207	$49.68	$57.17 – $207
Office consultation with a specialist (moderate to high): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $82.84 Anthem — PPO/HMO: $89.07 Anthem — Traditional: $89.07 Corvel — Commercial: $207 CSHN — Commercial: $207 Devoted — Medicare Advantage: $62.10 Encore — Commercial: $144.90 Health Smart — Commercial: $155.25 Multiplan — Commercial: $136.62 Multiplan — Workers Comp: $186.30
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$84.70
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan Humana — Military Tricare: $84.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$102.69
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan Humana — Military Tricare: $102.69
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 3	$906	$217.44	$152.21 – $906
Emergency room visit (moderate): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $152.57 Anthem — IN Medicaid: $906 Anthem — KY Pathway PPO/HMO: $152.21 Anthem — PPO/HMO: $163.99 Anthem — Traditional: $163.99 Corvel — Commercial: $906 CSHN — Commercial: $588.90 Devoted — Medicare Advantage: $271.80 Encore — Commercial: $634.20 Health Smart — Commercial: $679.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS LEVEL THREE	$906	$217.44	$152.21 – $906
Emergency room visit (moderate): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $152.57 Anthem — IN Medicaid: $906 Anthem — KY Pathway PPO/HMO: $152.21 Anthem — PPO/HMO: $163.99 Anthem — Traditional: $163.99 Corvel — Commercial: $906 CSHN — Commercial: $588.90 Devoted — Medicare Advantage: $271.80 Encore — Commercial: $634.20 Health Smart — Commercial: $679.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SAFE SERVICES LEVEL 3	$906	$217.44	$152.21 – $906
Emergency room visit (moderate): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $152.57 Anthem — IN Medicaid: $906 Anthem — KY Pathway PPO/HMO: $152.21 Anthem — PPO/HMO: $163.99 Anthem — Traditional: $163.99 Corvel — Commercial: $906 CSHN — Commercial: $588.90 Devoted — Medicare Advantage: $271.80 Encore — Commercial: $634.20 Health Smart — Commercial: $679.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 4	$1,710	$410.40	$287.28 – $1,710
Emergency room visit (moderately high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $287.96 Anthem — IN Medicaid: $1,710 Anthem — KY Pathway PPO/HMO: $287.28 Anthem — PPO/HMO: $309.51 Anthem — Traditional: $309.51 Corvel — Commercial: $1,710 CSHN — Commercial: $1,111.50 Devoted — Medicare Advantage: $513 Encore — Commercial: $1,197 Health Smart — Commercial: $1,282.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS LEVEL FOUR	$1,710	$410.40	$287.28 – $1,710
Emergency room visit (moderately high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $287.96 Anthem — IN Medicaid: $1,710 Anthem — KY Pathway PPO/HMO: $287.28 Anthem — PPO/HMO: $309.51 Anthem — Traditional: $309.51 Corvel — Commercial: $1,710 CSHN — Commercial: $1,111.50 Devoted — Medicare Advantage: $513 Encore — Commercial: $1,197 Health Smart — Commercial: $1,282.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SAFE SERVICES LEVEL 4	$1,710	$410.40	$287.28 – $1,710
Emergency room visit (moderately high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $287.96 Anthem — IN Medicaid: $1,710 Anthem — KY Pathway PPO/HMO: $287.28 Anthem — PPO/HMO: $309.51 Anthem — Traditional: $309.51 Corvel — Commercial: $1,710 CSHN — Commercial: $1,111.50 Devoted — Medicare Advantage: $513 Encore — Commercial: $1,197 Health Smart — Commercial: $1,282.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 5	$3,452	$828.48	$579.94 – $3,452
Emergency room visit (high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $581.32 Anthem — IN Medicaid: $3,452 Anthem — KY Pathway PPO/HMO: $579.94 Anthem — PPO/HMO: $624.81 Anthem — Traditional: $624.81 Corvel — Commercial: $3,452 CSHN — Commercial: $2,243.80 Devoted — Medicare Advantage: $1,035.60 Encore — Commercial: $2,416.40 Health Smart — Commercial: $2,589
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS LEVEL FIVE	$3,452	$828.48	$579.94 – $3,452
Emergency room visit (high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $581.32 Anthem — IN Medicaid: $3,452 Anthem — KY Pathway PPO/HMO: $579.94 Anthem — PPO/HMO: $624.81 Anthem — Traditional: $624.81 Corvel — Commercial: $3,452 CSHN — Commercial: $2,243.80 Devoted — Medicare Advantage: $1,035.60 Encore — Commercial: $2,416.40 Health Smart — Commercial: $2,589
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SAFE SERVICES LEVEL 5	$3,452	$828.48	$579.94 – $3,452
Emergency room visit (high): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $581.32 Anthem — IN Medicaid: $3,452 Anthem — KY Pathway PPO/HMO: $579.94 Anthem — PPO/HMO: $624.81 Anthem — Traditional: $624.81 Corvel — Commercial: $3,452 CSHN — Commercial: $2,243.80 Devoted — Medicare Advantage: $1,035.60 Encore — Commercial: $2,416.40 Health Smart — Commercial: $2,589

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$338	$81.12	$56.78 – $338
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $56.92 Anthem — IN Medicaid: $338 Anthem — KY Pathway PPO/HMO: $56.78 Anthem — PPO/HMO: $61.18 Anthem — Traditional: $61.18 Corvel — Commercial: $338 CSHN — Commercial: $219.70 Devoted — Medicare Advantage: $101.40 Encore — Commercial: $236.60 Health Smart — Commercial: $253.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$338	$81.12	$93.36 – $338
Basic metabolic panel (blood test): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $135.27 Anthem — PPO/HMO: $145.44 Anthem — Traditional: $145.44 Corvel — Commercial: $338 CSHN — Commercial: $338 Devoted — Medicare Advantage: $101.40 Encore — Commercial: $236.60 Health Smart — Commercial: $253.50 Multiplan — Commercial: $223.08 Multiplan — Workers Comp: $304.20
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$5.69 – $15.23
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $8.04 Anthem — IN Medicaid: $8.73 Anthem — KY Pathway PPO/HMO: $5.69 Anthem — Medicare Advantage: $8.46 Anthem — PPO/HMO: $5.69 Anthem — Traditional: $5.69 Cigna — Commercial: $13.79 CommuniCare — Medicare Advantage: $8.88 Devoted — Medicare Advantage: $8.88 Essence Health — Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$590	$141.60	$99.12 – $590
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $99.36 Anthem — IN Medicaid: $590 Anthem — KY Pathway PPO/HMO: $99.12 Anthem — PPO/HMO: $106.79 Anthem — Traditional: $106.79 Corvel — Commercial: $590 CSHN — Commercial: $383.50 Devoted — Medicare Advantage: $177 Encore — Commercial: $413 Health Smart — Commercial: $442.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$590	$141.60	$162.96 – $590
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $236.12 Anthem — PPO/HMO: $253.88 Anthem — Traditional: $253.88 Corvel — Commercial: $590 CSHN — Commercial: $590 Devoted — Medicare Advantage: $177 Encore — Commercial: $413 Health Smart — Commercial: $442.50 Multiplan — Commercial: $389.40 Multiplan — Workers Comp: $531
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$7.15 – $19.01
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $10.03 Anthem — IN Medicaid: $10.90 Anthem — KY Pathway PPO/HMO: $7.15 Anthem — Medicare Advantage: $10.56 Anthem — PPO/HMO: $7.15 Anthem — Traditional: $7.15 Cigna — Commercial: $17.21 CommuniCare — Medicare Advantage: $11.09 Devoted — Medicare Advantage: $11.09 Essence Health — Medicare Advantage: $10.56
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	$45.42 – $86.06
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $45.42 Anthem — IN Medicaid: $49.34 Anthem — KY Pathway PPO/HMO: $53.28 Anthem — Medicare Advantage: $47.81 Anthem — PPO/HMO: $53.28 Anthem — Traditional: $53.28 Cigna — Commercial: $77.93 CommuniCare — Medicare Advantage: $50.20 Devoted — Medicare Advantage: $50.20 Essence Health — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$609	$146.16	$102.31 – $609
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $102.56 Anthem — IN Medicaid: $609 Anthem — KY Pathway PPO/HMO: $102.31 Anthem — PPO/HMO: $110.23 Anthem — Traditional: $110.23 Corvel — Commercial: $609 CSHN — Commercial: $395.85 Devoted — Medicare Advantage: $182.70 Encore — Commercial: $426.30 Health Smart — Commercial: $456.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$609	$146.16	$168.21 – $609
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $243.72 Anthem — PPO/HMO: $262.05 Anthem — Traditional: $262.05 Corvel — Commercial: $609 CSHN — Commercial: $609 Devoted — Medicare Advantage: $182.70 Encore — Commercial: $426.30 Health Smart — Commercial: $456.75 Multiplan — Commercial: $401.94 Multiplan — Workers Comp: $548.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$9.68 – $24.10
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $12.72 Anthem — IN Medicaid: $13.82 Anthem — KY Pathway PPO/HMO: $9.68 Anthem — Medicare Advantage: $13.39 Anthem — PPO/HMO: $9.68 Anthem — Traditional: $9.68 Cigna — Commercial: $21.83 CommuniCare — Medicare Advantage: $14.06 Devoted — Medicare Advantage: $14.06 Essence Health — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$384	$92.16	$64.51 – $384
Kidney function panel: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $64.67 Anthem — IN Medicaid: $384 Anthem — KY Pathway PPO/HMO: $64.51 Anthem — PPO/HMO: $69.50 Anthem — Traditional: $69.50 Corvel — Commercial: $384 CSHN — Commercial: $249.60 Devoted — Medicare Advantage: $115.20 Encore — Commercial: $268.80 Health Smart — Commercial: $288
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$384	$92.16	$106.06 – $384
Kidney function panel: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $153.68 Anthem — PPO/HMO: $165.24 Anthem — Traditional: $165.24 Corvel — Commercial: $384 CSHN — Commercial: $384 Devoted — Medicare Advantage: $115.20 Encore — Commercial: $268.80 Health Smart — Commercial: $288 Multiplan — Commercial: $253.44 Multiplan — Workers Comp: $345.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$5.69 – $15.62
Kidney function panel: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $8.25 Anthem — IN Medicaid: $8.96 Anthem — KY Pathway PPO/HMO: $5.69 Anthem — Medicare Advantage: $8.68 Anthem — PPO/HMO: $5.69 Anthem — Traditional: $5.69 Cigna — Commercial: $14.15 CommuniCare — Medicare Advantage: $9.11 Devoted — Medicare Advantage: $9.11 Essence Health — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$282	$67.68	$47.38 – $282
Liver function panel: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $47.49 Anthem — IN Medicaid: $282 Anthem — KY Pathway PPO/HMO: $47.38 Anthem — PPO/HMO: $51.04 Anthem — Traditional: $51.04 Corvel — Commercial: $282 CSHN — Commercial: $183.30 Devoted — Medicare Advantage: $84.60 Encore — Commercial: $197.40 Health Smart — Commercial: $211.50
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$282	$67.68	$77.89 – $282
Liver function panel: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $112.86 Anthem — PPO/HMO: $121.34 Anthem — Traditional: $121.34 Corvel — Commercial: $282 CSHN — Commercial: $282 Devoted — Medicare Advantage: $84.60 Encore — Commercial: $197.40 Health Smart — Commercial: $211.50 Multiplan — Commercial: $186.12 Multiplan — Workers Comp: $253.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$5.69 – $14.71
Liver function panel: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $7.76 Anthem — IN Medicaid: $8.43 Anthem — KY Pathway PPO/HMO: $5.69 Anthem — Medicare Advantage: $8.17 Anthem — PPO/HMO: $5.69 Anthem — Traditional: $5.69 Cigna — Commercial: $13.32 CommuniCare — Medicare Advantage: $8.58 Devoted — Medicare Advantage: $8.58 Essence Health — Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W SCOPE	$97	$23.28	$16.30 – $97
Urine test (automated, with microscope): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $16.33 Anthem — IN Medicaid: $97 Anthem — KY Pathway PPO/HMO: $16.30 Anthem — PPO/HMO: $17.56 Anthem — Traditional: $17.56 Corvel — Commercial: $97 CSHN — Commercial: $63.05 Devoted — Medicare Advantage: $29.10 Encore — Commercial: $67.90 Health Smart — Commercial: $72.75
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W SCOPE	$97	$23.28	$26.79 – $97
Urine test (automated, with microscope): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $38.82 Anthem — PPO/HMO: $41.74 Anthem — Traditional: $41.74 Corvel — Commercial: $97 CSHN — Commercial: $97 Devoted — Medicare Advantage: $29.10 Encore — Commercial: $67.90 Health Smart — Commercial: $72.75 Multiplan — Commercial: $64.02 Multiplan — Workers Comp: $87.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$2.69 – $5.71
Urine test (automated, with microscope): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $3.01 Anthem — IN Medicaid: $3.27 Anthem — KY Pathway PPO/HMO: $2.69 Anthem — Medicare Advantage: $3.17 Anthem — PPO/HMO: $2.69 Anthem — Traditional: $2.69 Cigna — Commercial: $5.17 CommuniCare — Medicare Advantage: $3.33 Devoted — Medicare Advantage: $3.33 Essence Health — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$39	$9.36	$6.55 – $39
Urine test (manual, without microscope): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $6.57 Anthem — IN Medicaid: $39 Anthem — KY Pathway PPO/HMO: $6.55 Anthem — PPO/HMO: $7.06 Anthem — Traditional: $7.06 Corvel — Commercial: $39 CSHN — Commercial: $25.35 Devoted — Medicare Advantage: $11.70 Encore — Commercial: $27.30 Health Smart — Commercial: $29.25
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$39	$9.36	$10.77 – $39
Urine test (manual, without microscope): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $15.61 Anthem — PPO/HMO: $16.78 Anthem — Traditional: $16.78 Corvel — Commercial: $39 CSHN — Commercial: $39 Devoted — Medicare Advantage: $11.70 Encore — Commercial: $27.30 Health Smart — Commercial: $29.25 Multiplan — Commercial: $25.74 Multiplan — Workers Comp: $35.10
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$2.05 – $6.26
Urine test (manual, without microscope): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $3.31 Anthem — IN Medicaid: $3.59 Anthem — KY Pathway PPO/HMO: $2.05 Anthem — Medicare Advantage: $3.48 Anthem — PPO/HMO: $2.05 Anthem — Traditional: $2.05 Cigna — Commercial: $5.67 CommuniCare — Medicare Advantage: $3.65 Devoted — Medicare Advantage: $3.65 Essence Health — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W O SCOPE	$43	$10.32	$7.22 – $43
Urine test (automated, without microscope): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $7.24 Anthem — IN Medicaid: $43 Anthem — KY Pathway PPO/HMO: $7.22 Anthem — PPO/HMO: $7.78 Anthem — Traditional: $7.78 Corvel — Commercial: $43 CSHN — Commercial: $27.95 Devoted — Medicare Advantage: $12.90 Encore — Commercial: $30.10 Health Smart — Commercial: $32.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W O SCOPE	$43	$10.32	$11.88 – $43
Urine test (automated, without microscope): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $17.21 Anthem — PPO/HMO: $18.50 Anthem — Traditional: $18.50 Corvel — Commercial: $43 CSHN — Commercial: $43 Devoted — Medicare Advantage: $12.90 Encore — Commercial: $30.10 Health Smart — Commercial: $32.25 Multiplan — Commercial: $28.38 Multiplan — Workers Comp: $38.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$1.91 – $4.05
Urine test (automated, without microscope): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $2.14 Anthem — IN Medicaid: $2.32 Anthem — KY Pathway PPO/HMO: $1.91 Anthem — Medicare Advantage: $2.25 Anthem — PPO/HMO: $1.91 Anthem — Traditional: $1.91 Cigna — Commercial: $3.67 CommuniCare — Medicare Advantage: $2.36 Devoted — Medicare Advantage: $2.36 Essence Health — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$238	$57.12	$39.98 – $238
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $40.08 Anthem — IN Medicaid: $238 Anthem — KY Pathway PPO/HMO: $39.98 Anthem — PPO/HMO: $43.08 Anthem — Traditional: $43.08 Corvel — Commercial: $238 CSHN — Commercial: $154.70 Devoted — Medicare Advantage: $71.40 Encore — Commercial: $166.60 Health Smart — Commercial: $178.50
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$238	$57.12	$65.74 – $238
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $95.25 Anthem — PPO/HMO: $102.41 Anthem — Traditional: $102.41 Corvel — Commercial: $238 CSHN — Commercial: $238 Devoted — Medicare Advantage: $71.40 Encore — Commercial: $166.60 Health Smart — Commercial: $178.50 Multiplan — Commercial: $157.08 Multiplan — Workers Comp: $214.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$15.64 – $33.10
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $17.47 Anthem — IN Medicaid: $18.98 Anthem — KY Pathway PPO/HMO: $15.64 Anthem — Medicare Advantage: $18.39 Anthem — PPO/HMO: $15.64 Anthem — Traditional: $15.64 Cigna — Commercial: $29.98 CommuniCare — Medicare Advantage: $19.31 Devoted — Medicare Advantage: $19.31 Essence Health — Medicare Advantage: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF THYROID STIM HORMONE	$97	$23.28	$16.30 – $97
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $16.33 Anthem — IN Medicaid: $97 Anthem — KY Pathway PPO/HMO: $16.30 Anthem — PPO/HMO: $17.56 Anthem — Traditional: $17.56 Corvel — Commercial: $97 CSHN — Commercial: $63.05 Devoted — Medicare Advantage: $29.10 Encore — Commercial: $67.90 Health Smart — Commercial: $72.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY OF THYROID STIM HORMONE	$97	$23.28	$26.79 – $97
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $38.82 Anthem — PPO/HMO: $41.74 Anthem — Traditional: $41.74 Corvel — Commercial: $97 CSHN — Commercial: $97 Devoted — Medicare Advantage: $29.10 Encore — Commercial: $67.90 Health Smart — Commercial: $72.75 Multiplan — Commercial: $64.02 Multiplan — Workers Comp: $87.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$14.28 – $30.24
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $15.96 Anthem — IN Medicaid: $17.34 Anthem — KY Pathway PPO/HMO: $14.28 Anthem — Medicare Advantage: $16.80 Anthem — PPO/HMO: $14.28 Anthem — Traditional: $14.28 Cigna — Commercial: $27.38 CommuniCare — Medicare Advantage: $17.64 Devoted — Medicare Advantage: $17.64 Essence Health — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W AUTO DIFF WBC	$173	$41.52	$29.06 – $173
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $29.13 Anthem — IN Medicaid: $173 Anthem — KY Pathway PPO/HMO: $29.06 Anthem — PPO/HMO: $31.31 Anthem — Traditional: $31.31 Corvel — Commercial: $173 CSHN — Commercial: $112.45 Devoted — Medicare Advantage: $51.90 Encore — Commercial: $121.10 Health Smart — Commercial: $129.75
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W AUTO DIFF WBC	$173	$41.52	$47.78 – $173
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $69.23 Anthem — PPO/HMO: $74.44 Anthem — Traditional: $74.44 Corvel — Commercial: $173 CSHN — Commercial: $173 Devoted — Medicare Advantage: $51.90 Encore — Commercial: $121.10 Health Smart — Commercial: $129.75 Multiplan — Commercial: $114.18 Multiplan — Workers Comp: $155.70
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$6.61 – $13.99
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $7.38 Anthem — IN Medicaid: $8.02 Anthem — KY Pathway PPO/HMO: $6.61 Anthem — Medicare Advantage: $7.77 Anthem — PPO/HMO: $6.61 Anthem — Traditional: $6.61 Cigna — Commercial: $12.67 CommuniCare — Medicare Advantage: $8.16 Devoted — Medicare Advantage: $8.16 Essence Health — Medicare Advantage: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$153	$36.72	$25.70 – $153
Complete blood count (CBC), automated: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $25.77 Anthem — IN Medicaid: $153 Anthem — KY Pathway PPO/HMO: $25.70 Anthem — PPO/HMO: $27.69 Anthem — Traditional: $27.69 Corvel — Commercial: $153 CSHN — Commercial: $99.45 Devoted — Medicare Advantage: $45.90 Encore — Commercial: $107.10 Health Smart — Commercial: $114.75
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$153	$36.72	$42.26 – $153
Complete blood count (CBC), automated: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $61.23 Anthem — PPO/HMO: $65.84 Anthem — Traditional: $65.84 Corvel — Commercial: $153 CSHN — Commercial: $153 Devoted — Medicare Advantage: $45.90 Encore — Commercial: $107.10 Health Smart — Commercial: $114.75 Multiplan — Commercial: $100.98 Multiplan — Workers Comp: $137.70
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$5.50 – $11.65
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $6.15 Anthem — IN Medicaid: $6.68 Anthem — KY Pathway PPO/HMO: $5.50 Anthem — Medicare Advantage: $6.47 Anthem — PPO/HMO: $5.50 Anthem — Traditional: $5.50 Cigna — Commercial: $10.55 CommuniCare — Medicare Advantage: $6.79 Devoted — Medicare Advantage: $6.79 Essence Health — Medicare Advantage: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SO PROTHROMBIN TIME	$53	$12.72	$8.90 – $53
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $8.93 Anthem — IN Medicaid: $53 Anthem — KY Pathway PPO/HMO: $8.90 Anthem — PPO/HMO: $9.59 Anthem — Traditional: $9.59 Corvel — Commercial: $53 CSHN — Commercial: $34.45 Devoted — Medicare Advantage: $15.90 Encore — Commercial: $37.10 Health Smart — Commercial: $39.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$53	$12.72	$8.90 – $53
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $8.93 Anthem — IN Medicaid: $53 Anthem — KY Pathway PPO/HMO: $8.90 Anthem — PPO/HMO: $9.59 Anthem — Traditional: $9.59 Corvel — Commercial: $53 CSHN — Commercial: $34.45 Devoted — Medicare Advantage: $15.90 Encore — Commercial: $37.10 Health Smart — Commercial: $39.75
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SO PROTHROMBIN TIME	$53	$12.72	$14.64 – $53
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $21.21 Anthem — PPO/HMO: $22.81 Anthem — Traditional: $22.81 Corvel — Commercial: $53 CSHN — Commercial: $53 Devoted — Medicare Advantage: $15.90 Encore — Commercial: $37.10 Health Smart — Commercial: $39.75 Multiplan — Commercial: $34.98 Multiplan — Workers Comp: $47.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL.	$203	$48.72	$34.10 – $203
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $34.19 Anthem — IN Medicaid: $203 Anthem — KY Pathway PPO/HMO: $34.10 Anthem — PPO/HMO: $36.74 Anthem — Traditional: $36.74 Corvel — Commercial: $203 CSHN — Commercial: $131.95 Devoted — Medicare Advantage: $60.90 Encore — Commercial: $142.10 Health Smart — Commercial: $152.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL.	$203	$48.72	$56.07 – $203
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $81.24 Anthem — PPO/HMO: $87.35 Anthem — Traditional: $87.35 Corvel — Commercial: $203 CSHN — Commercial: $203 Devoted — Medicare Advantage: $60.90 Encore — Commercial: $142.10 Health Smart — Commercial: $152.25 Multiplan — Commercial: $133.98 Multiplan — Workers Comp: $182.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$5.10 – $10.82
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates Aetna — Better Health KY Medicaid: $5.71 Anthem — IN Medicaid: $6.20 Anthem — KY Pathway PPO/HMO: $5.10 Anthem — Medicare Advantage: $6.01 Anthem — PPO/HMO: $5.10 Anthem — Traditional: $5.10 Cigna — Commercial: $9.80 CommuniCare — Medicare Advantage: $6.31 Devoted — Medicare Advantage: $6.31 Essence Health — Medicare Advantage: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,764	$423.36	$296.35 – $1,764
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $297.06 Anthem — IN Medicaid: $1,764 Anthem — KY Pathway PPO/HMO: $296.35 Anthem — PPO/HMO: $319.28 Anthem — Traditional: $319.28 Corvel — Commercial: $1,764 CSHN — Commercial: $1,146.60 Devoted — Medicare Advantage: $529.20 Encore — Commercial: $1,234.80 Health Smart — Commercial: $1,323
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$1,764	$423.36	$487.22 – $1,764
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $705.95 Anthem — PPO/HMO: $759.05 Anthem — Traditional: $759.05 Corvel — Commercial: $1,764 CSHN — Commercial: $1,764 Devoted — Medicare Advantage: $529.20 Encore — Commercial: $1,234.80 Health Smart — Commercial: $1,323 Multiplan — Commercial: $1,164.24 Multiplan — Workers Comp: $1,587.60
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$58.45 – $173.27
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $58.45 Anthem — KY Pathway PPO/HMO: $152.15 Anthem — Medicare Advantage: $99.69 Anthem — PPO/HMO: $163.60 Anthem — Traditional: $163.60 Cigna — Commercial: $99.69 CommuniCare — Medicare Advantage: $104.67 Devoted — Medicare Advantage: $104.67 Essence Health — Medicare Advantage: $99.69 Humana — MA Private FFS: $99.69
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR BRAIN W/WO PERFUSION	$5,118	$1,228.32	$859.82 – $5,118
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $861.87 Anthem — IN Medicaid: $5,118 Anthem — KY Pathway PPO/HMO: $859.82 Anthem — PPO/HMO: $926.36 Anthem — Traditional: $926.36 Corvel — Commercial: $5,118 CSHN — Commercial: $3,326.70 Devoted — Medicare Advantage: $1,535.40 Encore — Commercial: $3,582.60 Health Smart — Commercial: $3,838.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WWO CONTRAST	$5,118	$1,228.32	$859.82 – $5,118
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $861.87 Anthem — IN Medicaid: $5,118 Anthem — KY Pathway PPO/HMO: $859.82 Anthem — PPO/HMO: $926.36 Anthem — Traditional: $926.36 Corvel — Commercial: $5,118 CSHN — Commercial: $3,326.70 Devoted — Medicare Advantage: $1,535.40 Encore — Commercial: $3,582.60 Health Smart — Commercial: $3,838.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WWO STRYKER VARIAN	$5,118	$1,228.32	$859.82 – $5,118
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $861.87 Anthem — IN Medicaid: $5,118 Anthem — KY Pathway PPO/HMO: $859.82 Anthem — PPO/HMO: $926.36 Anthem — Traditional: $926.36 Corvel — Commercial: $5,118 CSHN — Commercial: $3,326.70 Devoted — Medicare Advantage: $1,535.40 Encore — Commercial: $3,582.60 Health Smart — Commercial: $3,838.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST PA INSPR XPRTN	$454	$108.96	$76.27 – $454
Chest X-ray, 2 views: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $76.45 Anthem — IN Medicaid: $454 Anthem — KY Pathway PPO/HMO: $76.27 Anthem — PPO/HMO: $82.17 Anthem — Traditional: $82.17 Corvel — Commercial: $454 CSHN — Commercial: $295.10 Devoted — Medicare Advantage: $136.20 Encore — Commercial: $317.80 Health Smart — Commercial: $340.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR CHEST 2 VIEWS W FLUORO	$505	$121.20	$84.84 – $505
Chest X-ray, 2 views: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $85.04 Anthem — IN Medicaid: $505 Anthem — KY Pathway PPO/HMO: $84.84 Anthem — PPO/HMO: $91.40 Anthem — Traditional: $91.40 Corvel — Commercial: $505 CSHN — Commercial: $328.25 Devoted — Medicare Advantage: $151.50 Encore — Commercial: $353.50 Health Smart — Commercial: $378.75
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR CHEST 2 VIEWS	$569	$136.56	$95.59 – $569
Chest X-ray, 2 views: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $95.82 Anthem — IN Medicaid: $569 Anthem — KY Pathway PPO/HMO: $95.59 Anthem — PPO/HMO: $102.99 Anthem — Traditional: $102.99 Corvel — Commercial: $569 CSHN — Commercial: $369.85 Devoted — Medicare Advantage: $170.70 Encore — Commercial: $398.30 Health Smart — Commercial: $426.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CR L SPINE MIN 4 VIEW	$747	$179.28	$125.50 – $747
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $125.79 Anthem — IN Medicaid: $747 Anthem — KY Pathway PPO/HMO: $125.50 Anthem — PPO/HMO: $135.21 Anthem — Traditional: $135.21 Corvel — Commercial: $747 CSHN — Commercial: $485.55 Devoted — Medicare Advantage: $224.10 Encore — Commercial: $522.90 Health Smart — Commercial: $560.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CR L SPINE MIN 4 VIEW	$747	$179.28	$206.32 – $747
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $298.95 Anthem — PPO/HMO: $321.43 Anthem — Traditional: $321.43 Corvel — Commercial: $747 CSHN — Commercial: $747 Devoted — Medicare Advantage: $224.10 Encore — Commercial: $522.90 Health Smart — Commercial: $560.25 Multiplan — Commercial: $493.02 Multiplan — Workers Comp: $672.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$24.20 – $173.27
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Anthem — IN Medicaid: $24.20 Anthem — KY Pathway PPO/HMO: $152.15 Anthem — Medicare Advantage: $99.69 Anthem — PPO/HMO: $163.60 Anthem — Traditional: $163.60 Cigna — Commercial: $99.69 CommuniCare — Medicare Advantage: $104.67 Devoted — Medicare Advantage: $104.67 Essence Health — Medicare Advantage: $99.69 Humana — MA Private FFS: $99.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR WO CONTRAST	$5,118	$1,228.32	$859.82 – $5,118
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $861.87 Anthem — IN Medicaid: $5,118 Anthem — KY Pathway PPO/HMO: $859.82 Anthem — PPO/HMO: $926.36 Anthem — Traditional: $926.36 Corvel — Commercial: $5,118 CSHN — Commercial: $3,326.70 Devoted — Medicare Advantage: $1,535.40 Encore — Commercial: $3,582.60 Health Smart — Commercial: $3,838.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LUMBAR WO CONTRAST	$5,118	$1,228.32	$1,413.59 – $5,118
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $2,048.22 Anthem — PPO/HMO: $2,202.28 Anthem — Traditional: $2,202.28 Corvel — Commercial: $5,118 CSHN — Commercial: $5,118 Devoted — Medicare Advantage: $1,535.40 Encore — Commercial: $3,582.60 Health Smart — Commercial: $3,838.50 Multiplan — Commercial: $3,377.88 Multiplan — Workers Comp: $4,606.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$121.08 – $386.18
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $121.08 Anthem — KY Pathway PPO/HMO: $345.84 Anthem — Medicare Advantage: $226.59 Anthem — PPO/HMO: $371.87 Anthem — Traditional: $371.87 Cigna — Commercial: $226.59 CommuniCare — Medicare Advantage: $237.92 Devoted — Medicare Advantage: $237.92 Essence Health — Medicare Advantage: $226.59 Humana — MA Private FFS: $226.59
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST	$2,606	$625.44	$437.81 – $2,606
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $438.85 Anthem — IN Medicaid: $2,606 Anthem — KY Pathway PPO/HMO: $437.81 Anthem — PPO/HMO: $471.69 Anthem — Traditional: $471.69 Corvel — Commercial: $2,606 CSHN — Commercial: $1,693.90 Devoted — Medicare Advantage: $781.80 Encore — Commercial: $1,824.20 Health Smart — Commercial: $1,954.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST	$2,606	$625.44	$719.78 – $2,606
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $1,042.92 Anthem — PPO/HMO: $1,121.36 Anthem — Traditional: $1,121.36 Corvel — Commercial: $2,606 CSHN — Commercial: $2,606 Devoted — Medicare Advantage: $781.80 Encore — Commercial: $1,824.20 Health Smart — Commercial: $1,954.50 Multiplan — Commercial: $1,719.96 Multiplan — Workers Comp: $2,345.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$127.22 – $289.57
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $127.22 Anthem — KY Pathway PPO/HMO: $254.70 Anthem — Medicare Advantage: $166.88 Anthem — PPO/HMO: $273.87 Anthem — Traditional: $273.87 Cigna — Commercial: $166.88 CommuniCare — Medicare Advantage: $175.22 Devoted — Medicare Advantage: $175.22 Essence Health — Medicare Advantage: $166.88 Humana — MA Private FFS: $166.88
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$133.61 – $386.18
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $133.61 Anthem — KY Pathway PPO/HMO: $345.84 Anthem — Medicare Advantage: $226.59 Anthem — PPO/HMO: $371.87 Anthem — Traditional: $371.87 Cigna — Commercial: $226.59 CommuniCare — Medicare Advantage: $237.92 Devoted — Medicare Advantage: $237.92 Essence Health — Medicare Advantage: $226.59 Humana — MA Private FFS: $226.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI JOINT LE WO CONT BIL	$3,838	$921.12	$644.78 – $3,838
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $646.32 Anthem — IN Medicaid: $3,838 Anthem — KY Pathway PPO/HMO: $644.78 Anthem — PPO/HMO: $694.68 Anthem — Traditional: $694.68 Corvel — Commercial: $3,838 CSHN — Commercial: $2,494.70 Devoted — Medicare Advantage: $1,151.40 Encore — Commercial: $2,686.60 Health Smart — Commercial: $2,878.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI JOINT LE WO CONT LT	$3,828	$918.72	$643.10 – $3,828
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $644.64 Anthem — IN Medicaid: $3,828 Anthem — KY Pathway PPO/HMO: $643.10 Anthem — PPO/HMO: $692.87 Anthem — Traditional: $692.87 Corvel — Commercial: $3,828 CSHN — Commercial: $2,488.20 Devoted — Medicare Advantage: $1,148.40 Encore — Commercial: $2,679.60 Health Smart — Commercial: $2,871
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W CONT	$4,401	$1,056.24	$739.37 – $4,401
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $741.13 Anthem — IN Medicaid: $4,401 Anthem — KY Pathway PPO/HMO: $739.37 Anthem — PPO/HMO: $796.58 Anthem — Traditional: $796.58 Corvel — Commercial: $4,401 CSHN — Commercial: $2,860.65 Devoted — Medicare Advantage: $1,320.30 Encore — Commercial: $3,080.70 Health Smart — Commercial: $3,300.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD AND PELVIS W CONT	$4,401	$1,056.24	$1,215.56 – $4,401
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $1,761.28 Anthem — PPO/HMO: $1,893.75 Anthem — Traditional: $1,893.75 Corvel — Commercial: $4,401 CSHN — Commercial: $4,401 Devoted — Medicare Advantage: $1,320.30 Encore — Commercial: $3,080.70 Health Smart — Commercial: $3,300.75 Multiplan — Commercial: $2,904.66 Multiplan — Workers Comp: $3,960.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelvis w/contrast	Not listed in the file	Not listed in the file	$167.36 – $606.09
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $167.36 Anthem — KY Pathway PPO/HMO: $510.97 Anthem — Medicare Advantage: $334.78 Anthem — PPO/HMO: $549.42 Anthem — Traditional: $549.42 Cigna — Commercial: $334.78 CommuniCare — Medicare Advantage: $351.52 Devoted — Medicare Advantage: $351.52 Essence Health — Medicare Advantage: $334.78 Humana — MA Private FFS: $334.78
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$1,530	$367.20	$257.04 – $1,530
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $257.65 Anthem — IN Medicaid: $1,530 Anthem — KY Pathway PPO/HMO: $257.04 Anthem — PPO/HMO: $276.93 Anthem — Traditional: $276.93 Corvel — Commercial: $1,530 CSHN — Commercial: $994.50 Devoted — Medicare Advantage: $459 Encore — Commercial: $1,071 Health Smart — Commercial: $1,147.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$1,530	$367.20	$422.59 – $1,530
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $612.31 Anthem — PPO/HMO: $658.36 Anthem — Traditional: $658.36 Corvel — Commercial: $1,530 CSHN — Commercial: $1,530 Devoted — Medicare Advantage: $459 Encore — Commercial: $1,071 Health Smart — Commercial: $1,147.50 Multiplan — Commercial: $1,009.80 Multiplan — Workers Comp: $1,377
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$72.52 – $173.27
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Anthem — IN Medicaid: $72.52 Anthem — KY Pathway PPO/HMO: $152.15 Anthem — Medicare Advantage: $99.69 Anthem — PPO/HMO: $163.60 Anthem — Traditional: $163.60 Cigna — Commercial: $99.69 CommuniCare — Medicare Advantage: $104.67 Devoted — Medicare Advantage: $104.67 Essence Health — Medicare Advantage: $99.69 Humana — MA Private FFS: $99.69
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB 2ND TRIMESTER BASIC	$1,206	$289.44	$202.61 – $1,206
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $203.09 Anthem — IN Medicaid: $1,206 Anthem — KY Pathway PPO/HMO: $202.61 Anthem — PPO/HMO: $218.29 Anthem — Traditional: $218.29 Corvel — Commercial: $1,206 CSHN — Commercial: $783.90 Devoted — Medicare Advantage: $361.80 Encore — Commercial: $844.20 Health Smart — Commercial: $904.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB 2ND TRIMESTER BASIC	$1,206	$289.44	$333.10 – $1,206
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $482.64 Anthem — PPO/HMO: $518.94 Anthem — Traditional: $518.94 Corvel — Commercial: $1,206 CSHN — Commercial: $1,206 Devoted — Medicare Advantage: $361.80 Encore — Commercial: $844.20 Health Smart — Commercial: $904.50 Multiplan — Commercial: $795.96 Multiplan — Workers Comp: $1,085.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us > 14 wks sngl fetus	Not listed in the file	Not listed in the file	$69.70 – $173.27
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Anthem — IN Medicaid: $69.70 Anthem — KY Pathway PPO/HMO: $152.15 Anthem — Medicare Advantage: $99.69 Anthem — PPO/HMO: $163.60 Anthem — Traditional: $163.60 Cigna — Commercial: $99.69 CommuniCare — Medicare Advantage: $104.67 Devoted — Medicare Advantage: $104.67 Essence Health — Medicare Advantage: $99.69 Humana — MA Private FFS: $99.69
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ED GYN TRASVAG NON PREG	$1,807	$433.68	$303.58 – $1,807
Transvaginal ultrasound: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $304.30 Anthem — IN Medicaid: $1,807 Anthem — KY Pathway PPO/HMO: $303.58 Anthem — PPO/HMO: $327.07 Anthem — Traditional: $327.07 Corvel — Commercial: $1,807 CSHN — Commercial: $1,174.55 Devoted — Medicare Advantage: $542.10 Encore — Commercial: $1,264.90 Health Smart — Commercial: $1,355.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBGYN ULTRASOUND TRANS VAGINAL	$1,807	$433.68	$303.58 – $1,807
Transvaginal ultrasound: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $304.30 Anthem — IN Medicaid: $1,807 Anthem — KY Pathway PPO/HMO: $303.58 Anthem — PPO/HMO: $327.07 Anthem — Traditional: $327.07 Corvel — Commercial: $1,807 CSHN — Commercial: $1,174.55 Devoted — Medicare Advantage: $542.10 Encore — Commercial: $1,264.90 Health Smart — Commercial: $1,355.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL US NON OB	$1,807	$433.68	$303.58 – $1,807
Transvaginal ultrasound: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $304.30 Anthem — IN Medicaid: $1,807 Anthem — KY Pathway PPO/HMO: $303.58 Anthem — PPO/HMO: $327.07 Anthem — Traditional: $327.07 Corvel — Commercial: $1,807 CSHN — Commercial: $1,174.55 Devoted — Medicare Advantage: $542.10 Encore — Commercial: $1,264.90 Health Smart — Commercial: $1,355.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$67.66 – $197.33
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Anthem — IN Medicaid: $67.66 Anthem — KY Pathway PPO/HMO: $110.24 Anthem — Medicare Advantage: $110.24 Anthem — PPO/HMO: $110.24 Anthem — Traditional: $110.24 Cigna — Commercial: $197.33 CommuniCare — Medicare Advantage: $115.75 Devoted — Medicare Advantage: $115.75 Essence Health — Medicare Advantage: $110.24 Humana — MA Private FFS: $110.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN\|LT In the file: MAMM DIAG DIGIT UNILAT LT	$261	$62.64	$43.85 – $261
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $43.95 Anthem — IN Medicaid: $261 Anthem — KY Pathway PPO/HMO: $43.85 Anthem — PPO/HMO: $47.24 Anthem — Traditional: $47.24 Corvel — Commercial: $261 CSHN — Commercial: $169.65 Devoted — Medicare Advantage: $78.30 Encore — Commercial: $182.70 Health Smart — Commercial: $195.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN\|RT In the file: MAMM DIAG DIGIT UNILAT RT	$261	$62.64	$43.85 – $261
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $43.95 Anthem — IN Medicaid: $261 Anthem — KY Pathway PPO/HMO: $43.85 Anthem — PPO/HMO: $47.24 Anthem — Traditional: $47.24 Corvel — Commercial: $261 CSHN — Commercial: $169.65 Devoted — Medicare Advantage: $78.30 Encore — Commercial: $182.70 Health Smart — Commercial: $195.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMM DIAG DIGIT BILATER	$413	$99.12	$69.38 – $413
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $69.55 Anthem — IN Medicaid: $413 Anthem — KY Pathway PPO/HMO: $69.38 Anthem — PPO/HMO: $74.75 Anthem — Traditional: $74.75 Corvel — Commercial: $413 CSHN — Commercial: $268.45 Devoted — Medicare Advantage: $123.90 Encore — Commercial: $289.10 Health Smart — Commercial: $309.75
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMM W CAD BILAT	$413	$99.12	$69.38 – $413
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $69.55 Anthem — IN Medicaid: $413 Anthem — KY Pathway PPO/HMO: $69.38 Anthem — PPO/HMO: $74.75 Anthem — Traditional: $74.75 Corvel — Commercial: $413 CSHN — Commercial: $268.45 Devoted — Medicare Advantage: $123.90 Encore — Commercial: $289.10 Health Smart — Commercial: $309.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMM DIAG DIGIT BILATER	$413	$99.12	$114.07 – $413
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $165.28 Anthem — PPO/HMO: $177.71 Anthem — Traditional: $177.71 Corvel — Commercial: $413 CSHN — Commercial: $413 Devoted — Medicare Advantage: $123.90 Encore — Commercial: $289.10 Health Smart — Commercial: $309.75 Multiplan — Commercial: $272.58 Multiplan — Workers Comp: $371.70
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREEN MAMM BILAT	$406	$97.44	$68.21 – $406
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $68.37 Anthem — IN Medicaid: $406 Anthem — KY Pathway PPO/HMO: $68.21 Anthem — PPO/HMO: $73.49 Anthem — Traditional: $73.49 Corvel — Commercial: $406 CSHN — Commercial: $263.90 Devoted — Medicare Advantage: $121.80 Encore — Commercial: $284.20 Health Smart — Commercial: $304.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMM SCREEN DIGITAL	$406	$97.44	$68.21 – $406
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $68.37 Anthem — IN Medicaid: $406 Anthem — KY Pathway PPO/HMO: $68.21 Anthem — PPO/HMO: $73.49 Anthem — Traditional: $73.49 Corvel — Commercial: $406 CSHN — Commercial: $263.90 Devoted — Medicare Advantage: $121.80 Encore — Commercial: $284.20 Health Smart — Commercial: $304.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMM SCREEN DIGITAL IMP	$406	$97.44	$68.21 – $406
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $68.37 Anthem — IN Medicaid: $406 Anthem — KY Pathway PPO/HMO: $68.21 Anthem — PPO/HMO: $73.49 Anthem — Traditional: $73.49 Corvel — Commercial: $406 CSHN — Commercial: $263.90 Devoted — Medicare Advantage: $121.80 Encore — Commercial: $284.20 Health Smart — Commercial: $304.50

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	$12.61
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Humana — Military Tricare: $12.61
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	$2,297.85 – $5,135.50
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Anthem — IN Medicaid: $2,297.85 Anthem — KY Pathway PPO/HMO: $4,601.94 Anthem — Medicare Advantage: $3,015.13 Anthem — PPO/HMO: $4,948.22 Anthem — Traditional: $4,948.22 Cigna — Commercial: $3,015.13 CommuniCare — Medicare Advantage: $3,165.89 Devoted — Medicare Advantage: $3,165.89 Essence Health — Medicare Advantage: $3,015.13 Humana — MA Private FFS: $3,015.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP EVAL WO INDUCTION	$12,766	$3,063.84	$2,144.69 – $12,766
Heart rhythm study (electrophysiology evaluation): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $2,149.79 Anthem — IN Medicaid: $12,766 Anthem — KY Pathway PPO/HMO: $2,144.69 Anthem — PPO/HMO: $2,310.65 Anthem — Traditional: $2,310.65 Corvel — Commercial: $12,766 CSHN — Commercial: $8,297.90 Devoted — Medicare Advantage: $3,829.80 Encore — Commercial: $8,936.20 Health Smart — Commercial: $9,574.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP EVAL WO INDUCTION	$12,766	$3,063.84	$3,525.97 – $12,766
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $5,108.95 Anthem — PPO/HMO: $5,493.21 Anthem — Traditional: $5,493.21 Corvel — Commercial: $12,766 CSHN — Commercial: $12,766 Devoted — Medicare Advantage: $3,829.80 Encore — Commercial: $8,936.20 Health Smart — Commercial: $9,574.50 Multiplan — Commercial: $8,425.56 Multiplan — Workers Comp: $11,489.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation	Not listed in the file	Not listed in the file	$3,453.69 – $11,769.89
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates Anthem — IN Medicaid: $3,453.69 Anthem — KY Pathway PPO/HMO: $10,856.80 Anthem — Medicare Advantage: $7,113.24 Anthem — PPO/HMO: $11,673.74 Anthem — Traditional: $11,673.74 Cigna — Commercial: $7,113.24 CommuniCare — Medicare Advantage: $7,468.90 Devoted — Medicare Advantage: $7,468.90 Essence Health — Medicare Advantage: $7,113.24 Humana — MA Private FFS: $7,113.24
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP AND ABLATE A FIB	$45,376.82	$10,890.44	$7,623.31 – $45,376.82
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $7,641.46 Anthem — IN Medicaid: $45,376.82 Anthem — KY Pathway PPO/HMO: $7,623.31 Anthem — PPO/HMO: $8,213.20 Anthem — Traditional: $8,213.20 Corvel — Commercial: $45,376.82 CSHN — Commercial: $29,494.93 Devoted — Medicare Advantage: $13,613.05 Encore — Commercial: $31,763.77 Health Smart — Commercial: $34,032.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP AND ABLATE A FIB W/ANESTH	$45,377	$10,890.48	$7,623.34 – $45,377
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $7,641.49 Anthem — IN Medicaid: $45,377 Anthem — KY Pathway PPO/HMO: $7,623.34 Anthem — PPO/HMO: $8,213.24 Anthem — Traditional: $8,213.24 Corvel — Commercial: $45,377 CSHN — Commercial: $29,495.05 Devoted — Medicare Advantage: $13,613.10 Encore — Commercial: $31,763.90 Health Smart — Commercial: $34,032.75
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP AND ABLATE A FIB	$45,376.82	$10,890.44	$12,533.08 – $45,376.82
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $18,159.80 Anthem — PPO/HMO: $19,525.65 Anthem — Traditional: $19,525.65 Corvel — Commercial: $45,376.82 CSHN — Commercial: $45,376.82 Devoted — Medicare Advantage: $13,613.05 Encore — Commercial: $31,763.77 Health Smart — Commercial: $34,032.62 Multiplan — Commercial: $29,948.70 Multiplan — Workers Comp: $40,839.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$869.66 – $1,647.78
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates Anthem — IN Medicaid: $942 Anthem — KY Pathway PPO/HMO: $1,455.65 Anthem — Medicare Advantage: $953.72 Anthem — PPO/HMO: $1,565.18 Anthem — Traditional: $1,565.18 Cigna — Commercial: $953.72 CommuniCare — Medicare Advantage: $1,001.41 Devoted — Medicare Advantage: $1,001.41 Essence Health — Medicare Advantage: $953.72 Humana — MA Private FFS: $953.72

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: THER EXER EACH 15MIN	$185	$44.40	$31.08 – $185
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $31.15 Anthem — IN Medicaid: $185 Anthem — KY Pathway PPO/HMO: $31.08 Anthem — PPO/HMO: $33.48 Anthem — Traditional: $33.48 Corvel — Commercial: $185 CSHN — Commercial: $120.25 Devoted — Medicare Advantage: $55.50 Encore — Commercial: $129.50 Health Smart — Commercial: $138.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXER EACH 15MIN	$185	$44.40	$51.10 – $185
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $74.04 Anthem — PPO/HMO: $79.61 Anthem — Traditional: $79.61 Corvel — Commercial: $185 CSHN — Commercial: $185 Devoted — Medicare Advantage: $55.50 Encore — Commercial: $129.50 Health Smart — Commercial: $138.75 Multiplan — Commercial: $122.10 Multiplan — Workers Comp: $166.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$18.99 – $102
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Anthem — KY Pathway PPO/HMO: $27.05 Anthem — Medicare Advantage: $27.05 Anthem — PPO/HMO: $27.05 Anthem — Traditional: $27.05 Cigna — Commercial: $102 CommuniCare — Medicare Advantage: $28.40 CSHN — Commercial: $18.99 Devoted — Medicare Advantage: $28.40 Essence Health — Medicare Advantage: $27.05 Humana — MA Private FFS: $27.05
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$89.52 – $169.60
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $92.13 Anthem — Medicare Advantage: $92.13 Anthem — PPO/HMO: $92.13 Anthem — Traditional: $92.13 Cigna — Commercial: $102 CommuniCare — Medicare Advantage: $96.74 Devoted — Medicare Advantage: $96.74 Essence Health — Medicare Advantage: $92.13 Humana — MA Private FFS: $92.13 Humana — Military Tricare: $89.52
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW COMPLEXITY	$352	$84.48	$59.14 – $352
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $59.28 Anthem — IN Medicaid: $352 Anthem — KY Pathway PPO/HMO: $59.14 Anthem — PPO/HMO: $63.71 Anthem — Traditional: $63.71 Corvel — Commercial: $352 CSHN — Commercial: $228.80 Devoted — Medicare Advantage: $105.60 Encore — Commercial: $246.40 Health Smart — Commercial: $264
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW COMPLEXITY	$352	$84.48	$97.22 – $352
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $140.87 Anthem — PPO/HMO: $151.47 Anthem — Traditional: $151.47 Corvel — Commercial: $352 CSHN — Commercial: $352 Devoted — Medicare Advantage: $105.60 Encore — Commercial: $246.40 Health Smart — Commercial: $264 Multiplan — Commercial: $232.32 Multiplan — Workers Comp: $316.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$89.52 – $169.60
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $92.13 Anthem — Medicare Advantage: $92.13 Anthem — PPO/HMO: $92.13 Anthem — Traditional: $92.13 Cigna — Commercial: $102 CommuniCare — Medicare Advantage: $96.74 Devoted — Medicare Advantage: $96.74 Essence Health — Medicare Advantage: $92.13 Humana — MA Private FFS: $92.13 Humana — Military Tricare: $89.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MODERATE COMPLEXITY	$405	$97.20	$68.04 – $405
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $68.20 Anthem — IN Medicaid: $405 Anthem — KY Pathway PPO/HMO: $68.04 Anthem — PPO/HMO: $73.30 Anthem — Traditional: $73.30 Corvel — Commercial: $405 CSHN — Commercial: $263.25 Devoted — Medicare Advantage: $121.50 Encore — Commercial: $283.50 Health Smart — Commercial: $303.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MODERATE COMPLEXITY	$405	$97.20	$111.86 – $405
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $162.08 Anthem — PPO/HMO: $174.27 Anthem — Traditional: $174.27 Corvel — Commercial: $405 CSHN — Commercial: $405 Devoted — Medicare Advantage: $121.50 Encore — Commercial: $283.50 Health Smart — Commercial: $303.75 Multiplan — Commercial: $267.30 Multiplan — Workers Comp: $364.50
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$89.52 – $169.60
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $92.13 Anthem — Medicare Advantage: $92.13 Anthem — PPO/HMO: $92.13 Anthem — Traditional: $92.13 Cigna — Commercial: $102 CommuniCare — Medicare Advantage: $96.74 Devoted — Medicare Advantage: $96.74 Essence Health — Medicare Advantage: $92.13 Humana — MA Private FFS: $92.13 Humana — Military Tricare: $89.52
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY	$475	$114	$79.80 – $475
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Aetna — Better Health KY Medicaid: $79.99 Anthem — IN Medicaid: $475 Anthem — KY Pathway PPO/HMO: $79.80 Anthem — PPO/HMO: $85.98 Anthem — Traditional: $85.98 Corvel — Commercial: $475 CSHN — Commercial: $308.75 Devoted — Medicare Advantage: $142.50 Encore — Commercial: $332.50 Health Smart — Commercial: $356.25
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY	$475	$114	$131.20 – $475
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Anthem — KY Pathway PPO/HMO: $190.10 Anthem — PPO/HMO: $204.39 Anthem — Traditional: $204.39 Corvel — Commercial: $475 CSHN — Commercial: $475 Devoted — Medicare Advantage: $142.50 Encore — Commercial: $332.50 Health Smart — Commercial: $356.25 Multiplan — Commercial: $313.50 Multiplan — Workers Comp: $427.50
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$132.62 – $251.28
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $229.89 Anthem — Medicare Advantage: $150.62 Anthem — PPO/HMO: $247.18 Anthem — Traditional: $247.18 Cigna — Commercial: $150.62 CommuniCare — Medicare Advantage: $158.15 Devoted — Medicare Advantage: $158.15 Essence Health — Medicare Advantage: $150.62 Humana — MA Private FFS: $150.62 Humana — Military Tricare: $132.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$132.62 – $251.28
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $229.89 Anthem — Medicare Advantage: $150.62 Anthem — PPO/HMO: $247.18 Anthem — Traditional: $247.18 Cigna — Commercial: $150.62 CommuniCare — Medicare Advantage: $158.15 Devoted — Medicare Advantage: $158.15 Essence Health — Medicare Advantage: $150.62 Humana — MA Private FFS: $150.62 Humana — Military Tricare: $132.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$132.62 – $251.28
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $229.89 Anthem — Medicare Advantage: $150.62 Anthem — PPO/HMO: $247.18 Anthem — Traditional: $247.18 Cigna — Commercial: $150.62 CommuniCare — Medicare Advantage: $158.15 Devoted — Medicare Advantage: $158.15 Essence Health — Medicare Advantage: $150.62 Humana — MA Private FFS: $150.62 Humana — Military Tricare: $132.62
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$132.62 – $251.28
Family psychotherapy, without the patient: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $229.89 Anthem — Medicare Advantage: $150.62 Anthem — PPO/HMO: $247.18 Anthem — Traditional: $247.18 Cigna — Commercial: $150.62 CommuniCare — Medicare Advantage: $158.15 Devoted — Medicare Advantage: $158.15 Essence Health — Medicare Advantage: $150.62 Humana — MA Private FFS: $150.62 Humana — Military Tricare: $132.62
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$132.62 – $251.28
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $229.89 Anthem — Medicare Advantage: $150.62 Anthem — PPO/HMO: $247.18 Anthem — Traditional: $247.18 Cigna — Commercial: $150.62 CommuniCare — Medicare Advantage: $158.15 Devoted — Medicare Advantage: $158.15 Essence Health — Medicare Advantage: $150.62 Humana — MA Private FFS: $150.62 Humana — Military Tricare: $132.62
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$74.14 – $142.31
Group psychotherapy: 10 of 21 insurance plan rates Anthem — KY Pathway PPO/HMO: $132.35 Anthem — Medicare Advantage: $86.72 Anthem — PPO/HMO: $142.31 Anthem — Traditional: $142.31 Cigna — Commercial: $86.72 CommuniCare — Medicare Advantage: $91.05 Devoted — Medicare Advantage: $91.05 Essence Health — Medicare Advantage: $86.72 Humana — MA Private FFS: $86.72 Humana — Military Tricare: $74.14

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$504.20 – $6,007.31
Removal of breast growth (open surgery): 10 of 23 insurance plan rates Anthem — IN Medicaid: $504.20 Anthem — KY Pathway PPO/HMO: $5,478.81 Anthem — Medicare Advantage: $3,589.65 Anthem — PPO/HMO: $5,891.07 Anthem — Traditional: $5,891.07 Cigna — Commercial: $3,589.65 CommuniCare — Medicare Advantage: $3,769.13 Devoted — Medicare Advantage: $3,769.13 Essence Health — Medicare Advantage: $3,589.65 Humana — MA Private FFS: $3,589.65
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$6,907.38 – $20,742.02
Total hip replacement: 10 of 23 insurance plan rates Anthem — IN Medicaid: $6,907.38 Anthem — KY Pathway PPO/HMO: $18,409.41 Anthem — Medicare Advantage: $12,061.61 Anthem — PPO/HMO: $19,794.66 Anthem — Traditional: $19,794.66 Cigna — Commercial: $12,061.61 CommuniCare — Medicare Advantage: $12,664.69 Devoted — Medicare Advantage: $12,664.69 Essence Health — Medicare Advantage: $12,061.61 Humana — MA Private FFS: $12,061.61
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	$6,907.38 – $20,742.02
Total knee replacement: 10 of 23 insurance plan rates Anthem — IN Medicaid: $6,907.38 Anthem — KY Pathway PPO/HMO: $18,409.41 Anthem — Medicare Advantage: $12,061.61 Anthem — PPO/HMO: $19,794.66 Anthem — Traditional: $19,794.66 Cigna — Commercial: $12,061.61 CommuniCare — Medicare Advantage: $12,664.69 Devoted — Medicare Advantage: $12,664.69 Essence Health — Medicare Advantage: $12,061.61 Humana — MA Private FFS: $12,061.61
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	$504.20
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Anthem — IN Medicaid: $504.20 UHC — Commercial: $399
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	$601.64 – $5,101.28
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 23 insurance plan rates Anthem — IN Medicaid: $601.64 Anthem — KY Pathway PPO/HMO: $4,642.28 Anthem — Medicare Advantage: $3,041.56 Anthem — PPO/HMO: $4,991.60 Anthem — Traditional: $4,991.60 Cigna — Commercial: $3,041.56 CommuniCare — Medicare Advantage: $3,193.64 Devoted — Medicare Advantage: $3,193.64 Essence Health — Medicare Advantage: $3,041.56 Humana — MA Private FFS: $3,041.56
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	$826.03 – $9,229.35
Removal of tonsils and adenoids (under age 12): 10 of 23 insurance plan rates Anthem — IN Medicaid: $826.03 Anthem — KY Pathway PPO/HMO: $8,463.93 Anthem — Medicare Advantage: $5,545.46 Anthem — PPO/HMO: $9,100.81 Anthem — Traditional: $9,100.81 Cigna — Commercial: $5,545.46 CommuniCare — Medicare Advantage: $5,822.73 Devoted — Medicare Advantage: $5,822.73 Essence Health — Medicare Advantage: $5,545.46 Humana — MA Private FFS: $5,545.46
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$601.64 – $1,442.37
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates Anthem — IN Medicaid: $601.64 Anthem — KY Pathway PPO/HMO: $1,341.43 Anthem — Medicare Advantage: $878.89 Anthem — PPO/HMO: $1,442.37 Anthem — Traditional: $1,442.37 Cigna — Commercial: $878.89 CommuniCare — Medicare Advantage: $922.83 Devoted — Medicare Advantage: $922.83 Essence Health — Medicare Advantage: $878.89 Humana — MA Private FFS: $878.89
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$601.64 – $1,442.37
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates Anthem — IN Medicaid: $601.64 Anthem — KY Pathway PPO/HMO: $1,341.43 Anthem — Medicare Advantage: $878.89 Anthem — PPO/HMO: $1,442.37 Anthem — Traditional: $1,442.37 Cigna — Commercial: $878.89 CommuniCare — Medicare Advantage: $922.83 Devoted — Medicare Advantage: $922.83 Essence Health — Medicare Advantage: $878.89 Humana — MA Private FFS: $878.89
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$601.64 – $1,440.41
Colonoscopy (diagnostic): 10 of 23 insurance plan rates Anthem — IN Medicaid: $601.64 Anthem — KY Pathway PPO/HMO: $1,304.44 Anthem — Medicare Advantage: $854.65 Anthem — PPO/HMO: $1,402.60 Anthem — Traditional: $1,402.60 Cigna — Commercial: $854.65 CommuniCare — Medicare Advantage: $897.39 Devoted — Medicare Advantage: $897.39 Essence Health — Medicare Advantage: $854.65 Humana — MA Private FFS: $854.65
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$826.03 – $1,859.80
Colonoscopy with biopsy: 10 of 23 insurance plan rates Anthem — IN Medicaid: $826.03 Anthem — KY Pathway PPO/HMO: $1,686.99 Anthem — Medicare Advantage: $1,105.29 Anthem — PPO/HMO: $1,813.93 Anthem — Traditional: $1,813.93 Cigna — Commercial: $1,105.29 CommuniCare — Medicare Advantage: $1,160.56 Devoted — Medicare Advantage: $1,160.56 Essence Health — Medicare Advantage: $1,105.29 Humana — MA Private FFS: $1,105.29
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$826.03 – $1,859.80
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates Anthem — IN Medicaid: $826.03 Anthem — KY Pathway PPO/HMO: $1,686.99 Anthem — Medicare Advantage: $1,105.29 Anthem — PPO/HMO: $1,813.93 Anthem — Traditional: $1,813.93 Cigna — Commercial: $1,105.29 CommuniCare — Medicare Advantage: $1,160.56 Devoted — Medicare Advantage: $1,160.56 Essence Health — Medicare Advantage: $1,105.29 Humana — MA Private FFS: $1,105.29
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$826.03 – $1,859.80
Ultrasound of the lower bowel by endoscope: 10 of 23 insurance plan rates Anthem — IN Medicaid: $826.03 Anthem — KY Pathway PPO/HMO: $1,686.99 Anthem — Medicare Advantage: $1,105.29 Anthem — PPO/HMO: $1,813.93 Anthem — Traditional: $1,813.93 Cigna — Commercial: $1,105.29 CommuniCare — Medicare Advantage: $1,160.56 Devoted — Medicare Advantage: $1,160.56 Essence Health — Medicare Advantage: $1,105.29 Humana — MA Private FFS: $1,105.29
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$760.21 – $1,440.41
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates Anthem — KY Pathway PPO/HMO: $1,304.44 Anthem — Medicare Advantage: $854.65 Anthem — PPO/HMO: $1,402.60 Anthem — Traditional: $1,402.60 Cigna — Commercial: $854.65 CommuniCare — Medicare Advantage: $897.39 Devoted — Medicare Advantage: $897.39 Essence Health — Medicare Advantage: $854.65 Humana — MA Private FFS: $854.65 Humana — Military Tricare: $760.21
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	$1,114.38 – $9,093.51
Gallbladder removal by laparoscope: 10 of 23 insurance plan rates Anthem — IN Medicaid: $1,114.38 Anthem — KY Pathway PPO/HMO: $8,347.61 Anthem — Medicare Advantage: $5,469.25 Anthem — PPO/HMO: $8,975.74 Anthem — Traditional: $8,975.74 Cigna — Commercial: $5,469.25 CommuniCare — Medicare Advantage: $5,742.71 Devoted — Medicare Advantage: $5,742.71 Essence Health — Medicare Advantage: $5,469.25 Humana — MA Private FFS: $5,469.25
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	$601.64 – $5,452.45
Groin (inguinal) hernia repair, age 5 or older: 10 of 23 insurance plan rates Anthem — IN Medicaid: $601.64 Anthem — KY Pathway PPO/HMO: $5,049.26 Anthem — Medicare Advantage: $3,308.21 Anthem — PPO/HMO: $5,429.20 Anthem — Traditional: $5,429.20 Cigna — Commercial: $3,308.21 CommuniCare — Medicare Advantage: $3,473.62 Devoted — Medicare Advantage: $3,473.62 Essence Health — Medicare Advantage: $3,308.21 Humana — MA Private FFS: $3,308.21
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	$457.46 – $3,210.03
Prostate biopsy: 10 of 23 insurance plan rates Anthem — IN Medicaid: $457.46 Anthem — KY Pathway PPO/HMO: $2,930.93 Anthem — Medicare Advantage: $1,920.31 Anthem — PPO/HMO: $3,151.48 Anthem — Traditional: $3,151.48 Cigna — Commercial: $1,920.31 CommuniCare — Medicare Advantage: $2,016.33 Devoted — Medicare Advantage: $2,016.33 Essence Health — Medicare Advantage: $1,920.31 Humana — MA Private FFS: $1,920.31
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$6,907.38 – $16,222.94
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates Anthem — IN Medicaid: $6,907.38 Anthem — KY Pathway PPO/HMO: $14,896.02 Anthem — Medicare Advantage: $9,759.69 Anthem — PPO/HMO: $16,016.90 Anthem — Traditional: $16,016.90 Cigna — Commercial: $9,759.69 CommuniCare — Medicare Advantage: $10,247.67 Devoted — Medicare Advantage: $10,247.67 Essence Health — Medicare Advantage: $9,759.69 Humana — MA Private FFS: $9,759.69
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	$504.20 – $4,927.17
Hysteroscopy with biopsy of the uterus lining: 10 of 23 insurance plan rates Anthem — IN Medicaid: $504.20 Anthem — KY Pathway PPO/HMO: $4,549.16 Anthem — Medicare Advantage: $2,980.55 Anthem — PPO/HMO: $4,891.47 Anthem — Traditional: $4,891.47 Cigna — Commercial: $2,980.55 CommuniCare — Medicare Advantage: $3,129.58 Devoted — Medicare Advantage: $3,129.58 Essence Health — Medicare Advantage: $2,980.55 Humana — MA Private FFS: $2,980.55
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$504.20 – $1,089.87
Spinal injection, lower back (epidural), with imaging guidance: 10 of 23 insurance plan rates Anthem — IN Medicaid: $504.20 Anthem — KY Pathway PPO/HMO: $990.84 Anthem — Medicare Advantage: $649.18 Anthem — PPO/HMO: $1,065.39 Anthem — Traditional: $1,065.39 Cigna — Commercial: $649.18 CommuniCare — Medicare Advantage: $681.64 Devoted — Medicare Advantage: $681.64 Essence Health — Medicare Advantage: $649.18 Humana — MA Private FFS: $649.18
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$328.73 – $1,436.49
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates Anthem — IN Medicaid: $328.73 Anthem — KY Pathway PPO/HMO: $1,273.80 Anthem — Medicare Advantage: $834.58 Anthem — PPO/HMO: $1,369.65 Anthem — Traditional: $1,369.65 Cigna — Commercial: $834.58 CommuniCare — Medicare Advantage: $876.30 Devoted — Medicare Advantage: $876.30 Essence Health — Medicare Advantage: $834.58 Humana — MA Private FFS: $834.58
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	$457.46 – $3,042.91
Carpal tunnel release: 10 of 23 insurance plan rates Anthem — IN Medicaid: $457.46 Anthem — KY Pathway PPO/HMO: $2,793.96 Anthem — Medicare Advantage: $1,830.57 Anthem — PPO/HMO: $3,004.20 Anthem — Traditional: $3,004.20 Cigna — Commercial: $1,830.57 CommuniCare — Medicare Advantage: $1,922.10 Devoted — Medicare Advantage: $1,922.10 Essence Health — Medicare Advantage: $1,830.57 Humana — MA Private FFS: $1,830.57
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$457.46 – $916.08
Laser treatment of clouding after cataract surgery: 10 of 23 insurance plan rates Anthem — IN Medicaid: $457.46 Anthem — KY Pathway PPO/HMO: $784.92 Anthem — Medicare Advantage: $514.27 Anthem — PPO/HMO: $843.99 Anthem — Traditional: $843.99 Cigna — Commercial: $514.27 CommuniCare — Medicare Advantage: $539.99 Devoted — Medicare Advantage: $539.99 Essence Health — Medicare Advantage: $514.27 Humana — MA Private FFS: $514.27
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	$1,142.01 – $3,672.66
Cataract removal with lens implant: 10 of 23 insurance plan rates Anthem — IN Medicaid: $1,142.01 Anthem — KY Pathway PPO/HMO: $3,263.19 Anthem — Medicare Advantage: $2,138 Anthem — PPO/HMO: $3,508.74 Anthem — Traditional: $3,508.74 Cigna — Commercial: $2,138 CommuniCare — Medicare Advantage: $2,244.90 Devoted — Medicare Advantage: $2,244.90 Essence Health — Medicare Advantage: $2,138 Humana — MA Private FFS: $2,138

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

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

Hospital information

Hospital type	Acute Care Hospital
Address	530 South Jackson Street, Louisville, KY 40202
County	Jefferson County
State	Kentucky
Phone	(502) 562‑3000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	1 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	180141
Name in Medicare records	UNIVERSITY OF LOUISVILLE HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	UofL Health – UofL Hospital
Official website	uoflhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

UofL Health – UofL Hospital — uoflhealth.org
Trauma | UofL Hospital – J. David Richardson Trauma Center | Louisville KY | UofL Health — uoflhealth.org
Trauma Program Support and Resources | UofL Hospital – J. David Richardson Trauma Center | Louisville KY | UofL Health — uoflhealth.org
Trauma Art Therapy | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
Trauma Peer Support | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
Roo, Trauma Facility Dog | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
Trauma Substance Use Disorder Resources | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
UofL Health Traumatic Injury Support Group | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
About UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
Patients & Visitors | UofL Hospital | Louisville KY | UofL Health — uoflhealth.org
UofL Hospital Parking Garage | Louisville KY | UofL Health — uoflhealth.org
UofL Hospital Services | Louisville KY | UofL Health — uoflhealth.org
Blood Cancers, Cellular Therapeutics and Transplant Program | UofL Hospital | Louisville Ky | UofL Health — uoflhealth.org
Emergency Care | UofL Hospital | Louisville Ky | UofL Health — uoflhealth.org