Does University of Michigan Health System have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University of Michigan Health System. In a medical emergency, call 911.

Where is University of Michigan Health System?

1500 E Medical Center Drive, SPC 5474, Ann Arbor, MI 48109, in Washtenaw County, Michigan.

What is the phone number of University of Michigan Health System?

(734) 764-1505, as listed by Medicare (CMS).

What is the Medicare star rating of University of Michigan Health System?

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

University of Michigan Health System

Quick answers

Does University of Michigan Health System have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of Michigan Health System. In a medical emergency, call 911.
Where is University of Michigan Health System?: 1500 E Medical Center Drive, SPC 5474, Ann Arbor, MI 48109, in Washtenaw County, Michigan.
What is the phone number of University of Michigan Health System?: (734) 764-1505, as listed by Medicare (CMS).
What is the Medicare star rating of University of Michigan Health System?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

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

Radiation oncology
Psychiatry
Physical medicine and rehabilitation
Nuclear medicine
Interventional radiology
Anatomic pathology
Adult emergency medicine
Psychiatric emergency services

Treatments^[4]

Nuclear medicine therapy
Apheresis

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Parking	Parking structures P2 and P3 open 24/7; valet $10 weekdays 5 a.m.-7 p.m., weekends 7 a.m.-5 p.m^[4]
Patient portal	MyUofMHealth

Doctors and clinicians (3,490)

3,490 doctors and other clinicians list University of Michigan Health System 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

Internal Medicine382
Physician Assistant352
Nurse Practitioner340
Certified Registered Nurse Anesthetist (CRNA)205
Family Practice190
Diagnostic Radiology145
Anesthesiology136
Pathology132
Ophthalmology98
Cardiovascular Disease (Cardiology)98
Neurology92
Obstetrics/Gynecology74

Doctors with a page on this site (3,490)

Aajay N. Shah, MDCardiovascular Disease (Cardiology)
Aaron D. Heller, DOFamily Practice
Aaron D. SayfieDiagnostic Radiology
Aaron D. Smith, NPNurse Practitioner
Aaron Fisher, DOInternal Medicine
Aaron K. Varghese, CNACertified Registered Nurse Anesthetist (CRNA)
Aaron M. Berg, MDInternal Medicine
Aaron M. Udager, MDPathology
Aaron StubbsRheumatology
Aaron SurreyEmergency Medicine
Abbas Bitar, MDCardiovascular Disease (Cardiology)
Abby E. Brown, NPNurse Practitioner
Abby L. WeilerNurse Practitioner
Abdallah Azouz, MDPathology
Abdulbaset M. Sulaiman, MDCardiovascular Disease (Cardiology)
Abeer Berry, DOCardiovascular Disease (Cardiology)
Abhijit NaikInternal Medicine
Abhinav Raina, MDCardiovascular Disease (Cardiology)
Abigail Erinc, MDInternal Medicine
Abigail Ignagni, PAPhysician Assistant
Abigail T. Fahim, MDOphthalmology
Abigayle M. EllisonNurse Practitioner
Abraham Hmeidan, PAPhysician Assistant
Ace Josifoski, MDAnesthesiology

And 3,466 more: the button below opens the full list.

Other emergency rooms nearby

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

VA Ann Arbor Healthcare System0.8 mi · Ann Arbor, MI · Federal/VA Acute Care Hospital
Trinity Health Ann Arbor Hospital4.0 mi · Ann Arbor, MI · Acute Care Hospital
Chelsea Hospital15 mi · Chelsea, MI · Acute Care Hospital
Corewell Health Wayne Hospital18 mi · Wayne, MI · Acute Care Hospital
St Joe Mercy Hospital System Livonia20 mi · Livonia, MI · Acute Care Hospital

Other hospitals nearby

Forest Health Medical Center7.0 mi · Ypsilanti, MI · Acute Care Hospital
Select Specialty Hospital-Ann Arbor7.5 mi · Ypsilanti, MI · Long-Term Acute Care Hospital
The Center for Forensic Psychiatry7.8 mi · Saline, MI · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Regency at Bluffs Park1.6 mi · Ann Arbor, MI · 2 of 5 stars
Glacier Hills2.3 mi · Ann Arbor, MI · 5 of 5 stars
Optalis Health and Rehabilitation of Ann Arbor3.2 mi · Ann Arbor, MI · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Heartland Hospice (Ann Arbor)4.1 mi · Ann Arbor, MI
Arbor Hospice6.3 mi · Ann Arbor, MI · 3 of 5 stars
St Croix Hospice Plymouth11 mi · Livonia, MI · 3 of 5 stars

All hospice providers in the state →

Home health agencies

University of Michigan Health1.4 mi · Ann Arbor, MI
Wellness Home Care4.1 mi · Ann Arbor, MI · 1 of 5 stars
Care Home Health Agency, LLC7.5 mi · Ann Arbor, MI

All home health agencies in the state →

Dialysis facilities

Univ of MI Dialysis - Adult1.2 mi · Ann Arbor, MI
Michigan Dialysis Services of Ann Arbor1.4 mi · Ann Arbor, MI · 3 of 5 stars
DaVita Ann Arbor Dialysis4.1 mi · Ann Arbor, MI · 3 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.

Ann Arbor Surgical Center4.1 mi · Ann Arbor, MI
Center for Digestive Care7.5 mi · Ypsilanti, MI
Bone & Joint Surgery Center of Novi17 mi · Novi, MI

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

Shelter Association of Washtenaw County1.3 mi · Ann Arbor, MI · Community health center
Packard West2.5 mi · Ann Arbor, MI · Community health center
Packard Health Carpenter3.2 mi · Ann Arbor, MI · Community health center

Clinics and urgent care

Nextcare Michigan Providers PLLC1.4 mi · Ann Arbor, MI · Urgent care center
Iha Health Services Corporation3.5 mi · Ann Arbor, MI · Urgent care center
Kare Center PLLC6.3 mi · Ann Arbor, MI · Urgent care center

Pharmacies

Regents of the University of Michigan1.2 mi · Ann Arbor, MI · Community/retail pharmacy
Regents of the University of Michigan1.2 mi · Ann Arbor, MI · Clinic pharmacy
Regents of the University of Michigan1.2 mi · Ann Arbor, MI · Community/retail pharmacy

Assisted living nearby

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

Arbor Care on Independence1.4 mi · Ann Arbor, MI
Cherrywood1.4 mi · Ann Arbor, MI
Packard House1.4 mi · Ann Arbor, MI
Sheridan Living1.4 mi · Ann Arbor, MI

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	61%National average: 74%
Area around the room “always” quiet at night	43%National average: 60%
Completed surveys	824Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.412Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.534Better than the national benchmark
Surgical site infections after colon surgery	1.12No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.355No different from the national benchmark
MRSA bloodstream infections	0.598Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.501Better 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	9.9%
Deaths within 30 days: heart failure patients	8.9%
Deaths within 30 days: pneumonia patients	10.3%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	11.3%
Deaths within 30 days: coronary bypass surgery (CABG)	2%
Serious complications (patient safety indicator PSI-90)	0.92No different from the national rate
Complications after hip or knee replacement	4.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	19.2%
Readmitted within 30 days: pneumonia	16.6%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	9.4%
Readmitted within 30 days: hip or knee replacement	5.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	345 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)	57%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 Ann Arbor Best hospitals in Ann Arbor

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as University of Michigan Health System 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 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit New 30-44 Mins	$121	$48.40	$52.03 – $121
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $69.45 AETNA [1003] — AETNA PPO [100307]: $79.86 Aetna Better Health of Michigan Inc — Medicaid HMO: $52.19 Aetna Better Health of Michigan Inc — Medicare Advantage: $70.39 Aetna Health Management LLC — Medicare Advantage: $70.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $71.45 AmeriHealth Michigan Inc — Medicare Advantage: $56.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $70.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $99.75 BCBS Complete — Medicaid HMO: $52.19
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit New 30-44 Mins	$121	$48.40	$52.03 – $121
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $69.45 AETNA [1003] — AETNA PPO [100307]: $79.86 Aetna Better Health of Michigan Inc — Medicaid HMO: $52.19 Aetna Better Health of Michigan Inc — Medicare Advantage: $70.39 Aetna Health Management LLC — Medicare Advantage: $70.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $71.45 AmeriHealth Michigan Inc — Medicare Advantage: $56.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $70.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $99.75 BCBS Complete — Medicaid HMO: $52.19
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit-Transplant Recipient Eval New	$121	$48.40	$52.03 – $121
New patient office visit (about 30–44 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $69.45 AETNA [1003] — AETNA PPO [100307]: $79.86 Aetna Better Health of Michigan Inc — Medicaid HMO: $52.19 Aetna Better Health of Michigan Inc — Medicare Advantage: $70.39 Aetna Health Management LLC — Medicare Advantage: $70.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $71.45 AmeriHealth Michigan Inc — Medicare Advantage: $56.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $70.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $99.75 BCBS Complete — Medicaid HMO: $52.19
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit New 45-59 Mins	$224	$89.60	$84.99 – $224
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $128.57 AETNA [1003] — AETNA PPO [100307]: $147.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 Aetna Better Health of Michigan Inc — Medicare Advantage: $114.21 Aetna Health Management LLC — Medicare Advantage: $114.21 Alliance Health and Life Medicare Advantage — Medicare Advantage: $115.92 AmeriHealth Michigan Inc — Medicare Advantage: $91.37 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $114.21 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $152.43 BCBS Complete — Medicaid HMO: $84.99
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit New 45-59 Mins	$224	$89.60	$84.99 – $228.43
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $128.57 AETNA [1003] — AETNA PPO [100307]: $147.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 Aetna Better Health of Michigan Inc — Medicare Advantage: $134.37 Aetna Health Management LLC — Medicare Advantage: $134.37 Alliance Health and Life Medicare Advantage — Medicare Advantage: $136.39 AmeriHealth Michigan Inc — Medicare Advantage: $107.50 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $134.37 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $179.33 BCBS Complete — Medicaid HMO: $84.99
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit-Transplant Recipient Eval New	$224	$89.60	$84.99 – $224
New patient office visit (about 45–59 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $128.57 AETNA [1003] — AETNA PPO [100307]: $147.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 Aetna Better Health of Michigan Inc — Medicare Advantage: $114.21 Aetna Health Management LLC — Medicare Advantage: $114.21 Alliance Health and Life Medicare Advantage — Medicare Advantage: $115.92 AmeriHealth Michigan Inc — Medicare Advantage: $91.37 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $114.21 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $152.43 BCBS Complete — Medicaid HMO: $84.99
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Edo Office/Outpt Visit, New, Levl V, 60-74 Mins	$312	$124.80	$115.66 – $312
New patient office visit (about 60–74 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $179.08 AETNA [1003] — AETNA PPO [100307]: $205.92 Aetna Better Health of Michigan Inc — Medicaid HMO: $115.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $170.14 Aetna Health Management LLC — Medicare Advantage: $170.14 Alliance Health and Life Medicare Advantage — Medicare Advantage: $172.69 AmeriHealth Michigan Inc — Medicare Advantage: $136.11 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $170.14 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $226.59 BCBS Complete — Medicaid HMO: $115.66
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Edo Office/Outpt Visit, New, Levl V, 60-74 Mins	$312	$124.80	$115.66 – $312
New patient office visit (about 60–74 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $179.08 AETNA [1003] — AETNA PPO [100307]: $205.92 Aetna Better Health of Michigan Inc — Medicaid HMO: $115.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $170.14 Aetna Health Management LLC — Medicare Advantage: $170.14 Alliance Health and Life Medicare Advantage — Medicare Advantage: $172.69 AmeriHealth Michigan Inc — Medicare Advantage: $136.11 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $170.14 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $226.59 BCBS Complete — Medicaid HMO: $115.66
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Nmdp-Bmt Donor Eval New	$312	$124.80	$115.66 – $312
New patient office visit (about 60–74 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $179.08 AETNA [1003] — AETNA PPO [100307]: $205.92 Aetna Better Health of Michigan Inc — Medicaid HMO: $115.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $155.69 Aetna Health Management LLC — Medicare Advantage: $155.69 Alliance Health and Life Medicare Advantage — Medicare Advantage: $158.03 AmeriHealth Michigan Inc — Medicare Advantage: $124.55 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $155.69 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $192.60 BCBS Complete — Medicaid HMO: $115.66
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit Est 20-29 Mins	$88	$35.20	$37.84 – $95.23
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $50.51 AETNA [1003] — AETNA PPO [100307]: $58.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $41.96 Aetna Better Health of Michigan Inc — Medicare Advantage: $56.02 Aetna Health Management LLC — Medicare Advantage: $56.02 Alliance Health and Life Medicare Advantage — Medicare Advantage: $56.86 AmeriHealth Michigan Inc — Medicare Advantage: $44.82 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $56.02 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $72.95 BCBS Complete — Medicaid HMO: $41.96
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit Est 20-29 Mins	$88	$35.20	$37.84 – $95.23
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $50.51 AETNA [1003] — AETNA PPO [100307]: $58.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $41.96 Aetna Better Health of Michigan Inc — Medicare Advantage: $56.02 Aetna Health Management LLC — Medicare Advantage: $56.02 Alliance Health and Life Medicare Advantage — Medicare Advantage: $56.86 AmeriHealth Michigan Inc — Medicare Advantage: $44.82 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $56.02 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $72.95 BCBS Complete — Medicaid HMO: $41.96
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit-Transplant Recipient Eval Est	$88	$35.20	$37.84 – $112.05
Established patient office visit (about 20–29 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $50.51 AETNA [1003] — AETNA PPO [100307]: $58.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $41.96 Aetna Better Health of Michigan Inc — Medicare Advantage: $65.91 Aetna Health Management LLC — Medicare Advantage: $65.91 Alliance Health and Life Medicare Advantage — Medicare Advantage: $66.90 AmeriHealth Michigan Inc — Medicare Advantage: $52.73 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $65.91 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $85.82 BCBS Complete — Medicaid HMO: $41.96
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit Est 30-39 Mins	$129	$51.60	$55.47 – $165.07
Established patient office visit (about 30–39 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $74.04 AETNA [1003] — AETNA PPO [100307]: $85.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $61.77 Aetna Better Health of Michigan Inc — Medicare Advantage: $97.10 Aetna Health Management LLC — Medicare Advantage: $97.10 Alliance Health and Life Medicare Advantage — Medicare Advantage: $98.56 AmeriHealth Michigan Inc — Medicare Advantage: $77.68 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $97.10 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $124.45 BCBS Complete — Medicaid HMO: $61.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit Est 30-39 Mins	$129	$51.60	$55.47 – $140.32
Established patient office visit (about 30–39 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $74.04 AETNA [1003] — AETNA PPO [100307]: $85.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $61.77 Aetna Better Health of Michigan Inc — Medicare Advantage: $82.54 Aetna Health Management LLC — Medicare Advantage: $82.54 Alliance Health and Life Medicare Advantage — Medicare Advantage: $83.78 AmeriHealth Michigan Inc — Medicare Advantage: $66.03 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $82.54 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $105.78 BCBS Complete — Medicaid HMO: $61.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office/Outpt Visit-Transplant Recipient Eval Est	$129	$51.60	$55.47 – $165.07
Established patient office visit (about 30–39 minutes): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $74.04 AETNA [1003] — AETNA PPO [100307]: $85.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $61.77 Aetna Better Health of Michigan Inc — Medicare Advantage: $97.10 Aetna Health Management LLC — Medicare Advantage: $97.10 Alliance Health and Life Medicare Advantage — Medicare Advantage: $98.56 AmeriHealth Michigan Inc — Medicare Advantage: $77.68 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $97.10 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $124.45 BCBS Complete — Medicaid HMO: $61.77
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office Consult,Transplant Recipient Eval, Level III, Low Complexity	$209	$83.60	$56.02 – $209
Office consultation with a specialist (moderate): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $119.96 AETNA [1003] — AETNA PPO [100307]: $137.94 Aetna Better Health of Michigan Inc — Medicaid HMO: $56.02 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $119.06 BCBS Complete — Medicaid HMO: $56.02 Beaumont Health Network — PPO: $146.30 Blue Care Network of Michigan — HMO: $119.06 Bronson Healthcare Group — PPO: $177.65 Buckeye Community Health Plan — Medicaid HMO: $56.02 Cofinity — PPO: $137.94
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office Consult,Transplant Recipient Eval, Level III, Low Complexity	$342	$136.80	$71.99 – $342
Office consultation with a specialist (moderate): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $196.30 AETNA [1003] — AETNA PPO [100307]: $225.72 Aetna Better Health of Michigan Inc — Medicaid HMO: $71.99 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $153.02 BCBS Complete — Medicaid HMO: $71.99 Beaumont Health Network — PPO: $239.40 Blue Care Network of Michigan — HMO: $153.02 Bronson Healthcare Group — PPO: $290.70 Buckeye Community Health Plan — Medicaid HMO: $71.99 Cofinity — PPO: $225.72
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office Consultation,Level III, Low Complexity, 40 Mins	$209	$83.60	$56.02 – $209
Office consultation with a specialist (moderate): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $119.96 AETNA [1003] — AETNA PPO [100307]: $137.94 Aetna Better Health of Michigan Inc — Medicaid HMO: $56.02 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $140.07 BCBS Complete — Medicaid HMO: $56.02 Beaumont Health Network — PPO: $146.30 Blue Care Network of Michigan — HMO: $140.07 Bronson Healthcare Group — PPO: $177.65 Buckeye Community Health Plan — Medicaid HMO: $56.02 Cofinity — PPO: $137.94
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office Consult,Transplant Recipient Eval, Level IV, Mod Complexity	$329	$131.60	$84.99 – $329
Office consultation with a specialist (moderate to high): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $188.84 AETNA [1003] — AETNA PPO [100307]: $217.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $180.63 BCBS Complete — Medicaid HMO: $84.99 Beaumont Health Network — PPO: $230.30 Blue Care Network of Michigan — HMO: $180.63 Bronson Healthcare Group — PPO: $279.65 Buckeye Community Health Plan — Medicaid HMO: $84.99 Cofinity — PPO: $217.14
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Office Consult,Transplant Recipient Eval, Level IV, Mod Complexity	$329	$131.60	$84.99 – $329
Office consultation with a specialist (moderate to high): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $188.84 AETNA [1003] — AETNA PPO [100307]: $217.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $212.51 BCBS Complete — Medicaid HMO: $84.99 Beaumont Health Network — PPO: $230.30 Blue Care Network of Michigan — HMO: $212.51 Bronson Healthcare Group — PPO: $279.65 Buckeye Community Health Plan — Medicaid HMO: $84.99 Cofinity — PPO: $217.14
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Office Consultation,Level IV, Moderate Complexity, 60 Minutes	$329	$131.60	$84.99 – $329
Office consultation with a specialist (moderate to high): 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $188.84 AETNA [1003] — AETNA PPO [100307]: $217.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.99 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $212.51 BCBS Complete — Medicaid HMO: $84.99 Beaumont Health Network — PPO: $230.30 Blue Care Network of Michigan — HMO: $212.51 Bronson Healthcare Group — PPO: $279.65 Buckeye Community Health Plan — Medicaid HMO: $84.99 Cofinity — PPO: $217.14
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Cardiovascular Exec Health Visit, New, 18-39	$287	$114.80	$69 – $287
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $164.73 AETNA [1003] — AETNA PPO [100307]: $189.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $69 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $128.79 BCBS Complete — Medicaid HMO: $69 Beaumont Health Network — PPO: $200.90 Blue Care Network of Michigan — HMO: $128.79 Bronson Healthcare Group — PPO: $243.95 Buckeye Community Health Plan — Medicaid HMO: $69 Cofinity — PPO: $189.42
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Cardiovascular Exec Health Visit, New, 18-39	$360	$144	$99.37 – $360
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $206.64 AETNA [1003] — AETNA PPO [100307]: $237.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $99.37 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $128.79 BCBS Complete — Medicaid HMO: $99.37 Beaumont Health Network — PPO: $252 Blue Care Network of Michigan — HMO: $128.79 Bronson Healthcare Group — PPO: $306 Buckeye Community Health Plan — Medicaid HMO: $99.37 Cofinity — PPO: $237.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Preventive Visit,New,18-39 W/ Brief Emotional Assess_Rvw 1.92_	$234	$93.60	$69 – $234
Preventive checkup, new patient, age 18–39: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $134.31 AETNA [1003] — AETNA PPO [100307]: $154.44 Aetna Better Health of Michigan Inc — Medicaid HMO: $69 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $151.52 BCBS Complete — Medicaid HMO: $69 Beaumont Health Network — PPO: $163.80 Blue Care Network of Michigan — HMO: $151.52 Bronson Healthcare Group — PPO: $198.90 Buckeye Community Health Plan — Medicaid HMO: $69 Cofinity — PPO: $154.44
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Cardiovascular Exec Health Visit, New, 40-64	$287	$114.80	$84.51 – $287
Preventive checkup, new patient, age 40–64: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $164.73 AETNA [1003] — AETNA PPO [100307]: $189.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.51 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $148.27 BCBS Complete — Medicaid HMO: $84.51 Beaumont Health Network — PPO: $200.90 Blue Care Network of Michigan — HMO: $148.27 Bronson Healthcare Group — PPO: $243.95 Buckeye Community Health Plan — Medicaid HMO: $84.51 Cofinity — PPO: $189.42
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Cardiovascular Exec Health Visit, New, 40-64	$360	$144	$117.10 – $360
Preventive checkup, new patient, age 40–64: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $206.64 AETNA [1003] — AETNA PPO [100307]: $237.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $117.10 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $148.27 BCBS Complete — Medicaid HMO: $117.10 Beaumont Health Network — PPO: $252 Blue Care Network of Michigan — HMO: $148.27 Bronson Healthcare Group — PPO: $306 Buckeye Community Health Plan — Medicaid HMO: $117.10 Cofinity — PPO: $237.60
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Preventive Visit,New,40-64 W/ High Risk Pap Smear	$266	$106.40	$84.51 – $266
Preventive checkup, new patient, age 40–64: 10 of 38 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $152.68 AETNA [1003] — AETNA PPO [100307]: $175.56 Aetna Better Health of Michigan Inc — Medicaid HMO: $84.51 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $148.27 BCBS Complete — Medicaid HMO: $84.51 Beaumont Health Network — PPO: $186.20 Blue Care Network of Michigan — HMO: $148.27 Bronson Healthcare Group — PPO: $226.10 Buckeye Community Health Plan — Medicaid HMO: $84.51 Cofinity — PPO: $175.56
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level III	$685	$274	$44.94 – $685
Emergency room visit (moderate): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $393.19 AETNA [1003] — AETNA PPO [100307]: $452.10 Aetna Better Health of Michigan Inc — Medicaid HMO: $44.94 Aetna Better Health of Michigan Inc — Medicare Advantage: $61.17 Aetna Health Management LLC — Medicare Advantage: $61.17 Alliance Health and Life Medicare Advantage — Medicare Advantage: $62.09 AmeriHealth Michigan Inc — Medicare Advantage: $48.94 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $61.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $95.52 BCBS Complete — Medicaid HMO: $44.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level III	$685	$274	$48.94 – $685
Emergency room visit (moderate): 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $393.19 AETNA [1003] — AETNA PPO [100307]: $452.10 Aetna Better Health of Michigan Inc — Medicare Advantage: $61.17 Aetna Health Management LLC — Medicare Advantage: $61.17 Alliance Health and Life Medicare Advantage — Medicare Advantage: $62.09 AmeriHealth Michigan Inc — Medicare Advantage: $48.94 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $61.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $95.52 Beaumont Health Network — PPO: $479.50 Blue Care Network of Michigan — HMO: $95.52
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-ER Visit-Level 3	$1,498	$599.20	$644.14 – $1,592.20
Emergency room visit (moderate): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $859.85 AETNA [1003] — AETNA PPO [100307]: $1,051.60 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $680.05 Beaumont Health Network — PPO: $1,048.60 Blue Care Network of Michigan — HMO: $680.05 Bronson Healthcare Group — PPO: $1,273.30 Cofinity — PPO: $1,141.48 Colorado State Medicaid — Medicaid Out of State: $749 Confinity Advantage — PPO: $864.35 First Agency — PPO: $1,123.50
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level IV	$1,101	$440.40	$76.68 – $1,101
Emergency room visit (moderately high): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $631.97 AETNA [1003] — AETNA PPO [100307]: $726.66 Aetna Better Health of Michigan Inc — Medicaid HMO: $76.68 Aetna Better Health of Michigan Inc — Medicare Advantage: $104.71 Aetna Health Management LLC — Medicare Advantage: $104.71 Alliance Health and Life Medicare Advantage — Medicare Advantage: $106.28 AmeriHealth Michigan Inc — Medicare Advantage: $83.77 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $104.71 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $162.98 BCBS Complete — Medicaid HMO: $76.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level IV	$1,101	$440.40	$76.68 – $1,101
Emergency room visit (moderately high): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $631.97 AETNA [1003] — AETNA PPO [100307]: $726.66 Aetna Better Health of Michigan Inc — Medicaid HMO: $76.68 Aetna Better Health of Michigan Inc — Medicare Advantage: $123.19 Aetna Health Management LLC — Medicare Advantage: $123.19 Alliance Health and Life Medicare Advantage — Medicare Advantage: $125.04 AmeriHealth Michigan Inc — Medicare Advantage: $98.55 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $123.19 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $191.74 BCBS Complete — Medicaid HMO: $76.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-ER Visit-Level 4 Sane	$2,202	$880.80	$946.86 – $2,340.47
Emergency room visit (moderately high): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,263.95 AETNA [1003] — AETNA PPO [100307]: $1,545.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,166.75 Beaumont Health Network — PPO: $1,541.40 Blue Care Network of Michigan — HMO: $1,166.75 Bronson Healthcare Group — PPO: $1,871.70 Cofinity — PPO: $1,677.92 Colorado State Medicaid — Medicaid Out of State: $1,101 Confinity Advantage — PPO: $1,270.55 First Agency — PPO: $1,651.50
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level V	$1,654	$661.60	$111.19 – $1,654
Emergency room visit (high): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $949.39 AETNA [1003] — AETNA PPO [100307]: $1,091.64 Aetna Better Health of Michigan Inc — Medicaid HMO: $111.19 Aetna Better Health of Michigan Inc — Medicare Advantage: $152.04 Aetna Health Management LLC — Medicare Advantage: $152.04 Alliance Health and Life Medicare Advantage — Medicare Advantage: $154.32 AmeriHealth Michigan Inc — Medicare Advantage: $121.63 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $152.04 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $236.32 BCBS Complete — Medicaid HMO: $111.19
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Emergency Dept Visit,Level V	$1,654	$661.60	$121.63 – $1,654
Emergency room visit (high): 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $949.39 AETNA [1003] — AETNA PPO [100307]: $1,091.64 Aetna Better Health of Michigan Inc — Medicare Advantage: $152.04 Aetna Health Management LLC — Medicare Advantage: $152.04 Alliance Health and Life Medicare Advantage — Medicare Advantage: $154.32 AmeriHealth Michigan Inc — Medicare Advantage: $121.63 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $152.04 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $236.32 Beaumont Health Network — PPO: $1,157.80 Blue Care Network of Michigan — HMO: $236.32
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-ER Visit-Level 5	$3,333	$1,333.20	$1,433.19 – $3,542.59
Emergency room visit (high): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,913.14 AETNA [1003] — AETNA PPO [100307]: $2,339.77 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,683.63 Beaumont Health Network — PPO: $2,333.10 Blue Care Network of Michigan — HMO: $1,683.63 Bronson Healthcare Group — PPO: $2,833.05 Cofinity — PPO: $2,539.75 Colorado State Medicaid — Medicaid Out of State: $1,666.50 Confinity Advantage — PPO: $1,923.14 First Agency — PPO: $2,499.75

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Basic Metabolic Panel Calcium Total	$137	$54.80	$4.53 – $145.62
Basic metabolic panel (blood test): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.64 AETNA [1003] — AETNA PPO [100307]: $7.64 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.53 Aetna Better Health of Michigan Inc — Medicare Advantage: $8.63 Aetna Health Management LLC — Medicare Advantage: $8.46 Alliance Health and Life Medicare Advantage — Medicare Advantage: $8.59 AmeriHealth Michigan Inc — Medicare Advantage: $8.29 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $8.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $65.48 BCBS Complete — Medicaid HMO: $4.53
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Metabolic Panel Basic POC	$126	$50.40	$4.53 – $133.92
Basic metabolic panel (blood test): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.64 AETNA [1003] — AETNA PPO [100307]: $7.64 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.53 Aetna Better Health of Michigan Inc — Medicare Advantage: $8.63 Aetna Health Management LLC — Medicare Advantage: $8.46 Alliance Health and Life Medicare Advantage — Medicare Advantage: $8.59 AmeriHealth Michigan Inc — Medicare Advantage: $8.29 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $8.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $60.22 BCBS Complete — Medicaid HMO: $4.53
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Basic Metabolic Panel Calcium Total	$137	$54.80	$58.91 – $145.62
Basic metabolic panel (blood test): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $78.64 AETNA [1003] — AETNA PPO [100307]: $96.17 Beaumont Health Network — PPO: $95.90 Bronson Healthcare Group — PPO: $116.45 Cofinity — PPO: $104.39 Colorado State Medicaid — Medicaid Out of State: $68.50 Confinity Advantage — PPO: $79.05 First Agency — PPO: $102.75 First Health — PPO: $116.45 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $102.75
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Metabolic Panel Comp POC	$126	$50.40	$5.66 – $133.92
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $9.53 AETNA [1003] — AETNA PPO [100307]: $9.53 Aetna Better Health of Michigan Inc — Medicaid HMO: $5.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $10.77 Aetna Health Management LLC — Medicare Advantage: $10.56 Alliance Health and Life Medicare Advantage — Medicare Advantage: $10.72 AmeriHealth Michigan Inc — Medicare Advantage: $10.35 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $10.56 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $60.22 BCBS Complete — Medicaid HMO: $5.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Metabolic Panel Comprehensive	$177	$70.80	$5.66 – $188.13
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $9.53 AETNA [1003] — AETNA PPO [100307]: $9.53 Aetna Better Health of Michigan Inc — Medicaid HMO: $5.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $10.77 Aetna Health Management LLC — Medicare Advantage: $10.56 Alliance Health and Life Medicare Advantage — Medicare Advantage: $10.72 AmeriHealth Michigan Inc — Medicare Advantage: $10.35 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $10.56 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $84.60 BCBS Complete — Medicaid HMO: $5.66
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Metabolic Panel Comp POC	$126	$50.40	$54.18 – $133.92
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $72.32 AETNA [1003] — AETNA PPO [100307]: $88.45 Beaumont Health Network — PPO: $88.20 Bronson Healthcare Group — PPO: $107.10 Cofinity — PPO: $96.01 Colorado State Medicaid — Medicaid Out of State: $63 Confinity Advantage — PPO: $72.70 First Agency — PPO: $94.50 First Health — PPO: $107.10 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $94.50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Obstetric Panel	$548	$219.20	$43.15 – $582.46
Obstetric blood test panel: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $43.15 AETNA [1003] — AETNA PPO [100307]: $43.15 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $261.94 Beaumont Health Network — PPO: $383.60 Blue Care Network of Michigan — HMO: $261.94 Bronson Healthcare Group — PPO: $465.80 Cofinity — PPO: $417.58 Colorado State Medicaid — Medicaid Out of State: $274 Confinity Advantage — PPO: $316.20 First Agency — PPO: $411
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Obstetric Panel	$548	$219.20	$235.64 – $582.46
Obstetric blood test panel: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $314.55 AETNA [1003] — AETNA PPO [100307]: $384.70 Beaumont Health Network — PPO: $383.60 Bronson Healthcare Group — PPO: $465.80 Cofinity — PPO: $417.58 Colorado State Medicaid — Medicaid Out of State: $274 Confinity Advantage — PPO: $316.20 First Agency — PPO: $411 First Health — PPO: $465.80 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $411
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Cardiac Risk Prof POC	$128	$51.20	$7.18 – $136.05
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $12.08 AETNA [1003] — AETNA PPO [100307]: $12.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $7.18 Aetna Better Health of Michigan Inc — Medicare Advantage: $13.66 Aetna Health Management LLC — Medicare Advantage: $13.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $13.59 AmeriHealth Michigan Inc — Medicare Advantage: $13.12 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $13.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $61.18 BCBS Complete — Medicaid HMO: $7.18
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Lipid Panel	$128	$51.20	$7.18 – $136.05
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $12.08 AETNA [1003] — AETNA PPO [100307]: $12.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $7.18 Aetna Better Health of Michigan Inc — Medicare Advantage: $13.66 Aetna Health Management LLC — Medicare Advantage: $13.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $13.59 AmeriHealth Michigan Inc — Medicare Advantage: $13.12 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $13.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $61.18 BCBS Complete — Medicaid HMO: $7.18
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-POC-Cholestech	$121	$48.40	$7.18 – $128.61
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $12.08 AETNA [1003] — AETNA PPO [100307]: $12.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $7.18 Aetna Better Health of Michigan Inc — Medicare Advantage: $13.66 Aetna Health Management LLC — Medicare Advantage: $13.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $13.59 AmeriHealth Michigan Inc — Medicare Advantage: $13.12 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $13.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $57.83 BCBS Complete — Medicaid HMO: $7.18
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Renal Function Panel	$166	$66.40	$4.65 – $176.44
Kidney function panel: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.84 AETNA [1003] — AETNA PPO [100307]: $7.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.65 Aetna Better Health of Michigan Inc — Medicare Advantage: $8.85 Aetna Health Management LLC — Medicare Advantage: $8.68 Alliance Health and Life Medicare Advantage — Medicare Advantage: $8.81 AmeriHealth Michigan Inc — Medicare Advantage: $8.51 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $8.68 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $79.34 BCBS Complete — Medicaid HMO: $4.65
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Renal Function Panel	$166	$66.40	$71.38 – $176.44
Kidney function panel: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $95.28 AETNA [1003] — AETNA PPO [100307]: $116.53 Beaumont Health Network — PPO: $116.20 Bronson Healthcare Group — PPO: $141.10 Cofinity — PPO: $126.49 Colorado State Medicaid — Medicaid Out of State: $83 Confinity Advantage — PPO: $95.78 First Agency — PPO: $124.50 First Health — PPO: $141.10 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $124.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Renal Function Panel	$11	$4.40	$4.73 – $11
Kidney function panel: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $6.31 AETNA [1003] — AETNA PPO [100307]: $7.26 Beaumont Health Network — PPO: $7.70 Bronson Healthcare Group — PPO: $9.35 Cofinity — PPO: $7.26 Colorado State Medicaid — Medicaid Out of State: $5.50 Confinity Advantage — PPO: $7.26 First Agency — PPO: $8.25 First Health — PPO: $7.15 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $8.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Hepatic Function Panel	$122	$48.80	$4.38 – $129.67
Liver function panel: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.37 AETNA [1003] — AETNA PPO [100307]: $7.37 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.38 Aetna Better Health of Michigan Inc — Medicare Advantage: $8.33 Aetna Health Management LLC — Medicare Advantage: $8.17 Alliance Health and Life Medicare Advantage — Medicare Advantage: $8.29 AmeriHealth Michigan Inc — Medicare Advantage: $8.01 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $8.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $58.31 BCBS Complete — Medicaid HMO: $4.38
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Hepatic Function Panel	$122	$48.80	$52.46 – $129.67
Liver function panel: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $70.03 AETNA [1003] — AETNA PPO [100307]: $85.64 Beaumont Health Network — PPO: $85.40 Bronson Healthcare Group — PPO: $103.70 Cofinity — PPO: $92.96 Colorado State Medicaid — Medicaid Out of State: $61 Confinity Advantage — PPO: $70.39 First Agency — PPO: $91.50 First Health — PPO: $103.70 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $91.50
Liver function panel CPT 80076 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Hepatic Function Panel	$9	$3.60	$3.87 – $9
Liver function panel: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5.16 AETNA [1003] — AETNA PPO [100307]: $5.94 Beaumont Health Network — PPO: $6.30 Bronson Healthcare Group — PPO: $7.65 Cofinity — PPO: $5.94 Colorado State Medicaid — Medicaid Out of State: $4.50 Confinity Advantage — PPO: $5.94 First Agency — PPO: $6.75 First Health — PPO: $5.85 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $6.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Urinalysis Macro and Micro	$48	$19.20	$1.70 – $51.02
Urine test (automated, with microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2.86 AETNA [1003] — AETNA PPO [100307]: $2.86 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.70 Aetna Better Health of Michigan Inc — Medicare Advantage: $3.23 Aetna Health Management LLC — Medicare Advantage: $3.17 Alliance Health and Life Medicare Advantage — Medicare Advantage: $3.22 AmeriHealth Michigan Inc — Medicare Advantage: $3.11 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $3.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $22.94 BCBS Complete — Medicaid HMO: $1.70
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Urinalysis Macro and Micro	$48	$19.20	$20.64 – $51.02
Urine test (automated, with microscope): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $27.55 AETNA [1003] — AETNA PPO [100307]: $33.70 Beaumont Health Network — PPO: $33.60 Bronson Healthcare Group — PPO: $40.80 Cofinity — PPO: $36.58 Colorado State Medicaid — Medicaid Out of State: $24 Confinity Advantage — PPO: $27.70 First Agency — PPO: $36 First Health — PPO: $40.80 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $36
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Lab-Urinalysis, Auto, W/Scope	$5	$2	$2.15 – $5
Urine test (automated, with microscope): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2.87 AETNA [1003] — AETNA PPO [100307]: $3.30 Beaumont Health Network — PPO: $3.50 Bronson Healthcare Group — PPO: $4.25 Cofinity — PPO: $3.30 Colorado State Medicaid — Medicaid Out of State: $2.50 Confinity Advantage — PPO: $3.30 First Agency — PPO: $3.75 First Health — PPO: $3.25 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $3.75
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Adulterant Screen Urine	$42	$16.80	$1.87 – $44.64
Urine test (manual, without microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.14 AETNA [1003] — AETNA PPO [100307]: $3.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.87 Aetna Better Health of Michigan Inc — Medicare Advantage: $3.55 Aetna Health Management LLC — Medicare Advantage: $3.48 Alliance Health and Life Medicare Advantage — Medicare Advantage: $3.53 AmeriHealth Michigan Inc — Medicare Advantage: $3.41 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $3.48 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $20.07 BCBS Complete — Medicaid HMO: $1.87
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Hcah POC-Urine Macroscopic	$43	$17.20	$1.87 – $45.70
Urine test (manual, without microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.14 AETNA [1003] — AETNA PPO [100307]: $3.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.87 Aetna Better Health of Michigan Inc — Medicare Advantage: $3.55 Aetna Health Management LLC — Medicare Advantage: $3.48 Alliance Health and Life Medicare Advantage — Medicare Advantage: $3.53 AmeriHealth Michigan Inc — Medicare Advantage: $3.41 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $3.48 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $20.55 BCBS Complete — Medicaid HMO: $1.87
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-POC-Siemens (Manual Entry)	$41	$16.40	$1.87 – $43.58
Urine test (manual, without microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.14 AETNA [1003] — AETNA PPO [100307]: $3.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.87 Aetna Better Health of Michigan Inc — Medicare Advantage: $3.55 Aetna Health Management LLC — Medicare Advantage: $3.48 Alliance Health and Life Medicare Advantage — Medicare Advantage: $3.53 AmeriHealth Michigan Inc — Medicare Advantage: $3.41 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $3.48 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $19.59 BCBS Complete — Medicaid HMO: $1.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Urinalysis Macroscopic	$27	$10.80	$1.21 – $28.70
Urine test (automated, without microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2.03 AETNA [1003] — AETNA PPO [100307]: $2.03 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.21 Aetna Better Health of Michigan Inc — Medicare Advantage: $2.30 Aetna Health Management LLC — Medicare Advantage: $2.25 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2.28 AmeriHealth Michigan Inc — Medicare Advantage: $2.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2.25 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $12.90 BCBS Complete — Medicaid HMO: $1.21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Urinalysis	$27	$10.80	$1.21 – $28.70
Urine test (automated, without microscope): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2.03 AETNA [1003] — AETNA PPO [100307]: $2.03 Aetna Better Health of Michigan Inc — Medicaid HMO: $1.21 Aetna Better Health of Michigan Inc — Medicare Advantage: $2.30 Aetna Health Management LLC — Medicare Advantage: $2.25 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2.28 AmeriHealth Michigan Inc — Medicare Advantage: $2.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2.25 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $12.90 BCBS Complete — Medicaid HMO: $1.21
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Urinalysis Macroscopic	$27	$10.80	$11.61 – $28.70
Urine test (automated, without microscope): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $15.50 AETNA [1003] — AETNA PPO [100307]: $18.95 Beaumont Health Network — PPO: $18.90 Bronson Healthcare Group — PPO: $22.95 Cofinity — PPO: $20.57 Colorado State Medicaid — Medicaid Out of State: $13.50 Confinity Advantage — PPO: $15.58 First Agency — PPO: $20.25 First Health — PPO: $22.95 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $20.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Prostate Specific Ag Ultrasensitive	$25	$10	$9.86 – $31.26
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $16.60 AETNA [1003] — AETNA PPO [100307]: $16.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $9.86 Aetna Better Health of Michigan Inc — Medicare Advantage: $18.76 Aetna Health Management LLC — Medicare Advantage: $18.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $18.67 AmeriHealth Michigan Inc — Medicare Advantage: $18.02 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $18.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $11.95 BCBS Complete — Medicaid HMO: $9.86
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Prostate Specific Ag	$145	$58	$9.86 – $154.12
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $16.60 AETNA [1003] — AETNA PPO [100307]: $16.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $9.86 Aetna Better Health of Michigan Inc — Medicare Advantage: $18.76 Aetna Health Management LLC — Medicare Advantage: $18.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $18.67 AmeriHealth Michigan Inc — Medicare Advantage: $18.02 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $18.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $69.31 BCBS Complete — Medicaid HMO: $9.86
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Prostate Specific Ag Ultrasensitive	$25	$10	$10.75 – $26.57
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $14.35 AETNA [1003] — AETNA PPO [100307]: $17.55 Beaumont Health Network — PPO: $17.50 Bronson Healthcare Group — PPO: $21.25 Cofinity — PPO: $19.05 Colorado State Medicaid — Medicaid Out of State: $12.50 Confinity Advantage — PPO: $14.43 First Agency — PPO: $18.75 First Health — PPO: $21.25 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $18.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Cu Index Pnl Tsh	$55	$22	$9 – $58.46
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $15.16 AETNA [1003] — AETNA PPO [100307]: $15.16 Aetna Better Health of Michigan Inc — Medicaid HMO: $9 Aetna Better Health of Michigan Inc — Medicare Advantage: $17.14 Aetna Health Management LLC — Medicare Advantage: $16.80 Alliance Health and Life Medicare Advantage — Medicare Advantage: $17.05 AmeriHealth Michigan Inc — Medicare Advantage: $16.46 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $16.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $26.29 BCBS Complete — Medicaid HMO: $9
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Thyroid Cascade Tsh Sensitive	$28	$11.20	$9 – $29.76
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $15.16 AETNA [1003] — AETNA PPO [100307]: $15.16 Aetna Better Health of Michigan Inc — Medicaid HMO: $9 Aetna Better Health of Michigan Inc — Medicare Advantage: $17.14 Aetna Health Management LLC — Medicare Advantage: $16.80 Alliance Health and Life Medicare Advantage — Medicare Advantage: $17.05 AmeriHealth Michigan Inc — Medicare Advantage: $16.46 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $16.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $13.38 BCBS Complete — Medicaid HMO: $9
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Thyroid Stim Hor (Tsh)	$131	$52.40	$9 – $139.24
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $15.16 AETNA [1003] — AETNA PPO [100307]: $15.16 Aetna Better Health of Michigan Inc — Medicaid HMO: $9 Aetna Better Health of Michigan Inc — Medicare Advantage: $17.14 Aetna Health Management LLC — Medicare Advantage: $16.80 Alliance Health and Life Medicare Advantage — Medicare Advantage: $17.05 AmeriHealth Michigan Inc — Medicare Advantage: $16.46 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $16.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $62.61 BCBS Complete — Medicaid HMO: $9
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Cbc W/Plts & Diff	$84	$33.60	$4.16 – $89.28
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.01 AETNA [1003] — AETNA PPO [100307]: $7.01 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.16 Aetna Better Health of Michigan Inc — Medicare Advantage: $7.93 Aetna Health Management LLC — Medicare Advantage: $7.77 Alliance Health and Life Medicare Advantage — Medicare Advantage: $7.89 AmeriHealth Michigan Inc — Medicare Advantage: $7.61 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $7.77 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $40.15 BCBS Complete — Medicaid HMO: $4.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Qualitative Blood Count	$83	$33.20	$4.16 – $88.22
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $7.01 AETNA [1003] — AETNA PPO [100307]: $7.01 Aetna Better Health of Michigan Inc — Medicaid HMO: $4.16 Aetna Better Health of Michigan Inc — Medicare Advantage: $7.93 Aetna Health Management LLC — Medicare Advantage: $7.77 Alliance Health and Life Medicare Advantage — Medicare Advantage: $7.89 AmeriHealth Michigan Inc — Medicare Advantage: $7.61 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $7.77 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $39.67 BCBS Complete — Medicaid HMO: $4.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Cbc W/Plts & Diff	$84	$33.60	$36.12 – $89.28
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $48.22 AETNA [1003] — AETNA PPO [100307]: $58.97 Beaumont Health Network — PPO: $58.80 Bronson Healthcare Group — PPO: $71.40 Cofinity — PPO: $64.01 Colorado State Medicaid — Medicaid Out of State: $42 Confinity Advantage — PPO: $48.47 First Agency — PPO: $63 First Health — PPO: $71.40 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $63
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Cbc W/Plts POC	$67	$26.80	$3.47 – $71.21
Complete blood count (CBC), automated: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5.84 AETNA [1003] — AETNA PPO [100307]: $5.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $3.47 Aetna Better Health of Michigan Inc — Medicare Advantage: $6.60 Aetna Health Management LLC — Medicare Advantage: $6.47 Alliance Health and Life Medicare Advantage — Medicare Advantage: $6.57 AmeriHealth Michigan Inc — Medicare Advantage: $6.34 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $6.47 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $32.02 BCBS Complete — Medicaid HMO: $3.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Cbc W/Plts	$54	$21.60	$3.47 – $57.40
Complete blood count (CBC), automated: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5.84 AETNA [1003] — AETNA PPO [100307]: $5.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $3.47 Aetna Better Health of Michigan Inc — Medicare Advantage: $6.60 Aetna Health Management LLC — Medicare Advantage: $6.47 Alliance Health and Life Medicare Advantage — Medicare Advantage: $6.57 AmeriHealth Michigan Inc — Medicare Advantage: $6.34 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $6.47 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $25.81 BCBS Complete — Medicaid HMO: $3.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Cbc W/Plts POC	$67	$26.80	$28.81 – $71.21
Complete blood count (CBC), automated: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $38.46 AETNA [1003] — AETNA PPO [100307]: $47.03 Beaumont Health Network — PPO: $46.90 Bronson Healthcare Group — PPO: $56.95 Cofinity — PPO: $51.05 Colorado State Medicaid — Medicaid Out of State: $33.50 Confinity Advantage — PPO: $38.66 First Agency — PPO: $50.25 First Health — PPO: $56.95 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $50.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-POC-Prothrombin Time	$52	$20.80	$2.30 – $55.27
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.88 AETNA [1003] — AETNA PPO [100307]: $3.88 Aetna Better Health of Michigan Inc — Medicaid HMO: $2.30 Aetna Better Health of Michigan Inc — Medicare Advantage: $4.38 Aetna Health Management LLC — Medicare Advantage: $4.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $4.35 AmeriHealth Michigan Inc — Medicare Advantage: $4.20 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $4.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $24.85 BCBS Complete — Medicaid HMO: $2.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Prothombin Time POC	$54	$21.60	$2.30 – $57.40
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.88 AETNA [1003] — AETNA PPO [100307]: $3.88 Aetna Better Health of Michigan Inc — Medicaid HMO: $2.30 Aetna Better Health of Michigan Inc — Medicare Advantage: $4.38 Aetna Health Management LLC — Medicare Advantage: $4.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $4.35 AmeriHealth Michigan Inc — Medicare Advantage: $4.20 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $4.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $25.81 BCBS Complete — Medicaid HMO: $2.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Prothrombin Time ER	$53	$21.20	$2.30 – $56.33
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3.88 AETNA [1003] — AETNA PPO [100307]: $3.88 Aetna Better Health of Michigan Inc — Medicaid HMO: $2.30 Aetna Better Health of Michigan Inc — Medicare Advantage: $4.38 Aetna Health Management LLC — Medicare Advantage: $4.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $4.35 AmeriHealth Michigan Inc — Medicare Advantage: $4.20 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $4.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $25.33 BCBS Complete — Medicaid HMO: $2.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Lab-Partial Thromboplastin	$67	$26.80	$3.22 – $71.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5.42 AETNA [1003] — AETNA PPO [100307]: $5.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $3.22 Aetna Better Health of Michigan Inc — Medicare Advantage: $6.13 Aetna Health Management LLC — Medicare Advantage: $6.01 Alliance Health and Life Medicare Advantage — Medicare Advantage: $6.10 AmeriHealth Michigan Inc — Medicare Advantage: $5.89 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $6.01 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $32.02 BCBS Complete — Medicaid HMO: $3.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Lab-Partial Thromboplastin	$67	$26.80	$28.81 – $71.21
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $38.46 AETNA [1003] — AETNA PPO [100307]: $47.03 Beaumont Health Network — PPO: $46.90 Bronson Healthcare Group — PPO: $56.95 Cofinity — PPO: $51.05 Colorado State Medicaid — Medicaid Out of State: $33.50 Confinity Advantage — PPO: $38.66 First Agency — PPO: $50.25 First Health — PPO: $56.95 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $50.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Thromboplas Time Partial	$5	$2	$2.15 – $5
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2.87 AETNA [1003] — AETNA PPO [100307]: $3.30 Beaumont Health Network — PPO: $3.50 Bronson Healthcare Group — PPO: $4.25 Cofinity — PPO: $3.30 Colorado State Medicaid — Medicaid Out of State: $2.50 Confinity Advantage — PPO: $3.30 First Agency — PPO: $3.75 First Health — PPO: $3.25 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $3.75

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 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-CT Scan,Head/Brain,W/O Contrast Matl	$296	$118.40	$25.56 – $296
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $169.90 AETNA [1003] — AETNA PPO [100307]: $195.36 Aetna Better Health of Michigan Inc — Medicaid HMO: $25.56 Aetna Better Health of Michigan Inc — Medicare Advantage: $33.74 Aetna Health Management LLC — Medicare Advantage: $33.74 Alliance Health and Life Medicare Advantage — Medicare Advantage: $34.25 AmeriHealth Michigan Inc — Medicare Advantage: $26.99 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $33.74 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $54.32 BCBS Complete — Medicaid HMO: $25.56
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-CT Scan,Head/Brain,W/O Contrast Matl	$2,273	$909.20	$69.23 – $2,273
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,304.70 AETNA [1003] — AETNA PPO [100307]: $1,500.18 Aetna Better Health of Michigan Inc — Medicaid HMO: $69.23 Aetna Better Health of Michigan Inc — Medicare Advantage: $89.51 Aetna Health Management LLC — Medicare Advantage: $89.51 Alliance Health and Life Medicare Advantage — Medicare Advantage: $90.85 AmeriHealth Michigan Inc — Medicare Advantage: $71.61 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $89.51 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $147.14 BCBS Complete — Medicaid HMO: $69.23
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-CT Scan,Head/Brain,W/O Contrast Material	$1,977	$790.80	$850.11 – $2,101.32
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,134.80 AETNA [1003] — AETNA PPO [100307]: $1,387.85 Beaumont Health Network — PPO: $1,383.90 Bronson Healthcare Group — PPO: $1,680.45 Cofinity — PPO: $1,506.47 Colorado State Medicaid — Medicaid Out of State: $988.50 Confinity Advantage — PPO: $1,140.73 First Agency — PPO: $1,482.75 First Health — PPO: $1,680.45 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $1,482.75
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-MRI Brain Combo	$1,143	$457.20	$69.01 – $1,143
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $656.08 AETNA [1003] — AETNA PPO [100307]: $754.38 Aetna Better Health of Michigan Inc — Medicaid HMO: $69.01 Aetna Better Health of Michigan Inc — Medicare Advantage: $107.67 Aetna Health Management LLC — Medicare Advantage: $107.67 Alliance Health and Life Medicare Advantage — Medicare Advantage: $109.29 AmeriHealth Michigan Inc — Medicare Advantage: $86.14 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $107.67 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $172.56 BCBS Complete — Medicaid HMO: $69.01
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-MRI Brain Combo	$7,045	$2,818	$206.82 – $7,045
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,043.83 AETNA [1003] — AETNA PPO [100307]: $4,649.70 Aetna Better Health of Michigan Inc — Medicaid HMO: $206.82 Aetna Better Health of Michigan Inc — Medicare Advantage: $267.53 Aetna Health Management LLC — Medicare Advantage: $267.53 Alliance Health and Life Medicare Advantage — Medicare Advantage: $271.54 AmeriHealth Michigan Inc — Medicare Advantage: $214.02 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $267.53 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $439.58 BCBS Complete — Medicaid HMO: $206.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-MRI Brain Combo	$5,902	$2,360.80	$2,537.86 – $6,273.14
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,387.75 AETNA [1003] — AETNA PPO [100307]: $4,143.20 Beaumont Health Network — PPO: $4,131.40 Bronson Healthcare Group — PPO: $5,016.70 Cofinity — PPO: $4,497.32 Colorado State Medicaid — Medicaid Out of State: $2,951 Confinity Advantage — PPO: $3,405.45 First Agency — PPO: $4,426.50 First Health — PPO: $5,016.70 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $4,426.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Chest X-Ray 2 Views	$45	$18	$6.60 – $45
Chest X-ray, 2 views: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $25.83 AETNA [1003] — AETNA PPO [100307]: $29.70 Aetna Better Health of Michigan Inc — Medicaid HMO: $6.60 Aetna Better Health of Michigan Inc — Medicare Advantage: $10.24 Aetna Health Management LLC — Medicare Advantage: $10.24 Alliance Health and Life Medicare Advantage — Medicare Advantage: $10.39 AmeriHealth Michigan Inc — Medicare Advantage: $8.19 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $10.24 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $16.51 BCBS Complete — Medicaid HMO: $6.60
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Chest X-Ray 2 Views	$45	$18	$19.35 – $47.41
Chest X-ray, 2 views: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $25.83 AETNA [1003] — AETNA PPO [100307]: $29.70 Aetna Better Health of Michigan Inc — Medicaid HMO: $21.51 Aetna Better Health of Michigan Inc — Medicare Advantage: $27.89 Aetna Health Management LLC — Medicare Advantage: $27.89 Alliance Health and Life Medicare Advantage — Medicare Advantage: $28.31 AmeriHealth Michigan Inc — Medicare Advantage: $22.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $27.89 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $45.72 BCBS Complete — Medicaid HMO: $21.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Xr Chest 2 Views	$312	$124.80	$134.16 – $331.62
Chest X-ray, 2 views: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $180.48 AETNA [1003] — AETNA PPO [100307]: $180.48 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $186.22 Beaumont Health Network — PPO: $218.40 Blue Care Network of Michigan — HMO: $186.22 Bronson Healthcare Group — PPO: $265.20 Cofinity — PPO: $237.74 Colorado State Medicaid — Medicaid Out of State: $156 Confinity Advantage — PPO: $180.02 First Agency — PPO: $234
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-X-Ray Lumbar Spine 4 Vw	$80	$32	$8.09 – $80
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $45.92 AETNA [1003] — AETNA PPO [100307]: $52.80 Aetna Better Health of Michigan Inc — Medicaid HMO: $8.09 Aetna Better Health of Michigan Inc — Medicare Advantage: $10.63 Aetna Health Management LLC — Medicare Advantage: $10.63 Alliance Health and Life Medicare Advantage — Medicare Advantage: $10.79 AmeriHealth Michigan Inc — Medicare Advantage: $8.50 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $10.63 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $17.20 BCBS Complete — Medicaid HMO: $8.09
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-X-Ray Lumbar Spine 4 Vw	$631	$252.40	$33.23 – $631
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $362.19 AETNA [1003] — AETNA PPO [100307]: $416.46 Aetna Better Health of Michigan Inc — Medicaid HMO: $33.23 Aetna Better Health of Michigan Inc — Medicare Advantage: $42.81 Aetna Health Management LLC — Medicare Advantage: $42.81 Alliance Health and Life Medicare Advantage — Medicare Advantage: $43.45 AmeriHealth Michigan Inc — Medicare Advantage: $34.25 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $42.81 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $70.63 BCBS Complete — Medicaid HMO: $33.23
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-X-Ray Lumbar Spine 4 Views	$551	$220.40	$236.93 – $585.65
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $302.96 AETNA [1003] — AETNA PPO [100307]: $302.96 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $313.95 Beaumont Health Network — PPO: $385.70 Blue Care Network of Michigan — HMO: $313.95 Bronson Healthcare Group — PPO: $468.35 Cofinity — PPO: $419.86 Colorado State Medicaid — Medicaid Out of State: $275.50 Confinity Advantage — PPO: $317.93 First Agency — PPO: $413.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-MRI, Lumbar Spine	$1,005	$402	$44.52 – $1,005
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $576.87 AETNA [1003] — AETNA PPO [100307]: $663.30 Aetna Better Health of Michigan Inc — Medicaid HMO: $44.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $69.13 Aetna Health Management LLC — Medicare Advantage: $69.13 Alliance Health and Life Medicare Advantage — Medicare Advantage: $70.17 AmeriHealth Michigan Inc — Medicare Advantage: $55.30 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $69.13 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $111.31 BCBS Complete — Medicaid HMO: $44.52
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-MRI, Lumbar Spine	$4,429	$1,771.60	$123.97 – $4,429
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,542.24 AETNA [1003] — AETNA PPO [100307]: $2,923.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $123.97 Aetna Better Health of Michigan Inc — Medicare Advantage: $160.28 Aetna Health Management LLC — Medicare Advantage: $160.28 Alliance Health and Life Medicare Advantage — Medicare Advantage: $162.68 AmeriHealth Michigan Inc — Medicare Advantage: $128.22 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $160.28 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $263.47 BCBS Complete — Medicaid HMO: $123.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-MRI, Lumbar Spine,W/O Contrast	$3,424	$1,369.60	$1,472.32 – $3,639.31
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,965.38 AETNA [1003] — AETNA PPO [100307]: $2,403.65 Beaumont Health Network — PPO: $2,396.80 Bronson Healthcare Group — PPO: $2,910.40 Cofinity — PPO: $2,609.09 Colorado State Medicaid — Medicaid Out of State: $1,712 Confinity Advantage — PPO: $1,975.65 First Agency — PPO: $2,568 First Health — PPO: $2,910.40 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $2,568
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-CT Scan of Pelvis Contrast	$267	$106.80	$34.72 – $267
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $153.25 AETNA [1003] — AETNA PPO [100307]: $176.22 Aetna Better Health of Michigan Inc — Medicaid HMO: $34.72 Aetna Better Health of Michigan Inc — Medicare Advantage: $45.74 Aetna Health Management LLC — Medicare Advantage: $45.74 Alliance Health and Life Medicare Advantage — Medicare Advantage: $46.43 AmeriHealth Michigan Inc — Medicare Advantage: $36.59 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $45.74 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $73.79 BCBS Complete — Medicaid HMO: $34.72
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-CT Scan of Pelvis Contrast	$2,808	$1,123.20	$146.97 – $2,808
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,611.79 AETNA [1003] — AETNA PPO [100307]: $1,853.28 Aetna Better Health of Michigan Inc — Medicaid HMO: $146.97 Aetna Better Health of Michigan Inc — Medicare Advantage: $189.01 Aetna Health Management LLC — Medicare Advantage: $189.01 Alliance Health and Life Medicare Advantage — Medicare Advantage: $191.85 AmeriHealth Michigan Inc — Medicare Advantage: $151.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $189.01 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $312.37 BCBS Complete — Medicaid HMO: $146.97
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-CT Scan of Pelvis Contrast	$2,541	$1,016.40	$1,092.63 – $2,700.79
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,458.53 AETNA [1003] — AETNA PPO [100307]: $1,783.78 Beaumont Health Network — PPO: $1,778.70 Bronson Healthcare Group — PPO: $2,159.85 Cofinity — PPO: $1,936.24 Colorado State Medicaid — Medicaid Out of State: $1,270.50 Confinity Advantage — PPO: $1,466.16 First Agency — PPO: $1,905.75 First Health — PPO: $2,159.85 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $1,905.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-MRI Lower Extrem Jt, W/O Contrast	$558	$223.20	$40.68 – $558
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $320.29 AETNA [1003] — AETNA PPO [100307]: $368.28 Aetna Better Health of Michigan Inc — Medicaid HMO: $40.68 Aetna Better Health of Michigan Inc — Medicare Advantage: $53.62 Aetna Health Management LLC — Medicare Advantage: $53.62 Alliance Health and Life Medicare Advantage — Medicare Advantage: $54.42 AmeriHealth Michigan Inc — Medicare Advantage: $42.90 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $53.62 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $86.47 BCBS Complete — Medicaid HMO: $40.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-MRI Lower Extrem Jt, W/O Contrast	$4,375	$1,750	$131.85 – $4,375
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,511.25 AETNA [1003] — AETNA PPO [100307]: $2,887.50 Aetna Better Health of Michigan Inc — Medicaid HMO: $131.85 Aetna Better Health of Michigan Inc — Medicare Advantage: $170.26 Aetna Health Management LLC — Medicare Advantage: $170.26 Alliance Health and Life Medicare Advantage — Medicare Advantage: $172.81 AmeriHealth Michigan Inc — Medicare Advantage: $136.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $170.26 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $280.23 BCBS Complete — Medicaid HMO: $131.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-MRI Lower Extremity Joint, W/O Contrast	$3,817	$1,526.80	$1,641.31 – $4,057.03
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,190.96 AETNA [1003] — AETNA PPO [100307]: $2,679.53 Beaumont Health Network — PPO: $2,671.90 Bronson Healthcare Group — PPO: $3,244.45 Cofinity — PPO: $2,908.55 Colorado State Medicaid — Medicaid Out of State: $1,908.50 Confinity Advantage — PPO: $2,202.41 First Agency — PPO: $2,862.75 First Health — PPO: $3,244.45 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $2,862.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-CT Scan,Abdomen and Pelvis,W Contrast	$520	$208	$54.95 – $520
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $298.48 AETNA [1003] — AETNA PPO [100307]: $343.20 Aetna Better Health of Michigan Inc — Medicaid HMO: $54.95 Aetna Better Health of Michigan Inc — Medicare Advantage: $72.80 Aetna Health Management LLC — Medicare Advantage: $72.80 Alliance Health and Life Medicare Advantage — Medicare Advantage: $73.89 AmeriHealth Michigan Inc — Medicare Advantage: $58.24 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $72.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $116.80 BCBS Complete — Medicaid HMO: $54.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-CT Scan,Abdomen and Pelvis,W Contrast	$5,583	$2,233.20	$195.75 – $5,583
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,204.64 AETNA [1003] — AETNA PPO [100307]: $3,684.78 Aetna Better Health of Michigan Inc — Medicaid HMO: $195.75 Aetna Better Health of Michigan Inc — Medicare Advantage: $252.40 Aetna Health Management LLC — Medicare Advantage: $252.40 Alliance Health and Life Medicare Advantage — Medicare Advantage: $256.19 AmeriHealth Michigan Inc — Medicare Advantage: $201.92 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $252.40 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $416.04 BCBS Complete — Medicaid HMO: $195.75
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-CT Scan,Abdomen and Pelvis,W Contrast	$5,063	$2,025.20	$2,177.09 – $5,381.38
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,906.16 AETNA [1003] — AETNA PPO [100307]: $3,554.23 Beaumont Health Network — PPO: $3,544.10 Bronson Healthcare Group — PPO: $4,303.55 Cofinity — PPO: $3,858.01 Colorado State Medicaid — Medicaid Out of State: $2,531.50 Confinity Advantage — PPO: $2,921.35 First Agency — PPO: $3,797.25 First Health — PPO: $4,303.55 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $3,797.25
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-US, Abdom,B-Scan &/or Real Time,Complete	$164	$65.60	$24.28 – $164
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $94.13 AETNA [1003] — AETNA PPO [100307]: $108.24 Aetna Better Health of Michigan Inc — Medicaid HMO: $24.28 Aetna Better Health of Michigan Inc — Medicare Advantage: $32.09 Aetna Health Management LLC — Medicare Advantage: $32.09 Alliance Health and Life Medicare Advantage — Medicare Advantage: $32.57 AmeriHealth Michigan Inc — Medicare Advantage: $25.67 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $32.09 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $51.61 BCBS Complete — Medicaid HMO: $24.28
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-US, Abdom,B-Scan &/or Real Time,Complete	$2,161	$864.40	$73.70 – $2,161
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,240.41 AETNA [1003] — AETNA PPO [100307]: $1,426.26 Aetna Better Health of Michigan Inc — Medicaid HMO: $73.70 Aetna Better Health of Michigan Inc — Medicare Advantage: $95.39 Aetna Health Management LLC — Medicare Advantage: $95.39 Alliance Health and Life Medicare Advantage — Medicare Advantage: $96.82 AmeriHealth Michigan Inc — Medicare Advantage: $76.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $95.39 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $156.64 BCBS Complete — Medicaid HMO: $73.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-US, Abdomen, B-Scan &/or Real Time, Complete	$1,997	$798.80	$858.71 – $2,122.58
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,146.28 AETNA [1003] — AETNA PPO [100307]: $1,401.89 Beaumont Health Network — PPO: $1,397.90 Bronson Healthcare Group — PPO: $1,697.45 Cofinity — PPO: $1,521.71 Colorado State Medicaid — Medicaid Out of State: $998.50 Confinity Advantage — PPO: $1,152.27 First Agency — PPO: $1,497.75 First Health — PPO: $1,697.45 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $1,497.75
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-US, OB >/= 14 Wks, Sngl Fetus	$175	$70	$30.03 – $175
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $100.45 AETNA [1003] — AETNA PPO [100307]: $115.50 Aetna Better Health of Michigan Inc — Medicaid HMO: $30.03 Aetna Better Health of Michigan Inc — Medicare Advantage: $46.46 Aetna Health Management LLC — Medicare Advantage: $46.46 Alliance Health and Life Medicare Advantage — Medicare Advantage: $47.16 AmeriHealth Michigan Inc — Medicare Advantage: $37.17 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $46.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $75.10 BCBS Complete — Medicaid HMO: $30.03
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-US, OB >/= 14 Wks, Sngl Fetus	$1,690	$676	$85.63 – $1,690
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $970.06 AETNA [1003] — AETNA PPO [100307]: $1,115.40 Aetna Better Health of Michigan Inc — Medicaid HMO: $85.63 Aetna Better Health of Michigan Inc — Medicare Advantage: $110.65 Aetna Health Management LLC — Medicare Advantage: $110.65 Alliance Health and Life Medicare Advantage — Medicare Advantage: $112.31 AmeriHealth Michigan Inc — Medicare Advantage: $88.52 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $110.65 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $181.99 BCBS Complete — Medicaid HMO: $85.63
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-US, OB >/= 14 Wks, Single Fetus	$1,515	$606	$651.45 – $1,610.27
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $669.76 AETNA [1003] — AETNA PPO [100307]: $669.76 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $694.38 Beaumont Health Network — PPO: $1,060.50 Blue Care Network of Michigan — HMO: $694.38 Bronson Healthcare Group — PPO: $1,287.75 Cofinity — PPO: $1,154.43 Colorado State Medicaid — Medicaid Out of State: $757.50 Confinity Advantage — PPO: $874.16 First Agency — PPO: $1,136.25
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Echography,Transvaginal	$164	$65.60	$20.87 – $164
Transvaginal ultrasound: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $94.13 AETNA [1003] — AETNA PPO [100307]: $108.24 Aetna Better Health of Michigan Inc — Medicaid HMO: $20.87 Aetna Better Health of Michigan Inc — Medicare Advantage: $32.35 Aetna Health Management LLC — Medicare Advantage: $32.35 Alliance Health and Life Medicare Advantage — Medicare Advantage: $32.84 AmeriHealth Michigan Inc — Medicare Advantage: $25.88 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $32.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $52.19 BCBS Complete — Medicaid HMO: $20.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Echography,Transvaginal	$1,391	$556.40	$75.19 – $1,391
Transvaginal ultrasound: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $798.43 AETNA [1003] — AETNA PPO [100307]: $918.06 Aetna Better Health of Michigan Inc — Medicaid HMO: $75.19 Aetna Better Health of Michigan Inc — Medicare Advantage: $97.03 Aetna Health Management LLC — Medicare Advantage: $97.03 Alliance Health and Life Medicare Advantage — Medicare Advantage: $98.49 AmeriHealth Michigan Inc — Medicare Advantage: $77.62 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $97.03 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $159.81 BCBS Complete — Medicaid HMO: $75.19
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Echography,Transvaginal	$1,227	$490.80	$527.61 – $1,304.16
Transvaginal ultrasound: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $654.40 AETNA [1003] — AETNA PPO [100307]: $654.40 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $678.40 Beaumont Health Network — PPO: $858.90 Blue Care Network of Michigan — HMO: $678.40 Bronson Healthcare Group — PPO: $1,042.95 Cofinity — PPO: $934.97 Colorado State Medicaid — Medicaid Out of State: $613.50 Confinity Advantage — PPO: $707.98 First Agency — PPO: $920.25
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Diagnostic Mammography Computer-Aided Detcj Uni	$779	$311.60	$45.21 – $827.99
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $674.80 AETNA [1003] — AETNA PPO [100307]: $674.80 Aetna Better Health of Michigan Inc — Medicaid HMO: $45.21 Aetna Better Health of Michigan Inc — Medicare Advantage: $86.04 Aetna Health Management LLC — Medicare Advantage: $84.35 Alliance Health and Life Medicare Advantage — Medicare Advantage: $85.62 AmeriHealth Michigan Inc — Medicare Advantage: $82.66 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $84.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $699.68 BCBS Complete — Medicaid HMO: $45.21
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Diag Mammography W/Cad;Unilateral	$186	$74.40	$24.28 – $186
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $106.76 AETNA [1003] — AETNA PPO [100307]: $122.76 Aetna Better Health of Michigan Inc — Medicaid HMO: $24.28 Aetna Better Health of Michigan Inc — Medicare Advantage: $37.75 Aetna Health Management LLC — Medicare Advantage: $37.75 Alliance Health and Life Medicare Advantage — Medicare Advantage: $38.32 AmeriHealth Michigan Inc — Medicare Advantage: $30.20 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $37.75 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $60.72 BCBS Complete — Medicaid HMO: $24.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Diag Mammography W/Cad;Unilateral	$186	$74.40	$79.98 – $186
Diagnostic mammogram, one breast: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $106.76 AETNA [1003] — AETNA PPO [100307]: $122.76 Aetna Better Health of Michigan Inc — Medicaid HMO: $80.30 Aetna Better Health of Michigan Inc — Medicare Advantage: $103.79 Aetna Health Management LLC — Medicare Advantage: $103.79 Alliance Health and Life Medicare Advantage — Medicare Advantage: $105.35 AmeriHealth Michigan Inc — Medicare Advantage: $83.03 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $103.79 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $170.67 BCBS Complete — Medicaid HMO: $80.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Diagnostic Mammography Computer-Aided Detcj Bi	$968	$387.20	$57.52 – $1,028.87
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $858.56 AETNA [1003] — AETNA PPO [100307]: $858.56 Aetna Better Health of Michigan Inc — Medicaid HMO: $57.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $109.47 Aetna Health Management LLC — Medicare Advantage: $107.32 Alliance Health and Life Medicare Advantage — Medicare Advantage: $108.93 AmeriHealth Michigan Inc — Medicare Advantage: $105.17 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $107.32 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $891.24 BCBS Complete — Medicaid HMO: $57.52
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Diag Mammography W/Cad;Bilateral	$164	$65.60	$29.82 – $164
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $94.13 AETNA [1003] — AETNA PPO [100307]: $108.24 Aetna Better Health of Michigan Inc — Medicaid HMO: $29.82 Aetna Better Health of Michigan Inc — Medicare Advantage: $46.15 Aetna Health Management LLC — Medicare Advantage: $46.15 Alliance Health and Life Medicare Advantage — Medicare Advantage: $46.84 AmeriHealth Michigan Inc — Medicare Advantage: $36.92 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $46.15 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $74.56 BCBS Complete — Medicaid HMO: $29.82
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Diag Mammography W/Cad;Bilateral	$164	$65.60	$70.52 – $221.77
Diagnostic mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $94.13 AETNA [1003] — AETNA PPO [100307]: $108.24 Aetna Better Health of Michigan Inc — Medicaid HMO: $101.18 Aetna Better Health of Michigan Inc — Medicare Advantage: $130.45 Aetna Health Management LLC — Medicare Advantage: $130.45 Alliance Health and Life Medicare Advantage — Medicare Advantage: $132.41 AmeriHealth Michigan Inc — Medicare Advantage: $104.36 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $130.45 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $215.04 BCBS Complete — Medicaid HMO: $101.18
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Screening Mammography Bi 2-View Breast Inc Cad	$707	$282.80	$47.48 – $751.46
Screening mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $708.64 AETNA [1003] — AETNA PPO [100307]: $708.64 Aetna Better Health of Michigan Inc — Medicaid HMO: $47.48 Aetna Better Health of Michigan Inc — Medicare Advantage: $90.35 Aetna Health Management LLC — Medicare Advantage: $88.58 Alliance Health and Life Medicare Advantage — Medicare Advantage: $89.91 AmeriHealth Michigan Inc — Medicare Advantage: $86.81 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $88.58 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $736.94 BCBS Complete — Medicaid HMO: $47.48
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Screen Mammography, Bilat W/Cad	$122	$48.80	$23 – $122
Screening mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $70.02 AETNA [1003] — AETNA PPO [100307]: $80.52 Aetna Better Health of Michigan Inc — Medicaid HMO: $23 Aetna Better Health of Michigan Inc — Medicare Advantage: $35.81 Aetna Health Management LLC — Medicare Advantage: $35.81 Alliance Health and Life Medicare Advantage — Medicare Advantage: $36.35 AmeriHealth Michigan Inc — Medicare Advantage: $28.65 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $35.81 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $57.52 BCBS Complete — Medicaid HMO: $23
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Screen Mammography, Bilat W/Cad	$122	$48.80	$52.46 – $179.74
Screening mammogram, both breasts: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $70.02 AETNA [1003] — AETNA PPO [100307]: $80.52 Aetna Better Health of Michigan Inc — Medicaid HMO: $82.01 Aetna Better Health of Michigan Inc — Medicare Advantage: $105.73 Aetna Health Management LLC — Medicare Advantage: $105.73 Alliance Health and Life Medicare Advantage — Medicare Advantage: $107.32 AmeriHealth Michigan Inc — Medicare Advantage: $84.58 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $105.73 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $174.29 BCBS Complete — Medicaid HMO: $82.01

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) · Doctor (professional) fee In the file: Pc-Electrocardiogram, Complete	$203	$81.20	$9.16 – $203
Electrocardiogram (ECG/EKG) with reading: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $116.52 AETNA [1003] — AETNA PPO [100307]: $133.98 Aetna Better Health of Michigan Inc — Medicaid HMO: $9.16 Aetna Better Health of Michigan Inc — Medicare Advantage: $13.19 Aetna Health Management LLC — Medicare Advantage: $13.19 Alliance Health and Life Medicare Advantage — Medicare Advantage: $13.39 AmeriHealth Michigan Inc — Medicare Advantage: $10.55 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $13.19 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $18.06 BCBS Complete — Medicaid HMO: $9.16
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Ekg Complete-Japanese Pe	$92	$36.80	$11.42 – $92
Electrocardiogram (ECG/EKG) with reading: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $52.80 AETNA [1003] — AETNA PPO [100307]: $60.72 Aetna Better Health of Michigan Inc — Medicare Advantage: $14.28 Aetna Health Management LLC — Medicare Advantage: $14.28 Alliance Health and Life Medicare Advantage — Medicare Advantage: $14.49 AmeriHealth Michigan Inc — Medicare Advantage: $11.42 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $14.28 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $18.06 Beaumont Health Network — PPO: $64.40 Blue Care Network of Michigan — HMO: $18.06
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Ekg Complete-Japanese Pe	$92	$36.80	$9.71 – $92
Electrocardiogram (ECG/EKG) with reading: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $52.80 AETNA [1003] — AETNA PPO [100307]: $60.72 Aetna Better Health of Michigan Inc — Medicare Advantage: $12.14 Aetna Health Management LLC — Medicare Advantage: $12.14 Alliance Health and Life Medicare Advantage — Medicare Advantage: $12.32 AmeriHealth Michigan Inc — Medicare Advantage: $9.71 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $12.14 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $15.35 Beaumont Health Network — PPO: $64.40 Blue Care Network of Michigan — HMO: $15.35
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$1,037	$414.80	$146.76 – $1,037
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $595.23 AETNA [1003] — AETNA PPO [100307]: $684.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $146.76 Aetna Better Health of Michigan Inc — Medicare Advantage: $241.87 Aetna Health Management LLC — Medicare Advantage: $241.87 Alliance Health and Life Medicare Advantage — Medicare Advantage: $245.50 AmeriHealth Michigan Inc — Medicare Advantage: $193.50 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $241.87 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $366.96 BCBS Complete — Medicaid HMO: $146.76
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Left Heart Cath Inject Vetriculography, Image Supervise/Interp	$16,523	$6,609.20	$546.56 – $16,523
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $9,484.20 AETNA [1003] — AETNA PPO [100307]: $10,905.18 Aetna Better Health of Michigan Inc — Medicaid HMO: $546.56 Aetna Better Health of Michigan Inc — Medicare Advantage: $715.25 Aetna Health Management LLC — Medicare Advantage: $715.25 Alliance Health and Life Medicare Advantage — Medicare Advantage: $725.98 AmeriHealth Michigan Inc — Medicare Advantage: $572.20 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $715.25 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,161.65 BCBS Complete — Medicaid HMO: $546.56
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Cath Left Heart W/ Ventrclg	$15,486	$6,194.40	$6,658.98 – $16,459.81
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $8,888.96 AETNA [1003] — AETNA PPO [100307]: $10,871.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $7,402.30 Beaumont Health Network — PPO: $10,840.20 Blue Care Network of Michigan — HMO: $7,402.30 Bronson Healthcare Group — PPO: $13,163.10 Cofinity — PPO: $11,800.33 Colorado State Medicaid — Medicaid Out of State: $7,743 Confinity Advantage — PPO: $8,935.42 First Agency — PPO: $11,614.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Electrophys Ev,R a-V Pace/Rec,W/O Induction or Attempted Induction of Arrhythmia	$2,400	$960	$238.13 – $2,400
Heart rhythm study (electrophysiology evaluation): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,377.60 AETNA [1003] — AETNA PPO [100307]: $1,584 Aetna Better Health of Michigan Inc — Medicaid HMO: $238.13 Aetna Better Health of Michigan Inc — Medicare Advantage: $332.35 Aetna Health Management LLC — Medicare Advantage: $332.35 Alliance Health and Life Medicare Advantage — Medicare Advantage: $337.34 AmeriHealth Michigan Inc — Medicare Advantage: $265.88 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $332.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $506.13 BCBS Complete — Medicaid HMO: $238.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Electrophys Ev,R a-V Pace/Rec,W/O Induction or Attempted Induction of Arrhythmia	$34,979	$13,991.60	$468.83 – $34,979
Heart rhythm study (electrophysiology evaluation): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $20,077.94 AETNA [1003] — AETNA PPO [100307]: $23,086.14 Aetna Better Health of Michigan Inc — Medicaid HMO: $468.83 Aetna Better Health of Michigan Inc — Medicare Advantage: $775.71 Aetna Health Management LLC — Medicare Advantage: $775.71 Alliance Health and Life Medicare Advantage — Medicare Advantage: $787.35 AmeriHealth Michigan Inc — Medicare Advantage: $620.57 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $775.71 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $506.14 BCBS Complete — Medicaid HMO: $468.83
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Comp Ep Eval W/O Indu of AR	$32,579	$13,031.60	$14,008.97 – $36,441.09
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $18,700.35 AETNA [1003] — AETNA PPO [100307]: $22,870.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $36,441.09 Beaumont Health Network — PPO: $22,805.30 Blue Care Network of Michigan — HMO: $36,441.09 Bronson Healthcare Group — PPO: $27,692.15 Cofinity — PPO: $24,825.20 Colorado State Medicaid — Medicaid Out of State: $16,289.50 Confinity Advantage — PPO: $18,798.08 First Agency — PPO: $24,434.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$6,622	$2,648.80	$590.44 – $6,622
Heart rhythm study with ablation for atrial fibrillation: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,801.02 AETNA [1003] — AETNA PPO [100307]: $4,370.52 Aetna Better Health of Michigan Inc — Medicaid HMO: $590.44 Aetna Better Health of Michigan Inc — Medicare Advantage: $983.65 Aetna Health Management LLC — Medicare Advantage: $983.65 Alliance Health and Life Medicare Advantage — Medicare Advantage: $998.40 AmeriHealth Michigan Inc — Medicare Advantage: $786.92 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $983.65 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,476.37 BCBS Complete — Medicaid HMO: $590.44
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$55,248	$22,099.20	$668.88 – $55,248
Heart rhythm study with ablation for atrial fibrillation: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $31,712.35 AETNA [1003] — AETNA PPO [100307]: $36,463.68 Aetna Better Health of Michigan Inc — Medicare Advantage: $836.10 Aetna Health Management LLC — Medicare Advantage: $836.10 Alliance Health and Life Medicare Advantage — Medicare Advantage: $848.64 AmeriHealth Michigan Inc — Medicare Advantage: $668.88 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $836.10 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,254.91 Beaumont Health Network — PPO: $38,673.60 Blue Care Network of Michigan — HMO: $1,254.91
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Electrophys Eval Transeptal Tx Atrial Fib Isolation Pulm Vein	$48,626	$19,450.40	$1,767.43 – $51,683.77
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $27,911.32 AETNA [1003] — AETNA PPO [100307]: $34,135.45 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,767.43 Beaumont Health Network — PPO: $34,038.20 Blue Care Network of Michigan — HMO: $1,767.43 Bronson Healthcare Group — PPO: $41,332.10 Cofinity — PPO: $37,053.01 Colorado State Medicaid — Medicaid Out of State: $24,313 Confinity Advantage — PPO: $28,057.20 First Agency — PPO: $36,469.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Polysomnography, 4 or More	$642	$256.80	$73.91 – $642
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $368.50 AETNA [1003] — AETNA PPO [100307]: $423.72 Aetna Better Health of Michigan Inc — Medicaid HMO: $73.91 Aetna Better Health of Michigan Inc — Medicare Advantage: $108.11 Aetna Health Management LLC — Medicare Advantage: $108.11 Alliance Health and Life Medicare Advantage — Medicare Advantage: $109.73 AmeriHealth Michigan Inc — Medicare Advantage: $86.49 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $108.11 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $145.74 BCBS Complete — Medicaid HMO: $73.91
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Polysomnography, 4 or More	$6,723	$2,689.20	$400.65 – $6,723
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,859 AETNA [1003] — AETNA PPO [100307]: $4,437.18 Aetna Better Health of Michigan Inc — Medicaid HMO: $400.65 Aetna Better Health of Michigan Inc — Medicare Advantage: $515.93 Aetna Health Management LLC — Medicare Advantage: $515.93 Alliance Health and Life Medicare Advantage — Medicare Advantage: $523.67 AmeriHealth Michigan Inc — Medicare Advantage: $412.74 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $515.93 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $671.52 BCBS Complete — Medicaid HMO: $400.65
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Polysomnography Sleep Study	$6,081	$2,432.40	$2,614.83 – $6,463.39
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,490.49 AETNA [1003] — AETNA PPO [100307]: $4,268.86 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $3,094.09 Beaumont Health Network — PPO: $4,256.70 Blue Care Network of Michigan — HMO: $3,094.09 Bronson Healthcare Group — PPO: $5,168.85 Cofinity — PPO: $4,633.72 Colorado State Medicaid — Medicaid Out of State: $3,040.50 Confinity Advantage — PPO: $3,508.74 First Agency — PPO: $4,560.75

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Ot-Therapeutic Exercise 15m	$188	$75.20	$80.84 – $199.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $107.91 AETNA [1003] — AETNA PPO [100307]: $131.98 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $84.54 Beaumont Health Network — PPO: $131.60 Blue Care Network of Michigan — HMO: $84.54 Bronson Healthcare Group — PPO: $159.80 Cofinity — PPO: $143.26 Colorado State Medicaid — Medicaid Out of State: $94 Confinity Advantage — PPO: $108.48 First Agency — PPO: $141
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Pt-Therapeutic Exercise 15	$187	$74.80	$80.41 – $198.76
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $107.34 AETNA [1003] — AETNA PPO [100307]: $131.27 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $84.54 Beaumont Health Network — PPO: $130.90 Blue Care Network of Michigan — HMO: $84.54 Bronson Healthcare Group — PPO: $158.95 Cofinity — PPO: $142.49 Colorado State Medicaid — Medicaid Out of State: $93.50 Confinity Advantage — PPO: $107.90 First Agency — PPO: $140.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Ot-Therapeutic Exercise 15m	$188	$75.20	$80.84 – $199.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $107.91 AETNA [1003] — AETNA PPO [100307]: $131.98 Beaumont Health Network — PPO: $131.60 Bronson Healthcare Group — PPO: $159.80 Cofinity — PPO: $143.26 Colorado State Medicaid — Medicaid Out of State: $94 Confinity Advantage — PPO: $108.48 First Agency — PPO: $141 First Health — PPO: $159.80 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $141
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Pt-Eval: Low Complexity	$417	$166.80	$179.31 – $443.22
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $239.36 AETNA [1003] — AETNA PPO [100307]: $292.73 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $249.76 Beaumont Health Network — PPO: $291.90 Blue Care Network of Michigan — HMO: $249.76 Bronson Healthcare Group — PPO: $354.45 Cofinity — PPO: $317.75 Colorado State Medicaid — Medicaid Out of State: $208.50 Confinity Advantage — PPO: $240.61 First Agency — PPO: $312.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Pt-Eval: Low Complexity	$417	$166.80	$179.31 – $443.22
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $239.36 AETNA [1003] — AETNA PPO [100307]: $292.73 Beaumont Health Network — PPO: $291.90 Bronson Healthcare Group — PPO: $354.45 Cofinity — PPO: $317.75 Colorado State Medicaid — Medicaid Out of State: $208.50 Confinity Advantage — PPO: $240.61 First Agency — PPO: $312.75 First Health — PPO: $354.45 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $312.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Pt-Eval: Moderate Complexity	$453	$181.20	$194.79 – $481.49
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $260.02 AETNA [1003] — AETNA PPO [100307]: $318.01 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $249.76 Beaumont Health Network — PPO: $317.10 Blue Care Network of Michigan — HMO: $249.76 Bronson Healthcare Group — PPO: $385.05 Cofinity — PPO: $345.19 Colorado State Medicaid — Medicaid Out of State: $226.50 Confinity Advantage — PPO: $261.38 First Agency — PPO: $339.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Pt-Eval: Moderate Complexity	$453	$181.20	$194.79 – $481.49
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $260.02 AETNA [1003] — AETNA PPO [100307]: $318.01 Beaumont Health Network — PPO: $317.10 Bronson Healthcare Group — PPO: $385.05 Cofinity — PPO: $345.19 Colorado State Medicaid — Medicaid Out of State: $226.50 Confinity Advantage — PPO: $261.38 First Agency — PPO: $339.75 First Health — PPO: $385.05 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $339.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Pt-Eval: High Complexity	$450	$180	$193.50 – $478.30
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $258.30 AETNA [1003] — AETNA PPO [100307]: $315.90 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $249.76 Beaumont Health Network — PPO: $315 Blue Care Network of Michigan — HMO: $249.76 Bronson Healthcare Group — PPO: $382.50 Cofinity — PPO: $342.90 Colorado State Medicaid — Medicaid Out of State: $225 Confinity Advantage — PPO: $259.65 First Agency — PPO: $337.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC-Pt-Eval: High Complexity	$450	$180	$193.50 – $478.30
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $258.30 AETNA [1003] — AETNA PPO [100307]: $315.90 Beaumont Health Network — PPO: $315 Bronson Healthcare Group — PPO: $382.50 Cofinity — PPO: $342.90 Colorado State Medicaid — Medicaid Out of State: $225 Confinity Advantage — PPO: $259.65 First Agency — PPO: $337.50 First Health — PPO: $382.50 HAP [1023] — ALLIANCE HLT LIFE POS PPO [102302]: $337.50
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Psychotherapy 30 Minutes W/Patient_Rvw 1.86_	$140	$56	$45.37 – $140
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $80.36 AETNA [1003] — AETNA PPO [100307]: $92.40 Aetna Better Health of Michigan Inc — Medicaid HMO: $45.37 Aetna Better Health of Michigan Inc — Medicare Advantage: $69.90 Aetna Health Management LLC — Medicare Advantage: $69.90 Alliance Health and Life Medicare Advantage — Medicare Advantage: $70.95 AmeriHealth Michigan Inc — Medicare Advantage: $55.92 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $69.90 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $89.46 BCBS Complete — Medicaid HMO: $45.37
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Psychotherapy 30 Minutes W/Patient_Rvw 1.86_	$305	$122	$45.66 – $305
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $175.07 AETNA [1003] — AETNA PPO [100307]: $201.30 Aetna Better Health of Michigan Inc — Medicaid HMO: $51.97 Aetna Better Health of Michigan Inc — Medicare Advantage: $57.07 Aetna Health Management LLC — Medicare Advantage: $57.07 Alliance Health and Life Medicare Advantage — Medicare Advantage: $57.93 AmeriHealth Michigan Inc — Medicare Advantage: $45.66 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $57.07 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $102.48 BCBS Complete — Medicaid HMO: $51.97
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Virtual Care-Psychotherapy 30 Minutes W/Patient	$140	$56	$45.37 – $140
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $80.36 AETNA [1003] — AETNA PPO [100307]: $92.40 Aetna Better Health of Michigan Inc — Medicaid HMO: $45.37 Aetna Better Health of Michigan Inc — Medicare Advantage: $69.90 Aetna Health Management LLC — Medicare Advantage: $69.90 Alliance Health and Life Medicare Advantage — Medicare Advantage: $70.95 AmeriHealth Michigan Inc — Medicare Advantage: $55.92 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $69.90 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $89.46 BCBS Complete — Medicaid HMO: $45.37
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Psychotherapy 45 Minutes W/Patient_Rvw 2.0_	$189	$75.60	$59.85 – $189
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $108.48 AETNA [1003] — AETNA PPO [100307]: $124.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $59.85 Aetna Better Health of Michigan Inc — Medicare Advantage: $92.15 Aetna Health Management LLC — Medicare Advantage: $92.15 Alliance Health and Life Medicare Advantage — Medicare Advantage: $93.53 AmeriHealth Michigan Inc — Medicare Advantage: $73.72 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $92.15 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $118.02 BCBS Complete — Medicaid HMO: $59.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Psychotherapy 45 Minutes W/Patient_Rvw 2.0_	$189	$75.60	$59.85 – $189
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $108.48 AETNA [1003] — AETNA PPO [100307]: $124.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $59.85 Aetna Better Health of Michigan Inc — Medicare Advantage: $92.15 Aetna Health Management LLC — Medicare Advantage: $92.15 Alliance Health and Life Medicare Advantage — Medicare Advantage: $93.53 AmeriHealth Michigan Inc — Medicare Advantage: $73.72 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $92.15 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $118.02 BCBS Complete — Medicaid HMO: $59.85
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Virtual Care-Psychotherapy 45 Minutes W/Patient	$189	$75.60	$55.29 – $189
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $108.48 AETNA [1003] — AETNA PPO [100307]: $124.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $59.85 Aetna Better Health of Michigan Inc — Medicare Advantage: $69.11 Aetna Health Management LLC — Medicare Advantage: $69.11 Alliance Health and Life Medicare Advantage — Medicare Advantage: $70.15 AmeriHealth Michigan Inc — Medicare Advantage: $55.29 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $69.11 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $118.02 BCBS Complete — Medicaid HMO: $59.85
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Edo Psychotherapy 60 Minutes W/Patient_Rvw 3.0_	$282	$112.80	$81.94 – $282
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $161.86 AETNA [1003] — AETNA PPO [100307]: $186.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $88.61 Aetna Better Health of Michigan Inc — Medicare Advantage: $102.43 Aetna Health Management LLC — Medicare Advantage: $102.43 Alliance Health and Life Medicare Advantage — Medicare Advantage: $103.97 AmeriHealth Michigan Inc — Medicare Advantage: $81.94 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $102.43 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $174.72 BCBS Complete — Medicaid HMO: $88.61
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Edo Psychotherapy 60 Minutes W/Patient_Rvw 3.0_	$282	$112.80	$81.94 – $282
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $161.86 AETNA [1003] — AETNA PPO [100307]: $186.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $88.61 Aetna Better Health of Michigan Inc — Medicare Advantage: $102.43 Aetna Health Management LLC — Medicare Advantage: $102.43 Alliance Health and Life Medicare Advantage — Medicare Advantage: $103.97 AmeriHealth Michigan Inc — Medicare Advantage: $81.94 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $102.43 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $174.72 BCBS Complete — Medicaid HMO: $88.61
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Psychotherapy 60 Minutes W/Patient_Rvw 3.0_	$282	$112.80	$88.61 – $282
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $161.86 AETNA [1003] — AETNA PPO [100307]: $186.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $88.61 Aetna Better Health of Michigan Inc — Medicare Advantage: $136.57 Aetna Health Management LLC — Medicare Advantage: $136.57 Alliance Health and Life Medicare Advantage — Medicare Advantage: $138.62 AmeriHealth Michigan Inc — Medicare Advantage: $109.26 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $136.57 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $174.72 BCBS Complete — Medicaid HMO: $88.61
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Edo Family Psychotherapy 50 Minutes, Pt Not Present_Rvw 2.63_	$160	$64	$68.80 – $169.69
Family psychotherapy, without the patient: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $91.84 AETNA [1003] — AETNA PPO [100307]: $105.60 Aetna Better Health of Michigan Inc — Medicare Advantage: $99.82 Aetna Health Management LLC — Medicare Advantage: $99.82 Alliance Health and Life Medicare Advantage — Medicare Advantage: $101.32 AmeriHealth Michigan Inc — Medicare Advantage: $79.86 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $99.82 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $161.91 Beaumont Health Network — PPO: $112 Blue Care Network of Michigan — HMO: $161.91
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Edo Family Psychotherapy 50 Minutes, Pt Not Present_Rvw 2.63_	$160	$64	$68.80 – $169.69
Family psychotherapy, without the patient: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $91.84 AETNA [1003] — AETNA PPO [100307]: $105.60 Aetna Better Health of Michigan Inc — Medicare Advantage: $99.82 Aetna Health Management LLC — Medicare Advantage: $99.82 Alliance Health and Life Medicare Advantage — Medicare Advantage: $101.32 AmeriHealth Michigan Inc — Medicare Advantage: $79.86 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $99.82 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $161.91 Beaumont Health Network — PPO: $112 Blue Care Network of Michigan — HMO: $161.91
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Family Psychotherapy 50 Minutes, Pt Not Present_Rvw 2.63_	$160	$64	$68.80 – $169.69
Family psychotherapy, without the patient: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $91.84 AETNA [1003] — AETNA PPO [100307]: $105.60 Aetna Better Health of Michigan Inc — Medicare Advantage: $99.82 Aetna Health Management LLC — Medicare Advantage: $99.82 Alliance Health and Life Medicare Advantage — Medicare Advantage: $101.32 AmeriHealth Michigan Inc — Medicare Advantage: $79.86 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $99.82 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $161.91 Beaumont Health Network — PPO: $112 Blue Care Network of Michigan — HMO: $161.91
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Edo Family Psychotherapy-50 Minutes W Patient Present_Rvw 2.74_	$132	$52.80	$56.76 – $176.85
Family psychotherapy, with the patient: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $75.76 AETNA [1003] — AETNA PPO [100307]: $87.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $67.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $104.03 Aetna Health Management LLC — Medicare Advantage: $104.03 Alliance Health and Life Medicare Advantage — Medicare Advantage: $105.59 AmeriHealth Michigan Inc — Medicare Advantage: $83.22 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $104.03 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $133.14 BCBS Complete — Medicaid HMO: $67.52
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Edo Family Psychotherapy-50 Minutes W Patient Present_Rvw 2.74_	$132	$52.80	$56.76 – $176.85
Family psychotherapy, with the patient: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $75.76 AETNA [1003] — AETNA PPO [100307]: $87.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $67.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $104.03 Aetna Health Management LLC — Medicare Advantage: $104.03 Alliance Health and Life Medicare Advantage — Medicare Advantage: $105.59 AmeriHealth Michigan Inc — Medicare Advantage: $83.22 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $104.03 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $133.14 BCBS Complete — Medicaid HMO: $67.52
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Family Psychotherapy-50 Minutes W Patient Present_Rvw 2.74_	$132	$52.80	$56.76 – $176.85
Family psychotherapy, with the patient: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $75.76 AETNA [1003] — AETNA PPO [100307]: $87.12 Aetna Better Health of Michigan Inc — Medicaid HMO: $67.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $104.03 Aetna Health Management LLC — Medicare Advantage: $104.03 Alliance Health and Life Medicare Advantage — Medicare Advantage: $105.59 AmeriHealth Michigan Inc — Medicare Advantage: $83.22 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $104.03 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $133.14 BCBS Complete — Medicaid HMO: $67.52
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Group Psychotherapy	$39	$15.60	$15.98 – $42.08
Group psychotherapy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $22.38 AETNA [1003] — AETNA PPO [100307]: $25.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $15.98 Aetna Better Health of Michigan Inc — Medicare Advantage: $24.75 Aetna Health Management LLC — Medicare Advantage: $24.75 Alliance Health and Life Medicare Advantage — Medicare Advantage: $25.12 AmeriHealth Michigan Inc — Medicare Advantage: $19.80 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $24.75 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $31.50 BCBS Complete — Medicaid HMO: $15.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Group Psychotherapy	$39	$15.60	$14.85 – $39
Group psychotherapy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $22.38 AETNA [1003] — AETNA PPO [100307]: $25.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $15.98 Aetna Better Health of Michigan Inc — Medicare Advantage: $18.56 Aetna Health Management LLC — Medicare Advantage: $18.56 Alliance Health and Life Medicare Advantage — Medicare Advantage: $18.84 AmeriHealth Michigan Inc — Medicare Advantage: $14.85 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $18.56 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $31.50 BCBS Complete — Medicaid HMO: $15.98
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Group Psychotherapy_Rvw 0.65_	$39	$15.60	$14.85 – $39
Group psychotherapy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $22.38 AETNA [1003] — AETNA PPO [100307]: $25.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $15.98 Aetna Better Health of Michigan Inc — Medicare Advantage: $18.56 Aetna Health Management LLC — Medicare Advantage: $18.56 Alliance Health and Life Medicare Advantage — Medicare Advantage: $18.84 AmeriHealth Michigan Inc — Medicare Advantage: $14.85 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $18.56 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $31.50 BCBS Complete — Medicaid HMO: $15.98

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Excision of Benign or Malignant Lesion, Breast, 1 or More	$1,237	$494.80	$271.79 – $1,237
Removal of breast growth (open surgery): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $710.03 AETNA [1003] — AETNA PPO [100307]: $816.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $271.79 Aetna Better Health of Michigan Inc — Medicare Advantage: $444.79 Aetna Health Management LLC — Medicare Advantage: $444.79 Alliance Health and Life Medicare Advantage — Medicare Advantage: $451.46 AmeriHealth Michigan Inc — Medicare Advantage: $355.83 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $444.79 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $679.60 BCBS Complete — Medicaid HMO: $271.79
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Excision of Benign or Malignant Lesion, Breast, 1 or More	$11,662	$4,664.80	$336.11 – $11,662
Removal of breast growth (open surgery): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $6,693.98 AETNA [1003] — AETNA PPO [100307]: $7,696.92 Aetna Better Health of Michigan Inc — Medicaid HMO: $336.11 Aetna Better Health of Michigan Inc — Medicare Advantage: $459.94 Aetna Health Management LLC — Medicare Advantage: $459.94 Alliance Health and Life Medicare Advantage — Medicare Advantage: $466.84 AmeriHealth Michigan Inc — Medicare Advantage: $367.95 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $459.94 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $714.37 BCBS Complete — Medicaid HMO: $336.11
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Exc Cyst Breast Duct Nipple	$10,425	$4,170	$4,482.75 – $11,080.56
Removal of breast growth (open surgery): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5,983.95 AETNA [1003] — AETNA PPO [100307]: $7,318.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $4,983.15 Beaumont Health Network — PPO: $7,297.50 Blue Care Network of Michigan — HMO: $4,983.15 Bronson Healthcare Group — PPO: $8,861.25 Cofinity — PPO: $7,943.85 Colorado State Medicaid — Medicaid Out of State: $5,212.50 Confinity Advantage — PPO: $6,015.23 First Agency — PPO: $7,818.75
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Arthroplast, Acetab & Prox Fem Prosthet Replment (Tot Hip Arthro) W/WO Autogrft/Allo	$9,673	$3,869.20	$829.21 – $9,673
Total hip replacement: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5,552.30 AETNA [1003] — AETNA PPO [100307]: $6,384.18 Aetna Better Health of Michigan Inc — Medicaid HMO: $829.21 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,221.57 Aetna Health Management LLC — Medicare Advantage: $1,221.57 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,239.89 AmeriHealth Michigan Inc — Medicare Advantage: $977.26 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,221.57 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,277.79 BCBS Complete — Medicaid HMO: $829.21
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Arthroplast, Acetab & Prox Fem Prosthet Replment (Tot Hip Arthro) W/WO Autogrft/Allo	$9,673	$3,869.20	$915.87 – $9,673
Total hip replacement: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5,552.30 AETNA [1003] — AETNA PPO [100307]: $6,384.18 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,144.84 Aetna Health Management LLC — Medicare Advantage: $1,144.84 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,162.01 AmeriHealth Michigan Inc — Medicare Advantage: $915.87 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,144.84 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,936.12 Beaumont Health Network — PPO: $6,771.10 Blue Care Network of Michigan — HMO: $1,936.12
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Arthroplasty, Knee, Condyle & Plateau; Medial & Lateral Compartments W or W/O Patella Resurfacing	$7,087	$2,834.80	$828.14 – $7,087
Total knee replacement: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,067.93 AETNA [1003] — AETNA PPO [100307]: $4,677.42 Aetna Better Health of Michigan Inc — Medicaid HMO: $828.14 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,220.01 Aetna Health Management LLC — Medicare Advantage: $1,220.01 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,238.31 AmeriHealth Michigan Inc — Medicare Advantage: $976.01 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,220.01 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,274.87 BCBS Complete — Medicaid HMO: $828.14
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Arthroplasty, Knee, Condyle & Plateau; Medial & Lateral Compartments W or W/O Patella Resurfacing	$7,087	$2,834.80	$914.62 – $7,087
Total knee replacement: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,067.93 AETNA [1003] — AETNA PPO [100307]: $4,677.42 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,143.28 Aetna Health Management LLC — Medicare Advantage: $1,143.28 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,160.43 AmeriHealth Michigan Inc — Medicare Advantage: $914.62 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,143.28 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,933.64 Beaumont Health Network — PPO: $4,960.90 Blue Care Network of Michigan — HMO: $1,933.64
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Arthroscopy, Shoulder, Decompress of Subacromial Space W/Part Acromioplasty	$3,275	$1,310	$109.70 – $3,275
Shoulder arthroscopy: shaving of shoulder bone: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,879.85 AETNA [1003] — AETNA PPO [100307]: $2,161.50 Aetna Better Health of Michigan Inc — Medicaid HMO: $109.70 Aetna Better Health of Michigan Inc — Medicare Advantage: $179.87 Aetna Health Management LLC — Medicare Advantage: $179.87 Alliance Health and Life Medicare Advantage — Medicare Advantage: $182.57 AmeriHealth Michigan Inc — Medicare Advantage: $143.90 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $179.87 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $216.30 BCBS Complete — Medicaid HMO: $109.70
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Arthroscopy, Shoulder, Decompress of Subacromial Space W/Part Acromioplasty	$3,275	$1,310	$122.31 – $3,275
Shoulder arthroscopy: shaving of shoulder bone: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,879.85 AETNA [1003] — AETNA PPO [100307]: $2,161.50 Aetna Better Health of Michigan Inc — Medicare Advantage: $152.89 Aetna Health Management LLC — Medicare Advantage: $152.89 Alliance Health and Life Medicare Advantage — Medicare Advantage: $155.18 AmeriHealth Michigan Inc — Medicare Advantage: $122.31 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $152.89 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $183.86 Beaumont Health Network — PPO: $2,292.50 Blue Care Network of Michigan — HMO: $183.86
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Arthroscopy, Knee, W/Menisectomy Medial or Lat	$3,399	$1,359.60	$354.43 – $3,399
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,951.02 AETNA [1003] — AETNA PPO [100307]: $2,243.34 Aetna Better Health of Michigan Inc — Medicaid HMO: $354.43 Aetna Better Health of Michigan Inc — Medicare Advantage: $567.49 Aetna Health Management LLC — Medicare Advantage: $567.49 Alliance Health and Life Medicare Advantage — Medicare Advantage: $576 AmeriHealth Michigan Inc — Medicare Advantage: $453.99 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $567.49 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $973.61 BCBS Complete — Medicaid HMO: $354.43
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Arthroscopy, Knee, W/Menisectomy Medial or Lat	$3,399	$1,359.60	$385.90 – $3,399
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,951.02 AETNA [1003] — AETNA PPO [100307]: $2,243.34 Aetna Better Health of Michigan Inc — Medicare Advantage: $482.37 Aetna Health Management LLC — Medicare Advantage: $482.37 Alliance Health and Life Medicare Advantage — Medicare Advantage: $489.61 AmeriHealth Michigan Inc — Medicare Advantage: $385.90 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $482.37 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $827.57 Beaumont Health Network — PPO: $2,379.30 Blue Care Network of Michigan — HMO: $827.57
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Tonsillectomy and Adenoidectomy; Under Age 12	$1,238	$495.20	$189.36 – $1,238
Removal of tonsils and adenoids (under age 12): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $710.61 AETNA [1003] — AETNA PPO [100307]: $817.08 Aetna Better Health of Michigan Inc — Medicaid HMO: $189.36 Aetna Better Health of Michigan Inc — Medicare Advantage: $300.30 Aetna Health Management LLC — Medicare Advantage: $300.30 Alliance Health and Life Medicare Advantage — Medicare Advantage: $304.80 AmeriHealth Michigan Inc — Medicare Advantage: $240.24 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $300.30 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $473.48 BCBS Complete — Medicaid HMO: $189.36
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Tonsillectomy and Adenoidectomy; Under Age 12	$1,238	$495.20	$204.21 – $1,238
Removal of tonsils and adenoids (under age 12): 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $710.61 AETNA [1003] — AETNA PPO [100307]: $817.08 Aetna Better Health of Michigan Inc — Medicare Advantage: $255.26 Aetna Health Management LLC — Medicare Advantage: $255.26 Alliance Health and Life Medicare Advantage — Medicare Advantage: $259.09 AmeriHealth Michigan Inc — Medicare Advantage: $204.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $255.26 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $402.46 Beaumont Health Network — PPO: $866.60 Blue Care Network of Michigan — HMO: $402.46
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Egd Flexible, Transoral: to Duodenum_Rvw 2.19_	$669	$267.60	$77.75 – $669
Upper GI endoscopy (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $384 AETNA [1003] — AETNA PPO [100307]: $441.54 Aetna Better Health of Michigan Inc — Medicaid HMO: $77.75 Aetna Better Health of Michigan Inc — Medicare Advantage: $123.95 Aetna Health Management LLC — Medicare Advantage: $123.95 Alliance Health and Life Medicare Advantage — Medicare Advantage: $125.81 AmeriHealth Michigan Inc — Medicare Advantage: $99.16 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $123.95 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $194.40 BCBS Complete — Medicaid HMO: $77.75
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Egd Flexible, Transoral: to Duodenum_Rvw 2.19_	$4,715	$1,886	$181.90 – $4,715
Upper GI endoscopy (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,706.41 AETNA [1003] — AETNA PPO [100307]: $3,111.90 Aetna Better Health of Michigan Inc — Medicaid HMO: $181.90 Aetna Better Health of Michigan Inc — Medicare Advantage: $237.92 Aetna Health Management LLC — Medicare Advantage: $237.92 Alliance Health and Life Medicare Advantage — Medicare Advantage: $241.49 AmeriHealth Michigan Inc — Medicare Advantage: $190.34 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $237.92 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $386.61 BCBS Complete — Medicaid HMO: $181.90
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Egd Flexible, Transoral to Duodenum	$4,046	$1,618.40	$1,739.78 – $4,300.43
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,322.40 AETNA [1003] — AETNA PPO [100307]: $2,840.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,933.98 Beaumont Health Network — PPO: $2,832.20 Blue Care Network of Michigan — HMO: $1,933.98 Bronson Healthcare Group — PPO: $3,439.10 Cofinity — PPO: $3,083.05 Colorado State Medicaid — Medicaid Out of State: $2,023 Confinity Advantage — PPO: $2,334.54 First Agency — PPO: $3,034.50
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Egd,Flex, Transoral; W/Bx,Single/Mult	$756	$302.40	$87.33 – $756
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $433.94 AETNA [1003] — AETNA PPO [100307]: $498.96 Aetna Better Health of Michigan Inc — Medicaid HMO: $87.33 Aetna Better Health of Michigan Inc — Medicare Advantage: $138.94 Aetna Health Management LLC — Medicare Advantage: $138.94 Alliance Health and Life Medicare Advantage — Medicare Advantage: $141.02 AmeriHealth Michigan Inc — Medicare Advantage: $111.15 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $138.94 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $218.37 BCBS Complete — Medicaid HMO: $87.33
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Egd,Flex, Transoral; W/Bx,Single/Mult	$4,609	$1,843.60	$235.15 – $4,609
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,645.56 AETNA [1003] — AETNA PPO [100307]: $3,041.94 Aetna Better Health of Michigan Inc — Medicaid HMO: $235.15 Aetna Better Health of Michigan Inc — Medicare Advantage: $306.25 Aetna Health Management LLC — Medicare Advantage: $306.25 Alliance Health and Life Medicare Advantage — Medicare Advantage: $310.84 AmeriHealth Michigan Inc — Medicare Advantage: $245 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $306.25 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $499.79 BCBS Complete — Medicaid HMO: $235.15
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Egd W/ Biopsy(S)	$3,853	$1,541.20	$1,656.79 – $4,095.29
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,211.62 AETNA [1003] — AETNA PPO [100307]: $2,704.81 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,841.73 Beaumont Health Network — PPO: $2,697.10 Blue Care Network of Michigan — HMO: $1,841.73 Bronson Healthcare Group — PPO: $3,275.05 Cofinity — PPO: $2,935.99 Colorado State Medicaid — Medicaid Out of State: $1,926.50 Confinity Advantage — PPO: $2,223.18 First Agency — PPO: $2,889.75
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colonoscopy,Diagnostic_Rvw 3.36_	$1,000	$400	$116.72 – $1,000
Colonoscopy (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $574 AETNA [1003] — AETNA PPO [100307]: $660 Aetna Better Health of Michigan Inc — Medicaid HMO: $116.72 Aetna Better Health of Michigan Inc — Medicare Advantage: $186.75 Aetna Health Management LLC — Medicare Advantage: $186.75 Alliance Health and Life Medicare Advantage — Medicare Advantage: $189.55 AmeriHealth Michigan Inc — Medicare Advantage: $149.40 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $186.75 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $291.86 BCBS Complete — Medicaid HMO: $116.72
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Colonoscopy,Diagnostic_Rvw 3.36_	$5,369	$2,147.60	$215.77 – $5,369
Colonoscopy (diagnostic): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,081.80 AETNA [1003] — AETNA PPO [100307]: $3,543.54 Aetna Better Health of Michigan Inc — Medicaid HMO: $215.77 Aetna Better Health of Michigan Inc — Medicare Advantage: $284.80 Aetna Health Management LLC — Medicare Advantage: $284.80 Alliance Health and Life Medicare Advantage — Medicare Advantage: $289.07 AmeriHealth Michigan Inc — Medicare Advantage: $227.84 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $284.80 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $458.59 BCBS Complete — Medicaid HMO: $215.77
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Colonoscopy Diagnostic	$4,369	$1,747.60	$1,878.67 – $4,643.74
Colonoscopy (diagnostic): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,507.81 AETNA [1003] — AETNA PPO [100307]: $3,067.04 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,088.38 Beaumont Health Network — PPO: $3,058.30 Blue Care Network of Michigan — HMO: $2,088.38 Bronson Healthcare Group — PPO: $3,713.65 Cofinity — PPO: $3,329.18 Colorado State Medicaid — Medicaid Out of State: $2,184.50 Confinity Advantage — PPO: $2,520.91 First Agency — PPO: $3,276.75
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colonoscopy,Biopsy	$1,050	$420	$126.95 – $1,050
Colonoscopy with biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $602.70 AETNA [1003] — AETNA PPO [100307]: $693 Aetna Better Health of Michigan Inc — Medicaid HMO: $126.95 Aetna Better Health of Michigan Inc — Medicare Advantage: $203.17 Aetna Health Management LLC — Medicare Advantage: $203.17 Alliance Health and Life Medicare Advantage — Medicare Advantage: $206.22 AmeriHealth Michigan Inc — Medicare Advantage: $162.54 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $203.17 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $317.43 BCBS Complete — Medicaid HMO: $126.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Colonoscopy,Biopsy	$5,233	$2,093.20	$273.07 – $5,233
Colonoscopy with biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,003.74 AETNA [1003] — AETNA PPO [100307]: $3,453.78 Aetna Better Health of Michigan Inc — Medicaid HMO: $273.07 Aetna Better Health of Michigan Inc — Medicare Advantage: $358.67 Aetna Health Management LLC — Medicare Advantage: $358.67 Alliance Health and Life Medicare Advantage — Medicare Advantage: $364.05 AmeriHealth Michigan Inc — Medicare Advantage: $286.94 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $358.67 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $580.37 BCBS Complete — Medicaid HMO: $273.07
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Colonoscopy W/ Biopsy(S)	$4,183	$1,673.20	$1,798.69 – $4,446.04
Colonoscopy with biopsy: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,401.04 AETNA [1003] — AETNA PPO [100307]: $2,936.47 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,999.47 Beaumont Health Network — PPO: $2,928.10 Blue Care Network of Michigan — HMO: $1,999.47 Bronson Healthcare Group — PPO: $3,555.55 Cofinity — PPO: $3,187.45 Colorado State Medicaid — Medicaid Out of State: $2,091.50 Confinity Advantage — PPO: $2,413.59 First Agency — PPO: $3,137.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colonoscopy, W/Remv Lesn,Snare_Rvw 4.67_	$1,339	$535.60	$159.96 – $1,339
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $768.58 AETNA [1003] — AETNA PPO [100307]: $883.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $159.96 Aetna Better Health of Michigan Inc — Medicare Advantage: $255.29 Aetna Health Management LLC — Medicare Advantage: $255.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $259.12 AmeriHealth Michigan Inc — Medicare Advantage: $204.23 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $255.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $399.98 BCBS Complete — Medicaid HMO: $159.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Colonoscopy, W/Remv Lesn,Snare_Rvw 4.67_	$5,546	$2,218.40	$286.70 – $5,546
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,183.40 AETNA [1003] — AETNA PPO [100307]: $3,660.36 Aetna Better Health of Michigan Inc — Medicaid HMO: $286.70 Aetna Better Health of Michigan Inc — Medicare Advantage: $378.30 Aetna Health Management LLC — Medicare Advantage: $378.30 Alliance Health and Life Medicare Advantage — Medicare Advantage: $383.97 AmeriHealth Michigan Inc — Medicare Advantage: $302.64 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $378.30 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $609.35 BCBS Complete — Medicaid HMO: $286.70
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colonoscopy,Remv Lesn,Snare	$1,339	$535.60	$159.96 – $1,339
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $768.58 AETNA [1003] — AETNA PPO [100307]: $883.74 Aetna Better Health of Michigan Inc — Medicaid HMO: $159.96 Aetna Better Health of Michigan Inc — Medicare Advantage: $255.29 Aetna Health Management LLC — Medicare Advantage: $255.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $259.12 AmeriHealth Michigan Inc — Medicare Advantage: $204.23 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $255.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $399.98 BCBS Complete — Medicaid HMO: $159.96
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colonoscopy W/Endoscope US	$1,205	$482	$162.09 – $1,205
Ultrasound of the lower bowel by endoscope: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $691.67 AETNA [1003] — AETNA PPO [100307]: $795.30 Aetna Better Health of Michigan Inc — Medicaid HMO: $162.09 Aetna Better Health of Michigan Inc — Medicare Advantage: $258.05 Aetna Health Management LLC — Medicare Advantage: $258.05 Alliance Health and Life Medicare Advantage — Medicare Advantage: $261.92 AmeriHealth Michigan Inc — Medicare Advantage: $206.44 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $258.05 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $405.31 BCBS Complete — Medicaid HMO: $162.09
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Colonoscopy W/Endoscope US	$4,626	$1,850.40	$175.47 – $4,626
Ultrasound of the lower bowel by endoscope: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,655.32 AETNA [1003] — AETNA PPO [100307]: $3,053.16 Aetna Better Health of Michigan Inc — Medicare Advantage: $219.34 Aetna Health Management LLC — Medicare Advantage: $219.34 Alliance Health and Life Medicare Advantage — Medicare Advantage: $222.63 AmeriHealth Michigan Inc — Medicare Advantage: $175.47 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $219.34 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $344.51 Beaumont Health Network — PPO: $3,238.20 Blue Care Network of Michigan — HMO: $344.51
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Colonoscopy W/ Endoscope US	$3,421	$1,368.40	$1,471.03 – $3,636.12
Ultrasound of the lower bowel by endoscope: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,963.65 AETNA [1003] — AETNA PPO [100307]: $2,401.54 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,635.23 Beaumont Health Network — PPO: $2,394.70 Blue Care Network of Michigan — HMO: $1,635.23 Bronson Healthcare Group — PPO: $2,907.85 Cofinity — PPO: $2,606.80 Colorado State Medicaid — Medicaid Out of State: $1,710.50 Confinity Advantage — PPO: $1,973.92 First Agency — PPO: $2,565.75
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Colon Ca Scrn Not Hi Rsk Ind	$510	$204	$116.94 – $510
Screening colonoscopy (not high risk): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $292.74 AETNA [1003] — AETNA PPO [100307]: $336.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $116.94 Aetna Better Health of Michigan Inc — Medicare Advantage: $187.31 Aetna Health Management LLC — Medicare Advantage: $187.31 Alliance Health and Life Medicare Advantage — Medicare Advantage: $190.12 AmeriHealth Michigan Inc — Medicare Advantage: $149.85 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $187.31 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $292.40 BCBS Complete — Medicaid HMO: $116.94
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Colon Ca Scrn Not Hi Rsk Ind	$4,235	$1,694	$215.98 – $4,235
Screening colonoscopy (not high risk): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,430.89 AETNA [1003] — AETNA PPO [100307]: $2,795.10 Aetna Better Health of Michigan Inc — Medicaid HMO: $215.98 Aetna Better Health of Michigan Inc — Medicare Advantage: $285.27 Aetna Health Management LLC — Medicare Advantage: $285.27 Alliance Health and Life Medicare Advantage — Medicare Advantage: $289.55 AmeriHealth Michigan Inc — Medicare Advantage: $228.22 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $285.27 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $459.05 BCBS Complete — Medicaid HMO: $215.98
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Colonscopy Ca Screen Avg Risk	$3,725	$1,490	$1,601.75 – $3,959.24
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,138.15 AETNA [1003] — AETNA PPO [100307]: $2,614.95 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,780.55 Beaumont Health Network — PPO: $2,607.50 Blue Care Network of Michigan — HMO: $1,780.55 Bronson Healthcare Group — PPO: $3,166.25 Cofinity — PPO: $2,838.45 Colorado State Medicaid — Medicaid Out of State: $1,862.50 Confinity Advantage — PPO: $2,149.33 First Agency — PPO: $2,793.75
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Lap, Surgical; Cholecystectomy	$3,446	$1,378.40	$427.28 – $3,446
Gallbladder removal by laparoscope: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,978 AETNA [1003] — AETNA PPO [100307]: $2,274.36 Aetna Better Health of Michigan Inc — Medicaid HMO: $427.28 Aetna Better Health of Michigan Inc — Medicare Advantage: $707.58 Aetna Health Management LLC — Medicare Advantage: $707.58 Alliance Health and Life Medicare Advantage — Medicare Advantage: $718.19 AmeriHealth Michigan Inc — Medicare Advantage: $566.06 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $707.58 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,068.40 BCBS Complete — Medicaid HMO: $427.28
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Lap, Surgical; Cholecystectomy	$3,446	$1,378.40	$481.15 – $3,446
Gallbladder removal by laparoscope: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,978 AETNA [1003] — AETNA PPO [100307]: $2,274.36 Aetna Better Health of Michigan Inc — Medicare Advantage: $601.44 Aetna Health Management LLC — Medicare Advantage: $601.44 Alliance Health and Life Medicare Advantage — Medicare Advantage: $610.46 AmeriHealth Michigan Inc — Medicare Advantage: $481.15 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $601.44 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $908.14 Beaumont Health Network — PPO: $2,412.20 Blue Care Network of Michigan — HMO: $908.14
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Repair Inguinal Hernia,5+Y/O,Reducible	$1,990	$796	$339.52 – $1,990
Groin (inguinal) hernia repair, age 5 or older: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,142.26 AETNA [1003] — AETNA PPO [100307]: $1,313.40 Aetna Better Health of Michigan Inc — Medicaid HMO: $339.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $559.88 Aetna Health Management LLC — Medicare Advantage: $559.88 Alliance Health and Life Medicare Advantage — Medicare Advantage: $568.28 AmeriHealth Michigan Inc — Medicare Advantage: $447.90 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $559.88 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $848.96 BCBS Complete — Medicaid HMO: $339.52
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Repair Inguinal Hernia,5+Y/O,Reducible	$1,990	$796	$380.72 – $1,990
Groin (inguinal) hernia repair, age 5 or older: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,142.26 AETNA [1003] — AETNA PPO [100307]: $1,313.40 Aetna Better Health of Michigan Inc — Medicare Advantage: $475.90 Aetna Health Management LLC — Medicare Advantage: $475.90 Alliance Health and Life Medicare Advantage — Medicare Advantage: $483.04 AmeriHealth Michigan Inc — Medicare Advantage: $380.72 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $475.90 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $721.62 Beaumont Health Network — PPO: $1,393 Blue Care Network of Michigan — HMO: $721.62
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Prostate Biopsy, Needle or Punch; Single or Multiple (Trus)	$628	$251.20	$82.22 – $628
Prostate biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $360.47 AETNA [1003] — AETNA PPO [100307]: $414.48 Aetna Better Health of Michigan Inc — Medicaid HMO: $82.22 Aetna Better Health of Michigan Inc — Medicare Advantage: $131.35 Aetna Health Management LLC — Medicare Advantage: $131.35 Alliance Health and Life Medicare Advantage — Medicare Advantage: $133.32 AmeriHealth Michigan Inc — Medicare Advantage: $105.08 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $131.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $205.58 BCBS Complete — Medicaid HMO: $82.22
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Prostate Biopsy, Needle or Punch; Single or Multiple (Trus)	$5,626	$2,250.40	$153.57 – $5,626
Prostate biopsy: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,229.32 AETNA [1003] — AETNA PPO [100307]: $3,713.16 Aetna Better Health of Michigan Inc — Medicaid HMO: $153.57 Aetna Better Health of Michigan Inc — Medicare Advantage: $202.46 Aetna Health Management LLC — Medicare Advantage: $202.46 Alliance Health and Life Medicare Advantage — Medicare Advantage: $205.50 AmeriHealth Michigan Inc — Medicare Advantage: $161.97 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $202.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $326.40 BCBS Complete — Medicaid HMO: $153.57
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Biopsy of Prostate,Needle/Punch	$4,998	$1,999.20	$2,149.14 – $5,312.29
Prostate biopsy: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,868.85 AETNA [1003] — AETNA PPO [100307]: $3,508.60 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,389.04 Beaumont Health Network — PPO: $3,498.60 Blue Care Network of Michigan — HMO: $2,389.04 Bronson Healthcare Group — PPO: $4,248.30 Cofinity — PPO: $3,808.48 Colorado State Medicaid — Medicaid Out of State: $2,499 Confinity Advantage — PPO: $2,883.85 First Agency — PPO: $3,748.50
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Prostatectomy, Retropubic Radical, Laparoscopic, Includes Robotic Assist	$7,071	$2,828.40	$761.69 – $7,071
Prostate removal by laparoscope (radical prostatectomy): 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,058.75 AETNA [1003] — AETNA PPO [100307]: $4,666.86 Aetna Better Health of Michigan Inc — Medicaid HMO: $761.69 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,217.74 Aetna Health Management LLC — Medicare Advantage: $1,217.74 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,236.01 AmeriHealth Michigan Inc — Medicare Advantage: $974.19 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,217.74 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,904.58 BCBS Complete — Medicaid HMO: $761.69
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Prostatectomy, Retropubic Radical, Laparoscopic, Includes Robotic Assist	$7,071	$2,828.40	$828.06 – $7,071
Prostate removal by laparoscope (radical prostatectomy): 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,058.75 AETNA [1003] — AETNA PPO [100307]: $4,666.86 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,035.08 Aetna Health Management LLC — Medicare Advantage: $1,035.08 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,050.61 AmeriHealth Michigan Inc — Medicare Advantage: $828.06 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,035.08 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,618.89 Beaumont Health Network — PPO: $4,949.70 Blue Care Network of Michigan — HMO: $1,618.89
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Hysteroscopy, W/ Endo Bx &/or Polypectomy	$1,665	$666	$147.82 – $1,665
Hysteroscopy with biopsy of the uterus lining: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $955.71 AETNA [1003] — AETNA PPO [100307]: $1,098.90 Aetna Better Health of Michigan Inc — Medicaid HMO: $147.82 Aetna Better Health of Michigan Inc — Medicare Advantage: $240.45 Aetna Health Management LLC — Medicare Advantage: $240.45 Alliance Health and Life Medicare Advantage — Medicare Advantage: $244.06 AmeriHealth Michigan Inc — Medicare Advantage: $192.36 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $240.45 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $369.62 BCBS Complete — Medicaid HMO: $147.82
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Hysteroscopy, W/ Endo Bx &/or Polypectomy	$11,845	$4,738	$794.92 – $11,845
Hysteroscopy with biopsy of the uterus lining: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $6,799.03 AETNA [1003] — AETNA PPO [100307]: $7,817.70 Aetna Better Health of Michigan Inc — Medicaid HMO: $794.92 Aetna Better Health of Michigan Inc — Medicare Advantage: $1,027.97 Aetna Health Management LLC — Medicare Advantage: $1,027.97 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,043.39 AmeriHealth Michigan Inc — Medicare Advantage: $822.38 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,027.97 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,689.51 BCBS Complete — Medicaid HMO: $794.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Hysteroscopy,W/Endometrium Biopsy	$10,180	$4,072	$4,377.40 – $10,820.15
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $5,843.32 AETNA [1003] — AETNA PPO [100307]: $7,146.36 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $4,866.04 Beaumont Health Network — PPO: $7,126 Blue Care Network of Michigan — HMO: $4,866.04 Bronson Healthcare Group — PPO: $8,653 Cofinity — PPO: $7,757.16 Colorado State Medicaid — Medicaid Out of State: $5,090 Confinity Advantage — PPO: $5,873.86 First Agency — PPO: $7,635
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn_Rvw 1.80_	$707	$282.80	$63.26 – $707
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $405.81 AETNA [1003] — AETNA PPO [100307]: $466.62 Aetna Better Health of Michigan Inc — Medicaid HMO: $63.26 Aetna Better Health of Michigan Inc — Medicare Advantage: $99.74 Aetna Health Management LLC — Medicare Advantage: $99.74 Alliance Health and Life Medicare Advantage — Medicare Advantage: $101.24 AmeriHealth Michigan Inc — Medicare Advantage: $79.79 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $99.74 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $158.18 BCBS Complete — Medicaid HMO: $63.26
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn_Rvw 1.80_	$3,110	$1,244	$162.52 – $3,110
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,785.14 AETNA [1003] — AETNA PPO [100307]: $2,052.60 Aetna Better Health of Michigan Inc — Medicaid HMO: $162.52 Aetna Better Health of Michigan Inc — Medicare Advantage: $211.11 Aetna Health Management LLC — Medicare Advantage: $211.11 Alliance Health and Life Medicare Advantage — Medicare Advantage: $214.28 AmeriHealth Michigan Inc — Medicare Advantage: $168.89 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $211.11 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $345.41 BCBS Complete — Medicaid HMO: $162.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Inj Lmbr/Sac W/Img Gdn	$2,403	$961.20	$1,033.29 – $2,554.11
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,379.32 AETNA [1003] — AETNA PPO [100307]: $1,686.91 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,148.63 Beaumont Health Network — PPO: $1,682.10 Blue Care Network of Michigan — HMO: $1,148.63 Bronson Healthcare Group — PPO: $2,042.55 Cofinity — PPO: $1,831.09 Colorado State Medicaid — Medicaid Out of State: $1,201.50 Confinity Advantage — PPO: $1,386.53 First Agency — PPO: $1,802.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Inj Anest Agent/Steroid, Transforaminal Epidurl W/Guidance, Lumbar/Sacral-1 Level	$533	$213.20	$70.93 – $533
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $305.94 AETNA [1003] — AETNA PPO [100307]: $351.78 Aetna Better Health of Michigan Inc — Medicaid HMO: $70.93 Aetna Better Health of Michigan Inc — Medicare Advantage: $111.04 Aetna Health Management LLC — Medicare Advantage: $111.04 Alliance Health and Life Medicare Advantage — Medicare Advantage: $112.71 AmeriHealth Michigan Inc — Medicare Advantage: $88.83 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $111.04 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $177.36 BCBS Complete — Medicaid HMO: $70.93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Inj Anest Agent/Steroid, Transforaminal Epidurl W/Guidance, Lumbar/Sacral-1 Level	$3,603	$1,441.20	$155.49 – $3,603
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $2,068.12 AETNA [1003] — AETNA PPO [100307]: $2,377.98 Aetna Better Health of Michigan Inc — Medicaid HMO: $155.49 Aetna Better Health of Michigan Inc — Medicare Advantage: $202.01 Aetna Health Management LLC — Medicare Advantage: $202.01 Alliance Health and Life Medicare Advantage — Medicare Advantage: $205.04 AmeriHealth Michigan Inc — Medicare Advantage: $161.61 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $202.01 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $330.48 BCBS Complete — Medicaid HMO: $155.49
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Inject,Transforaminal,Lumbar/Sacral,1 Level	$3,070	$1,228	$1,320.10 – $3,263.05
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,762.18 AETNA [1003] — AETNA PPO [100307]: $2,155.14 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $1,467.46 Beaumont Health Network — PPO: $2,149 Blue Care Network of Michigan — HMO: $1,467.46 Bronson Healthcare Group — PPO: $2,609.50 Cofinity — PPO: $2,339.34 Colorado State Medicaid — Medicaid Out of State: $1,535 Confinity Advantage — PPO: $1,771.39 First Agency — PPO: $2,302.50
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Neuroplasty and/or Transposition; Median Nerve at Carpal Tunnel_Rvw 4.97_	$2,294	$917.60	$287.34 – $2,294
Carpal tunnel release: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,316.75 AETNA [1003] — AETNA PPO [100307]: $1,514.04 Aetna Better Health of Michigan Inc — Medicaid HMO: $287.34 Aetna Better Health of Michigan Inc — Medicare Advantage: $456.42 Aetna Health Management LLC — Medicare Advantage: $456.42 Alliance Health and Life Medicare Advantage — Medicare Advantage: $463.27 AmeriHealth Michigan Inc — Medicare Advantage: $365.14 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $456.42 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $718.48 BCBS Complete — Medicaid HMO: $287.34
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Neuroplasty and/or Transposition; Median Nerve at Carpal Tunnel_Rvw 4.97_	$8,574	$3,429.60	$292.24 – $8,574
Carpal tunnel release: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,921.47 AETNA [1003] — AETNA PPO [100307]: $5,658.84 Aetna Better Health of Michigan Inc — Medicaid HMO: $292.24 Aetna Better Health of Michigan Inc — Medicare Advantage: $394.19 Aetna Health Management LLC — Medicare Advantage: $394.19 Alliance Health and Life Medicare Advantage — Medicare Advantage: $400.10 AmeriHealth Michigan Inc — Medicare Advantage: $315.35 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $394.19 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $621.12 BCBS Complete — Medicaid HMO: $292.24
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Neuroplasty/Transpos: Med Nerve Carpal Tunnel	$6,280	$2,512	$2,700.40 – $6,674.91
Carpal tunnel release: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,604.72 AETNA [1003] — AETNA PPO [100307]: $4,408.56 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $3,001.84 Beaumont Health Network — PPO: $4,396 Blue Care Network of Michigan — HMO: $3,001.84 Bronson Healthcare Group — PPO: $5,338 Cofinity — PPO: $4,785.36 Colorado State Medicaid — Medicaid Out of State: $3,140 Confinity Advantage — PPO: $3,623.56 First Agency — PPO: $4,710
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Discission,2nd Cataract,Laser	$1,200	$480	$196.81 – $1,200
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $688.80 AETNA [1003] — AETNA PPO [100307]: $792 Aetna Better Health of Michigan Inc — Medicaid HMO: $196.81 Aetna Better Health of Michigan Inc — Medicare Advantage: $302.50 Aetna Health Management LLC — Medicare Advantage: $302.50 Alliance Health and Life Medicare Advantage — Medicare Advantage: $307.04 AmeriHealth Michigan Inc — Medicare Advantage: $242 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $302.50 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $492.12 BCBS Complete — Medicaid HMO: $196.81
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Discission,2nd Cataract,Laser	$3,078	$1,231.20	$210.66 – $3,078
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,766.77 AETNA [1003] — AETNA PPO [100307]: $2,031.48 Aetna Better Health of Michigan Inc — Medicaid HMO: $210.66 Aetna Better Health of Michigan Inc — Medicare Advantage: $274.75 Aetna Health Management LLC — Medicare Advantage: $274.75 Alliance Health and Life Medicare Advantage — Medicare Advantage: $278.87 AmeriHealth Michigan Inc — Medicare Advantage: $219.80 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $274.75 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $447.73 BCBS Complete — Medicaid HMO: $210.66
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC-Discission,2nd Cataract,Laser	$1,878	$751.20	$807.54 – $1,996.10
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,077.97 AETNA [1003] — AETNA PPO [100307]: $1,318.36 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $897.68 Beaumont Health Network — PPO: $1,314.60 Blue Care Network of Michigan — HMO: $897.68 Bronson Healthcare Group — PPO: $1,596.30 Cofinity — PPO: $1,431.04 Colorado State Medicaid — Medicaid Out of State: $939 Confinity Advantage — PPO: $1,083.61 First Agency — PPO: $1,408.50
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Cos-Pkg Cataract Surgery	$2,985	$1,194	$343.57 – $2,985
Cataract removal with lens implant: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,713.39 AETNA [1003] — AETNA PPO [100307]: $1,970.10 Aetna Better Health of Michigan Inc — Medicaid HMO: $343.57 Aetna Better Health of Michigan Inc — Medicare Advantage: $531.51 Aetna Health Management LLC — Medicare Advantage: $531.51 Alliance Health and Life Medicare Advantage — Medicare Advantage: $539.48 AmeriHealth Michigan Inc — Medicare Advantage: $425.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $531.51 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $859.08 BCBS Complete — Medicaid HMO: $343.57
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Extracap Cataract Rmvl WO/Ecp W/ Insertion of Io Lens Prosth	$3,012	$1,204.80	$343.57 – $3,012
Cataract removal with lens implant: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,728.88 AETNA [1003] — AETNA PPO [100307]: $1,987.92 Aetna Better Health of Michigan Inc — Medicaid HMO: $343.57 Aetna Better Health of Michigan Inc — Medicare Advantage: $531.51 Aetna Health Management LLC — Medicare Advantage: $531.51 Alliance Health and Life Medicare Advantage — Medicare Advantage: $539.48 AmeriHealth Michigan Inc — Medicare Advantage: $425.21 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $531.51 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $859.08 BCBS Complete — Medicaid HMO: $343.57
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Cos-Pkg Cataract Surgery	$2,985	$1,194	$361.42 – $2,985
Cataract removal with lens implant: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $1,713.39 AETNA [1003] — AETNA PPO [100307]: $1,970.10 Aetna Better Health of Michigan Inc — Medicare Advantage: $451.78 Aetna Health Management LLC — Medicare Advantage: $451.78 Alliance Health and Life Medicare Advantage — Medicare Advantage: $458.56 AmeriHealth Michigan Inc — Medicare Advantage: $361.42 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $451.78 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $730.22 Beaumont Health Network — PPO: $2,089.50 Blue Care Network of Michigan — HMO: $730.22

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Full Rout Obste Care,Vaginal Deliv	$6,453	$2,581.20	$2,064.83 – $6,453
Vaginal delivery, with care before and after: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,704.02 AETNA [1003] — AETNA PPO [100307]: $4,258.98 Aetna Better Health of Michigan Inc — Medicaid HMO: $2,220.73 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,581.04 Aetna Health Management LLC — Medicare Advantage: $2,581.04 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,619.76 AmeriHealth Michigan Inc — Medicare Advantage: $2,064.83 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,581.04 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,978.97 BCBS Complete — Medicaid HMO: $2,220.73
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Full Rout Obste Care,Vaginal Deliv	$14,041	$5,616.40	$1,755.10 – $14,041
Vaginal delivery, with care before and after: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $8,059.53 AETNA [1003] — AETNA PPO [100307]: $9,267.06 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,193.88 Aetna Health Management LLC — Medicare Advantage: $2,193.88 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,226.79 AmeriHealth Michigan Inc — Medicare Advantage: $1,755.10 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,193.88 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,978.97 Beaumont Health Network — PPO: $9,828.70 Blue Care Network of Michigan — HMO: $2,978.97
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Full Rout Obste Care,Cesarean Deliv	$7,234	$2,893.60	$2,314.95 – $7,234
Cesarean delivery (C-section), with care before and after: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,152.31 AETNA [1003] — AETNA PPO [100307]: $4,774.44 Aetna Better Health of Michigan Inc — Medicaid HMO: $2,475.76 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,893.69 Aetna Health Management LLC — Medicare Advantage: $2,893.69 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,937.10 AmeriHealth Michigan Inc — Medicare Advantage: $2,314.95 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,893.69 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $3,504.67 BCBS Complete — Medicaid HMO: $2,475.76
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Full Rout Obste Care,Cesarean Deliv	$7,234	$2,893.60	$1,967.71 – $7,234
Cesarean delivery (C-section), with care before and after: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $4,152.31 AETNA [1003] — AETNA PPO [100307]: $4,774.44 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,459.64 Aetna Health Management LLC — Medicare Advantage: $2,459.64 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,496.53 AmeriHealth Michigan Inc — Medicare Advantage: $1,967.71 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,459.64 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $2,978.97 Beaumont Health Network — PPO: $5,063.80 Blue Care Network of Michigan — HMO: $2,978.97
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Pc-Rout OB Care,Vag Deliv,Prev C-Sec	$6,830	$2,732	$2,185.69 – $6,830
Vaginal delivery after a previous C-section, with care before and after: 10 of 61 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $3,920.42 AETNA [1003] — AETNA PPO [100307]: $4,507.80 Aetna Better Health of Michigan Inc — Medicaid HMO: $2,335.79 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,732.11 Aetna Health Management LLC — Medicare Advantage: $2,732.11 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,773.09 AmeriHealth Michigan Inc — Medicare Advantage: $2,185.69 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,732.11 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $3,127.93 BCBS Complete — Medicaid HMO: $2,335.79
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pc-Rout OB Care,Vag Deliv,Prev C-Sec	$14,607	$5,842.80	$1,857.83 – $14,607
Vaginal delivery after a previous C-section, with care before and after: 10 of 51 insurance plan rates AETNA [1003] — AETNA MI PREFERRED APM [100309]: $8,384.41 AETNA [1003] — AETNA PPO [100307]: $9,640.62 Aetna Better Health of Michigan Inc — Medicare Advantage: $2,322.29 Aetna Health Management LLC — Medicare Advantage: $2,322.29 Alliance Health and Life Medicare Advantage — Medicare Advantage: $2,357.12 AmeriHealth Michigan Inc — Medicare Advantage: $1,857.83 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $2,322.29 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $3,127.93 Beaumont Health Network — PPO: $10,224.90 Blue Care Network of Michigan — HMO: $3,127.93

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$98,884.78 – $177,842.60
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates Aetna Better Health of Michigan Inc — Medicare Advantage: $100,862.48 Aetna Health Management LLC — Medicare Advantage: $98,884.78 Alliance Health and Life Medicare Advantage — Medicare Advantage: $100,368.06 AmeriHealth Michigan Inc — Medicare Advantage: $96,907.09 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $98,884.78 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $177,842.60 Blue Care Network of Michigan — HMO: $177,842.60 Blue Care Network of Michigan — Medicare Advantage: $98,884.78 Employee Benefit Logistic — PPO: $168,104.13 Health Alliance Plan — Medicare Advantage: $100,368.06
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal fusion except cervical without MCC	Not listed in the file	Not listed in the file	$1,230.77
Spinal fusion (not neck), without major complications: 10 of 23 insurance plan rates Aetna Better Health of Michigan Inc — Medicare Advantage: $1,255.39 Aetna Health Management LLC — Medicare Advantage: $1,230.77 Alliance Health and Life Medicare Advantage — Medicare Advantage: $1,249.23 AmeriHealth Michigan Inc — Medicare Advantage: $1,206.15 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $1,230.77 Blue Care Network of Michigan — Medicare Advantage: $1,230.77 Employee Benefit Logistic — PPO: $2,092.31 Health Alliance Plan — Medicare Advantage: $1,249.23 Humana Health Plan Inc — Medicare Advantage: $1,230.77 Huron Valley PACE — Medicare Advantage: $1,169.23
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$20,485.46 – $32,375.80
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates Aetna Better Health of Michigan Inc — Medicare Advantage: $20,895.17 Aetna Health Management LLC — Medicare Advantage: $20,485.46 Alliance Health and Life Medicare Advantage — Medicare Advantage: $20,792.75 AmeriHealth Michigan Inc — Medicare Advantage: $20,075.76 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $20,485.46 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $32,375.80 Blue Care Network of Michigan — HMO: $32,375.80 Blue Care Network of Michigan — Medicare Advantage: $20,485.46 Employee Benefit Logistic — PPO: $34,825.29 Health Alliance Plan — Medicare Advantage: $20,792.75
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$25,600.35 – $34,579.84
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates Aetna Better Health of Michigan Inc — Medicare Advantage: $26,112.36 Aetna Health Management LLC — Medicare Advantage: $25,600.35 Alliance Health and Life Medicare Advantage — Medicare Advantage: $25,984.36 AmeriHealth Michigan Inc — Medicare Advantage: $25,088.34 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $25,600.35 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $34,579.84 Blue Care Network of Michigan — HMO: $34,579.84 Blue Care Network of Michigan — Medicare Advantage: $25,600.35 Employee Benefit Logistic — PPO: $43,520.60 Health Alliance Plan — Medicare Advantage: $25,984.36
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$13,615.70 – $20,397.69
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates Aetna Better Health of Michigan Inc — Medicare Advantage: $13,888.02 Aetna Health Management LLC — Medicare Advantage: $13,615.70 Alliance Health and Life Medicare Advantage — Medicare Advantage: $13,819.94 AmeriHealth Michigan Inc — Medicare Advantage: $13,343.39 BCBS [100001] — BCBS MEDICARE PLUS BLUE PPO [10000107]: $13,615.70 BCBS [100001] — BCBS MICHIGAN TRADITIONAL [10000102]: $20,397.69 Blue Care Network of Michigan — HMO: $20,397.69 Blue Care Network of Michigan — Medicare Advantage: $13,615.70 Employee Benefit Logistic — PPO: $23,146.70 Health Alliance Plan — Medicare Advantage: $13,819.94

Source: University of Michigan Health System’s standard charges file (uofmhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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	1500 E Medical Center Drive, SPC 5474, Ann Arbor, MI 48109
County	Washtenaw County
State	Michigan
Phone	(734) 764‑1505
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	230046
Name in Medicare records	UNIVERSITY OF MICHIGAN HEALTH SYSTEM
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(734) 936‑4000^[4]
Name on the hospital’s website	University Hospital
Official website	uofmhealth.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.

University Hospital | University of Michigan Health — uofmhealth.org
Locations List | University of Michigan Health — uofmhealth.org
Floor B1 - University Hospital — uofmhealth.org