Does University of Toledo Medical Center have an emergency room?

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

Where is University of Toledo Medical Center?

3000 Arlington Avenue, Toledo, OH 43614, in Lucas County, Ohio.

What is the phone number of University of Toledo Medical Center?

(419) 383-3407, as listed by Medicare (CMS).

What is the Medicare star rating of University of Toledo Medical Center?

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

University of Toledo Medical Center

Quick answers

Does University of Toledo Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of Toledo Medical Center. In a medical emergency, call 911.
Where is University of Toledo Medical Center?: 3000 Arlington Avenue, Toledo, OH 43614, in Lucas County, Ohio.
What is the phone number of University of Toledo Medical Center?: (419) 383-3407, as listed by Medicare (CMS).
What is the Medicare star rating of University of Toledo Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[10][12][13]

Emergency medicine
Orthopaedic surgery
Physical medicine and rehabilitation

Conditions treated^[10]

Heart attack
Stroke
Abdominal pain
Shortness of breath
Breaks and sprains
Urinary tract infection
Upper respiratory infection
Lower back pain
Severe cuts

Treatments^[12][13]

Joint replacement
Electrodiagnostic services (NCS/EMG)
Peripheral nerve stimulator placement
Botulinum toxin injections
Shockwave therapy
Interventional spine procedures

Programs and centers^[9][10][11]

Emergency department (24/7)
Trauma program
Child psychiatric units (Kobacker Center)
Eleanor N. Dana Cancer Center

Emergency care (hospital website)^[10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visitors welcome 8:30 a.m.-8:30 p.m.; limit two visitors per patient; ICU and other unit exceptions apply^[9]
Parking	Valet $3 (free with handicap permit) at main entrance; self-parking in Lot 41 near Emergency entrance^[8][9]
Interpreters and languages	Free interpreters: video remote (STRATUS) 24/7, plus live or sign interpreters on request via 419.383.3606^[6][7]

Recognition^[11]

College of American Pathologists (CAP) accredited laboratory

Doctors and clinicians (526)

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

Main specialties

Doctors with a page on this site (526)

Aadil Maqsood, MDHospitalist
Aamir Patel, MDGeneral Surgery
Aaron BuczkoNurse Practitioner
Abdallah Kobeissy, MDGastroenterology
Abdul Azim Mustapha, MDOrthopedic Surgery
Abdul B. Abou SamraEndocrinology
Abhishek Maan, MDCardiac Electrophysiology
Adam C. SniderNurse Practitioner
Adam Heilala, MDDiagnostic Radiology
Adam Updegraff, DOAllergy/Immunology
Adrienne A. JustenRegistered Dietitian or Nutrition Professional
Aela P. Vely, MDCritical Care (Intensivists)
Ahmad Zarzour, MDHematology/Oncology
Ahmed Abbas, MDDiagnostic Radiology
Ahmed M. El-Zawahry, MDUrology
Aimee L. Gentz, NPNurse Practitioner
Ajaz Sheikh, MDNeurology
Ajeet L. Sharma, MDCardiovascular Disease (Cardiology)
Akram AssalyPhysician Assistant
Alastair T. Hoyt, MDNeurosurgery
Albert P. CliffelPhysician Assistant
Alexander Escobar, MDPain Management
Alexander Tyson, MDFamily Practice
Alexandrea J. VizzaccaroPhysician Assistant

And 502 more: the button below opens the full list.

Other emergency rooms nearby

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

Northwest Ohio Psychiatric Hospital1.2 mi · Toledo, OH · Psychiatric Hospital
ProMedica Toledo Hospital3.8 mi · Toledo, OH · Acute Care Hospital
Mercy St Vincent Medical Center5.3 mi · Toledo, OH · Acute Care Hospital
Bay Park Community Hospital7.3 mi · Oregon, OH · Acute Care Hospital
Wood County Hospital17 mi · Bowling Green, OH · Acute Care Hospital

Other hospitals nearby

Rehabilitation Hospital of Northwest Ohio LLC1.1 mi · Toledo, OH · Inpatient Rehabilitation Hospital
Arrowhead Behavioral Health4.0 mi · Maumee, OH · Psychiatric Hospital
Encompass Health Rehab Hospital of Toledo4.9 mi · Toledo, OH · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Foundation Park Care Center0.7 mi · Toledo, OH · 2 of 5 stars
Concord Care Center of Toledo1.3 mi · Toledo, OH · 2 of 5 stars
Advanced Healthcare Center1.3 mi · Toledo, OH · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Ohio Living Hospice - Greater Toledo1.1 mi · Toledo, OH · 3 of 5 stars
Ashanti Hospice and Palliative Care3.7 mi · Ottawa Hills, OH
First Health Hospice LLC3.7 mi · Toledo, OH

All hospice providers in the state →

Home health agencies

Alpine Home Health1.1 mi · Toledo, OH
Alpine Home Health1.1 mi · Toledo, OH
Americare Home Health of Defiance1.1 mi · Toledo, OH

All home health agencies in the state →

Dialysis facilities

DaVita Southland at Home1.1 mi · Toledo, OH · 2 of 5 stars
University of Toledo Medical Center1.1 mi · Toledo, OH
DaVita Swan Creek Dialysis3.4 mi · Toledo, OH · 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.

Wildwood Surgical Center3.4 mi · Toledo, OH
Cataract & Laser Institute Asc Maumee #3524.6 mi · Maumee, OH
Northwest Ohio Endoscopy Center6.0 mi · Toledo, OH

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Bowsher Health Center1.2 mi · Toledo, OH · Community health center
NHA Senior Care Clinic3.1 mi · Toledo, OH · Community health center
Mobile Vision Van #103.2 mi · Toledo, OH · Community health center

Clinics and urgent care

Greater Toledo Urgent Cares3.4 mi · Toledo, OH · Urgent care center
ProMedica Central Physicians3.7 mi · Toledo, OH · Urgent care center
University Urgent Care and Pharmacy LLC3.7 mi · Toledo, OH · Urgent care center

Pharmacies

Colony Pharmacy, Inc1.1 mi · Toledo, OH · Community/retail pharmacy
Community Discount Pharmacy LLC1.1 mi · Toledo, OH · Community/retail pharmacy
Healthy RX1.1 mi · Toledo, OH · Pharmacy

Assisted living nearby

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

Aviva Glendale1.1 mi · Toledo, OH
Ohio Living Swan Creek1.1 mi · Toledo, OH
Elderlife Toledo LLC3.4 mi · Toledo, OH
Glass Peaks Senior Living3.7 mi · Toledo, OH

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	68%National average: 72%
Would definitely recommend the hospital	66%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	67%National average: 74%
Area around the room “always” quiet at night	55%National average: 60%
Completed surveys	1,136Response rate: 21%

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)	0.215No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.336No different from the national benchmark
Surgical site infections after colon surgery	0.72No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.631No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.379Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12%
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	15.9%
Deaths within 30 days: COPD patients	8.1%
Deaths within 30 days: stroke patients	12.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	1.54Worse than the national rate
Complications after hip or knee replacement	5%

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	14.2%
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	19.5%
Readmitted within 30 days: coronary bypass surgery	11.9%
Readmitted within 30 days: hip or knee replacement	5.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	171 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)	72%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Toledo Best hospitals in Toledo

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as University of Toledo Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	Not listed in the file	Not listed in the file	$76.55 – $120.57
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $76.55 [AETNA MEDICARE] — [HMO_PPO]: $76.55 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $63.90 [ANTHEM MEDICARE] — [HMO_PPO]: $76.55 [BUCKEYE] — [AMBETTER_EXCHANGE]: $84.21 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $78.08 [BUCKEYE] — [MY_CARE_OHIO]: $78.08 [CARELON_MEDICARE] — [BEACON_HEALTH]: $76.55 [CARESOURCE] — [EXCHANGE]: $84.21 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $76.55
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	Not listed in the file	Not listed in the file	$124.58 – $196.21
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $124.58 [AETNA MEDICARE] — [HMO_PPO]: $124.58 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $103.90 [ANTHEM MEDICARE] — [HMO_PPO]: $124.58 [BUCKEYE] — [AMBETTER_EXCHANGE]: $137.04 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $127.07 [BUCKEYE] — [MY_CARE_OHIO]: $127.07 [CARELON_MEDICARE] — [BEACON_HEALTH]: $124.58 [CARESOURCE] — [EXCHANGE]: $137.04 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $124.58
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	Not listed in the file	Not listed in the file	$169.50 – $266.96
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $169.50 [AETNA MEDICARE] — [HMO_PPO]: $169.50 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $141.25 [ANTHEM MEDICARE] — [HMO_PPO]: $169.50 [BUCKEYE] — [AMBETTER_EXCHANGE]: $186.45 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $172.89 [BUCKEYE] — [MY_CARE_OHIO]: $172.89 [CARELON_MEDICARE] — [BEACON_HEALTH]: $169.50 [CARESOURCE] — [EXCHANGE]: $186.45 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $169.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	Not listed in the file	Not listed in the file	$61.47 – $96.82
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $61.47 [AETNA MEDICARE] — [HMO_PPO]: $61.47 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $51.27 [ANTHEM MEDICARE] — [HMO_PPO]: $61.47 [BUCKEYE] — [AMBETTER_EXCHANGE]: $67.62 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $62.70 [BUCKEYE] — [MY_CARE_OHIO]: $62.70 [CARELON_MEDICARE] — [BEACON_HEALTH]: $61.47 [CARESOURCE] — [EXCHANGE]: $67.62 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $61.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	Not listed in the file	Not listed in the file	$90.52 – $142.57
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $90.52 [AETNA MEDICARE] — [HMO_PPO]: $90.52 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $75.59 [ANTHEM MEDICARE] — [HMO_PPO]: $90.52 [BUCKEYE] — [AMBETTER_EXCHANGE]: $99.57 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $92.33 [BUCKEYE] — [MY_CARE_OHIO]: $92.33 [CARELON_MEDICARE] — [BEACON_HEALTH]: $90.52 [CARESOURCE] — [EXCHANGE]: $99.57 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $90.52
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB PREVENTIVE VISIT,NEW,18-39	$223	$133.80	$52.41 – $178.40
Preventive checkup, new patient, age 18–39: 10 of 19 insurance plan rates [AETNA] — [FIRST_HEALTH]: $120.87 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $73.29 [ANTHEM] — [BCBS_TRADITIONAL]: $144.95 [ANTHEM] — [HMO_PPO]: $114.40 [ANTHEM] — [PATHWAY_EXCHANGE]: $83.85 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $178.40 [FRONTPATH_COALITION] — [COMMERCIAL]: $100.80 [HEALTH_ALLIANCE_PLAN] — [HMO]: $176.91 [MCLAREN] — [COMMERCIAL]: $78.65 [MEDICAL_MUTUAL] — [POS_HMO]: $62.66
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB PREVENTIVE VISIT,NEW,40-64	$223	$133.80	$52.41 – $178.40
Preventive checkup, new patient, age 40–64: 10 of 19 insurance plan rates [AETNA] — [FIRST_HEALTH]: $120.87 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $88.83 [ANTHEM] — [BCBS_TRADITIONAL]: $144.95 [ANTHEM] — [HMO_PPO]: $114.40 [ANTHEM] — [PATHWAY_EXCHANGE]: $83.85 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $178.40 [FRONTPATH_COALITION] — [COMMERCIAL]: $100.80 [HEALTH_ALLIANCE_PLAN] — [HMO]: $176.91 [MCLAREN] — [COMMERCIAL]: $78.65 [MEDICAL_MUTUAL] — [POS_HMO]: $62.66
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$1,278	$766.80	$195 – $1,022.40
Emergency room visit (moderate): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $264.35 [AETNA MEDICARE] — [HMO_PPO]: $264.35 [AETNA] — [FIRST_HEALTH]: $692.68 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $541 [ANTHEM MEDICARE] — [HMO_PPO]: $264.35 [ANTHEM] — [BCBS_TRADITIONAL]: $830.70 [ANTHEM] — [HMO_PPO]: $266 [ANTHEM] — [PATHWAY_EXCHANGE]: $195 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $1,022.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $290.78
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$2,543	$1,525.80	$406.53 – $2,034.40
Emergency room visit (moderately high): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $406.53 [AETNA MEDICARE] — [HMO_PPO]: $406.53 [AETNA] — [FIRST_HEALTH]: $1,378.31 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,384 [ANTHEM MEDICARE] — [HMO_PPO]: $406.53 [ANTHEM] — [BCBS_TRADITIONAL]: $1,652.95 [ANTHEM] — [HMO_PPO]: $1,069 [ANTHEM] — [PATHWAY_EXCHANGE]: $785 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,034.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $447.18
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$3,247	$1,948.20	$585.33 – $2,597.60
Emergency room visit (high): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $585.33 [AETNA MEDICARE] — [HMO_PPO]: $585.33 [AETNA] — [FIRST_HEALTH]: $1,759.87 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,947 [ANTHEM MEDICARE] — [HMO_PPO]: $585.33 [ANTHEM] — [BCBS_TRADITIONAL]: $2,110.55 [ANTHEM] — [HMO_PPO]: $2,019 [ANTHEM] — [PATHWAY_EXCHANGE]: $1,483 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,597.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $643.86

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE	$156	$93.60	$3.47 – $124.80
Basic metabolic panel (blood test): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $8.46 [AETNA MEDICARE] — [HMO_PPO]: $8.46 [AETNA] — [FIRST_HEALTH]: $84.55 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $11.85 [ANTHEM MEDICARE] — [HMO_PPO]: $8.46 [ANTHEM] — [BCBS_TRADITIONAL]: $3.47 [ANTHEM] — [HMO_PPO]: $3.47 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.47 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $124.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $9.31
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE	$176	$105.60	$5 – $140.80
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $10.56 [AETNA MEDICARE] — [HMO_PPO]: $10.56 [AETNA] — [FIRST_HEALTH]: $95.39 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $14.79 [ANTHEM MEDICARE] — [HMO_PPO]: $10.56 [ANTHEM] — [BCBS_TRADITIONAL]: $5 [ANTHEM] — [HMO_PPO]: $5 [ANTHEM] — [PATHWAY_EXCHANGE]: $5 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $140.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $11.62
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$35.72 – $88.80
Obstetric blood test panel: 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $47.81 [AETNA MEDICARE] — [HMO_PPO]: $47.81 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $66.94 [ANTHEM MEDICARE] — [HMO_PPO]: $47.81 [ANTHEM] — [BCBS_TRADITIONAL]: $88.80 [ANTHEM] — [HMO_PPO]: $88.80 [ANTHEM] — [PATHWAY_EXCHANGE]: $88.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $52.59 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $48.77 [BUCKEYE] — [MY_CARE_OHIO]: $48.77
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL - BUNDLED CHARGE	$98	$58.80	$6.02 – $78.40
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $13.39 [AETNA MEDICARE] — [HMO_PPO]: $13.39 [AETNA] — [FIRST_HEALTH]: $53.12 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $18.74 [ANTHEM MEDICARE] — [HMO_PPO]: $13.39 [ANTHEM] — [BCBS_TRADITIONAL]: $6.02 [ANTHEM] — [HMO_PPO]: $6.02 [ANTHEM] — [PATHWAY_EXCHANGE]: $6.02 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $78.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $14.73
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$110	$66	$4.11 – $88
Kidney function panel: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $8.68 [AETNA MEDICARE] — [HMO_PPO]: $8.68 [AETNA] — [FIRST_HEALTH]: $59.62 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $12.15 [ANTHEM MEDICARE] — [HMO_PPO]: $8.68 [ANTHEM] — [BCBS_TRADITIONAL]: $4.11 [ANTHEM] — [HMO_PPO]: $4.11 [ANTHEM] — [PATHWAY_EXCHANGE]: $4.11 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $88 [BUCKEYE] — [AMBETTER_EXCHANGE]: $9.55
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$124	$74.40	$2.99 – $99.20
Liver function panel: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $8.17 [AETNA MEDICARE] — [HMO_PPO]: $8.17 [AETNA] — [FIRST_HEALTH]: $67.21 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $11.45 [ANTHEM MEDICARE] — [HMO_PPO]: $8.17 [ANTHEM] — [BCBS_TRADITIONAL]: $2.99 [ANTHEM] — [HMO_PPO]: $2.99 [ANTHEM] — [PATHWAY_EXCHANGE]: $2.99 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $99.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $8.99
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINE DIPSTICK AUTO W/MICRO	$9	$5.40	$2.12 – $7.20
Urine test (automated, with microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3.17 [AETNA MEDICARE] — [HMO_PPO]: $3.17 [AETNA] — [FIRST_HEALTH]: $4.88 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $4.45 [ANTHEM MEDICARE] — [HMO_PPO]: $3.17 [ANTHEM] — [BCBS_TRADITIONAL]: $3.90 [ANTHEM] — [HMO_PPO]: $3.90 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.90 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $7.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3.49
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYS NON-AUTO W/O MICRO	$32	$19.20	$2.11 – $25.60
Urine test (manual, without microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3.48 [AETNA MEDICARE] — [HMO_PPO]: $3.48 [AETNA] — [FIRST_HEALTH]: $17.34 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $4.87 [ANTHEM MEDICARE] — [HMO_PPO]: $3.48 [ANTHEM] — [BCBS_TRADITIONAL]: $2.77 [ANTHEM] — [HMO_PPO]: $2.77 [ANTHEM] — [PATHWAY_EXCHANGE]: $2.77 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $25.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3.83
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE - POCT PROTEIN, URINE, QUAL, DIPSTICK	$32	$19.20	$2.11 – $25.60
Urine test (manual, without microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3.48 [AETNA MEDICARE] — [HMO_PPO]: $3.48 [AETNA] — [FIRST_HEALTH]: $17.34 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $4.87 [ANTHEM MEDICARE] — [HMO_PPO]: $3.48 [ANTHEM] — [BCBS_TRADITIONAL]: $2.77 [ANTHEM] — [HMO_PPO]: $2.77 [ANTHEM] — [PATHWAY_EXCHANGE]: $2.77 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $25.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3.83
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE - POCT SPECIFIC GRAVITY, URINE QUAL DIP	$32	$19.20	$2.11 – $25.60
Urine test (manual, without microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3.48 [AETNA MEDICARE] — [HMO_PPO]: $3.48 [AETNA] — [FIRST_HEALTH]: $17.34 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $4.87 [ANTHEM MEDICARE] — [HMO_PPO]: $3.48 [ANTHEM] — [BCBS_TRADITIONAL]: $2.77 [ANTHEM] — [HMO_PPO]: $2.77 [ANTHEM] — [PATHWAY_EXCHANGE]: $2.77 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $25.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3.83
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINE DIPSTICK AUTO W/O MICRO	$44	$26.40	$1.06 – $35.20
Urine test (automated, without microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2.25 [AETNA MEDICARE] — [HMO_PPO]: $2.25 [AETNA] — [FIRST_HEALTH]: $23.85 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $3.15 [ANTHEM MEDICARE] — [HMO_PPO]: $2.25 [ANTHEM] — [BCBS_TRADITIONAL]: $1.06 [ANTHEM] — [HMO_PPO]: $1.06 [ANTHEM] — [PATHWAY_EXCHANGE]: $1.06 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $35.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY	$44	$26.40	$1.06 – $35.20
Urine test (automated, without microscope): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2.25 [AETNA MEDICARE] — [HMO_PPO]: $2.25 [AETNA] — [FIRST_HEALTH]: $23.85 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $3.15 [ANTHEM MEDICARE] — [HMO_PPO]: $2.25 [ANTHEM] — [BCBS_TRADITIONAL]: $1.06 [ANTHEM] — [HMO_PPO]: $1.06 [ANTHEM] — [PATHWAY_EXCHANGE]: $1.06 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $35.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2.48
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$109	$65.40	$8.70 – $87.20
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $18.39 [AETNA MEDICARE] — [HMO_PPO]: $18.39 [AETNA] — [FIRST_HEALTH]: $59.08 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $25.74 [ANTHEM MEDICARE] — [HMO_PPO]: $18.39 [ANTHEM] — [BCBS_TRADITIONAL]: $8.70 [ANTHEM] — [HMO_PPO]: $8.70 [ANTHEM] — [PATHWAY_EXCHANGE]: $8.70 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $87.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $20.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$116	$69.60	$7.95 – $92.80
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $16.80 [AETNA MEDICARE] — [HMO_PPO]: $16.80 [AETNA] — [FIRST_HEALTH]: $62.87 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $23.52 [ANTHEM MEDICARE] — [HMO_PPO]: $16.80 [ANTHEM] — [BCBS_TRADITIONAL]: $7.95 [ANTHEM] — [HMO_PPO]: $7.95 [ANTHEM] — [PATHWAY_EXCHANGE]: $7.95 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $92.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $18.48
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$73	$43.80	$3.68 – $58.40
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $7.77 [AETNA MEDICARE] — [HMO_PPO]: $7.77 [AETNA] — [FIRST_HEALTH]: $39.57 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $10.89 [ANTHEM MEDICARE] — [HMO_PPO]: $7.77 [ANTHEM] — [BCBS_TRADITIONAL]: $3.68 [ANTHEM] — [HMO_PPO]: $3.68 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.68 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $58.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $8.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPLETE CBC & AUTO DIFF WBC - CBC W/DIFF	$73	$43.80	$3.68 – $58.40
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $7.77 [AETNA MEDICARE] — [HMO_PPO]: $7.77 [AETNA] — [FIRST_HEALTH]: $39.57 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $10.89 [ANTHEM MEDICARE] — [HMO_PPO]: $7.77 [ANTHEM] — [BCBS_TRADITIONAL]: $3.68 [ANTHEM] — [HMO_PPO]: $3.68 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.68 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $58.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $8.55
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPLETE CBC - CBC	$64	$38.40	$3.06 – $51.20
Complete blood count (CBC), automated: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $6.47 [AETNA MEDICARE] — [HMO_PPO]: $6.47 [AETNA] — [FIRST_HEALTH]: $34.69 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $9.07 [ANTHEM MEDICARE] — [HMO_PPO]: $6.47 [ANTHEM] — [BCBS_TRADITIONAL]: $3.06 [ANTHEM] — [HMO_PPO]: $3.06 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.06 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $51.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $7.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPLETE CBC - POCT CBC	$64	$38.40	$3.06 – $51.20
Complete blood count (CBC), automated: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $6.47 [AETNA MEDICARE] — [HMO_PPO]: $6.47 [AETNA] — [FIRST_HEALTH]: $34.69 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $9.07 [ANTHEM MEDICARE] — [HMO_PPO]: $6.47 [ANTHEM] — [BCBS_TRADITIONAL]: $3.06 [ANTHEM] — [HMO_PPO]: $3.06 [ANTHEM] — [PATHWAY_EXCHANGE]: $3.06 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $51.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $7.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$57	$34.20	$3.24 – $45.60
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $4.29 [AETNA MEDICARE] — [HMO_PPO]: $4.29 [AETNA] — [FIRST_HEALTH]: $30.89 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $6 [ANTHEM MEDICARE] — [HMO_PPO]: $4.29 [ANTHEM] — [BCBS_TRADITIONAL]: $5.13 [ANTHEM] — [HMO_PPO]: $5.13 [ANTHEM] — [PATHWAY_EXCHANGE]: $5.13 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $45.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR	$57	$34.20	$3.24 – $45.60
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $4.29 [AETNA MEDICARE] — [HMO_PPO]: $4.29 [AETNA] — [FIRST_HEALTH]: $30.89 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $6 [ANTHEM MEDICARE] — [HMO_PPO]: $4.29 [ANTHEM] — [BCBS_TRADITIONAL]: $5.13 [ANTHEM] — [HMO_PPO]: $5.13 [ANTHEM] — [PATHWAY_EXCHANGE]: $5.13 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $45.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - POCT INR	$57	$34.20	$3.24 – $45.60
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $4.29 [AETNA MEDICARE] — [HMO_PPO]: $4.29 [AETNA] — [FIRST_HEALTH]: $30.89 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $6 [ANTHEM MEDICARE] — [HMO_PPO]: $4.29 [ANTHEM] — [BCBS_TRADITIONAL]: $5.13 [ANTHEM] — [HMO_PPO]: $5.13 [ANTHEM] — [PATHWAY_EXCHANGE]: $5.13 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $45.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $4.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - APTT	$82	$49.20	$4.95 – $65.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $6.01 [AETNA MEDICARE] — [HMO_PPO]: $6.01 [AETNA] — [FIRST_HEALTH]: $44.44 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $8.42 [ANTHEM MEDICARE] — [HMO_PPO]: $6.01 [ANTHEM] — [BCBS_TRADITIONAL]: $7.80 [ANTHEM] — [HMO_PPO]: $7.80 [ANTHEM] — [PATHWAY_EXCHANGE]: $7.80 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $65.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $6.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - IS PTTIME	$82	$49.20	$4.95 – $65.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $6.01 [AETNA MEDICARE] — [HMO_PPO]: $6.01 [AETNA] — [FIRST_HEALTH]: $44.44 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $8.42 [ANTHEM MEDICARE] — [HMO_PPO]: $6.01 [ANTHEM] — [BCBS_TRADITIONAL]: $7.80 [ANTHEM] — [HMO_PPO]: $7.80 [ANTHEM] — [PATHWAY_EXCHANGE]: $7.80 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $65.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $6.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL - PTT-ACT PARTIAL THROMBO TIME	$82	$49.20	$4.95 – $65.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $6.01 [AETNA MEDICARE] — [HMO_PPO]: $6.01 [AETNA] — [FIRST_HEALTH]: $44.44 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $8.42 [ANTHEM MEDICARE] — [HMO_PPO]: $6.01 [ANTHEM] — [BCBS_TRADITIONAL]: $7.80 [ANTHEM] — [HMO_PPO]: $7.80 [ANTHEM] — [PATHWAY_EXCHANGE]: $7.80 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $65.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $6.61

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 or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$2,086	$1,251.60	$101.52 – $1,668.80
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $101.52 [AETNA MEDICARE] — [HMO_PPO]: $101.52 [AETNA] — [FIRST_HEALTH]: $1,130.61 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $115.41 [ANTHEM MEDICARE] — [HMO_PPO]: $101.52 [ANTHEM] — [BCBS_TRADITIONAL]: $1,355.90 [ANTHEM] — [HMO_PPO]: $357 [ANTHEM] — [PATHWAY_EXCHANGE]: $262 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $1,668.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $111.68
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN & IACS W/O&W CONTRAST	$4,513	$2,707.80	$340.95 – $3,610.40
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $340.95 [AETNA MEDICARE] — [HMO_PPO]: $340.95 [AETNA] — [FIRST_HEALTH]: $2,446.05 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $379.09 [ANTHEM MEDICARE] — [HMO_PPO]: $340.95 [ANTHEM] — [BCBS_TRADITIONAL]: $2,933.45 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,610.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $375.05
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAN PRFSION W/O&W/CONTAST	$4,513	$2,707.80	$340.95 – $3,610.40
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $340.95 [AETNA MEDICARE] — [HMO_PPO]: $340.95 [AETNA] — [FIRST_HEALTH]: $2,446.05 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $379.09 [ANTHEM MEDICARE] — [HMO_PPO]: $340.95 [ANTHEM] — [BCBS_TRADITIONAL]: $2,933.45 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,610.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $375.05
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC X-RAY CHEST 2 VIEWS	$479	$287.40	$84.06 – $383.20
Chest X-ray, 2 views: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $84.06 [AETNA MEDICARE] — [HMO_PPO]: $84.06 [AETNA] — [FIRST_HEALTH]: $259.62 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $91.94 [ANTHEM MEDICARE] — [HMO_PPO]: $84.06 [ANTHEM] — [BCBS_TRADITIONAL]: $311.35 [ANTHEM] — [HMO_PPO]: $245.73 [ANTHEM] — [PATHWAY_EXCHANGE]: $180.10 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $383.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $92.47
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS W/ APICAL LORDOTIC	$479	$287.40	$84.06 – $383.20
Chest X-ray, 2 views: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $84.06 [AETNA MEDICARE] — [HMO_PPO]: $84.06 [AETNA] — [FIRST_HEALTH]: $259.62 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $91.94 [ANTHEM MEDICARE] — [HMO_PPO]: $84.06 [ANTHEM] — [BCBS_TRADITIONAL]: $311.35 [ANTHEM] — [HMO_PPO]: $245.73 [ANTHEM] — [PATHWAY_EXCHANGE]: $180.10 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $383.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $92.47
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$793	$475.80	$60.76 – $634.40
X-ray of the lower spine, at least 4 views: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $101.52 [AETNA MEDICARE] — [HMO_PPO]: $101.52 [AETNA] — [FIRST_HEALTH]: $429.81 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $63.23 [ANTHEM MEDICARE] — [HMO_PPO]: $101.52 [ANTHEM] — [BCBS_TRADITIONAL]: $515.45 [ANTHEM] — [HMO_PPO]: $406.81 [ANTHEM] — [PATHWAY_EXCHANGE]: $298.17 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $634.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $111.68
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI SPINAL CANAL LUMBAR W/O DYE	$2,924	$1,754.40	$230.77 – $2,339.20
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $230.77 [AETNA MEDICARE] — [HMO_PPO]: $230.77 [AETNA] — [FIRST_HEALTH]: $1,584.81 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $218.52 [ANTHEM MEDICARE] — [HMO_PPO]: $230.77 [ANTHEM] — [BCBS_TRADITIONAL]: $1,900.60 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,339.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $253.85
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W/ IV CONTRAST	$2,367	$1,420.20	$169.96 – $1,893.60
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $169.96 [AETNA MEDICARE] — [HMO_PPO]: $169.96 [AETNA] — [FIRST_HEALTH]: $1,282.91 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $298.27 [ANTHEM MEDICARE] — [HMO_PPO]: $169.96 [ANTHEM] — [BCBS_TRADITIONAL]: $1,538.55 [ANTHEM] — [HMO_PPO]: $357 [ANTHEM] — [PATHWAY_EXCHANGE]: $262 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $1,893.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $186.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI HIP W/O CONTRAST	$2,788	$1,672.80	$230.77 – $2,230.40
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $230.77 [AETNA MEDICARE] — [HMO_PPO]: $230.77 [AETNA] — [FIRST_HEALTH]: $1,511.10 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $248.90 [ANTHEM MEDICARE] — [HMO_PPO]: $230.77 [ANTHEM] — [BCBS_TRADITIONAL]: $1,812.20 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,230.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $253.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI KNEE W/O CONTRAST	$2,788	$1,672.80	$230.77 – $2,230.40
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $230.77 [AETNA MEDICARE] — [HMO_PPO]: $230.77 [AETNA] — [FIRST_HEALTH]: $1,511.10 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $248.90 [ANTHEM MEDICARE] — [HMO_PPO]: $230.77 [ANTHEM] — [BCBS_TRADITIONAL]: $1,812.20 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,230.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $253.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI ANKLE W/O CONTRAST	$2,788	$1,672.80	$230.77 – $2,230.40
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $230.77 [AETNA MEDICARE] — [HMO_PPO]: $230.77 [AETNA] — [FIRST_HEALTH]: $1,511.10 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $248.90 [ANTHEM MEDICARE] — [HMO_PPO]: $230.77 [ANTHEM] — [BCBS_TRADITIONAL]: $1,812.20 [ANTHEM] — [HMO_PPO]: $623 [ANTHEM] — [PATHWAY_EXCHANGE]: $458 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,230.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $253.85
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABD&PEL W/ IV CONTRAST	$4,611	$2,766.60	$262 – $3,688.80
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $340.95 [AETNA MEDICARE] — [HMO_PPO]: $340.95 [AETNA] — [FIRST_HEALTH]: $2,499.16 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $378.51 [ANTHEM MEDICARE] — [HMO_PPO]: $340.95 [ANTHEM] — [BCBS_TRADITIONAL]: $2,997.15 [ANTHEM] — [HMO_PPO]: $357 [ANTHEM] — [PATHWAY_EXCHANGE]: $262 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,688.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $375.05
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABD&PEL W/ IV&ORAL CONTRAST	$4,611	$2,766.60	$262 – $3,688.80
CT scan of the abdomen and pelvis, with contrast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $340.95 [AETNA MEDICARE] — [HMO_PPO]: $340.95 [AETNA] — [FIRST_HEALTH]: $2,499.16 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $378.51 [ANTHEM MEDICARE] — [HMO_PPO]: $340.95 [ANTHEM] — [BCBS_TRADITIONAL]: $2,997.15 [ANTHEM] — [HMO_PPO]: $357 [ANTHEM] — [PATHWAY_EXCHANGE]: $262 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,688.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $375.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,625	$975	$101.52 – $1,300
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $101.52 [AETNA MEDICARE] — [HMO_PPO]: $101.52 [AETNA] — [FIRST_HEALTH]: $880.75 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $125.39 [ANTHEM MEDICARE] — [HMO_PPO]: $101.52 [ANTHEM] — [BCBS_TRADITIONAL]: $1,056.25 [ANTHEM] — [HMO_PPO]: $833.63 [ANTHEM] — [PATHWAY_EXCHANGE]: $611 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $1,300 [BUCKEYE] — [AMBETTER_EXCHANGE]: $111.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US PG UTERUS =>14 WK SGL/1 GEST	$879	$527.40	$101.52 – $703.20
Pregnancy ultrasound (after the first trimester): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $101.52 [AETNA MEDICARE] — [HMO_PPO]: $101.52 [AETNA] — [FIRST_HEALTH]: $476.42 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $141.84 [ANTHEM MEDICARE] — [HMO_PPO]: $101.52 [ANTHEM] — [BCBS_TRADITIONAL]: $571.35 [ANTHEM] — [HMO_PPO]: $450.93 [ANTHEM] — [PATHWAY_EXCHANGE]: $330.50 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $703.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $111.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$937	$562.20	$101.52 – $749.60
Transvaginal ultrasound: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $101.52 [AETNA MEDICARE] — [HMO_PPO]: $101.52 [AETNA] — [FIRST_HEALTH]: $507.85 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $138.65 [ANTHEM MEDICARE] — [HMO_PPO]: $101.52 [ANTHEM] — [BCBS_TRADITIONAL]: $609.05 [ANTHEM] — [HMO_PPO]: $480.68 [ANTHEM] — [PATHWAY_EXCHANGE]: $352.31 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $749.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $111.68
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT	$505	$303	$53 – $404
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $113.22 [AETNA MEDICARE] — [HMO_PPO]: $113.22 [AETNA] — [FIRST_HEALTH]: $273.71 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $139.11 [ANTHEM MEDICARE] — [HMO_PPO]: $113.22 [ANTHEM] — [BCBS_TRADITIONAL]: $328.25 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $404 [BUCKEYE] — [AMBETTER_EXCHANGE]: $124.54
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT	$505	$303	$53 – $404
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $113.22 [AETNA MEDICARE] — [HMO_PPO]: $113.22 [AETNA] — [FIRST_HEALTH]: $273.71 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $139.11 [ANTHEM MEDICARE] — [HMO_PPO]: $113.22 [ANTHEM] — [BCBS_TRADITIONAL]: $328.25 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $404 [BUCKEYE] — [AMBETTER_EXCHANGE]: $124.54
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MG BREAST BILATERAL POST BIOPSY CLIP	$679	$407.40	$53 – $543.20
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $142.54 [AETNA MEDICARE] — [HMO_PPO]: $142.54 [AETNA] — [FIRST_HEALTH]: $368.02 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $178.45 [ANTHEM MEDICARE] — [HMO_PPO]: $142.54 [ANTHEM] — [BCBS_TRADITIONAL]: $441.35 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $543.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $156.79
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$679	$407.40	$53 – $543.20
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $142.54 [AETNA MEDICARE] — [HMO_PPO]: $142.54 [AETNA] — [FIRST_HEALTH]: $368.02 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $178.45 [ANTHEM MEDICARE] — [HMO_PPO]: $142.54 [ANTHEM] — [BCBS_TRADITIONAL]: $441.35 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $543.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $156.79
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING LEFT	$515	$309	$53 – $412
Screening mammogram, both breasts: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $115.42 [AETNA MEDICARE] — [HMO_PPO]: $115.42 [AETNA] — [FIRST_HEALTH]: $279.13 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $147.07 [ANTHEM MEDICARE] — [HMO_PPO]: $115.42 [ANTHEM] — [BCBS_TRADITIONAL]: $318.50 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $412 [BUCKEYE] — [AMBETTER_EXCHANGE]: $126.96
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING RIGHT	$515	$309	$53 – $412
Screening mammogram, both breasts: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $115.42 [AETNA MEDICARE] — [HMO_PPO]: $115.42 [AETNA] — [FIRST_HEALTH]: $279.13 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $147.07 [ANTHEM MEDICARE] — [HMO_PPO]: $115.42 [ANTHEM] — [BCBS_TRADITIONAL]: $318.50 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $412 [BUCKEYE] — [AMBETTER_EXCHANGE]: $126.96
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING BILATERAL	$490	$294	$53 – $392
Screening mammogram, both breasts: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $115.42 [AETNA MEDICARE] — [HMO_PPO]: $115.42 [AETNA] — [FIRST_HEALTH]: $265.58 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $147.07 [ANTHEM MEDICARE] — [HMO_PPO]: $115.42 [ANTHEM] — [BCBS_TRADITIONAL]: $318.50 [ANTHEM] — [HMO_PPO]: $72 [ANTHEM] — [PATHWAY_EXCHANGE]: $53 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $392 [BUCKEYE] — [AMBETTER_EXCHANGE]: $126.96

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM COMPLETE	$393	$235.80	$92.36 – $314.40
Electrocardiogram (ECG/EKG) with reading: 10 of 21 insurance plan rates [AETNA] — [FIRST_HEALTH]: $213.01 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $14.99 [ANTHEM] — [BCBS_TRADITIONAL]: $255.45 [ANTHEM] — [HMO_PPO]: $201.61 [ANTHEM] — [PATHWAY_EXCHANGE]: $147.77 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $314.40 [CIGNA] — [COMMERCIAL]: $191.39 [FRONTPATH_COALITION] — [COMMERCIAL]: $177.64 [HEALTH_ALLIANCE_PLAN] — [HMO]: $311.77 [MCLAREN] — [COMMERCIAL]: $138.61
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$19,723	$11,833.80	$654 – $15,778.40
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3,070.71 [AETNA MEDICARE] — [HMO_PPO]: $3,070.71 [AETNA] — [FIRST_HEALTH]: $10,689.87 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $9,072.58 [ANTHEM MEDICARE] — [HMO_PPO]: $3,070.71 [ANTHEM] — [BCBS_TRADITIONAL]: $12,819.95 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $15,778.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3,377.78
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$18,250	$10,950	$4,288.75 – $14,600
Heart rhythm study (electrophysiology evaluation): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $7,244.36 [AETNA MEDICARE] — [HMO_PPO]: $7,244.36 [AETNA] — [FIRST_HEALTH]: $9,891.50 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $283.75 [ANTHEM MEDICARE] — [HMO_PPO]: $7,244.36 [ANTHEM] — [BCBS_TRADITIONAL]: $11,862.50 [ANTHEM] — [HMO_PPO]: $9,362.25 [ANTHEM] — [PATHWAY_EXCHANGE]: $6,862 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $14,600 [BUCKEYE] — [AMBETTER_EXCHANGE]: $7,968.79
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$58,552	$35,131.20	$2,181 – $46,841.60
Heart rhythm study with ablation for atrial fibrillation: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $23,420.99 [AETNA MEDICARE] — [HMO_PPO]: $23,420.99 [AETNA] — [FIRST_HEALTH]: $31,735.18 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $996.35 [ANTHEM MEDICARE] — [HMO_PPO]: $23,420.99 [ANTHEM] — [BCBS_TRADITIONAL]: $38,058.80 [ANTHEM] — [HMO_PPO]: $2,969 [ANTHEM] — [PATHWAY_EXCHANGE]: $2,181 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $46,841.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $25,763.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	Not listed in the file	Not listed in the file	$971.30 – $1,585.49
Sleep study (overnight, in a sleep lab): 10 of 30 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $971.30 [AETNA MEDICARE] — [HMO_PPO]: $971.30 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $956.24 [ANTHEM MEDICARE] — [HMO_PPO]: $971.30 [BUCKEYE] — [AMBETTER_EXCHANGE]: $1,068.43 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $990.73 [BUCKEYE] — [MY_CARE_OHIO]: $990.73 [CARELON_MEDICARE] — [BEACON_HEALTH]: $971.30 [CARESOURCE] — [EXCHANGE]: $1,068.43 [CARESOURCE] — [MEDICARE_ADVANTAGE]: $971.30

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$230	$138	$27.31 – $216
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $27.31 [AETNA MEDICARE] — [HMO_PPO]: $27.31 [AETNA] — [FIRST_HEALTH]: $124.66 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $64.90 [ANTHEM MEDICARE] — [HMO_PPO]: $27.31 [ANTHEM] — [BCBS_TRADITIONAL]: $149.50 [ANTHEM] — [HMO_PPO]: $117.99 [ANTHEM] — [PATHWAY_EXCHANGE]: $86.48 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $184 [BUCKEYE] — [AMBETTER_EXCHANGE]: $30.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$230	$138	$27.31 – $184
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $27.31 [AETNA MEDICARE] — [HMO_PPO]: $27.31 [AETNA] — [FIRST_HEALTH]: $124.66 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $64.90 [ANTHEM MEDICARE] — [HMO_PPO]: $27.31 [ANTHEM] — [BCBS_TRADITIONAL]: $149.50 [ANTHEM] — [HMO_PPO]: $117.99 [ANTHEM] — [PATHWAY_EXCHANGE]: $86.48 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $184 [BUCKEYE] — [AMBETTER_EXCHANGE]: $30.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MKC-THERPTC EXC EA 15MIN	$230	$138	$27.31 – $184
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $27.31 [AETNA MEDICARE] — [HMO_PPO]: $27.31 [AETNA] — [FIRST_HEALTH]: $124.66 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $64.90 [ANTHEM MEDICARE] — [HMO_PPO]: $27.31 [ANTHEM] — [BCBS_TRADITIONAL]: $149.50 [ANTHEM] — [HMO_PPO]: $117.99 [ANTHEM] — [PATHWAY_EXCHANGE]: $86.48 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $184 [BUCKEYE] — [AMBETTER_EXCHANGE]: $30.04
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$378	$226.80	$88.83 – $302.40
Physical therapy evaluation (low complexity): 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $93.03 [AETNA MEDICARE] — [HMO_PPO]: $93.03 [AETNA] — [FIRST_HEALTH]: $204.88 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $104.16 [ANTHEM MEDICARE] — [HMO_PPO]: $93.03 [ANTHEM] — [BCBS_TRADITIONAL]: $245.70 [ANTHEM] — [HMO_PPO]: $193.91 [ANTHEM] — [PATHWAY_EXCHANGE]: $142.13 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $302.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $102.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$467	$280.20	$93.03 – $373.60
Physical therapy evaluation (moderate complexity): 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $93.03 [AETNA MEDICARE] — [HMO_PPO]: $93.03 [AETNA] — [FIRST_HEALTH]: $253.11 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $104.16 [ANTHEM MEDICARE] — [HMO_PPO]: $93.03 [ANTHEM] — [BCBS_TRADITIONAL]: $303.55 [ANTHEM] — [HMO_PPO]: $239.57 [ANTHEM] — [PATHWAY_EXCHANGE]: $175.59 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $373.60 [BUCKEYE] — [AMBETTER_EXCHANGE]: $102.33
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$611	$366.60	$93.03 – $488.80
Physical therapy evaluation (high complexity): 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $93.03 [AETNA MEDICARE] — [HMO_PPO]: $93.03 [AETNA] — [FIRST_HEALTH]: $331.16 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $104.16 [ANTHEM MEDICARE] — [HMO_PPO]: $93.03 [ANTHEM] — [BCBS_TRADITIONAL]: $397.15 [ANTHEM] — [HMO_PPO]: $313.44 [ANTHEM] — [PATHWAY_EXCHANGE]: $229.74 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $488.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $102.33
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$410	$246	$96.35 – $328
Psychotherapy, 30 minutes: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $222.22 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $67.64 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $266.50 [ANTHEM] — [HMO_PPO]: $210.33 [ANTHEM] — [PATHWAY_EXCHANGE]: $154.16 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $328 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$461	$276.60	$108.34 – $368.80
Psychotherapy, 45 minutes: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $249.86 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $89.39 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $299.65 [ANTHEM] — [HMO_PPO]: $236.49 [ANTHEM] — [PATHWAY_EXCHANGE]: $173.34 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $368.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$461	$276.60	$108.34 – $368.80
Psychotherapy, 45 minutes: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $249.86 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $89.39 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $299.65 [ANTHEM] — [HMO_PPO]: $236.49 [ANTHEM] — [PATHWAY_EXCHANGE]: $173.34 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $368.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$513	$307.80	$120.56 – $410.40
Psychotherapy, 60 minutes: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $278.05 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $131.95 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $333.45 [ANTHEM] — [HMO_PPO]: $263.17 [ANTHEM] — [PATHWAY_EXCHANGE]: $192.89 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $410.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES	$513	$307.80	$120.56 – $410.40
Psychotherapy, 60 minutes: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $278.05 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $131.95 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $333.45 [ANTHEM] — [HMO_PPO]: $263.17 [ANTHEM] — [PATHWAY_EXCHANGE]: $192.89 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $410.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY,NO PT	$369	$221.40	$86.72 – $295.20
Family psychotherapy, without the patient: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $200 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $96.27 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $239.85 [ANTHEM] — [HMO_PPO]: $189.30 [ANTHEM] — [PATHWAY_EXCHANGE]: $138.74 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $295.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W PHYS	$373	$223.80	$87.66 – $298.40
Family psychotherapy, with the patient: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $153.39 [AETNA MEDICARE] — [HMO_PPO]: $153.39 [AETNA] — [FIRST_HEALTH]: $202.17 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $100.54 [ANTHEM MEDICARE] — [HMO_PPO]: $153.39 [ANTHEM] — [BCBS_TRADITIONAL]: $242.45 [ANTHEM] — [HMO_PPO]: $191.35 [ANTHEM] — [PATHWAY_EXCHANGE]: $140.25 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $298.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $168.73
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMMERCIAL PHP	$209	$125.40	$49.12 – $370.65
Group psychotherapy: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $88.31 [AETNA MEDICARE] — [HMO_PPO]: $88.31 [AETNA] — [FIRST_HEALTH]: $113.28 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $23.75 [ANTHEM MEDICARE] — [HMO_PPO]: $88.31 [ANTHEM] — [BCBS_TRADITIONAL]: $250 [ANTHEM] — [HMO_PPO]: $250 [ANTHEM] — [PATHWAY_EXCHANGE]: $184 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $167.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $97.14
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT CHEMICAL DEPENDENCY	$209	$125.40	$49.12 – $250
Group psychotherapy: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $88.31 [AETNA MEDICARE] — [HMO_PPO]: $88.31 [AETNA] — [FIRST_HEALTH]: $113.28 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $23.75 [ANTHEM MEDICARE] — [HMO_PPO]: $88.31 [ANTHEM] — [BCBS_TRADITIONAL]: $250 [ANTHEM] — [HMO_PPO]: $250 [ANTHEM] — [PATHWAY_EXCHANGE]: $184 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $167.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $97.14
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INPERSON GROUP PSYCHOTHERAPY INTENSIVE	$209	$125.40	$49.12 – $250
Group psychotherapy: 10 of 46 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $88.31 [AETNA MEDICARE] — [HMO_PPO]: $88.31 [AETNA] — [FIRST_HEALTH]: $113.28 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $23.75 [ANTHEM MEDICARE] — [HMO_PPO]: $88.31 [ANTHEM] — [BCBS_TRADITIONAL]: $250 [ANTHEM] — [HMO_PPO]: $250 [ANTHEM] — [PATHWAY_EXCHANGE]: $184 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $167.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $97.14

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EXCISE BREAST CYST	$10,391	$6,234.60	$654 – $8,312.80
Removal of breast growth (open surgery): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3,655.81 [AETNA MEDICARE] — [HMO_PPO]: $3,655.81 [AETNA] — [FIRST_HEALTH]: $5,631.92 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,622 [ANTHEM MEDICARE] — [HMO_PPO]: $3,655.81 [ANTHEM] — [BCBS_TRADITIONAL]: $6,754.15 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $8,312.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $4,021.39
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	Not listed in the file	Not listed in the file	$1,395 – $20,051.51
Total hip replacement: 10 of 34 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $12,283.95 [AETNA MEDICARE] — [HMO_PPO]: $12,283.95 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $2,163 [ANTHEM MEDICARE] — [HMO_PPO]: $12,283.95 [ANTHEM] — [HMO_PPO]: $1,899 [ANTHEM] — [PATHWAY_EXCHANGE]: $1,395 [BUCKEYE] — [AMBETTER_EXCHANGE]: $13,512.35 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $12,529.63 [BUCKEYE] — [MY_CARE_OHIO]: $12,529.63 [CARELON_MEDICARE] — [BEACON_HEALTH]: $12,283.95
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	Not listed in the file	Not listed in the file	$741 – $20,051.51
Total knee replacement: 10 of 34 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $12,283.95 [AETNA MEDICARE] — [HMO_PPO]: $12,283.95 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $2,163 [ANTHEM MEDICARE] — [HMO_PPO]: $12,283.95 [ANTHEM] — [HMO_PPO]: $1,009 [ANTHEM] — [PATHWAY_EXCHANGE]: $741 [BUCKEYE] — [AMBETTER_EXCHANGE]: $13,512.35 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $12,529.63 [BUCKEYE] — [MY_CARE_OHIO]: $12,529.63 [CARELON_MEDICARE] — [BEACON_HEALTH]: $12,283.95
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	Not listed in the file	Not listed in the file	$654 – $2,514
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [CIGNA] — [COMMERCIAL]: $2,514 [FRONTPATH_COALITION] — [COMMERCIAL]: $1,400.36 [UNITEDHEALTHCARE] — [HMO_PPO_POS_EPO]: $1,009
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	Not listed in the file	Not listed in the file	$785 – $5,056.37
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 34 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3,097.63 [AETNA MEDICARE] — [HMO_PPO]: $3,097.63 [ANTHEM MEDICARE] — [HMO_PPO]: $3,097.63 [ANTHEM] — [HMO_PPO]: $1,069 [ANTHEM] — [PATHWAY_EXCHANGE]: $785 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3,407.39 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $3,159.58 [BUCKEYE] — [MY_CARE_OHIO]: $3,159.58 [CARELON_MEDICARE] — [BEACON_HEALTH]: $3,097.63 [CARESOURCE] — [EXCHANGE]: $3,407.39
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12	Not listed in the file	Not listed in the file	$654 – $9,218.90
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $5,647.68 [AETNA MEDICARE] — [HMO_PPO]: $5,647.68 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,622 [ANTHEM MEDICARE] — [HMO_PPO]: $5,647.68 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BUCKEYE] — [AMBETTER_EXCHANGE]: $6,212.45 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $5,760.63 [BUCKEYE] — [MY_CARE_OHIO]: $5,760.63 [CARELON_MEDICARE] — [BEACON_HEALTH]: $5,647.68
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC - EGD	$3,635	$2,181	$552 – $2,908
Upper GI endoscopy (diagnostic): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $895.09 [AETNA MEDICARE] — [HMO_PPO]: $895.09 [AETNA] — [FIRST_HEALTH]: $1,970.17 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,190 [ANTHEM MEDICARE] — [HMO_PPO]: $895.09 [ANTHEM] — [BCBS_TRADITIONAL]: $2,362.75 [ANTHEM] — [HMO_PPO]: $711 [ANTHEM] — [PATHWAY_EXCHANGE]: $552 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,908 [BUCKEYE] — [AMBETTER_EXCHANGE]: $984.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$3,635	$2,181	$552 – $2,908
Upper GI endoscopy (diagnostic): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $895.09 [AETNA MEDICARE] — [HMO_PPO]: $895.09 [AETNA] — [FIRST_HEALTH]: $1,970.17 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,190 [ANTHEM MEDICARE] — [HMO_PPO]: $895.09 [ANTHEM] — [BCBS_TRADITIONAL]: $2,362.75 [ANTHEM] — [HMO_PPO]: $711 [ANTHEM] — [PATHWAY_EXCHANGE]: $552 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,908 [BUCKEYE] — [AMBETTER_EXCHANGE]: $984.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE - EGD	$4,674	$2,804.40	$567 – $3,739.20
Upper GI endoscopy with biopsy: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $895.09 [AETNA MEDICARE] — [HMO_PPO]: $895.09 [AETNA] — [FIRST_HEALTH]: $2,533.31 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $895.09 [ANTHEM] — [BCBS_TRADITIONAL]: $3,038.10 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,739.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $984.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$4,674	$2,804.40	$567 – $3,739.20
Upper GI endoscopy with biopsy: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $895.09 [AETNA MEDICARE] — [HMO_PPO]: $895.09 [AETNA] — [FIRST_HEALTH]: $2,533.31 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $895.09 [ANTHEM] — [BCBS_TRADITIONAL]: $3,038.10 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,739.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $984.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD - COLONOSCOPY	$4,683	$2,809.80	$567 – $3,746.40
Colonoscopy (diagnostic): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $870.41 [AETNA MEDICARE] — [HMO_PPO]: $870.41 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $870.41 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $957.45
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY	$4,014	$2,408.40	$567 – $3,211.20
Colonoscopy with biopsy: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,125.67 [AETNA MEDICARE] — [HMO_PPO]: $1,125.67 [AETNA] — [FIRST_HEALTH]: $2,175.59 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $1,125.67 [ANTHEM] — [BCBS_TRADITIONAL]: $2,609.10 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,211.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $1,238.23
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY	$4,683	$2,809.80	$567 – $3,746.40
Colonoscopy with removal of polyps (snare): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,125.67 [AETNA MEDICARE] — [HMO_PPO]: $1,125.67 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $1,125.67 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $1,238.23
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - ENDO US (LOWER)	$4,683	$2,809.80	$567 – $3,746.40
Ultrasound of the lower bowel by endoscope: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,125.67 [AETNA MEDICARE] — [HMO_PPO]: $1,125.67 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $1,125.67 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $1,238.23
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX - COLONOSCOPY	$4,683	$2,809.80	$567 – $3,746.40
Ultrasound of the lower bowel by endoscope: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,125.67 [AETNA MEDICARE] — [HMO_PPO]: $1,125.67 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $1,125.67 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $1,238.23
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COLON CA SCRN NOT HI RSK IND	$4,683	$2,809.80	$567 – $3,746.40
Screening colonoscopy (not high risk): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $870.41 [AETNA MEDICARE] — [HMO_PPO]: $870.41 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $175.21 [ANTHEM MEDICARE] — [HMO_PPO]: $870.41 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $957.45
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB COLON CA SCRN NOT HI RSK IND	$4,683	$2,809.80	$567 – $3,746.40
Screening colonoscopy (not high risk): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $870.41 [AETNA MEDICARE] — [HMO_PPO]: $870.41 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $175.21 [ANTHEM MEDICARE] — [HMO_PPO]: $870.41 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $957.45
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OBG-COLON CA SCRN NOT HI RISK IND	$4,683	$2,809.80	$567 – $3,746.40
Screening colonoscopy (not high risk): 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $870.41 [AETNA MEDICARE] — [HMO_PPO]: $870.41 [AETNA] — [FIRST_HEALTH]: $2,538.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $175.21 [ANTHEM MEDICARE] — [HMO_PPO]: $870.41 [ANTHEM] — [BCBS_TRADITIONAL]: $3,043.95 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,746.40 [BUCKEYE] — [AMBETTER_EXCHANGE]: $957.45
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,047 – $9,092.21
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $5,570.06 [AETNA MEDICARE] — [HMO_PPO]: $5,570.06 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $2,380 [ANTHEM MEDICARE] — [HMO_PPO]: $5,570.06 [ANTHEM] — [HMO_PPO]: $1,425 [ANTHEM] — [PATHWAY_EXCHANGE]: $1,047 [BUCKEYE] — [AMBETTER_EXCHANGE]: $6,127.07 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $5,681.46 [BUCKEYE] — [MY_CARE_OHIO]: $5,681.46 [CARELON_MEDICARE] — [BEACON_HEALTH]: $5,570.06
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	Not listed in the file	Not listed in the file	$785 – $5,499.65
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3,369.19 [AETNA MEDICARE] — [HMO_PPO]: $3,369.19 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,925 [ANTHEM MEDICARE] — [HMO_PPO]: $3,369.19 [ANTHEM] — [HMO_PPO]: $1,069 [ANTHEM] — [PATHWAY_EXCHANGE]: $785 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3,706.11 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $3,436.58 [BUCKEYE] — [MY_CARE_OHIO]: $3,436.58 [CARELON_MEDICARE] — [BEACON_HEALTH]: $3,369.19
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$5,579	$3,347.40	$567 – $4,463.20
Prostate biopsy: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,955.71 [AETNA MEDICARE] — [HMO_PPO]: $1,955.71 [AETNA] — [FIRST_HEALTH]: $3,023.82 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $1,955.71 [ANTHEM] — [BCBS_TRADITIONAL]: $3,626.35 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $4,463.20 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,151.28
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT	Not listed in the file	Not listed in the file	$741 – $16,224.73
Prostate removal by laparoscope (radical prostatectomy): 10 of 34 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $9,939.59 [AETNA MEDICARE] — [HMO_PPO]: $9,939.59 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $2,380 [ANTHEM MEDICARE] — [HMO_PPO]: $9,939.59 [ANTHEM] — [HMO_PPO]: $1,009 [ANTHEM] — [PATHWAY_EXCHANGE]: $741 [BUCKEYE] — [AMBETTER_EXCHANGE]: $10,933.55 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $10,138.38 [BUCKEYE] — [MY_CARE_OHIO]: $10,138.38 [CARELON_MEDICARE] — [BEACON_HEALTH]: $9,939.59
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	Not listed in the file	Not listed in the file	$654 – $4,954.94
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $3,035.50 [AETNA MEDICARE] — [HMO_PPO]: $3,035.50 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,622 [ANTHEM MEDICARE] — [HMO_PPO]: $3,035.50 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BUCKEYE] — [AMBETTER_EXCHANGE]: $3,339.05 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $3,096.21 [BUCKEYE] — [MY_CARE_OHIO]: $3,096.21 [CARELON_MEDICARE] — [BEACON_HEALTH]: $3,035.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,366	$2,019.60	$552 – $2,692.80
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $661.15 [AETNA MEDICARE] — [HMO_PPO]: $661.15 [AETNA] — [FIRST_HEALTH]: $1,824.37 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,190 [ANTHEM MEDICARE] — [HMO_PPO]: $661.15 [ANTHEM] — [BCBS_TRADITIONAL]: $2,187.90 [ANTHEM] — [HMO_PPO]: $711 [ANTHEM] — [PATHWAY_EXCHANGE]: $552 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,692.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $727.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,121	$1,872.60	$552 – $2,496.80
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $849.96 [AETNA MEDICARE] — [HMO_PPO]: $849.96 [AETNA] — [FIRST_HEALTH]: $1,691.58 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,190 [ANTHEM MEDICARE] — [HMO_PPO]: $849.96 [ANTHEM] — [BCBS_TRADITIONAL]: $2,028.65 [ANTHEM] — [HMO_PPO]: $711 [ANTHEM] — [PATHWAY_EXCHANGE]: $552 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $2,496.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $934.96
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB REVISE MEDIAN CARPAL TUNNEL SURGERY	$3,861	$2,316.60	$567 – $3,088.80
Carpal tunnel release: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,864.31 [AETNA MEDICARE] — [HMO_PPO]: $1,864.31 [AETNA] — [FIRST_HEALTH]: $2,092.66 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,776.06 [ANTHEM MEDICARE] — [HMO_PPO]: $1,864.31 [ANTHEM] — [BCBS_TRADITIONAL]: $2,509.65 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,088.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,050.74
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PBB REVISE MEDIAN N/CARPAL TUNNEL SURG	$3,861	$2,316.60	$567 – $3,088.80
Carpal tunnel release: 10 of 47 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $1,864.31 [AETNA MEDICARE] — [HMO_PPO]: $1,864.31 [AETNA] — [FIRST_HEALTH]: $2,092.66 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,776.06 [ANTHEM MEDICARE] — [HMO_PPO]: $1,864.31 [ANTHEM] — [BCBS_TRADITIONAL]: $2,509.65 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BEECH_STREET_CORPORATION] — [CAPP_CARE]: $3,088.80 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,050.74
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: POST-CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$523.75 – $1,848
Laser treatment of clouding after cataract surgery: 10 of 35 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $523.75 [AETNA MEDICARE] — [HMO_PPO]: $523.75 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $1,406 [ANTHEM MEDICARE] — [HMO_PPO]: $523.75 [ANTHEM] — [HMO_PPO]: $772 [ANTHEM] — [PATHWAY_EXCHANGE]: $567 [BUCKEYE] — [AMBETTER_EXCHANGE]: $576.12 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $534.22 [BUCKEYE] — [MY_CARE_OHIO]: $534.22 [CARELON_MEDICARE] — [BEACON_HEALTH]: $523.75
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	Not listed in the file	Not listed in the file	$741 – $3,554.26
Cataract removal with lens implant: 10 of 34 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2,177.41 [AETNA MEDICARE] — [HMO_PPO]: $2,177.41 [ANTHEM MEDICARE] — [HMO_PPO]: $2,177.41 [ANTHEM] — [HMO_PPO]: $1,009 [ANTHEM] — [PATHWAY_EXCHANGE]: $741 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,395.15 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $2,220.96 [BUCKEYE] — [MY_CARE_OHIO]: $2,220.96 [CARELON_MEDICARE] — [BEACON_HEALTH]: $2,177.41 [CARESOURCE] — [EXCHANGE]: $2,395.15

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	Not listed in the file	Not listed in the file	$654 – $3,577.94
Vaginal delivery, with care before and after: 10 of 31 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2,271.71 [AETNA MEDICARE] — [HMO_PPO]: $2,271.71 [ANTHEM MEDICARE] — [HMO_PPO]: $2,271.71 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,498.88 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $2,317.14 [BUCKEYE] — [MY_CARE_OHIO]: $2,317.14 [CARELON_MEDICARE] — [BEACON_HEALTH]: $2,271.71 [CARESOURCE] — [EXCHANGE]: $2,498.88
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	Not listed in the file	Not listed in the file	$654 – $3,981.25
Cesarean delivery (C-section), with care before and after: 10 of 31 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2,527.78 [AETNA MEDICARE] — [HMO_PPO]: $2,527.78 [ANTHEM MEDICARE] — [HMO_PPO]: $2,527.78 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,780.56 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $2,578.34 [BUCKEYE] — [MY_CARE_OHIO]: $2,578.34 [CARELON_MEDICARE] — [BEACON_HEALTH]: $2,527.78 [CARESOURCE] — [EXCHANGE]: $2,780.56
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Hospital (facility) fee In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	Not listed in the file	Not listed in the file	$654 – $3,755.24
Vaginal delivery after a previous C-section, with care before and after: 10 of 31 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $2,384.28 [AETNA MEDICARE] — [HMO_PPO]: $2,384.28 [ANTHEM MEDICARE] — [HMO_PPO]: $2,384.28 [ANTHEM] — [HMO_PPO]: $891 [ANTHEM] — [PATHWAY_EXCHANGE]: $654 [BUCKEYE] — [AMBETTER_EXCHANGE]: $2,622.71 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $2,431.97 [BUCKEYE] — [MY_CARE_OHIO]: $2,431.97 [CARELON_MEDICARE] — [BEACON_HEALTH]: $2,384.28 [CARESOURCE] — [EXCHANGE]: $2,622.71

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	$65,177.74 – $175,297.99
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 38 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $82,191.33 [AETNA MEDICARE] — [HMO_PPO]: $82,191.33 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $82,191.33 [ANTHEM MEDICARE] — [HMO_PPO]: $82,191.33 [ANTHEM] — [BCBS_TRADITIONAL]: $82,459.22 [ANTHEM] — [HMO_PPO]: $82,459.22 [ANTHEM] — [PATHWAY_EXCHANGE]: $70,181.81 [BUCKEYE] — [AMBETTER_EXCHANGE]: $71,163.51 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $83,835.15 [BUCKEYE] — [MY_CARE_OHIO]: $83,835.15
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$13,235.66 – $34,563.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 38 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $16,590.27 [AETNA MEDICARE] — [HMO_PPO]: $16,590.27 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $16,590.27 [ANTHEM MEDICARE] — [HMO_PPO]: $16,590.27 [ANTHEM] — [BCBS_TRADITIONAL]: $16,258.70 [ANTHEM] — [HMO_PPO]: $16,258.70 [ANTHEM] — [PATHWAY_EXCHANGE]: $13,837.93 [BUCKEYE] — [AMBETTER_EXCHANGE]: $14,027.22 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $16,922.08 [BUCKEYE] — [MY_CARE_OHIO]: $16,922.08
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	$16,624.44 – $43,745.65
Neck (cervical) spinal fusion, without complications: 10 of 38 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $20,870.18 [AETNA MEDICARE] — [HMO_PPO]: $20,870.18 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $20,870.18 [ANTHEM MEDICARE] — [HMO_PPO]: $20,870.18 [ANTHEM] — [BCBS_TRADITIONAL]: $20,577.72 [ANTHEM] — [HMO_PPO]: $20,577.72 [ANTHEM] — [PATHWAY_EXCHANGE]: $17,513.89 [BUCKEYE] — [AMBETTER_EXCHANGE]: $17,754.88 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $21,287.59 [BUCKEYE] — [MY_CARE_OHIO]: $21,287.59
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	$8,684.22 – $22,232.10
Uterus and ovary surgery (not for cancer), without complications: 10 of 38 insurance plan rates [AETNA MEDICARE] — [BETTER_HEALTH]: $10,841.96 [AETNA MEDICARE] — [HMO_PPO]: $10,841.96 [AETNA] — [PPO_HMO_INDEMNITY_HEALTHREACH_BEECHSTREET_INTERNATIONAL_ASE: $10,841.96 [ANTHEM MEDICARE] — [HMO_PPO]: $10,841.96 [ANTHEM] — [BCBS_TRADITIONAL]: $10,457.86 [ANTHEM] — [HMO_PPO]: $10,457.86 [ANTHEM] — [PATHWAY_EXCHANGE]: $8,900.78 [BUCKEYE] — [AMBETTER_EXCHANGE]: $9,020.64 [BUCKEYE] — [MEDICARE_ADVANTAGE]: $11,058.80 [BUCKEYE] — [MY_CARE_OHIO]: $11,058.80

Source: University of Toledo Medical Center’s standard charges file (health.utoledo.edu, 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	3000 Arlington Avenue, Toledo, OH 43614
County	Lucas County
State	Ohio
Phone	(419) 383‑3407
Emergency services	Yes
Ownership	Government - State
Medicare overall rating	3 of 5 stars
CMS Certification Number	360048
Name in Medicare records	UNIVERSITY OF TOLEDO MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(419) 383‑4000^[4]
Name on the hospital’s website	The University of Toledo Medical Center
Official website	health.utoledo.edu
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 of Toledo Medical Center — health.utoledo.edu
About Your Stay — health.utoledo.edu
Interpretive Services — health.utoledo.edu
Valet Services and Patient Transportation — health.utoledo.edu
Visitor Information — health.utoledo.edu
Open for Emergencies — health.utoledo.edu
Outpatient Lab Services — health.utoledo.edu
Orthopaedic Center — health.utoledo.edu
Services — health.utoledo.edu