Does University of WI Hospitals & Clinics Authority have an emergency room?

Yes. Medicare (CMS) data lists emergency services at University of WI Hospitals & Clinics Authority. In a medical emergency, call 911.

Where is University of WI Hospitals & Clinics Authority?

600 Highland Avenue, Madison, WI 53792, in Dane County, Wisconsin.

What is the phone number of University of WI Hospitals & Clinics Authority?

(608) 263-6400, as listed by Medicare (CMS).

What is the Medicare star rating of University of WI Hospitals & Clinics Authority?

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

University of WI Hospitals & Clinics Authority

Quick answers

Does University of WI Hospitals & Clinics Authority have an emergency room?: Yes. Medicare (CMS) data lists emergency services at University of WI Hospitals & Clinics Authority. In a medical emergency, call 911.
Where is University of WI Hospitals & Clinics Authority?: 600 Highland Avenue, Madison, WI 53792, in Dane County, Wisconsin.
What is the phone number of University of WI Hospitals & Clinics Authority?: (608) 263-6400, as listed by Medicare (CMS).
What is the Medicare star rating of University of WI Hospitals & Clinics Authority?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

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

Brain and spine surgery
Heart care
Organ transplant
Cancer care (Carbone Cancer Center)
Emergency medicine
Trauma care (adult)
Burn care
Anesthesiology
Audiology
Adult congenital heart disease
Health psychology
Andrology

Conditions treated^[4][5][6][7]

Adult congenital heart disease
Cystic fibrosis (adult)
Heart attack
Stroke
Severe traumatic injuries
Burns

Treatments^[4][5][7]

Autologous islet transplantation
Ketogenic diet therapy (adult neurology)
Emergency care
Trauma care

Programs and centers^[4][5][6][7]

Carbone Cancer Center
Adult Congenital Heart Disease Program
Level I Adult Trauma Center
Burn Center
Adult Cystic Fibrosis Clinic
Autologous Islet Transplantation Clinic
Adult Neurology Ketogenic Diet Therapy Clinic
Ambulatory Health Psychology Clinic
Andrology Clinic
Neuro ICU
BerbeeWalsh Emergency Department

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level I

Visiting and practical information

Visiting	Visiting hours 8 a.m. to 9 p.m^[4]
Parking	Ramp at 600 Highland Ave; free validation at the Information Desk; valet assistance weekdays^[4]
Patient portal	MyChart

Recognition^[4][5][6][7]

Carbone Cancer Center: comprehensive cancer center designated by the National Cancer Institute (only one in Wisconsin)
Adult congenital heart disease program: nationally accredited
Level I Trauma Center (adult), verified by the American College of Surgeons
Burn Center verified by the American Burn Association
Carbone Cancer Center: NCI-designated comprehensive cancer center (only one in Wisconsin)

Doctors and clinicians (2,925)

2,925 doctors and other clinicians list University of WI Hospitals & Clinics Authority 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 (2,925)

Aaron C. Eifler, MDInterventional Radiology
Aaron Coates, MDInternal Medicine
Aaron Kraut, MDEmergency Medicine
Aaron L. Owen, MDPsychiatry
Aaron M. Carpiaux, MDOrthopedic Surgery
Aaron M. Wieland, MDOtolaryngology
Aaron P. Cronican, MDDiagnostic Radiology
Aaron R. Chopee, MDAnesthesiology
Aaron S. Field, MDDiagnostic Radiology
Abbie E. TreiberNurse Practitioner
Abdul Mohsin, MDInternal Medicine
Abdul Munem M. Kenj Halabi, MDRheumatology
Abdul-Rahman I. Abusalim, MDHospitalist
Abigail Jebaraj, MDOphthalmology
Abigail L. LucchiniPhysician Assistant
Abigail M. Bales, MDInternal Medicine
Abigail M. McGuire, PAPhysician Assistant
Abigail Nelezen, MDObstetrics/Gynecology
Abigail S. Cutler, MDObstetrics/Gynecology
Abigail T. Hein, PAPhysician Assistant
Adam Brown, MDEmergency Medicine
Adam D. Gepner, MDCardiovascular Disease (Cardiology)
Adam J. SamuelPhysician Assistant
Adam K. Wallace, CNACertified Registered Nurse Anesthetist (CRNA)

And 2,901 more: the button below opens the full list.

Other emergency rooms nearby

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

Madison VA Medical Center0.2 mi · Madison, WI · Federal/VA Acute Care Hospital
UnityPoint Health - Meriter1.7 mi · Madison, WI · Acute Care Hospital
SSM Health St Mary's Hospital - Madison1.9 mi · Madison, WI · Acute Care Hospital
Stoughton Hospital15 mi · Stoughton, WI · Critical Access Hospital
Sauk Prairie Hospital24 mi · Prairie Du Sac, WI · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital Madison1.7 mi · Madison, WI · Long-Term Acute Care Hospital
Mendota Mental Health Institute4.3 mi · Madison, WI · Psychiatric Hospital
Miramont Behavioral Health5.4 mi · Middleton, WI · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Capitol Lakes Health Center2.2 mi · Madison, WI · 4 of 5 stars
Oak Park Place of Nakoma2.8 mi · Madison, WI · 3 of 5 stars
Middleton Village Nursing and Rehab3.2 mi · Middleton, WI · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Bristol Hospice Madison3.3 mi · Madison, WI · 1 of 5 stars
Interim Healthcare of WI Madison3.3 mi · Madison, WI
Agrace Hospicecare4.7 mi · Madison, WI · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Home Health2.6 mi · Madison, WI · 4 of 5 stars
Interim Healthcare of Wisconsin3.3 mi · Madison, WI
Awooncare Home Health, LLC4.7 mi · Fitchburg, WI

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Fitchburg3.3 mi · Madison, WI · 2 of 5 stars
Fresenius Medical Care - Madison Capitol3.3 mi · Fitchburg, WI · 3 of 5 stars
Fresenius Kidney Care Middleton4.7 mi · Madison, WI

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

SSM Health Surgery Center2.6 mi · Madison, WI
Madison SurgiCenter, LLC4.7 mi · Madison, WI
Novamed Surgery Center of Madison4.7 mi · Madison, WI

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

Wingra Family Medical Center2.2 mi · Madison, WI · Community health center
Joyce & Marshall Erdman Clinic3.0 mi · Madison, WI · Community health center
Children's Dental Center of Madison-West Madison3.7 mi · Madison, WI · Community health center

Clinics and urgent care

Group Health Cooperative of South Central Wisconsin2.6 mi · Madison, WI · Urgent care center
American Current Care P.A .5.8 mi · Madison, WI · Urgent care center
American Current Care P.A.5.8 mi · Madison, WI · Urgent care center

Pharmacies

University of Wisconsin Hospitals and Clinics Authority0.1 mi · Madison, WI · Pharmacy
University of Wisconsin System Non Payroll1.0 mi · Madison, WI · Clinic pharmacy
Madison Pharmacy and Apothecary LLC1.6 mi · Madison, WI · Community/retail pharmacy

Assisted living nearby

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

Covenant Oaks1.6 mi · Madison, WI
Oakwood Village Tabor Oaks1.6 mi · Madison, WI
Offshore Group Home1.6 mi · Madison, WI
The Harbor at Renaissance1.6 mi · Madison, WI

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	5 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	70%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	3,209Response rate: 34%

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)	0.593Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.485Better than the national benchmark
Surgical site infections after colon surgery	1.52Worse than the national benchmark
Surgical site infections after abdominal hysterectomy	0.405No different from the national benchmark
MRSA bloodstream infections	0.707No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.613Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.6%
Deaths within 30 days: heart failure patients	8.5%
Deaths within 30 days: pneumonia patients	9.3%
Deaths within 30 days: COPD patients	6.8%
Deaths within 30 days: stroke patients	10.7%
Deaths within 30 days: coronary bypass surgery (CABG)	2.1%
Serious complications (patient safety indicator PSI-90)	1.04No different from the national rate
Complications after hip or knee replacement	3.5%

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	13.9%
Readmitted within 30 days: heart failure	20%
Readmitted within 30 days: pneumonia	16.5%
Readmitted within 30 days: COPD	21.6%
Readmitted within 30 days: coronary bypass surgery	10.8%
Readmitted within 30 days: hip or knee replacement	5.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	214 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	56%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 Madison Best hospitals in Madison

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as University of WI Hospitals & Clinics Authority 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)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HB-Gcrc Int Visit	$210	$126	$63 – $199.50
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $168.42 Aetna — Aetna_W: $149.73 Alliance — Alliance: $118.10 Alliance_Premier_Network — Alliance_Premier_Network: $100.32 Anthem — Anthem_PAR: $199.50 Anthem_Blue_Priority — Blue_Priority/Pathway: $119 Anthem_HMO_POS — HMO/POS: $166 Anthem_PPO — PPO: $150.97 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $84 Aspirus_Health_Plan — HMO/POS: $122.64
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HB-Gcrc Complex Visit	$271	$162.60	$81.30 – $257.45
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $217.34 Aetna — Aetna_W: $193.22 Alliance — Alliance: $152.41 Alliance_Premier_Network — Alliance_Premier_Network: $129.46 Anthem — Anthem_PAR: $257.45 Anthem_Blue_Priority — Blue_Priority/Pathway: $119 Anthem_HMO_POS — HMO/POS: $166 Anthem_PPO — PPO: $194.82 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $108.40 Aspirus_Health_Plan — HMO/POS: $158.26
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HB-Initial Preventive Medicine New Pt Age 18-39yrs	$262	$157.20	$78.60 – $248.90
Preventive checkup, new patient, age 18–39: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $210.12 Aetna — Aetna_W: $186.81 Alliance — Alliance: $147.35 Alliance_Premier_Network — Alliance_Premier_Network: $125.16 Anthem — Anthem_PAR: $248.90 Anthem_Blue_Priority — Blue_Priority/Pathway: $119 Anthem_HMO_POS — HMO/POS: $166 Anthem_PPO — PPO: $188.35 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $104.80 Aspirus_Health_Plan — HMO/POS: $153.01
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HB-Initial Preventive Medicine New Patient 40-64yrs	$262	$157.20	$78.60 – $420.25
Preventive checkup, new patient, age 40–64: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $420.25 Aetna — Aetna_W: $373.61 Alliance — Alliance: $294.70 Alliance_Premier_Network — Alliance_Premier_Network: $250.31 Anthem — Anthem_PAR: $248.90 Anthem_Blue_Priority — Blue_Priority/Pathway: $119 Anthem_HMO_POS — HMO/POS: $166 Anthem_PPO — PPO: $188.35 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $104.80 Aspirus_Health_Plan — HMO/POS: $153.01
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · modifier 50 In the file: HB-Initial Preventive Medicine New Patient 40-64yrs\|BILATERAL PROCEDURE	$524	$314.40	$119 – $497.80
Preventive checkup, new patient, age 40–64: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $210.12 Aetna — Aetna_W: $186.81 Alliance — Alliance: $147.35 Alliance_Premier_Network — Alliance_Premier_Network: $125.16 Anthem — Anthem_PAR: $497.80 Anthem_Blue_Priority — Blue_Priority/Pathway: $119 Anthem_HMO_POS — HMO/POS: $166 Anthem_PPO — PPO: $376.70 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $209.60 Aspirus_Health_Plan — HMO/POS: $306.02
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HB-ED Level 3 Visit	$1,698	$1,018.80	$278.89 – $5,500
Emergency room visit (moderate): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,361.80 Aetna — Aetna_W: $1,210.67 Aetna Better Health Medicare Adv — Aetna Better Health IL: $278.89 Aetna Medicare Adv — HMO/PPO: $278.89 Alliance — Alliance: $954.96 Alliance_Premier_Network — Alliance_Premier_Network: $811.13 Anthem — Anthem_PAR: $1,613.10 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $278.89 Anthem_Blue_Priority — Blue_Priority/Pathway: $4,845 Anthem_HMO_POS — HMO/POS: $5,500
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HB-ED Level 4 Visit	$2,373	$1,423.80	$426.30 – $7,200
Emergency room visit (moderately high): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,903.15 Aetna — Aetna_W: $1,691.95 Aetna Better Health Medicare Adv — Aetna Better Health IL: $426.30 Aetna Medicare Adv — HMO/PPO: $426.30 Alliance — Alliance: $1,334.58 Alliance_Premier_Network — Alliance_Premier_Network: $1,133.58 Anthem — Anthem_PAR: $2,254.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $426.30 Anthem_Blue_Priority — Blue_Priority/Pathway: $7,125 Anthem_HMO_POS — HMO/POS: $7,200
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HB-ED Level 5 Visit	$3,548	$2,128.80	$608.43 – $3,370.60
Emergency room visit (high): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,845.50 Aetna — Aetna_W: $2,529.72 Aetna Better Health Medicare Adv — Aetna Better Health IL: $608.43 Aetna Medicare Adv — HMO/PPO: $608.43 Alliance — Alliance: $1,995.40 Alliance_Premier_Network — Alliance_Premier_Network: $1,694.88 Anthem — Anthem_PAR: $3,370.60 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $608.43 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,450 Anthem_HMO_POS — HMO/POS: $1,500
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HB-ER Trauma Alert Full Response	$10,543	$6,325.80	$608.43 – $10,015.85
Emergency room visit (high): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $8,455.49 Aetna — Aetna_W: $7,517.16 Aetna Better Health Medicare Adv — Aetna Better Health IL: $608.43 Aetna Medicare Adv — HMO/PPO: $608.43 Alliance — Alliance: $5,929.38 Alliance_Premier_Network — Alliance_Premier_Network: $5,036.39 Anthem — Anthem_PAR: $10,015.85 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $608.43 Anthem_Blue_Priority — Blue_Priority/Pathway: $4,301.54 Anthem_HMO_POS — HMO/POS: $5,939.93
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HB-ER Trauma Team Response	$6,099	$3,659.40	$608.43 – $5,794.05
Emergency room visit (high): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,891.40 Aetna — Aetna_W: $4,348.59 Aetna Better Health Medicare Adv — Aetna Better Health IL: $608.43 Aetna Medicare Adv — HMO/PPO: $608.43 Alliance — Alliance: $3,430.08 Alliance_Premier_Network — Alliance_Premier_Network: $2,913.49 Anthem — Anthem_PAR: $5,794.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $608.43 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,488.39 Anthem_HMO_POS — HMO/POS: $3,436.18

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HB-Basic Metabolic Panel	$249	$149.40	$8.46 – $236.55
Basic metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $199.70 Aetna — Aetna_W: $177.54 Aetna Better Health Medicare Adv — Aetna Better Health IL: $8.46 Aetna Medicare Adv — HMO/PPO: $8.46 Alliance — Alliance: $140.04 Alliance_Premier_Network — Alliance_Premier_Network: $118.95 Anthem — Anthem_PAR: $236.55 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $8.46 Anthem_Blue_Priority — Blue_Priority/Pathway: $42.30 Anthem_HMO_POS — HMO/POS: $46.53
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HB-Comprehensive Metab Panel	$379	$227.40	$10.56 – $360.05
Comprehensive metabolic panel (blood test): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $303.96 Aetna — Aetna_W: $270.23 Aetna Better Health Medicare Adv — Aetna Better Health IL: $10.56 Aetna Medicare Adv — HMO/PPO: $10.56 Alliance — Alliance: $213.15 Alliance_Premier_Network — Alliance_Premier_Network: $181.05 Anthem — Anthem_PAR: $360.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $10.56 Anthem_Blue_Priority — Blue_Priority/Pathway: $52.80 Anthem_HMO_POS — HMO/POS: $58.08
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HB-Lipid Panel	$286	$171.60	$13.39 – $271.70
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $229.37 Aetna — Aetna_W: $203.92 Aetna Better Health Medicare Adv — Aetna Better Health IL: $13.39 Aetna Medicare Adv — HMO/PPO: $13.39 Alliance — Alliance: $160.85 Alliance_Premier_Network — Alliance_Premier_Network: $136.62 Anthem — Anthem_PAR: $271.70 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $13.39 Anthem_Blue_Priority — Blue_Priority/Pathway: $66.95 Anthem_HMO_POS — HMO/POS: $73.65
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HB-Renal Function	$227	$136.20	$8.68 – $215.65
Kidney function panel: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $182.05 Aetna — Aetna_W: $161.85 Aetna Better Health Medicare Adv — Aetna Better Health IL: $8.68 Aetna Medicare Adv — HMO/PPO: $8.68 Alliance — Alliance: $127.66 Alliance_Premier_Network — Alliance_Premier_Network: $108.44 Anthem — Anthem_PAR: $215.65 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $8.68 Anthem_Blue_Priority — Blue_Priority/Pathway: $43.40 Anthem_HMO_POS — HMO/POS: $47.74
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HB-Renal Function Panel	$187	$112.20	$8.68 – $177.65
Kidney function panel: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $149.97 Aetna — Aetna_W: $133.33 Aetna Better Health Medicare Adv — Aetna Better Health IL: $8.68 Aetna Medicare Adv — HMO/PPO: $8.68 Alliance — Alliance: $105.17 Alliance_Premier_Network — Alliance_Premier_Network: $89.33 Anthem — Anthem_PAR: $177.65 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $8.68 Anthem_Blue_Priority — Blue_Priority/Pathway: $43.40 Anthem_HMO_POS — HMO/POS: $47.74
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HB-Hepatic Function Panel	$206	$123.60	$8.17 – $195.70
Liver function panel: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $165.21 Aetna — Aetna_W: $146.88 Aetna Better Health Medicare Adv — Aetna Better Health IL: $8.17 Aetna Medicare Adv — HMO/PPO: $8.17 Alliance — Alliance: $115.85 Alliance_Premier_Network — Alliance_Premier_Network: $98.41 Anthem — Anthem_PAR: $195.70 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $8.17 Anthem_Blue_Priority — Blue_Priority/Pathway: $40.85 Anthem_HMO_POS — HMO/POS: $44.94
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HB-Urinalysis Auto W Micro	$66.15	$39.69	$3.17 – $62.84
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $53.05 Aetna — Aetna_W: $47.16 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3.17 Aetna Medicare Adv — HMO/PPO: $3.17 Alliance — Alliance: $37.20 Alliance_Premier_Network — Alliance_Premier_Network: $31.60 Anthem — Anthem_PAR: $62.84 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3.17 Anthem_Blue_Priority — Blue_Priority/Pathway: $15.85 Anthem_HMO_POS — HMO/POS: $17.44
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HB- Bb Urine Screen	$51.25	$30.75	$3.17 – $48.69
Urine test (automated, with microscope): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $41.10 Aetna — Aetna_W: $36.54 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3.17 Aetna Medicare Adv — HMO/PPO: $3.17 Alliance — Alliance: $28.82 Alliance_Premier_Network — Alliance_Premier_Network: $24.48 Anthem — Anthem_PAR: $48.69 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3.17 Anthem_Blue_Priority — Blue_Priority/Pathway: $15.85 Anthem_HMO_POS — HMO/POS: $17.44
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HB-Urinalysis Nonauto W/O Microscopy	$44.35	$26.61	$3.48 – $42.13
Urine test (manual, without microscope): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $35.57 Aetna — Aetna_W: $31.62 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3.48 Aetna Medicare Adv — HMO/PPO: $3.48 Alliance — Alliance: $24.94 Alliance_Premier_Network — Alliance_Premier_Network: $21.19 Anthem — Anthem_PAR: $42.13 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3.48 Anthem_Blue_Priority — Blue_Priority/Pathway: $17.40 Anthem_HMO_POS — HMO/POS: $19.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HB-Urinalysis Auto W/O Micro	$43.65	$26.19	$2.25 – $41.47
Urine test (automated, without microscope): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $35.01 Aetna — Aetna_W: $31.12 Aetna Better Health Medicare Adv — Aetna Better Health IL: $2.25 Aetna Medicare Adv — HMO/PPO: $2.25 Alliance — Alliance: $24.55 Alliance_Premier_Network — Alliance_Premier_Network: $20.85 Anthem — Anthem_PAR: $41.47 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $2.25 Anthem_Blue_Priority — Blue_Priority/Pathway: $11.25 Anthem_HMO_POS — HMO/POS: $12.38
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HB-Psa Total * Psa Free Tot	$222	$133.20	$18.39 – $210.90
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $178.04 Aetna — Aetna_W: $158.29 Aetna Better Health Medicare Adv — Aetna Better Health IL: $18.39 Aetna Medicare Adv — HMO/PPO: $18.39 Alliance — Alliance: $124.85 Alliance_Premier_Network — Alliance_Premier_Network: $106.05 Anthem — Anthem_PAR: $210.90 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $18.39 Anthem_Blue_Priority — Blue_Priority/Pathway: $91.95 Anthem_HMO_POS — HMO/POS: $101.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HB-Psa Total, Screen	$228	$136.80	$18.39 – $216.60
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $182.86 Aetna — Aetna_W: $162.56 Aetna Better Health Medicare Adv — Aetna Better Health IL: $18.39 Aetna Medicare Adv — HMO/PPO: $18.39 Alliance — Alliance: $128.23 Alliance_Premier_Network — Alliance_Premier_Network: $108.92 Anthem — Anthem_PAR: $216.60 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $18.39 Anthem_Blue_Priority — Blue_Priority/Pathway: $96.55 Anthem_HMO_POS — HMO/POS: $106.21
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HB-Psa, Total	$228	$136.80	$18.39 – $216.60
PSA (prostate specific antigen) blood test: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $182.86 Aetna — Aetna_W: $162.56 Aetna Better Health Medicare Adv — Aetna Better Health IL: $18.39 Aetna Medicare Adv — HMO/PPO: $18.39 Alliance — Alliance: $128.23 Alliance_Premier_Network — Alliance_Premier_Network: $108.92 Anthem — Anthem_PAR: $216.60 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $18.39 Anthem_Blue_Priority — Blue_Priority/Pathway: $91.95 Anthem_HMO_POS — HMO/POS: $101.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HB-Thyroid Stim Hormone	$214	$128.40	$16.80 – $203.30
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $171.63 Aetna — Aetna_W: $152.58 Aetna Better Health Medicare Adv — Aetna Better Health IL: $16.80 Aetna Medicare Adv — HMO/PPO: $16.80 Alliance — Alliance: $120.35 Alliance_Premier_Network — Alliance_Premier_Network: $102.23 Anthem — Anthem_PAR: $203.30 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $16.80 Anthem_Blue_Priority — Blue_Priority/Pathway: $84 Anthem_HMO_POS — HMO/POS: $92.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HB-Hem. Surv. W/Auto Diff&Plt	$135	$81	$7.77 – $128.25
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $108.27 Aetna — Aetna_W: $96.25 Aetna Better Health Medicare Adv — Aetna Better Health IL: $7.77 Aetna Medicare Adv — HMO/PPO: $7.77 Alliance — Alliance: $75.92 Alliance_Premier_Network — Alliance_Premier_Network: $64.49 Anthem — Anthem_PAR: $128.25 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $7.77 Anthem_Blue_Priority — Blue_Priority/Pathway: $55.08 Anthem_HMO_POS — HMO/POS: $76.06
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier PN In the file: HB-Hem. Surv. W/Auto Diff&Plt\|NON-EXCEPTED SERVICE PROVIDED AT AN OFF-CAMPUS, OUTPATIENT, PROVIDER BASED DEPARTMENT OF A HOSPITAL	$135	$81	$3.11 – $128.25
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $108.27 Aetna — Aetna_W: $96.26 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3.11 Aetna Medicare Adv — HMO/PPO: $3.11 Alliance — Alliance: $75.92 Alliance_Premier_Network — Alliance_Premier_Network: $64.49 Anthem — Anthem_PAR: $128.25 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3.11 Anthem_Blue_Priority — Blue_Priority/Pathway: $38.85 Anthem_HMO_POS — HMO/POS: $42.74
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HB-Hem Survey & Plt Count Auto	$90.60	$54.36	$6.47 – $86.07
Complete blood count (CBC), automated: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $72.66 Aetna — Aetna_W: $64.60 Aetna Better Health Medicare Adv — Aetna Better Health IL: $6.47 Aetna Medicare Adv — HMO/PPO: $6.47 Alliance — Alliance: $50.95 Alliance_Premier_Network — Alliance_Premier_Network: $43.28 Anthem — Anthem_PAR: $86.07 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $6.47 Anthem_Blue_Priority — Blue_Priority/Pathway: $32.35 Anthem_HMO_POS — HMO/POS: $35.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HB-Prothrombin Time	$58.70	$35.22	$4.29 – $55.77
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $47.08 Aetna — Aetna_W: $41.85 Aetna Better Health Medicare Adv — Aetna Better Health IL: $4.29 Aetna Medicare Adv — HMO/PPO: $4.29 Alliance — Alliance: $33.01 Alliance_Premier_Network — Alliance_Premier_Network: $28.04 Anthem — Anthem_PAR: $55.77 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $4.29 Anthem_Blue_Priority — Blue_Priority/Pathway: $23.95 Anthem_HMO_POS — HMO/POS: $33.07
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HB-Inr-POC	$43.25	$25.95	$4.29 – $41.09
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $34.69 Aetna — Aetna_W: $30.84 Aetna Better Health Medicare Adv — Aetna Better Health IL: $4.29 Aetna Medicare Adv — HMO/PPO: $4.29 Alliance — Alliance: $24.32 Alliance_Premier_Network — Alliance_Premier_Network: $20.66 Anthem — Anthem_PAR: $41.09 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $4.29 Anthem_Blue_Priority — Blue_Priority/Pathway: $17.65 Anthem_HMO_POS — HMO/POS: $24.37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: HB-Prothrombin Time\|CLIA WAIVED TEST	$58.70	$35.22	$17.61 – $55.77
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $47.08 Aetna — Aetna_W: $41.85 Alliance — Alliance: $33.01 Alliance_Premier_Network — Alliance_Premier_Network: $28.04 Anthem — Anthem_PAR: $55.77 Anthem_Blue_Priority — Blue_Priority/Pathway: $21.45 Anthem_HMO_POS — HMO/POS: $23.60 Anthem_PPO — PPO: $42.20 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $23.48 Aspirus_Health_Plan — HMO/POS: $34.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HB-Aptt	$98.30	$58.98	$6.01 – $93.39
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $78.84 Aetna — Aetna_W: $70.09 Aetna Better Health Medicare Adv — Aetna Better Health IL: $6.01 Aetna Medicare Adv — HMO/PPO: $6.01 Alliance — Alliance: $55.28 Alliance_Premier_Network — Alliance_Premier_Network: $46.96 Anthem — Anthem_PAR: $93.39 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $6.01 Anthem_Blue_Priority — Blue_Priority/Pathway: $30.05 Anthem_HMO_POS — HMO/POS: $33.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Aptt Patient * Aptt Inhib Scn	$85.75	$51.45	$6.01 – $81.46
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $68.77 Aetna — Aetna_W: $61.14 Aetna Better Health Medicare Adv — Aetna Better Health IL: $6.01 Aetna Medicare Adv — HMO/PPO: $6.01 Alliance — Alliance: $48.23 Alliance_Premier_Network — Alliance_Premier_Network: $40.96 Anthem — Anthem_PAR: $81.46 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $6.01 Anthem_Blue_Priority — Blue_Priority/Pathway: $30.05 Anthem_HMO_POS — HMO/POS: $33.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Aptt Pool * Aptt Inhib Scn	$85.75	$51.45	$6.01 – $81.46
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $68.77 Aetna — Aetna_W: $61.14 Aetna Better Health Medicare Adv — Aetna Better Health IL: $6.01 Aetna Medicare Adv — HMO/PPO: $6.01 Alliance — Alliance: $48.23 Alliance_Premier_Network — Alliance_Premier_Network: $40.96 Anthem — Anthem_PAR: $81.46 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $6.01 Anthem_Blue_Priority — Blue_Priority/Pathway: $30.05 Anthem_HMO_POS — HMO/POS: $33.06

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 In the file: HB-CT Head WO IV Contrast	$2,213	$1,327.80	$106.81 – $2,102.35
CT scan of the head or brain, without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,774.83 Aetna — Aetna_W: $1,577.87 Aetna Better Health Medicare Adv — Aetna Better Health IL: $106.81 Aetna Medicare Adv — HMO/PPO: $106.81 Alliance — Alliance: $1,244.59 Alliance_Premier_Network — Alliance_Premier_Network: $1,057.15 Anthem — Anthem_PAR: $2,102.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $106.81 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,100 Anthem_HMO_POS — HMO/POS: $1,500
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HB-MRI-Brain With & W/O Contrast	$6,798	$4,078.80	$356.43 – $6,458.10
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $5,452 Aetna — Aetna_W: $4,846.97 Aetna Better Health Medicare Adv — Aetna Better Health IL: $356.43 Aetna Medicare Adv — HMO/PPO: $356.43 Alliance — Alliance: $3,823.20 Alliance_Premier_Network — Alliance_Premier_Network: $3,247.40 Anthem — Anthem_PAR: $6,458.10 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $356.43 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HB-X-Ray Exam Chest 2 Views	$489	$293.40	$88.91 – $464.55
Chest X-ray, 2 views: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $392.18 Aetna — Aetna_W: $348.66 Aetna Better Health Medicare Adv — Aetna Better Health IL: $88.91 Aetna Medicare Adv — HMO/PPO: $88.91 Alliance — Alliance: $275.01 Alliance_Premier_Network — Alliance_Premier_Network: $233.60 Anthem — Anthem_PAR: $464.55 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $88.91 Anthem_Blue_Priority — Blue_Priority/Pathway: $93.02 Anthem_HMO_POS — HMO/POS: $113.69
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HB-Lumbar Spine Xray >=4 Views	$853	$511.80	$106.81 – $810.35
X-ray of the lower spine, at least 4 views: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $684.11 Aetna — Aetna_W: $608.19 Aetna Better Health Medicare Adv — Aetna Better Health IL: $106.81 Aetna Medicare Adv — HMO/PPO: $106.81 Alliance — Alliance: $479.73 Alliance_Premier_Network — Alliance_Premier_Network: $407.48 Anthem — Anthem_PAR: $810.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $106.81 Anthem_Blue_Priority — Blue_Priority/Pathway: $151.61 Anthem_HMO_POS — HMO/POS: $185.30
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HB-MRI-Lumbar Spine W/O Contrast	$4,596	$2,757.60	$243.77 – $4,366.20
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,685.99 Aetna — Aetna_W: $3,276.95 Aetna Better Health Medicare Adv — Aetna Better Health IL: $243.77 Aetna Medicare Adv — HMO/PPO: $243.77 Alliance — Alliance: $2,584.79 Alliance_Premier_Network — Alliance_Premier_Network: $2,195.51 Anthem — Anthem_PAR: $4,366.20 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $243.77 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HB-Lumbar Spine Limited MRI	$3,576	$2,145.60	$243.77 – $3,397.20
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,867.95 Aetna — Aetna_W: $2,549.69 Aetna Better Health Medicare Adv — Aetna Better Health IL: $243.77 Aetna Medicare Adv — HMO/PPO: $243.77 Alliance — Alliance: $2,011.14 Alliance_Premier_Network — Alliance_Premier_Network: $1,708.26 Anthem — Anthem_PAR: $3,397.20 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $243.77 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HB-CT Pelvis W IV Contrast	$3,164	$1,898.40	$179.20 – $3,005.80
CT scan of the pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,537.53 Aetna — Aetna_W: $2,255.93 Aetna Better Health Medicare Adv — Aetna Better Health IL: $179.20 Aetna Medicare Adv — HMO/PPO: $179.20 Alliance — Alliance: $1,779.43 Alliance_Premier_Network — Alliance_Premier_Network: $1,511.44 Anthem — Anthem_PAR: $3,005.80 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $179.20 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,100 Anthem_HMO_POS — HMO/POS: $1,500
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HB-MRI Lower Ext Joint W/O Cont	$4,367	$2,620.20	$243.77 – $7,004.67
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $7,004.67 Aetna — Aetna_W: $6,227.34 Aetna Better Health Medicare Adv — Aetna Better Health IL: $243.77 Aetna Medicare Adv — HMO/PPO: $243.77 Alliance — Alliance: $4,912 Alliance_Premier_Network — Alliance_Premier_Network: $4,172.23 Anthem — Anthem_PAR: $4,148.65 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $243.77 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier TC\|50 In the file: HB-MRI Lower Ext Joint W/O Cont\|TECHNICAL COMPONENT\|BILATERAL PROCEDURE	$8,734	$5,240.40	$365.65 – $8,297.30
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $7,004.67 Aetna — Aetna_W: $6,227.34 Aetna Better Health Medicare Adv — Aetna Better Health IL: $365.65 Aetna Medicare Adv — HMO/PPO: $365.65 Alliance — Alliance: $4,912 Alliance_Premier_Network — Alliance_Premier_Network: $4,172.23 Anthem — Anthem_PAR: $8,297.30 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $365.65 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: HB-MRI Lower Ext Joint W/O Cont\|BILATERAL PROCEDURE	$8,734	$5,240.40	$365.65 – $8,297.30
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,502.33 Aetna — Aetna_W: $3,113.67 Aetna Better Health Medicare Adv — Aetna Better Health IL: $365.65 Aetna Medicare Adv — HMO/PPO: $365.65 Alliance — Alliance: $2,456 Alliance_Premier_Network — Alliance_Premier_Network: $2,086.12 Anthem — Anthem_PAR: $8,297.30 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $365.65 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,600 Anthem_HMO_POS — HMO/POS: $2,200
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HB-CT Abd & Pelvis W/Contrast	$6,139	$3,683.40	$356.43 – $5,832.05
CT scan of the abdomen and pelvis, with contrast: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,923.48 Aetna — Aetna_W: $4,377.11 Aetna Better Health Medicare Adv — Aetna Better Health IL: $356.43 Aetna Medicare Adv — HMO/PPO: $356.43 Alliance — Alliance: $3,452.57 Alliance_Premier_Network — Alliance_Premier_Network: $2,932.60 Anthem — Anthem_PAR: $5,832.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $356.43 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,100 Anthem_HMO_POS — HMO/POS: $1,500
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HB-Ultrasound-Abdomen	$1,838	$1,102.80	$106.81 – $1,746.10
Ultrasound of the abdomen, complete: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,474.08 Aetna — Aetna_W: $1,310.49 Aetna Better Health Medicare Adv — Aetna Better Health IL: $106.81 Aetna Medicare Adv — HMO/PPO: $106.81 Alliance — Alliance: $1,033.69 Alliance_Premier_Network — Alliance_Premier_Network: $878.01 Anthem — Anthem_PAR: $1,746.10 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $106.81 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HB-US Preg Uterus, W/Doc, 1st Trimester	$1,268	$760.80	$106.81 – $1,204.60
Pregnancy ultrasound (after the first trimester): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,016.94 Aetna — Aetna_W: $904.08 Aetna Better Health Medicare Adv — Aetna Better Health IL: $106.81 Aetna Medicare Adv — HMO/PPO: $106.81 Alliance — Alliance: $713.12 Alliance_Premier_Network — Alliance_Premier_Network: $605.72 Anthem — Anthem_PAR: $1,204.60 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $106.81 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HB-US Transvaginal - Non OB	$1,076	$645.60	$106.81 – $1,022.20
Transvaginal ultrasound: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $862.95 Aetna — Aetna_W: $767.19 Aetna Better Health Medicare Adv — Aetna Better Health IL: $106.81 Aetna Medicare Adv — HMO/PPO: $106.81 Alliance — Alliance: $605.14 Alliance_Premier_Network — Alliance_Premier_Network: $514.01 Anthem — Anthem_PAR: $1,022.20 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $106.81 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HB-Diag Mammo Unilat W/Cad	$629	$377.40	$188.70 – $597.55
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $504.46 Aetna — Aetna_W: $448.48 Alliance — Alliance: $353.75 Alliance_Premier_Network — Alliance_Premier_Network: $300.47 Anthem — Anthem_PAR: $597.55 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585 Anthem_PPO — PPO: $452.19 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $251.60 Aspirus_Health_Plan — HMO/POS: $367.34
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HB-Diag Mammo Bilat W/Cad	$746	$447.60	$223.80 – $708.70
Diagnostic mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $598.29 Aetna — Aetna_W: $531.90 Alliance — Alliance: $419.55 Alliance_Premier_Network — Alliance_Premier_Network: $356.36 Anthem — Anthem_PAR: $708.70 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585 Anthem_PPO — PPO: $536.30 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $298.40 Aspirus_Health_Plan — HMO/POS: $435.66
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HB-Screening Mammo, Bilat W/Cad	$570	$342	$171 – $585
Screening mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $457.14 Aetna — Aetna_W: $406.41 Alliance — Alliance: $320.57 Alliance_Premier_Network — Alliance_Premier_Network: $272.29 Anthem — Anthem_PAR: $541.50 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585 Anthem_PPO — PPO: $409.77 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $228 Aspirus_Health_Plan — HMO/POS: $332.88
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HB-Screening Mammo, Unilat W/Cad	$570	$342	$171 – $585
Screening mammogram, both breasts: 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $457.14 Aetna — Aetna_W: $406.41 Alliance — Alliance: $320.57 Alliance_Premier_Network — Alliance_Premier_Network: $272.29 Anthem — Anthem_PAR: $541.50 Anthem_Blue_Priority — Blue_Priority/Pathway: $497 Anthem_HMO_POS — HMO/POS: $585 Anthem_PPO — PPO: $409.77 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $228 Aspirus_Health_Plan — HMO/POS: $332.88

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HB-Left Heart Catheterization	$12,384	$7,430.40	$3,312.15 – $11,764.80
Left heart catheterization (diagnostic): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $9,931.97 Aetna — Aetna_W: $8,829.79 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3,312.15 Aetna Medicare Adv — HMO/PPO: $3,312.15 Alliance — Alliance: $6,964.76 Alliance_Premier_Network — Alliance_Premier_Network: $5,915.84 Anthem — Anthem_PAR: $11,764.80 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3,312.15 Anthem_Blue_Priority — Blue_Priority/Pathway: $5,052.67 Anthem_HMO_POS — HMO/POS: $6,977.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HB-Electrophys Eval,W/Right Atrial/Ventricular Pace/Recording, Insertion Cath, W/	$11,006	$6,603.60	$4,490.45 – $10,455.70
Heart rhythm study (electrophysiology evaluation): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $8,826.81 Aetna — Aetna_W: $7,847.28 Aetna Better Health Medicare Adv — Aetna Better Health IL: $7,968.60 Aetna Medicare Adv — HMO/PPO: $7,968.60 Alliance — Alliance: $6,189.77 Alliance_Premier_Network — Alliance_Premier_Network: $5,257.57 Anthem — Anthem_PAR: $10,455.70 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $7,968.60 Anthem_Blue_Priority — Blue_Priority/Pathway: $4,490.45 Anthem_HMO_POS — HMO/POS: $6,200.78
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HB-Compre Ep Eval Abltj Atr Fib	$39,731	$23,838.60	$16,210.25 – $37,744.45
Heart rhythm study with ablation for atrial fibrillation: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $31,864.26 Aetna — Aetna_W: $28,328.20 Aetna Better Health Medicare Adv — Aetna Better Health IL: $26,703.99 Aetna Medicare Adv — HMO/PPO: $26,703.99 Alliance — Alliance: $22,344.71 Alliance_Premier_Network — Alliance_Premier_Network: $18,979.50 Anthem — Anthem_PAR: $37,744.45 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $26,703.99 Anthem_Blue_Priority — Blue_Priority/Pathway: $16,210.25 Anthem_HMO_POS — HMO/POS: $22,384.45
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HB-Polysom >=6 Yrs Sleep Staging 4/> Addl Param	$5,950	$3,570	$877.34 – $5,652.50
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,771.90 Aetna — Aetna_W: $4,242.35 Aetna Better Health Medicare Adv — Aetna Better Health IL: $877.34 Aetna Medicare Adv — HMO/PPO: $877.34 Alliance — Alliance: $3,346.28 Alliance_Premier_Network — Alliance_Premier_Network: $2,842.32 Anthem — Anthem_PAR: $5,652.50 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $877.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,427.60 Anthem_HMO_POS — HMO/POS: $3,352.23

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 In the file: HB-Therapeutic Exercise per 15 Min by At	$196	$117.60	$58.80 – $186.20
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $157.19 Aetna — Aetna_W: $139.75 Alliance — Alliance: $110.23 Alliance_Premier_Network — Alliance_Premier_Network: $93.63 Anthem — Anthem_PAR: $186.20 Anthem_Blue_Priority — Blue_Priority/Pathway: $79.97 Anthem_HMO_POS — HMO/POS: $110.43 Anthem_PPO — PPO: $140.90 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $78.40 Aspirus_Health_Plan — HMO/POS: $114.46
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HB-Therapeutic Exercise per 15 Min by Ot	$196	$117.60	$58.80 – $350
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $157.19 Aetna — Aetna_W: $139.75 Alliance — Alliance: $110.23 Alliance_Premier_Network — Alliance_Premier_Network: $93.63 Anthem — Anthem_PAR: $186.20 Anthem_Blue_Priority — Blue_Priority/Pathway: $298 Anthem_HMO_POS — HMO/POS: $350 Anthem_PPO — PPO: $140.90 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $78.40 Aspirus_Health_Plan — HMO/POS: $114.46
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HB-Therapeutic Exercise per 15 Min by Pt	$196	$117.60	$58.80 – $350
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $157.19 Aetna — Aetna_W: $139.75 Alliance — Alliance: $110.23 Alliance_Premier_Network — Alliance_Premier_Network: $93.63 Anthem — Anthem_PAR: $186.20 Anthem_Blue_Priority — Blue_Priority/Pathway: $298 Anthem_HMO_POS — HMO/POS: $350 Anthem_PPO — PPO: $140.90 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $78.40 Aspirus_Health_Plan — HMO/POS: $114.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HB-Pt Eval Low Complex	$340	$204	$102 – $350
Physical therapy evaluation (low complexity): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $272.68 Aetna — Aetna_W: $242.42 Alliance — Alliance: $191.22 Alliance_Premier_Network — Alliance_Premier_Network: $162.42 Anthem — Anthem_PAR: $323 Anthem_Blue_Priority — Blue_Priority/Pathway: $298 Anthem_HMO_POS — HMO/POS: $350 Anthem_PPO — PPO: $244.43 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $136 Aspirus_Health_Plan — HMO/POS: $198.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HB-Pt Eval Mod Complex	$427	$256.20	$128.10 – $405.65
Physical therapy evaluation (moderate complexity): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $342.45 Aetna — Aetna_W: $304.45 Alliance — Alliance: $240.14 Alliance_Premier_Network — Alliance_Premier_Network: $203.98 Anthem — Anthem_PAR: $405.65 Anthem_Blue_Priority — Blue_Priority/Pathway: $298 Anthem_HMO_POS — HMO/POS: $350 Anthem_PPO — PPO: $306.97 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $170.80 Aspirus_Health_Plan — HMO/POS: $249.37
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HB-Pt Eval High Complex	$529	$317.40	$158.70 – $502.55
Physical therapy evaluation (high complexity): 10 of 48 insurance plan rates Aetna — Aetna_Non_W: $424.26 Aetna — Aetna_W: $377.18 Alliance — Alliance: $297.51 Alliance_Premier_Network — Alliance_Premier_Network: $252.70 Anthem — Anthem_PAR: $502.55 Anthem_Blue_Priority — Blue_Priority/Pathway: $298 Anthem_HMO_POS — HMO/POS: $350 Anthem_PPO — PPO: $380.30 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $211.60 Aspirus_Health_Plan — HMO/POS: $308.94
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HB-Psychotherapy, 16-37 Min W/Patient	$199	$119.40	$81.19 – $189.05
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $159.60 Aetna — Aetna_W: $141.89 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $111.92 Alliance_Premier_Network — Alliance_Premier_Network: $95.06 Anthem — Anthem_PAR: $189.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $81.19 Anthem_HMO_POS — HMO/POS: $112.12
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HB-Psychotherapy, 30min W/ Patient (Nlp)	$199	$119.40	$81.19 – $189.05
Psychotherapy, 30 minutes: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $159.60 Aetna — Aetna_W: $141.89 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $111.92 Alliance_Premier_Network — Alliance_Premier_Network: $95.06 Anthem — Anthem_PAR: $189.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $81.19 Anthem_HMO_POS — HMO/POS: $112.12
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: Psychotherapy, 45 Minutes, With Patient	$329	$197.40	$134.23 – $312.55
Psychotherapy, 45 minutes: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $263.86 Aetna — Aetna_W: $234.58 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $185.03 Alliance_Premier_Network — Alliance_Premier_Network: $157.16 Anthem — Anthem_PAR: $312.55 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $134.23 Anthem_HMO_POS — HMO/POS: $185.36
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HB-Psychotherapy, 53+Min W/Pt and/or Family	$474	$284.40	$181.34 – $450.30
Psychotherapy, 60 minutes: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $380.15 Aetna — Aetna_W: $337.96 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $266.58 Alliance_Premier_Network — Alliance_Premier_Network: $226.43 Anthem — Anthem_PAR: $450.30 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $193.39 Anthem_HMO_POS — HMO/POS: $267.05
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HB-Psychotherapy Family W/O Patient; 50 Min	$660	$396	$181.34 – $627
Family psychotherapy, without the patient: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $529.32 Aetna — Aetna_W: $470.58 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $371.18 Alliance_Premier_Network — Alliance_Premier_Network: $315.28 Anthem — Anthem_PAR: $627 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $269.28 Anthem_HMO_POS — HMO/POS: $371.84
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HB-Psychotherapy Family W/ Patient; 50 Min	$566	$339.60	$181.34 – $537.70
Family psychotherapy, with the patient: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $453.93 Aetna — Aetna_W: $403.56 Aetna Better Health Medicare Adv — Aetna Better Health IL: $181.34 Aetna Medicare Adv — HMO/PPO: $181.34 Alliance — Alliance: $318.32 Alliance_Premier_Network — Alliance_Premier_Network: $270.38 Anthem — Anthem_PAR: $537.70 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $181.34 Anthem_Blue_Priority — Blue_Priority/Pathway: $230.93 Anthem_HMO_POS — HMO/POS: $318.88

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HB-Exc Cyst/Aberrant Breast Tissue Open 1/> Les	$5,048	$3,028.80	$2,503.81 – $8,096.99
Removal of breast growth (open surgery): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $8,096.99 Aetna — Aetna_W: $7,198.45 Aetna Better Health Medicare Adv — Aetna Better Health IL: $4,000.24 Aetna Medicare Adv — HMO/PPO: $4,000.24 Alliance — Alliance: $5,677.99 Alliance_Premier_Network — Alliance_Premier_Network: $4,822.86 Anthem — Anthem_PAR: $4,795.60 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $4,000.24 Anthem_Blue_Priority — Blue_Priority/Pathway: $4,119.17 Anthem_HMO_POS — HMO/POS: $5,688.09
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier 50 In the file: HB-Exc Cyst/Aberrant Breast Tissue Open 1/> Les\|BILATERAL PROCEDURE	$10,096	$6,057.60	$2,059.58 – $9,591.20
Removal of breast growth (open surgery): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,048.50 Aetna — Aetna_W: $3,599.22 Aetna Better Health Medicare Adv — Aetna Better Health IL: $6,000.36 Aetna Medicare Adv — HMO/PPO: $6,000.36 Alliance — Alliance: $2,839 Alliance_Premier_Network — Alliance_Premier_Network: $2,411.43 Anthem — Anthem_PAR: $9,591.20 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $6,000.36 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,059.58 Anthem_HMO_POS — HMO/POS: $2,844.04
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HB-Egd Diagnostic Flex Trnsoral W/or W/O Brushing	$3,255	$1,953	$926.63 – $3,092.25
Upper GI endoscopy (diagnostic): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,610.51 Aetna — Aetna_W: $2,320.82 Aetna Better Health Medicare Adv — Aetna Better Health IL: $926.63 Aetna Medicare Adv — HMO/PPO: $926.63 Alliance — Alliance: $1,830.61 Alliance_Premier_Network — Alliance_Premier_Network: $1,554.91 Anthem — Anthem_PAR: $3,092.25 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $926.63 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,328.04 Anthem_HMO_POS — HMO/POS: $1,833.87
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HB-Egd Flex Transoral, W/Biopsy	$4,020	$2,412	$926.63 – $3,819
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,224.04 Aetna — Aetna_W: $2,866.26 Aetna Better Health Medicare Adv — Aetna Better Health IL: $926.63 Aetna Medicare Adv — HMO/PPO: $926.63 Alliance — Alliance: $2,260.85 Alliance_Premier_Network — Alliance_Premier_Network: $1,920.35 Anthem — Anthem_PAR: $3,819 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $926.63 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,640.16 Anthem_HMO_POS — HMO/POS: $2,264.87
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier 50 In the file: HB-Egd Flex Transoral, W/Biopsy\|BILATERAL PROCEDURE	$8,040	$4,824	$1,389.94 – $7,638
Upper GI endoscopy with biopsy: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $6,448.08 Aetna — Aetna_W: $5,732.52 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,389.94 Aetna Medicare Adv — HMO/PPO: $1,389.94 Alliance — Alliance: $4,521.70 Alliance_Premier_Network — Alliance_Premier_Network: $3,840.71 Anthem — Anthem_PAR: $7,638 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,389.94 Anthem_Blue_Priority — Blue_Priority/Pathway: $3,280.32 Anthem_HMO_POS — HMO/POS: $4,529.74
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HB-Colonoscopy, Screening or Diagnostic	$3,873	$2,323.80	$950.10 – $3,679.35
Colonoscopy (diagnostic): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,106.15 Aetna — Aetna_W: $2,761.45 Aetna Better Health Medicare Adv — Aetna Better Health IL: $950.10 Aetna Medicare Adv — HMO/PPO: $950.10 Alliance — Alliance: $2,178.18 Alliance_Premier_Network — Alliance_Premier_Network: $1,850.13 Anthem — Anthem_PAR: $3,679.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $950.10 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,580.18 Anthem_HMO_POS — HMO/POS: $2,182.05
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HB-Colonoscopy W/ Biopsy	$4,740	$2,844	$1,222.56 – $7,602.96
Colonoscopy with biopsy: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $7,602.96 Aetna — Aetna_W: $6,759.24 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,222.56 Aetna Medicare Adv — HMO/PPO: $1,222.56 Alliance — Alliance: $5,331.55 Alliance_Premier_Network — Alliance_Premier_Network: $4,528.60 Anthem — Anthem_PAR: $4,503 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,222.56 Anthem_Blue_Priority — Blue_Priority/Pathway: $3,867.84 Anthem_HMO_POS — HMO/POS: $5,341.03
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier 50 In the file: HB-Colonoscopy W/ Biopsy\|BILATERAL PROCEDURE	$9,480	$5,688	$1,833.84 – $9,006
Colonoscopy with biopsy: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,801.48 Aetna — Aetna_W: $3,379.62 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,833.84 Aetna Medicare Adv — HMO/PPO: $1,833.84 Alliance — Alliance: $2,665.78 Alliance_Premier_Network — Alliance_Premier_Network: $2,264.30 Anthem — Anthem_PAR: $9,006 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,833.84 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,933.92 Anthem_HMO_POS — HMO/POS: $2,670.52
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HB-Colonoscopy W/ Polypect by Snare	$5,099	$3,059.40	$1,222.56 – $8,178.80
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $8,178.80 Aetna — Aetna_W: $7,271.17 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,222.56 Aetna Medicare Adv — HMO/PPO: $1,222.56 Alliance — Alliance: $5,735.36 Alliance_Premier_Network — Alliance_Premier_Network: $4,871.58 Anthem — Anthem_PAR: $4,844.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,222.56 Anthem_Blue_Priority — Blue_Priority/Pathway: $4,160.78 Anthem_HMO_POS — HMO/POS: $5,745.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · modifier 50 In the file: HB-Colonoscopy W/ Polypect by Snare\|BILATERAL PROCEDURE	$10,198	$6,118.80	$1,833.84 – $9,688.10
Colonoscopy with removal of polyps (snare): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,089.40 Aetna — Aetna_W: $3,635.59 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,833.84 Aetna Medicare Adv — HMO/PPO: $1,833.84 Alliance — Alliance: $2,867.68 Alliance_Premier_Network — Alliance_Premier_Network: $2,435.79 Anthem — Anthem_PAR: $9,688.10 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,833.84 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,080.39 Anthem_HMO_POS — HMO/POS: $2,872.78
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: Colonoscopy Flex, W/Endo Ultrasound Exam	$4,373	$2,623.80	$1,222.56 – $4,154.35
Ultrasound of the lower bowel by endoscope: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,507.15 Aetna — Aetna_W: $3,117.95 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,222.56 Aetna Medicare Adv — HMO/PPO: $1,222.56 Alliance — Alliance: $2,459.38 Alliance_Premier_Network — Alliance_Premier_Network: $2,088.98 Anthem — Anthem_PAR: $4,154.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,222.56 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,784.18 Anthem_HMO_POS — HMO/POS: $2,463.75
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HB-Colonoscopy Screening,Not High Risk	$3,873	$2,323.80	$950.10 – $3,679.35
Screening colonoscopy (not high risk): 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $3,106.15 Aetna — Aetna_W: $2,761.45 Aetna Better Health Medicare Adv — Aetna Better Health IL: $950.10 Aetna Medicare Adv — HMO/PPO: $950.10 Alliance — Alliance: $2,178.18 Alliance_Premier_Network — Alliance_Premier_Network: $1,850.13 Anthem — Anthem_PAR: $3,679.35 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $950.10 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,580.18 Anthem_HMO_POS — HMO/POS: $2,182.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HB-Hysteroscopy W/ Sampling	$5,161	$3,096.60	$2,105.69 – $4,902.95
Hysteroscopy with biopsy of the uterus lining: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $4,139.12 Aetna — Aetna_W: $3,679.79 Aetna Better Health Medicare Adv — Aetna Better Health IL: $3,307.24 Aetna Medicare Adv — HMO/PPO: $3,307.24 Alliance — Alliance: $2,902.55 Alliance_Premier_Network — Alliance_Premier_Network: $2,465.41 Anthem — Anthem_PAR: $4,902.95 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $3,307.24 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,105.69 Anthem_HMO_POS — HMO/POS: $2,907.71
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HB-Inject Spine Lumbar/Sacral W/Img	$2,707	$1,624.20	$721.17 – $2,571.65
Spinal injection, lower back (epidural), with imaging guidance: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,171.01 Aetna — Aetna_W: $1,930.09 Aetna Better Health Medicare Adv — Aetna Better Health IL: $721.17 Aetna Medicare Adv — HMO/PPO: $721.17 Alliance — Alliance: $1,522.42 Alliance_Premier_Network — Alliance_Premier_Network: $1,293.13 Anthem — Anthem_PAR: $2,571.65 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $721.17 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,104.46 Anthem_HMO_POS — HMO/POS: $1,525.12
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HB-Nrv Blk Epid L/S Sgl Lvl Uni	$3,319	$1,991.40	$903.63 – $5,323.68
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $5,323.68 Aetna — Aetna_W: $4,732.89 Aetna Better Health Medicare Adv — Aetna Better Health IL: $903.63 Aetna Medicare Adv — HMO/PPO: $903.63 Alliance — Alliance: $3,733.21 Alliance_Premier_Network — Alliance_Premier_Network: $3,170.97 Anthem — Anthem_PAR: $3,153.05 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $903.63 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,708.30 Anthem_HMO_POS — HMO/POS: $3,739.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HB-Nrv Blk Epid L/S Sgl Lvl Uni\|BILATERAL PROCEDURE	$6,638	$3,982.80	$1,354.15 – $6,306.10
Nerve root injection, lower back, with imaging guidance: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,661.84 Aetna — Aetna_W: $2,366.45 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,355.44 Aetna Medicare Adv — HMO/PPO: $1,355.44 Alliance — Alliance: $1,866.61 Alliance_Premier_Network — Alliance_Premier_Network: $1,585.49 Anthem — Anthem_PAR: $6,306.10 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,355.44 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,354.15 Anthem_HMO_POS — HMO/POS: $1,869.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50\|GZ In the file: HB-Nrv Blk Epid L/S Sgl Lvl Uni\|BILATERAL PROCEDURE\|ITEM OR SERVICE EXPECTED TO BE DENIED AS NOT REASONABLE	$6,638	$3,982.80	$2,708.30 – $6,306.10
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates Aetna — Aetna_Non_W: $5,323.68 Aetna — Aetna_W: $4,732.89 Alliance — Alliance: $3,733.21 Alliance_Premier_Network — Alliance_Premier_Network: $3,170.97 Anthem — Anthem_PAR: $6,306.10 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,708.30 Anthem_HMO_POS — HMO/POS: $3,739.85 Anthem_PPO — PPO: $4,772.06 Aspirus_Health_Plan — HMO/POS: $3,876.59 Aspirus_Network_Inc — PPO: $5,111.26
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HB-Carpal Tunnel Release	$3,331	$1,998.60	$1,652.18 – $5,342.92
Carpal tunnel release: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $5,342.92 Aetna — Aetna_W: $4,750.01 Aetna Better Health Medicare Adv — Aetna Better Health IL: $1,995.02 Aetna Medicare Adv — HMO/PPO: $1,995.02 Alliance — Alliance: $3,746.71 Alliance_Premier_Network — Alliance_Premier_Network: $3,182.44 Anthem — Anthem_PAR: $3,164.45 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $1,995.02 Anthem_Blue_Priority — Blue_Priority/Pathway: $2,718.10 Anthem_HMO_POS — HMO/POS: $3,753.37
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 50 In the file: HB-Carpal Tunnel Release\|BILATERAL PROCEDURE	$6,662	$3,997.20	$1,359.05 – $6,328.90
Carpal tunnel release: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,671.46 Aetna — Aetna_W: $2,375 Aetna Better Health Medicare Adv — Aetna Better Health IL: $2,992.53 Aetna Medicare Adv — HMO/PPO: $2,992.53 Alliance — Alliance: $1,873.35 Alliance_Premier_Network — Alliance_Premier_Network: $1,591.22 Anthem — Anthem_PAR: $6,328.90 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $2,992.53 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,359.05 Anthem_HMO_POS — HMO/POS: $1,876.69
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HB-Yag Surgery One or More Stages	$1,777	$1,066.20	$561.91 – $1,688.15
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $1,425.15 Aetna — Aetna_W: $1,267 Aetna Better Health Medicare Adv — Aetna Better Health IL: $561.91 Aetna Medicare Adv — HMO/PPO: $561.91 Alliance — Alliance: $999.38 Alliance_Premier_Network — Alliance_Premier_Network: $848.87 Anthem — Anthem_PAR: $1,688.15 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $561.91 Anthem_Blue_Priority — Blue_Priority/Pathway: $725.02 Anthem_HMO_POS — HMO/POS: $1,001.16
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier 50 In the file: HB-Yag Surgery One or More Stages\|BILATERAL PROCEDURE	$3,554	$2,132.40	$842.87 – $3,376.30
Laser treatment of clouding after cataract surgery: 10 of 61 insurance plan rates Aetna — Aetna_Non_W: $2,850.31 Aetna — Aetna_W: $2,534 Aetna Better Health Medicare Adv — Aetna Better Health IL: $842.87 Aetna Medicare Adv — HMO/PPO: $842.87 Alliance — Alliance: $1,998.77 Alliance_Premier_Network — Alliance_Premier_Network: $1,697.75 Anthem — Anthem_PAR: $3,376.30 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $842.87 Anthem_Blue_Priority — Blue_Priority/Pathway: $1,450.03 Anthem_HMO_POS — HMO/POS: $2,002.32

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	$479,387.70	Not listed in the file	$62,696.89 – $254,059.32
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 61 insurance plan rates Aetna Better Health Medicare Adv — Aetna Better Health IL: $62,696.89 Aetna Medicare Adv — HMO/PPO: $62,696.89 Alliance — Alliance: $185,071.01 Alliance_Premier_Network — Alliance_Premier_Network: $154,216.06 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $62,696.89 Anthem_Blue_Priority — Blue_Priority/Pathway: $147,250.71 Anthem_HMO_POS — HMO/POS: $207,395.36 Anthem_PPO — PPO: $254,059.32 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $62,696.89 Cigna — OAP/PPO/EPO: $253,374.52
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$69,176.76	Not listed in the file	$12,362.11 – $50,093.53
Hip or knee replacement (major joint of the leg), without major complications: 10 of 61 insurance plan rates Aetna Better Health Medicare Adv — Aetna Better Health IL: $12,362.11 Aetna Medicare Adv — HMO/PPO: $12,362.11 Alliance — Alliance: $36,490.93 Alliance_Premier_Network — Alliance_Premier_Network: $30,407.18 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $12,362.11 Anthem_Blue_Priority — Blue_Priority/Pathway: $29,033.80 Anthem_HMO_POS — HMO/POS: $40,892.68 Anthem_PPO — PPO: $50,093.53 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $12,362.11 Cigna — OAP/PPO/EPO: $49,958.51
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$67,403.17	Not listed in the file	$15,646.02 – $63,400.56
Neck (cervical) spinal fusion, without complications: 10 of 61 insurance plan rates Aetna Better Health Medicare Adv — Aetna Better Health IL: $15,646.02 Aetna Medicare Adv — HMO/PPO: $15,646.02 Alliance — Alliance: $46,184.51 Alliance_Premier_Network — Alliance_Premier_Network: $38,484.65 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $15,646.02 Anthem_Blue_Priority — Blue_Priority/Pathway: $36,746.45 Anthem_HMO_POS — HMO/POS: $51,755.56 Anthem_PPO — PPO: $63,400.56 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $15,646.02 Cigna — OAP/PPO/EPO: $63,229.67
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	$64,844.32	Not listed in the file	$7,951.51 – $32,220.98
Uterus and ovary surgery (not for cancer), without complications: 10 of 61 insurance plan rates Aetna Better Health Medicare Adv — Aetna Better Health IL: $7,951.51 Aetna Medicare Adv — HMO/PPO: $7,951.51 Alliance — Alliance: $23,471.56 Alliance_Premier_Network — Alliance_Premier_Network: $19,558.39 Anthem BCBS Medicare Adv — Anthem Medicare Adv: $7,951.51 Anthem_Blue_Priority — Blue_Priority/Pathway: $18,675.02 Anthem_HMO_POS — HMO/POS: $26,302.84 Anthem_PPO — PPO: $32,220.98 Aspirus Health Plan Medicare Adv — Aspirus Health Plan: $7,951.51 Cigna — OAP/PPO/EPO: $32,134.13

Source: University of WI Hospitals & Clinics Authority’s standard charges file (bynder.uwhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	600 Highland Avenue, Madison, WI 53792
County	Dane County
State	Wisconsin
Phone	(608) 263‑6400
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	5 of 5 stars
CMS Certification Number	520098
Name in Medicare records	UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
Profile level	Medicare data + hospital website
Name on the hospital’s website	University Hospital (UW Health)
Official website	uwhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

University Hospital — uwhealth.org
Level I Trauma Center — uwhealth.org
Adult Congenital Heart Disease Program | UW Health — uwhealth.org
Emergency Medicine Services | UW Health — uwhealth.org