Does UVA Health Haymarket Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at UVA Health Haymarket Medical Center. In a medical emergency, call 911.

Where is UVA Health Haymarket Medical Center?

15225 Healthcote Boulevard, Haymarket, VA 20169, in Prince William County, Virginia.

What is the phone number of UVA Health Haymarket Medical Center?

(571) 284-1000, as listed by Medicare (CMS).

What is the Medicare star rating of UVA Health Haymarket Medical Center?

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

UVA Health Haymarket Medical Center

Quick answers

Does UVA Health Haymarket Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at UVA Health Haymarket Medical Center. In a medical emergency, call 911.
Where is UVA Health Haymarket Medical Center?: 15225 Healthcote Boulevard, Haymarket, VA 20169, in Prince William County, Virginia.
What is the phone number of UVA Health Haymarket Medical Center?: (571) 284-1000, as listed by Medicare (CMS).
What is the Medicare star rating of UVA Health Haymarket Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][8][9][10][11][12][13][14][15]}

Family medicine
Colorectal surgery
General surgery
Diagnostic imaging and interventional radiology
Obstetrics and gynecology
Therapy services
Urology
Medical oncology
Radiation oncology
Plastic surgery
Breast surgery
Cardiology
Bariatric surgery

Conditions treated^[10][12][15]

Treatments^[8][12][15]

Physical therapy
Occupational therapy
Speech therapy
Weight loss surgery
Cancer treatment

Procedures^{[9][10][11][12][13][14][15]}

CT scans
MRI
Mammogram
Breast biopsy
Nuclear medicine imaging
Kyphoplasty
Angioplasty
Cardiac catheterization
Stenting
Pacemaker placement
Colonoscopy
Colectomy
Cholecystectomy
Hernia repair
Appendectomy
Thyroidectomy
Hemorrhoidectomy
Sleeve gastrectomy
Gastric bypass
Upper GI endoscopy
Fundoplication
Breast reconstruction

Programs and centers^[4]

Comprehensive breast care
Advanced stroke and cardiac care programs, including STEMI

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visiting hours 9 a.m.-8 p.m. daily; visitors with contagious illness symptoms should not visit^[5]
Parking	Free onsite parking available 24 hours a day around the building; Heathcote Health Center has a separate entrance^[5]
Interpreters and languages	Free interpreters for limited English or deaf/hard of hearing patients, with 24-hour phone interpretation and sign language interpreters^[7]

Recognition^[4]

Joint Commission accreditation
Primary Stroke Center (The Joint Commission)
National Accreditation Program for Breast Centers
American College of Surgeons Commission on Cancer certification

Doctors and clinicians (630)

630 doctors and other clinicians list UVA Health Haymarket 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 (630)

A. Christopher A. Moosavi, MDInterventional Radiology
Aaiza H. AbbasNurse Practitioner
Aalamjot Bhuller, CNACertified Registered Nurse Anesthetist (CRNA)
Aaron H. Carter, MDOrthopedic Surgery
Aaron Sachs, MDGeneral Surgery
Abimbola F. Olabiyi, MDInterventional Cardiology
Adam B. Winick, MDDiagnostic Radiology
Adam Beardsley, MDInterventional Radiology
Adam Jackson, MDDiagnostic Radiology
Adam Reiss, MDEmergency Medicine
Adam RichardsonDiagnostic Radiology
Adeeb Aghdassi, MDInterventional Cardiology
Adil Z. Ghauri, MDInternal Medicine
Adnan Jamil, DOHospitalist
Adrienne LandPhysician Assistant
Adrienne Lomaglio, NPNurse Practitioner
Ahmadshah Mirkhel, MDNephrology
Ahmed Fadl, MDDiagnostic Radiology
Ahmed Fida, MDFamily Practice
Ahmed Khalil, MDHematology/Oncology
Ahsan Q. Jafir, DOCardiovascular Disease (Cardiology)
Aimee L. Strong, NPNurse Practitioner
Ajay G. Narola, MDHospitalist
Alejandro Santos Leal, MDInternal Medicine

And 606 more: the button below opens the full list.

Other emergency rooms nearby

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

UVA Health Prince William Medical Center9.2 mi · Manassas, VA · Acute Care Hospital
Stonesprings Hospital Center9.9 mi · Dulles, VA · Acute Care Hospital
Fauquier Hospital14 mi · Warrenton, VA · Acute Care Hospital
Inova Fair Oaks Hospital15 mi · Fairfax, VA · Acute Care Hospital
Reston Hospital Center18 mi · Reston, VA · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehab Hospital of Northern VA9.4 mi · Aldie, VA · 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

Gainesville Health and Rehab Center2.3 mi · Gainesville, VA · 4 of 5 stars
Lake Manassas Health & Rehabilitation Center2.8 mi · Gainesville, VA · 3 of 5 stars
Manassas Health and Rehab Center8.2 mi · Manassas, VA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Compassus - Reston12 mi · Chantilly, VA · 3 of 5 stars
ProMedica Hospice (Fairfax)14 mi · Farifax, VA · 1 of 5 stars
Vitas Healthcare Corporation Atlantic16 mi · Fairfax, VA · 1 of 5 stars

All hospice providers in the state →

Home health agencies

Caring Hearts Homecare Inc6.3 mi · Manassas, VA
Healing Home Healthcare Inc6.3 mi · Manassas, VA · 4 of 5 stars
Livinrite Home Health Services6.3 mi · Manassas, VA

All home health agencies in the state →

Dialysis facilities

DaVita Haymarket Dialysis1.5 mi · Gainesville, VA · 4 of 5 stars
Fresenius Medical Care Heritage Hunt1.5 mi · Gainesville, VA · 4 of 5 stars
DaVita CDC Manassas Dialysis6.3 mi · Manassas, VA · 5 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.

Haymarket Surgery Center, LLC3.5 mi · Haymarket, VA
Prince William Ambulatory Surgery Center9.8 mi · Manassas, VA
Stone Springs Ambulatory Surgicenter LLC14 mi · Dulles, VA

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

Lunera Health - SERVE Shelter9.3 mi · Manassas, VA · Community health center
Lunera Health - Manassas12 mi · Manassas, VA · Community health center
Loudoun Community Health Center dba HealthWorks for Northern Virginia - Sully14 mi · Herndon, VA · Community health center

Clinics and urgent care

Gainesville Urgent Medical Care PC1.5 mi · Gainesville, VA · Urgent care center
Patient First Richmond Medical Group1.5 mi · Gainesville, VA · Urgent care center
Patient First Richmond Medical Group PLLC1.5 mi · Gainesville, VA · Urgent care center

Pharmacies

Dawairx, Inc1.5 mi · Gainesville, VA · Community/retail pharmacy
Pharmasutra PLLC1.5 mi · Gainesville, VA · Community/retail pharmacy
Sras LLC1.5 mi · Gainesville, VA · Community/retail pharmacy

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 UVA Health Haymarket 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 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	3 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	78%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	84%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	518Response rate: 27%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0.74No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.515No different from 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	Too few cases to report
Deaths within 30 days: heart failure patients	14.7%
Deaths within 30 days: pneumonia patients	17.3%
Deaths within 30 days: COPD patients	9.8%
Deaths within 30 days: stroke patients	14.8%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21%
Readmitted within 30 days: pneumonia	19.2%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	204 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)	57%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Virginia Best hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as UVA Health Haymarket 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 In the file: HC Visit New Level III	$488	$244	$231.31 – $439.20
New patient office visit (about 30–44 minutes): 10 of 29 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $231.31 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $258.64 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $258.64 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $83.02 CIGNA HEALTHSPRING MEDICARE [10519] — UVAHM - Managed Medicare (various): $137.74 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $302.56 HUMANA MEDICARE [10505] — UVAHM - Managed Medicare (Humana): $140.50 HUMANA TRANSPLANT [40054] — UVAHM - Managed Medicare (Humana): $140.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC Visit New Level IV	$643	$321.50	$304.78 – $578.70
New patient office visit (about 45–59 minutes): 10 of 29 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $304.78 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $340.79 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $340.79 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $133.52 CIGNA HEALTHSPRING MEDICARE [10519] — UVAHM - Managed Medicare (various): $137.74 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $398.66 HUMANA MEDICARE [10505] — UVAHM - Managed Medicare (Humana): $140.50 HUMANA TRANSPLANT [40054] — UVAHM - Managed Medicare (Humana): $140.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC Visit New Level V	$100	$50	$137.74 – $140.50
New patient office visit (about 60–74 minutes): 10 of 29 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $47.40 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $53 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $53 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $181.30 CIGNA HEALTHSPRING MEDICARE [10519] — UVAHM - Managed Medicare (various): $137.74 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $62 HUMANA MEDICARE [10505] — UVAHM - Managed Medicare (Humana): $140.50 HUMANA TRANSPLANT [40054] — UVAHM - Managed Medicare (Humana): $140.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC OB Triage	$234	$117	$110.92 – $210.60
Established patient office visit (about 20–29 minutes): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $110.92 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $385.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $269.96 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $385.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $385.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $124.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $124.02 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $143.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Visit Estab Level III	$234	$117	$110.92 – $210.60
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $110.92 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $124.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $124.02 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $66.08 CIGNA HEALTHSPRING MEDICARE [10519] — UVAHM - Managed Medicare (various): $137.74 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $145.08 HUMANA MEDICARE [10505] — UVAHM - Managed Medicare (Humana): $140.50 HUMANA TRANSPLANT [40054] — UVAHM - Managed Medicare (Humana): $140.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC Visit Estab Level IV	$281	$140.50	$133.19 – $252.90
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $133.19 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.12 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.74 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $148.93 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $148.93 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $97.60 CIGNA HEALTHSPRING MEDICARE [10519] — UVAHM - Managed Medicare (various): $137.74 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $174.22 HUMANA MEDICARE [10505] — UVAHM - Managed Medicare (Humana): $140.50 HUMANA TRANSPLANT [40054] — UVAHM - Managed Medicare (Humana): $140.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED Level 3	$1,369	$684.50	$648.91 – $1,232.10
Emergency room visit (moderate): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $648.91 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $285.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $789.46 ANTHEM [30001] — UVAHM - Anthem Exchange: $553.54 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $789.46 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $282.42 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $789.46 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $878 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,021 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $70.74
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED Level 4	$2,481	$1,240.50	$431.70 – $1,206.75
Emergency room visit (moderately high): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,175.99 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $436.01 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $1,206.75 ANTHEM [30001] — UVAHM - Anthem Exchange: $846.13 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $1,206.75 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $431.70 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $1,206.75 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,461 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,853 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $118.89
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED Level 5	$3,136	$1,568	$616.13 – $1,722.30
Emergency room visit (high): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,486.46 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $622.29 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $1,722.30 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,207.61 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $1,722.30 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $616.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $1,722.30 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,706 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,466 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $173.02

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel	$89	$44.50	$42.19 – $80.10
Basic metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $42.19 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $8.54 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $8.46 ANTHEM [30001] — UVAHM - Anthem Exchange: $8.46 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $8.46 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $8.46 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $8.46 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $35.37 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $39.28 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.49
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier AY In the file: HC Basic Metabolic Panel\|ITEM/SERVICE NOT FOR ESRD TX	$89	$44.50	$7.10 – $43.63
Basic metabolic panel (blood test): rates for 2 insurance plans CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.66 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.66
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehen Metabolic Panel	$278	$139	$131.77 – $250.20
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $131.77 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $10.67 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $10.56 ANTHEM [30001] — UVAHM - Anthem Exchange: $10.56 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $10.56 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $10.56 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $10.56 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $44.16 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $49.04 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $10.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC Lipid Panel	$1,205	$602.50	$6.56 – $68.78
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13.52 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $15.18 ANTHEM [30001] — UVAHM - Anthem Exchange: $6.56 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $15.18 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13.39 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $15.18 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $55.97 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.15 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $13.44 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $68.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel	$245	$122.50	$116.13 – $186.20
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $116.13 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13.52 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $13.39 ANTHEM [30001] — UVAHM - Anthem Exchange: $13.39 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $13.39 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13.39 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $13.39 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $55.97 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.15 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $13.44
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel Lab Price	Not listed in the file	Not listed in the file	$11.23 – $68.78
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13.52 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $13.39 ANTHEM [30001] — UVAHM - Anthem Exchange: $13.39 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $13.39 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13.39 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $13.39 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $55.97 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.15 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $13.44 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $68.78
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel	$138	$69	$7.28 – $45.27
Kidney function panel: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $8.77 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $8.68 ANTHEM [30001] — UVAHM - Anthem Exchange: $8.68 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $8.68 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $8.68 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $8.68 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $36.27 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $40.27 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.71 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $45.27
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier AY In the file: HC Renal Function Panel\|ITEM/SERVICE NOT FOR ESRD TX	$138	$69	$7.28 – $45.27
Kidney function panel: rates for 4 insurance plans AETNA [40002] — UVAPW & UVAHM - Aetna: $65.41 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.89 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $124.20 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.89
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel	$243	$121.50	$6.85 – $41.94
Liver function panel: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $8.25 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $8.17 ANTHEM [30001] — UVAHM - Anthem Exchange: $8.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $8.17 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $8.17 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $8.17 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $34.15 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $37.91 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.19 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $41.94
Liver function panel CPT 80076 · Inpatient or outpatient · modifier AY In the file: HC Hepatic Function Panel\|ITEM/SERVICE NOT FOR ESRD TX	$243	$121.50	$6.85 – $41.94
Liver function panel: rates for 2 insurance plans CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.36 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $8.36
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis, Auto W/Scope	$40	$20	$2.66 – $16.80
Urine test (automated, with microscope): 10 of 38 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $18.96 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3.20 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3.17 ANTHEM [30001] — UVAHM - Anthem Exchange: $3.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3.17 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3.17 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3.17 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $13.25 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $14.71 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $3.19
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Urinalysis Nonauto W/O Micro	$40	$20	$2.14 – $18.44
Urine test (manual, without microscope): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $18.96 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3.51 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3.48 ANTHEM [30001] — UVAHM - Anthem Exchange: $3.48 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3.48 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3.48 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3.48 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $10.67 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $11.85 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $3.56
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis, Auto, W/O Scope	$39	$19.50	$18.49 – $35.10
Urine test (automated, without microscope): 10 of 38 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $18.49 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2.27 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2.25 ANTHEM [30001] — UVAHM - Anthem Exchange: $2.25 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2.25 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2.25 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2.25 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $9.39 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $10.42 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier AY In the file: HC Urinalysis, Auto, W/O Scope\|ITEM/SERVICE NOT FOR ESRD TX	$39	$19.50	$18.49 – $35.10
Urine test (automated, without microscope): rates for 3 insurance plans CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $2.30 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $35.10 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $2.30
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Assay of Psa, Total	$335	$167.50	$158.79 – $301.50
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $158.79 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $18.57 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $18.39 ANTHEM [30001] — UVAHM - Anthem Exchange: $18.39 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $18.39 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $18.39 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $18.39 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $76.84 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $85.32 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $18.45
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Assay Thyroid Stim Hormone	$305	$152.50	$144.57 – $274.50
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $144.57 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $16.97 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $16.80 ANTHEM [30001] — UVAHM - Anthem Exchange: $16.80 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $16.80 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $16.80 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $16.80 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $70.18 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $77.92 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $16.86
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Complete Cbc W/Auto Diff Wbc	$164	$82	$77.74 – $124.64
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $77.74 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $7.85 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $7.77 ANTHEM [30001] — UVAHM - Anthem Exchange: $7.77 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $7.77 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $7.77 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $7.77 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $32.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $36.06 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $7.79
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC Complete Cbc, Automated	$134	$67	$63.52 – $120.60
Complete blood count (CBC), automated: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $63.52 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $6.53 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $6.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $6.47 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $6.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $6.47 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $6.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $27.03 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $30.01 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $6.49
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC Prothrombin Time	$1,753	$876.50	$3.29 – $21.82
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.03 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $384.79 ANTHEM [30001] — UVAHM - Anthem Exchange: $269.80 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $384.79 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.65 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $384.79 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $16.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $18.23 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $4.30 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $21.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time	$110	$55	$3.29 – $21.82
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $52.14 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $4.33 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $4.29 ANTHEM [30001] — UVAHM - Anthem Exchange: $4.29 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $4.29 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $4.29 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $4.29 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $16.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $18.23 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $4.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC Thromboplastin Time, Partial	$1,452	$726	$137.65 – $384.79
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $139.03 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $384.79 ANTHEM [30001] — UVAHM - Anthem Exchange: $269.80 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $384.79 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $137.65 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $384.79 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $25.06 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $27.82 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $6.03 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $30.22
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Thromboplastin Time, Partial	$156	$78	$5.03 – $30.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $73.94 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $6.07 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $6.01 ANTHEM [30001] — UVAHM - Anthem Exchange: $6.01 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $6.01 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $6.01 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $6.01 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $25.06 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $27.82 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $6.03

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT Head/Brain W/O Contrast	$2,033	$1,016.50	$1,496 – $2,062
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,015 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $575.76 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $701.28 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $69.41
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head/Brain W/O Contrast	$2,033	$1,016.50	$108.16 – $302.35
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,015 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $575.76 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $701.28 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $69.41
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Brain W & W/O Contr	$4,489	$2,244.50	$223.18 – $3,388.21
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,094 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $364.55 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 ANTHEM [30001] — UVAHM - Anthem Exchange: $707.43 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $360.94 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,781.76 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,388.21 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $223.18
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC X-Ray Exam Chest 2 Views	$499	$249.50	$90.04 – $251.68
Chest X-ray, 2 views: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $236.53 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $90.94 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $251.68 ANTHEM [30001] — UVAHM - Anthem Exchange: $176.47 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $251.68 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $90.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $251.68 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $200.53 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $244.25 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $23.25
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Xr L-Spine 4+V	$945	$472.50	$447.93 – $850.50
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $447.93 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $128.75 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.82 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $38.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI L-Spine W/O Con	$2,237	$1,118.50	$1,771 – $3,094
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,094 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $249.32 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM [30001] — UVAHM - Anthem Exchange: $483.83 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $246.86 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $690.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,425.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,736.52 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $128.19
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI L-Spine W/O Con	$2,237	$1,118.50	$1,771 – $3,094
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,094 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $249.32 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM [30001] — UVAHM - Anthem Exchange: $483.83 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $246.86 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $690.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,425.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,736.52 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $128.19
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT Pelvis W/Contrast	$2,519.04	$1,259.52	$181.47 – $507.27
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,015 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $183.28 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $507.27 ANTHEM [30001] — UVAHM - Anthem Exchange: $355.68 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $507.27 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $181.47 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $507.27 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $825.09 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,004.97 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $176.66
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis W/Contrast	$1,890	$945	$181.47 – $507.27
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,015 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $183.28 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $507.27 ANTHEM [30001] — UVAHM - Anthem Exchange: $355.68 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $507.27 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $181.47 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $507.27 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $825.09 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,004.97 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $176.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Joint Lower Ext W/O Con	$1,675	$837.50	$246.86 – $690.04
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,094 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $249.32 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM [30001] — UVAHM - Anthem Exchange: $483.83 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $690.04 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $246.86 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $690.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,270.94 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,548.01 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $145.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: HC MRI Joint Lower Ext W/O Con\|BILATERAL PROCEDURE	$2,513	$1,256.50	$1,771 – $3,094
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,094 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,270.94 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,548.01 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $145.79 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $802.30 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,454 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $802.30 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $2,454 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $710.02 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $1,968
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abdomen&Pelvis W/Contrast	$3,360	$1,680	$360.94 – $1,008.94
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,015 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $364.55 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 ANTHEM [30001] — UVAHM - Anthem Exchange: $707.43 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $360.94 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $1,008.94 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,406.96 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,931.70 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $230.48
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen	$1,771	$885.50	$839.45 – $1,593.90
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $839.45 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $295.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $359.83 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $78.70
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US Abdomen Cmpl	$1,771	$885.50	$108.16 – $302.35
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $295.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $359.83 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $78.70 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $435.90
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Cmpl	$1,771	$885.50	$839.45 – $1,593.90
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $839.45 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $295.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $359.83 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $78.70
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US Pregnancy >14 Weeks Sgl	$1,020	$510	$108.16 – $302.35
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $330.59 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $402.67 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $88.67 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $493.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US Pregnancy >14 Weeks Sgl	$1,020	$510	$108.16 – $302.35
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $483.48 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $330.59 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $402.67 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $88.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US Transvaginal	$2,966	$1,483	$108.16 – $302.35
Transvaginal ultrasound: 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $236.55 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $288.12 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $87 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $482.17
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal	$1,033	$516.50	$108.16 – $302.35
Transvaginal ultrasound: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $489.64 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.24 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM [30001] — UVAHM - Anthem Exchange: $211.99 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $302.35 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.16 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $302.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $236.55 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $288.12 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $87
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Digital Diag Mammogram	$897	$448.50	$425.18 – $807.30
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $425.18 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $85.47 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $84.62 ANTHEM [30001] — UVAHM - Anthem Exchange: $84.62 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $84.62 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $84.62 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $84.62 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $207.43 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $252.66 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $87.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Digital Diag Mammogram Not Same Day	$897	$448.50	$425.18 – $807.30
Diagnostic mammogram, one breast: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $425.18 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $85.47 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $84.62 ANTHEM [30001] — UVAHM - Anthem Exchange: $84.62 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $84.62 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $84.62 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $84.62 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $207.43 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $252.66 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $87.01
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Digital Diag Mammo Bilateral	$974	$487	$108.49 – $620.94
Diagnostic mammogram, both breasts: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $461.68 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $109.57 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $108.49 ANTHEM [30001] — UVAHM - Anthem Exchange: $108.49 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $108.49 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $108.49 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $108.49 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $263.35 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $320.76 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $110.93
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC Screening Mammography, Digital	$920	$460	$89.54 – $512.17
Screening mammogram, both breasts: 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $90.44 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $89.54 ANTHEM [30001] — UVAHM - Anthem Exchange: $89.54 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $89.54 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $89.54 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $89.54 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $198.95 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $242.33 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $91.99 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $512.17
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mammography, Digital	$767	$383.50	$363.56 – $690.30
Screening mammogram, both breasts: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $363.56 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $90.44 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $89.54 ANTHEM [30001] — UVAHM - Anthem Exchange: $89.54 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $89.54 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $89.54 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $89.54 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $198.95 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $242.33 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $91.99

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: HC Left Hrt Cath W/Ventrclgrphy	$5,517	$2,758.50	$3,354.08 – $9,375.75
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,615.06 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,387.62 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,375.75 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,573.93 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,375.75 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,354.08 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,375.75 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $5,303.95 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $6,623.21 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $682.48
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Ep Comp Eval	$13,739	$6,869.50	$6,512.29 – $12,365.10
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $6,512.29 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $8,150.18 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $22,556.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $15,816.03 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $22,556.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $8,069.48 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $22,556.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,602.81 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,001.48 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $8,422.01
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Tx Atrial Fib Pulm Vein Isol	$34,638	$17,319	$16,418.41 – $31,174.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $16,418.41 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $27,312.48 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $75,591.43 ANTHEM [30001] — UVAHM - Anthem Exchange: $53,001.93 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $75,591.43 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $27,042.06 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $75,591.43 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $19,186.80 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $23,959.15 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $949.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Psg 4+ Parameters	$5,834	$2,917	$2,765.32 – $5,250.60
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,765.32 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $897.33 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,483.49 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,741.33 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,483.49 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $888.45 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,483.49 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,893.84 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,364.90 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $497.46

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: HC Ot Exercise Therapy 15 Min	$184	$92	$28.73 – $62.64
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $87.22 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $29.02 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $28.73 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $28.73 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $28.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $59.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.64 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $29.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Pt Exercise Therapy 15 Min	$184	$92	$28.73 – $62.64
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $87.22 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $29.02 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $28.73 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $28.73 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $28.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $59.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.64 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $29.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Ot Ther Exercise Ea 15 Min	Not listed in the file	Not listed in the file	$28.73 – $62.64
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $29.02 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $28.73 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $28.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $28.73 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $28.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $59.04 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $62.64 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $29.22 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $360
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Low Complex 20 Min	$316	$158	$96.98 – $156.60
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $149.78 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.63
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Evaluation Low Complexity	Not listed in the file	Not listed in the file	$96.98 – $156.60
Physical therapy evaluation (low complexity): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.63 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $360
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Mod Complex 30 Min	$435	$217.50	$206.19 – $391.50
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $206.19 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $101.66
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Moderate Complexity	Not listed in the file	Not listed in the file	$96.98 – $156.60
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.63 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $360
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: HC Pt Eval Mod Complex 30 Min\|OP PT SERVICES	$435	$217.50	$96.98 – $156.60
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.63 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.63 UNITED HEALTHCARE [40032] — UVAHM - Anthem (PPO PAR HMO): $96.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval High Complex 45 Min	$609	$304.50	$96.98 – $156.60
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $288.67 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $101.66
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Evaluation High Complexity	Not listed in the file	Not listed in the file	$96.98 – $156.60
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $97.95 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM [30001] — UVAHM - Anthem Exchange: $96.98 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $96.98 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $96.98 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $96.98 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $147.60 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $156.60 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $101.66 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $360
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC Psytx Pt&/Family 30 Minutes	$176	$88	$83.42 – $158.40
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $83.42 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $330.17 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $412.30 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $66.42 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $107.89 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $117.57 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $107.89 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $117.57 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $97.33 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $158.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC Psytx Pt&/Family 45 Minutes	$247	$123.50	$117.08 – $222.30
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $117.08 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $330.17 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $412.30 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $88.11 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $151.41 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $165 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $151.41 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $165 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $136.59 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $222.30
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Psytx Pt&/Family 60 Minutes	$303	$151.50	$129.45 – $412.30
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $143.62 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $330.17 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $412.30 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $129.45 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $185.74 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $202.40 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $185.74 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $202.40 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $167.56 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $272.70
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC Psych Thrpy Family W/Pt	$269	$134.50	$127.51 – $242.10
Family psychotherapy, with the patient: 10 of 20 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $127.51 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $142.57 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $142.57 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $99.29 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $164.90 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $179.69 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $164.90 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $179.69 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $148.76 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $292
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC Sa-Iop Psytx Group	$699	$349.50	$125 – $400
Group psychotherapy: 10 of 21 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $331.33 ANTHEM [30001] — UVAHM - Anthem Exchange: $169 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $250 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $370.47 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $23.38 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $234 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $234 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $234 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $234 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $234
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC Psych Thrpy Grp	$312	$156	$147.89 – $280.80
Group psychotherapy: 10 of 16 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $147.89 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $165.36 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $165.36 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $23.38 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $191.26 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $249.60 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $191.26 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $249.60 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $249.60 KAISER PERMENENTE [40014] — UVAPW & UVAHM - Misc. (Kaiser): $280.80

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$21,225.04	$10,612.52	$4,050.88 – $11,323.54
Removal of breast growth (open surgery): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $4,091.39 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM [30001] — UVAHM - Anthem Exchange: $7,939.65 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $4,050.88 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $416.45 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HC ASC Removal of Breast Lesion	$3,409	$1,704.50	$1,615.87 – $3,068.10
Removal of breast growth (open surgery): 10 of 21 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,615.87 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM [30001] — UVAHM - Anthem Exchange: $7,939.65 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,430 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,014
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HC Excise Breast Cyst Benign/Mal	Not listed in the file	Not listed in the file	$7,939.65 – $11,323.54
Removal of breast growth (open surgery): 10 of 21 insurance plan rates ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM [30001] — UVAHM - Anthem Exchange: $7,939.65 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $11,323.54 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,430 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,014 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $2,430
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$55,327.38	$27,663.69	$1,274.91 – $16,527
Total hip replacement: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13,415.65 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $26,034.08 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13,282.82 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $14,159 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $16,527 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,274.91 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,772
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: HC Total Knee Arthroplasty	$55,358.47	$27,679.23	$13,282.82 – $37,129.85
Total knee replacement: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13,415.65 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $26,034.08 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13,282.82 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $8,119 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $9,197 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,273.58 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,772
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: HC Total Knee Arthroplasty	$20,730	$10,365	$11,712.45 – $18,657
Total knee replacement: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $11,712.45 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13,415.65 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $26,034.08 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13,282.82 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $8,119 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $9,197 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,299.57
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · modifier 50 In the file: HC Total Knee Arthroplasty\|BILATERAL PROCEDURE	$74,072.22	$37,036.11	$13,282.82 – $37,129.85
Total knee replacement: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $13,415.65 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $26,034.08 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $13,282.82 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $37,129.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $8,119 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $9,197 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,273.58 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,772
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: HC Shoulder Arthroscopy/Surgery	$37,215.72	$18,607.86	$7,507.23 – $20,985.19
Shoulder arthroscopy: shaving of shoulder bone: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $7,582.31 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $20,985.19 ANTHEM [30001] — UVAHM - Anthem Exchange: $14,714.04 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $20,985.19 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $7,507.23 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $20,985.19 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $169.70 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: HC ASC Sho Arthrs Srg Decompression	$263	$131.50	$173.16 – $5,014
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $124.66 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $173.16 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,430 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,014 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $2,430 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $4,437 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $380
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: HC Shoulder Arthroscopy/Surgery	$6,717	$3,358.50	$3,183.86 – $6,045.30
Shoulder arthroscopy: shaving of shoulder bone: 10 of 18 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,183.86 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $173.16 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,430 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,014 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $2,430 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $4,437 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $380
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: HC ASC Knee Arthroscopy/Surgery	$16,002.37	$8,001.18	$3,385.19 – $9,462.73
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,419.04 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,634.92 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,385.19 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,446 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,036 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $542.31 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,469
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: HC ASC Knee Arthroscopy/Surgery	$3,714	$1,857	$3,385.19 – $9,462.73
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,419.04 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,634.92 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,385.19 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,446 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,036 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,280.70 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,469
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: HC Knee Arthroscopy/Surgery	$7,275	$3,637.50	$3,385.19 – $9,462.73
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,419.04 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,634.92 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,385.19 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,462.73 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,446 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,036 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,280.70 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,469
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: HC Remove Tonsils and Adenoids	$5,317	$2,658.50	$6,124.62 – $17,120.33
Removal of tonsils and adenoids (under age 12): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $2,520.26 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $6,185.86 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $17,120.33 ANTHEM [30001] — UVAHM - Anthem Exchange: $12,004.14 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $17,120.33 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $6,124.62 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $17,120.33 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $296.85
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC Egd	$4,557.32	$2,278.66	$119.55 – $3,275
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $119.55 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,275
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Egd	$2,744	$1,372	$938.36 – $2,623.02
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,300.66 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $119.55
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC Upper GI Endoscopy, Diagn	$2,613	$1,306.50	$938.36 – $2,623.02
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,238.56 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $119.55
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC Egd W/Biopsy	$7,177.94	$3,588.97	$938.36 – $2,623.02
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $134.83 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC Egd W/Biopsy	$3,326	$1,663	$938.36 – $2,623.02
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,576.52 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $134.83
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC Upper GI Endoscopy, Biop	$3,326	$1,663	$1,576.52 – $2,993.40
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,576.52 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $947.74 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,839.17 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $938.36 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,623.02 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $134.83
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Colonoscopy Flexible, Screening	$3,027	$1,513.50	$962.13 – $2,689.47
Colonoscopy (diagnostic): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,434.80 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC Diagnostic Colonoscopy	$5,403.68	$2,701.84	$962.13 – $2,689.47
Colonoscopy (diagnostic): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC Diagnostic Colonoscopy	$3,359	$1,679.50	$1,592.17 – $3,023.10
Colonoscopy (diagnostic): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,592.17 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC ASC Colonoscopy and Biopsy	$1,607	$803.50	$1,238.04 – $3,460.71
Colonoscopy with biopsy: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $761.72 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $195.61
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC Colonoscopy and Biopsy	$2,375	$1,187.50	$1,125.75 – $2,137.50
Colonoscopy with biopsy: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,125.75 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $195.61
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC Colonoscopy Flex W/Biopsy	$6,686.35	$3,343.17	$1,238.04 – $3,460.71
Colonoscopy with biopsy: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $195.61 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC ASC Colonoscopy W/Lesion Removal	$1,607	$803.50	$1,238.04 – $3,460.71
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $761.72 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $247.41
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC Colonoscopy Flex W/Rem Snare	$8,858.32	$4,429.16	$1,238.04 – $3,460.71
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $247.41 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: HC Colonoscopy Flex W/Rem Snare	$3,260	$1,630	$1,238.04 – $3,460.71
Colonoscopy with removal of polyps (snare): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,545.24 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $247.41
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: HC Colonoscopy W/ Endoscope US	$2,316	$1,158	$1,238.04 – $3,460.71
Ultrasound of the lower bowel by endoscope: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,097.78 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $1,250.42 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM [30001] — UVAHM - Anthem Exchange: $2,426.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $1,238.04 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $3,460.71 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $256.19
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC ASC Colonoscopy Screening Only	$1,244	$622	$962.13 – $2,689.47
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $589.66 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180.33
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC Screening Colonoscopy	$5,304.49	$2,652.24	$962.13 – $2,689.47
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180.33 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: HC Screening Colonoscopy	$3,359	$1,679.50	$1,592.17 – $3,023.10
Screening colonoscopy (not high risk): 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,592.17 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $971.75 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,885.76 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $962.13 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,689.47 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $180.33
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: HC Laparoscopic Cholecystectomy	$22,083.32	$11,041.66	$656.22 – $9,215
Gallbladder removal by laparoscope: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $6,317.21 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $12,259.03 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $6,254.66 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $6,090 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $6,898 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $656.22 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $8,021
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: HC Laparoscopic Cholecystectomy	$11,600	$5,800	$5,498.40 – $10,440
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $5,498.40 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 ANTHEM [30001] — UVAHM - Anthem Exchange: $12,259.03 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $17,483.85 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $6,090 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $6,898 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $8,021 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $4,599 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $8,021
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$18,209.31	$9,104.65	$521.72 – $7,841
Groin (inguinal) hernia repair, age 5 or older: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,741.30 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 ANTHEM [30001] — UVAHM - Anthem Exchange: $7,260.29 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,704.26 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,446 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,036 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $521.72 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,469
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: HC Repair Initial Inguinal Hernia	Not listed in the file	Not listed in the file	$3,172 – $7,841
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 ANTHEM [30001] — UVAHM - Anthem Exchange: $7,260.29 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $10,354.63 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $4,446 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,036 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,469 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $3,172 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,469 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $3,172
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: HC Repair Initial Inguinal Hernia\|BILATERAL PROCEDURE	Not listed in the file	Not listed in the file	$7,260.29 – $17,557.21
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $17,557.21 ANTHEM [30001] — UVAHM - Anthem Exchange: $12,310.47 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $17,557.21 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $17,557.21 UNITED HEALTHCARE [40032] — UVAHM - Anthem (PPO PAR HMO): $17,557.21
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC Bx Prostate Needle/Punch	$19,131.91	$9,565.95	$176.26 – $492.72
Prostate biopsy: 10 of 37 insurance plan rates ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $492.72 ANTHEM [30001] — UVAHM - Anthem Exchange: $345.48 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $492.72 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $176.26 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $492.72 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $126.53 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,092
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC Bx Prostate Needle/Punch	Not listed in the file	Not listed in the file	$129.11 – $3,877
Prostate biopsy: 10 of 19 insurance plan rates CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $129.11 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,092 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $3,877 CIGNA [40005] — UVAPW & UVAHM - Cigna (IFP): $2,092 CIGNA [40005] — UVAPW & UVAHM - Cigna (OAP): $3,431 GEHA [40009] — UVAPW & UVAHM - United (All Payer): $1,911 TRICARE [50001] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $129.11 UNITED HEALTHCARE [40032] — UNITED EXCHANGE PLAN [4003231]: $1,719 UNITED HEALTHCARE [40032] — UVAPW & UVAHM - United (All Payer): $1,911
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: HC Laparoscopy,Surgical Prostatec	$10,679	$5,339.50	$21,555.02 – $30,741.80
Prostate removal by laparoscope (radical prostatectomy): 10 of 21 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $5,061.85 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $30,741.80 ANTHEM [30001] — UVAHM - Anthem Exchange: $21,555.02 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $30,741.80 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $30,741.80 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $5,659.87 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $5,659.87 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,772 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $2,430 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $5,772
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HC ASC Hysteroscopy Biopsy	$3,775	$1,887.50	$3,349.11 – $9,361.86
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,789.35 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,382.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,564.19 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,349.11 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $950.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HC Hysteroscopy, Biopsy	$7,060	$3,530	$3,346.44 – $6,354
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,346.44 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,382.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,564.19 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,349.11 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $950.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HC ASC Hysteroscopy Biopsy	$12,606.21	$6,303.10	$3,349.11 – $9,361.86
Hysteroscopy with biopsy of the uterus lining: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $3,382.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM [30001] — UVAHM - Anthem Exchange: $6,564.19 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $3,349.11 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $9,361.86 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,859 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $4,369 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $228.81 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $5,014
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC ASC Njx Interlaminar Lmbr/Sac	$881	$440.50	$417.59 – $792.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $417.59 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $737.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,431.38 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $730.30 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $98.95
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC Njx Interlaminar Lmbr/Sac	$2,943.60	$1,471.80	$730.30 – $2,041.44
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $737.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,431.38 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $730.30 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $96.97 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,275 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $1,456 CIGNA [40005] — CIGNA NALC SUPPLEMENTAL [4000510]: $3,275
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Njx Interlaminar Lmbr/Sac	$2,640	$1,320	$730.30 – $2,041.44
Spinal injection, lower back (epidural), with imaging guidance: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,251.36 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $737.60 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,431.38 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $730.30 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,041.44 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $1,399.20 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $1,399.20 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $98.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC ASC Njx Aa&/Strd Tfrm Epi L/S 1	$1,164	$582	$551.74 – $1,047.60
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $551.74 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $924.22 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,793.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $915.07 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $108.59
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC Inj Epidural Lumbar/Sacral Sgl	$1,703.87	$851.93	$915.07 – $2,557.92
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $924.22 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,793.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $915.07 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $108.59 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,275
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Epidural Lumbar/Sacral Sgl	$1,299	$649.50	$615.73 – $1,754.10
Nerve root injection, lower back, with imaging guidance: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $615.73 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $924.22 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,793.52 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $915.07 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $2,557.92 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $2,296 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $2,600 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $108.59
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC ASC Carpal Tunnel Surgery	$2,242	$1,121	$2,020.28 – $5,647.34
Carpal tunnel release: 10 of 38 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2,040.48 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM [30001] — UVAHM - Anthem Exchange: $3,959.71 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2,020.28 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $950.40 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: HC ASC Carpal Tunnel Surgery	$12,131.87	$6,065.93	$2,020.28 – $5,647.34
Carpal tunnel release: 10 of 37 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2,040.48 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM [30001] — UVAHM - Anthem Exchange: $3,959.71 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2,020.28 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $438.36 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC Carpal Tunnel Surgery	Not listed in the file	Not listed in the file	$2,020.28 – $5,647.34
Carpal tunnel release: 10 of 38 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2,040.48 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM [30001] — UVAHM - Anthem Exchange: $3,959.71 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2,020.28 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $5,647.34 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $3,044 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $3,448 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $950.40 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $3,877
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC Discis Cataract Sec Mem Laser	$774	$387	$569.02 – $1,590.61
Laser treatment of clouding after cataract surgery: 10 of 37 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $366.88 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $574.71 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $1,590.61 ANTHEM [30001] — UVAHM - Anthem Exchange: $1,115.28 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $1,590.61 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $569.02 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $1,590.61 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $410.22 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $410.22 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $311.42
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HC ASC Xcapsl Ctrc Rmvl W/O Ecp	$2,891	$1,445.50	$1,370.33 – $2,601.90
Cataract removal with lens implant: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $1,370.33 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2,411.54 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 ANTHEM [30001] — UVAHM - Anthem Exchange: $4,679.77 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2,387.66 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $6,290 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $7,128 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,280.70
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HC Cataract Surg W/Iol, 1 Stage	$7,538	$3,769	$3,573.01 – $6,784.20
Cataract removal with lens implant: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $3,573.01 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $2,411.54 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 ANTHEM [30001] — UVAHM - Anthem Exchange: $4,679.77 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $2,387.66 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $6,674.30 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $6,290 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $7,128 CHAMPVA [50002] — UVAMC & UVACHM & UVAPW & UVAHM - Tricare: $1,280.70

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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	$67,647.94	$33,823.97	$26,059.44 – $37,283.71
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $14,310.12 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $35,786.88 ANTHEM [30001] — UVAHM - Anthem Exchange: $35,786.88 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $35,786.88 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $14,168.44 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $35,786.88 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $26,059.44 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $28,947 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $36,874.78 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $27,557.09
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	$94,753.80	$47,376.90	$17,932.18 – $18,290.82
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $18,111.50 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $45,293.44 ANTHEM [30001] — UVAHM - Anthem Exchange: $45,293.44 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $45,293.44 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $17,932.18 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $45,293.44 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $32,981.96 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $36,636.59 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $46,670.33 CIGNA [40005] — CIGNA 188061 CONNECT [4000513]: $28,834.90
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	$45,468.09	$22,734.04	$12,714.63 – $23,981.49
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates AETNA [40002] — UVAPW & UVAHM - Aetna: $18,728.37 AETNA MEDICARE [10501] — UVAHM - Managed Medicare (Aetna): $9,204.50 ANTHEM [30001] — UVAHM - Anthem (PPO PAR HMO): $23,043.52 ANTHEM [30001] — UVAHM - Anthem Exchange: $15,521.16 ANTHEM CAREFIRST [30008] — UVAHM - Anthem (PPO PAR HMO): $23,043.52 ANTHEM MEDICARE [10503] — UVAHM - Managed Medicare (various): $9,113.37 ANTHEM UHC [30009] — UVAHM - Anthem (PPO PAR HMO): $23,043.52 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst HMO: $16,761.86 CAREFIRST [30007] — UVAPW & UVAHM - Carefirst RPN: $18,619.18 CIGNA [40005] — CIGNA 182223 PPO [4000520]: $23,718.46

Source: UVA Health Haymarket Medical Center’s standard charges file (brand.uvahealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 24, 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	15225 Healthcote Boulevard, Haymarket, VA 20169
County	Prince William County
State	Virginia
Phone	(571) 284‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	490144
Name in Medicare records	UVA HEALTH HAYMARKET MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	uvahealth.com
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 2026-10-31.

Haymarket Medical Center | UVA Health — uvahealth.com
Haymarket Medical Center in northern Virginia — uvahealth.com
https://www.uvahealth.com/locations/Emergency-Department-Haymarket-Medical-Center-LOC0000234600 — uvahealth.com
Interpretation & Translation — uvahealth.com
https://www.uvahealth.com/locations/Therapy-Services-Haymarket-LOC0000234620 — uvahealth.com
https://www.uvahealth.com/locations/Imaging-Haymarket-Medical-Center-LOC0000234596 — uvahealth.com
UVA Health Breast Surgery Haymarket | UVA Health — uvahealth.com
UVA Health Cardiology Haymarket | UVA Health — uvahealth.com
UVA Health Colorectal Surgery Haymarket in Northern Virginia — uvahealth.com
UVA Health General Surgery Haymarket | UVA Health — uvahealth.com
UVA Health Plastic Surgery Haymarket in Northern Virginia — uvahealth.com
UVA Health Surgical Center Haymarket | UVA Health — uvahealth.com