Does Val Verde Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Val Verde Regional Medical Center. In a medical emergency, call 911.

Where is Val Verde Regional Medical Center?

801 Bedell Ave, Del Rio, TX 78840, in Val Verde County, Texas.

What is the phone number of Val Verde Regional Medical Center?

(830) 775-8566, as listed by Medicare (CMS).

What is the Medicare star rating of Val Verde Regional Medical Center?

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

Val Verde Regional Medical Center

Quick answers

Does Val Verde Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Val Verde Regional Medical Center. In a medical emergency, call 911.
Where is Val Verde Regional Medical Center?: 801 Bedell Ave, Del Rio, TX 78840, in Val Verde County, Texas.
What is the phone number of Val Verde Regional Medical Center?: (830) 775-8566, as listed by Medicare (CMS).
What is the Medicare star rating of Val Verde Regional Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][8][9][12][14][15][16]}

Conditions treated^{[5][9][12][15][16][18][19]}

Peripheral artery disease
Osteoporosis
Developmental delays in children
Autism spectrum (therapy)
Stroke recovery
Swallowing disorders
Joint replacement recovery
Sports injuries
Sexual assault and abuse

Treatments^[4][12]

Cardiac rehabilitation
Physical therapy
Occupational therapy
Speech therapy
Pediatric therapy
Wound care
Supervised exercise therapy for PAD
Infusion therapy
Image-guided therapy
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Mammography
Breast MRI
Breast ultrasound
Bone density scanning (DEXA)
Echocardiography
Nuclear cardiac stress imaging

Procedures^[5][12][20]

CT-guided biopsy
Interventional cardiology (catheter-based)
Medical forensic examination

Programs and centers^{[4][5][9][11][17][18][20]}

Heart Health Clinic
Rural Health Clinic primary care
Mary L. Pierce HOPE Cancer Resource Room
Chronic care management
Sexual assault care (Crisis Care Team)
Emergency Department Express Care
Crisis Care Team (SANE)
Emergency medical services (EMS)
Pediatric rehabilitation
Supervised exercise therapy for PAD
Cardiac rehabilitation
Outpatient wound care center

Emergency care (hospital website)^[5][10]

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

Visiting and practical information

Visiting	Open visiting hours are 6 a.m. to 8 p.m.; visits may be postponed during emergencies and shift changes^[6]
Parking	Visitors may use most spaces on hospital grounds; handicap spaces are reserved for those with credentials^[6]
Patient portal	MyHealth

Recognition^[12][18]

American College of Radiology (ACR) accreditation: CT, mammography, obstetrics, general ultrasound
Intersocietal Accreditation Commission (IAC) accreditation: vascular sonography and echocardiography
American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) certified program

Doctors and clinicians (180)

180 doctors and other clinicians list Val Verde Regional 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

And 156 more: the button below opens the full list.

Other emergency rooms nearby

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

Fort Duncan Medical Center53 mi · Eagle Pass, TX · Acute Care Hospital
Uvalde Memorial Hospital69 mi · Uvalde, TX · Critical Access Hospital
Lillian M Hudspeth Memorial Hospital84 mi · Sonora, TX · Critical Access Hospital
Dimmit Regional Hospital86 mi · Carrizo Springs, TX · Critical Access Hospital
Kimble Hospital102 mi · Junction, TX · Critical Access Hospital

Other hospitals nearby

Schleicher County Medical Center105 mi · Eldorado, TX · Critical Access 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

Val Verde Nursing and Rehabilitation Center0.5 mi · Del Rio, TX · 2 of 5 stars
Del Rio Nursing and Rehabilitation Center1.1 mi · Del Rio, TX · 3 of 5 stars
La Vida Serena Nursing and Rehabilitation2.8 mi · Del Rio, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Superior Hospice of del Rio LLC25 mi · Del Rio, TX

All hospice providers in the state →

Dialysis facilities

Fresenius Kidney Care Val Verde25 mi · Del Rio, TX · 3 of 5 stars
Fresenius Medical Care of del Rio25 mi · Del Rio, TX · 5 of 5 stars

All dialysis facilities 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

San Felipe Clinic0.8 mi · Del Rio, TX · Community health center
Bedell Avenue Clinic1.2 mi · Del Rio, TX · Community health center
United Medical Centers #31.3 mi · Del Rio, TX · Community health center

Clinics and urgent care

South Texas Pediatric Urgent Care, PLLC25 mi · Del Rio, TX · Urgent care center
Terry M. Lindsey Rural Health Clinic25 mi · Del Rio, TX · Rural health clinic
Val Verde Regional Medical Center Rural Health Clinic25 mi · Del Rio, TX · Rural health clinic

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	59%National average: 72%
Would definitely recommend the hospital	54%National average: 71%
Nurses “always” communicated well	82%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	68%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	78%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	103Response rate: 8%

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)	Not reported to Medicare
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	0No 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	12.6%
Deaths within 30 days: heart failure patients	12.1%
Deaths within 30 days: pneumonia patients	13.6%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	198 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)	62%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 Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Val Verde Regional 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 · Outpatient (no overnight stay) In the file: Wound care E/M New lev 3	$194.20	$126.23	$76.90 – $222.74
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — All Commercial: $147.59 Blue Cross - Blue Advantage — HMO: $77.88 Blue Cross - PPO/Par — PPO: $222.74 Blue Cross Essentials — HMO: $200.15 Cigna — All Commercial: $174.78 Superior — Medicaid: $76.90 United Healthcare — All Commercial: $170.90
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OB Visit New Level 3	$272.60	$177.19	$77.88 – $245.34
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — All Commercial: $207.18 Blue Cross - Blue Advantage — HMO: $77.88 Blue Cross - PPO/Par — PPO: $222.74 Blue Cross Essentials — HMO: $200.15 Cigna — All Commercial: $245.34 Superior — Medicaid: $107.95 United Healthcare — All Commercial: $239.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE VISIT, NEW PT., LEVEL 3	$272.60	$177.19	$77.88 – $245.34
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna — All Commercial: $207.18 Blue Cross - Blue Advantage — HMO: $77.88 Blue Cross - PPO/Par — PPO: $222.74 Blue Cross Essentials — HMO: $200.15 Cigna — All Commercial: $245.34 Superior — Medicaid: $107.95 United Healthcare — All Commercial: $239.89
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT, NEW PT., LEVEL 4	$407.28	$264.73	$131.35 – $375.66
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — All Commercial: $309.53 Blue Cross - Blue Advantage — HMO: $131.35 Blue Cross - PPO/Par — PPO: $375.66 Blue Cross Essentials — HMO: $337.57 Cigna — All Commercial: $366.55 Superior — Medicaid: $161.28 United Healthcare — All Commercial: $358.41
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OB Visit New Level 4	$407.28	$264.73	$131.35 – $375.66
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — All Commercial: $309.53 Blue Cross - Blue Advantage — HMO: $131.35 Blue Cross - PPO/Par — PPO: $375.66 Blue Cross Essentials — HMO: $337.57 Cigna — All Commercial: $366.55 Superior — Medicaid: $161.28 United Healthcare — All Commercial: $358.41
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Wound care E/M New lev 4	$316.28	$205.58	$125.25 – $375.66
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna — All Commercial: $240.37 Blue Cross - Blue Advantage — HMO: $131.35 Blue Cross - PPO/Par — PPO: $375.66 Blue Cross Essentials — HMO: $337.57 Cigna — All Commercial: $284.65 Superior — Medicaid: $125.25 United Healthcare — All Commercial: $278.33
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT, NEW PT., LEVEL 5	$538.75	$350.19	$171.55 – $490.63
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — All Commercial: $409.45 Blue Cross - Blue Advantage — HMO: $171.55 Blue Cross - PPO/Par — PPO: $490.63 Blue Cross Essentials — HMO: $440.88 Cigna — All Commercial: $484.88 Superior — Medicaid: $213.35 United Healthcare — All Commercial: $474.10
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Wound care E/M New lev 5	$430.23	$279.65	$170.37 – $490.63
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — All Commercial: $326.97 Blue Cross - Blue Advantage — HMO: $171.55 Blue Cross - PPO/Par — PPO: $490.63 Blue Cross Essentials — HMO: $440.88 Cigna — All Commercial: $387.21 Superior — Medicaid: $170.37 United Healthcare — All Commercial: $378.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OB Visit New Level 5	$538.75	$350.19	$171.55 – $490.63
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna — All Commercial: $409.45 Blue Cross - Blue Advantage — HMO: $171.55 Blue Cross - PPO/Par — PPO: $490.63 Blue Cross Essentials — HMO: $440.88 Cigna — All Commercial: $484.88 Superior — Medicaid: $213.35 United Healthcare — All Commercial: $474.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OB Visit Est Level 3	$221.63	$144.06	$52.04 – $199.47
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — All Commercial: $168.44 Blue Cross - Blue Advantage — HMO: $52.04 Blue Cross - PPO/Par — PPO: $148.83 Blue Cross Essentials — HMO: $133.74 Cigna — All Commercial: $199.47 Superior — Medicaid: $87.77 United Healthcare — All Commercial: $195.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Wound care E/M Est lev 3	$156.23	$101.55	$52.04 – $148.83
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — All Commercial: $118.73 Blue Cross - Blue Advantage — HMO: $52.04 Blue Cross - PPO/Par — PPO: $148.83 Blue Cross Essentials — HMO: $133.74 Cigna — All Commercial: $140.61 Superior — Medicaid: $61.87 United Healthcare — All Commercial: $137.48
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE VISIT, EST PT., LEVEL 3	$221.63	$144.06	$52.04 – $199.47
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna — All Commercial: $168.44 Blue Cross - Blue Advantage — HMO: $52.04 Blue Cross - PPO/Par — PPO: $148.83 Blue Cross Essentials — HMO: $133.74 Cigna — All Commercial: $199.47 Superior — Medicaid: $87.77 United Healthcare — All Commercial: $195.03
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE VISIT, EST PT., LEVEL 4	$313.45	$203.74	$79.67 – $282.11
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — All Commercial: $238.22 Blue Cross - Blue Advantage — HMO: $79.67 Blue Cross - PPO/Par — PPO: $227.86 Blue Cross Essentials — HMO: $204.75 Cigna — All Commercial: $282.11 Superior — Medicaid: $124.13 United Healthcare — All Commercial: $275.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Wound care E/M Est lev 4	$230.03	$149.52	$79.67 – $227.86
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — All Commercial: $174.82 Blue Cross - Blue Advantage — HMO: $79.67 Blue Cross - PPO/Par — PPO: $227.86 Blue Cross Essentials — HMO: $204.75 Cigna — All Commercial: $207.03 Superior — Medicaid: $91.09 United Healthcare — All Commercial: $202.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OB Visit Est Level 4	$313.45	$203.74	$79.67 – $282.11
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna — All Commercial: $238.22 Blue Cross - Blue Advantage — HMO: $79.67 Blue Cross - PPO/Par — PPO: $227.86 Blue Cross Essentials — HMO: $204.75 Cigna — All Commercial: $282.11 Superior — Medicaid: $124.13 United Healthcare — All Commercial: $275.84
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL 3	$458	$297.70	$96.90 – $412.20
Office consultation with a specialist (moderate): rates for 7 insurance plans Aetna — All Commercial: $348.08 Blue Cross - Blue Advantage — HMO: $96.90 Blue Cross - PPO/Par — PPO: $277.13 Blue Cross Essentials — HMO: $249.03 Cigna — All Commercial: $412.20 Superior — Medicaid: $181.37 United Healthcare — All Commercial: $403.04
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFFICE CONSULTATION LEVEL 3	$458	$297.70	$274.80 – $412.20
Office consultation with a specialist (moderate): rates for 6 insurance plans Aetna — All Commercial: $348.08 Blue Cross - Blue Advantage — HMO: $274.80 Blue Cross - PPO/Par — PPO: $329.76 Blue Cross Essentials — HMO: $297.70 Cigna — All Commercial: $412.20 United Healthcare — All Commercial: $403.04
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL 4	$678	$440.70	$155.76 – $610.20
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Aetna — All Commercial: $515.28 Blue Cross - Blue Advantage — HMO: $155.76 Blue Cross - PPO/Par — PPO: $445.47 Blue Cross Essentials — HMO: $400.30 Cigna — All Commercial: $610.20 Superior — Medicaid: $268.49 United Healthcare — All Commercial: $596.64
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFFICE CONSULTATION LEVEL 4	$678	$440.70	$406.80 – $610.20
Office consultation with a specialist (moderate to high): rates for 6 insurance plans Aetna — All Commercial: $515.28 Blue Cross - Blue Advantage — HMO: $406.80 Blue Cross - PPO/Par — PPO: $488.16 Blue Cross Essentials — HMO: $440.70 Cigna — All Commercial: $610.20 United Healthcare — All Commercial: $596.64
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREVENT CARE NEW PT. AGE 18-39	$490	$318.50	$99.41 – $441
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Aetna — All Commercial: $372.40 Blue Cross - Blue Advantage — HMO: $99.41 Blue Cross - PPO/Par — PPO: $284.31 Blue Cross Essentials — HMO: $255.48 Cigna — All Commercial: $441 Superior — Medicaid: $194.04 United Healthcare — All Commercial: $431.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) In the file: PREVENT CARE NEW PT. AGE 18-39	$490	$318.50	$294 – $441
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans Aetna — All Commercial: $372.40 Blue Cross - Blue Advantage — HMO: $294 Blue Cross - PPO/Par — PPO: $352.80 Blue Cross Essentials — HMO: $318.50 Cigna — All Commercial: $441 United Healthcare — All Commercial: $431.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREVENT CARE NEW PT. AGE 40-64	$568	$369.20	$120.94 – $511.20
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Aetna — All Commercial: $431.68 Blue Cross - Blue Advantage — HMO: $120.94 Blue Cross - PPO/Par — PPO: $345.89 Blue Cross Essentials — HMO: $310.82 Cigna — All Commercial: $511.20 Superior — Medicaid: $224.93 United Healthcare — All Commercial: $499.84
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: PREVENT CARE NEW PT. AGE 40-64	$568	$369.20	$340.80 – $511.20
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans Aetna — All Commercial: $431.68 Blue Cross - Blue Advantage — HMO: $340.80 Blue Cross - PPO/Par — PPO: $408.96 Blue Cross Essentials — HMO: $369.20 Cigna — All Commercial: $511.20 United Healthcare — All Commercial: $499.84
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: SA EXAM W/O COLPOSCO	$233	$151.45	$50.75 – $985.95
Emergency room visit (moderate): rates for 10 insurance plans Aetna — All Commercial: $177.08 Aetna Medicare Advantage — Medicare Advantage: $292.25 Blue Cross - Blue Advantage — HMO: $294 Blue Cross - PPO/Par — PPO: $985.95 Blue Cross Essentials — HMO: $887.36 Cigna — All Commercial: $209.70 Humana Medicare Advantage — Medicare Advantage: $292.25 Superior — Medicaid: $50.75 United Healthcare — All Commercial: $205.04 United Healthcare - Medicare Advantage — Medicare Advantage: $292.25
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED LEVEL3	$765	$497.25	$166.62 – $985.95
Emergency room visit (moderate): rates for 10 insurance plans Aetna — All Commercial: $581.40 Aetna Medicare Advantage — Medicare Advantage: $292.25 Blue Cross - Blue Advantage — HMO: $294 Blue Cross - PPO/Par — PPO: $985.95 Blue Cross Essentials — HMO: $887.36 Cigna — All Commercial: $688.50 Humana Medicare Advantage — Medicare Advantage: $292.25 Superior — Medicaid: $166.62 United Healthcare — All Commercial: $673.20 United Healthcare - Medicare Advantage — Medicare Advantage: $292.25
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED Level 3 Moderate	$174.78	$113.61	$69.21 – $985.95
Emergency room visit (moderate): rates for 10 insurance plans Aetna — All Commercial: $132.83 Aetna Medicare Advantage — Medicare Advantage: $292.25 Blue Cross - Blue Advantage — HMO: $294 Blue Cross - PPO/Par — PPO: $985.95 Blue Cross Essentials — HMO: $887.36 Cigna — All Commercial: $157.30 Humana Medicare Advantage — Medicare Advantage: $292.25 Superior — Medicaid: $69.21 United Healthcare — All Commercial: $153.81 United Healthcare - Medicare Advantage — Medicare Advantage: $292.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED LEVEL4	$1,255	$815.75	$273.34 – $1,599.89
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — All Commercial: $953.80 Aetna Medicare Advantage — Medicare Advantage: $446.73 Blue Cross - Blue Advantage — HMO: $760 Blue Cross - PPO/Par — PPO: $1,599.89 Blue Cross Essentials — HMO: $1,439.90 Cigna — All Commercial: $1,129.50 Humana Medicare Advantage — Medicare Advantage: $446.73 Superior — Medicaid: $273.34 United Healthcare — All Commercial: $1,104.40 United Healthcare - Medicare Advantage — Medicare Advantage: $446.73
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED Level 4 High/Urgent	$295.83	$192.29	$117.15 – $1,599.89
Emergency room visit (moderately high): rates for 10 insurance plans Aetna — All Commercial: $224.83 Aetna Medicare Advantage — Medicare Advantage: $446.73 Blue Cross - Blue Advantage — HMO: $760 Blue Cross - PPO/Par — PPO: $1,599.89 Blue Cross Essentials — HMO: $1,439.90 Cigna — All Commercial: $266.25 Humana Medicare Advantage — Medicare Advantage: $446.73 Superior — Medicaid: $117.15 United Healthcare — All Commercial: $260.33 United Healthcare - Medicare Advantage — Medicare Advantage: $446.73
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ED LEVEL4	$1,255	$815.75	$753 – $1,129.50
Emergency room visit (moderately high): rates for 6 insurance plans Aetna — All Commercial: $953.80 Blue Cross - Blue Advantage — HMO: $753 Blue Cross - PPO/Par — PPO: $903.60 Blue Cross Essentials — HMO: $815.75 Cigna — All Commercial: $1,129.50 United Healthcare — All Commercial: $1,104.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED LEVEL5	$1,859	$1,208.35	$404.89 – $2,343.83
Emergency room visit (high): rates for 10 insurance plans Aetna — All Commercial: $1,412.84 Aetna Medicare Advantage — Medicare Advantage: $637.58 Blue Cross - Blue Advantage — HMO: $1,240 Blue Cross - PPO/Par — PPO: $2,343.83 Blue Cross Essentials — HMO: $2,109.44 Cigna — All Commercial: $1,673.10 Humana Medicare Advantage — Medicare Advantage: $637.58 Superior — Medicaid: $404.89 United Healthcare — All Commercial: $1,635.92 United Healthcare - Medicare Advantage — Medicare Advantage: $637.58
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED Lvl 5 High Sevrty & Threat	$429.25	$279.01	$169.98 – $2,343.83
Emergency room visit (high): rates for 10 insurance plans Aetna — All Commercial: $326.23 Aetna Medicare Advantage — Medicare Advantage: $637.58 Blue Cross - Blue Advantage — HMO: $1,240 Blue Cross - PPO/Par — PPO: $2,343.83 Blue Cross Essentials — HMO: $2,109.44 Cigna — All Commercial: $386.33 Humana Medicare Advantage — Medicare Advantage: $637.58 Superior — Medicaid: $169.98 United Healthcare — All Commercial: $377.74 United Healthcare - Medicare Advantage — Medicare Advantage: $637.58
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ED LEVEL5	$1,859	$1,208.35	$1,115.40 – $1,673.10
Emergency room visit (high): rates for 6 insurance plans Aetna — All Commercial: $1,412.84 Blue Cross - Blue Advantage — HMO: $1,115.40 Blue Cross - PPO/Par — PPO: $1,338.48 Blue Cross Essentials — HMO: $1,208.35 Cigna — All Commercial: $1,673.10 United Healthcare — All Commercial: $1,635.92

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANE	$171	$111.15	$10.44 – $153.90
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna — All Commercial: $129.96 Blue Cross - Blue Advantage — HMO: $10.44 Blue Cross - PPO/Par — PPO: $41.76 Blue Cross Essentials — HMO: $37.58 Cigna — All Commercial: $153.90 Superior — Medicaid: $11.59 United Healthcare — All Commercial: $150.48
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANE	$171	$111.15	$102.60 – $153.90
Basic metabolic panel (blood test): rates for 6 insurance plans Aetna — All Commercial: $129.96 Blue Cross - Blue Advantage — HMO: $102.60 Blue Cross - PPO/Par — PPO: $123.12 Blue Cross Essentials — HMO: $111.15 Cigna — All Commercial: $153.90 United Healthcare — All Commercial: $150.48
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABO	$300	$195	$13.04 – $270
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna — All Commercial: $228 Blue Cross - Blue Advantage — HMO: $13.04 Blue Cross - PPO/Par — PPO: $52.16 Blue Cross Essentials — HMO: $46.94 Cigna — All Commercial: $270 Superior — Medicaid: $14.46 United Healthcare — All Commercial: $264
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHENSIVE METABO	$300	$195	$180 – $270
Comprehensive metabolic panel (blood test): rates for 6 insurance plans Aetna — All Commercial: $228 Blue Cross - Blue Advantage — HMO: $180 Blue Cross - PPO/Par — PPO: $216 Blue Cross Essentials — HMO: $195 Cigna — All Commercial: $270 United Healthcare — All Commercial: $264
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OB PANEL	$900	$585	$59.02 – $810
Obstetric blood test panel: rates for 7 insurance plans Aetna — All Commercial: $684 Blue Cross - Blue Advantage — HMO: $59.02 Blue Cross - PPO/Par — PPO: $236.08 Blue Cross Essentials — HMO: $212.47 Cigna — All Commercial: $810 Superior — Medicaid: $356.40 United Healthcare — All Commercial: $792
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OB PANEL	$900	$585	$540 – $810
Obstetric blood test panel: rates for 6 insurance plans Aetna — All Commercial: $684 Blue Cross - Blue Advantage — HMO: $540 Blue Cross - PPO/Par — PPO: $648 Blue Cross Essentials — HMO: $585 Cigna — All Commercial: $810 United Healthcare — All Commercial: $792
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE	$263	$170.95	$16.53 – $236.70
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — All Commercial: $199.88 Blue Cross - Blue Advantage — HMO: $16.53 Blue Cross - PPO/Par — PPO: $66.12 Blue Cross Essentials — HMO: $59.51 Cigna — All Commercial: $236.70 Superior — Medicaid: $18.35 United Healthcare — All Commercial: $231.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CARDIO IQ CHOLESTEROL	$263	$170.95	$16.53 – $236.70
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna — All Commercial: $199.88 Blue Cross - Blue Advantage — HMO: $16.53 Blue Cross - PPO/Par — PPO: $66.12 Blue Cross Essentials — HMO: $59.51 Cigna — All Commercial: $236.70 Superior — Medicaid: $18.35 United Healthcare — All Commercial: $231.44
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE	$263	$170.95	$157.80 – $236.70
Cholesterol panel (lipid panel): rates for 6 insurance plans Aetna — All Commercial: $199.88 Blue Cross - Blue Advantage — HMO: $157.80 Blue Cross - PPO/Par — PPO: $189.36 Blue Cross Essentials — HMO: $170.95 Cigna — All Commercial: $236.70 United Healthcare — All Commercial: $231.44
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$262	$170.30	$10.72 – $235.80
Kidney function panel: rates for 7 insurance plans Aetna — All Commercial: $199.12 Blue Cross - Blue Advantage — HMO: $10.72 Blue Cross - PPO/Par — PPO: $42.88 Blue Cross Essentials — HMO: $38.59 Cigna — All Commercial: $235.80 Superior — Medicaid: $11.89 United Healthcare — All Commercial: $230.56
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$262	$170.30	$157.20 – $235.80
Kidney function panel: rates for 6 insurance plans Aetna — All Commercial: $199.12 Blue Cross - Blue Advantage — HMO: $157.20 Blue Cross - PPO/Par — PPO: $188.64 Blue Cross Essentials — HMO: $170.30 Cigna — All Commercial: $235.80 United Healthcare — All Commercial: $230.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PAN	$408	$265.20	$10.09 – $367.20
Liver function panel: rates for 7 insurance plans Aetna — All Commercial: $310.08 Blue Cross - Blue Advantage — HMO: $10.09 Blue Cross - PPO/Par — PPO: $40.36 Blue Cross Essentials — HMO: $36.32 Cigna — All Commercial: $367.20 Superior — Medicaid: $11.19 United Healthcare — All Commercial: $359.04
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PAN	$408	$265.20	$244.80 – $367.20
Liver function panel: rates for 6 insurance plans Aetna — All Commercial: $310.08 Blue Cross - Blue Advantage — HMO: $244.80 Blue Cross - PPO/Par — PPO: $293.76 Blue Cross Essentials — HMO: $265.20 Cigna — All Commercial: $367.20 United Healthcare — All Commercial: $359.04
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS	$111	$72.15	$3.92 – $99.90
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — All Commercial: $84.36 Blue Cross - Blue Advantage — HMO: $3.92 Blue Cross - PPO/Par — PPO: $15.68 Blue Cross Essentials — HMO: $14.11 Cigna — All Commercial: $99.90 Superior — Medicaid: $4.34 United Healthcare — All Commercial: $97.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH REFLEX CULTURE	$111	$72.15	$3.92 – $99.90
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — All Commercial: $84.36 Blue Cross - Blue Advantage — HMO: $3.92 Blue Cross - PPO/Par — PPO: $15.68 Blue Cross Essentials — HMO: $14.11 Cigna — All Commercial: $99.90 Superior — Medicaid: $4.34 United Healthcare — All Commercial: $97.68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: SANE urinalysis	$111	$72.15	$3.92 – $99.90
Urine test (automated, with microscope): rates for 7 insurance plans Aetna — All Commercial: $84.36 Blue Cross - Blue Advantage — HMO: $3.92 Blue Cross - PPO/Par — PPO: $15.68 Blue Cross Essentials — HMO: $14.11 Cigna — All Commercial: $99.90 Superior — Medicaid: $4.34 United Healthcare — All Commercial: $97.68
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SPEFC GRAVITY UA W/O	$37	$24.05	$2.77 – $33.30
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — All Commercial: $28.12 Blue Cross - Blue Advantage — HMO: $2.77 Blue Cross - PPO/Par — PPO: $11.08 Blue Cross Essentials — HMO: $9.97 Cigna — All Commercial: $33.30 Superior — Medicaid: $3.08 United Healthcare — All Commercial: $32.56
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: SPEFC GRAVITY UA W/O	$37	$24.05	$22.20 – $33.30
Urine test (automated, without microscope): rates for 6 insurance plans Aetna — All Commercial: $28.12 Blue Cross - Blue Advantage — HMO: $22.20 Blue Cross - PPO/Par — PPO: $26.64 Blue Cross Essentials — HMO: $24.05 Cigna — All Commercial: $33.30 United Healthcare — All Commercial: $32.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier QW In the file: URINALYSIS, AUTO, W/O SCOPE	$36.75	$23.89	$2.77 – $33.08
Urine test (automated, without microscope): rates for 7 insurance plans Aetna — All Commercial: $27.93 Blue Cross - Blue Advantage — HMO: $2.77 Blue Cross - PPO/Par — PPO: $11.08 Blue Cross Essentials — HMO: $9.97 Cigna — All Commercial: $33.08 Superior — Medicaid: $3.08 United Healthcare — All Commercial: $32.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$305	$198.25	$22.71 – $274.50
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna — All Commercial: $231.80 Blue Cross - Blue Advantage — HMO: $22.71 Blue Cross - PPO/Par — PPO: $90.84 Blue Cross Essentials — HMO: $81.76 Cigna — All Commercial: $274.50 Superior — Medicaid: $25.19 United Healthcare — All Commercial: $268.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL	$305	$198.25	$183 – $274.50
PSA (prostate specific antigen) blood test: rates for 6 insurance plans Aetna — All Commercial: $231.80 Blue Cross - Blue Advantage — HMO: $183 Blue Cross - PPO/Par — PPO: $219.60 Blue Cross Essentials — HMO: $198.25 Cigna — All Commercial: $274.50 United Healthcare — All Commercial: $268.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID CASCADING REFLEX	$299.88	$194.92	$20.75 – $269.89
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — All Commercial: $227.91 Blue Cross - Blue Advantage — HMO: $20.75 Blue Cross - PPO/Par — PPO: $83 Blue Cross Essentials — HMO: $74.70 Cigna — All Commercial: $269.89 Superior — Medicaid: $23.02 United Healthcare — All Commercial: $263.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM HORMONE	$315	$204.75	$20.75 – $283.50
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna — All Commercial: $239.40 Blue Cross - Blue Advantage — HMO: $20.75 Blue Cross - PPO/Par — PPO: $83 Blue Cross Essentials — HMO: $74.70 Cigna — All Commercial: $283.50 Superior — Medicaid: $23.02 United Healthcare — All Commercial: $277.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID CASCADING REFLEX	$299.88	$194.92	$179.93 – $269.89
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Aetna — All Commercial: $227.91 Blue Cross - Blue Advantage — HMO: $179.93 Blue Cross - PPO/Par — PPO: $215.91 Blue Cross Essentials — HMO: $194.92 Cigna — All Commercial: $269.89 United Healthcare — All Commercial: $263.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC & AUTO DIFF	$173	$112.45	$9.59 – $155.70
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna — All Commercial: $131.48 Blue Cross - Blue Advantage — HMO: $9.59 Blue Cross - PPO/Par — PPO: $38.36 Blue Cross Essentials — HMO: $34.52 Cigna — All Commercial: $155.70 Superior — Medicaid: $10.64 United Healthcare — All Commercial: $152.24
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC & AUTO DIFF	$173	$112.45	$103.80 – $155.70
Complete blood count (CBC) with differential: rates for 6 insurance plans Aetna — All Commercial: $131.48 Blue Cross - Blue Advantage — HMO: $103.80 Blue Cross - PPO/Par — PPO: $124.56 Blue Cross Essentials — HMO: $112.45 Cigna — All Commercial: $155.70 United Healthcare — All Commercial: $152.24
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMOGRAM W/O PLATELE	$92.61	$60.20	$7.98 – $83.35
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — All Commercial: $70.38 Blue Cross - Blue Advantage — HMO: $7.98 Blue Cross - PPO/Par — PPO: $31.92 Blue Cross Essentials — HMO: $28.73 Cigna — All Commercial: $83.35 Superior — Medicaid: $8.86 United Healthcare — All Commercial: $81.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC	$88	$57.20	$7.98 – $79.20
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna — All Commercial: $66.88 Blue Cross - Blue Advantage — HMO: $7.98 Blue Cross - PPO/Par — PPO: $31.92 Blue Cross Essentials — HMO: $28.73 Cigna — All Commercial: $79.20 Superior — Medicaid: $8.86 United Healthcare — All Commercial: $77.44
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMOGRAM W/O PLATELE	$92.61	$60.20	$55.57 – $83.35
Complete blood count (CBC), automated: rates for 6 insurance plans Aetna — All Commercial: $70.38 Blue Cross - Blue Advantage — HMO: $55.57 Blue Cross - PPO/Par — PPO: $66.68 Blue Cross Essentials — HMO: $60.20 Cigna — All Commercial: $83.35 United Healthcare — All Commercial: $81.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$59	$38.35	$4.85 – $53.10
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna — All Commercial: $44.84 Blue Cross - Blue Advantage — HMO: $4.85 Blue Cross - PPO/Par — PPO: $19.40 Blue Cross Essentials — HMO: $17.46 Cigna — All Commercial: $53.10 Superior — Medicaid: $5.88 United Healthcare — All Commercial: $51.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	$59	$38.35	$35.40 – $53.10
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans Aetna — All Commercial: $44.84 Blue Cross - Blue Advantage — HMO: $35.40 Blue Cross - PPO/Par — PPO: $42.48 Blue Cross Essentials — HMO: $38.35 Cigna — All Commercial: $53.10 United Healthcare — All Commercial: $51.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$78	$50.70	$7.42 – $70.20
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna — All Commercial: $59.28 Blue Cross - Blue Advantage — HMO: $7.42 Blue Cross - PPO/Par — PPO: $29.68 Blue Cross Essentials — HMO: $26.71 Cigna — All Commercial: $70.20 Superior — Medicaid: $8.23 United Healthcare — All Commercial: $68.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$78	$50.70	$46.80 – $70.20
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans Aetna — All Commercial: $59.28 Blue Cross - Blue Advantage — HMO: $46.80 Blue Cross - PPO/Par — PPO: $56.16 Blue Cross Essentials — HMO: $50.70 Cigna — All Commercial: $70.20 United Healthcare — All Commercial: $68.64

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: CT HEAD/BRAIN W/O STKE ALERT	$2,793	$1,815.45	$31.81 – $2,513.70
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,122.68 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $114.46 Blue Cross - PPO/Par — PPO: $560.85 Blue Cross Essentials — HMO: $504.77 Cigna — All Commercial: $2,513.70 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $31.81 United Healthcare — All Commercial: $2,457.84 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O	$2,793	$1,815.45	$31.81 – $2,513.70
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,122.68 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $114.46 Blue Cross - PPO/Par — PPO: $560.85 Blue Cross Essentials — HMO: $504.77 Cigna — All Commercial: $2,513.70 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $31.81 United Healthcare — All Commercial: $2,457.84 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O STKE ALERT	$2,793	$1,815.45	$1,675.80 – $2,513.70
CT scan of the head or brain, without contrast: rates for 6 insurance plans Aetna — All Commercial: $2,122.68 Blue Cross - Blue Advantage — HMO: $1,675.80 Blue Cross - PPO/Par — PPO: $2,010.96 Blue Cross Essentials — HMO: $1,815.45 Cigna — All Commercial: $2,513.70 United Healthcare — All Commercial: $2,457.84
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONT	$4,904	$3,187.60	$85.80 – $4,413.60
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — All Commercial: $3,727.04 Aetna Medicare Advantage — Medicare Advantage: $373.51 Blue Cross - Blue Advantage — HMO: $456.37 Blue Cross - PPO/Par — PPO: $2,236.21 Blue Cross Essentials — HMO: $2,012.59 Cigna — All Commercial: $4,413.60 Humana Medicare Advantage — Medicare Advantage: $373.51 Superior — Medicaid: $85.80 United Healthcare — All Commercial: $4,315.52 United Healthcare - Medicare Advantage — Medicare Advantage: $373.51
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI PITUITARY W W/O CONTRAST	$4,904	$3,187.60	$85.80 – $4,413.60
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna — All Commercial: $3,727.04 Aetna Medicare Advantage — Medicare Advantage: $373.51 Blue Cross - Blue Advantage — HMO: $456.37 Blue Cross - PPO/Par — PPO: $2,236.21 Blue Cross Essentials — HMO: $2,012.59 Cigna — All Commercial: $4,413.60 Humana Medicare Advantage — Medicare Advantage: $373.51 Superior — Medicaid: $85.80 United Healthcare — All Commercial: $4,315.52 United Healthcare - Medicare Advantage — Medicare Advantage: $373.51
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONT	$4,904	$3,187.60	$2,942.40 – $4,413.60
MRI of the brain, before and after contrast: rates for 6 insurance plans Aetna — All Commercial: $3,727.04 Blue Cross - Blue Advantage — HMO: $2,942.40 Blue Cross - PPO/Par — PPO: $3,530.88 Blue Cross Essentials — HMO: $3,187.60 Cigna — All Commercial: $4,413.60 United Healthcare — All Commercial: $4,315.52
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST 2 VIEWS	$437	$284.05	$8.29 – $393.30
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — All Commercial: $332.12 Aetna Medicare Advantage — Medicare Advantage: $93.17 Blue Cross - Blue Advantage — HMO: $62.12 Blue Cross - PPO/Par — PPO: $348.49 Blue Cross Essentials — HMO: $313.71 Cigna — All Commercial: $393.30 Humana Medicare Advantage — Medicare Advantage: $93.17 Superior — Medicaid: $8.29 United Healthcare — All Commercial: $384.56 United Healthcare - Medicare Advantage — Medicare Advantage: $93.17
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: 2 VW CXR TDH	$437	$284.05	$8.29 – $393.30
Chest X-ray, 2 views: rates for 10 insurance plans Aetna — All Commercial: $332.12 Aetna Medicare Advantage — Medicare Advantage: $93.17 Blue Cross - Blue Advantage — HMO: $62.12 Blue Cross - PPO/Par — PPO: $348.49 Blue Cross Essentials — HMO: $313.71 Cigna — All Commercial: $393.30 Humana Medicare Advantage — Medicare Advantage: $93.17 Superior — Medicaid: $8.29 United Healthcare — All Commercial: $384.56 United Healthcare - Medicare Advantage — Medicare Advantage: $93.17
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS	$437	$284.05	$262.20 – $393.30
Chest X-ray, 2 views: rates for 6 insurance plans Aetna — All Commercial: $332.12 Blue Cross - Blue Advantage — HMO: $262.20 Blue Cross - PPO/Par — PPO: $314.64 Blue Cross Essentials — HMO: $284.05 Cigna — All Commercial: $393.30 United Healthcare — All Commercial: $384.56
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SPINE LUMBAR MIN 4 V	$570	$370.50	$9.89 – $642.12
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans Aetna — All Commercial: $433.20 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $114.46 Blue Cross - PPO/Par — PPO: $642.12 Blue Cross Essentials — HMO: $578.02 Cigna — All Commercial: $513 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $9.89 United Healthcare — All Commercial: $501.60 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: SPINE LUMBAR MIN 4 V	$570	$370.50	$342 – $513
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans Aetna — All Commercial: $433.20 Blue Cross - Blue Advantage — HMO: $342 Blue Cross - PPO/Par — PPO: $410.40 Blue Cross Essentials — HMO: $370.50 Cigna — All Commercial: $513 United Healthcare — All Commercial: $501.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI SPINE LUMBAR W/O	$3,893	$2,530.45	$55.87 – $3,503.70
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,958.68 Aetna Medicare Advantage — Medicare Advantage: $255.45 Blue Cross - Blue Advantage — HMO: $232.31 Blue Cross - PPO/Par — PPO: $1,138.32 Blue Cross Essentials — HMO: $1,024.49 Cigna — All Commercial: $3,503.70 Humana Medicare Advantage — Medicare Advantage: $255.45 Superior — Medicaid: $55.87 United Healthcare — All Commercial: $3,425.84 United Healthcare - Medicare Advantage — Medicare Advantage: $255.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI SPINE LUMBAR W/O	$3,893	$2,530.45	$2,335.80 – $3,503.70
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans Aetna — All Commercial: $2,958.68 Blue Cross - Blue Advantage — HMO: $2,335.80 Blue Cross - PPO/Par — PPO: $2,802.96 Blue Cross Essentials — HMO: $2,530.45 Cigna — All Commercial: $3,503.70 United Healthcare — All Commercial: $3,425.84
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIC W/CONT	$3,679	$2,391.35	$43.57 – $3,311.10
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — All Commercial: $2,796.04 Aetna Medicare Advantage — Medicare Advantage: $187.79 Blue Cross - Blue Advantage — HMO: $252.74 Blue Cross - PPO/Par — PPO: $1,238.43 Blue Cross Essentials — HMO: $1,114.58 Cigna — All Commercial: $3,311.10 Humana Medicare Advantage — Medicare Advantage: $187.79 Superior — Medicaid: $43.57 United Healthcare — All Commercial: $3,237.52 United Healthcare - Medicare Advantage — Medicare Advantage: $187.79
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIC W/CONT	$3,679	$2,391.35	$2,207.40 – $3,311.10
CT scan of the pelvis, with contrast: rates for 6 insurance plans Aetna — All Commercial: $2,796.04 Blue Cross - Blue Advantage — HMO: $2,207.40 Blue Cross - PPO/Par — PPO: $2,648.88 Blue Cross Essentials — HMO: $2,391.35 Cigna — All Commercial: $3,311.10 United Healthcare — All Commercial: $3,237.52
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI EX LW JT WO CONT	$3,785	$2,460.25	$51.06 – $3,406.50
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,876.60 Aetna Medicare Advantage — Medicare Advantage: $255.45 Blue Cross - Blue Advantage — HMO: $232.31 Blue Cross - PPO/Par — PPO: $1,138.32 Blue Cross Essentials — HMO: $1,024.49 Cigna — All Commercial: $3,406.50 Humana Medicare Advantage — Medicare Advantage: $255.45 Superior — Medicaid: $51.06 United Healthcare — All Commercial: $3,330.80 United Healthcare - Medicare Advantage — Medicare Advantage: $255.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Ankle RT WO Contrast	$3,785	$2,460.25	$51.06 – $3,406.50
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,876.60 Aetna Medicare Advantage — Medicare Advantage: $255.45 Blue Cross - Blue Advantage — HMO: $232.31 Blue Cross - PPO/Par — PPO: $1,138.32 Blue Cross Essentials — HMO: $1,024.49 Cigna — All Commercial: $3,406.50 Humana Medicare Advantage — Medicare Advantage: $255.45 Superior — Medicaid: $51.06 United Healthcare — All Commercial: $3,330.80 United Healthcare - Medicare Advantage — Medicare Advantage: $255.45
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Knee RT WO Contrast	$3,785	$2,460.25	$51.06 – $3,406.50
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna — All Commercial: $2,876.60 Aetna Medicare Advantage — Medicare Advantage: $255.45 Blue Cross - Blue Advantage — HMO: $232.31 Blue Cross - PPO/Par — PPO: $1,138.32 Blue Cross Essentials — HMO: $1,024.49 Cigna — All Commercial: $3,406.50 Humana Medicare Advantage — Medicare Advantage: $255.45 Superior — Medicaid: $51.06 United Healthcare — All Commercial: $3,330.80 United Healthcare - Medicare Advantage — Medicare Advantage: $255.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PEL W/ CONT	$7,707	$5,009.55	$68.16 – $6,936.30
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna — All Commercial: $5,857.32 Aetna Medicare Advantage — Medicare Advantage: $373.51 Blue Cross - Blue Advantage — HMO: $252.74 Blue Cross - PPO/Par — PPO: $1,238.43 Blue Cross Essentials — HMO: $1,114.58 Cigna — All Commercial: $6,936.30 Humana Medicare Advantage — Medicare Advantage: $373.51 Superior — Medicaid: $68.16 United Healthcare — All Commercial: $6,782.16 United Healthcare - Medicare Advantage — Medicare Advantage: $373.51
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PEL W/ CONT	$7,707	$5,009.55	$4,624.20 – $6,936.30
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans Aetna — All Commercial: $5,857.32 Blue Cross - Blue Advantage — HMO: $4,624.20 Blue Cross - PPO/Par — PPO: $5,549.04 Blue Cross Essentials — HMO: $5,009.55 Cigna — All Commercial: $6,936.30 United Healthcare — All Commercial: $6,782.16
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMEN COMPLETE	$1,331	$865.15	$30.21 – $1,197.90
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna — All Commercial: $1,011.56 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $114.46 Blue Cross - PPO/Par — PPO: $642.12 Blue Cross Essentials — HMO: $578.02 Cigna — All Commercial: $1,197.90 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $30.21 United Healthcare — All Commercial: $1,171.28 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ABDOMEN COMPLETE	$1,331	$865.15	$798.60 – $1,197.90
Ultrasound of the abdomen, complete: rates for 6 insurance plans Aetna — All Commercial: $1,011.56 Blue Cross - Blue Advantage — HMO: $798.60 Blue Cross - PPO/Par — PPO: $958.32 Blue Cross Essentials — HMO: $865.15 Cigna — All Commercial: $1,197.90 United Healthcare — All Commercial: $1,171.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US>=14 WKS SNGL FETUS	$124.05	$80.63	$94.03 – $527.51
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans Aetna — All Commercial: $94.28 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $94.03 Blue Cross - PPO/Par — PPO: $527.51 Blue Cross Essentials — HMO: $474.85 Cigna — All Commercial: $111.65 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $134.67 United Healthcare — All Commercial: $109.16 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: TRANS ABD PREG > 14 WKS	$863	$560.95	$94.03 – $776.70
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans Aetna — All Commercial: $655.88 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $94.03 Blue Cross - PPO/Par — PPO: $527.51 Blue Cross Essentials — HMO: $474.85 Cigna — All Commercial: $776.70 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $134.67 United Healthcare — All Commercial: $759.44 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB US>=14 WKS SNGL FETUS	$124.05	$80.63	$74.43 – $111.65
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans Aetna — All Commercial: $94.28 Blue Cross - Blue Advantage — HMO: $74.43 Blue Cross - PPO/Par — PPO: $89.32 Blue Cross Essentials — HMO: $80.63 Cigna — All Commercial: $111.65 United Healthcare — All Commercial: $109.16
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: NON-OB TRANSVAG US	$86.33	$56.11	$25.93 – $501.31
Transvaginal ultrasound: rates for 10 insurance plans Aetna — All Commercial: $65.61 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $89.36 Blue Cross - PPO/Par — PPO: $501.31 Blue Cross Essentials — HMO: $451.27 Cigna — All Commercial: $77.70 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $25.93 United Healthcare — All Commercial: $75.97 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL	$1,214	$789.10	$25.93 – $1,092.60
Transvaginal ultrasound: rates for 10 insurance plans Aetna — All Commercial: $922.64 Aetna Medicare Advantage — Medicare Advantage: $111.93 Blue Cross - Blue Advantage — HMO: $89.36 Blue Cross - PPO/Par — PPO: $501.31 Blue Cross Essentials — HMO: $451.27 Cigna — All Commercial: $1,092.60 Humana Medicare Advantage — Medicare Advantage: $111.93 Superior — Medicaid: $25.93 United Healthcare — All Commercial: $1,068.32 United Healthcare - Medicare Advantage — Medicare Advantage: $111.93
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: NON-OB TRANSVAG US	$86.33	$56.11	$51.80 – $77.70
Transvaginal ultrasound: rates for 6 insurance plans Aetna — All Commercial: $65.61 Blue Cross - Blue Advantage — HMO: $51.80 Blue Cross - PPO/Par — PPO: $62.16 Blue Cross Essentials — HMO: $56.11 Cigna — All Commercial: $77.70 United Healthcare — All Commercial: $75.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: DIG DIAGN MAMMO W/CAD UNILAT	$485	$315.25	$30.47 – $537.55
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna — All Commercial: $368.60 Blue Cross - Blue Advantage — HMO: $95.82 Blue Cross - PPO/Par — PPO: $537.55 Blue Cross Essentials — HMO: $483.89 Cigna — All Commercial: $436.50 Superior — Medicaid: $30.47 United Healthcare — All Commercial: $426.80
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: DIG DIAGN MAMMO W/CAD UNILAT	$485	$315.25	$291 – $436.50
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — All Commercial: $368.60 Blue Cross - Blue Advantage — HMO: $291 Blue Cross - PPO/Par — PPO: $349.20 Blue Cross Essentials — HMO: $315.25 Cigna — All Commercial: $436.50 United Healthcare — All Commercial: $426.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: DIG DIAGN MAMMO W/CAD BILAT	$593	$385.45	$37.42 – $686.55
Diagnostic mammogram, both breasts: rates for 7 insurance plans Aetna — All Commercial: $450.68 Blue Cross - Blue Advantage — HMO: $122.38 Blue Cross - PPO/Par — PPO: $686.55 Blue Cross Essentials — HMO: $618.02 Cigna — All Commercial: $533.70 Superior — Medicaid: $37.42 United Healthcare — All Commercial: $521.84
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: DIG DIAGN MAMMO W/CAD BILAT	$593	$385.45	$355.80 – $533.70
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial: $450.68 Blue Cross - Blue Advantage — HMO: $355.80 Blue Cross - PPO/Par — PPO: $426.96 Blue Cross Essentials — HMO: $385.45 Cigna — All Commercial: $533.70 United Healthcare — All Commercial: $521.84
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: DIG SCREENING MAMMO W/CAD	$438	$284.70	$101.21 – $567.79
Screening mammogram, both breasts: rates for 7 insurance plans Aetna — All Commercial: $332.88 Blue Cross - Blue Advantage — HMO: $101.21 Blue Cross - PPO/Par — PPO: $567.79 Blue Cross Essentials — HMO: $511.11 Cigna — All Commercial: $394.20 Superior — Medicaid: $173.45 United Healthcare — All Commercial: $385.44
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: DIG SCREENING MAMMO W/CAD	$438	$284.70	$262.80 – $394.20
Screening mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial: $332.88 Blue Cross - Blue Advantage — HMO: $262.80 Blue Cross - PPO/Par — PPO: $315.36 Blue Cross Essentials — HMO: $284.70 Cigna — All Commercial: $394.20 United Healthcare — All Commercial: $385.44

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM, COMPLETE	$33	$21.45	$13.07 – $68.92
Electrocardiogram (ECG/EKG) with reading: rates for 7 insurance plans Aetna — All Commercial: $25.08 Blue Cross - Blue Advantage — HMO: $17.23 Blue Cross - PPO/Par — PPO: $68.92 Blue Cross Essentials — HMO: $62.03 Cigna — All Commercial: $29.70 Superior — Medicaid: $13.07 United Healthcare — All Commercial: $29.04
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: ELECTROCARDIOGRAM, COMPLETE	$33	$21.45	$19.80 – $29.70
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans Aetna — All Commercial: $25.08 Blue Cross - Blue Advantage — HMO: $19.80 Blue Cross - PPO/Par — PPO: $23.76 Blue Cross Essentials — HMO: $21.45 Cigna — All Commercial: $29.70 United Healthcare — All Commercial: $29.04
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LHC w Ventriculography	$562.50	$365.63	$183.37 – $5,627.20
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — All Commercial: $427.50 Aetna Medicare Advantage — Medicare Advantage: $3,470.84 Blue Cross - Blue Advantage — HMO: $2,110.20 Blue Cross - PPO/Par — PPO: $5,627.20 Blue Cross Essentials — HMO: $5,064.48 Cigna — All Commercial: $506.25 Humana Medicare Advantage — Medicare Advantage: $3,470.84 Superior — Medicaid: $183.37 United Healthcare — All Commercial: $495 United Healthcare - Medicare Advantage — Medicare Advantage: $3,470.84
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LHC LV ONLY	$13,586.11	$8,830.97	$183.37 – $12,227.50
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — All Commercial: $10,325.44 Aetna Medicare Advantage — Medicare Advantage: $3,470.84 Blue Cross - Blue Advantage — HMO: $2,110.20 Blue Cross - PPO/Par — PPO: $5,627.20 Blue Cross Essentials — HMO: $5,064.48 Cigna — All Commercial: $12,227.50 Humana Medicare Advantage — Medicare Advantage: $3,470.84 Superior — Medicaid: $183.37 United Healthcare — All Commercial: $11,955.78 United Healthcare - Medicare Advantage — Medicare Advantage: $3,470.84
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LHC w Ventriculography	$562.50	$365.63	$337.50 – $506.25
Left heart catheterization (diagnostic): rates for 6 insurance plans Aetna — All Commercial: $427.50 Blue Cross - Blue Advantage — HMO: $337.50 Blue Cross - PPO/Par — PPO: $405 Blue Cross Essentials — HMO: $365.63 Cigna — All Commercial: $506.25 United Healthcare — All Commercial: $495

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OT THER EXER 15 MIN	$163	$105.95	$31.22 – $146.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — All Commercial: $123.88 Blue Cross - Blue Advantage — HMO: $31.22 Blue Cross - PPO/Par — PPO: $89.29 Blue Cross Essentials — HMO: $80.24 Cigna — All Commercial: $146.70 Superior — Medicaid: $33.75 United Healthcare — All Commercial: $143.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: OTA THER EXER 15 MIN	$163	$105.95	$31.22 – $146.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — All Commercial: $123.88 Blue Cross - Blue Advantage — HMO: $31.22 Blue Cross - PPO/Par — PPO: $89.29 Blue Cross Essentials — HMO: $80.24 Cigna — All Commercial: $146.70 Superior — Medicaid: $33.75 United Healthcare — All Commercial: $143.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT THER EXER 15MIN	$163	$105.95	$31.22 – $146.70
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna — All Commercial: $123.88 Blue Cross - Blue Advantage — HMO: $31.22 Blue Cross - PPO/Par — PPO: $89.29 Blue Cross Essentials — HMO: $80.24 Cigna — All Commercial: $146.70 Superior — Medicaid: $33.75 United Healthcare — All Commercial: $143.44
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT THERAPY EVAL 20 MIN	$263	$170.95	$85.42 – $244.30
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna — All Commercial: $199.88 Blue Cross - Blue Advantage — HMO: $85.42 Blue Cross - PPO/Par — PPO: $244.30 Blue Cross Essentials — HMO: $219.53 Cigna — All Commercial: $236.70 Superior — Medicaid: $116.19 United Healthcare — All Commercial: $231.44
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT THERAPY EVAL 20 MIN	$263	$170.95	$157.80 – $236.70
Physical therapy evaluation (low complexity): rates for 6 insurance plans Aetna — All Commercial: $199.88 Blue Cross - Blue Advantage — HMO: $157.80 Blue Cross - PPO/Par — PPO: $189.36 Blue Cross Essentials — HMO: $170.95 Cigna — All Commercial: $236.70 United Healthcare — All Commercial: $231.44
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT THERAPY EVAL 30 MIN	$290	$188.50	$85.42 – $261
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna — All Commercial: $220.40 Blue Cross - Blue Advantage — HMO: $85.42 Blue Cross - PPO/Par — PPO: $244.30 Blue Cross Essentials — HMO: $219.53 Cigna — All Commercial: $261 Superior — Medicaid: $116.19 United Healthcare — All Commercial: $255.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT THERAPY EVAL 30 MIN	$290	$188.50	$174 – $261
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans Aetna — All Commercial: $220.40 Blue Cross - Blue Advantage — HMO: $174 Blue Cross - PPO/Par — PPO: $208.80 Blue Cross Essentials — HMO: $188.50 Cigna — All Commercial: $261 United Healthcare — All Commercial: $255.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT THERAPY EVAL 45 MIN	$317	$206.05	$85.42 – $285.30
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna — All Commercial: $240.92 Blue Cross - Blue Advantage — HMO: $85.42 Blue Cross - PPO/Par — PPO: $244.30 Blue Cross Essentials — HMO: $219.53 Cigna — All Commercial: $285.30 Superior — Medicaid: $116.19 United Healthcare — All Commercial: $278.96
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT THERAPY EVAL 45 MIN	$317	$206.05	$190.20 – $285.30
Physical therapy evaluation (high complexity): rates for 6 insurance plans Aetna — All Commercial: $240.92 Blue Cross - Blue Advantage — HMO: $190.20 Blue Cross - PPO/Par — PPO: $228.24 Blue Cross Essentials — HMO: $206.05 Cigna — All Commercial: $285.30 United Healthcare — All Commercial: $278.96
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 30 MINUTES	$127	$82.55	$50.29 – $190.03
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna — All Commercial: $96.52 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $76.20 Blue Cross - PPO/Par — PPO: $91.44 Blue Cross Essentials — HMO: $82.55 Cigna — All Commercial: $114.30 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $50.29 United Healthcare — All Commercial: $111.76 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYTX PT&/FAMILY 30 MINUTES	$127	$82.55	$76.20 – $114.30
Psychotherapy, 30 minutes: rates for 6 insurance plans Aetna — All Commercial: $96.52 Blue Cross - Blue Advantage — HMO: $76.20 Blue Cross - PPO/Par — PPO: $91.44 Blue Cross Essentials — HMO: $82.55 Cigna — All Commercial: $114.30 United Healthcare — All Commercial: $111.76
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 45 MINUTES	$250.75	$162.99	$99.30 – $225.68
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna — All Commercial: $190.57 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $150.45 Blue Cross - PPO/Par — PPO: $180.54 Blue Cross Essentials — HMO: $162.99 Cigna — All Commercial: $225.68 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $99.30 United Healthcare — All Commercial: $220.66 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYTX PT&/FAMILY 45 MINUTES	$250.75	$162.99	$150.45 – $225.68
Psychotherapy, 45 minutes: rates for 6 insurance plans Aetna — All Commercial: $190.57 Blue Cross - Blue Advantage — HMO: $150.45 Blue Cross - PPO/Par — PPO: $180.54 Blue Cross Essentials — HMO: $162.99 Cigna — All Commercial: $225.68 United Healthcare — All Commercial: $220.66
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX PT&/FAMILY 60 MINUTES	$369.07	$239.90	$146.15 – $332.16
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — All Commercial: $280.49 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $221.44 Blue Cross - PPO/Par — PPO: $265.73 Blue Cross Essentials — HMO: $239.90 Cigna — All Commercial: $332.16 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $146.15 United Healthcare — All Commercial: $324.78 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: INDIVIDUAL PSYCHOTHE	$289.96	$188.47	$114.82 – $260.96
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna — All Commercial: $220.37 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $173.98 Blue Cross - PPO/Par — PPO: $208.77 Blue Cross Essentials — HMO: $188.47 Cigna — All Commercial: $260.96 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $114.82 United Healthcare — All Commercial: $255.16 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYTX PT&/FAMILY 60 MINUTES	$369.07	$239.90	$221.44 – $332.16
Psychotherapy, 60 minutes: rates for 6 insurance plans Aetna — All Commercial: $280.49 Blue Cross - Blue Advantage — HMO: $221.44 Blue Cross - PPO/Par — PPO: $265.73 Blue Cross Essentials — HMO: $239.90 Cigna — All Commercial: $332.16 United Healthcare — All Commercial: $324.78
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY	$556.76	$361.89	$190.03 – $501.08
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — All Commercial: $423.14 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $334.06 Blue Cross - PPO/Par — PPO: $400.87 Blue Cross Essentials — HMO: $361.89 Cigna — All Commercial: $501.08 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $220.48 United Healthcare — All Commercial: $489.95 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PATIENT	$211	$137.15	$83.56 – $190.03
Family psychotherapy, with the patient: rates for 10 insurance plans Aetna — All Commercial: $160.36 Aetna Medicare Advantage — Medicare Advantage: $190.03 Blue Cross - Blue Advantage — HMO: $126.60 Blue Cross - PPO/Par — PPO: $151.92 Blue Cross Essentials — HMO: $137.15 Cigna — All Commercial: $189.90 Humana Medicare Advantage — Medicare Advantage: $190.03 Superior — Medicaid: $83.56 United Healthcare — All Commercial: $185.68 United Healthcare - Medicare Advantage — Medicare Advantage: $190.03
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY THERAPY	$556.76	$361.89	$334.06 – $501.08
Family psychotherapy, with the patient: rates for 6 insurance plans Aetna — All Commercial: $423.14 Blue Cross - Blue Advantage — HMO: $334.06 Blue Cross - PPO/Par — PPO: $400.87 Blue Cross Essentials — HMO: $361.89 Cigna — All Commercial: $501.08 United Healthcare — All Commercial: $489.95
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PRO. GRP THPY	$655.99	$426.39	$108.76 – $590.39
Group psychotherapy: rates for 10 insurance plans Aetna — All Commercial: $498.55 Aetna Medicare Advantage — Medicare Advantage: $108.76 Blue Cross - Blue Advantage — HMO: $393.59 Blue Cross - PPO/Par — PPO: $472.31 Blue Cross Essentials — HMO: $426.39 Cigna — All Commercial: $590.39 Humana Medicare Advantage — Medicare Advantage: $108.76 Superior — Medicaid: $259.77 United Healthcare — All Commercial: $577.27 United Healthcare - Medicare Advantage — Medicare Advantage: $108.76
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: IOP PRO. GRP THPY	$655.99	$426.39	$393.59 – $590.39
Group psychotherapy: rates for 6 insurance plans Aetna — All Commercial: $498.55 Blue Cross - Blue Advantage — HMO: $393.59 Blue Cross - PPO/Par — PPO: $472.31 Blue Cross Essentials — HMO: $426.39 Cigna — All Commercial: $590.39 United Healthcare — All Commercial: $577.27

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: REMOVAL OF BREAST LESION	$958	$622.70	$728.08 – $5,455.68
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — All Commercial: $728.08 Aetna Medicare Advantage — Medicare Advantage: $4,191.90 Blue Cross - Blue Advantage — HMO: $2,618.73 Blue Cross - PPO/Par — PPO: $5,455.68 Blue Cross Essentials — HMO: $4,910.11 Cigna — All Commercial: $862.20 Humana Medicare Advantage — Medicare Advantage: $4,191.90 Superior — Medicaid: $963.66 United Healthcare — All Commercial: $843.04 United Healthcare - Medicare Advantage — Medicare Advantage: $4,191.90
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: REMOVAL OF BREAST LESION	$958	$622.70	$574.80 – $862.20
Removal of breast growth (open surgery): rates for 6 insurance plans Aetna — All Commercial: $728.08 Blue Cross - Blue Advantage — HMO: $574.80 Blue Cross - PPO/Par — PPO: $689.76 Blue Cross Essentials — HMO: $622.70 Cigna — All Commercial: $862.20 United Healthcare — All Commercial: $843.04
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	$3,085.93	$2,005.85	$1,222.03 – $20,245.84
Total knee replacement: rates for 10 insurance plans Aetna — All Commercial: $2,345.31 Aetna Medicare Advantage — Medicare Advantage: $13,745.21 Blue Cross - Blue Advantage — HMO: $9,718 Blue Cross - PPO/Par — PPO: $20,245.84 Blue Cross Essentials — HMO: $18,221.26 Cigna — All Commercial: $2,777.34 Humana Medicare Advantage — Medicare Advantage: $13,745.21 Superior — Medicaid: $1,222.03 United Healthcare — All Commercial: $2,715.62 United Healthcare - Medicare Advantage — Medicare Advantage: $13,745.21
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: TOTAL KNEE ARTHROPLASTY	$3,085.93	$2,005.85	$1,851.56 – $2,777.34
Total knee replacement: rates for 6 insurance plans Aetna — All Commercial: $2,345.31 Blue Cross - Blue Advantage — HMO: $1,851.56 Blue Cross - PPO/Par — PPO: $2,221.87 Blue Cross Essentials — HMO: $2,005.85 Cigna — All Commercial: $2,777.34 United Healthcare — All Commercial: $2,715.62
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: SHLDER ARTHROSCOPY/SUR DECOMP	$414.57	$269.47	$248.74 – $373.11
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans Aetna — All Commercial: $315.07 Blue Cross - Blue Advantage — HMO: $248.74 Blue Cross - PPO/Par — PPO: $298.49 Blue Cross Essentials — HMO: $269.47 Cigna — All Commercial: $373.11 United Healthcare — All Commercial: $364.82
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHLDER ARTHROSCOPY/SUR DECOMP	$414.57	$269.47	$164.17 – $373.11
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Aetna — All Commercial: $315.07 Cigna — All Commercial: $373.11 Superior — Medicaid: $164.17 United Healthcare — All Commercial: $364.82
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHR/SURG DEBRIDEMENT	$1,062	$690.30	$807.12 – $5,290.46
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — All Commercial: $807.12 Aetna Medicare Advantage — Medicare Advantage: $3,503.03 Blue Cross - Blue Advantage — HMO: $2,539.42 Blue Cross - PPO/Par — PPO: $5,290.46 Blue Cross Essentials — HMO: $4,761.41 Cigna — All Commercial: $955.80 Humana Medicare Advantage — Medicare Advantage: $3,503.03 Superior — Medicaid: $1,088.27 United Healthcare — All Commercial: $934.56 United Healthcare - Medicare Advantage — Medicare Advantage: $3,503.03
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: KNEE ARTHR/SURG DEBRIDEMENT	$1,062	$690.30	$637.20 – $955.80
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans Aetna — All Commercial: $807.12 Blue Cross - Blue Advantage — HMO: $637.20 Blue Cross - PPO/Par — PPO: $764.64 Blue Cross Essentials — HMO: $690.30 Cigna — All Commercial: $955.80 United Healthcare — All Commercial: $934.56
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$571	$371.15	$433.96 – $8,677.58
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — All Commercial: $433.96 Aetna Medicare Advantage — Medicare Advantage: $6,337.82 Blue Cross - Blue Advantage — HMO: $4,165.24 Blue Cross - PPO/Par — PPO: $8,677.58 Blue Cross Essentials — HMO: $7,809.82 Cigna — All Commercial: $513.90 Humana Medicare Advantage — Medicare Advantage: $6,337.82 Superior — Medicaid: $1,954.22 United Healthcare — All Commercial: $502.48 United Healthcare - Medicare Advantage — Medicare Advantage: $6,337.82
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: REMOVE TONSILS AND ADENOIDS	$571	$371.15	$342.60 – $513.90
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans Aetna — All Commercial: $433.96 Blue Cross - Blue Advantage — HMO: $342.60 Blue Cross - PPO/Par — PPO: $411.12 Blue Cross Essentials — HMO: $371.15 Cigna — All Commercial: $513.90 United Healthcare — All Commercial: $502.48
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$494	$321.10	$334.95 – $1,486.98
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial: $375.44 Aetna Medicare Advantage — Medicare Advantage: $971.03 Blue Cross - Blue Advantage — HMO: $713.75 Blue Cross - PPO/Par — PPO: $1,486.98 Blue Cross Essentials — HMO: $1,338.28 Cigna — All Commercial: $444.60 Humana Medicare Advantage — Medicare Advantage: $971.03 Superior — Medicaid: $334.95 United Healthcare — All Commercial: $434.72 United Healthcare - Medicare Advantage — Medicare Advantage: $971.03
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$494	$321.10	$296.40 – $444.60
Upper GI endoscopy (diagnostic): rates for 6 insurance plans Aetna — All Commercial: $375.44 Blue Cross - Blue Advantage — HMO: $296.40 Blue Cross - PPO/Par — PPO: $355.68 Blue Cross Essentials — HMO: $321.10 Cigna — All Commercial: $444.60 United Healthcare — All Commercial: $434.72
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY, BIOPSY	$658	$427.70	$334.95 – $1,486.98
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial: $500.08 Aetna Medicare Advantage — Medicare Advantage: $971.03 Blue Cross - Blue Advantage — HMO: $713.75 Blue Cross - PPO/Par — PPO: $1,486.98 Blue Cross Essentials — HMO: $1,338.28 Cigna — All Commercial: $592.20 Humana Medicare Advantage — Medicare Advantage: $971.03 Superior — Medicaid: $334.95 United Healthcare — All Commercial: $579.04 United Healthcare - Medicare Advantage — Medicare Advantage: $971.03
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: UPPER GI ENDOSCOPY, BIOPSY	$658	$427.70	$394.80 – $592.20
Upper GI endoscopy with biopsy: rates for 6 insurance plans Aetna — All Commercial: $500.08 Blue Cross - Blue Advantage — HMO: $394.80 Blue Cross - PPO/Par — PPO: $473.76 Blue Cross Essentials — HMO: $427.70 Cigna — All Commercial: $592.20 United Healthcare — All Commercial: $579.04
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	$307	$199.55	$233.32 – $1,419.96
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial: $233.32 Aetna Medicare Advantage — Medicare Advantage: $995.63 Blue Cross - Blue Advantage — HMO: $681.58 Blue Cross - PPO/Par — PPO: $1,419.96 Blue Cross Essentials — HMO: $1,277.96 Cigna — All Commercial: $276.30 Humana Medicare Advantage — Medicare Advantage: $995.63 Superior — Medicaid: $328.50 United Healthcare — All Commercial: $270.16 United Healthcare - Medicare Advantage — Medicare Advantage: $995.63
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: DIAGNOSTIC COLONOSCOPY	$307	$199.55	$184.20 – $276.30
Colonoscopy (diagnostic): rates for 6 insurance plans Aetna — All Commercial: $233.32 Blue Cross - Blue Advantage — HMO: $184.20 Blue Cross - PPO/Par — PPO: $221.04 Blue Cross Essentials — HMO: $199.55 Cigna — All Commercial: $276.30 United Healthcare — All Commercial: $270.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$781	$507.65	$429.26 – $1,872.78
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial: $593.56 Aetna Medicare Advantage — Medicare Advantage: $1,281.13 Blue Cross - Blue Advantage — HMO: $898.93 Blue Cross - PPO/Par — PPO: $1,872.78 Blue Cross Essentials — HMO: $1,685.50 Cigna — All Commercial: $702.90 Humana Medicare Advantage — Medicare Advantage: $1,281.13 Superior — Medicaid: $429.26 United Healthcare — All Commercial: $687.28 United Healthcare - Medicare Advantage — Medicare Advantage: $1,281.13
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: COLONOSCOPY AND BIOPSY	$781	$507.65	$468.60 – $702.90
Colonoscopy with biopsy: rates for 6 insurance plans Aetna — All Commercial: $593.56 Blue Cross - Blue Advantage — HMO: $468.60 Blue Cross - PPO/Par — PPO: $562.32 Blue Cross Essentials — HMO: $507.65 Cigna — All Commercial: $702.90 United Healthcare — All Commercial: $687.28
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: LESION REMOVAL COLONOSCOPY	$824	$535.60	$429.26 – $1,872.78
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — All Commercial: $626.24 Aetna Medicare Advantage — Medicare Advantage: $1,281.13 Blue Cross - Blue Advantage — HMO: $898.93 Blue Cross - PPO/Par — PPO: $1,872.78 Blue Cross Essentials — HMO: $1,685.50 Cigna — All Commercial: $741.60 Humana Medicare Advantage — Medicare Advantage: $1,281.13 Superior — Medicaid: $429.26 United Healthcare — All Commercial: $725.12 United Healthcare - Medicare Advantage — Medicare Advantage: $1,281.13
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: LESION REMOVAL COLONOSCOPY	$824	$535.60	$494.40 – $741.60
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans Aetna — All Commercial: $626.24 Blue Cross - Blue Advantage — HMO: $494.40 Blue Cross - PPO/Par — PPO: $593.28 Blue Cross Essentials — HMO: $535.60 Cigna — All Commercial: $741.60 United Healthcare — All Commercial: $725.12
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLO CNCR SCR;COLNS NO HI RSK	$612	$397.80	$328.50 – $1,419.96
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — All Commercial: $465.12 Aetna Medicare Advantage — Medicare Advantage: $995.63 Blue Cross - Blue Advantage — HMO: $681.58 Blue Cross - PPO/Par — PPO: $1,419.96 Blue Cross Essentials — HMO: $1,277.96 Cigna — All Commercial: $550.80 Humana Medicare Advantage — Medicare Advantage: $995.63 Superior — Medicaid: $328.50 United Healthcare — All Commercial: $538.56 United Healthcare - Medicare Advantage — Medicare Advantage: $995.63
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: COLO CNCR SCR;COLNS NO HI RSK	$612	$397.80	$367.20 – $550.80
Screening colonoscopy (not high risk): rates for 6 insurance plans Aetna — All Commercial: $465.12 Blue Cross - Blue Advantage — HMO: $367.20 Blue Cross - PPO/Par — PPO: $440.64 Blue Cross Essentials — HMO: $397.80 Cigna — All Commercial: $550.80 United Healthcare — All Commercial: $538.56
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: 80 LAPOROSCOPIC CHOLECYSTECTOM	$1,301	$845.65	$988.76 – $8,977.36
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — All Commercial: $988.76 Aetna Medicare Advantage — Medicare Advantage: $6,472.39 Blue Cross - Blue Advantage — HMO: $4,309.13 Blue Cross - PPO/Par — PPO: $8,977.36 Blue Cross Essentials — HMO: $8,079.62 Cigna — All Commercial: $1,170.90 Humana Medicare Advantage — Medicare Advantage: $6,472.39 Superior — Medicaid: $1,888.85 United Healthcare — All Commercial: $1,144.88 United Healthcare - Medicare Advantage — Medicare Advantage: $6,472.39
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,301	$845.65	$988.76 – $8,977.36
Gallbladder removal by laparoscope: rates for 10 insurance plans Aetna — All Commercial: $988.76 Aetna Medicare Advantage — Medicare Advantage: $6,472.39 Blue Cross - Blue Advantage — HMO: $4,309.13 Blue Cross - PPO/Par — PPO: $8,977.36 Blue Cross Essentials — HMO: $8,079.62 Cigna — All Commercial: $1,170.90 Humana Medicare Advantage — Medicare Advantage: $6,472.39 Superior — Medicaid: $1,888.85 United Healthcare — All Commercial: $1,144.88 United Healthcare - Medicare Advantage — Medicare Advantage: $6,472.39
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: 80 LAPOROSCOPIC CHOLECYSTECTOM	$1,301	$845.65	$780.60 – $1,170.90
Gallbladder removal by laparoscope: rates for 6 insurance plans Aetna — All Commercial: $988.76 Blue Cross - Blue Advantage — HMO: $780.60 Blue Cross - PPO/Par — PPO: $936.72 Blue Cross Essentials — HMO: $845.65 Cigna — All Commercial: $1,170.90 United Healthcare — All Commercial: $1,144.88
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC>5 YR	$1,027	$667.55	$780.52 – $5,822.32
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — All Commercial: $780.52 Aetna Medicare Advantage — Medicare Advantage: $3,833.20 Blue Cross - Blue Advantage — HMO: $2,794.71 Blue Cross - PPO/Par — PPO: $5,822.32 Blue Cross Essentials — HMO: $5,240.09 Cigna — All Commercial: $924.30 Humana Medicare Advantage — Medicare Advantage: $3,833.20 Superior — Medicaid: $1,151.54 United Healthcare — All Commercial: $903.76 United Healthcare - Medicare Advantage — Medicare Advantage: $3,833.20
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: PRP I/HERN INIT REDUC>5 YR	$1,027	$667.55	$616.20 – $924.30
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans Aetna — All Commercial: $780.52 Blue Cross - Blue Advantage — HMO: $616.20 Blue Cross - PPO/Par — PPO: $739.44 Blue Cross Essentials — HMO: $667.55 Cigna — All Commercial: $924.30 United Healthcare — All Commercial: $903.76
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: MYOSURE TISSUE REMOV	$7,381.30	$4,797.85	$1,063.52 – $6,643.17
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — All Commercial: $5,609.79 Aetna Medicare Advantage — Medicare Advantage: $3,465.69 Blue Cross - Blue Advantage — HMO: $2,181.86 Blue Cross - PPO/Par — PPO: $4,545.54 Blue Cross Essentials — HMO: $4,090.99 Cigna — All Commercial: $6,643.17 Humana Medicare Advantage — Medicare Advantage: $3,465.69 Superior — Medicaid: $1,063.52 United Healthcare — All Commercial: $6,495.54 United Healthcare - Medicare Advantage — Medicare Advantage: $3,465.69
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY, BIOPSY	$2,585	$1,680.25	$1,063.52 – $4,545.54
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — All Commercial: $1,964.60 Aetna Medicare Advantage — Medicare Advantage: $3,465.69 Blue Cross - Blue Advantage — HMO: $2,181.86 Blue Cross - PPO/Par — PPO: $4,545.54 Blue Cross Essentials — HMO: $4,090.99 Cigna — All Commercial: $2,326.50 Humana Medicare Advantage — Medicare Advantage: $3,465.69 Superior — Medicaid: $1,063.52 United Healthcare — All Commercial: $2,274.80 United Healthcare - Medicare Advantage — Medicare Advantage: $3,465.69
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: MYOSURE TISSUE REMOV	$7,381.30	$4,797.85	$4,428.78 – $6,643.17
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans Aetna — All Commercial: $5,609.79 Blue Cross - Blue Advantage — HMO: $4,428.78 Blue Cross - PPO/Par — PPO: $5,314.54 Blue Cross Essentials — HMO: $4,797.85 Cigna — All Commercial: $6,643.17 United Healthcare — All Commercial: $6,495.54
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: EPID INJ LUMB OR SACRALW/IMAGE	$2,019	$1,312.35	$262.86 – $1,817.10
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — All Commercial: $1,534.44 Aetna Medicare Advantage — Medicare Advantage: $755.72 Blue Cross - Blue Advantage — HMO: $521.64 Blue Cross - PPO/Par — PPO: $1,086.76 Blue Cross Essentials — HMO: $978.08 Cigna — All Commercial: $1,817.10 Humana Medicare Advantage — Medicare Advantage: $755.72 Superior — Medicaid: $262.86 United Healthcare — All Commercial: $1,776.72 United Healthcare - Medicare Advantage — Medicare Advantage: $755.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INTERLAMINAR EPIDURAL INJ L/S	$2,019	$1,312.35	$262.86 – $1,817.10
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — All Commercial: $1,534.44 Aetna Medicare Advantage — Medicare Advantage: $755.72 Blue Cross - Blue Advantage — HMO: $521.64 Blue Cross - PPO/Par — PPO: $1,086.76 Blue Cross Essentials — HMO: $978.08 Cigna — All Commercial: $1,817.10 Humana Medicare Advantage — Medicare Advantage: $755.72 Superior — Medicaid: $262.86 United Healthcare — All Commercial: $1,776.72 United Healthcare - Medicare Advantage — Medicare Advantage: $755.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: EPID INJ LUMB OR SACRALW/IMAGE	$2,019	$1,312.35	$1,211.40 – $1,817.10
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans Aetna — All Commercial: $1,534.44 Blue Cross - Blue Advantage — HMO: $1,211.40 Blue Cross - PPO/Par — PPO: $1,453.68 Blue Cross Essentials — HMO: $1,312.35 Cigna — All Commercial: $1,817.10 United Healthcare — All Commercial: $1,776.72
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: CAUDAL NERVE BLOCK	$1,951	$1,268.15	$340.77 – $1,755.90
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — All Commercial: $1,482.76 Aetna Medicare Advantage — Medicare Advantage: $946.93 Blue Cross - Blue Advantage — HMO: $645.29 Blue Cross - PPO/Par — PPO: $1,344.36 Blue Cross Essentials — HMO: $1,209.92 Cigna — All Commercial: $1,755.90 Humana Medicare Advantage — Medicare Advantage: $946.93 Superior — Medicaid: $340.77 United Healthcare — All Commercial: $1,716.88 United Healthcare - Medicare Advantage — Medicare Advantage: $946.93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: TRANSFORAMIN L/S SINGLE LEV	$1,951	$1,268.15	$340.77 – $1,755.90
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — All Commercial: $1,482.76 Aetna Medicare Advantage — Medicare Advantage: $946.93 Blue Cross - Blue Advantage — HMO: $645.29 Blue Cross - PPO/Par — PPO: $1,344.36 Blue Cross Essentials — HMO: $1,209.92 Cigna — All Commercial: $1,755.90 Humana Medicare Advantage — Medicare Advantage: $946.93 Superior — Medicaid: $340.77 United Healthcare — All Commercial: $1,716.88 United Healthcare - Medicare Advantage — Medicare Advantage: $946.93
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: EPIDURAL STERIOD INJ	$1,951	$1,268.15	$340.77 – $1,755.90
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — All Commercial: $1,482.76 Aetna Medicare Advantage — Medicare Advantage: $946.93 Blue Cross - Blue Advantage — HMO: $645.29 Blue Cross - PPO/Par — PPO: $1,344.36 Blue Cross Essentials — HMO: $1,209.92 Cigna — All Commercial: $1,755.90 Humana Medicare Advantage — Medicare Advantage: $946.93 Superior — Medicaid: $340.77 United Healthcare — All Commercial: $1,716.88 United Healthcare - Medicare Advantage — Medicare Advantage: $946.93
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	$837	$544.05	$636.12 – $3,221
Carpal tunnel release: rates for 10 insurance plans Aetna — All Commercial: $636.12 Aetna Medicare Advantage — Medicare Advantage: $2,090.61 Blue Cross - Blue Advantage — HMO: $1,546.08 Blue Cross - PPO/Par — PPO: $3,221 Blue Cross Essentials — HMO: $2,898.90 Cigna — All Commercial: $753.30 Humana Medicare Advantage — Medicare Advantage: $2,090.61 Superior — Medicaid: $659.94 United Healthcare — All Commercial: $736.56 United Healthcare - Medicare Advantage — Medicare Advantage: $2,090.61
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: CARPAL TUNNEL SURGERY	$837	$544.05	$502.20 – $753.30
Carpal tunnel release: rates for 6 insurance plans Aetna — All Commercial: $636.12 Blue Cross - Blue Advantage — HMO: $502.20 Blue Cross - PPO/Par — PPO: $602.64 Blue Cross Essentials — HMO: $544.05 Cigna — All Commercial: $753.30 United Healthcare — All Commercial: $736.56

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE INCL ANTE CAR	$4,117	$2,676.05	$1,630.33 – $4,300.90
Vaginal delivery, with care before and after: rates for 7 insurance plans Aetna — All Commercial: $3,128.92 Blue Cross - Blue Advantage — HMO: $2,064.43 Blue Cross - PPO/Par — PPO: $4,300.90 Blue Cross Essentials — HMO: $3,870.81 Cigna — All Commercial: $3,705.30 Superior — Medicaid: $1,630.33 United Healthcare — All Commercial: $3,622.96
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: OBSTETRICAL CARE INCL ANTE CAR	$4,117	$2,676.05	$2,470.20 – $3,705.30
Vaginal delivery, with care before and after: rates for 6 insurance plans Aetna — All Commercial: $3,128.92 Blue Cross - Blue Advantage — HMO: $2,470.20 Blue Cross - PPO/Par — PPO: $2,964.24 Blue Cross Essentials — HMO: $2,676.05 Cigna — All Commercial: $3,705.30 United Healthcare — All Commercial: $3,622.96
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: 80 CESAREAN DELIVERY	$6,263.33	$4,071.16	$2,289.75 – $5,637
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Aetna — All Commercial: $4,760.13 Blue Cross - Blue Advantage — HMO: $2,289.75 Blue Cross - PPO/Par — PPO: $4,770.32 Blue Cross Essentials — HMO: $4,293.29 Cigna — All Commercial: $5,637 Superior — Medicaid: $2,480.28 United Healthcare — All Commercial: $5,511.73
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	$6,263.33	$4,071.16	$2,289.75 – $5,637
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Aetna — All Commercial: $4,760.13 Blue Cross - Blue Advantage — HMO: $2,289.75 Blue Cross - PPO/Par — PPO: $4,770.32 Blue Cross Essentials — HMO: $4,293.29 Cigna — All Commercial: $5,637 Superior — Medicaid: $2,480.28 United Healthcare — All Commercial: $5,511.73
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: 80 CESAREAN DELIVERY	$6,263.33	$4,071.16	$3,758 – $5,637
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans Aetna — All Commercial: $4,760.13 Blue Cross - Blue Advantage — HMO: $3,758 Blue Cross - PPO/Par — PPO: $4,509.60 Blue Cross Essentials — HMO: $4,071.16 Cigna — All Commercial: $5,637 United Healthcare — All Commercial: $5,511.73
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC,delv proc after prev Csec	$5,925.20	$3,851.38	$2,173.31 – $5,332.68
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Aetna — All Commercial: $4,503.15 Blue Cross - Blue Advantage — HMO: $2,173.31 Blue Cross - PPO/Par — PPO: $4,527.72 Blue Cross Essentials — HMO: $4,074.95 Cigna — All Commercial: $5,332.68 Superior — Medicaid: $2,346.38 United Healthcare — All Commercial: $5,214.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: 80 VBAC,delv proc p prev Csect	$5,925.20	$3,851.38	$2,173.31 – $5,332.68
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Aetna — All Commercial: $4,503.15 Blue Cross - Blue Advantage — HMO: $2,173.31 Blue Cross - PPO/Par — PPO: $4,527.72 Blue Cross Essentials — HMO: $4,074.95 Cigna — All Commercial: $5,332.68 Superior — Medicaid: $2,346.38 United Healthcare — All Commercial: $5,214.18
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: VBAC,delv proc after prev Csec	$5,925.20	$3,851.38	$3,555.12 – $5,332.68
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans Aetna — All Commercial: $4,503.15 Blue Cross - Blue Advantage — HMO: $3,555.12 Blue Cross - PPO/Par — PPO: $4,266.14 Blue Cross Essentials — HMO: $3,851.38 Cigna — All Commercial: $5,332.68 United Healthcare — All Commercial: $5,214.18

Source: Val Verde Regional Medical Center’s standard charges file (vvrmc.slicedhealth.io, 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	801 Bedell Ave, Del Rio, TX 78840
County	Val Verde County
State	Texas
Phone	(830) 775‑8566
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450154
Name in Medicare records	VAL VERDE REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	vvrmc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Val Verde Regional Medical Center — vvrmc.org
Emergency Room — vvrmc.org
Visitor Information — vvrmc.org
Hospital-Based Contract Services | Val Verde Regional Medical Center — vvrmc.org
VVRMC Pediatric Rehab Services — vvrmc.org
VVRMC Emergency Department | Val Verde Regional Medical Center — vvrmc.org
Emergency Medical Services | Val Verde Regional Medical Center — vvrmc.org
Imaging/Radiology | Val Verde Regional Medical Center — vvrmc.org
VVRMC Occupational Therapy — vvrmc.org
VVRMC Physical Therapy Rehabilitation — vvrmc.org
VVRMC Speech Therapy — vvrmc.org
VVRMC Wound Care Services — vvrmc.org
Supervised exercise therapy | Val Verde Regional Medical Center — vvrmc.org
VVRMC Orthopedic Services — vvrmc.org
Heart Health Clinic | Val Verde Regional Medical Center — vvrmc.org