Does Valley Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Valley Hospital. In a medical emergency, call 911.

Where is Valley Hospital?

4 Valley Health Plaza, Paramus, NJ 07652, in Bergen County, New Jersey.

What is the phone number of Valley Hospital?

(201) 447-8000, as listed by Medicare (CMS).

What is the Medicare star rating of Valley Hospital?

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

Valley Hospital — Paramus, NJ

Quick answers

Does Valley Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Valley Hospital. In a medical emergency, call 911.
Where is Valley Hospital?: 4 Valley Health Plaza, Paramus, NJ 07652, in Bergen County, New Jersey.
What is the phone number of Valley Hospital?: (201) 447-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Valley Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][7][8][9][11]}

Cancer Care
Heart Care
Neurosciences
Children's Health
Emergency Medicine
Diagnostic Imaging
Center for Childbirth
Pediatric Orthopedics
Breast Imaging
Radiation Oncology

Conditions treated^[11]

Breast Cancer
Invasive Ductal Carcinoma
Invasive Lobular Carcinoma
Ductal Carcinoma in Situ (DCIS)
Lobular Carcinoma in Situ (LCIS)

Treatments^{[4][8][9][11][15][16]}

Fertility care
Weight loss and wellness
Home care
Breast MRI
Screening and diagnostic mammogram
3D mammography (tomosynthesis)
Breast ultrasound
Lumpectomy and mastectomy
Scalp cooling
Genetic counseling and testing
Clinical trials
Immunotherapy
Stereotactic body radiosurgery
Gamma Knife
Fast-track colonoscopy

Procedures^{[4][8][11][15]}

Breast imaging
Core biopsy
Fine-needle aspiration
Stereotactic breast biopsy
Sentinel lymph node mapping
Breast seed localization
Robotic surgery
Video-assisted thoracic surgery (VATS)
Oncoplastic breast surgery

Programs and centers^{[4][5][6][8][10][11][13][15][16]}

Recovery and Wellness Unit
Graduate Medical Education
Emergency Department
Clinical Decision Unit
Breast Cancer Program
Breast Imaging Center
Lung Cancer Program
Colon Cancer Program
Cancer Genetics Program
Center for Childbirth
Neonatal Intensive Care Unit (Level 3)
Pediatric Intensive Care Unit
Pediatric epilepsy monitoring unit

Emergency care (hospital website)^[5][6][12]

Emergency room	Yes
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Patient portal	https://www.valleyhealth.com/patient-portals

Recognition^{[4][5][11][12][15]}

ACEP Geriatric Emergency Department Accreditation (GEDA)
Emergency Nurses Association Lantern Award 2026
U.S. News & World Report Best Hospitals in New Jersey 2026-27, top 10
Advanced Primary Stroke Center (The Joint Commission)
Lantern Award (Emergency Nurses Association) 2026
Geriatric Emergency Department Accreditation (ACEP)
Full Breast Center accreditation (National Accreditation Program for Breast Centers)
Commission on Cancer accreditation
Ranked among best hospitals in New Jersey (U.S. News & World Report) 2026

Doctors and clinicians (1,409)

1,409 doctors and other clinicians list Valley Hospital 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 1,385 more: the button below opens the full list.

Other emergency rooms nearby

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

Bergen New Bridge Medical Center0.0 mi · Paramus, NJ · Acute Care Hospital
Hackensack Meridian Health Pascack Valley Medical3.8 mi · Westwood, NJ · Acute Care Hospital
Hackensack University Medical Center4.4 mi · Hackensack, NJ · Acute Care Hospital
Holy Name Medical Center5.6 mi · Teaneck, NJ · Acute Care Hospital
St Joseph's University Medical Center Inc5.9 mi · Paterson, NJ · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital Northeast3.4 mi · Rochelle Park, NJ · Long-Term Acute Care Hospital
Ramapo Ridge Behavioral Health Hospital5.9 mi · Wyckoff, NJ · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Careone at Ridgewood Avenue0.0 mi · Paramus, NJ · 3 of 5 stars
Dellridge Health & Rehabilitation Center0.8 mi · Paramus, NJ · 2 of 5 stars
New Jersey Veterans Memorial Home at Paramus0.9 mi · Paramus, NJ · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Valley Hospice0.0 mi · Paramus, NJ · 4 of 5 stars
Life Source Services LLC2.1 mi · Oradell, NJ
Amedisys Hospice4.2 mi · Hackensack, NJ · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Valley Home Care Inc.0.0 mi · Paramus, NJ
Ascend Home Health2.8 mi · Rochelle Park, NJ · 3 of 5 stars
Amedisys Home Health4.2 mi · Hackensack, NJ

All home health agencies in the state →

Dialysis facilities

DaVita Paramus0.0 mi · Paramus, NJ · 5 of 5 stars
FMC Paramus0.0 mi · Paramus, NJ · 5 of 5 stars
DaVita Radburn Dialysis2.6 mi · Fair Lawn, NJ · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Center for Cosmetic & Reconstructive Surgery0.0 mi · Paramus, NJ
Endoscopy Center of Bergen County0.0 mi · Paramus, NJ
New Century Spine and Outpatient Surgical Institue0.0 mi · Paramus, NJ

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

North Hudson Community Action Corporation Health Center@ Hackensack4.6 mi · Hackensack, NJ · Community health center
North Hudson Community Action Corporation Health Center @ Garfield4.8 mi · Garfield, NJ · Community health center
Broadway Clinic5.3 mi · Paterson, NJ · Community health center

Clinics and urgent care

City Medical of New Jersey, PC0.0 mi · Paramus, NJ · Urgent care center
City Medical of New Jersey, PC0.0 mi · Paramus, NJ · Urgent care center
DRX Paramus, LLC0.0 mi · Paramus, NJ · Urgent care center

Pharmacies

Bergen County Improvement Authority0.0 mi · Paramus, NJ · Clinic pharmacy
Bergen Mall NJ CVS Inc0.0 mi · Paramus, NJ · Community/retail pharmacy
BFP Apothecary Inc0.0 mi · Paramus, NJ · Community/retail pharmacy

Assisted living nearby

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

Promenade at Blue Hill8.5 mi · Pearl River, NY
Brightview Lake Tappan9.0 mi · Orangeburg, NY
RiverSpring Assisted Living9.1 mi · Bronx, NY
RiverSpring Residences9.1 mi · New York, NY

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	5 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	79%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	60%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	83%National average: 74%
Area around the room “always” quiet at night	68%National average: 60%
Completed surveys	1,370Response rate: 29%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.866No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.447No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.689No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.195Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	13%
Deaths within 30 days: heart failure patients	12.9%
Deaths within 30 days: pneumonia patients	15.2%
Deaths within 30 days: COPD patients	10.8%
Deaths within 30 days: stroke patients	8.8%
Deaths within 30 days: coronary bypass surgery (CABG)	2.1%
Serious complications (patient safety indicator PSI-90)	1.21No different from the national rate
Complications after hip or knee replacement	3.8%

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	15%
Readmitted within 30 days: heart failure	20.6%
Readmitted within 30 days: pneumonia	18.8%
Readmitted within 30 days: COPD	20.6%
Readmitted within 30 days: coronary bypass surgery	14.1%
Readmitted within 30 days: hip or knee replacement	5.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	227 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)	52%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 Paramus Best hospitals in New Jersey

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Valley Hospital 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)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFFICE CONSULT - UP TO 40 MIN	$809	$485.40	$137.16 – $703.83
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates Aetna — Commercial: $533.94 Amerihealth — Commercial: $566.30 Cigna — Commercial: $566.30 Cigna — Local Plus: $455.47 Horizon — HMO: $687.65 Horizon — NJ Health: $137.16 Horizon — PPO: $687.65 Horizon — SHBP: $647.20 Qualcare — Commercial: $606.75 UHC — Americhoice: $181.05
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFFICE CONSULT - UP TO 60 MIN	$986	$591.60	$193.13 – $857.82
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates Aetna — Commercial: $650.76 Amerihealth — Commercial: $690.20 Cigna — Commercial: $690.20 Cigna — Local Plus: $555.12 Horizon — HMO: $838.10 Horizon — NJ Health: $193.13 Horizon — PPO: $838.10 Horizon — SHBP: $788.80 Qualcare — Commercial: $739.50 UHC — Americhoice: $220.67
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: INITIAL TOBACCO ASSESSMENT	$65	$39	$14.55 – $373
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates Aetna — Commercial: $42.90 Amerihealth — Commercial: $45.50 Cigna — Commercial: $45.50 Cigna — Local Plus: $36.59 Horizon — HMO: $55.25 Horizon — NJ Health: $68.48 Horizon — PPO: $55.25 Horizon — SHBP: $52 Qualcare — Commercial: $48.75 UHC — Americhoice: $14.55
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER VISIT - LEVEL 3	$1,775	$1,065	$140 – $2,734
Emergency room visit (moderate): 10 of 20 insurance plan rates Aetna — Commercial: $2,691 Aetna — Medicare Advantage: $324.30 Aetna — Whole Hlth: $625.91 Amerihealth — Commercial: $975 Centivo — Commercial: $599.96 Cigna — Commercial: $2,300 Cigna — Local Plus: $999.33 Clover — Medicare Advantage: $324.30 Horizon — HMO: $2,720 Horizon — NJ Health: $427
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER VISIT - LEVEL IV	$2,206	$1,323.60	$140 – $2,734
Emergency room visit (moderately high): 10 of 20 insurance plan rates Aetna — Commercial: $2,691 Aetna — Medicare Advantage: $495.72 Aetna — Whole Hlth: $956.74 Amerihealth — Commercial: $975 Centivo — Commercial: $917.08 Cigna — Commercial: $2,300 Cigna — Local Plus: $1,241.98 Clover — Medicare Advantage: $495.72 Horizon — HMO: $2,720 Horizon — NJ Health: $709
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER VISIT - LEVEL V	$2,663	$1,597.80	$140 – $2,734
Emergency room visit (high): 10 of 20 insurance plan rates Aetna — Commercial: $2,691 Aetna — Medicare Advantage: $707.51 Aetna — Whole Hlth: $1,365.49 Amerihealth — Commercial: $975 Centivo — Commercial: $1,308.89 Cigna — Commercial: $2,300 Cigna — Local Plus: $1,499.27 Clover — Medicare Advantage: $707.51 Horizon — HMO: $2,720 Horizon — NJ Health: $1,426

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$69	$41.40	$6.77 – $58.65
Basic metabolic panel (blood test): 10 of 20 insurance plan rates Aetna — Commercial: $26.99 Aetna — Medicare Advantage: $8.46 Aetna — Whole Hlth: $16.33 Amerihealth — Commercial: $48.30 Centivo — Commercial: $15.65 Cigna — Commercial: $22 Cigna — Local Plus: $38.85 Clover — Medicare Advantage: $8.46 Horizon — HMO: $58.65 Horizon — NJ Health: $14.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$96	$57.60	$8.45 – $81.60
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates Aetna — Commercial: $33.69 Aetna — Medicare Advantage: $10.56 Aetna — Whole Hlth: $20.38 Amerihealth — Commercial: $67.20 Centivo — Commercial: $19.54 Cigna — Commercial: $27.44 Cigna — Local Plus: $54.05 Clover — Medicare Advantage: $10.56 Horizon — HMO: $81.60 Horizon — NJ Health: $17.91
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$69	$41.40	$10.71 – $58.65
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates Aetna — Commercial: $42.71 Aetna — Medicare Advantage: $13.39 Aetna — Whole Hlth: $25.84 Amerihealth — Commercial: $48.30 Centivo — Commercial: $24.77 Cigna — Commercial: $34.80 Cigna — Local Plus: $38.85 Clover — Medicare Advantage: $13.39 Horizon — HMO: $58.65 Horizon — NJ Health: $22.71
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$197	$118.20	$6.94 – $167.45
Kidney function panel: 10 of 20 insurance plan rates Aetna — Commercial: $27.69 Aetna — Medicare Advantage: $8.68 Aetna — Whole Hlth: $16.75 Amerihealth — Commercial: $137.90 Centivo — Commercial: $16.06 Cigna — Commercial: $22.56 Cigna — Local Plus: $110.91 Clover — Medicare Advantage: $8.68 Horizon — HMO: $167.45 Horizon — NJ Health: $14.71
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL A	$69	$41.40	$6.54 – $58.65
Liver function panel: 10 of 20 insurance plan rates Aetna — Commercial: $26.06 Aetna — Medicare Advantage: $8.17 Aetna — Whole Hlth: $15.77 Amerihealth — Commercial: $48.30 Centivo — Commercial: $15.11 Cigna — Commercial: $21.24 Cigna — Local Plus: $38.85 Clover — Medicare Advantage: $8.17 Horizon — HMO: $58.65 Horizon — NJ Health: $13.86
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: ROUTINE URINAL AUTO W MICRO	$41	$24.60	$2.54 – $34.85
Urine test (automated, with microscope): 10 of 20 insurance plan rates Aetna — Commercial: $10.11 Aetna — Medicare Advantage: $3.17 Aetna — Whole Hlth: $6.12 Amerihealth — Commercial: $28.70 Centivo — Commercial: $5.86 Cigna — Commercial: $8.24 Cigna — Local Plus: $23.08 Clover — Medicare Advantage: $3.17 Horizon — HMO: $34.85 Horizon — NJ Health: $5.38
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: RUTNE URINE (QUICK) WO MICRO	$41	$24.60	$1.80 – $34.85
Urine test (automated, without microscope): 10 of 20 insurance plan rates Aetna — Commercial: $7.18 Aetna — Medicare Advantage: $2.25 Aetna — Whole Hlth: $4.34 Amerihealth — Commercial: $28.70 Centivo — Commercial: $4.16 Cigna — Commercial: $5.84 Cigna — Local Plus: $23.08 Clover — Medicare Advantage: $2.25 Horizon — HMO: $34.85 Horizon — NJ Health: $3.82
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL 6071654	$95	$57	$14.71 – $80.75
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates Aetna — Commercial: $58.66 Aetna — Medicare Advantage: $18.39 Aetna — Whole Hlth: $35.49 Amerihealth — Commercial: $66.50 Centivo — Commercial: $34.02 Cigna — Commercial: $47.80 Cigna — Local Plus: $53.48 Clover — Medicare Advantage: $18.39 Horizon — HMO: $80.75 Horizon — NJ Health: $31.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSAU	$62	$37.20	$14.71 – $58.66
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates Aetna — Commercial: $58.66 Aetna — Medicare Advantage: $18.39 Aetna — Whole Hlth: $35.49 Amerihealth — Commercial: $43.40 Centivo — Commercial: $34.02 Cigna — Commercial: $47.80 Cigna — Local Plus: $34.91 Clover — Medicare Advantage: $18.39 Horizon — HMO: $52.70 Horizon — NJ Health: $31.19
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: TOTAL PROSTAT SPEC ANTIGEN	$95	$57	$14.71 – $80.75
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates Aetna — Commercial: $58.66 Aetna — Medicare Advantage: $18.39 Aetna — Whole Hlth: $35.49 Amerihealth — Commercial: $66.50 Centivo — Commercial: $34.02 Cigna — Commercial: $47.80 Cigna — Local Plus: $53.48 Clover — Medicare Advantage: $18.39 Horizon — HMO: $80.75 Horizon — NJ Health: $31.19
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: FCUIP Chron Urticaria Inde Pan	$192	$115.20	$13.44 – $163.20
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Aetna — Commercial: $53.59 Aetna — Medicare Advantage: $16.80 Aetna — Whole Hlth: $32.42 Amerihealth — Commercial: $134.40 Centivo — Commercial: $31.08 Cigna — Commercial: $43.68 Cigna — Local Plus: $108.10 Clover — Medicare Advantage: $16.80 Horizon — HMO: $163.20 Horizon — NJ Health: $28.49
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH with HAMA Treatment	$62	$37.20	$13.44 – $53.59
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Aetna — Commercial: $53.59 Aetna — Medicare Advantage: $16.80 Aetna — Whole Hlth: $32.42 Amerihealth — Commercial: $43.40 Centivo — Commercial: $31.08 Cigna — Commercial: $43.68 Cigna — Local Plus: $34.91 Clover — Medicare Advantage: $16.80 Horizon — HMO: $52.70 Horizon — NJ Health: $28.49
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: T.S.H.	$128	$76.80	$13.44 – $108.80
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates Aetna — Commercial: $53.59 Aetna — Medicare Advantage: $16.80 Aetna — Whole Hlth: $32.42 Amerihealth — Commercial: $89.60 Centivo — Commercial: $31.08 Cigna — Commercial: $43.68 Cigna — Local Plus: $72.06 Clover — Medicare Advantage: $16.80 Horizon — HMO: $108.80 Horizon — NJ Health: $28.49
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC-AUTO W/ AUTO-DIFF	$82	$49.20	$6.22 – $69.70
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates Aetna — Commercial: $24.79 Aetna — Medicare Advantage: $7.77 Aetna — Whole Hlth: $15 Amerihealth — Commercial: $57.40 Centivo — Commercial: $14.37 Cigna — Commercial: $20.20 Cigna — Local Plus: $46.17 Clover — Medicare Advantage: $7.77 Horizon — HMO: $69.70 Horizon — NJ Health: $13.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC-AUTO W PLTLTS NO DIFF	$60	$36	$5.18 – $51
Complete blood count (CBC), automated: 10 of 20 insurance plan rates Aetna — Commercial: $20.64 Aetna — Medicare Advantage: $6.47 Aetna — Whole Hlth: $12.49 Amerihealth — Commercial: $42 Centivo — Commercial: $11.97 Cigna — Commercial: $16.84 Cigna — Local Plus: $33.78 Clover — Medicare Advantage: $6.47 Horizon — HMO: $51 Horizon — NJ Health: $10.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$45	$27	$3.43 – $38.25
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates Aetna — Commercial: $13.69 Aetna — Medicare Advantage: $4.29 Aetna — Whole Hlth: $8.28 Amerihealth — Commercial: $31.50 Centivo — Commercial: $7.94 Cigna — Commercial: $11.16 Cigna — Local Plus: $25.34 Clover — Medicare Advantage: $4.29 Horizon — HMO: $38.25 Horizon — NJ Health: $7.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME 6075692	$37	$22.20	$3.43 – $31.45
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates Aetna — Commercial: $13.69 Aetna — Medicare Advantage: $4.29 Aetna — Whole Hlth: $8.28 Amerihealth — Commercial: $25.90 Centivo — Commercial: $7.94 Cigna — Commercial: $11.16 Cigna — Local Plus: $20.83 Clover — Medicare Advantage: $4.29 Horizon — HMO: $31.45 Horizon — NJ Health: $7.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME	$41	$24.60	$3.43 – $34.85
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates Aetna — Commercial: $13.69 Aetna — Medicare Advantage: $4.29 Aetna — Whole Hlth: $8.28 Amerihealth — Commercial: $28.70 Centivo — Commercial: $7.94 Cigna — Commercial: $11.16 Cigna — Local Plus: $23.08 Clover — Medicare Advantage: $4.29 Horizon — HMO: $34.85 Horizon — NJ Health: $7.27
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMB TIME PARTIAL6075497	$99	$59.40	$4.81 – $84.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Aetna — Commercial: $19.17 Aetna — Medicare Advantage: $6.01 Aetna — Whole Hlth: $11.60 Amerihealth — Commercial: $69.30 Centivo — Commercial: $11.12 Cigna — Commercial: $15.64 Cigna — Local Plus: $55.74 Clover — Medicare Advantage: $6.01 Horizon — HMO: $84.15 Horizon — NJ Health: $10.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLAST TIME PART 6075692	$51	$30.60	$4.81 – $43.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Aetna — Commercial: $19.17 Aetna — Medicare Advantage: $6.01 Aetna — Whole Hlth: $11.60 Amerihealth — Commercial: $35.70 Centivo — Commercial: $11.12 Cigna — Commercial: $15.64 Cigna — Local Plus: $28.71 Clover — Medicare Advantage: $6.01 Horizon — HMO: $43.35 Horizon — NJ Health: $10.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: aPTT LA	$94	$56.40	$4.81 – $79.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates Aetna — Commercial: $19.17 Aetna — Medicare Advantage: $6.01 Aetna — Whole Hlth: $11.60 Amerihealth — Commercial: $65.80 Centivo — Commercial: $11.12 Cigna — Commercial: $15.64 Cigna — Local Plus: $52.92 Clover — Medicare Advantage: $6.01 Horizon — HMO: $79.90 Horizon — NJ Health: $10.20

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O C.M.	$746	$447.60	$117.05 – $559.50
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $169.71 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $522.20 Centivo — Commercial: $229.78 Cigna — Commercial: $198.93 Cigna — Local Plus: $420 Clover — Medicare Advantage: $124.20 Horizon — HMO: $183.85 Horizon — NJ Health: $117.05
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: GAMMA KNIFE CT HEAD W/O C.M.	$746	$447.60	$117.05 – $559.50
CT scan of the head or brain, without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $169.71 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $522.20 Centivo — Commercial: $229.78 Cigna — Commercial: $198.93 Cigna — Local Plus: $420 Clover — Medicare Advantage: $124.20 Horizon — HMO: $183.85 Horizon — NJ Health: $117.05
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/O & WITH CON	$3,500	$2,100	$353.11 – $2,625
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates Aetna — Commercial: $535.30 Aetna — Medicare Advantage: $414.47 Aetna — Whole Hlth: $799.93 Amerihealth — Commercial: $2,450 Centivo — Commercial: $766.77 Cigna — Commercial: $627.84 Cigna — Local Plus: $1,970.50 Clover — Medicare Advantage: $414.47 Horizon — HMO: $743.51 Horizon — NJ Health: $353.11
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MR BRAIN AND PITUITARY	$3,500	$2,100	$353.11 – $2,625
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates Aetna — Commercial: $535.30 Aetna — Medicare Advantage: $414.47 Aetna — Whole Hlth: $799.93 Amerihealth — Commercial: $2,450 Centivo — Commercial: $766.77 Cigna — Commercial: $627.84 Cigna — Local Plus: $1,970.50 Clover — Medicare Advantage: $414.47 Horizon — HMO: $743.51 Horizon — NJ Health: $353.11
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: GAMMA KNIFE BRAIN W/O & W CON	$2,831	$1,698.60	$353.11 – $2,123.25
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates Aetna — Commercial: $535.30 Aetna — Medicare Advantage: $414.47 Aetna — Whole Hlth: $799.93 Amerihealth — Commercial: $1,981.70 Centivo — Commercial: $766.77 Cigna — Commercial: $627.84 Cigna — Local Plus: $1,593.85 Clover — Medicare Advantage: $414.47 Horizon — HMO: $743.51 Horizon — NJ Health: $353.11
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	$431	$258.60	$23.28 – $323.25
Chest X-ray, 2 views: 10 of 20 insurance plan rates Aetna — Commercial: $58.21 Aetna — Medicare Advantage: $103.39 Aetna — Whole Hlth: $199.54 Amerihealth — Commercial: $301.70 Centivo — Commercial: $191.27 Cigna — Commercial: $113.20 Cigna — Local Plus: $242.65 Clover — Medicare Advantage: $103.39 Horizon — HMO: $23.28 Horizon — NJ Health: $36.36
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: EXPIRATION X-RAY SPECIAL VIEW	$385	$231	$23.28 – $288.75
Chest X-ray, 2 views: 10 of 20 insurance plan rates Aetna — Commercial: $58.21 Aetna — Medicare Advantage: $103.39 Aetna — Whole Hlth: $199.54 Amerihealth — Commercial: $269.50 Centivo — Commercial: $191.27 Cigna — Commercial: $113.20 Cigna — Local Plus: $216.75 Clover — Medicare Advantage: $103.39 Horizon — HMO: $23.28 Horizon — NJ Health: $36.36
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST DECUBITUS VIEWS BILATERA	$385	$231	$23.28 – $288.75
Chest X-ray, 2 views: 10 of 20 insurance plan rates Aetna — Commercial: $58.21 Aetna — Medicare Advantage: $103.39 Aetna — Whole Hlth: $199.54 Amerihealth — Commercial: $269.50 Centivo — Commercial: $191.27 Cigna — Commercial: $113.20 Cigna — Local Plus: $216.75 Clover — Medicare Advantage: $103.39 Horizon — HMO: $23.28 Horizon — NJ Health: $36.36
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR SPINE MIN 4 VIEWS	$593	$355.80	$44.71 – $444.75
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates Aetna — Commercial: $102.98 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $415.10 Centivo — Commercial: $229.78 Cigna — Commercial: $190.85 Cigna — Local Plus: $333.86 Clover — Medicare Advantage: $124.20 Horizon — HMO: $44.71 Horizon — NJ Health: $56.33
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR SPINE AP LAT FLEX/EXT	$593	$355.80	$44.71 – $444.75
X-ray of the lower spine, at least 4 views: 10 of 20 insurance plan rates Aetna — Commercial: $102.98 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $415.10 Centivo — Commercial: $229.78 Cigna — Commercial: $190.85 Cigna — Local Plus: $333.86 Clover — Medicare Advantage: $124.20 Horizon — HMO: $44.71 Horizon — NJ Health: $56.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUM SPINE W/O CONTR	$1,463	$877.80	$211.94 – $1,097.25
MRI of the lower back (lumbar spine), without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $311.54 Aetna — Medicare Advantage: $283.47 Aetna — Whole Hlth: $547.09 Amerihealth — Commercial: $1,024.10 Centivo — Commercial: $524.41 Cigna — Commercial: $361.95 Cigna — Local Plus: $823.67 Clover — Medicare Advantage: $283.47 Horizon — HMO: $472.32 Horizon — NJ Health: $211.94
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH C.M.	$1,396	$837.60	$208.38 – $1,047
CT scan of the pelvis, with contrast: 10 of 20 insurance plan rates Aetna — Commercial: $435.69 Aetna — Medicare Advantage: $208.38 Aetna — Whole Hlth: $402.18 Amerihealth — Commercial: $977.20 Centivo — Commercial: $385.50 Cigna — Commercial: $511.41 Cigna — Local Plus: $785.95 Clover — Medicare Advantage: $208.38 Horizon — HMO: $280.01 Horizon — NJ Health: $252
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI HIP W PROSTHESIS - LT	$2,656	$1,593.60	$224.97 – $1,992
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $358 Aetna — Medicare Advantage: $283.47 Aetna — Whole Hlth: $547.09 Amerihealth — Commercial: $1,859.20 Centivo — Commercial: $524.41 Cigna — Commercial: $415.32 Cigna — Local Plus: $1,495.33 Clover — Medicare Advantage: $283.47 Horizon — HMO: $507.77 Horizon — NJ Health: $224.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI HIP W PROSTHESIS RT	$2,656	$1,593.60	$224.97 – $1,992
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $358 Aetna — Medicare Advantage: $283.47 Aetna — Whole Hlth: $547.09 Amerihealth — Commercial: $1,859.20 Centivo — Commercial: $524.41 Cigna — Commercial: $415.32 Cigna — Local Plus: $1,495.33 Clover — Medicare Advantage: $283.47 Horizon — HMO: $507.77 Horizon — NJ Health: $224.97
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOWER EXTREM JNT W/O C LT	$2,217	$1,330.20	$224.97 – $1,662.75
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates Aetna — Commercial: $358 Aetna — Medicare Advantage: $283.47 Aetna — Whole Hlth: $547.09 Amerihealth — Commercial: $1,551.90 Centivo — Commercial: $524.41 Cigna — Commercial: $415.32 Cigna — Local Plus: $1,248.17 Clover — Medicare Advantage: $283.47 Horizon — HMO: $507.77 Horizon — NJ Health: $224.97
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELV W/CONTRAST	$2,700	$1,620	$336.66 – $2,025
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates Aetna — Commercial: $547.20 Aetna — Medicare Advantage: $414.47 Aetna — Whole Hlth: $799.93 Amerihealth — Commercial: $1,890 Centivo — Commercial: $766.77 Cigna — Commercial: $641.43 Cigna — Local Plus: $1,520.10 Clover — Medicare Advantage: $414.47 Horizon — HMO: $458.57 Horizon — NJ Health: $336.66
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ABDOMINAL-G.B.LIV REN PAN	$831	$498.60	$112.95 – $623.25
Ultrasound of the abdomen, complete: 10 of 20 insurance plan rates Aetna — Commercial: $194.13 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $581.70 Centivo — Commercial: $229.78 Cigna — Commercial: $375.20 Cigna — Local Plus: $467.85 Clover — Medicare Advantage: $124.20 Horizon — HMO: $112.95 Horizon — NJ Health: $125.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US EXAM PG UTERUS >= 14WKS	$849	$509.40	$112.95 – $636.75
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates Aetna — Commercial: $224.54 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $594.30 Centivo — Commercial: $229.78 Cigna — Commercial: $422.10 Cigna — Local Plus: $477.99 Clover — Medicare Advantage: $124.20 Horizon — HMO: $112.95 Horizon — NJ Health: $146.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US EXAM PG UTERUS >= 14 WKS	$642	$385.20	$112.95 – $481.50
Pregnancy ultrasound (after the first trimester): 10 of 20 insurance plan rates Aetna — Commercial: $224.54 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $449.40 Centivo — Commercial: $229.78 Cigna — Commercial: $422.10 Cigna — Local Plus: $361.45 Clover — Medicare Advantage: $124.20 Horizon — HMO: $112.95 Horizon — NJ Health: $146.28
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US ENDOVAGINAL ONLY	$786	$471.60	$101.43 – $589.50
Transvaginal ultrasound: 10 of 20 insurance plan rates Aetna — Commercial: $215.25 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $550.20 Centivo — Commercial: $229.78 Cigna — Commercial: $412.40 Cigna — Local Plus: $442.52 Clover — Medicare Advantage: $124.20 Horizon — HMO: $101.43 Horizon — NJ Health: $129.04
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ENDOVAGINAL ULTRASOUND	$989	$593.40	$101.43 – $741.75
Transvaginal ultrasound: 10 of 20 insurance plan rates Aetna — Commercial: $215.25 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $692.30 Centivo — Commercial: $229.78 Cigna — Commercial: $412.40 Cigna — Local Plus: $556.81 Clover — Medicare Advantage: $124.20 Horizon — HMO: $101.43 Horizon — NJ Health: $129.04
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL	$901	$540.60	$101.43 – $675.75
Transvaginal ultrasound: 10 of 20 insurance plan rates Aetna — Commercial: $215.25 Aetna — Medicare Advantage: $124.20 Aetna — Whole Hlth: $239.71 Amerihealth — Commercial: $630.70 Centivo — Commercial: $229.78 Cigna — Commercial: $412.40 Cigna — Local Plus: $507.26 Clover — Medicare Advantage: $124.20 Horizon — HMO: $101.43 Horizon — NJ Health: $129.04
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: POST PROCEDURE MAMMO UNIL - LT	$676	$405.60	$68.16 – $507
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates Aetna — Commercial: $217.85 Aetna — Medicare Advantage: $99.93 Aetna — Whole Hlth: $192.86 Amerihealth — Commercial: $473.20 Centivo — Commercial: $184.87 Cigna — Commercial: $425.35 Cigna — Local Plus: $380.59 Clover — Medicare Advantage: $99.93 Horizon — HMO: $68.16 Horizon — NJ Health: $135.36
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: POST PROCEDURE MAMMO UNIL - RT	$676	$405.60	$68.16 – $507
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates Aetna — Commercial: $217.85 Aetna — Medicare Advantage: $99.93 Aetna — Whole Hlth: $192.86 Amerihealth — Commercial: $473.20 Centivo — Commercial: $184.87 Cigna — Commercial: $425.35 Cigna — Local Plus: $380.59 Clover — Medicare Advantage: $99.93 Horizon — HMO: $68.16 Horizon — NJ Health: $135.36
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMOGRAPHY BIL	$676	$405.60	$68.16 – $507
Diagnostic mammogram, one breast: 10 of 20 insurance plan rates Aetna — Commercial: $217.85 Aetna — Medicare Advantage: $99.93 Aetna — Whole Hlth: $192.86 Amerihealth — Commercial: $473.20 Centivo — Commercial: $184.87 Cigna — Commercial: $425.35 Cigna — Local Plus: $380.59 Clover — Medicare Advantage: $99.93 Horizon — HMO: $68.16 Horizon — NJ Health: $135.36
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: POST PROCEDURE MAMMO BILAT DX	$860	$516	$85.44 – $645
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $279.43 Aetna — Medicare Advantage: $128.18 Aetna — Whole Hlth: $247.39 Amerihealth — Commercial: $602 Centivo — Commercial: $237.13 Cigna — Commercial: $541.80 Cigna — Local Plus: $484.18 Clover — Medicare Advantage: $128.18 Horizon — HMO: $85.44 Horizon — NJ Health: $171.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO - BILAT-SCR TO DIAG BIL	$860	$516	$85.44 – $645
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $279.43 Aetna — Medicare Advantage: $128.18 Aetna — Whole Hlth: $247.39 Amerihealth — Commercial: $602 Centivo — Commercial: $237.13 Cigna — Commercial: $541.80 Cigna — Local Plus: $484.18 Clover — Medicare Advantage: $128.18 Horizon — HMO: $85.44 Horizon — NJ Health: $171.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMOGRAPHY BILAT DX	$860	$516	$85.44 – $645
Diagnostic mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $279.43 Aetna — Medicare Advantage: $128.18 Aetna — Whole Hlth: $247.39 Amerihealth — Commercial: $602 Centivo — Commercial: $237.13 Cigna — Commercial: $541.80 Cigna — Local Plus: $484.18 Clover — Medicare Advantage: $128.18 Horizon — HMO: $85.44 Horizon — NJ Health: $171.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAPHY-SCREEN BIL	$799	$479.40	$62.84 – $599.25
Screening mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $230.51 Aetna — Medicare Advantage: $105.74 Aetna — Whole Hlth: $204.08 Amerihealth — Commercial: $559.30 Centivo — Commercial: $195.62 Cigna — Commercial: $448 Cigna — Local Plus: $449.84 Clover — Medicare Advantage: $105.74 Horizon — HMO: $62.84 Horizon — NJ Health: $138.37
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAPHY-SCREEN UNILAT LEFT	$799	$479.40	$62.84 – $599.25
Screening mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $230.51 Aetna — Medicare Advantage: $105.74 Aetna — Whole Hlth: $204.08 Amerihealth — Commercial: $559.30 Centivo — Commercial: $195.62 Cigna — Commercial: $448 Cigna — Local Plus: $449.84 Clover — Medicare Advantage: $105.74 Horizon — HMO: $62.84 Horizon — NJ Health: $138.37
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMOGRAPHY-SCREEN UNILAT RT	$799	$479.40	$62.84 – $599.25
Screening mammogram, both breasts: 10 of 20 insurance plan rates Aetna — Commercial: $230.51 Aetna — Medicare Advantage: $105.74 Aetna — Whole Hlth: $204.08 Amerihealth — Commercial: $559.30 Centivo — Commercial: $195.62 Cigna — Commercial: $448 Cigna — Local Plus: $449.84 Clover — Medicare Advantage: $105.74 Horizon — HMO: $62.84 Horizon — NJ Health: $138.37

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY	$13,008	$7,804.80	$2,911.19 – $21,579
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates Amerihealth — Commercial: $9,105.60 Cigna — Commercial: $9,105.60 Cigna — Local Plus: $7,323.50 Horizon — HMO: $19,970 Horizon — NJ Health: $5,882 Horizon — PPO: $21,579 Horizon — SHBP: $19,137 Qualcare — Commercial: $9,756 UHC — Americhoice: $2,911.19 UHC — Commercial: $11,316.96
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATHETERIZATION INCLUDING INTRAPROCEDURAL INJECTION(S) FOR LEFT VENTRICULOGRAPHY, IMAGING SUPERVISION AND INTERPRETATION, WHEN PE	Not listed in the file	Not listed in the file	$16,521 – $19,586
Left heart catheterization (diagnostic): rates for 3 insurance plans Aetna — Commercial: $16,521 UHC — Commercial: $19,586 UHC — Oxford: $19,160
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMP EP EVAL WO INDUCTION	$7,320	$4,392	$584.65 – $17,883.78
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates Aetna — Commercial: $4,831.20 Aetna — Medicare Advantage: $9,266.21 Aetna — Whole Hlth: $17,883.78 Amerihealth — Commercial: $5,124 Centivo — Commercial: $17,142.48 Cigna — Commercial: $5,124 Cigna — Local Plus: $4,121.16 Clover — Medicare Advantage: $9,266.21 Horizon — HMO: $6,222 Horizon — NJ Health: $584.65
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	Not listed in the file	Not listed in the file	$16,521 – $24,071
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Aetna — Commercial: $16,521 UHC — Commercial: $24,071 UHC — Oxford: $23,546
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: TX ATRIAL FIB PULM VEIN ISOL	$23,987	$14,392.20	$5,368.29 – $21,579
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates Amerihealth — Commercial: $16,790.90 Cigna — Commercial: $16,790.90 Cigna — Local Plus: $13,504.68 Horizon — HMO: $19,970 Horizon — NJ Health: $5,882 Horizon — PPO: $21,579 Horizon — SHBP: $19,137 Qualcare — Commercial: $17,990.25 UHC — Americhoice: $5,368.29 UHC — Commercial: $20,868.69
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: CLN TRIAL - PVI ABLATION	$23,987	$14,392.20	$5,368.29 – $21,579
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates Amerihealth — Commercial: $16,790.90 Cigna — Commercial: $16,790.90 Cigna — Local Plus: $13,504.68 Horizon — HMO: $19,970 Horizon — NJ Health: $5,882 Horizon — PPO: $21,579 Horizon — SHBP: $19,137 Qualcare — Commercial: $17,990.25 UHC — Americhoice: $5,368.29 UHC — Commercial: $20,868.69
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: TX ATRIAL FIB PULM VEIN ISOL	Not listed in the file	Not listed in the file	$16,521 – $31,771
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Aetna — Commercial: $16,521 UHC — Commercial: $31,771 UHC — Oxford: $27,782
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAPHY > 4 PAR	$7,611	$4,566.60	$328 – $9,060
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates Aetna — Commercial: $5,023.26 Aetna — Medicare Advantage: $1,020.21 Aetna — Whole Hlth: $1,969 Amerihealth — Commercial: $5,327.70 Centivo — Commercial: $1,887.38 Cigna — Commercial: $5,327.70 Cigna — Local Plus: $4,284.99 Clover — Medicare Advantage: $1,020.21 Horizon — HMO: $6,469.35 Horizon — NJ Health: $328

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE (TIMED)	$210	$126	$32.22 – $456
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $32.22 Aetna — Whole Hlth: $62.18 Amerihealth — Commercial: $147 Centivo — Commercial: $59.61 Cigna — Commercial: $147 Cigna — Local Plus: $118.23 Clover — Medicare Advantage: $32.22 Horizon — HMO: $178.50 Horizon — NJ Health: $34.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT-THERAPEUTIC EXERCISE 15 MIN	$173	$103.80	$32.22 – $456
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $32.22 Aetna — Whole Hlth: $62.18 Amerihealth — Commercial: $121.10 Centivo — Commercial: $59.61 Cigna — Commercial: $121.10 Cigna — Local Plus: $97.40 Clover — Medicare Advantage: $32.22 Horizon — HMO: $147.05 Horizon — NJ Health: $60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT-PHY THERAPY-I.C.N. EA 15 MN	$168	$100.80	$32.22 – $456
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $32.22 Aetna — Whole Hlth: $62.18 Amerihealth — Commercial: $117.60 Centivo — Commercial: $59.61 Cigna — Commercial: $117.60 Cigna — Local Plus: $94.58 Clover — Medicare Advantage: $32.22 Horizon — HMO: $142.80 Horizon — NJ Health: $60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT - PT EVAL LOW COMPLEX	$543	$325.80	$60 – $461.55
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $380.10 Centivo — Commercial: $200.72 Cigna — Commercial: $380.10 Cigna — Local Plus: $305.71 Clover — Medicare Advantage: $108.50 Horizon — HMO: $461.55 Horizon — NJ Health: $60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX	$687	$412.20	$60 – $583.95
Physical therapy evaluation (low complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $480.90 Centivo — Commercial: $200.72 Cigna — Commercial: $480.90 Cigna — Local Plus: $386.78 Clover — Medicare Advantage: $108.50 Horizon — HMO: $583.95 Horizon — NJ Health: $60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT - PT EVAL MOD COMPLEX	$643	$385.80	$60 – $546.55
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $450.10 Centivo — Commercial: $200.72 Cigna — Commercial: $450.10 Cigna — Local Plus: $362.01 Clover — Medicare Advantage: $108.50 Horizon — HMO: $546.55 Horizon — NJ Health: $60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX	$731	$438.60	$60 – $621.35
Physical therapy evaluation (moderate complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $511.70 Centivo — Commercial: $200.72 Cigna — Commercial: $511.70 Cigna — Local Plus: $411.55 Clover — Medicare Advantage: $108.50 Horizon — HMO: $621.35 Horizon — NJ Health: $60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT - PT EVAL HIGH COMPLEX	$1,280	$768	$60 – $1,088
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $896 Centivo — Commercial: $200.72 Cigna — Commercial: $896 Cigna — Local Plus: $720.64 Clover — Medicare Advantage: $108.50 Horizon — HMO: $1,088 Horizon — NJ Health: $60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX	$768	$460.80	$60 – $652.80
Physical therapy evaluation (high complexity): 10 of 20 insurance plan rates Aetna — Commercial: $286 Aetna — Medicare Advantage: $108.50 Aetna — Whole Hlth: $209.41 Amerihealth — Commercial: $537.60 Centivo — Commercial: $200.72 Cigna — Commercial: $537.60 Cigna — Local Plus: $432.38 Clover — Medicare Advantage: $108.50 Horizon — HMO: $652.80 Horizon — NJ Health: $60

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	Not listed in the file	Not listed in the file	$4,507 – $11,090
Removal of breast growth (open surgery): rates for 7 insurance plans Aetna — Commercial: $9,936 Cigna — Commercial: $4,507 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $11,090 UHC — Oxford: $10,757
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$16,436 – $27,846
Total hip replacement: rates for 3 insurance plans Aetna — Commercial: $16,436 UHC — Commercial: $27,846 UHC — Oxford: $27,238
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$17,843 – $20,127
Total hip replacement: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$16,436 – $27,846
Total knee replacement: rates for 3 insurance plans Aetna — Commercial: $16,436 UHC — Commercial: $27,846 UHC — Oxford: $27,238
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$17,843 – $20,127
Total knee replacement: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$1,216 – $9,936
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Aetna — Commercial: $9,936 Cigna — Commercial: $4,507 UHC — Commercial: $1,254 UHC — Oxford: $1,216
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression	Not listed in the file	Not listed in the file	$17,843 – $20,127
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$5,549 – $15,576
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans Aetna — Commercial: $11,856 Cigna — Commercial: $5,549 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $15,576 UHC — Oxford: $15,234
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$4,507 – $11,090
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans Aetna — Commercial: $9,936 Cigna — Commercial: $4,507 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $11,090 UHC — Oxford: $10,757
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Uppr gi endoscopy, diagnosis	Not listed in the file	Not listed in the file	$2,937 – $6,610
Upper GI endoscopy (diagnostic): rates for 4 insurance plans Aetna — Commercial: $6,153 Cigna — Commercial: $2,937 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$17,843 – $20,127
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Upper GI endoscopy, biopsy	Not listed in the file	Not listed in the file	$3,941 – $7,918
Upper GI endoscopy with biopsy: rates for 4 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$17,843 – $20,127
Upper GI endoscopy with biopsy: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLEX DX	$1,413	$847.80	$316.23 – $3,000
Colonoscopy (diagnostic): rates for 6 insurance plans Amerihealth — Commercial: $989.10 Centivo — Commercial: $2,043.91 Cigna — Local Plus: $795.52 Horizon — NJ Health: $3,000 Qualcare — Commercial: $1,059.75 UHC — Americhoice: $316.23
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$3,941 – $7,918
Colonoscopy (diagnostic): rates for 7 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$3,941 – $7,918
Colonoscopy with biopsy: rates for 7 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Lesion removal colonoscopy	Not listed in the file	Not listed in the file	$3,941 – $7,918
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$17,843 – $20,127
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope	Not listed in the file	Not listed in the file	$3,941 – $7,918
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 UHC — Commercial: $6,610 UHC — Oxford: $6,463
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$17,843 – $20,127
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$3,206 – $7,918
Screening colonoscopy (not high risk): rates for 4 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 UHC — Commercial: $3,305 UHC — Oxford: $3,206
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$8,695 – $24,071
Gallbladder removal by laparoscope: rates for 4 insurance plans Aetna — Commercial: $9,108 Cigna — Commercial: $8,695 UHC — Commercial: $24,071 UHC — Oxford: $23,546
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$17,843 – $20,127
Gallbladder removal by laparoscope: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Rpr i/hern init reduc>5 yr	Not listed in the file	Not listed in the file	$5,549 – $15,576
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Aetna — Commercial: $11,856 Cigna — Commercial: $5,549 UHC — Commercial: $15,576 UHC — Oxford: $15,234
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$17,843 – $20,127
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$3,941
Prostate biopsy: rates for 4 insurance plans Cigna — Commercial: $3,941 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED	Not listed in the file	Not listed in the file	$13,455 – $27,846
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Aetna — Commercial: $13,455 UHC — Commercial: $27,846 UHC — Oxford: $27,238
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laps surg prst8ect rpbic rad	Not listed in the file	Not listed in the file	$17,843 – $20,127
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, biopsy	Not listed in the file	Not listed in the file	$4,507 – $11,090
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans Aetna — Commercial: $9,936 Cigna — Commercial: $4,507 UHC — Commercial: $11,090 UHC — Oxford: $10,757
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$17,843 – $20,127
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$2,937 – $6,153
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans Aetna — Commercial: $6,153 Cigna — Commercial: $2,937 UHC — Commercial: $3,305 UHC — Oxford: $3,206
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$17,843 – $20,127
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$2,937 – $6,153
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans Aetna — Commercial: $6,153 Cigna — Commercial: $2,937 UHC — Commercial: $3,305 UHC — Oxford: $3,206
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Njx aa&/strd tfrm epi l/s 1	Not listed in the file	Not listed in the file	$17,843 – $20,127
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$3,941 – $11,090
Carpal tunnel release: rates for 7 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $11,090 UHC — Oxford: $10,757
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$3,206 – $7,918
Laser treatment of clouding after cataract surgery: rates for 7 insurance plans Aetna — Commercial: $7,918 Cigna — Commercial: $3,941 Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843 UHC — Commercial: $3,305 UHC — Oxford: $3,206
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Cataract surg w/iol, i stage	Not listed in the file	Not listed in the file	$8,695 – $13,455
Cataract removal with lens implant: rates for 4 insurance plans Aetna — Commercial: $13,455 Cigna — Commercial: $8,695 UHC — Commercial: $11,090 UHC — Oxford: $10,757
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Xcapsl ctrc rmvl w/o ecp	Not listed in the file	Not listed in the file	$17,843 – $20,127
Cataract removal with lens implant: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843

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	Not listed in the file	Not listed in the file	$17,843 – $20,127
Vaginal delivery, with care before and after: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$17,843 – $20,127
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vbac delivery	Not listed in the file	Not listed in the file	$17,843 – $20,127
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans Horizon — HMO: $19,421 Horizon — PPO: $20,127 Horizon — SHBP: $17,843

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$6,993 – $148,212.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates Aetna — Commercial: $51,108 Aetna — Medicare Advantage: $76,793.81 Aetna — Whole Hlth: $148,212.05 Amerihealth — Commercial: $8,500 Clover — Medicare Advantage: $76,793.81 Humana — Medicare Advantage: $76,793.81 Medicare — Medicare: $76,793.81 Qualcare — Commercial: $6,993 UHC — Commercial: $21,267 UHC — Medicare Advantage: $76,793.81
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC	Not listed in the file	Not listed in the file	$66,142
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan Horizon — NJ Health: $66,142
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL W/O MCC	Not listed in the file	Not listed in the file	$27,192
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Horizon — NJ Health: $27,192
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$15,141.63 – $29,223.35
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans Aetna — Commercial: $24,323 Aetna — Medicare Advantage: $15,141.63 Aetna — Whole Hlth: $29,223.35 Clover — Medicare Advantage: $15,141.63 Humana — Medicare Advantage: $15,141.63 Medicare — Medicare: $15,141.63 UHC — Medicare Advantage: $15,141.63 Wellpoint — Medicare Advantage: $15,595.88
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR	Not listed in the file	Not listed in the file	$13,401
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan Horizon — NJ Health: $13,401
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$19,163.91 – $36,986.35
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans Aetna — Commercial: $24,323 Aetna — Medicare Advantage: $19,163.91 Aetna — Whole Hlth: $36,986.35 Clover — Medicare Advantage: $19,163.91 Humana — Medicare Advantage: $19,163.91 Medicare — Medicare: $19,163.91 UHC — Medicare Advantage: $19,163.91 Wellpoint — Medicare Advantage: $19,738.83
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION W/O CC/MCC	Not listed in the file	Not listed in the file	$15,981
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Horizon — NJ Health: $15,981
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$9,739.35 – $24,323
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans Aetna — Commercial: $24,323 Aetna — Medicare Advantage: $9,739.35 Aetna — Whole Hlth: $18,796.94 Clover — Medicare Advantage: $9,739.35 Humana — Medicare Advantage: $9,739.35 Medicare — Medicare: $9,739.35 UHC — Medicare Advantage: $9,739.35 Wellpoint — Medicare Advantage: $10,031.53
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O	Not listed in the file	Not listed in the file	$7,513
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Horizon — NJ Health: $7,513

Source: Valley Hospital’s standard charges file (valleyhealth.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 6, 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	4 Valley Health Plaza, Paramus, NJ 07652
County	Bergen County
State	New Jersey
Phone	(201) 447‑8000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	310012
Name in Medicare records	VALLEY HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	The Valley Hospital
Official website	valleyhealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

The Valley Hospital — valleyhealth.com
Emergency Department — valleyhealth.com
Pediatric Emergency Department New Jersey | Emergency Care — valleyhealth.com
Valley’s pediatric emergency room services: pediatric orthopedics | Valley Health System — valleyhealth.com
Breast Imaging Center | Breast Cancer Prevention and Imaging — valleyhealth.com
Breast MRI | Screening for Breast Cancer | Breast Imaging — valleyhealth.com
Center for Childbirth | Pregnancy Services, New Jersey | Valley Health System — valleyhealth.com
Breast Cancer Program | Breast Cancer Treatment New Jersey — valleyhealth.com
Awards & Recognitions | Valley Health System — valleyhealth.com
Emergency Services New Jersey | Emergency Medical Team — valleyhealth.com
Comprehensive Cancer Care | Valley-Mount Sinai — valleyhealth.com
Cancer Genetics Program | Cancer Care and Testing New Jersey — valleyhealth.com

Valley Hospital

Summary

Profile from official sources

At a glance