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Critical Access Hospital

Wayne Hospital

Also listed as: Wayne HealthCare

Greenville, Ohio · Darke County · Emergency services listed

Wayne Hospital is a critical access hospital at 835 Sweitzer St, Greenville, OH 45331. Phone: (937) 548-1141. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Wayne Hospital is a critical access hospital in Greenville, Ohio. Medicare data lists emergency services. Its official website lists 18 services, specialties and programs. Medicare lists 356 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
18Services listed

Quick answers

Does Wayne Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Wayne Hospital. In a medical emergency, call 911.
Where is Wayne Hospital?
835 Sweitzer St, Greenville, OH 45331, in Darke County, Ohio.
What is the phone number of Wayne Hospital?
(937) 548-1141, as listed by Medicare (CMS).
What is the Medicare star rating of Wayne Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5]

Treatments[5]

Procedures[4][6]

Emergency care (hospital website)[5]

Emergency roomYes

Visiting and practical information

Doctors and clinicians (356)

356 doctors and other clinicians list Wayne 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

Doctors with a page on this site (356)

And 332 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Greenville

Hospitals in Darke County · Hospitals near me

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Wayne 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted64%National average: 64%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean74%National average: 73%
Completed surveys196Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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 failure patients12.4%
Deaths within 30 days: pneumonia patients18%
Deaths within 30 days: COPD patients8.1%
Deaths within 30 days: stroke patients15.2%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD20%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 64 common services exactly as Wayne 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 →

Show the prices of 64 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Chg new pateint level 3 $391 $293.25 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Office/outpatient visit new $391 $293.25 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Chg new pateint level 4 $432 $324 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Office/outpatient visit new $432 $324 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Chg new pateint level 5 $420 $315 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Office/outpatient visit new $420 $315 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Chg established patient level 3 $288 $216 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Office/outpatient visit est $288 $216 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Chg established patient level 4 $403 $302.25 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Office/outpatient visit est $403 $302.25 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency dept visit $1,163 $872.25 Not listed in the file
Emergency room visit (moderate): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Hs level 3 $1,163 $872.25 Not listed in the file
Emergency room visit (moderate): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency dept visit $1,829 $1,371.75 Not listed in the file
Emergency room visit (moderately high): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Hs level 4 $1,829 $1,371.75 Not listed in the file
Emergency room visit (moderately high): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency dept visit $2,622 $1,966.50 Not listed in the file
Emergency room visit (high): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Hs level 5 $2,622 $1,966.50 Not listed in the file
Emergency room visit (high): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic metabolic panel $47 $35.25 Not listed in the file
Basic metabolic panel (blood test): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Metabolic panel total ca $47 $35.25 Not listed in the file
Basic metabolic panel (blood test): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comp metabolic panel $112 $84 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehen metabolic panel $112 $84 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: Obstetric panel $920 $690 Not listed in the file
Obstetric blood test panel: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid panel $72 $54 $13.39
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13.39
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal function panel $46 $34.50 Not listed in the file
Kidney function panel: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic function panel $45 $33.75 Not listed in the file
Liver function panel: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: 81001 urinalysis w/micro $19 $14.25 Not listed in the file
Urine test (automated, with microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis auto w/scope $19 $14.25 Not listed in the file
Urine test (automated, with microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 urindipnon auto w o mic $22 $16.50 Not listed in the file
Urine test (manual, without microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: Urinalysis nonauto w/o scope $22 $16.50 Not listed in the file
Urine test (manual, without microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis auto w/o scope $10 $7.50 Not listed in the file
Urine test (automated, without microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urindipauto w o mic $10 $7.50 Not listed in the file
Urine test (automated, without microscope): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Assay of psa total $74 $55.50 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Psa total $74 $55.50 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Assay thyroid stim hormone $89 $66.75 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid stimulating hormone $89 $66.75 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Cbc and differential auto $110 $82.50 Not listed in the file
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: Complete cbc w/auto diff wbc $110 $82.50 Not listed in the file
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Cbc automated $65 $48.75 Not listed in the file
Complete blood count (CBC), automated: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Complete cbc automated $65 $48.75 Not listed in the file
Complete blood count (CBC), automated: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin time $19 $14.25 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Part thrombin time $34 $25.50 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Thromboplastin time partial $34 $25.50 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct head w/o contrast $1,399 $1,049.25 $233.19
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $233.19
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: Ct head/brain w/o dye $1,399 $1,049.25 $233.19
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $233.19
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain stem w/o & w/dye $4,030 $3,022.50 $887.73
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $887.73
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain w/o+w con $4,030 $3,022.50 $887.73
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $887.73
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Chest; 2 views $408 $306 $875.04
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $875.04
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-ray exam chest 2 views $408 $306 $875.04
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $875.04
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Spine l/s min 4 views $720 $540 $110.43
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-ray exam l-2 spine 4/>vws $720 $540 $110.43
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri lumbar spine w/o dye $2,024 $1,518 $561.06
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $561.06
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: Mri spine lumbar w/o cont $2,024 $1,518 $561.06
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $561.06
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w contrast $2,637 $1,977.75 $451.87
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $451.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: Ct pelvis w/dye $2,637 $1,977.75 $451.87
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $451.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: Mri jnt of lwr extre w/o dye $2,459 $1,844.25 $561.06
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $561.06
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: Mri low extrm joint w/o cont bil $2,459 $1,844.25 $561.06
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $561.06
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: Mri low extrm joint w/o cont lt $2,459 $1,844.25 $561.06
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $561.06
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Chg ct abdomen and pelvis with contrast $5,525 $4,143.75 $451.87
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $451.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Ct abd & pelv w/contrast $5,525 $4,143.75 $451.87
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $451.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us - abdomen complete $1,218 $913.50 $318.30
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $318.30
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Us exam abdom complete $1,218 $913.50 $318.30
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $318.30
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ob us >= 14 wks sngl fetus $1,207 $905.25 $110.43
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Us-preg >=14 wks first gestation $1,207 $905.25 $110.43
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal us non-ob $1,194 $895.50 $110.43
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Us non-ob transvaginal $1,194 $895.50 $110.43
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $110.43
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Digital mammo diag unilateral including cad $397 $297.75 $113.66
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $113.66
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: Dx mammo incl cad uni $397 $297.75 $113.66
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $113.66
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Digital mammo diag bilateral including cad $499 $374.25 $143.09
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $143.09
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: Dx mammo incl cad bi $499 $374.25 $143.09
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $143.09
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Digital mammo screen including cad $150 $112.50 $115.84
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $115.84
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: Scr mammo bi incl cad $150 $112.50 $115.84
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $115.84
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: Digital mammo screen including cad unilateral $150 $112.50 Not listed in the file
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysom 6/> yrs 4/> param $5,130 $3,847.50 $1,056.54
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,056.54
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: Polysomnog 4+parameter w tech $5,130 $3,847.50 $1,056.54
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,056.54
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: Therapeutic exercises $124 $93 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier 97 In the file: Therapeutic px 1/> areas ea 15 min exercises $124 $93 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: Pt eval low complex 20 min $339 $254.25 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: Pt eval low complex 20 mins $339 $254.25 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: Pt eval mod complex 30 min $339 $254.25 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: Pt eval mod complex 30 mins $339 $254.25 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: Pt eval high complex 45 min $330 $247.50 Not listed in the file
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: Pt eval high complex 45 mins $330 $247.50 Not listed in the file
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Removal of breast lesion $32,659.47 $24,494.60 $3,976.65
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,976.65
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of breast lesion $12,419.73 $9,314.80 $3,976.65
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,976.65
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: Removal of breast lesion $7,332.78 $5,499.59 $3,976.65
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,976.65
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Total hip arthroplasty $48,077.62 $36,058.22 $13,361.99
Total hip replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total hip arthroplasty $44,914.28 $33,685.71 $13,361.99
Total hip replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: Total hip arthroplasty $44,708.75 $33,531.56 $13,361.99
Total hip replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Total knee arthroplasty $74,762.40 $56,071.80 $13,361.99
Total knee replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total knee arthroplasty $60,933.92 $45,700.44 $13,361.99
Total knee replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier 50 In the file: Total knee arthroplasty $60,933.92 $45,700.44 $13,361.99
Total knee replacement: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $13,361.99
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: Shoulder arthroscopy/surgery $30,484.64 $22,863.48 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier LT In the file: Shoulder arthroscopy/surgery $30,484.64 $22,863.48 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: Shoulder arthroscopy/surgery $29,608.44 $22,206.33 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: Knee arthroscopy/surgery $12,128.64 $9,096.48 $3,369.48
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,369.48
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: Knee arthroscopy/surgery $11,649.12 $8,736.84 $3,369.48
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,369.48
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier RT In the file: Knee arthroscopy/surgery $12,128.64 $9,096.48 $3,369.48
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,369.48
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Egd diagnostic brush wash $26,317.52 $19,738.14 $973.64
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $973.64
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd diagnostic brush wash $5,959.39 $4,469.54 $973.64
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $973.64
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Egd biopsy single/multiple $26,922.81 $20,192.11 $973.64
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $973.64
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd biopsy single/multiple $7,478.80 $5,609.10 $973.64
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $973.64
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Diagnostic colonoscopy $4,763.80 $3,572.85 $946.80
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $946.80
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy and biopsy $27,473.46 $20,605.10 $1,224.46
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,224.46
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy and biopsy $6,066.57 $4,549.93 $1,224.46
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,224.46
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Colonoscopy w/lesion removal $26,477.42 $19,858.07 $1,224.46
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,224.46
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy w/lesion removal $5,777.09 $4,332.82 $1,224.46
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $1,224.46
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind $4,809.85 $3,607.39 $946.80
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $946.80
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Laparoscopic cholecystectomy $42,135.54 $31,601.66 $6,058.89
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $6,058.89
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic cholecystectomy $23,030.92 $17,273.19 $6,058.89
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $6,058.89
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Prp i/hern init reduc >5 yr $31,129 $23,346.75 $3,664.87
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,664.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp i/hern init reduc >5 yr $16,192.95 $12,144.71 $3,664.87
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,664.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: Prp i/hern init reduc >5 yr $21,436.99 $16,077.74 $3,664.87
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,664.87
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy biopsy $13,331.67 $9,998.75 $3,301.89
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $3,301.89
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Njx interlaminar lmbr/sac $2,209.22 $1,656.92 $719.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $719.17
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Inj foramen epidural l/s $2,720.75 $2,040.56 $924.55
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $924.55
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: Inj foramen epidural l/s $3,463.39 $2,597.54 $924.55
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $924.55
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier LT In the file: Inj foramen epidural l/s $2,875.18 $2,156.39 $924.55
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $924.55
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Carpal tunnel surgery $5,704.76 $4,278.57 $2,027.92
Carpal tunnel release: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $2,027.92
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: Carpal tunnel surgery $5,704.76 $4,278.57 $2,027.92
Carpal tunnel release: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $2,027.92
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier RT In the file: Carpal tunnel surgery $5,034 $3,775.50 $2,027.92
Carpal tunnel release: 10 of 31 insurance plan rates
  • WHC_BUCKEYE_AMBETTER — 7098910_1: $2,027.92
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: Obstetrical care $13,705.15 $10,278.86 Not listed in the file
Vaginal delivery, with care before and after: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: Cesarean delivery $25,412.18 $19,059.14 Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: Vbac delivery $13,705.15 $10,278.86 Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 30 insurance plan rates
  • WHC_ACCIDENT_LIABILITY/MED_PAY/AUTO — 4000950: 100% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_COMMERCIAL — 6555910: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_HEALTHSCOPE_COMMERCIAL — 6555920: 87.7% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MEDICARE — 1735910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_AETNA_MYCARE_MEDICARE — 1735920_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_COMMERCIAL — 7170910: 96% (a percentage in the contract, not a dollar amount)
  • WHC_ANTHEM_MEDICARE — 1601910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_BUCKEYE_MEDICARE — 1740910_1: 33% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_COMMERCIAL — 6541910: 92.9% (a percentage in the contract, not a dollar amount)
  • WHC_CIGNA_MEDICARE — 1825910_1: 33% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: Major hip and knee joint replacement or reattachment of lower extremity without mcc $53,492.20 $40,119.15 $11,633.09 – $17,103.74
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates
  • WHC_AETNA_MEDICARE — 1735910: $17,103.74
  • WHC_AETNA_MYCARE_MEDICARE — 1735920: $17,103.74
  • WHC_ANTHEM_MEDICARE — 1601910: $17,103.74
  • WHC_BUCKEYE_AMBETTER — 7098910: $11,633.09
  • WHC_BUCKEYE_MEDICARE — 1740910: $17,103.74
  • WHC_CIGNA_MEDICARE — 1825910: $17,103.74
  • WHC_HUMANA_MEDICARE — 1710910: $17,103.74
  • WHC_MEDICAL_MUTUAL_MEDICARE — 1760910: $17,103.74
  • WHC_MEDICARE — 1035910: $17,103.74
  • WHC_MEDICARE_A_ONLY_INPAT — 1035920: $17,103.74
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 $23,449.13 $17,586.85 $6,934.67 – $17,103.74
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates
  • WHC_AETNA_MEDICARE — 1735910: $17,103.74
  • WHC_AETNA_MYCARE_MEDICARE — 1735920: $17,103.74
  • WHC_ANTHEM_MEDICARE — 1601910: $17,103.74
  • WHC_BUCKEYE_AMBETTER — 7098910: $6,934.67
  • WHC_BUCKEYE_MEDICARE — 1740910: $17,103.74
  • WHC_CIGNA_MEDICARE — 1825910: $17,103.74
  • WHC_HUMANA_MEDICARE — 1710910: $17,103.74
  • WHC_MEDICAL_MUTUAL_MEDICARE — 1760910: $17,103.74
  • WHC_MEDICARE — 1035910: $17,103.74
  • WHC_MEDICARE_A_ONLY_INPAT — 1035920: $17,103.74

Source: Wayne Hospital’s standard charges file (waynehealthcare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address835 Sweitzer St, Greenville, OH 45331
CountyDarke County
StateOhio
Phone(937) 548‑1141
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number361335
Name in Medicare recordsWAYNE HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWayne HealthCare
Official websitewaynehealthcare.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Wayne HealthCare — waynehealthcare.org
  2. Main Campus - Wayne HealthCare — waynehealthcare.org
  3. Surgery - Wayne HealthCare — waynehealthcare.org