Does Wellmont Bristol Regional Medical Center have an emergency room?

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

Where is Wellmont Bristol Regional Medical Center?

One Medical Park Blvd, Bristol, TN 37620, in Sullivan County, Tennessee.

What is the phone number of Wellmont Bristol Regional Medical Center?

(423) 844-1121, as listed by Medicare (CMS).

What is the Medicare star rating of Wellmont Bristol Regional Medical Center?

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

Wellmont Bristol Regional Medical Center

Quick answers

Does Wellmont Bristol Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Wellmont Bristol Regional Medical Center. In a medical emergency, call 911.
Where is Wellmont Bristol Regional Medical Center?: One Medical Park Blvd, Bristol, TN 37620, in Sullivan County, Tennessee.
What is the phone number of Wellmont Bristol Regional Medical Center?: (423) 844-1121, as listed by Medicare (CMS).
What is the Medicare star rating of Wellmont Bristol Regional Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7][10]

Neuroscience
Women's health
Hospice and palliative care
Inpatient behavioral health
Occupational health
Orthopedics
Cancer care
Breast care
Pediatrics
Rehabilitation

Treatments^[4]

Advanced cancer care (TrueBeam STx with Brainlab, CyberKnife)
Rehabilitation services
Pediatric rehabilitation
Wound care
Robotic-assisted surgery
Radiosurgery (CyberKnife, TrueBeam)

Procedures^[4]

Robotic-assisted surgery (Mako, Ion, da Vinci)
TAVR
Joint replacement
Transcatheter aortic valve replacement (TAVR)
Minimally invasive lung biopsy

Programs and centers^[4][8][10]

Certified Advanced Joint Replacement Program
Pediatric Emergency Department
Birthing Center
Comprehensive Breast Center
Diabetes Treatment Center
Primary stroke center
Every Step Joint Replacement Center
J.D. and Lorraine Nicewonder Cancer Center
Inpatient behavioral health
Hospice and palliative care (inpatient and outpatient)
Small Steps Pediatric Rehabilitation

Emergency care (hospital website)^[4][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary stroke center

Visiting and practical information

Visiting	Regular visitors 6 a.m. to 10 p.m. daily; quiet hours 10 p.m. to 6 a.m. with limited visitation; unit rules vary^[9]
Parking	Patient parking is in the lot nearest the Leonard Family Breast Center; designated spots are limited^[8]
Interpreters and languages	Free video, on-site (ASL, Spanish, Mandarin) and phone interpreters (about 200 languages); Spanish written translations^[6]

Recognition^[4][10]

Core Total Hip and Knee Replacement Certification (The Joint Commission)
Gold Tier Safe Sleep Hospital Certification (Cribs for Kids), Birthing Center

Doctors and clinicians (815)

815 doctors and other clinicians list Wellmont Bristol Regional Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 791 more: the button below opens the full list.

Other emergency rooms nearby

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

Johnston Memorial Hospital11 mi · Abingdon, VA · Acute Care Hospital
Sycamore Shoals Hospital17 mi · Elizabethton, TN · Acute Care Hospital
Johnson County Community Hospital18 mi · Mountain City, TN · Critical Access Hospital
Franklin Woods Community Hospital23 mi · Johnson City, TN · Acute Care Hospital
Johnson City Medical Center23 mi · Johnson City, TN · Acute Care Hospital

Other hospitals nearby

Select Specialty Hospital-Tricities0.0 mi · Bristol, TN · Long-Term Acute Care Hospital
Rehabilitation Hospital of Bristol7.6 mi · Bristol, VA · Inpatient Rehabilitation Hospital
Quillen Rehabilitation Hospital, Ajv of Ballad HLT…21 mi · Johnson City, TN · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

The Rehab Center at Bristol5.4 mi · Bristol, VA · 2 of 5 stars
NHC Healthcare, Bristol7.6 mi · Bristol, VA · 5 of 5 stars
Waters of Bristol a Rehabilitation and Nursing11 mi · Blountville, TN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Ballad Health Hospice0.0 mi · Bristol, TN · 4 of 5 stars
Elite Hospice5.9 mi · Bristol, VA
Amedisys Hospice, An Adventa Company12 mi · Elizabethton, TN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Angels Care Home Health5.9 mi · Bristol, VA · 2 of 5 stars
Centerwell Home Health5.9 mi · Bristol, VA
Home Nursing Services of Southwest VA Inc11 mi · Abingdon, VA

All home health agencies in the state →

Dialysis facilities

FMC Bristol0.0 mi · Bristol, TN · 1 of 5 stars
FMC Bristol Home Therapies0.0 mi · Bristol, TN · 3 of 5 stars
FMC Elizabethton12 mi · Elizabethton, TN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Bristol Surgery Center0.0 mi · Bristol, TN
Mountain Empire Cataract & Eye0.0 mi · Bristol, TN
Renaissance Surgery Center, LLC0.0 mi · Bristol, TN

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

High Point Elementary School4.6 mi · Bristol, VA · Community health center
Van Pelt Elementary School5.6 mi · Bristol, VA · Community health center
VIrginia High School6.3 mi · Bristol, VA · Community health center

Clinics and urgent care

Fast Pace Medical Clinic PLLC0.0 mi · Bristol, TN · Urgent care center
Medexpress Urgent Care, PC - Tennessee0.0 mi · Bristol, TN · Urgent care center
Wellmont Medical Associates, Inc.0.0 mi · Bristol, TN · Urgent care center

Pharmacies

Compounding Pharmacy LLC0.0 mi · Bristol, TN · Community/retail pharmacy
H. Johnson's Pharmacy, Inc0.0 mi · Bristol, TN · Community/retail pharmacy
Wal-Mart Stores East LP0.0 mi · Bristol, TN · Community/retail pharmacy

Assisted living nearby

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

American House Bristol0.0 mi · Bristol, TN
Spring Arbor of Bristol0.0 mi · Bristol, TN
Sycamore Springs Senior Living Community12 mi · Elizabethton, TN

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	59%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	64%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	1,494Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	1.483No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.375Better than the national benchmark
Surgical site infections after colon surgery	1.812No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.211No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.349Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.9%
Deaths within 30 days: heart failure patients	14.7%
Deaths within 30 days: pneumonia patients	20.5%
Deaths within 30 days: COPD patients	11.2%
Deaths within 30 days: stroke patients	13.3%
Deaths within 30 days: coronary bypass surgery (CABG)	3.1%
Serious complications (patient safety indicator PSI-90)	0.79No different from the national rate
Complications after hip or knee replacement	5.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.6%
Readmitted within 30 days: heart failure	22.6%
Readmitted within 30 days: pneumonia	19.4%
Readmitted within 30 days: COPD	20.9%
Readmitted within 30 days: coronary bypass surgery	10.8%
Readmitted within 30 days: hip or knee replacement	6.9%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	196 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	53%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Tennessee Best hospitals in Tennessee

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Wellmont Bristol Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 3	$261	$39.15	$57.07 – $261
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $111.45 BLUE CROSS — ANTHEM EXCHANGE: $109.75 BLUE CROSS — ANTHEM HMO: $109.75 BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $109.75 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $77.03 BLUE CROSS — TENNCARE BLUE CARE: $65.41 BLUE CROSS — TENNCARE BLUE SELECT: $65.41 CIGNA HEALTHCARE — CIGNA HMO: $108.84 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $121.10 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $108.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 4	$340	$51	$78.25 – $340
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $145.18 BLUE CROSS — ANTHEM EXCHANGE: $166.14 BLUE CROSS — ANTHEM HMO: $166.14 BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $166.14 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.04 BLUE CROSS — TENNCARE BLUE CARE: $96.86 BLUE CROSS — TENNCARE BLUE SELECT: $96.86 CIGNA HEALTHCARE — CIGNA HMO: $141.78 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $157.76 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $141.78
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 5	$437	$65.55	$105.91 – $437
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $186.60 BLUE CROSS — ANTHEM EXCHANGE: $221.43 BLUE CROSS — ANTHEM HMO: $221.43 BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $221.43 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $143.16 BLUE CROSS — TENNCARE BLUE CARE: $121.85 BLUE CROSS — TENNCARE BLUE SELECT: $121.85 CIGNA HEALTHCARE — CIGNA HMO: $182.23 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $202.77 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $182.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC VISIT LEVEL 3 EST	$242	$36.30	$43.27 – $242
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $103.33 BLUE CROSS — ANTHEM EXCHANGE: $89.36 BLUE CROSS — ANTHEM HMO: $89.36 BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $89.36 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $43.80 BLUE CROSS — TENNCARE BLUE CARE: $43.94 BLUE CROSS — TENNCARE BLUE SELECT: $43.94 CIGNA HEALTHCARE — CIGNA HMO: $100.91 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $112.29 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $100.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC VISIT LEVEL 4 EST	$278	$41.70	$56.41 – $278
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates AETNA — AETNA: $118.71 BLUE CROSS — ANTHEM EXCHANGE: $127.36 BLUE CROSS — ANTHEM HMO: $127.36 BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $127.36 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $66.94 BLUE CROSS — TENNCARE BLUE CARE: $56.41 BLUE CROSS — TENNCARE BLUE SELECT: $56.41 CIGNA HEALTHCARE — CIGNA HMO: $115.93 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $128.99 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $115.93
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HC WELLNESS - 18-39YRS	$469	$70.35	$53.15 – $469
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates AETNA — AETNA: $200.26 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $100.81 BLUE CROSS — TENNCARE BLUE CARE: $53.15 BLUE CROSS — TENNCARE BLUE SELECT: $53.15 CIGNA HEALTHCARE — CIGNA HMO: $195.57 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $217.62 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $195.57 CIGNA HEALTHCARE — CIGNA PPO: $195.57 FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $361.13 MEDCOST — MEDCOST VHN: $223.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HC WELLNESS - 40-64YRS	$488	$73.20	$64.87 – $488
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates AETNA — AETNA: $208.38 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.11 BLUE CROSS — TENNCARE BLUE CARE: $64.87 BLUE CROSS — TENNCARE BLUE SELECT: $64.87 CIGNA HEALTHCARE — CIGNA HMO: $203.50 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $226.43 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $203.50 CIGNA HEALTHCARE — CIGNA PPO: $203.50 FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $375.76 MEDCOST — MEDCOST VHN: $232.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 3	$1,365	$204.75	$51 – $1,365
Emergency room visit (moderate): 10 of 42 insurance plan rates AETNA — AETNA: $582.86 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $266.73 AETNA — AETNA HEALTHCARE MEDICARE: $258.96 ALLCARE MEDICARE — ALLCARE MEDICARE: $258.96 AMBETTER — AMBETTER: $564.53 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $269.32 BEACON HEALTH — BEACON HEALTH VALUE OPTIONS BH: $187 BLUE CROSS — ANTHEM EXCHANGE: $645.73 BLUE CROSS — ANTHEM HMO: $686.09 BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $266.73
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 4	$2,002	$300.30	$51 – $2,002
Emergency room visit (moderately high): 10 of 42 insurance plan rates AETNA — AETNA: $854.85 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $407.71 AETNA — AETNA HEALTHCARE MEDICARE: $395.84 ALLCARE MEDICARE — ALLCARE MEDICARE: $395.84 AMBETTER — AMBETTER: $862.92 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $411.67 BEACON HEALTH — BEACON HEALTH VALUE OPTIONS BH: $187 BLUE CROSS — ANTHEM EXCHANGE: $987.06 BLUE CROSS — ANTHEM HMO: $1,048.75 BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $407.71
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 5	$3,041	$456.15	$51 – $3,041
Emergency room visit (high): 10 of 42 insurance plan rates AETNA — AETNA: $1,298.51 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $581.90 AETNA — AETNA HEALTHCARE MEDICARE: $564.95 ALLCARE MEDICARE — ALLCARE MEDICARE: $564.95 AMBETTER — AMBETTER: $1,231.59 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $587.55 BEACON HEALTH — BEACON HEALTH VALUE OPTIONS BH: $187 BLUE CROSS — ANTHEM EXCHANGE: $1,408.75 BLUE CROSS — ANTHEM HMO: $1,496.80 BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $581.90

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL (CA TOTAL)	$96	$14.40	$4.23 – $96
Basic metabolic panel (blood test): 10 of 46 insurance plan rates AETNA — AETNA: $40.99 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.71 AETNA — AETNA HEALTHCARE MEDICARE: $8.46 ALLCARE MEDICARE — ALLCARE MEDICARE: $8.46 AMBETTER — AMBETTER: $18.44 AMERIGROUP — AMERIGROUP: $4.23 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.80 BLUE CROSS — ANTHEM EXCHANGE: $8.46 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL	$118	$17.70	$5.28 – $118
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates AETNA — AETNA: $50.39 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $10.88 AETNA — AETNA HEALTHCARE MEDICARE: $10.56 ALLCARE MEDICARE — ALLCARE MEDICARE: $10.56 AMBETTER — AMBETTER: $23.02 AMERIGROUP — AMERIGROUP: $5.28 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $10.98 BLUE CROSS — ANTHEM EXCHANGE: $10.56 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRIC PANEL	$479	$71.85	$9.64 – $479
Obstetric blood test panel: 10 of 47 insurance plan rates AETNA — AETNA: $204.53 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $49.24 AETNA — AETNA HEALTHCARE MEDICARE: $47.81 ALLCARE MEDICARE — ALLCARE MEDICARE: $47.81 AMBETTER — AMBETTER: $104.23 AMERIGROUP — AMERIGROUP: $23.91 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $49.72 BLUE CROSS — ANTHEM EXCHANGE: $47.81 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL	$156	$23.40	$6.70 – $156
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates AETNA — AETNA: $66.61 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $13.79 AETNA — AETNA HEALTHCARE MEDICARE: $13.39 ALLCARE MEDICARE — ALLCARE MEDICARE: $13.39 AMBETTER — AMBETTER: $29.19 AMERIGROUP — AMERIGROUP: $6.70 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $13.93 BLUE CROSS — ANTHEM EXCHANGE: $13.39 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL	$98	$14.70	$4.34 – $98
Kidney function panel: 10 of 47 insurance plan rates AETNA — AETNA: $41.85 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.94 AETNA — AETNA HEALTHCARE MEDICARE: $8.68 ALLCARE MEDICARE — ALLCARE MEDICARE: $8.68 AMBETTER — AMBETTER: $18.92 AMERIGROUP — AMERIGROUP: $4.34 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $9.03 BLUE CROSS — ANTHEM EXCHANGE: $8.68 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL	$91	$13.65	$4.09 – $91
Liver function panel: 10 of 46 insurance plan rates AETNA — AETNA: $38.86 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.42 AETNA — AETNA HEALTHCARE MEDICARE: $8.17 ALLCARE MEDICARE — ALLCARE MEDICARE: $8.17 AMBETTER — AMBETTER: $17.81 AMERIGROUP — AMERIGROUP: $4.09 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.50 BLUE CROSS — ANTHEM EXCHANGE: $8.17 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W MICROSCOPY	$38	$5.70	$1.59 – $38
Urine test (automated, with microscope): 10 of 47 insurance plan rates AETNA — AETNA: $16.23 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.27 AETNA — AETNA HEALTHCARE MEDICARE: $3.17 ALLCARE MEDICARE — ALLCARE MEDICARE: $3.17 AMBETTER — AMBETTER: $6.91 AMERIGROUP — AMERIGROUP: $1.59 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.30 BLUE CROSS — ANTHEM EXCHANGE: $3.17 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINE DIP WO MICROSCOPY	$29	$4.35	$1.74 – $29
Urine test (manual, without microscope): 10 of 47 insurance plan rates AETNA — AETNA: $12.38 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.58 AETNA — AETNA HEALTHCARE MEDICARE: $3.48 ALLCARE MEDICARE — ALLCARE MEDICARE: $3.48 AMBETTER — AMBETTER: $7.59 AMERIGROUP — AMERIGROUP: $1.74 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.62 BLUE CROSS — ANTHEM EXCHANGE: $3.48 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO WO MICROSCOPY	$26	$3.90	$1.13 – $26
Urine test (automated, without microscope): 10 of 47 insurance plan rates AETNA — AETNA: $11.10 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $2.32 AETNA — AETNA HEALTHCARE MEDICARE: $2.25 ALLCARE MEDICARE — ALLCARE MEDICARE: $2.25 AMBETTER — AMBETTER: $4.91 AMERIGROUP — AMERIGROUP: $1.13 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $2.34 BLUE CROSS — ANTHEM EXCHANGE: $2.25 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPEC ANTIGEN TOTAL REF	$215	$32.25	$9.20 – $215
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates AETNA — AETNA: $91.81 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $12.98 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $18.94 AETNA — AETNA HEALTHCARE MEDICARE: $18.39 ALLCARE MEDICARE — ALLCARE MEDICARE: $18.39 AMBETTER — AMBETTER: $40.09 AMERIGROUP — AMERIGROUP: $9.20 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $19.13 BLUE CROSS — ANTHEM EXCHANGE: $18.39 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $12.85
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE TSH	$196	$29.40	$8.40 – $196
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates AETNA — AETNA: $83.69 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.25 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $17.30 AETNA — AETNA HEALTHCARE MEDICARE: $16.80 ALLCARE MEDICARE — ALLCARE MEDICARE: $16.80 AMBETTER — AMBETTER: $36.62 AMERIGROUP — AMERIGROUP: $8.40 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $17.47 BLUE CROSS — ANTHEM EXCHANGE: $16.80 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $14.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC WITH AUTO DIFF	$90	$13.50	$3.89 – $90
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates AETNA — AETNA: $38.43 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.41 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8 AETNA — AETNA HEALTHCARE MEDICARE: $7.77 ALLCARE MEDICARE — ALLCARE MEDICARE: $7.77 AMBETTER — AMBETTER: $16.94 AMERIGROUP — AMERIGROUP: $3.89 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.08 BLUE CROSS — ANTHEM EXCHANGE: $7.77 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.35
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC BLOOD CT COMPLETE AUTOMATED	$76	$11.40	$3.24 – $76
Complete blood count (CBC), automated: 10 of 47 insurance plan rates AETNA — AETNA: $32.45 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.41 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.66 AETNA — AETNA HEALTHCARE MEDICARE: $6.47 ALLCARE MEDICARE — ALLCARE MEDICARE: $6.47 AMBETTER — AMBETTER: $14.10 AMERIGROUP — AMERIGROUP: $3.24 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.73 BLUE CROSS — ANTHEM EXCHANGE: $6.47 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PT PROTHROMBIN TIME	$46	$6.90	$2.15 – $46
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates AETNA — AETNA: $19.64 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.75 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $4.42 AETNA — AETNA HEALTHCARE MEDICARE: $4.29 ALLCARE MEDICARE — ALLCARE MEDICARE: $4.29 AMBETTER — AMBETTER: $9.35 AMERIGROUP — AMERIGROUP: $2.15 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $4.46 BLUE CROSS — ANTHEM EXCHANGE: $4.29 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT THROMBOPLASTIN TIME PARTIAL	$70	$10.50	$3.01 – $70
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates AETNA — AETNA: $29.89 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.75 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.19 AETNA — AETNA HEALTHCARE MEDICARE: $6.01 ALLCARE MEDICARE — ALLCARE MEDICARE: $6.01 AMBETTER — AMBETTER: $13.10 AMERIGROUP — AMERIGROUP: $3.01 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.25 BLUE CROSS — ANTHEM EXCHANGE: $6.01 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.70

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN WO CONTRAST	$3,545	$531.75	$99.18 – $3,545
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,513.72 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.15 AETNA — AETNA HEALTHCARE MEDICARE: $99.18 ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18 AMBETTER — AMBETTER: $216.21 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14 BLUE CROSS — ANTHEM EXCHANGE: $247.30 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68 BLUE CROSS — ANTHEM HMO: $262.76
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MR BRAIN WOW CON	$4,457	$668.55	$320.42 – $4,457
MRI of the brain, before and after contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,903.14 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $525.01 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $340.89 AETNA — AETNA HEALTHCARE MEDICARE: $330.96 ALLCARE MEDICARE — ALLCARE MEDICARE: $330.96 AMBETTER — AMBETTER: $721.49 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $344.20 BLUE CROSS — ANTHEM EXCHANGE: $825.26 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $519.97 BLUE CROSS — ANTHEM HMO: $876.85
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC DX CHEST 2 VIEWS	$462	$69.30	$16.68 – $462
Chest X-ray, 2 views: 10 of 46 insurance plan rates AETNA — AETNA: $197.27 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $72.41 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $85.03 AETNA — AETNA HEALTHCARE MEDICARE: $82.56 ALLCARE MEDICARE — ALLCARE MEDICARE: $82.56 AMBETTER — AMBETTER: $179.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $85.86 BLUE CROSS — ANTHEM EXCHANGE: $205.86 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $71.72 BLUE CROSS — ANTHEM HMO: $218.73
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC DX SPINE LUMBAR MIN 4 VIEWS	$462	$69.30	$30.01 – $462
X-ray of the lower spine, at least 4 views: 10 of 46 insurance plan rates AETNA — AETNA: $197.27 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $72.41 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.15 AETNA — AETNA HEALTHCARE MEDICARE: $99.18 ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18 AMBETTER — AMBETTER: $216.21 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14 BLUE CROSS — ANTHEM EXCHANGE: $247.30 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $71.72 BLUE CROSS — ANTHEM HMO: $262.76
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MR SPINE LUMBAR WO CON	$4,033	$604.95	$203.05 – $4,033
MRI of the lower back (lumbar spine), without contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,722.09 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $312.21 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $233.14 AETNA — AETNA HEALTHCARE MEDICARE: $226.35 ALLCARE MEDICARE — ALLCARE MEDICARE: $226.35 AMBETTER — AMBETTER: $493.44 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $235.40 BLUE CROSS — ANTHEM EXCHANGE: $564.41 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $309.20 BLUE CROSS — ANTHEM HMO: $599.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W CON	$4,114	$617.10	$166.39 – $4,114
CT scan of the pelvis, with contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,756.68 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $171.39 AETNA — AETNA HEALTHCARE MEDICARE: $166.39 ALLCARE MEDICARE — ALLCARE MEDICARE: $166.39 AMBETTER — AMBETTER: $362.74 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.05 BLUE CROSS — ANTHEM EXCHANGE: $414.92 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68 BLUE CROSS — ANTHEM HMO: $440.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR JOINT LOW EXT WO CON	$4,033	$604.95	$203.05 – $4,033
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,722.09 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $312.21 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $233.14 AETNA — AETNA HEALTHCARE MEDICARE: $226.35 ALLCARE MEDICARE — ALLCARE MEDICARE: $226.35 AMBETTER — AMBETTER: $493.44 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $235.40 BLUE CROSS — ANTHEM EXCHANGE: $564.41 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $309.20 BLUE CROSS — ANTHEM HMO: $599.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: HC MRI JOINT LOW EXT WO CON BILATERAL	$4,099	$614.85	$203.05 – $4,099
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,750.27 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $468.31 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $514.40 AETNA — AETNA HEALTHCARE MEDICARE: $499.42 ALLCARE MEDICARE — ALLCARE MEDICARE: $499.42 AMBETTER — AMBETTER: $1,088.73 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $519.39 BLUE CROSS — ANTHEM EXCHANGE: $1,245.32 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $463.81 BLUE CROSS — ANTHEM HMO: $1,323.16
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W CON	$3,731	$559.65	$223.80 – $3,731
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates AETNA — AETNA: $1,593.14 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $340.89 AETNA — AETNA HEALTHCARE MEDICARE: $330.96 ALLCARE MEDICARE — ALLCARE MEDICARE: $330.96 AMBETTER — AMBETTER: $721.49 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $344.20 BLUE CROSS — ANTHEM EXCHANGE: $825.26 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68 BLUE CROSS — ANTHEM HMO: $876.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE	$677	$101.55	$57.79 – $677
Ultrasound of the abdomen, complete: 10 of 46 insurance plan rates AETNA — AETNA: $289.08 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $215.10 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.15 AETNA — AETNA HEALTHCARE MEDICARE: $99.18 ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18 AMBETTER — AMBETTER: $216.21 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14 BLUE CROSS — ANTHEM EXCHANGE: $247.30 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $213.03 BLUE CROSS — ANTHEM HMO: $262.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREG COMP >14 WKS SNGL GEST	$677	$101.55	$57.79 – $677
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates AETNA — AETNA: $289.08 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $130.19 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.15 AETNA — AETNA HEALTHCARE MEDICARE: $99.18 ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18 AMBETTER — AMBETTER: $216.21 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14 BLUE CROSS — ANTHEM EXCHANGE: $247.30 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $128.93 BLUE CROSS — ANTHEM HMO: $262.76
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON OB	$677	$101.55	$50.23 – $677
Transvaginal ultrasound: 10 of 46 insurance plan rates AETNA — AETNA: $289.08 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $141.98 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.15 AETNA — AETNA HEALTHCARE MEDICARE: $99.18 ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18 AMBETTER — AMBETTER: $216.21 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14 BLUE CROSS — ANTHEM EXCHANGE: $247.30 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $140.61 BLUE CROSS — ANTHEM HMO: $262.76
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD UNILAT	$494	$74.10	$57.67 – $494
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates AETNA — AETNA: $210.94 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $80.56 AETNA — AETNA HEALTHCARE MEDICARE: $78.21 ALLCARE MEDICARE — ALLCARE MEDICARE: $78.21 AMBETTER — AMBETTER: $170.50 AMERIGROUP — AMERIGROUP: $72.74 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $81.34 BLUE CROSS — ANTHEM EXCHANGE: $78.21 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO UNILAT INCL CAD	$494	$74.10	$57.67 – $494
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates AETNA — AETNA: $210.94 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $80.56 AETNA — AETNA HEALTHCARE MEDICARE: $78.21 ALLCARE MEDICARE — ALLCARE MEDICARE: $78.21 AMBETTER — AMBETTER: $170.50 AMERIGROUP — AMERIGROUP: $72.74 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $81.34 BLUE CROSS — ANTHEM EXCHANGE: $78.21 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD BILAT	$570	$85.50	$60.43 – $570
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates AETNA — AETNA: $243.39 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $103.26 AETNA — AETNA HEALTHCARE MEDICARE: $100.25 ALLCARE MEDICARE — ALLCARE MEDICARE: $100.25 AMBETTER — AMBETTER: $218.55 AMERIGROUP — AMERIGROUP: $93.23 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $104.26 BLUE CROSS — ANTHEM EXCHANGE: $100.25 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO BILAT INCL CAD	$570	$85.50	$60.43 – $570
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates AETNA — AETNA: $243.39 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $103.26 AETNA — AETNA HEALTHCARE MEDICARE: $100.25 ALLCARE MEDICARE — ALLCARE MEDICARE: $100.25 AMBETTER — AMBETTER: $218.55 AMERIGROUP — AMERIGROUP: $93.23 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $104.26 BLUE CROSS — ANTHEM EXCHANGE: $100.25 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO INCL CAD	$494	$74.10	$60.43 – $494
Screening mammogram, both breasts: 10 of 47 insurance plan rates AETNA — AETNA: $210.94 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $85.24 AETNA — AETNA HEALTHCARE MEDICARE: $82.76 ALLCARE MEDICARE — ALLCARE MEDICARE: $82.76 AMBETTER — AMBETTER: $180.42 AMERIGROUP — AMERIGROUP: $76.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $86.07 BLUE CROSS — ANTHEM EXCHANGE: $82.76 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC SCREEN MAMMO INCL CAD UNILAT	$469	$70.35	$30.22 – $469
Screening mammogram, both breasts: 10 of 47 insurance plan rates AETNA — AETNA: $200.26 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $30.51 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $85.24 AETNA — AETNA HEALTHCARE MEDICARE: $82.76 ALLCARE MEDICARE — ALLCARE MEDICARE: $82.76 AMBETTER — AMBETTER: $180.42 AMERIGROUP — AMERIGROUP: $76.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $86.07 BLUE CROSS — ANTHEM EXCHANGE: $82.76 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $30.22

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC LEFT HEART CATH W/LV	$16,036	$2,405.40	$536.58 – $16,036
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates AETNA — AETNA: $6,847.37 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3,223.60 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3,167.73 AETNA — AETNA HEALTHCARE MEDICARE: $3,075.46 ALLCARE MEDICARE — ALLCARE MEDICARE: $3,075.46 AMBETTER — AMBETTER: $6,704.51 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3,198.48 BLUE CROSS — ANTHEM EXCHANGE: $7,668.87 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3,192.61 BLUE CROSS — ANTHEM HMO: $8,148.21
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP RT ATRIAL VENT WO INDUCTIO	$7,615	$1,142.25	$291.30 – $16,130.18
Heart rhythm study (electrophysiology evaluation): 10 of 43 insurance plan rates AETNA — AETNA: $3,251.61 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $8,879.49 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $7,615 AETNA — AETNA HEALTHCARE MEDICARE: $7,399.16 ALLCARE MEDICARE — ALLCARE MEDICARE: $7,399.16 AMBETTER — AMBETTER: $16,130.18 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $7,615 BLUE CROSS — ANTHEM EXCHANGE: $7,615 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $7,615 BLUE CROSS — ANTHEM HMO: $7,615
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EPS/AFIB ABLATION	$26,884	$4,032.60	$1,077.79 – $54,054.68
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates AETNA — AETNA: $11,479.47 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $22,153.77 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $25,539.59 AETNA — AETNA HEALTHCARE MEDICARE: $24,795.72 ALLCARE MEDICARE — ALLCARE MEDICARE: $24,795.72 AMBETTER — AMBETTER: $54,054.68 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $25,787.55 BLUE CROSS — ANTHEM EXCHANGE: $26,884 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $21,940.76 BLUE CROSS — ANTHEM HMO: $26,884
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOMNOGRAPHY 4 PARA ATTENDED	$3,659	$548.85	$181.48 – $3,659
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates AETNA — AETNA: $1,562.39 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $998.98 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $839.08 AETNA — AETNA HEALTHCARE MEDICARE: $814.65 ALLCARE MEDICARE — ALLCARE MEDICARE: $814.65 AMBETTER — AMBETTER: $1,775.93 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $847.23 BLUE CROSS — ANTHEM EXCHANGE: $2,031.36 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $989.38 BLUE CROSS — ANTHEM HMO: $2,158.34

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERAPEUTIC PROC EA 15MIN	$206	$30.90	$23.55 – $206
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates AETNA — AETNA: $87.96 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $46.06 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $28.49 AETNA — AETNA HEALTHCARE MEDICARE: $27.66 ALLCARE MEDICARE — ALLCARE MEDICARE: $27.66 AMBETTER — AMBETTER: $60.30 AMERIGROUP — AMERIGROUP: $25.72 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $28.77 BLUE CROSS — ANTHEM EXCHANGE: $27.66 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $45.62
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEX 20 MIN	$492	$73.80	$57 – $492
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates AETNA — AETNA: $210.08 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $96.33 AETNA — AETNA HEALTHCARE MEDICARE: $93.52 ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52 AMBETTER — AMBETTER: $203.87 AMERIGROUP — AMERIGROUP: $86.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26 BLUE CROSS — ANTHEM EXCHANGE: $93.52 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEX 30 MIN	$519	$77.85	$57 – $519
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates AETNA — AETNA: $221.61 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $96.33 AETNA — AETNA HEALTHCARE MEDICARE: $93.52 ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52 AMBETTER — AMBETTER: $203.87 AMERIGROUP — AMERIGROUP: $86.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26 BLUE CROSS — ANTHEM EXCHANGE: $93.52 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEX 45 MIN	$545	$81.75	$57 – $545
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates AETNA — AETNA: $232.72 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $96.33 AETNA — AETNA HEALTHCARE MEDICARE: $93.52 ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52 AMBETTER — AMBETTER: $203.87 AMERIGROUP — AMERIGROUP: $86.97 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26 BLUE CROSS — ANTHEM EXCHANGE: $93.52 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 30 MIN	$189	$28.35	$48.78 – $404.12
Psychotherapy, 30 minutes: 10 of 38 insurance plan rates AETNA — AETNA: $80.70 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $169.04 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $173.43 AETNA — AETNA HEALTHCARE MEDICARE: $168.38 ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38 AMBETTER — AMBETTER: $367.07 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12 BLUE CROSS — ANTHEM EXCHANGE: $189 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $167.42 BLUE CROSS — ANTHEM HMO: $189
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 45 MIN	$191	$28.65	$49.30 – $404.12
Psychotherapy, 45 minutes: 10 of 38 insurance plan rates AETNA — AETNA: $81.56 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $190.25 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $173.43 AETNA — AETNA HEALTHCARE MEDICARE: $168.38 ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38 AMBETTER — AMBETTER: $367.07 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12 BLUE CROSS — ANTHEM EXCHANGE: $191 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $188.42 BLUE CROSS — ANTHEM HMO: $191
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 60 MIN	$331	$49.65	$66.10 – $367.07
Psychotherapy, 60 minutes: 10 of 38 insurance plan rates AETNA — AETNA: $141.34 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $190.25 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $173.43 AETNA — AETNA HEALTHCARE MEDICARE: $168.38 ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38 AMBETTER — AMBETTER: $367.07 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12 BLUE CROSS — ANTHEM EXCHANGE: $331 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $188.42 BLUE CROSS — ANTHEM HMO: $331
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC FAMILY THERAPY W/O PT PRESENT 50 MIN	$329	$49.35	$76.34 – $404.12
Family psychotherapy, without the patient: 10 of 40 insurance plan rates AETNA — AETNA: $140.48 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $201.81 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $173.43 AETNA — AETNA HEALTHCARE MEDICARE: $168.38 ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38 AMBETTER — AMBETTER: $367.07 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12 BLUE CROSS — ANTHEM EXCHANGE: $329 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $199.87 BLUE CROSS — ANTHEM HMO: $329
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY THERAPY W PT PRESENT 50 MIN	$543	$81.45	$76.34 – $543
Family psychotherapy, with the patient: 10 of 40 insurance plan rates AETNA — AETNA: $231.86 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $201.81 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $173.43 AETNA — AETNA HEALTHCARE MEDICARE: $168.38 ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38 AMBETTER — AMBETTER: $367.07 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12 BLUE CROSS — ANTHEM EXCHANGE: $419.87 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $199.87 BLUE CROSS — ANTHEM HMO: $446.11
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP PSYCHOTHERAPY	$212	$31.80	$26.30 – $231.30
Group psychotherapy: 10 of 40 insurance plan rates AETNA — AETNA: $90.52 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $328.11 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.26 AETNA — AETNA HEALTHCARE MEDICARE: $96.37 ALLCARE MEDICARE — ALLCARE MEDICARE: $96.37 AMBETTER — AMBETTER: $210.09 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $100.22 BLUE CROSS — ANTHEM EXCHANGE: $212 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $324.96 BLUE CROSS — ANTHEM HMO: $212

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC EGD TRANSORAL DX INCL BRUSH/WASH	$2,844	$426.60	$162 – $2,844
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates AETNA — AETNA: $1,214.39 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,308.58 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $886.23 AETNA — AETNA HEALTHCARE MEDICARE: $860.41 ALLCARE MEDICARE — ALLCARE MEDICARE: $860.41 AMBETTER — AMBETTER: $1,875.70 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $894.83 BEACON HEALTH — BEACON HEALTH VALUE OPTIONS BH: $187 BLUE CROSS — ANTHEM EXCHANGE: $2,145.49 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,295.99
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC EGD W BIOPSY SINGLE OR MULTIPLE	$2,564	$384.60	$162 – $2,564
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates AETNA — AETNA: $1,094.83 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,308.58 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $886.23 AETNA — AETNA HEALTHCARE MEDICARE: $860.41 ALLCARE MEDICARE — ALLCARE MEDICARE: $860.41 AMBETTER — AMBETTER: $1,875.70 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $894.83 BEACON HEALTH — BEACON HEALTH VALUE OPTIONS BH: $187 BLUE CROSS — ANTHEM EXCHANGE: $2,145.49 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,295.99
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$3,227	$484.05	$775 – $3,227
Colonoscopy with biopsy: 10 of 46 insurance plan rates AETNA — AETNA: $1,377.93 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,300.35 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,169.25 AETNA — AETNA HEALTHCARE MEDICARE: $1,135.20 ALLCARE MEDICARE — ALLCARE MEDICARE: $1,135.20 AMBETTER — AMBETTER: $2,474.73 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,180.60 BLUE CROSS — ANTHEM EXCHANGE: $2,830.68 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,287.84 BLUE CROSS — ANTHEM HMO: $3,007.61
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC BX PROSTATE NDL/PUNCH SNG/MULTI ANY APPR	$2,602	$390.30	$96.26 – $2,602
Prostate biopsy: 10 of 16 insurance plan rates AETNA — AETNA: $1,111.05 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $2,234.75 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $2,213.26 BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $96.26 CIGNA HEALTHCARE — CIGNA HMO: $1,085.03 CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $1,207.33 CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $1,085.03 CIGNA HEALTHCARE — CIGNA PPO: $1,085.03 FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $2,003.54 MEDCOST — MEDCOST VHN: $1,238.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ LUMBAR/SACRAL W IMG GUID	$2,986	$447.90	$564 – $2,986
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates AETNA — AETNA: $1,275.02 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $993.76 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $689.72 AETNA — AETNA HEALTHCARE MEDICARE: $669.64 ALLCARE MEDICARE — ALLCARE MEDICARE: $669.64 AMBETTER — AMBETTER: $1,459.80 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $696.42 BLUE CROSS — ANTHEM EXCHANGE: $1,669.79 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $984.20 BLUE CROSS — ANTHEM HMO: $1,774.16
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL	$1,196	$179.40	$211.82 – $1,829.14
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates AETNA — AETNA: $510.69 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $993.76 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $864.23 AETNA — AETNA HEALTHCARE MEDICARE: $839.06 ALLCARE MEDICARE — ALLCARE MEDICARE: $839.06 AMBETTER — AMBETTER: $1,829.14 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $872.62 BLUE CROSS — ANTHEM EXCHANGE: $1,196 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $984.20 BLUE CROSS — ANTHEM HMO: $1,196
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC BILAT 1 LEVEL	$2,352	$352.80	$211.82 – $2,743.72
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates AETNA — AETNA: $1,004.30 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,490.64 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,296.34 AETNA — AETNA HEALTHCARE MEDICARE: $1,258.58 ALLCARE MEDICARE — ALLCARE MEDICARE: $1,258.58 AMBETTER — AMBETTER: $2,743.72 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,308.93 BLUE CROSS — ANTHEM EXCHANGE: $2,352 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,476.31 BLUE CROSS — ANTHEM HMO: $2,352
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC REVISE MEDIAN N/CARPAL TUNNEL SURG	$6,035	$905.25	$375.46 – $6,035
Carpal tunnel release: 10 of 41 insurance plan rates AETNA — AETNA: $2,576.95 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,773.21 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,908.03 AETNA — AETNA HEALTHCARE MEDICARE: $1,852.46 ALLCARE MEDICARE — ALLCARE MEDICARE: $1,852.46 AMBETTER — AMBETTER: $4,038.35 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,926.55 BLUE CROSS — ANTHEM EXCHANGE: $4,619.23 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,756.16 BLUE CROSS — ANTHEM HMO: $4,907.95
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC POST-CATARACT LASER SURGERY	$1,677	$251.55	$432.83 – $1,677
Laser treatment of clouding after cataract surgery: 10 of 46 insurance plan rates AETNA — AETNA: $716.08 AETNA — AETNA BETTER HEALTH OF VIRGINIA: $749.30 AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $537.41 AETNA — AETNA HEALTHCARE MEDICARE: $521.76 ALLCARE MEDICARE — ALLCARE MEDICARE: $521.76 AMBETTER — AMBETTER: $1,137.43 AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $542.63 BLUE CROSS — ANTHEM EXCHANGE: $1,301.03 BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $742.09 BLUE CROSS — ANTHEM HMO: $1,382.35

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$2,765 – $505,909.52
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount) MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount) SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$2,765 – $80,928.81
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount) MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount) SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,765 – $114,119.21
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount) MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount) SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$2,765 – $49,169.33
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount) MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount) SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)

Source: Wellmont Bristol Regional Medical Center’s standard charges file (balladhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	One Medical Park Blvd, Bristol, TN 37620
County	Sullivan County
State	Tennessee
Phone	(423) 844‑1121
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	440012
Name in Medicare records	WELLMONT BRISTOL REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Bristol Regional Medical Center
Official website	balladhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Bristol Regional Medical Center — balladhealth.org
Interpreter Services & Communication Assistance | Ballad Health — balladhealth.org
J.D. Nicewonder Pediatric Emergency Department in Bristol, TN | Ballad Health — balladhealth.org
Small Steps Pediatric Rehabilitation in Bristol, TN | Ballad Health — balladhealth.org
Hospital Visiting Hours & Information | Ballad Health — balladhealth.org
Certified Core Joint Replacement Program | Bristol Regional — balladhealth.org