Does West Kendall Baptist Hospital have an emergency room?

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

Where is West Kendall Baptist Hospital?

9555 SW 162 Ave, Miami, FL 33196, in Miami-Dade County, Florida.

What is the phone number of West Kendall Baptist Hospital?

(786) 467-2000, as listed by Medicare (CMS).

What is the Medicare star rating of West Kendall Baptist Hospital?

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

West Kendall Baptist Hospital — Miami, FL

Quick answers

Does West Kendall Baptist Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at West Kendall Baptist Hospital. In a medical emergency, call 911.
Where is West Kendall Baptist Hospital?: 9555 SW 162 Ave, Miami, FL 33196, in Miami-Dade County, Florida.
What is the phone number of West Kendall Baptist Hospital?: (786) 467-2000, as listed by Medicare (CMS).
What is the Medicare star rating of West Kendall Baptist Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cancer Care
Heart & Vascular Care
Orthopedic Care
Brain & Spine Care
Maternity Care
Infectious Disease
Internal Medicine
Vascular Surgery
Breast Surgery
Pediatric Cardiology
Physical Therapy
Hematology
Plastic and Reconstructive Surgery
Facial Plastic Surgery
Oculoplastic Surgery
Oral and Maxillofacial Surgery
Orthognathic Surgery

Conditions treated^[4]

Heart failure services
Diarrhea
Fever
Earaches and ear infections
Respiratory infections
UTI
Dislocations

Treatments^[4]

Hydration therapy
Infusion therapy
Tetanus shots
Physical therapy
Interventional radiology

Procedures^[4]

Breast biopsy
Core biopsy
Breast surgery
Robotic-assisted surgery
Minimally invasive surgery
CT scan
MRI
Digital X-ray
Ultrasound
Fluoroscopy studies
Nuclear medicine studies
Electrocardiogram
Cardiovascular diagnostic testing
Laboratory services
Comprehensive blood testing
Pregnancy testing
STD testing
Drug screening
Cholesterol screening
Audio and vision test
School and sports physicals

Programs and centers^[4][5][6]

Neonatal Intensive Care (NICU)
Family Medicine Residency (FIU / Baptist Health)
Healthy West Kendall
Behavioral Health Medication Therapy

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Reserved patient parking; EV charging stations on campus^[4]
Patient portal	My Baptist Health

Recognition^[4]

Magnet Recognition (ANCC)

Doctors and clinicians (554)

554 doctors and other clinicians list West Kendall Baptist Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 530 more: the button below opens the full list.

Other emergency rooms nearby

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

HCA Florida Kendall Hospital5.1 mi · Miami, FL · Acute Care Hospital
Baptist Hospital of Miami7.6 mi · Miami, FL · Acute Care Hospital
Keralty Hospital10.0 mi · Miami, FL · Acute Care Hospital
South Miami Hospital10 mi · Miami, FL · Acute Care Hospital
Larkin Community Hospital10 mi · South Miami, FL · Acute Care Hospital

Other hospitals nearby

West Gables Rehabilitation Hospital9.9 mi · Miami, FL · Inpatient Rehabilitation Hospital
Encompass Health Rehabilitation Hospital of Miami10 mi · Miami, FL · 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

Nspire Healthcare Kendall2.5 mi · Kendall, FL · 5 of 5 stars
Palace at Kendall Nursing and Rehabilitation Cente5.3 mi · Miami, FL · 5 of 5 stars
Harmony Health Center6.6 mi · Miami, FL · 5 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

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

Miami Regional Surgery Center3.2 mi · Miami, FL
Center for Eye Surgery3.6 mi · Miami, FL
Advanced Miami Asc, LLC6.2 mi · Miami, FL

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

Hammocks Health Center2.2 mi · Miami, FL · Community health center
West Kendall Health Center3.7 mi · Miami, FL · Community health center
CHN MDC Kendall5.0 mi · Miami, FL · Community health center

Clinics and urgent care

Kendall Urgent Care3.2 mi · Miami, FL · Urgent care center
MD Now Medical Centers, Inc3.2 mi · Miami, FL · Urgent care center
Guidewell Sanitas I, LLC3.6 mi · Miami, FL · Urgent care center

Pharmacies

GLS Pharmacy LLC2.1 mi · Miami, FL · Pharmacy
Health Rehabilitative Equipment Corp2.1 mi · Miami, FL · Community/retail pharmacy
Publix Super Markets Inc2.1 mi · Miami, FL · Community/retail pharmacy

Assisted living nearby

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

Abuelitas Home, Inc2.1 mi · Miami, FL
American Home Care Facility Inc2.1 mi · Miami, FL
Amparito's Senior Care Inc2.1 mi · Miami, FL
Best Sweet Home ALF Inc2.1 mi · Miami, FL

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 West Kendall Baptist 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 hospital	3 of 5 stars
Would recommend the hospital	3 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	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	755Response rate: 15%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.332No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0Better than the national benchmark
Surgical site infections after abdominal hysterectomy	0.789No different from the national benchmark
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.225Better 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	Too few cases to report
Deaths within 30 days: heart failure patients	7.9%
Deaths within 30 days: pneumonia patients	11.7%
Deaths within 30 days: COPD patients	7.9%
Deaths within 30 days: stroke patients	6.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.8%
Readmitted within 30 days: heart failure	20.6%
Readmitted within 30 days: pneumonia	15.8%
Readmitted within 30 days: COPD	18.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	179 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)	89%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 Miami Best hospitals in Miami

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as West Kendall Baptist Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER level 3	$1,814	$1,179.10	$285.06 – $1,814
Emergency room visit (moderate): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $852.58 AETNA — AETNA HMO: $852.58 AETNA — AETNA HMO EXCHANGE: $689.32 AETNA — AETNA MEDICARE: $319.27 AETNA — AETNA PPO: $1,451.20 AETNA — AETNA TIER 2: $852.58 AFFORDABLE — AFFORDABLE PPO: $1,632.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $816.30 AVMED — AVMED ENTRUST: $636.71 AVMED — AVMED HMO: $741.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 76 In the file: ER level 3	$1,814	$1,179.10	$285.06 – $1,814
Emergency room visit (moderate): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $852.58 AETNA — AETNA HMO: $852.58 AETNA — AETNA HMO EXCHANGE: $689.32 AETNA — AETNA MEDICARE: $319.27 AETNA — AETNA PPO: $1,451.20 AETNA — AETNA TIER 2: $852.58 AFFORDABLE — AFFORDABLE PPO: $1,632.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $816.30 AVMED — AVMED ENTRUST: $636.71 AVMED — AVMED HMO: $741.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: ER level 3	$1,814	$1,179.10	$285.06 – $1,814
Emergency room visit (moderate): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $852.58 AETNA — AETNA HMO: $852.58 AETNA — AETNA HMO EXCHANGE: $689.32 AETNA — AETNA MEDICARE: $319.27 AETNA — AETNA PPO: $1,451.20 AETNA — AETNA TIER 2: $852.58 AFFORDABLE — AFFORDABLE PPO: $1,632.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $816.30 AVMED — AVMED ENTRUST: $636.71 AVMED — AVMED HMO: $741.93
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER level 4	$2,444	$1,588.60	$417.92 – $2,444
Emergency room visit (moderately high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,148.68 AETNA — AETNA HMO: $1,148.68 AETNA — AETNA HMO EXCHANGE: $928.72 AETNA — AETNA MEDICARE: $488.03 AETNA — AETNA PPO: $1,955.20 AETNA — AETNA TIER 2: $1,148.68 AFFORDABLE — AFFORDABLE PPO: $2,199.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,099.80 AVMED — AVMED ENTRUST: $857.84 AVMED — AVMED HMO: $999.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier ER In the file: ER level 4	$2,444	$1,588.60	$417.92 – $2,444
Emergency room visit (moderately high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,148.68 AETNA — AETNA HMO: $1,148.68 AETNA — AETNA HMO EXCHANGE: $928.72 AETNA — AETNA MEDICARE: $488.03 AETNA — AETNA PPO: $1,955.20 AETNA — AETNA TIER 2: $1,148.68 AFFORDABLE — AFFORDABLE PPO: $2,199.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,099.80 AVMED — AVMED ENTRUST: $857.84 AVMED — AVMED HMO: $999.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER level 4	$2,444	$1,588.60	$417.92 – $2,444
Emergency room visit (moderately high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,148.68 AETNA — AETNA HMO: $1,148.68 AETNA — AETNA HMO EXCHANGE: $928.72 AETNA — AETNA MEDICARE: $488.03 AETNA — AETNA PPO: $1,955.20 AETNA — AETNA TIER 2: $1,148.68 AFFORDABLE — AFFORDABLE PPO: $2,199.60 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,099.80 AVMED — AVMED ENTRUST: $857.84 AVMED — AVMED HMO: $999.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER level 5	$2,912	$1,892.80	$497.95 – $2,912
Emergency room visit (high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,368.64 AETNA — AETNA HMO: $1,368.64 AETNA — AETNA HMO EXCHANGE: $1,106.56 AETNA — AETNA MEDICARE: $696.53 AETNA — AETNA PPO: $2,329.60 AETNA — AETNA TIER 2: $1,368.64 AFFORDABLE — AFFORDABLE PPO: $2,620.80 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,310.40 AVMED — AVMED ENTRUST: $1,022.11 AVMED — AVMED HMO: $1,191.01
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier ER In the file: ER level 5	$2,912	$1,892.80	$497.95 – $2,912
Emergency room visit (high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,368.64 AETNA — AETNA HMO: $1,368.64 AETNA — AETNA HMO EXCHANGE: $1,106.56 AETNA — AETNA MEDICARE: $696.53 AETNA — AETNA PPO: $2,329.60 AETNA — AETNA TIER 2: $1,368.64 AFFORDABLE — AFFORDABLE PPO: $2,620.80 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,310.40 AVMED — AVMED ENTRUST: $1,022.11 AVMED — AVMED HMO: $1,191.01
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER level 5	$2,912	$1,892.80	$497.95 – $2,912
Emergency room visit (high): 10 of 46 insurance plan rates AETNA — AETNA CATASTROPHIC: $1,368.64 AETNA — AETNA HMO: $1,368.64 AETNA — AETNA HMO EXCHANGE: $1,106.56 AETNA — AETNA MEDICARE: $696.53 AETNA — AETNA PPO: $2,329.60 AETNA — AETNA TIER 2: $1,368.64 AFFORDABLE — AFFORDABLE PPO: $2,620.80 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,310.40 AVMED — AVMED ENTRUST: $1,022.11 AVMED — AVMED HMO: $1,191.01

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic metabolic panel (BMP)	$675	$438.75	$4.59 – $675
Basic metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $344.25 AETNA — AETNA HMO: $344.25 AETNA — AETNA HMO EXCHANGE: $256.50 AETNA — AETNA MEDICARE: $9.48 AETNA — AETNA PPO: $540 AETNA — AETNA TIER 2: $344.25 AFFORDABLE — AFFORDABLE PPO: $607.50 AMERIGROUP — AMERIGROUP: $4.59
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier ER In the file: Basic metabolic panel (BMP)	$675	$438.75	$4.59 – $675
Basic metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $344.25 AETNA — AETNA HMO: $344.25 AETNA — AETNA HMO EXCHANGE: $256.50 AETNA — AETNA MEDICARE: $9.48 AETNA — AETNA PPO: $540 AETNA — AETNA TIER 2: $344.25 AFFORDABLE — AFFORDABLE PPO: $607.50 AMERIGROUP — AMERIGROUP: $4.59
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier PN In the file: Basic metabolic panel (BMP)	$675	$438.75	$4.59 – $675
Basic metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $344.25 AETNA — AETNA HMO: $344.25 AETNA — AETNA HMO EXCHANGE: $256.50 AETNA — AETNA MEDICARE: $9.48 AETNA — AETNA PPO: $540 AETNA — AETNA TIER 2: $344.25 AFFORDABLE — AFFORDABLE PPO: $607.50 AMERIGROUP — AMERIGROUP: $4.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive metabolic panel	$1,178	$765.70	$4.59 – $1,178
Comprehensive metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $600.78 AETNA — AETNA HMO: $600.78 AETNA — AETNA HMO EXCHANGE: $447.64 AETNA — AETNA MEDICARE: $11.83 AETNA — AETNA PPO: $942.40 AETNA — AETNA TIER 2: $600.78 AFFORDABLE — AFFORDABLE PPO: $1,060.20 AMERIGROUP — AMERIGROUP: $4.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier AY In the file: Comprehensive metabolic panel	$1,178	$765.70	$4.59 – $1,178
Comprehensive metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $600.78 AETNA — AETNA HMO: $600.78 AETNA — AETNA HMO EXCHANGE: $447.64 AETNA — AETNA MEDICARE: $11.83 AETNA — AETNA PPO: $942.40 AETNA — AETNA TIER 2: $600.78 AFFORDABLE — AFFORDABLE PPO: $1,060.20 AMERIGROUP — AMERIGROUP: $4.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier 59 In the file: Comprehensive metabolic panel	$1,178	$765.70	$4.59 – $1,178
Comprehensive metabolic panel (blood test): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $600.78 AETNA — AETNA HMO: $600.78 AETNA — AETNA HMO EXCHANGE: $447.64 AETNA — AETNA MEDICARE: $11.83 AETNA — AETNA PPO: $942.40 AETNA — AETNA TIER 2: $600.78 AFFORDABLE — AFFORDABLE PPO: $1,060.20 AMERIGROUP — AMERIGROUP: $4.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: NMR-lipid panel	$59	$38.35	$4.59 – $59
Cholesterol panel (lipid panel): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $30.09 AETNA — AETNA HMO: $30.09 AETNA — AETNA HMO EXCHANGE: $22.42 AETNA — AETNA MEDICARE: $15 AETNA — AETNA PPO: $47.20 AETNA — AETNA TIER 2: $30.09 AFFORDABLE — AFFORDABLE PPO: $53.10 AMERIGROUP — AMERIGROUP: $4.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid panel	$252	$163.80	$4.59 – $252
Cholesterol panel (lipid panel): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $128.52 AETNA — AETNA HMO: $128.52 AETNA — AETNA HMO EXCHANGE: $95.76 AETNA — AETNA MEDICARE: $15 AETNA — AETNA PPO: $201.60 AETNA — AETNA TIER 2: $128.52 AFFORDABLE — AFFORDABLE PPO: $226.80 AMERIGROUP — AMERIGROUP: $4.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier PN In the file: Lipid panel	$252	$163.80	$4.59 – $252
Cholesterol panel (lipid panel): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $128.52 AETNA — AETNA HMO: $128.52 AETNA — AETNA HMO EXCHANGE: $95.76 AETNA — AETNA MEDICARE: $15 AETNA — AETNA PPO: $201.60 AETNA — AETNA TIER 2: $128.52 AFFORDABLE — AFFORDABLE PPO: $226.80 AMERIGROUP — AMERIGROUP: $4.59
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal function panel	$841	$546.65	$4.59 – $841
Kidney function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $428.91 AETNA — AETNA HMO: $428.91 AETNA — AETNA HMO EXCHANGE: $319.58 AETNA — AETNA MEDICARE: $9.72 AETNA — AETNA PPO: $672.80 AETNA — AETNA TIER 2: $428.91 AFFORDABLE — AFFORDABLE PPO: $756.90 AMERIGROUP — AMERIGROUP: $4.59
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier AY In the file: Renal function panel	$841	$546.65	$4.59 – $841
Kidney function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $428.91 AETNA — AETNA HMO: $428.91 AETNA — AETNA HMO EXCHANGE: $319.58 AETNA — AETNA MEDICARE: $9.72 AETNA — AETNA PPO: $672.80 AETNA — AETNA TIER 2: $428.91 AFFORDABLE — AFFORDABLE PPO: $756.90 AMERIGROUP — AMERIGROUP: $4.59
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier ER In the file: Renal function panel	$841	$546.65	$4.59 – $841
Kidney function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $428.91 AETNA — AETNA HMO: $428.91 AETNA — AETNA HMO EXCHANGE: $319.58 AETNA — AETNA MEDICARE: $9.72 AETNA — AETNA PPO: $672.80 AETNA — AETNA TIER 2: $428.91 AFFORDABLE — AFFORDABLE PPO: $756.90 AMERIGROUP — AMERIGROUP: $4.59
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic function panel	$590	$383.50	$4.59 – $590
Liver function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $300.90 AETNA — AETNA HMO: $300.90 AETNA — AETNA HMO EXCHANGE: $224.20 AETNA — AETNA MEDICARE: $9.15 AETNA — AETNA PPO: $472 AETNA — AETNA TIER 2: $300.90 AFFORDABLE — AFFORDABLE PPO: $531 AMERIGROUP — AMERIGROUP: $4.59
Liver function panel CPT 80076 · Inpatient or outpatient · modifier ER In the file: Hepatic function panel	$590	$383.50	$4.59 – $590
Liver function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $300.90 AETNA — AETNA HMO: $300.90 AETNA — AETNA HMO EXCHANGE: $224.20 AETNA — AETNA MEDICARE: $9.15 AETNA — AETNA PPO: $472 AETNA — AETNA TIER 2: $300.90 AFFORDABLE — AFFORDABLE PPO: $531 AMERIGROUP — AMERIGROUP: $4.59
Liver function panel CPT 80076 · Inpatient or outpatient · modifier PN In the file: Hepatic function panel	$590	$383.50	$4.59 – $590
Liver function panel: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4.96 AETNA — AETNA BETTER HEALTH MEDICAID: $4.96 AETNA — AETNA CATASTROPHIC: $300.90 AETNA — AETNA HMO: $300.90 AETNA — AETNA HMO EXCHANGE: $224.20 AETNA — AETNA MEDICARE: $9.15 AETNA — AETNA PPO: $472 AETNA — AETNA TIER 2: $300.90 AFFORDABLE — AFFORDABLE PPO: $531 AMERIGROUP — AMERIGROUP: $4.59
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URO UA Complete	$251	$163.15	$1.49 – $251
Urine test (automated, with microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $128.01 AETNA — AETNA HMO: $128.01 AETNA — AETNA HMO EXCHANGE: $95.38 AETNA — AETNA MEDICARE: $3.55 AETNA — AETNA PPO: $200.80 AETNA — AETNA TIER 2: $128.01 AFFORDABLE — AFFORDABLE PPO: $225.90 AMERIGROUP — AMERIGROUP: $1.49
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis (with micro)	$251	$163.15	$1.49 – $251
Urine test (automated, with microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $128.01 AETNA — AETNA HMO: $128.01 AETNA — AETNA HMO EXCHANGE: $95.38 AETNA — AETNA MEDICARE: $3.55 AETNA — AETNA PPO: $200.80 AETNA — AETNA TIER 2: $128.01 AFFORDABLE — AFFORDABLE PPO: $225.90 AMERIGROUP — AMERIGROUP: $1.49
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier PN In the file: Urinalysis (with micro)	$251	$163.15	$1.49 – $251
Urine test (automated, with microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $128.01 AETNA — AETNA HMO: $128.01 AETNA — AETNA HMO EXCHANGE: $95.38 AETNA — AETNA MEDICARE: $3.55 AETNA — AETNA PPO: $200.80 AETNA — AETNA TIER 2: $128.01 AFFORDABLE — AFFORDABLE PPO: $225.90 AMERIGROUP — AMERIGROUP: $1.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Specific gravity-urine	$136	$88.40	$1.49 – $136
Urine test (automated, without microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $69.36 AETNA — AETNA HMO: $69.36 AETNA — AETNA HMO EXCHANGE: $51.68 AETNA — AETNA MEDICARE: $2.52 AETNA — AETNA PPO: $108.80 AETNA — AETNA TIER 2: $69.36 AFFORDABLE — AFFORDABLE PPO: $122.40 AMERIGROUP — AMERIGROUP: $1.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	$88	$57.20	$1.49 – $88
Urine test (automated, without microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $44.88 AETNA — AETNA HMO: $44.88 AETNA — AETNA HMO EXCHANGE: $33.44 AETNA — AETNA MEDICARE: $2.52 AETNA — AETNA PPO: $70.40 AETNA — AETNA TIER 2: $44.88 AFFORDABLE — AFFORDABLE PPO: $79.20 AMERIGROUP — AMERIGROUP: $1.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier ER In the file: URINALYSIS AUTO W/O SCOPE	$88	$57.20	$1.49 – $88
Urine test (automated, without microscope): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1.61 AETNA — AETNA BETTER HEALTH MEDICAID: $1.61 AETNA — AETNA CATASTROPHIC: $44.88 AETNA — AETNA HMO: $44.88 AETNA — AETNA HMO EXCHANGE: $33.44 AETNA — AETNA MEDICARE: $2.52 AETNA — AETNA PPO: $70.40 AETNA — AETNA TIER 2: $44.88 AFFORDABLE — AFFORDABLE PPO: $79.20 AMERIGROUP — AMERIGROUP: $1.49
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ARU Prostate Specific Ag	$37	$24.05	$6.12 – $37
PSA (prostate specific antigen) blood test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $6.61 AETNA — AETNA BETTER HEALTH MEDICAID: $6.61 AETNA — AETNA CATASTROPHIC: $18.87 AETNA — AETNA HMO: $18.87 AETNA — AETNA HMO EXCHANGE: $14.06 AETNA — AETNA MEDICARE: $20.60 AETNA — AETNA PPO: $29.60 AETNA — AETNA TIER 2: $18.87 AFFORDABLE — AFFORDABLE PPO: $33.30 AMERIGROUP — AMERIGROUP: $6.12
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA total	$324	$210.60	$6.12 – $324
PSA (prostate specific antigen) blood test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $6.61 AETNA — AETNA BETTER HEALTH MEDICAID: $6.61 AETNA — AETNA CATASTROPHIC: $165.24 AETNA — AETNA HMO: $165.24 AETNA — AETNA HMO EXCHANGE: $123.12 AETNA — AETNA MEDICARE: $20.60 AETNA — AETNA PPO: $259.20 AETNA — AETNA TIER 2: $165.24 AFFORDABLE — AFFORDABLE PPO: $291.60 AMERIGROUP — AMERIGROUP: $6.12
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Free & Total	$482	$313.30	$6.12 – $482
PSA (prostate specific antigen) blood test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $6.61 AETNA — AETNA BETTER HEALTH MEDICAID: $6.61 AETNA — AETNA CATASTROPHIC: $245.82 AETNA — AETNA HMO: $245.82 AETNA — AETNA HMO EXCHANGE: $183.16 AETNA — AETNA MEDICARE: $20.60 AETNA — AETNA PPO: $385.60 AETNA — AETNA TIER 2: $245.82 AFFORDABLE — AFFORDABLE PPO: $433.80 AMERIGROUP — AMERIGROUP: $6.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ARU TSH 3rd Generation	$32	$20.80	$5.47 – $32
Thyroid stimulating hormone (TSH) test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $7.26 AETNA — AETNA BETTER HEALTH MEDICAID: $7.26 AETNA — AETNA CATASTROPHIC: $16.32 AETNA — AETNA HMO: $16.32 AETNA — AETNA HMO EXCHANGE: $12.16 AETNA — AETNA MEDICARE: $18.82 AETNA — AETNA PPO: $25.60 AETNA — AETNA TIER 2: $16.32 AFFORDABLE — AFFORDABLE PPO: $28.80 AMERIGROUP — AMERIGROUP: $6.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	$255	$165.75	$6.72 – $255
Thyroid stimulating hormone (TSH) test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $7.26 AETNA — AETNA BETTER HEALTH MEDICAID: $7.26 AETNA — AETNA CATASTROPHIC: $130.05 AETNA — AETNA HMO: $130.05 AETNA — AETNA HMO EXCHANGE: $96.90 AETNA — AETNA MEDICARE: $18.82 AETNA — AETNA PPO: $204 AETNA — AETNA TIER 2: $130.05 AFFORDABLE — AFFORDABLE PPO: $229.50 AMERIGROUP — AMERIGROUP: $6.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier ER In the file: ASSAY THYROID STIM HORMONE	$255	$165.75	$6.72 – $255
Thyroid stimulating hormone (TSH) test: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $7.26 AETNA — AETNA BETTER HEALTH MEDICAID: $7.26 AETNA — AETNA CATASTROPHIC: $130.05 AETNA — AETNA HMO: $130.05 AETNA — AETNA HMO EXCHANGE: $96.90 AETNA — AETNA MEDICARE: $18.82 AETNA — AETNA PPO: $204 AETNA — AETNA TIER 2: $130.05 AFFORDABLE — AFFORDABLE PPO: $229.50 AMERIGROUP — AMERIGROUP: $6.72
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	$389	$252.85	$3.02 – $389
Complete blood count (CBC) with differential: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $198.39 AETNA — AETNA HMO: $198.39 AETNA — AETNA HMO EXCHANGE: $147.82 AETNA — AETNA MEDICARE: $8.70 AETNA — AETNA PPO: $311.20 AETNA — AETNA TIER 2: $198.39 AFFORDABLE — AFFORDABLE PPO: $350.10 AMERIGROUP — AMERIGROUP: $3.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier 59 In the file: COMPLETE CBC W/AUTO DIFF WBC	$389	$252.85	$3.02 – $389
Complete blood count (CBC) with differential: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $198.39 AETNA — AETNA HMO: $198.39 AETNA — AETNA HMO EXCHANGE: $147.82 AETNA — AETNA MEDICARE: $8.70 AETNA — AETNA PPO: $311.20 AETNA — AETNA TIER 2: $198.39 AFFORDABLE — AFFORDABLE PPO: $350.10 AMERIGROUP — AMERIGROUP: $3.02
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier Q1 In the file: COMPLETE CBC W/AUTO DIFF WBC	$389	$252.85	$3.02 – $389
Complete blood count (CBC) with differential: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $198.39 AETNA — AETNA HMO: $198.39 AETNA — AETNA HMO EXCHANGE: $147.82 AETNA — AETNA MEDICARE: $8.70 AETNA — AETNA PPO: $311.20 AETNA — AETNA TIER 2: $198.39 AFFORDABLE — AFFORDABLE PPO: $350.10 AMERIGROUP — AMERIGROUP: $3.02
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	$247	$160.55	$3.02 – $247
Complete blood count (CBC), automated: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $125.97 AETNA — AETNA HMO: $125.97 AETNA — AETNA HMO EXCHANGE: $93.86 AETNA — AETNA MEDICARE: $7.25 AETNA — AETNA PPO: $197.60 AETNA — AETNA TIER 2: $125.97 AFFORDABLE — AFFORDABLE PPO: $222.30 AMERIGROUP — AMERIGROUP: $3.02
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier ER In the file: COMPLETE CBC AUTOMATED	$247	$160.55	$3.02 – $247
Complete blood count (CBC), automated: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $125.97 AETNA — AETNA HMO: $125.97 AETNA — AETNA HMO EXCHANGE: $93.86 AETNA — AETNA MEDICARE: $7.25 AETNA — AETNA PPO: $197.60 AETNA — AETNA TIER 2: $125.97 AFFORDABLE — AFFORDABLE PPO: $222.30 AMERIGROUP — AMERIGROUP: $3.02
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · modifier AY In the file: COMPLETE CBC AUTOMATED	$247	$160.55	$3.02 – $247
Complete blood count (CBC), automated: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $3.27 AETNA — AETNA BETTER HEALTH MEDICAID: $3.27 AETNA — AETNA CATASTROPHIC: $125.97 AETNA — AETNA HMO: $125.97 AETNA — AETNA HMO EXCHANGE: $93.86 AETNA — AETNA MEDICARE: $7.25 AETNA — AETNA PPO: $197.60 AETNA — AETNA TIER 2: $125.97 AFFORDABLE — AFFORDABLE PPO: $222.30 AMERIGROUP — AMERIGROUP: $3.02
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: ARU PT-INR (PROTHROMBIN TIME)	$25	$16.25	$2.24 – $25
Blood clotting time test (prothrombin time, PT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $12.75 AETNA — AETNA HMO: $12.75 AETNA — AETNA HMO EXCHANGE: $9.50 AETNA — AETNA MEDICARE: $4.80 AETNA — AETNA PPO: $20 AETNA — AETNA TIER 2: $12.75 AFFORDABLE — AFFORDABLE PPO: $22.50 AMERIGROUP — AMERIGROUP: $2.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: POCT pt prothrombin time	$83	$53.95	$2.24 – $83
Blood clotting time test (prothrombin time, PT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $42.33 AETNA — AETNA HMO: $42.33 AETNA — AETNA HMO EXCHANGE: $31.54 AETNA — AETNA MEDICARE: $4.80 AETNA — AETNA PPO: $66.40 AETNA — AETNA TIER 2: $42.33 AFFORDABLE — AFFORDABLE PPO: $74.70 AMERIGROUP — AMERIGROUP: $2.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT-charge	$191	$124.15	$2.24 – $191
Blood clotting time test (prothrombin time, PT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $97.41 AETNA — AETNA HMO: $97.41 AETNA — AETNA HMO EXCHANGE: $72.58 AETNA — AETNA MEDICARE: $4.80 AETNA — AETNA PPO: $152.80 AETNA — AETNA TIER 2: $97.41 AFFORDABLE — AFFORDABLE PPO: $171.90 AMERIGROUP — AMERIGROUP: $2.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APS-APTT	$49	$31.85	$2.24 – $49
Blood clotting test (partial thromboplastin time, PTT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $24.99 AETNA — AETNA HMO: $24.99 AETNA — AETNA HMO EXCHANGE: $18.62 AETNA — AETNA MEDICARE: $6.73 AETNA — AETNA PPO: $39.20 AETNA — AETNA TIER 2: $24.99 AFFORDABLE — AFFORDABLE PPO: $44.10 AMERIGROUP — AMERIGROUP: $2.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT charge	$202	$131.30	$2.24 – $202
Blood clotting test (partial thromboplastin time, PTT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $103.02 AETNA — AETNA HMO: $103.02 AETNA — AETNA HMO EXCHANGE: $76.76 AETNA — AETNA MEDICARE: $6.73 AETNA — AETNA PPO: $161.60 AETNA — AETNA TIER 2: $103.02 AFFORDABLE — AFFORDABLE PPO: $181.80 AMERIGROUP — AMERIGROUP: $2.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: ARU PTT-LA Ratio	$25	$16.25	$2.24 – $25
Blood clotting test (partial thromboplastin time, PTT): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $2.42 AETNA — AETNA BETTER HEALTH MEDICAID: $2.42 AETNA — AETNA CATASTROPHIC: $12.75 AETNA — AETNA HMO: $12.75 AETNA — AETNA HMO EXCHANGE: $9.50 AETNA — AETNA MEDICARE: $6.73 AETNA — AETNA PPO: $20 AETNA — AETNA TIER 2: $12.75 AFFORDABLE — AFFORDABLE PPO: $22.50 AMERIGROUP — AMERIGROUP: $2.24

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	$4,699	$3,054.35	$109.17 – $4,699
CT scan of the head or brain, without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $2,396.49 AETNA — AETNA HMO: $2,396.49 AETNA — AETNA HMO EXCHANGE: $1,785.62 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $3,759.20 AETNA — AETNA TIER 2: $2,396.49 AFFORDABLE — AFFORDABLE PPO: $4,229.10 AMERIGROUP — AMERIGROUP: $197.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 59 In the file: CT HEAD/BRAIN W/O DYE	$4,699	$3,054.35	$109.17 – $4,699
CT scan of the head or brain, without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $2,396.49 AETNA — AETNA HMO: $2,396.49 AETNA — AETNA HMO EXCHANGE: $1,785.62 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $3,759.20 AETNA — AETNA TIER 2: $2,396.49 AFFORDABLE — AFFORDABLE PPO: $4,229.10 AMERIGROUP — AMERIGROUP: $197.10
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier Q1 In the file: CT HEAD/BRAIN W/O DYE	$4,699	$3,054.35	$109.17 – $4,699
CT scan of the head or brain, without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $2,396.49 AETNA — AETNA HMO: $2,396.49 AETNA — AETNA HMO EXCHANGE: $1,785.62 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $3,759.20 AETNA — AETNA TIER 2: $2,396.49 AFFORDABLE — AFFORDABLE PPO: $4,229.10 AMERIGROUP — AMERIGROUP: $197.10
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: Mri brain stem w/o & w/dye	$7,569	$4,919.85	$247.73 – $7,569
MRI of the brain, before and after contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $267.55 AETNA — AETNA BETTER HEALTH MEDICAID: $267.55 AETNA — AETNA CATASTROPHIC: $3,860.19 AETNA — AETNA HMO: $3,860.19 AETNA — AETNA HMO EXCHANGE: $2,876.22 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $6,055.20 AETNA — AETNA TIER 2: $3,860.19 AFFORDABLE — AFFORDABLE PPO: $6,812.10 AMERIGROUP — AMERIGROUP: $247.73
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier ER In the file: Mri brain stem w/o & w/dye	$7,569	$4,919.85	$247.73 – $7,569
MRI of the brain, before and after contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $267.55 AETNA — AETNA BETTER HEALTH MEDICAID: $267.55 AETNA — AETNA CATASTROPHIC: $3,860.19 AETNA — AETNA HMO: $3,860.19 AETNA — AETNA HMO EXCHANGE: $2,876.22 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $6,055.20 AETNA — AETNA TIER 2: $3,860.19 AFFORDABLE — AFFORDABLE PPO: $6,812.10 AMERIGROUP — AMERIGROUP: $247.73
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier KX In the file: Mri brain stem w/o & w/dye	$7,569	$4,919.85	$247.73 – $7,569
MRI of the brain, before and after contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $267.55 AETNA — AETNA BETTER HEALTH MEDICAID: $267.55 AETNA — AETNA CATASTROPHIC: $3,860.19 AETNA — AETNA HMO: $3,860.19 AETNA — AETNA HMO EXCHANGE: $2,876.22 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $6,055.20 AETNA — AETNA TIER 2: $3,860.19 AFFORDABLE — AFFORDABLE PPO: $6,812.10 AMERIGROUP — AMERIGROUP: $247.73
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: Chest XR 2 views	$765	$497.25	$34.17 – $765
Chest X-ray, 2 views: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $36.90 AETNA — AETNA BETTER HEALTH MEDICAID: $36.90 AETNA — AETNA CATASTROPHIC: $390.15 AETNA — AETNA HMO: $390.15 AETNA — AETNA HMO EXCHANGE: $290.70 AETNA — AETNA MEDICARE: $101.78 AETNA — AETNA PPO: $612 AETNA — AETNA TIER 2: $390.15 AFFORDABLE — AFFORDABLE PPO: $688.50 AMERIGROUP — AMERIGROUP: $34.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier GA In the file: Chest XR 2 views	$765	$497.25	$34.17 – $765
Chest X-ray, 2 views: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $36.90 AETNA — AETNA BETTER HEALTH MEDICAID: $36.90 AETNA — AETNA CATASTROPHIC: $390.15 AETNA — AETNA HMO: $390.15 AETNA — AETNA HMO EXCHANGE: $290.70 AETNA — AETNA MEDICARE: $101.78 AETNA — AETNA PPO: $612 AETNA — AETNA TIER 2: $390.15 AFFORDABLE — AFFORDABLE PPO: $688.50 AMERIGROUP — AMERIGROUP: $34.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier ER In the file: Chest XR 2 views	$765	$497.25	$34.17 – $765
Chest X-ray, 2 views: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $36.90 AETNA — AETNA BETTER HEALTH MEDICAID: $36.90 AETNA — AETNA CATASTROPHIC: $390.15 AETNA — AETNA HMO: $390.15 AETNA — AETNA HMO EXCHANGE: $290.70 AETNA — AETNA MEDICARE: $101.78 AETNA — AETNA PPO: $612 AETNA — AETNA TIER 2: $390.15 AFFORDABLE — AFFORDABLE PPO: $688.50 AMERIGROUP — AMERIGROUP: $34.17
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: Lumbar spine mini 4 view xr	$1,723	$1,119.95	$34.17 – $1,723
X-ray of the lower spine, at least 4 views: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $36.90 AETNA — AETNA BETTER HEALTH MEDICAID: $36.90 AETNA — AETNA CATASTROPHIC: $878.73 AETNA — AETNA HMO: $878.73 AETNA — AETNA HMO EXCHANGE: $654.74 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,378.40 AETNA — AETNA TIER 2: $878.73 AFFORDABLE — AFFORDABLE PPO: $1,550.70 AMERIGROUP — AMERIGROUP: $34.17
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	$5,808	$3,775.20	$147.32 – $5,808
MRI of the lower back (lumbar spine), without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $159.10 AETNA — AETNA BETTER HEALTH MEDICAID: $159.10 AETNA — AETNA CATASTROPHIC: $2,962.08 AETNA — AETNA HMO: $2,962.08 AETNA — AETNA HMO EXCHANGE: $2,207.04 AETNA — AETNA MEDICARE: $279.07 AETNA — AETNA PPO: $4,646.40 AETNA — AETNA TIER 2: $2,962.08 AFFORDABLE — AFFORDABLE PPO: $5,227.20 AMERIGROUP — AMERIGROUP: $147.32
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 52 In the file: MRI LUMBAR SPINE W/O DYE	$5,808	$3,775.20	$73.66 – $5,808
MRI of the lower back (lumbar spine), without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $79.55 AETNA — AETNA BETTER HEALTH MEDICAID: $79.55 AETNA — AETNA CATASTROPHIC: $2,962.08 AETNA — AETNA HMO: $2,962.08 AETNA — AETNA HMO EXCHANGE: $2,207.04 AETNA — AETNA MEDICARE: $139.53 AETNA — AETNA PPO: $4,646.40 AETNA — AETNA TIER 2: $2,962.08 AFFORDABLE — AFFORDABLE PPO: $5,227.20 AMERIGROUP — AMERIGROUP: $73.66
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier KX In the file: MRI LUMBAR SPINE W/O DYE	$5,808	$3,775.20	$147.32 – $5,808
MRI of the lower back (lumbar spine), without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $159.10 AETNA — AETNA BETTER HEALTH MEDICAID: $159.10 AETNA — AETNA CATASTROPHIC: $2,962.08 AETNA — AETNA HMO: $2,962.08 AETNA — AETNA HMO EXCHANGE: $2,207.04 AETNA — AETNA MEDICARE: $279.07 AETNA — AETNA PPO: $4,646.40 AETNA — AETNA TIER 2: $2,962.08 AFFORDABLE — AFFORDABLE PPO: $5,227.20 AMERIGROUP — AMERIGROUP: $147.32
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	$5,201	$3,380.65	$183.17 – $5,201
CT scan of the pelvis, with contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $2,652.51 AETNA — AETNA HMO: $2,652.51 AETNA — AETNA HMO EXCHANGE: $1,976.38 AETNA — AETNA MEDICARE: $205.15 AETNA — AETNA PPO: $4,160.80 AETNA — AETNA TIER 2: $2,652.51 AFFORDABLE — AFFORDABLE PPO: $4,680.90 AMERIGROUP — AMERIGROUP: $197.10
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier ER In the file: CT PELVIS W/DYE	$5,201	$3,380.65	$183.17 – $5,201
CT scan of the pelvis, with contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $2,652.51 AETNA — AETNA HMO: $2,652.51 AETNA — AETNA HMO EXCHANGE: $1,976.38 AETNA — AETNA MEDICARE: $205.15 AETNA — AETNA PPO: $4,160.80 AETNA — AETNA TIER 2: $2,652.51 AFFORDABLE — AFFORDABLE PPO: $4,680.90 AMERIGROUP — AMERIGROUP: $197.10
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	$5,526	$3,591.90	$147.32 – $5,526
MRI of a leg joint (such as the knee), without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $159.10 AETNA — AETNA BETTER HEALTH MEDICAID: $159.10 AETNA — AETNA CATASTROPHIC: $2,818.26 AETNA — AETNA HMO: $2,818.26 AETNA — AETNA HMO EXCHANGE: $2,099.88 AETNA — AETNA MEDICARE: $279.07 AETNA — AETNA PPO: $4,420.80 AETNA — AETNA TIER 2: $2,818.26 AFFORDABLE — AFFORDABLE PPO: $4,973.40 AMERIGROUP — AMERIGROUP: $147.32
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier KX In the file: MRI JNT OF LWR EXTRE W/O DYE	$5,526	$3,591.90	$147.32 – $5,526
MRI of a leg joint (such as the knee), without contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $159.10 AETNA — AETNA BETTER HEALTH MEDICAID: $159.10 AETNA — AETNA CATASTROPHIC: $2,818.26 AETNA — AETNA HMO: $2,818.26 AETNA — AETNA HMO EXCHANGE: $2,099.88 AETNA — AETNA MEDICARE: $279.07 AETNA — AETNA PPO: $4,420.80 AETNA — AETNA TIER 2: $2,818.26 AFFORDABLE — AFFORDABLE PPO: $4,973.40 AMERIGROUP — AMERIGROUP: $147.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: Abd pelvis CT scans w con	$9,176	$5,964.40	$197.10 – $9,176
CT scan of the abdomen and pelvis, with contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $4,679.76 AETNA — AETNA HMO: $4,679.76 AETNA — AETNA HMO EXCHANGE: $3,486.88 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $7,340.80 AETNA — AETNA TIER 2: $4,679.76 AFFORDABLE — AFFORDABLE PPO: $8,258.40 AMERIGROUP — AMERIGROUP: $197.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier Q1 In the file: Abd pelvis CT scans w con	$9,176	$5,964.40	$197.10 – $9,176
CT scan of the abdomen and pelvis, with contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $4,679.76 AETNA — AETNA HMO: $4,679.76 AETNA — AETNA HMO EXCHANGE: $3,486.88 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $7,340.80 AETNA — AETNA TIER 2: $4,679.76 AFFORDABLE — AFFORDABLE PPO: $8,258.40 AMERIGROUP — AMERIGROUP: $197.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier XE In the file: Abd pelvis CT scans w con	$9,176	$5,964.40	$197.10 – $9,176
CT scan of the abdomen and pelvis, with contrast: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $212.86 AETNA — AETNA BETTER HEALTH MEDICAID: $212.86 AETNA — AETNA CATASTROPHIC: $4,679.76 AETNA — AETNA HMO: $4,679.76 AETNA — AETNA HMO EXCHANGE: $3,486.88 AETNA — AETNA MEDICARE: $408.04 AETNA — AETNA PPO: $7,340.80 AETNA — AETNA TIER 2: $4,679.76 AFFORDABLE — AFFORDABLE PPO: $8,258.40 AMERIGROUP — AMERIGROUP: $197.10
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: Abdominal complete US	$2,276	$1,479.40	$101.50 – $2,276
Ultrasound of the abdomen, complete: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $109.62 AETNA — AETNA BETTER HEALTH MEDICAID: $109.62 AETNA — AETNA CATASTROPHIC: $1,160.76 AETNA — AETNA HMO: $1,160.76 AETNA — AETNA HMO EXCHANGE: $864.88 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,820.80 AETNA — AETNA TIER 2: $1,160.76 AFFORDABLE — AFFORDABLE PPO: $2,048.40 AMERIGROUP — AMERIGROUP: $101.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 59 In the file: Abdominal complete US	$2,276	$1,479.40	$101.50 – $2,276
Ultrasound of the abdomen, complete: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $109.62 AETNA — AETNA BETTER HEALTH MEDICAID: $109.62 AETNA — AETNA CATASTROPHIC: $1,160.76 AETNA — AETNA HMO: $1,160.76 AETNA — AETNA HMO EXCHANGE: $864.88 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,820.80 AETNA — AETNA TIER 2: $1,160.76 AFFORDABLE — AFFORDABLE PPO: $2,048.40 AMERIGROUP — AMERIGROUP: $101.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier ER In the file: Abdominal complete US	$2,276	$1,479.40	$101.50 – $2,276
Ultrasound of the abdomen, complete: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $109.62 AETNA — AETNA BETTER HEALTH MEDICAID: $109.62 AETNA — AETNA CATASTROPHIC: $1,160.76 AETNA — AETNA HMO: $1,160.76 AETNA — AETNA HMO EXCHANGE: $864.88 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,820.80 AETNA — AETNA TIER 2: $1,160.76 AFFORDABLE — AFFORDABLE PPO: $2,048.40 AMERIGROUP — AMERIGROUP: $101.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB 2nd 3rd tri complete US	$1,259	$818.35	$61.43 – $1,259
Pregnancy ultrasound (after the first trimester): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $66.34 AETNA — AETNA BETTER HEALTH MEDICAID: $66.34 AETNA — AETNA CATASTROPHIC: $642.09 AETNA — AETNA HMO: $642.09 AETNA — AETNA HMO EXCHANGE: $478.42 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,007.20 AETNA — AETNA TIER 2: $642.09 AFFORDABLE — AFFORDABLE PPO: $1,133.10 AMERIGROUP — AMERIGROUP: $61.43
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: Transvaginal US	$1,354	$880.10	$66.99 – $1,354
Transvaginal ultrasound: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $72.35 AETNA — AETNA BETTER HEALTH MEDICAID: $72.35 AETNA — AETNA CATASTROPHIC: $690.54 AETNA — AETNA HMO: $690.54 AETNA — AETNA HMO EXCHANGE: $514.52 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,083.20 AETNA — AETNA TIER 2: $690.54 AFFORDABLE — AFFORDABLE PPO: $1,218.60 AMERIGROUP — AMERIGROUP: $66.99
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier ER In the file: Transvaginal US	$1,354	$880.10	$66.99 – $1,354
Transvaginal ultrasound: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $72.35 AETNA — AETNA BETTER HEALTH MEDICAID: $72.35 AETNA — AETNA CATASTROPHIC: $690.54 AETNA — AETNA HMO: $690.54 AETNA — AETNA HMO EXCHANGE: $514.52 AETNA — AETNA MEDICARE: $122.28 AETNA — AETNA PPO: $1,083.20 AETNA — AETNA TIER 2: $690.54 AFFORDABLE — AFFORDABLE PPO: $1,218.60 AMERIGROUP — AMERIGROUP: $66.99

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: Lt heart cath wwo vgram	$20,797	$13,518.05	$1,521.09 – $20,797
Left heart catheterization (diagnostic): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1,642.78 AETNA — AETNA BETTER HEALTH MEDICAID: $1,642.78 AETNA — AETNA CATASTROPHIC: $10,606.47 AETNA — AETNA HMO: $10,606.47 AETNA — AETNA HMO EXCHANGE: $7,902.86 AETNA — AETNA MEDICARE: $3,791.74 AETNA — AETNA PPO: $16,637.60 AETNA — AETNA TIER 2: $10,606.47 AFFORDABLE — AFFORDABLE PPO: $18,717.30 AMERIGROUP — AMERIGROUP: $1,521.09
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · modifier XU In the file: Lt heart cath wwo vgram	$20,797	$13,518.05	$1,521.09 – $20,797
Left heart catheterization (diagnostic): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1,642.78 AETNA — AETNA BETTER HEALTH MEDICAID: $1,642.78 AETNA — AETNA CATASTROPHIC: $10,606.47 AETNA — AETNA HMO: $10,606.47 AETNA — AETNA HMO EXCHANGE: $7,902.86 AETNA — AETNA MEDICARE: $3,791.74 AETNA — AETNA PPO: $16,637.60 AETNA — AETNA TIER 2: $10,606.47 AFFORDABLE — AFFORDABLE PPO: $18,717.30 AMERIGROUP — AMERIGROUP: $1,521.09
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: EP wo induct/attempted arrhy	$18,835	$12,242.75	$3,220.79 – $18,835
Heart rhythm study (electrophysiology evaluation): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $4,525.08 AETNA — AETNA BETTER HEALTH MEDICAID: $4,525.08 AETNA — AETNA CATASTROPHIC: $9,605.85 AETNA — AETNA HMO: $9,605.85 AETNA — AETNA HMO EXCHANGE: $7,157.30 AETNA — AETNA MEDICARE: $9,122.43 AETNA — AETNA PPO: $15,068 AETNA — AETNA TIER 2: $9,605.85 AFFORDABLE — AFFORDABLE PPO: $16,951.50 AMERIGROUP — AMERIGROUP: $4,189.88
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: Comp EP evl & pv isltn -af abl	$45,794	$29,766.10	$7,830.77 – $45,794
Heart rhythm study with ablation for atrial fibrillation: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $11,289.78 AETNA — AETNA BETTER HEALTH MEDICAID: $11,289.78 AETNA — AETNA CATASTROPHIC: $23,354.94 AETNA — AETNA HMO: $23,354.94 AETNA — AETNA HMO EXCHANGE: $17,401.72 AETNA — AETNA MEDICARE: $30,570.64 AETNA — AETNA PPO: $36,635.20 AETNA — AETNA TIER 2: $23,354.94 AFFORDABLE — AFFORDABLE PPO: $41,214.60 AMERIGROUP — AMERIGROUP: $10,453.50

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	$248	$161.20	$21.73 – $248
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $23.47 AETNA — AETNA BETTER HEALTH MEDICAID: $23.47 AETNA — AETNA CATASTROPHIC: $126.48 AETNA — AETNA HMO: $126.48 AETNA — AETNA HMO EXCHANGE: $94.24 AETNA — AETNA MEDICARE: $33.75 AETNA — AETNA PPO: $198.40 AETNA — AETNA TIER 2: $126.48 AFFORDABLE — AFFORDABLE PPO: $223.20 AMERIGROUP — AMERIGROUP: $21.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier CQ In the file: THERAPEUTIC EXERCISES	$248	$161.20	$21.73 – $248
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $23.47 AETNA — AETNA BETTER HEALTH MEDICAID: $23.47 AETNA — AETNA CATASTROPHIC: $126.48 AETNA — AETNA HMO: $126.48 AETNA — AETNA HMO EXCHANGE: $94.24 AETNA — AETNA MEDICARE: $33.75 AETNA — AETNA PPO: $198.40 AETNA — AETNA TIER 2: $126.48 AFFORDABLE — AFFORDABLE PPO: $223.20 AMERIGROUP — AMERIGROUP: $21.73
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier 97 In the file: THERAPEUTIC EXERCISES	$248	$161.20	$21.73 – $248
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $23.47 AETNA — AETNA BETTER HEALTH MEDICAID: $23.47 AETNA — AETNA CATASTROPHIC: $126.48 AETNA — AETNA HMO: $126.48 AETNA — AETNA HMO EXCHANGE: $94.24 AETNA — AETNA MEDICARE: $33.75 AETNA — AETNA PPO: $198.40 AETNA — AETNA TIER 2: $126.48 AFFORDABLE — AFFORDABLE PPO: $223.20 AMERIGROUP — AMERIGROUP: $21.73
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT eval low complex	$402	$261.30	$68.74 – $402
Physical therapy evaluation (low complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $205.02 AETNA — AETNA HMO: $205.02 AETNA — AETNA HMO EXCHANGE: $152.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $321.60 AETNA — AETNA TIER 2: $205.02 AFFORDABLE — AFFORDABLE PPO: $361.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier 97 In the file: PT eval low complex	$402	$261.30	$68.74 – $402
Physical therapy evaluation (low complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $205.02 AETNA — AETNA HMO: $205.02 AETNA — AETNA HMO EXCHANGE: $152.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $321.60 AETNA — AETNA TIER 2: $205.02 AFFORDABLE — AFFORDABLE PPO: $361.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier 59 In the file: PT eval low complex	$402	$261.30	$68.74 – $402
Physical therapy evaluation (low complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $205.02 AETNA — AETNA HMO: $205.02 AETNA — AETNA HMO EXCHANGE: $152.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $321.60 AETNA — AETNA TIER 2: $205.02 AFFORDABLE — AFFORDABLE PPO: $361.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT eval mod complex	$602	$391.30	$100.27 – $602
Physical therapy evaluation (moderate complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $307.02 AETNA — AETNA HMO: $307.02 AETNA — AETNA HMO EXCHANGE: $228.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $481.60 AETNA — AETNA TIER 2: $307.02 AFFORDABLE — AFFORDABLE PPO: $541.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT eval mod complex	$602	$391.30	$100.27 – $602
Physical therapy evaluation (moderate complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $307.02 AETNA — AETNA HMO: $307.02 AETNA — AETNA HMO EXCHANGE: $228.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $481.60 AETNA — AETNA TIER 2: $307.02 AFFORDABLE — AFFORDABLE PPO: $541.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier KX In the file: PT eval mod complex	$602	$391.30	$100.27 – $602
Physical therapy evaluation (moderate complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $307.02 AETNA — AETNA HMO: $307.02 AETNA — AETNA HMO EXCHANGE: $228.76 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $481.60 AETNA — AETNA TIER 2: $307.02 AFFORDABLE — AFFORDABLE PPO: $541.80 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT eval high complex	$903	$586.95	$100.27 – $903
Physical therapy evaluation (high complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $460.53 AETNA — AETNA HMO: $460.53 AETNA — AETNA HMO EXCHANGE: $343.14 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $722.40 AETNA — AETNA TIER 2: $460.53 AFFORDABLE — AFFORDABLE PPO: $812.70 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier 97 In the file: PT eval high complex	$903	$586.95	$100.27 – $903
Physical therapy evaluation (high complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $460.53 AETNA — AETNA HMO: $460.53 AETNA — AETNA HMO EXCHANGE: $343.14 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $722.40 AETNA — AETNA TIER 2: $460.53 AFFORDABLE — AFFORDABLE PPO: $812.70 AMERIGROUP — AMERIGROUP: $143.21
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT eval high complex	$903	$586.95	$100.27 – $903
Physical therapy evaluation (high complexity): 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $154.67 AETNA — AETNA BETTER HEALTH MEDICAID: $154.67 AETNA — AETNA CATASTROPHIC: $460.53 AETNA — AETNA HMO: $460.53 AETNA — AETNA HMO EXCHANGE: $343.14 AETNA — AETNA MEDICARE: $112.30 AETNA — AETNA PPO: $722.40 AETNA — AETNA TIER 2: $460.53 AFFORDABLE — AFFORDABLE PPO: $812.70 AMERIGROUP — AMERIGROUP: $143.21

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$815.35 – $15,171.48
Removal of breast growth (open surgery): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50 In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,223.02 – $15,171.48
Removal of breast growth (open surgery): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$366 – $10,659.53
Shoulder arthroscopy: shaving of shoulder bone: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,334.27 – $18,488.03
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · modifier 59 In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,334.27 – $18,488.03
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (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	Not listed in the file	Not listed in the file	$617.47 – $11,218.50
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · modifier 74 In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$604.59 – $3,535.60
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (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	Not listed in the file	Not listed in the file	$617.47 – $3,862.58
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier 59 In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$617.47 – $3,862.58
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · modifier PT In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$617.47 – $3,862.58
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$606.36 – $3,545.99
Colonoscopy (diagnostic): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier PT In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$606.36 – $3,545.99
Colonoscopy (diagnostic): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · modifier 33 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$613.58 – $8,908.89
Colonoscopy (diagnostic): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$613.58 – $3,852.86
Colonoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$613.58 – $3,852.86
Colonoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$613.58 – $3,852.86
Colonoscopy with biopsy: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (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	Not listed in the file	Not listed in the file	$613.58 – $8,300.83
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$613.58 – $3,814.14
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · modifier 33 In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$613.58 – $3,814.14
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$539 – $3,527.33
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · modifier 74 In the file: COLON CA SCRN NOT HI RSK IND	Not listed in the file	Not listed in the file	$539 – $3,527.33
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,234.72 – $24,315.86
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier ER In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,234.72 – $24,315.86
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier 22 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,234.72 – $24,315.86
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (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	Not listed in the file	Not listed in the file	$2,250.18 – $24,995.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,375.27 – $24,995.52
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Prostate biopsy surgical	$2,968	$1,929.20	$507.53 – $2,968
Prostate biopsy: 10 of 43 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $1,138.85 AETNA — AETNA BETTER HEALTH MEDICAID: $1,138.85 AETNA — AETNA CATASTROPHIC: $1,513.68 AETNA — AETNA HMO: $1,513.68 AETNA — AETNA HMO EXCHANGE: $1,127.84 AETNA — AETNA PPO: $2,374.40 AETNA — AETNA TIER 2: $1,513.68 AFFORDABLE — AFFORDABLE PPO: $2,671.20 AMERIGROUP — AMERIGROUP: $1,054.49 AMERIHEALTH — AMERIHTH CARITAS NXT EX: $1,335.60
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,457.27 – $20,736.28
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 74 In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,457.27 – $20,736.28
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier 59 In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,457.27 – $20,736.28
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (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: Lumbar sac epidural inj w gui	$5,329	$3,463.85	$468.92 – $5,329
Spinal injection, lower back (epidural), with imaging guidance: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $506.43 AETNA — AETNA BETTER HEALTH MEDICAID: $506.43 AETNA — AETNA CATASTROPHIC: $2,717.79 AETNA — AETNA HMO: $2,717.79 AETNA — AETNA HMO EXCHANGE: $2,025.02 AETNA — AETNA MEDICARE: $825.59 AETNA — AETNA PPO: $4,263.20 AETNA — AETNA TIER 2: $2,717.79 AFFORDABLE — AFFORDABLE PPO: $4,796.10 AMERIGROUP — AMERIGROUP: $468.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Transfor epi L-S sglv w gui	$3,366	$2,187.90	$468.92 – $3,366
Nerve root injection, lower back, with imaging guidance: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $506.43 AETNA — AETNA BETTER HEALTH MEDICAID: $506.43 AETNA — AETNA CATASTROPHIC: $1,716.66 AETNA — AETNA HMO: $1,716.66 AETNA — AETNA HMO EXCHANGE: $1,279.08 AETNA — AETNA MEDICARE: $1,034.47 AETNA — AETNA PPO: $2,692.80 AETNA — AETNA TIER 2: $1,716.66 AFFORDABLE — AFFORDABLE PPO: $3,029.40 AMERIGROUP — AMERIGROUP: $468.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Transfor epi ls sg lv bil wgui	$6,729	$4,373.85	$468.92 – $6,729
Nerve root injection, lower back, with imaging guidance: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $506.43 AETNA — AETNA BETTER HEALTH MEDICAID: $506.43 AETNA — AETNA CATASTROPHIC: $3,431.79 AETNA — AETNA HMO: $3,431.79 AETNA — AETNA HMO EXCHANGE: $2,557.02 AETNA — AETNA MEDICARE: $1,034.47 AETNA — AETNA PPO: $5,383.20 AETNA — AETNA TIER 2: $3,431.79 AFFORDABLE — AFFORDABLE PPO: $6,056.10 AMERIGROUP — AMERIGROUP: $468.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: Transfor epi L-S sglv w gui	$3,366	$2,187.90	$575.59 – $3,366
Nerve root injection, lower back, with imaging guidance: 10 of 56 insurance plan rates AETNA — AETNA BETTER HEALTH HEALTHY KIDS: $759.64 AETNA — AETNA BETTER HEALTH MEDICAID: $759.64 AETNA — AETNA CATASTROPHIC: $1,716.66 AETNA — AETNA HMO: $1,716.66 AETNA — AETNA HMO EXCHANGE: $1,279.08 AETNA — AETNA MEDICARE: $1,551.71 AETNA — AETNA PPO: $2,692.80 AETNA — AETNA TIER 2: $1,716.66 AFFORDABLE — AFFORDABLE PPO: $3,029.40 AMERIGROUP — AMERIGROUP: $703.37
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$836.71 – $10,591.11
Carpal tunnel release: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 59 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$836.71 – $10,591.11
Carpal tunnel release: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,255.06 – $10,591.11
Carpal tunnel release: 10 of 31 insurance plan rates AETNA — AETNA CATASTROPHIC: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO: 51% (a percentage in the contract, not a dollar amount) AETNA — AETNA HMO EXCHANGE: 38% (a percentage in the contract, not a dollar amount) AETNA — AETNA PPO: 80% (a percentage in the contract, not a dollar amount) AETNA — AETNA TIER 2: 51% (a percentage in the contract, not a dollar amount) AFFORDABLE — AFFORDABLE PPO: 90% (a percentage in the contract, not a dollar amount) AMERIHEALTH — AMERIHTH CARITAS NXT EX: 45% (a percentage in the contract, not a dollar amount) AVMED — AVMED ENTRUST: 35.1% (a percentage in the contract, not a dollar amount) AVMED — AVMED HMO: 40.9% (a percentage in the contract, not a dollar amount) AVMED — AVMED INDIVIDUAL: 39.9% (a percentage in the contract, not a dollar amount)

Source: West Kendall Baptist Hospital’s standard charges file (baptisthealth.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 30, 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	9555 SW 162 Ave, Miami, FL 33196
County	Miami-Dade County
State	Florida
Phone	(786) 467‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	100314
Name in Medicare records	WEST KENDALL BAPTIST HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Baptist Health West Kendall Baptist Hospital
Official website	baptisthealth.net
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Baptist Health West Kendall Baptist Hospital — baptisthealth.net
Medical Residency Program with Florida International University | Baptist Health West Kendall Baptist Hospital | Baptist — baptisthealth.net
Healthy West Kendall | Baptist Health West Kendall Baptist Hospital | Baptist Health South Florida — baptisthealth.net

West Kendall Baptist Hospital

Summary

Profile from official sources

At a glance